Commonwealth Numbered Regulations Commonwealth Numbered RegulationsI, QUENTIN BRYCE, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 8 October 2009
Governor-General
By Her Excellency's Command
NICOLA ROXON
Contents
1 Name of Regulations 7
2 Commencement 7
3 Repeal 7
4 Definitions 7
5 General medical services table 7
Schedule 1 Table of general medical services 8
Part 1 Prescription of table 8
1 Prescription of table 8
Part 2 Rules for interpretation 9
2 Application of table 9
3 General 9
4 Meaning of symbols (S) and (G) 17
5 Meaning of symbol (H) 18
5A General practitioners to which Group A2 items apply 18
6 Meaning of a patient's medical condition requires urgent treatment and responsible person in certain items 19
7 Application of items 2, 98, 448, 449, 602 and 698 20
8 Meaning of single course of treatment in certain circumstances 20
9 Meaning of professional attendance in certain items 21
10 Interpretation of items 104 to 147, 289 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 17640, 17645, 17650 and 17655 22
11 Meaning of amount under rule 11 in certain items 22
12 Personal attendance by medical practitioners generally 24
13 Personal attendance by certain medical practitioners 25
14 Meaning of qualified medical acupuncturist in items 193, 195, 197 and 199 26
15 Restriction of telepsychiatry consultations to rural and remote areas 27
16 Consultant occupational physicians 27
17 Public health physicians 27
18 Meaning of recognised emergency department and problem focussed history in Group A21 28
19 Prolonged attendances by emergency physicians 28
19A Application of items 135 and 289 29
20 Application of items in Group A14 to certain patients only 29
21 Meaning of health assessment in items 700, 702, 704 and 706 31
22 Meaning of child health check in item 708 32
22A Meaning of Healthy Kids Check in items 709 and 711 34
23 Meaning of adult health check in item 710 35
24 Meaning of comprehensive medical assessment in item 712 37
24A Meaning of type 2 diabetes risk evaluation in item 713 38
25 Meaning of health assessment in items 714 and 716 39
26 Meaning of humanitarian visa holder in items 714 and 716 40
27 Health checks of 45-49 year olds -- item 717 40
29 Limitation on items 721, 723, 725, 727, 729 and 731 43
30 Meaning of GP management plan 45
31 Meaning of multidisciplinary discharge care plan 45
32 Meaning of team care arrangements 46
33 Meaning of associated medical practitioner 47
34 Meaning of review of plans 47
35 Meaning of co‑ordinate a review of team care arrangements or of a multidisciplinary care plan 48
36 Meaning of contribute to a multidisciplinary care plan for items 729 and 731 49
37 Service by certain medical practitioners -- items 729 to 866 50
38 Application of items in Group A15 to certain patients only 51
39 Meaning of multidisciplinary case conference 52
40 Meaning of multidisciplinary discharge case conference 53
41 Meaning of multidisciplinary case conference in a residential aged care facility 53
42 Meaning of multidisciplinary case conference team 53
43 Meaning of organise and co‑ordinate in a multidisciplinary case conference and participation in a multidisciplinary case conference 54
44 Meaning of co‑ordinate in item 880 55
45 Meaning of case conference team in item 880 56
46 Application of item 880 57
47 Meaning of living in a community setting in item 900 57
48 Meaning of residential medication management review in item 903 57
49 Meaning of amount under rule 49 in certain items 59
50 Application of items 2497, 2501, 2503, 2504, 2506, 2507, 2509, 2598, 2600, 2603, 2606, 2610, 2613 and 2616 60
51 Application of Subgroup 2 of Group A18 and Subgroup 2 of Group A19 60
52 Application of Subgroup 3 of Group A18 and Subgroup 3 of Group A19 61
53 Application of Group A24 62
54 Meaning of expressions used in rules 55 to 57 and Group A20 63
55 GP Mental Health Treatment Plans (Subgroup 1 of Group A20) 64
56 Application of items in Subgroup 1 of Group A20 66
57 Focussed psychological strategies 67
58 Application of Group A28 69
59 Item 4001 69
60 Meaning of outer metropolitan specialist trainee in items 5906, 5908, 5910 and 5912 69
61 Application of items 1 to 10943 70
62 Certain services may be provided by persons other than medical practitioners 70
63 Application of items 5000 to 5267 71
64 Items 10809 and 10929 not to apply in certain circumstances 71
65 Application of item 10988 72
66 Application of item 10989 72
67 Application of items 10990, 10991 and 10992 73
68 Application of item 10993 75
69 Application of items 10994 and 10995 76
70 Application of item 10996 77
71 Meaning of expressions used in item 10997 77
72 Application of items in Group M2 77
73 Limitation on certain items 78
74 Application of items 10900, 10940 and 10941 78
75 Application of items 10931, 10932 and 10933 79
76 Limitation of items 10943, 16590, 18360, 18364 and 50303 79
76A Application of items 11000 to 12217 and 12500 to 12533 80
77 Meaning of qualified sleep medicine practitioner 80
78 Meaning of report in Group D1 -- Miscellaneous diagnostic procedures and investigations 81
78A Application of items 13020 to 51318 82
79 Meaning of treatment cycle of a patient 82
80 Items provided as part of treatment cycle relating to assisted reproductive services not to apply 82
81 Items relating to assisted reproductive services not to apply in certain pregnancy‑related circumstances 82
82 Meaning of embryology laboratory services in items 13200 and 13206 83
83 Application of items 14227, 14230, 14233, 14236, 14239 and 14242 83
84 Injection of immunomodulating agent 83
85 Meaning of amount under rule 85 in certain items 84
86 Meaning of approved site in items 15338 and 37220 84
87 Application of items 15556, 15559 and 15562 84
88 Meaning of delivery in certain items 85
89 Meaning of amount under rule 89 in items 16633 and 16636 85
90 Meaning of amount under rule 90 in items 18219 and 18227 86
91 Injection of botulinum toxin 86
92 Meaning of expressions used in rule 93 and item 16400 86
93 Application of item 16400 87
94 Group T10 applies only in connection with certain services 88
95 Services specified in Subgroups 21 to 25 of Group T10 88
96 Meaning of service time in Subgroups 21, 24, 25 and 26 of Group T10 89
97 Application of Subgroup 21 of Group T10 89
98 Application of Subgroups 22 and 23 of Group T10 90
99 Meaning of amount under rule 99 in items 25025, 25030 and 25050 90
100 Application of Subgroups 24 and 25 of Group T10 91
101 Meaning of complex paediatric case in item 25205 91
102 Meaning of amount under rule 102 in items 25200 and 25205 91
103 Group T8 services may be provided by a specialist trainee 92
104 Meaning of amount under rule 104 in item 30001 92
105 Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures 93
106 Meaning of amount under rule 106 in item 31340 93
108 Meaning of qualified surgeon in items 31539 and 31545 93
109 Meaning of qualified radiologist in item 31542 93
110 Meaning of foreign body in items 35360 to 35363 94
111 Application of items 35404, 35406 and 35408 94
112 Application of items 30299 and 30300 94
113 Application of items 30440, 30451, 30492 and 30495 94
113A Application of items 32500 to 32517 and 35321 95
114 Application of item 35412 95
115 Application of items 38365, 38368 and 38654 95
116 Application of items 38470 to 38766 95
117 Meaning of amount under rule 117 in certain items 96
118 Meaning of maxilla in certain items 96
119 Items 46300 to 46534 apply only in certain circumstances 96
120 Assistance at operations 96
121 Application of items 51700 to 53706 96
122 Meaning of amount under rule 122 in items 51303 and 51803 97
123 Meaning of amount under rule 123 in item 51309 97
124 Meaning of amount under rule 124 in item 51312 97
125 Meaning of previous significant surgical complication in item 51318 97
126 Cleft lip and cleft palate services 98
127 Meaning of (AD) in Group C2 -- Oral and maxillofacial surgical services and Group C3 -- General and prosthodontic services 98
128 Orthodontic services 98
129 Oral surgery services 99
Part 3 Services and fees 100
Part 4 Non‑medicare services 579
Note
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au.