Commonwealth Numbered Regulations Commonwealth Numbered Regulations
Health Insurance (General Medical Services Table) Regulation 2016
1 Schedule 1 (item 6024, column headed "Description")
After "20 minutes", insert ",".
2 Schedule 1 (item 6058, column headed "Description")
Omit "by sexual health medicine specialist in the practice of his or her specialty of at least 20 minutes", substitute "by a sexual health medicine specialist in the practice of his or her specialty of at least 20 minutes,".
3 Schedule 1 (items 12021, 12022 and 12024, column headed "Description")
After "specialist", insert ", or consultant physician,".
4 Schedule 1 (items 30631, 30634 and 30635, column headed "Description")
Omit "items 30638, 30641 and 30644 apply", substitute "item 30638, 30641, 30642 or 30644 applies".
5 Schedule 1 (after item 30641)
Insert:
| 30642 | Orchidectomy, radical, unilateral, with or without insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30634, 30635, 30638, 30641, 30643 or 30644 applies (H) (Anaes.) (Assist.) | 521.25 |
6 Schedule 1 (item 31340, column headed "Description", paragraph (b))
After "item", insert "31000, 31001, 31002,".
7 Clause 2.44.15A of Schedule 1
Repeal the clause.
8 Schedule 1 (item 32213, column headed "Description", paragraph (b))
Omit "12 months", substitute "12 months;".
9 Schedule 1 (item 32213, column headed "Description", after paragraph (b))
Insert:
other than a patient who:
(c) is medically unfit for surgery; or
(d) is pregnant or planning pregnancy; or
(e) has irritable bowel syndrome; or
(f) has congenital anorectal malformations; or
(g) has active anal abscesses or fistulas; or
(h) has anorectal organic bowel disease, including cancer; or
(i) has functional effects of previous pelvic irradiation; or
(j) has congenital or acquired malformations of the sacrum; or
(k) has had rectal or anal surgery within the previous 12 months
10 Schedule 1 (item 32214, column headed "Description", paragraph (b))
Omit "12 months", substitute "12 months;".
11 Schedule 1 (item 32214, column headed "Description", after paragraph (b))
Insert:
other than a patient who:
(c) is medically unfit for surgery; or
(d) is pregnant or planning pregnancy; or
(e) has irritable bowel syndrome; or
(f) has congenital anorectal malformations; or
(g) has active anal abscesses or fistulas; or
(h) has anorectal organic bowel disease, including cancer; or
(i) has functional effects of previous pelvic irradiation; or
(j) has congenital or acquired malformations of the sacrum; or
(k) has had rectal or anal surgery within the previous 12 months
12 Schedule 1 (item 32215, column headed "Description")
Omit all the words after "by a medical practitioner,", substitute:
to manage faecal incontinence, other than in a patient who:
(a) is medically unfit for surgery; or
(b) is pregnant or planning pregnancy; or
(c) has irritable bowel syndrome; or
(d) has congenital anorectal malformations; or
(e) has active anal abscesses or fistulas; or
(f) has anorectal organic bowel disease, including cancer; or
(g) has functional effects of previous pelvic irradiation; or
(h) has congenital or acquired malformations of the sacrum; or
(i) has had rectal or anal surgery within the previous 12 months;
--each day
13 Schedule 1 (item 32216, column headed "Description", after paragraph (b))
Insert:
other than a patient who:
(c) is medically unfit for surgery; or
(d) is pregnant or planning pregnancy; or
(e) has irritable bowel syndrome; or
(f) has congenital anorectal malformations; or
(g) has active anal abscesses or fistulas; or
(h) has anorectal organic bowel disease, including cancer; or
(i) has functional effects of previous pelvic irradiation; or
(j) has congenital or acquired malformations of the sacrum; or
(k) has had rectal or anal surgery within the previous 12 months;
14 Schedule 1 (item 32217, column headed "Description", paragraph (b))
Omit "12 months", substitute "12 months;".
15 Schedule 1 (item 32217, column headed "Description", after paragraph (b))
Insert:
other than a patient who:
(c) is medically unfit for surgery; or
(d) is pregnant or planning pregnancy; or
(e) has irritable bowel syndrome; or
(f) has congenital anorectal malformations; or
(g) has active anal abscesses or fistulas; or
(h) has anorectal organic bowel disease, including cancer; or
(i) has functional effects of previous pelvic irradiation; or
(j) has congenital or acquired malformations of the sacrum; or
(k) has had rectal or anal surgery within the previous 12 months
16 Schedule 1 (item 32218, column headed "Description", paragraph (b))
Omit "12 months", substitute "12 months;".
17 Schedule 1 (item 32218, column headed "Description", after paragraph (b))
Insert:
other than a patient who:
(c) is medically unfit for surgery; or
(d) is pregnant or planning pregnancy; or
(e) has irritable bowel syndrome; or
(f) has congenital anorectal malformations; or
(g) has active anal abscesses or fistulas; or
(h) has anorectal organic bowel disease, including cancer; or
(i) has functional effects of previous pelvic irradiation; or
(j) has congenital or acquired malformations of the sacrum; or
(k) has had rectal or anal surgery within the previous 12 months
18 Schedule 1 (after item 35729)
Insert:
| 35730 | Ovarian repositioning for one or both ovaries to preserve ovarian function, prior to gonadotoxic radiotherapy when the treatment volume and dose of radiation have a high probability of causing infertility (H) (Anaes.) |
217.80 |
19 Schedule 1 (item 36663, column headed "Description", subparagraph (b )(ii))
Omit "treatment;", substitute "treatment".
20 Schedule 1 (item 36663, column headed "Description" )
Omit " in a patient who is at least 18 years old ".
21 Schedule 1 (item 36664, column headed "Description" )
Omit " in a patient who is at least 18 years old--".
22 Schedule 1 (item 36666, column headed "Description", paragraph (b ))
Omit "treatment;", substitute "treatment".
23 Schedule 1 (item 36666, column headed "Description" )
Omit " in a patient who is at least 18 years old ".
24 Schedule 1 (item 36667, column headed "Description", paragraph (b ))
Omit "treatment;", substitute "treatment".
25 Schedule 1 (item 36667, column headed "Description" )
Omit " in a patient who is at least 18 years old ".
26 Schedule 1 (item 36668, column headed "Description", paragraph (b ))
Omit "treatment;", substitute "treatment".
27 Schedule 1 (item 36668, column headed "Description" )
Omit " in a patient who is at least 18 years old ".
28 Schedule 1 (after item 41617 )
Insert:
| 41618 | Middle ear implant, partially implantable, insertion of, via mastoidectomy, for patients with: (a) stable sensorineural hearing loss; and (b) outer ear pathology that prevents the use of a conventional hearing aid; and (c) a PTA4 of less than 80 dBHL; and (d) bilateral, symmetrical hearing loss with PTA thresholds in both ears within 20 dBHL (0.5-4kHz) of each other; and (e) speech perception discrimination of at least 65% correct for word lists with appropriately amplified sound; and (f) a normal middle ear; and (g) normal tympanometry; and (h) on audiometry, an air-bone gap of less than 10 dBHL (0.5-4kHz) across all frequencies; and (i) no other inner ear disorders (H) (Anaes.) (Assist.) | 1 876.95 |
29 Schedule 1 (item 42725, column headed "Description", paragraph (c) )
Omit "membranes", substitute "membranes;".
30 Schedule 1 (item 42725, column headed "Description", after paragraph (c) )
Insert:
(d) capsulotomy
31 Schedule 1 (item 42734, column headed "Description")
After "laser", insert ", and other than a service associated with a service to which item 42725 or 42731 applies".
32 Schedule 1 (item 42758, column headed "Description")
After "Goniotomy", insert "for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices".
33 Schedule 1 (items 42788 and 42789, column headed "Description")
After "2 year period", insert "--other than a service associated with a service to which item 42702 applies".
34 Schedule 1 (items 42791 and 42792, column headed "Description")
After "fibrinolysis", insert ", excluding vitreolyis in the posterior vitreous cavity".
Health Insurance (Pathology Services Table) Regulation 2016
35 Schedule 1 (cell at item 69471, column headed "Pathology service")
Repeal the cell, substitute:
| Test of cell-mediated immune response in blood for the detection of latent tuberculosis by interferon gamma release assay (IGRA) in the following people: (a) a person who has been exposed to a confirmed case of active tuberculosis; (b) a person who is infected with human immunodeficiency virus; (c) a person who is to commence, or has commenced, tumour necrosis factor (TNF) inhibitor therapy; (d) a person who is to commence, or has commenced, renal dialysis; (e) a person with silicosis; (f) a person who is, or is about to become, immunosuppressed because of a disease, or a medical treatment, not mentioned in paragraphs (a) to (e) |
36 Schedule 1 (item 73336)
Repeal the item.