Commonwealth Consolidated Regulations

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HEALTH INSURANCE (PROFESSIONAL SERVICES REVIEW SCHEME) REGULATIONS 2019 - REG 5

Definitions

Note:   A number of expressions used in this instrument are defined in the Act, including the following:

(a)   general medical services table;

(b)   general practitioner;

(c)   Human Services Department;

(d)   medical practitioner;

(e)   professional service.

    In this instrument:

"Act" means the Health Insurance Act 1973 .

"practitioner" has the same meaning as in Part   VAA of the Act.

"relevant phone service" means a service specified in any of the following items of the general medical services table:

  (a)   an item in any of the following Subgroups of Group A40:

  (i)   Subgroup 2;

  (ii)   Subgroup 8;

  (iii)   Subgroup 10;

  (iv)   Subgroup 16;

  (v)   Subgroup 20;

  (vi)   Subgroup 28;

  (vii)   Subgroup 40;

  (viii)   Subgroup 41;

  (b)   an item in Subgroup 3 of Group A45;

  (c)   an item listed in the following table.

 

Relevant phone services--individual items

Item

Column 1

Group or Subgroup

Column 2

Items of the general medical services table

1

Subgroup 26 of Group A40

92176, 92177

2

Subgroup 1 of Group A41

93302, 93305

3

Subgroup 2 of Group A41

93308, 93311

4

Subgroup 2 of Group A42

93423

5

Subgroup 4 of Group A42

93453

Note:   Some services are specified in items set out in determinations under subsection   3C(1) of the Act.

"relevant service" means a service specified in any of the following items of the general medical services table:

  (a)   an item in Group A1, A2, A5, A6, A7, A9, A11, A13, A14, A15, A17, A18, A19, A20, A21, A22, A23, A27, A35, A39, A41, A42, A43 or A45;

  (b)   an item in Subgroup 1 or 4 of Group A36;

  (c)   an item in any of the following Subgroups of Group A40:

  (i)   Subgroup 1;

  (ii)   Subgroup 2;

  (iii)   Subgroup 3;

  (iv)   Subgroup 10;

  (v)   Subgroup 11;

  (vi)   Subgroup 13;

  (vii)   Subgroup 15;

  (viii)   Subgroup 16;

  (ix)   Subgroup 19;

  (x)   Subgroup 20;

  (xi)   Subgroup 21;

  (xii)   Subgroup 27;

  (xiii)   Subgroup 28;

  (xiv)   Subgroup 29;

  (xv)   Subgroup 39;

  (xvi)   Subgroup 40;

  (xvii)   Subgroup 41;

  (d)   an item listed in the following table.

 

Relevant services--individual items

Item

Column 1

Group or Subgroup

Column 2

Items of the general medical services table

1

A29

139

2

A36

90264, 90265

3

Subgroup 17 of Group A40

92142

4

Subgroup 25 of Group A40

92170, 92171

5

Subgroup 26 of Group A40

92176, 92177

Note:   Some services are specified in items set out in determinations under subsection   3C(1) of the Act.

"service" has the same meaning as in Part   VAA of the Act.

 



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