Health Insurance (General Medical Services Table) Regulation 2015
1 Schedule 1 (items 30620 and 30621)
Repeal the items, substitute:
30620 | Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other formal repair of, in a person 10 years of age or over, other than a service to which item 30403 or 30405 applies (G) (H) (Anaes.) (Assist.) | 299.45 |
30621 | Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other formal repair of, in a person 10 years of age or over, other than a service to which item 30403 or 30405 applies (S) (H) (Anaes.) (Assist.) | 407.50 |
2 Schedule 1 (after item 30639)
Insert:
30640 | Repair of large and irreducible scrotal hernia, where duration of surgery exceeds 2 hours, in a person 10 years of age or over, other than a service to which item 30403, 30405, 30614, 30615, 30620 or 30621 applies (H) (Anaes.) (Assist.) | 914.95 |
3 Schedule 1 (after item 32087)
Insert:
32088 |
Fibreoptic colonoscopy--examination of the colon beyond the hepatic flexure, with or without biopsy, following a positive faecal occult blood test for a participant registered on the National Bowel Cancer Screening Program (Anaes.) | 334.35 |
32089 | Endoscopic examination of the colon beyond the hepatic flexure by fibreoptic colonoscopy for the removal of one or more polyps by argon plasma coagulation, following a positive faecal occult blood test for a participant registered on the National Bowel Cancer Screening Program (Anaes.) | 469.20 |
4 Schedule 1 (item 34539)
Omit "in the operating theatre of a hospital".
5 Schedule 1 (item 35306)
After " Transluminal stent insertion", insert ", one or more stents,".
6 Schedule 1 (item 35309)
After " Transluminal stent insertion", insert ", one or more stents,".
7 Schedule 1 (item 35646)
Omit ", if performed in the operating theatre of a hospital".
8 Schedule 1 (after item 37038)
Insert:
37040 | Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, with or without mesh, other than a service associated with a service to which item 30405, 35599 or 37042 applies (H) (Anaes.) (Assist.) | 911.30 |
9 Schedule 1 (after item 37336)
Insert:
37338 | Urethral synthetic male sling system, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence, other than a service associated with a service to which item 37340 or 37341 applies (H) (Anaes.) (Assist.) | 911.30 |
10 Schedule 1 (items 47300 to 47345)
Repeal the items, substitute:
47301 | Phalanx, middle or proximal, treatment of fracture of, by closed reduction, requiring anaesthesia, not provided on the same occasion as a service described in item 47304, 47307, 47310, 47313, 47316 or 47319 (Anaes.) | 86.80 |
47304 | Metacarpal, treatment of fracture of, by closed reduction, requiring anaesthesia, not provided on the same occasion as a service described in item 47301, 47307, 47310, 47313, 47316 or 47319 (H) (Anaes.) | 98.90 |
47307 | Phalanx or metacarpal, treatment of fracture of, by closed reduction with percutaneous K-wire fixation (H) (Anaes.) (Assist.) | 200.00 |
47310 | Phalanx or metacarpal, treatment of fracture of, by open reduction with fixation (H) (Anaes.) (Assist.) | 330.00 |
47313 | Phalanx or metacarpal, treatment of intra-articular fracture of, by closed reduction with percutaneous K-wire fixation (H) (Anaes.) (Assist.) | 320.00 |
47316 | Phalanx or metacarpal, treatment of intra-articular fracture of, by open reduction with fixation, not provided on the same occasion as a service to which item 47319 applies (H) (Anaes.) (Assist.) | 635.00 |
47319 |
Middle phalanx, proximal end, treatment of intra-articular fracture of, by open reduction with fixation, not provided on the same occasion as a service to which item 47316 applies (H) (Anaes.) (Assist.) | 650.00 |
11 Schedule 1 (items 47360 to 47375)
Repeal the items, substitute:
47361 | Radius or ulna, or radius and ulna, distal end of, treatment of fracture of, by cast immobilisation, other than a service associated with a service to which item 47362, 47364, 47367, 47370 or 47373 applies | 131.85 |
47362 | Radius or ulna, or radius and ulna, distal end of, treatment of fracture of, by closed reduction, requiring general or major regional anaesthesia, but excluding local infiltration, other than a service associated with a service to which item 47361, 47364, 47367, 47370 or 47373 applies (Anaes.) | 197.60 |
47364 | Radius or ulna, distal end of, not involving joint surface, treatment of fracture of, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H) (Anaes.) (Assist.) | 280.00 |
47367 | Radius, distal end of, treatment of fracture of, by closed reduction with percutaneous fixation, other than a service associated with a service to which item 47361 or 47362 applies (H) (Anaes.) (Assist.) | 223.60 |
47370 | Radius, distal end of, treatment of intra-articular fracture of, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H) (Anaes.) (Assist.) | 406.00 |
47373 | Ulna, distal end of, treatment of intra-articular fracture of, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H) (Anaes.) (Assist.) | 290.00 |
Part 2 -- Restricting services to in-hospital services
Health Insurance (General Medical Services Table) Regulation 2015
12 Schedule 1 (item 31551)
After "after-care", insert "(H)".
13 Schedule 1 (item 32145)
After "hospital", insert "(H)".
14 Schedule 1 (item 32212)
After "after-care", insert "(H)".
15 Schedule 1 (item 35103)
After "only", insert "(H)".
16 Schedule 1 (item 35630)
After "applies", insert "(H)".
17 Schedule 1 (item 39135)
After "hospital", insert "(H)".
18 Schedule 1 (item 45020)
After "period", insert "(H)".
19 Schedule 1 (item 45823)
After "hospital", insert "(H)".
20 Schedule 1 (item 45851)
After "applies", insert "(H)".
21 Schedule 1 (item 46486)
After "hospital", insert "(H)".
22 Schedule 1 (item 46489)
After "hospital", insert "(H)".
23 Schedule 1 (item 46516)
After "hospital", insert "(H)".
24 Schedule 1 (item 47381)
After "hospital", insert "(H)".
25 Schedule 1 (item 47385)
After "hospital", insert "(H)".
26 Schedule 1 (item 47426)
After "hospital", insert "(H)".
27 Schedule 1 (item 47456)
After "hospital", insert "(H)".
28 Schedule 1 (item 47696)
After "hospital", insert "(H)".
29 Schedule 1 (item 47906)
After "hospital", insert "(H)".
30 Schedule 1 (item 48603)
After "applies", insert "(H)".
31 Schedule 1 (item 50115)
After "applies", insert "(H)".
32 Schedule 1 (item 50330)
After "applies", insert "(H)".
33 Schedule 1 (item 50348)
After "hospital", insert "(H)".
34 Schedule 1 (item 50390)
After "hospital", insert "(H)".
35 Schedule 1 (item 50516)
After "hospital", insert "(H)".
36 Schedule 1 (item 50524)
After "hospital", insert "(H)".
37 Schedule 1 (item 50552)
After "hospital", insert "(H)".
38 Schedule 1 (item 50568)
After "hospital", insert "(H)".
39 Schedule 1 (item 50600)
After "hospital", insert "(H)".
40 Schedule 1 (item 52097)
After "hospital", insert "(H)".
41 Schedule 1 (item 52106)
After "hospital", insert "(H)".
42 Schedule 1 (item 52135)
After "hospital", insert "(H)".
43 Schedule 1 (item 53206)
After "applies", insert "(H)".