Commonwealth Numbered Regulations Commonwealth Numbered Regulations
Health Insurance Regulations 1975
1 Regulation 2
Insert:
"(K) item" means an item of the diagnostic imaging services table that includes the symbol (K) at the end of the item.
"(NK) item" means an item of the diagnostic imaging services table that includes the symbol (NK) at the end of the item.
"upgraded" , for equipment, has the meaning given by the diagnostic imaging services table.
2 Subparagraph 6EF(b)(ii)
Repeal the subparagraph, substitute:
(ii) to which clause 1.2.9 or 1.2.10 of Schedule 1 to the diagnostic imaging services table applies.
3 Paragraphs 10(1)(a) to (e)
Repeal the paragraphs, substitute:
(a) if the dental practitioner who requests the service is approved by the Minister under paragraph (b) of the definition of professional service in subsection 3(1) of the Act--a service described in any of items 55005, 55008, 55011, 55028, 55030, 55032, 56001 to 56220, 56224, 56227, 56230, 56259, 56301 to 56507, 56541, 56547, 56801 to 57007, 57041, 57047, 57341, 57345, 57703, 57705, 57709, 57711, 57712, 57714, 57715, 57717, 58103 to 58115, 58117, 58123, 58124, 58306, 58308, 58506, 58508, 58521 to 58527, 58529, 58909, 58911, 59103, 59104, 59703, 59704, 60000 to 60009, 60506, 60507, 60509, 60510, 61109, 61110, 61372, 61421, 61425, 61429, 61430, 61433, 61434, 61446, 61449, 61450, 61453, 61454, 61457, 61462, 61672, 61690, 61691, 61693, 61694, 61695, 61696, 61702, 61703, 61704, 61705, 61706, 61707, 61710, 63007, 63016, 63334 and 63346;
(b) if the dental practitioner who requests the service is a prosthodontist--a service described in any of items 55005, 55028, 56013, 56016, 56022, 56028, 56053, 56056, 56062, 56068, 58306, 58308, 61421, 61425, 61429, 61430, 61433, 61434, 61446, 61449, 61450, 61453, 61454, 61457, 61462, 61690, 61691, 61693, 61694, 61695, 61696, 61702, 61703, 61704, 61705, 61706, 61707, 61710, 63334 and 63346;
(c) if the dental practitioner who requests the service is a dental specialist--a service described in any of items 56022, 56062, 58306, 58308, 61421, 61454, 61457, 61690, 61706, 61707, 63334 and 63346;
(d) if the dental practitioner who requests the service is an oral medicine specialist or oral pathology specialist--a service described in any of items 55005, 55008, 55011, 55028, 55030, 55032, 56001, 56007, 56010, 56013, 56016, 56022, 56028, 56041, 56047, 56050, 56053, 56056, 56062, 56068, 56101, 56107, 56141, 56147, 56301, 56307, 56341, 56347, 56401, 56407, 56441, 56447, 57341, 57345, 58306, 58308, 58506, 58508, 58909, 58911, 59103, 59104, 59703, 59704, 60000, 60003, 60006, 60009, 60506, 60507, 60509, 60510, 61109, 61110, 61372, 61421, 61425, 61429, 61430, 61433, 61434, 61446, 61449, 61450, 61453, 61454, 61457, 61462, 61672, 61690, 61691, 61693, 61694, 61695, 61696, 61702, 61703, 61704, 61705, 61706, 61707, 61710, 63007, 63016, 63334 and 63346;
(e) in any case--a service described in any of items 57509, 57515, 57521, 57527, 57530, 57533, 57536, 57539, 57901 to 57969, 58100, 58102, 58300, 58302, 58503, 58505, 58903, 58905, 59733, 59734, 59739, 59740, 59751, 59752, 60100, 60101, 60500, 60501, 60503 and 60504.
4 Regulation 11
Repeal the regulation, substitute:
(1) For subsection 16B(3), (3A) or (3C) of the Act, the services are those mentioned in the diagnostic imaging services table in items 57712, 57714, 57715, 57717, 58100 to 58106, 58109, 58111, 58112, 58117, 58120, 58121, 58123, 58126 and 58127.
(2) For subsection 16B(3B) of the Act, the services are those mentioned in the diagnostic imaging services table in items 55836, 55837 , 55840, 55841 , 55844, 55845 , 57521, 57527, 57536 and 57539.
5 Regulations 11B and 12
Repeal the regulations, substitute:
(1) For subsection 16B(3D) of the Act, the services in relation to a participating midwife are those mentioned in the diagnostic imaging services table in items 55700, 55701, 55704, 55706, 55707, 55710, 55713, 55714, 55718 and 55722.
(2) For subsection 16B(3E) of the Act, the services in relation to a participating nurse practitioner are those mentioned in the diagnostic imaging services table in items 55014, 55036, 55059, 55061, 55070, 55076, 55600, 55601, 55769, 55800, 55801, 55804, 55805, 55808, 55809, 55812, 55813, 55816, 55817, 55820, 55821, 55824, 55825, 55828, 55829, 55832, 55833, 55836, 55837, 55840, 55841, 55844, 55845, 55848, 55849, 55850, 55851, 55852, 55853, 57509, 57515, 57521, 57530, 57533, 57536, 58503 to 58527 and 58529.
12 Exemption--pre-existing diagnostic imaging services
For subsection 16B(11) of the Act, the services are those mentioned in the diagnostic imaging services table in items 57712, 57714, 57715, 57717, 57901, 57902, 57903, 57911, 57912, 57914, 57915, 57917, 57921, 57926, 57929, 57935, 58100 to 58115, 58117, 58123, 58124, 58521, 58523, 58524, 58526, 58527, 58529, 58700, 58702, 58924 58926, 59103 and 59104.
6 Regulation 20C
Repeal the regulation, substitute:
20C Primary information--types of diagnostic imaging equipment
(1) For subsection 23DZR(2) of the Act, diagnostic imaging equipment is prescribed if:
(a) the equipment is used in carrying out a diagnostic imaging procedure used in rendering a service that is described in an item of the type mentioned in columns 2 and 3 of an item of the following table; and
(b) the conditions (if any) mentioned in column 4 of that item of the following table are met.
|
Diagnostic imaging equipment |
||||
|
Item |
Column 1 Diagnostic imaging equipment |
Column 2 The item is ... |
Column 3 in the following provision of the diagnostic imaging services table: |
Column 4 Conditions |
|
1 |
Ultrasound equipment non-musculoskeletal K-type |
a (K) item |
Group I1 (other than Subgroup 6) |
The equipment: (a) does not include a transducer capable of operating at a frequency of 7.5 megahertz or higher; and (b) is 10 years old or less |
|
2 |
Ultrasound equipment non-musculoskeletal K-type upgraded |
a (K) item |
Group I1 (other than Subgroup 6) |
The equipment: (a) does not include a transducer capable of operating at a frequency of 7.5 megahertz or higher; and (b) is more than 10 years old and no more than 15 years old; and (c) was upgraded on or before it was 10 years old |
|
3 |
Ultrasound equipment non-musculoskeletal NK-type |
an (NK) item |
Group I1 (other than Subgroup 6) |
The equipment: (a) does not include a transducer capable of operating at a frequency of 7.5 megahertz of higher; and (b) either: (i) is more than 10 years old and has not been upgraded; or (ii) was upgraded on or before it was 10 years old and is more than 15 years old |
|
4 |
Ultrasound equipment musculoskeletal K-type |
a (K) item |
Subgroup 6 of Group I1 |
The equipment: (a) includes a transducer capable of operating at a frequency of 7.5 megahertz or higher; and (b) is 10 years old or less |
|
5 |
Ultrasound equipment musculoskeletal K-type upgraded |
a (K) item |
Subgroup 6 of Group I1 |
The equipment: (a) includes a transducer capable of operating at a frequency of 7.5 megahertz or higher; and (b) is more than 10 years old and no more than 15 years old; and (c) was upgraded on or before it was 10 years old |
|
6 |
Ultrasound equipment musculoskeletal NK-type |
an (NK) item |
Subgroup 6 of Group I1 |
The equipment: (a) includes a transducer capable of operating at a frequency of 7.5 megahertz or higher; and (b) either: (i) is more than 10 years old and has not been upgraded; or (ii) was upgraded on or before it was 10 years old and is more than 15 years old |
|
7 |
Computed tomography equipment K-type |
a (K) item |
Group I2 |
|
|
8 |
Computed tomography equipment NK-type |
an (NK) item |
Group I2 |
|
|
9 |
Magnetic resonance imaging equipment K-type |
a (K) item |
Group I5 |
The equipment is 10 years old or less |
|
10 |
Magnetic resonance imaging equipment K-type upgraded |
a (K) item |
Group I5 |
The equipment: (a) is more than 10 years old and no more than 15 years old; and (b) was upgraded on or before it was 10 years old |
|
11 |
Magnetic resonance imaging equipment NK-type |
an (NK) item |
Group I5 |
The equipment: (a) is more than 10 years old and has not been upgraded; or (b) was upgraded on or before it was 10 years old and is more than 15 years old |
|
12 |
Nuclear medicine imaging equipment for positron emission tomography |
any of items 61523 to 61646 |
Group I4 |
|
|
13 |
Nuclear medicine imaging equipment K-type |
a (K) item |
Group I4 (other than items 61523 to 61646) |
The equipment is 10 years old or less |
|
14 |
Nuclear medicine imaging equipment K-type upgraded |
a (K) item |
Group I4 (other than items 61523 to 61646) |
The equipment: (a) is more than 10 years old and no more than 15 years old; and (b) was upgraded on or before it was 10 years old |
|
15 |
Nuclear medicine imaging equipment NK-type |
an (NK) item |
Group I4 |
The equipment: (a) is more than 10 years old and has not been upgraded; or (b) was upgraded on or before it was 10 years old and is more than 15 years old |
|
16 |
Diagnostic radiology equipment for mammography K-type |
a (K) item |
Subgroup 10 of Group I3 |
The equipment is 10 years old or less |
|
17 |
Diagnostic radiology equipment for mammography K-type upgraded |
a (K) item |
Subgroup 10 of Group I3 |
The equipment: (a) is more than 10 years old and no more than 15 years old; and (b) was upgraded on or before it was 10 years old |
|
18 |
Diagnostic radiology equipment for mammography NK-type |
an (NK) item |
Subgroup 10 of Group I3 |
The equipment: (a) is more than 10 years old and has not been upgraded; or (b) was upgraded on or before it was 10 years old and is more than 15 years old |
|
19 |
Diagnostic radiology equipment for angiography K-type |
a (K) item |
Subgroup 13 of Group I3 |
|
|
20 |
Diagnostic radiology equipment for angiography NK-type |
an (NK) item |
Subgroup 13 of Group I3 |
|
|
21 |
Diagnostic radiology equipment for fluoroscopic examination K-type |
a (K) item |
Subgroup 15 or 17 of Group I3 |
The equipment is 15 years old or less |
|
22 |
Diagnostic radiology equipment for fluoroscopic examination K-type upgraded |
a (K) item |
Subgroup 15 or 17 of Group I3 |
The equipment: (a) is more than 15 years old and no more than 20 years old; and (b) was upgraded on or before it was 15 years old |
|
23 |
Diagnostic radiology equipment for fluoroscopic examination NK-type |
an (NK) item |
Subgroup 15 or 17 of Group I3 |
The equipment: (a) is more than 15 years old and has not been upgraded; or (b) was upgraded on or before it was 15 years old and is more than 20 years old |
|
24 |
Diagnostic radiology equipment for orthopantomography K-type |
item 57960, 57963, 57966 or 57969 |
Subgroup 3 of Group I3 |
The equipment is 15 years old or less |
|
25 |
Diagnostic radiology equipment for orthopantomography K-type upgraded |
item 57960, 57963, 57966 or 57969 |
Subgroup 3 of Group I3 |
The equipment: (a) is more than 15 years old and no more than 20 years old; and (b) was upgraded on or before it was 15 years old |
|
26 |
Diagnostic radiology equipment for orthopantomography NK-type |
an (NK) item |
Subgroup 3 of Group I3 |
The equipment: (a) is more than 15 years old and has not been upgraded; or (b) was upgraded on or before it was 15 years old and is more than 20 years old |
|
27 |
Diagnostic radiology equipment X-ray K-type |
a (K) item |
Subgroups 1 to 9 (other than items 57960, 57963, 57966 and 57969), 11, 12 and 14 of Group I3 |
The equipment is 15 years old or less |
|
28 |
Diagnostic radiology equipment X-ray K-type upgraded |
a (K) item |
Subgroups 1 to 9 (other than items 57960, 57963, 57966 and 57969), 11, 12 and 14 of Group I3 |
The equipment: (a) is more than 15 years old and no more than 20 years old; and (b) was upgraded on or before it was 15 years old |
|
29 |
Diagnostic radiology equipment X-ray NK-type |
an (NK) item |
Subgroups 1 to 9 (other than items 57959, 57962, 57965 and 57968), 11, 12 and 14 of Group I3 |
The equipment: (a) is more than 15 years old and has not been upgraded; or (b) was upgraded on or before it was 15 years old and is more than 20 years old |
(2) Subclause 1.2.1C(1) of the diagnostic imaging services table (age of equipment) applies, for this regulation, in the same way as the subclause applies for the diagnostic imaging services table.