Commonwealth Numbered Regulations

1992 No. 70 HEALTH INSURANCE (1991-1992 GENERAL MEDICAL SERVICES TABLE) REGULATIONS (AMENDMENT) - REG 3

3.1 After rule 34, insert:

"SERVICES AND FEES".
3.2 Items 17600 and 17603: Omit the items, substitute:
    "17600    Examination of a patient in preparation for the
administration of an anaesthetic, being an examination carried out at a place
other than an operating theatre or an anaesthetic induction room (G) 21.50
    17603    Examination of a patient in preparation for the
administration of an anaesthetic, being an examination carried out at a place
other than an operating theatre or an anaesthetic induction room (S) 29.50".
3.3 After item 30093, insert:
    "30094    Percutaneous aspiration biopsy of deep organ using

interventional techniques-not including imaging           130.00".

3.4 After item 30223, insert:
    "30224    Percutaneous drainage of deep abscess-not including

imaging                                                     164.00

    30225    Abscess drainage tube, exchange of-not including

imaging                                                   184.00".

3.5 After item 30359, insert:
    "30360    Fine needle breast biopsy, imaging guided-not

including imaging                                           130.00

    30361    Breast, preoperative localisation of lesion by

hookwire or similar device-not including imaging          130.00".

3.6 After item 30416, insert:
    "30417    Cholangiogram, percutaneous transhepatic, and

biliary drainage-not including imaging                    360.00".

3.7 After item 30423, insert:
    "30424    Biliary drainage tube, exchange of-not including

imaging                                                   184.00".

3.8 Item 30585:
Omit the item.
3.9 Item 30675: Omit " in a person ten years of age or over".
3.10 Item 30676: Omit " in a person ten years of age or over".
3.11 Items 32177 and 32180: Omit the items, substitute:
    "32177    Anal warts, removal of under general anaesthesia, or
under regional or field nerve block (excluding pudendal block) requiring
admission to a hospital or approved day-hospital facility, where the time
taken is less than or equal to 45 minutes-not in association with item 35507
or 35508 (AU 6)
120.00
    32180    Anal warts, removal of under general anaesthesia, or
under regional or field nerve block (excluding pudendal block) requiring
admission to a hospital or approved day-hospital facility, where the time
taken is greater than 45 minutes-not in association with item 35507 or 35508
(AU 11) 178.00".
3.12 Heading "Endovascular intervention procedures": Omit the heading.
3.13 Items 34700 and 34703: Omit the items.
3.14 Item 35206: Omit the item, substitute:
    "35300    Transluminal balloon angioplasty of 1 peripheral
artery or vein, percutaneous or by open exposure, excluding associated
radiological services or preparation and excluding aftercare 355.00
    35303    Transluminal balloon angioplasty of aortic arch
branches, aortic visceral branches, or more than 1 peripheral artery or vein,
percutaneous or by open exposure, excluding associated radiological services
or preparation and excluding aftercare 455.00
    35306    Transluminal stent insertion including associated
balloon dilatation for 1 peripheral artery or vein, percutaneous or by open
exposure, excluding associated radiological services or preparation and
excluding aftercare                         420.00

    35309    Transluminal stent insertion including associated
balloon dilatation for visceral arteries or veins, or more than 1 peripheral
artery or vein, percutaneous or by open exposure, excluding associated
radiological services or preparation and excluding aftercare 525.00
    35312    Peripheral arterial atherectomy including associated
balloon dilatation, percutaneous or by open exposure, excluding associated
radiological services or preparation and excluding aftercare 595.00
    35315    Peripheral laser angioplasty including associated
balloon dilatation, percutaneous or by open exposure, excluding associated
radiological services or preparation and excluding aftercare 595.00
    35318    Peripheral arterial or venous catheterisation with
administration of thrombolytic or chemotherapeutic agents, percutaneous or by
open exposure, excluding associated radiological services or preparation and
excluding aftercare (not associated with item 13903) 245.00
    35321    Peripheral arterial catheterisation to administer
agents to occlude arteries, vein or arterio-venous fistulae or to arrest
haemorrhage, percutaneous or by open exposure, excluding associated
radiological services or preparation and excluding aftercare 560.00
    35324    Angioscopy not combined with another procedure,
excluding associated radiological services or preparation and excluding
aftercare                                         210.00

    35327    Angioscopy combined with another procedure, excluding
associated radiological services or preparation and excluding aftercare 104.00
    35330    Insertion of inferior vena-caval filter, percutaneous
or by open exposure, excluding associated radiological services or preparation
and excluding aftercare                       355.00".

3.15 After item 35506, insert:
    "35507    Vulval or vaginal warts, removal of under general
anaesthesia, or under regional or field nerve block (excluding pudendal block)
requiring admission to a hospital or approved day hospital facility, where the
time taken is less than or equal to 45 minutes-not in association with item
32177 or 32180 (AU 6)
120.00
    35508    Vulval or vaginal warts, removal of under general
anaesthesia, or under regional or field nerve block (excluding pudendal block)
requiring admission to a hospital or approved day hospital facility, where the
time taken is greater than 45 minutes-not in association with item 32177 or
32180 (AU 11)
178.00".
3.16 Items 35536, 35539 and 35542: Omit the items, substitute:
    "35536    Vulva, wide local excision of suspected malignancy

or hemivulvectomy, 1 or both procedures (AU 9)              240.00

    35539    Colposcopically directed CO2 laser therapy for
previously confirmed intraepithelial neoplastic changes of the cervix, vagina,
vulva, urethra or anal canal, including any associated biopsies-1 anatomical
site (AU 5)                188.00

    35542    Colposcopically directed CO2 laser therapy for
previously confirmed intraepithelial neoplastic changes of the cervix, vagina,
vulva, urethra or anal canal, including any associated biopsies-2 or more
anatomical sites (AU 6)     220.00".

3.17 After item 35614, insert:
    "35615    Vulva, biopsy of, when performed in association with

item 35614                                                 37.00".

3.18 Items 35627 and 35630: Omit the items, substitute:
    "35625    Endometrium, endoscopic ablation of, by laser or
diathermy resection, for chronic refractory menorrhagia including any
hysteroscopy or laparoscopy performed on the same day- excluding services
covered by item 30582 or 35637 (AU 9)    415.00

    35626    Hysteroscopy, including biopsy, for the investigation
of suspected intrauterine pathology (with or without local anaesthetic), where
the patient is referred by a medical practitioner who is not a member of a
group of practitioners of which the practitioner who ordered the service is a
member-not in association with item 35630 57.00
    35627    Hysteroscopy with dilatation of cervix performed in
the operating theatre of a hospital or approved day-hospital facility (AU 7)
74.00
    35630    Hysteroscopy, with or without endometrial biopsy,
performed in the operating theatre of a hospital or approved day- hospital
facility-not covered by item 35626 and including procedures covered by item
35639, 35640 or 35643 where performed (AU 7) 104.00".
3.19 After item 35636, insert:
    "35637    Laparoscopy, involving puncture of cysts, diathermy
of endometriosis, ventrosuspension, division of adhesions or any other
gynaecological procedure-1 or more procedures with or without biopsy-not
associated with item 30582, 35687 or 35688 (AU 7) 280.00
    35638    Complicated operative laparoscopy, including use of
laser when required, for 1 or more of the following procedures: oophorectomy,
ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of
moderate or severe endometriosis requiring more than 1 hour of operating time,
division of adhesions requiring more than 1 hour of operating time, or
division of utero-sacral ligaments for significant dysmenorrhoea (AU 12)
490.00".
3.20 Item 35646: Omit the item, substitute:
    "35644    Cervix, electrocoagulation diathermy with
colposcopy, for previously confirmed intraepithelial neoplastic changes of the
cervix, including any local anaesthesia and biopsies, not associated with item
35647 (AU 8)             140.00

    35645    Cervix, electrocoagulation diathermy with colposcopy,
for previously confirmed intraepithelial neoplastic changes of the cervix,
including any local anaesthesia and biopsies, in association with ablative
therapy of additional areas of intraepithelial change in 1 or more sites of
vagina, vulva, urethra or anus, not associated with item 35648 (AU 8) 220.00
    35646    Cervix, colposcopy with radical diathermy of, with or
without cervical biopsy, for previously confirmed intraepithelial neoplastic
changes of the cervix (AU 8)                     140.00

    35647    Cervix, large loop excision of transformation zone
together with colposcopy for previously confirmed intraepithelial neoplastic
changes of the cervix, including any local anaesthesia and biopsies, not
associated with item 35644 (AU 8)         140.00

    35648    Cervix, large loop excision diathermy for previously
confirmed intraepithelial neoplastic changes of the cervix, including any
local anaesthesia and biopsies, in association with ablative treatment of
additional areas of intraepithelial change of 1 or more sites of vagina,
vulva, urethra or anus, not associated with item 35645 (AU 8) 220.00".
3.21 After item 35677, insert:
    "35678    Ectopic pregnancy, laparoscopic removal of (AU 10)

445.00".
3.22 After item 36648, insert:
    "36649    Nephrostomy drainage tube, exchange of-not including

imaging                                                   184.00".

3.23 After item 45596, insert:
    "45597    Maxilla, total resection of both maxillae

830.00".
3.24 Item 47738: Omit the item, substitute:
    "47738    Nasal bones, treatment of fracture of, by reduction

162.00".
3.25 Item 47744: Omit the item, substitute:
    "47753    Maxilla, treatment of fracture of, requiring
splinting, wiring of teeth, circumosseous fixation or external fixation (AU
14) 280.00
    47756    Mandible, treatment of fracture of, requiring
splinting, wiring of teeth, circumosseous fixation or external fixation (AU
14) 280.00
    47762    Zygomatic bone, treatment of fracture of, requiring
surgical reduction by a temporal, intra-oral or other approach (AU 7) 164.00
    47765    Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external fixation at 1 site (AU
9) 270.00
    47768    Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external fixation or both at 2
sites (AU 10)                                     330.00

    47771    Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external fixation or both at 3
sites (AU 11)                                     380.00

    47774    Maxilla, treatment of fracture of, requiring open

reduction (AU 7)                                            300.00

    47777    Mandible, treatment of fracture of, requiring open

reduction (AU 7)                                            300.00

    47780    Maxilla, treatment of fracture of, requiring open
reduction and internal fixation not involving a plate or plates (AU 9) 390.00
    47783    Mandible, treatment of fracture of, requiring open
reduction and internal fixation not involving a plate or plates (AU 9) 390.00
    47786    Maxilla, treatment of fracture of, requiring open
reduction and internal fixation involving a plate or plates (AU 11) 495.00
    47789    Mandible, treatment of fracture of, requiring open
reduction and internal fixation involving a plate or plates (AU 11) 495.00".
3.26 Item 52318: Omit the item, substitute:
    "52318    Bone graft, harvesting of, via separate incision,
associated with any other item in groups O3 to O9 (inclusive)-
autogenous-small quantity (AU 7)                             97.00

    52319    Bone graft, harvesting of, via separate incision,
associated with any other item in groups O3 to O9 (inclusive)-
autogenous-large quantity (AU 7)                          162.00".

3.27 Item 53415: Omit the item, substitute:
    "53415    Maxilla, treatment of fracture of, requiring open

reduction (AU 7)                                          300.00".

3.28 Item 53418 to 53423 (inclusive): Omit the items, substitute:
    "53418    Maxilla, treatment of fracture of, requiring open
reduction and internal fixation not involving a plate or plates (AU 9) 390.00
    53419    Mandible, treatment of fracture of, requiring open
reduction and internal fixation not involving a plate or plates (AU 9) 390.00
    53422    Maxilla, treatment of fracture of, requiring open
reduction and internal fixation involving a plate or plates (AU 11) 495.00
    53423    Mandible, treatment of fracture of, requiring open
reduction and internal fixation involving a plate or plates (AU 11) 495.00".