Commonwealth Numbered Regulations Commonwealth Numbered RegulationsBy His Excellency's Command
Greg Hunt
Minister for Health
Contents
1............ Name............................................................................................................................. 1
2............ Commencement............................................................................................................. 1
3............ Authority....................................................................................................................... 1
4............ Diagnostic imaging services table.................................................................................. 1
5............ Dictionary...................................................................................................................... 1
6............ Schedule 2..................................................................................................................... 1
Schedule 1--Diagnostic imaging services table 2
Part 1--Preliminary 2
Division 1.1--Interpretation 2
1.1.1...... References to diagnostic imaging services..................................................................... 2
Division 1.2--General application provisions 3
Subdivision A--Capital sensitivity 3
1.2.1...... Application of (K) items and (NK) items....................................................................... 3
1.2.2...... Age of equipment.......................................................................................................... 3
1.2.3...... Exemptions from capital sensitivity............................................................................... 5
1.2.4...... Reconsideration of exemption decisions........................................................................ 6
1.2.5...... Delegation..................................................................................................................... 6
Subdivision B--Other provisions 7
1.2.6...... Meaning of symbols (R) and (NR)................................................................................ 7
1.2.7...... Who may provide a diagnostic imaging service............................................................. 7
1.2.8...... Report requirements for R-type diagnostic imaging services......................................... 7
1.2.9...... Bulk-billing incentive.................................................................................................... 7
1.2.10.... Bulk-billing--magnetic resonance imaging................................................................... 7
1.2.11.... Multiple services--vascular ultrasound......................................................................... 8
1.2.12.... Multiple services........................................................................................................... 8
1.2.13.... Application of items--services provided with autologous injections of blood or blood products 9
1.2.14.... Application of items--services provided with harvesting, storage, in vitro processing or injection of non-haematopoietic stem cells..................................................................................................................... 10
Part 2--Services and fees 11
Division 2.1--Group I1: ultrasound 11
Subdivision A--General 11
2.1.1...... Ultrasound services--eligible services........................................................................ 11
2.1.2...... Ultrasound services--R-type eligible services............................................................ 11
Subdivision B--Subgroups 1 to 4 of Group I1 12
2.1.3...... Certain references to medical practitioner taken to include approved dental practitioner 12
Subdivision C--Subgroup 5 of Group I1: obstetric and gynaecological 29
2.1.4...... Obstetric and gynaecological ultrasound services--limits........................................... 29
2.1.5...... Obstetric and gynaecological services--referrals and clinical notes............................ 29
2.1.6...... Obstetric and gynaecological services--conditions..................................................... 29
Subdivision D--Subgroup 6 of Group I1: musculoskeletal ultrasound 47
2.1.7...... Musculoskeletal ultrasound services--personal attendance......................................... 47
2.1.8...... Musculoskeletal ultrasound services--comparison ultra-sonography......................... 47
Division 2.2--Group I2: computed tomography (examination) 60
2.2.1...... CT services--eligible services..................................................................................... 60
2.2.2...... CT services--exclusion of attenuation correction and anatomical correlation.............. 60
2.2.3...... CT services--exclusion of acoustic neuroma.............................................................. 60
2.2.4...... CT services--assessment of headache........................................................................ 60
2.2.5...... CT services--number of services................................................................................ 61
2.2.6...... Cone beam computed tomography--items 57362 and 57363..................................... 61
Division 2.3--Group I3: diagnostic radiology 71
Subdivision A--General 71
2.3.1...... Who must perform diagnostic imaging procedure....................................................... 71
2.3.2...... Limitation of items--certain services requested by chiropractors, osteopaths and physiotherapists 71
Subdivision B--Subgroups 1 to 9 of Group I3 71
Subdivision C--Subgroup 10 of Group I3: radiographic examination of breasts 77
2.3.3...... Mammography services--eligible services................................................................. 77
Subdivision D--Subgroups 12 and 13 of Group I3 79
Subdivision E--Subgroup 15 of Group I3: fluoroscopic examination 83
Subdivision F--Subgroup 16 of Group I3: preparation for radiological procedure 84
2.3.4...... Preparation of patients for radiological procedures...................................................... 84
Subdivision G--Subgroup 17 of Group I3: interventional techniques 84
2.3.5...... Meaning of angiography suite.................................................................................... 84
Division 2.4--Group I4: nuclear medicine imaging 86
2.4.1...... Nuclear scanning services--other than PET................................................................ 86
2.4.2...... PET nuclear scanning services.................................................................................... 86
2.4.3...... PET nuclear scanning services--performance under personal supervision................. 86
2.4.4...... PET nuclear scanning services--equipment................................................................ 87
2.4.5...... PET nuclear scanning services--statutory declaration................................................. 87
Division 2.5--Group I5: magnetic resonance imaging 97
Subdivision A--General 97
2.5.1...... MRI and MRA services--eligible services................................................................. 97
2.5.2...... MRI and MRA services--request............................................................................... 97
2.5.3...... MRI and MRA services--permissible circumstances for performance....................... 97
2.5.4...... MRI and MRA services--eligible provider................................................................ 98
2.5.5...... MRI and MRA services--eligible equipment............................................................. 98
2.5.6...... MRI and MRA services--partial eligible equipment................................................... 98
2.5.7...... MRI and MRA services--meaning of scan................................................................ 98
2.5.8...... MRI and MRA services--multiple services................................................................ 99
2.5.9...... MRI or MRA services--application of items to related services provided in same period 99
Subdivision B--Subgroups 1 to 19 of Group I5 100
Subdivision C--Subgroup 20 of Group I5: scans of pelvis and upper abdomen for specified conditions 111
2.5.10.... MRI services--limits for certain items...................................................................... 111
2.5.11.... MRI and MRA services--modifying items.............................................................. 111
Subdivision D--Subgroups 21 and 22 of Group I5 113
Subdivision E--Subgroup 33 of Group I5 114
Subdivision F--Subgroup 34 of Group I5 115
Division 2.6--Group I6: management of bulk-billed services 117
2.6.1...... Application of items 64990 and 64991...................................................................... 117
Part 3--Dictionary 119
3.1......... Dictionary.................................................................................................................. 119
Schedule 2--Repeals 123
Health Insurance (Diagnostic Imaging Services Table) Regulations 2018 123