HEALTH INSURANCE (1998-99 DIAGNOSTIC IMAGING SERVICES TABLE) AMENDMENT REGULATIONS 1999 (NO. 2) 1999 NO. 193

Commonwealth Numbered Regulations

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HEALTH INSURANCE (1998-99 DIAGNOSTIC IMAGING SERVICES TABLE) AMENDMENT REGULATIONS 1999 (NO. 2) 1999 NO. 193 - SCHEDULE 1

Amendments

(regulation 3)

[1] Schedule 1, Part 1, rule 10, paragraph (b)

omit

$21.75.

insert

$21.30.

[2] Schedule 1, Part 1, after rule 10

insert

HEALTH INSURANCE (1998-99 DIAGNOSTIC IMAGING SERVICES TABLE) AMENDMENT REGULATIONS 1999 (NO. 2)
1999 NO. 193
- REG 10AA
Ultrasound services — eligible services

(1): Items 55028 to 55603 apply only to an ultrasound service performed for items marked with the symbol (R) :

(a): under the professional supervision of a specialist or a consultant physician in the practice of his or her specialty who is available:

(i): to monitor and influence the conduct and diagnostic quality of the examination; and
(ii): if necessary — to personally attend the patient; or

(b): if paragraph (a) cannot be complied with:

(i): in an emergency; or
(ii): in a remote location that is not less than 30 kilometres by the most direct road route from another practice where services that comply with subparagraph (a) are available; or

(c): by or on behalf of a practitioner who is not a specialist or consultant physician but who meets the requirements of subrule (2); or
(d): by or on behalf of a practitioner in circumstances mentioned in subrule (3).

(2): The requirements of this subrule are that, between 1 September 1997 and 31 August 1999, at least 50 services were rendered by or on behalf of the practitioner at the location where the service was rendered and the rendering of those services resulted in the payment of a medicare benefit.
(3): For paragraph (1) (d), the circumstances are that between 1 September 1997 and 31 August 1999, at least 50 services were rendered by or on behalf of the practitioner to a patient in a nursing home or at the patient's residence and the rendering of those services resulted in the payment of a medicare benefit.

[3] Schedule 1, Part 2, item 55036, paragraph (b)

omit

member (R)

insert

member; and

[4] Schedule 1, Part 2, item 55036, after paragraph (b)

insert

(c): the service is not performed with item 55042 or 55044 on the same patient within 24 hours (R)

[5] Schedule 1, Part 2, item 55042, paragraph (b)

omit

member (R)

insert

member; and

[6] Schedule 1, Part 2, item 55042, after paragraph (b)

insert

(c): the service is not performed with item 55036 on the same patient within 24 hours (R)

[7] Schedule 1, Part 2, item 55044, paragraph (b)

omit

member (R)

insert

member; and

[8] Schedule 1, Part 2, item 55044, after paragraph (b)

insert

(c): the service is not performed with item 55036 on the same patient within 24 hours (R)

[9] Schedule 1, Part 2, after item 55045

insert

55046	Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasound examination not being a service associated with a service to which an item in subgroup 2 or 3 of this group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first practitioner is a member; and (c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R)	119.85
55047	Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is not referred by a medical practitioner and the service is not associated with a service to which an item in subgroup 2 or 3 of this group applies; and (b) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR)	49.15

[10] Schedule 1, Part 2, item 55286

omit

[11] Schedule 1, Part 2, item 55288

omit

55286 inclusive (excluding items 55282 and 55284)

insert

55280 inclusive

[12] Schedule 1, Part 2, item 55290

omit

55286 inclusive (excluding items 55282 and 55284)

insert

55280 inclusive

[13] Schedule 1, Part 2, item 56019

omit

[14] Additional amendments of Schedule 1, Part 2

Item	omit	insert

55028	101.95	99.90
55029	35.35	34.65
55030	101.95	99.90
55031	35.35	34.65
55032	101.95	99.90
55033	35.35	34.65
55034	101.95	99.90
55035	35.35	34.65
55037	35.35	34.65
55038	101.95	99.90
55039	35.35	34.65
55040	101.95	99.90
55041	35.35	34.65
55043	35.35	34.65
55045	35.35	34.65
55048	102.35	100.30
55049	35.35	34.65
55050	102.35	100.30
55051	35.35	34.65
55052	101.95	99.90
55053	35.35	34.65
55054	101.95	99.90
55058	27.80	27.25
55102	167.25	163.90
55105	94.65	92.75
55112	262.90	257.65
55118	262.30	257.05
55130	379.80	372.20
55238	172.90	169.45
55240	201.00	197.00
55242	222.95	218.50
55244	172.90	169.45
55245	201.00	197.00
55246	172.90	169.45
55247	201.00	197.00
55248	172.90	169.45
55250	201.00	197.00
55252	172.90	169.45
55254	201.00	197.00
55256	172.90	169.45
55258	201.00	197.00
55260	222.95	218.50
55262	172.90	169.45
55263	201.00	197.00
55264	172.90	169.45
55265	201.00	197.00
55266	172.90	169.45
55268	201.00	197.00
55270	172.90	169.45
55272	201.00	197.00
55274	172.90	169.45
55276	172.90	169.45
55277	111.65	109.40
55278	172.90	169.45
55279	111.65	109.40
55280	172.90	169.45
55282	172.90	169.45
55284	172.90	169.45
55288	304.75	298.65
55290	304.75	298.65
55600	101.95	99.90
55603	101.95	99.90
56001	201.45	197.40
56007	257.25	252.10
56010	291.45	252.10
56013	291.45	252.10
56016	347.10	291.15
56022	230.90	226.30
56028	343.70	336.80
56041	100.75	98.75
56047	128.65	126.10
56050	145.75	128.15
56053	145.75	128.15
56056	173.55	155.40
56059	213.20	208.95
56062	115.45	113.15
56068	171.85	168.40
56101	237.45	232.70
56107	350.15	343.15
56141	118.75	116.40
56147	175.10	171.60
56210	249.95	242.45
56216	362.20	351.35
56219	336.30	326.20
56250	125.00	122.50
56256	181.10	177.50
56259	168.15	164.80
56301	305.05	299.40
56307	412.70	404.45
56341	152.55	149.50
56347	206.35	202.00
56401	258.80	253.60
56407	370.30	362.90
56409	258.80	253.60
56412	370.30	362.90
56441	129.40	126.80
56447	185.15	181.45
56449	129.40	126.80
56452	185.15	181.45
56501	394.10	386.20
56507	497.35	487.40
56541	197.05	193.10
56547	248.70	243.75
56619	228.75	224.15
56625	341.50	334.65
56659	114.40	112.10
56665	170.75	167.35
56801	476.05	466.55
56807	579.25	567.65
56841	238.05	233.30
56847	289.65	283.85
57001	476.15	466.65
57007	579.35	567.75
57041	238.10	233.35
57047	289.70	283.90
57201	158.40	155.20
57247	79.20	77.60
57341	493.90	474.15
57345	246.95	242.00
57350	539.05	512.10
57355	269.55	264.15
57506	31.80	31.15
57509	42.50	41.65
57512	43.25	42.40
57515	57.70	56.55
57518	34.75	34.05
57521	46.40	45.45
57524	52.75	51.70
57527	70.30	68.90
57700	43.25	42.40
57703	57.70	56.55
57706	34.75	34.05
57709	46.40	45.45
57712	50.40	49.40
57715	65.15	63.85
57721	106.05	103.95
57901	68.95	67.55
57902	68.95	67.55
57903	50.40	49.40
57906	68.95	67.55
57909	68.95	67.55
57912	50.40	49.40
57915	50.40	49.40
57918	50.40	49.40
57921	50.40	49.40
57924	50.40	49.40
57927	53.05	52.00
57930	35.15	34.45
57933	83.60	81.95
57936	50.60	49.60
57939	68.95	67.55
57942	53.05	52.00
57945	46.40	45.45
58100	71.80	70.35
58103	58.95	57.75
58106	82.25	80.60
58109	50.20	49.20
58112	103.95	101.85
58115	142.10	139.25
58300	42.85	42.00
58306	95.50	93.60
58500	37.75	37.00
58503	50.40	49.40
58506	64.95	63.65
58509	42.50	41.65
58521	46.40	45.45
58524	60.35	59.15
58527	74.25	72.75
58700	49.20	48.20
58706	168.80	165.40
58715	161.95	158.70
58718	134.80	132.10
58721	147.75	144.80
58900	38.15	37.40
58903	50.85	49.85
58909	96.15	94.25
58912	117.85	115.50
58915	84.35	82.65
58916	148.00	145.05
58921	144.25	141.65
58924	89.80	88.00
58927	81.70	80.05
58933	219.75	215.35
58936	209.45	205.25
58939	148.90	145.90
59300	83.65	82.00
59303	50.45	49.45
59306	96.50	94.55
59309	192.95	189.10
59312	83.65	82.00
59314	50.45	49.45
59318	45.25	44.35
59503	95.50	93.60
59700	103.15	101.10
59703	81.10	79.50
59712	121.55	119.10
59715	153.40	150.35
59718	143.95	141.05
59724	242.00	237.15
59733	115.05	112.75
59736	66.30	64.95
59739	78.80	77.20
59751	148.70	145.75
59754	234.45	229.75
59760	123.05	120.60
59763	143.05	140.20
59900	89.35	87.55
59903	123.05	120.60
59906	123.05	120.60
59912	327.80	321.25
59915	83.60	81.95
59918	106.05	103.95
59921	106.05	103.95
59924	106.05	103.95
59970	161.90	158.65
60000	542.45	531.60
60003	795.50	779.60
60006	1131.20	1108.60
60009	1323.80	1297.30
60012	542.45	531.60
60015	795.50	779.60
60018	1131.20	1108.60
60021	1323.80	1297.30
60024	542.45	531.60
60027	795.50	779.60
60030	1131.20	1108.60
60033	1323.80	1297.30
60036	542.45	531.60
60039	795.50	779.60
60042	1131.20	1108.60
60045	1323.80	1297.30
60048	542.45	531.60
60051	795.50	779.60
60054	1131.20	1108.60
60057	1323.80	1297.30
60060	542.45	531.60
60063	795.50	779.60
60066	1131.20	1108.60
60069	1323.80	1297.30
60072	46.25	45.35
60075	92.45	90.60
60078	138.70	135.95
60100	64.95	63.65
60500	46.40	45.45
60503	31.80	31.15
60506	68.15	66.80
60509	105.65	103.55
60903	137.00	134.25
60915	75.45	73.95
60918	56.30	55.15
60927	46.45	44.50
61109	276.70	271.15
61303	504.75	492.75
61307	752.75	727.75
61313	269.45	264.45
61314	371.10	366.10
61316	337.20	332.20
61317	434.15	429.15
61348	388.95	386.45
61360	355.60	351.60
61361	407.20	402.20
61381	525.65	500.65
61383	569.80	544.80
61384	629.45	599.45
61387	397.45	375.45
61393	537.80	527.80
61421	422.70	418.20
61425	530.10	523.60
61430	586.80	574.80
61442	679.75	655.75
61446	294.25	290.75
61449	403.70	397.70
61453	460.60	448.60
61473	154.85	152.85

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