Commonwealth Numbered Regulations

1989 No. 329 HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (No. 52) REGULATIONS - REG 3

3. The Schedule to the Health Insurance (Variation of Fees and Medical
Services) (No. 51) Regulations is amended:

   (a)  by inserting after Rule 47 of the rules for interpretation of the
        table of medical services the following rule:

"48. A reference in item 3, 4, 14, 23, 24, 26, 36, 37, 39, 44, 47 or 49 to a
professional attendance may include (but is not limited to) the provision in
relation to a patient of any one or more of the following services:

   (a)  the evaluation of the patient's medical condition or conditions
        including, where applicable, by use of the health screening services
        referred to in subsection 19 (5) of the Act;

   (b)  the formulation of a plan for the management and, where applicable,
        for the treatment of the medical condition or conditions present in
        the patient;

   (c)  the provision:

        (i)    of advice to the patient as to the medical condition or
               conditions present in the patient and, where applicable, their
               treatment; or

        (ii)   where the patient has so authorised-of advice to a person or
               persons other than the patient as to the medical condition or
               conditions present in the patient and, where applicable, their
               treatment;

   (d)  the recording of the clinical details of the service or services
        provided to the patient.";

   (b)  by omitting from the table of medical services items 1, 2, 5, 6, 7, 8,
        9, 10, 11, 12, 15, 16, 17, 18, 21, 22, 27, 28, 29, 30, 31, 32, 34, 41,
        42, 45, 46, 55, 56, 61, 62, 63, 64, 67, 68 and 70 and substituting the
        following items:

"3 Professional attendance
at consulting rooms (not
being an attendance
covered by any other
item in this Part) by a
vocationally registered
general practitioner for
an obvious problem
characterised by the
straightforward nature
of the task that
requires a short patient
history and, if
required, limited
examination and
management-each
         attendance                10.00   10.00   10.00   10.00   10.00

10.00 4   Professional attendance,

other than an attendance
covered by any other
item in this Part and
not being:

   (a)  an attendance at
consulting rooms, a
hospital or a nursing
home; or

   (b)  an attendance that
is one of two or more
attendances on the one
occasion at an
institution;
by a vocationally
registered general
practitioner for an
obvious problem
characterised by the
straightforward nature
of the task that
requires a short patient
history and, if
required, limited
examination and
management-each
         attendance ............    25.00   25.00   25.00   25.00   25.00

25.00 14   Professional attendance

at an institution (not
being an attendance
covered by any other
item in this Part) by a
vocationally registered
general practitioner for
an obvious problem
characterised by the
straightforward nature
of the task that
requires a short patient
history and, if
required, limited
examination and
management-an attendance
on each of two or more
patients at the one
institution on the one
         occasion-each patient .    13.20   13.20   13.20   13.20   13.20

13.20 23   Professional attendance

at consulting rooms (not
being an attendance
covered by any other
item in this Part) by a
vocationally registered
general practitioner
involving taking a
selective history,
examination of the
patient with
implementation of a
management plan in
relation to one or more
problems, OR a
professional attendance
of less than 20 minutes
duration involving
components of an
attendance of the type
otherwise covered by
Item 36 or 44-each
         attendance ............    21.00   21.00   21.00   21.00   21.00

21.00 24   Professional attendance,

other than an attendance
covered by any other
item in this Part and
not being:

   (a)  an attendance at
consulting rooms, a
hospital or a nursing
home; or

   (b)  an attendance that
is one of two or more
attendances on the one
occasion at an
institution;
by a vocationally
registered general
practitioner involving
taking a selective
history, examination of
the patient with
implementation of a
management plan in
relation to one or more
problems, OR a
professional attendance
of less than 20 minutes
duration involving
components of an
attendance of the type
otherwise covered by
Item 37 or 47-each
         attendance ............    36.00   36.00   36.00   36.00   36.00

36.00 26   Professional attendance

at an institution (not
being an attendance
covered by any other
item in this Part) by a
vocationally registered
general practitioner
involving taking a
selective history,
examination of the
patient with
implementation of a
management plan in
relation to one or more
problems, OR a
professional attendance
of less than 20 minutes
duration involving
components of an
attendance of the type
otherwise covered by
Item 39 or 49-an
attendance on each of
two or more patients at
the one institution on
the one occasion-each
         patient ...............    21.00   21.00   21.00   21.00   21.00

21.00 36   Professional attendance

at consulting rooms (not
being an attendance
covered by any other
item in this Part) by a
vocationally registered
general practitioner
involving taking a
detailed history, an
examination of multiple
systems, arranging any
necessary investigations
and implementing a
management plan in
relation to one or more
problems, and lasting at
least 20 minutes, OR a
professional attendance
of less than 40 minutes
duration involving
components of an
attendance of the type
otherwise covered by
Item 44-each attendance
          ......................    38.00   38.00   38.00   38.00   38.00

38.00 37   Professional attendance,

other than an attendance
covered by any other
item in this Part and
not being:

   (a)  an attendance at
consulting rooms, a
hospital or a nursing
home; or

   (b)  an attendance that
is one of two or more
attendances on the one
occasion at an
institution;
by a vocationally
registered general
practitioner involving
taking a detailed
history, an examination
of multiple systems,
arranging any necessary
investigations and
implementing a
management plan in
relation to one or more
problems, and lasting at
least 20 minutes, OR a
professional attendance
of less than 40 minutes
duration involving
components of an
attendance of the type
otherwise covered by
Item 47-each attendance
          ......................    53.00   53.00   53.00   53.00   53.00

53.00 39   Professional attendance

at an institution (not
being an attendance
covered by any other
item in this Part) by a
vocationally registered
general practitioner
involving taking a
detailed history, an
examination of multiple
systems, arranging any
necessary investigations
and implementing a
management plan in
relation to one or more
problems, and lasting at
least 20 minutes, OR a
professional attendance
of less than 40 minutes
duration involving
components of an
attendance of the type
otherwise covered by
Item 49-an attendance on
each of two or more
patients at the one
institution on the one
         occasion-each patient .    38.00   38.00   38.00   38.00   38.00

38.00 44   Professional attendance

at consulting rooms (not
being an attendance
covered by any other
item in this Part) by a
vocationally registered
general practitioner
involving taking an
exhaustive history, a
comprehensive
examination of multiple
systems, arranging any
necessary investigations
and implementing a
management plan in
relation to one or more
complex problems, and
lasting at least 40
minutes, OR a
professional attendance
of at least 40
minutesduration for
implementation of a
management plan-each
         attendance  ...........    56.00   56.00   56.00   56.00   56.00

56.00 47   Professional attendance,

other than an attendance
covered by any other
item in this Part and
not being:

   (a)  an attendance at
consulting rooms, a
hospital or a
nursing-home; or

   (b)  an attendance that
is one of two or more
attendances on the one
occasion at an
institution;
by a vocationally
registered general
practitioner involving
taking an exhaustive
history, a comprehensive
examination of multiple
systems, arranging any
necessary investigations
and implementing a
management plan in
relation to one or more
complex problems, and
lasting at least 40
minutes, OR a
professional attendance
of at least 40 minutes
duration for
implementation of a
management plan-each
         attendance  ...........    71.00   71.00   71.00   71.00   71.00

71.00 49   Professional attendance

at an institution (not
being an attendance
covered by any other
item in this Part) by a
vocationally registered
general practitioner
involving taking an
exhaustive history, a
comprehensive
examination of multiple
systems, arranging any
necessary investigations
and implementing a
management plan in
relation to one or more
complex problems, and
lasting at least 40
minutes, OR a
professional attendance
of at least 40 minutes
duration for
implementation of a
management plan-an
attendance on each of 2
or more patients at the
one institution on the
one occasion-each
         patient                    56.00   56.00   56.00   56.00   56.00

56.00 52   Professional attendance

at consulting rooms of
not more than 5 minutes
duration (not being an
attendance covered by
any other item in this
Part) by a medical
practitioner (not being
a vocationally
registered general
practitioner)-each
         attendance                 10.00   10.00   10.00   10.00   10.00

10.00 53   Professional attendance

at consulting rooms of
more than 5 minutes
duration but not more
than 25 minutes duration
(not being an attendance
covered by any other
item in this Part) by a
medical practitioner
(not being a
vocationally registered
general
practitioner)-each
         attendance  ...........    19.60   19.60   19.60   19.60   19.60

19.60 54   Professional attendance

at consulting rooms of
more than 25 minutes
duration but not more
than 45 minutes duration
(not being an attendance
covered by any other
item in this Part) by a
medical practitioner
(not being a
vocationally registered
general
practitioner)-each
         attendance  ...........    35.00   35.00   35.00   35.00   35.00

35.00 57   Professional attendance

at consulting rooms of
more than 45 minutes
duration (not being an
attendance covered by
any other other item in
this Part) by a medical
practitioner (not being
a vocationally
registered general
practitioner)-each
         attendance                 56.00   56.00   56.00   56.00   56.00

56.00 58   Professional attendance

(not being an attendance
at consulting rooms, a
hospital or a nursing
home or an attendance
that is one of 2 or more
attendances on the one
occasion at an
institution) of not more
than 5 minutes duration
(not being an attendance
covered by any other
item in this Part) by a
medical practitioner
(not being a
vocationally registered
general
practitioner)-each
         attendance                 22.00   22.00   22.00   22.00   22.00

22.00 59   Professional attendance

(not being an attendance
at consulting rooms, a
hospital or a nursing
home or an attendance
that is one of 2 or more
attendances on the one
occasion at an
institution) of more
than 5 minutes duration
but not more than 25
minutes duration (not
being an attendance
covered by any other
item in this Part) by a
medical practitioner
(not being a
vocationally registered
general
practitioner)-each
         attendance  ...........    29.00   29.00   29.00   29.00   29.00

29.00 60   Professional attendance

(not being an attendance
at consulting rooms, a
hospital or a nursing
home or an attendance
that is one of 2 or more
attendances on the one
occasion at an
institution) of more
than 25 minutes duration
but not more than 45
minutes duration (not
being an attendance
covered by any other
item in this Part) by a
medical practitioner
(not being a
vocationally registered
general
practitioner)-each
         attendance  ...........    47.00   47.00   47.00   47.00   47.00

47.00 65   Professional attendance

(not being an attendance
at consulting rooms, a
hospital or a nursing
home or an attendance
that is one of 2 or more
attendances on the one
occasion at an
institution) of more
than 45 minutes duration
(not being an attendance
covered by any other
item in this Part) by a
medical practitioner
(not being a
vocationally registered
general
practitioner)-each
         attendance  ...........    67.00   67.00   67.00   67.00   67.00

67.00 66   Professional attendance

at an institution of not
more than 5 minutes
duration (not being an
attendance covered by
any other item in this
Part) by a medical
practitioner (not being
a vocationally
registered general
practitioner)-an
attendance on each of
two or more patients at
the one institution on
the one occasion-each
         patient.                   13.20   13.20   13.20   13.20   13.20

13.20 69   Professional attendance

at an institution of
more than 5 minutes
duration but not more
than 25 minutes duration
(not being an attendance
covered by any other
item in this Part) by a
medical practitioner
(not being a
vocationally registered
general practitioner)-an
attendance on each of
two or more patients at
the one institution on
the one occasion-each
         patient.                   19.60   19.60   19.60   19.60   19.60

19.60 71   Professional attendance

at an institution of
more than 25 minutes
duration but not more
than 45 minutes duration
(not being an attendance
covered by any other
item in this Part) by a
medical practitioner
(not being a
vocationally registered
general practitioner)-an
attendance on each of
two or more patients at
the one institution on
the one occasion-each
         patient.                   35.00   35.00   35.00   35.00   35.00

35.00 72   Professional attendance

at an institution of
more than 45 minutes
duration (not being an
attendance covered by
any other item in this
Part) by a medical
practitioner (not being
a vocationally
registered general
practitioner)-an
attendance on each of
two or more patients at
the one institution on
the one occasion-each
         patient.                   56.00   56.00   56.00   56.00   56.00

56.00 73   Professional attendance

at a hospital (not being
an attendance covered by
any other item in this
Part) by a medical
practitioner-each
attendance where only
one in-patient is seen
          ......................    29.00   29.00   29.00   29.00   29.00

29.00 74   Professional attendance

at a hospital (not being
an attendance covered by
any other item in this
Part)-an attendance on
each of two or more
in-patients in the one
hospital on the one
occasion by a medical
practitioner-each
patient who is not a
nursing-home type
         patient.                   19.60   19.60   19.60   19.60   19.60

19.60 75   Professional attendance

at a hospital (not being
an attendance covered by
any other item in this
Part) by a medical
practitioner-an
attendance on each of
two in-patients in the
one hospital on the one
occasion where at least
one of those in-patients
is a nursing-home type
patient-each
nursing-home type
         patient                    16.60   16.60   16.60   16.60   16.60

16.60 76   Professional attendance

at a hospital (not being
an attendance covered by
any other item in this
Part) by a medical
practitioner-an
attendance on each of
three or more
in-patients in the one
hospital on the one
occasion where at least
one of those in-patients
is a nursing-home type
patient-each
nursing-home type
         patient ...............    13.20   13.20   13.20   13.20   13.20

13.20 77   Professional attendance

at a nursing home,
including aged persons'
accommodation attached
to a nursing home or
aged persons'
accommodation situated
within a complex that
includes a nursing home
(other than a
professional attendance
at a self-contained
unit) or professional
attendance at consulting
rooms situated within
such a complex where the
patient is accommodated
in the nursing home or
aged persons'
accommodation (not being
accommodation in a
self-contained unit) by
a medical
practitioner-each
attendance where only
         one patient is seen.       29.00   29.00   29.00   29.00   29.00

29.00 78   Professional attendance

at a nursing home,
including aged persons'
accommodation attached
to a nursing home or
aged persons'
accommodation situated
within a complex that
includes a nursing home
(other than a
professional attendance
at a self-contained
unit) or professional
attendance at consulting
rooms situated within
such a complex where the
patient is accommodated
in the nursing home or
aged persons'
accommodation (not being
accommodation in a
self-contained unit) by
a medical
practitioner-an
attendance on two
patients in the one
nursing home or aged
persons' accommodation
on the one occasion-each
         patient.                   16.60   16.60   16.60   16.60   16.60

16.60 79   Professional attendance

at a nursing home,
including aged persons'
accommodation attached
to a nursing home or
aged persons'
accommodation situated
within a complex that
includes a nursing home
(other than a
professional attendance
at a self-contained
unit) or professional
attendance at consulting
rooms situated within
such a complex where the
patient is accommodated
in the nursing home or
aged persons'
accommodation (not being
accommodation in a
self-contained unit) by
a medical
practitioner-an
attendance on three or
more patients in the one
nursing home or aged
persons' accommodation
on the one occasion-each
         patient  ..............    13.20   13.20   13.20   13.20   13.20

13.20 80   Professional attendance,

being an attendance at
other than consulting
rooms, on not more than
one patient on the one
occasion by a medical
practitioner-each
attendance on a public
holiday, on a Sunday,
before 8 a.m. or after 1
p.m. on a Saturday or at
any time other than
between 8 a.m. and 8
p.m. on a day not being
a Saturday, Sunday or
public holiday, where
the attendance is
initiated by or on
behalf of the patient in
the same unbroken after
hours period and where
the patient's medical
condition requires
         immediate treatment . .    40.50   40.50   40.50   40.50  40.50
40.50"; (c) by omitting from the table of medical services items 953, 954,
5700, 5847, 6162, 6228, 6231, 6234, 7001, 7002, 8775, 8776, 8805 and 8851;

   (d)  by inserting in its proper numerical position in the table of medical
        services each of the following items:

"953
Right heart balloon
flotation using
pulmonary artery
catheter, monitoring of
right heart and
pulmonary wedge
pressures, cardiac
output and blood
oximetry-management on
         the first day .........   150.00  150.00  150.00  150.00  150.00
150.00 954 Right heart balloon
flotation using
pulmonary artery
catheter, monitoring of
right heart and
pulmonary wedge
pressures, cardiac
output and blood
oximetry-management on
each day subsequent to
         the first day  ........    37.50   37.50   37.50   37.50   37.50
37.50 5700
Extracorporeal shock
wave lithotripsy (ESWL)
to urinary tract and
post-treatment care for
three days, including
pre-treatment
consultations,
         unilateral (AU12)  ....   435.00  435.00  435.00  435.00  435.00
435.00 5846
Cystoscopy, with or
without urethroscopy,
for the treatment of
penile warts or urethral
warts, not associated
         with item 3347 (AU 6) .   150.00  150.00  150.00  150.00  150.00
150.00 5847
Cystoscopy, with
ureteric catheterisation
including fluoroscopic
imaging of the upper
urinary tract,
unilateral or bilateral,
not associated with item
         5851 or 5855 (AU 6)  ..   174.00  174.00  174.00  174.00  174.00
174.00 5872
Cystoscopy with lavage
of blood clots from
bladder including any
associated diathermy of
prostate or bladder and
not associated with item
5845 and items 5853 to
5888 and items 6005 and
         6006 (AU 8) ...........   205.00  205.00  205.00  205.00  205.00
205.00 6162
Priapism, decompression
by glandular stab
cavernoso-spongiosum
shunt or penile
aspiration with or
         without lavage (AU 7).    144.00  144.00  144.00  144.00  144.00
144.00 6228
Exploration of scrotal
contents, with or
without fixation and
with or without biopsy
         unilateral (AU 5) .....   174.00  174.00  174.00  174.00  174.00
174.00 6231
Retroperitoneal lymph
node dissection,
unilateral, not
associated with item
         5667 (AU 12)  .........   585.00  585.00  585.00  585.00  585.00
585.00 6234
Retroperitoneal lymph
node dissection,
unilateral, not
associated with item
5667, following previous
similar retroperitoneal
dissection,
retroperitoneal
irradiation or
         chemotherapy (AU 24)      875.00  875.00  875.00  875.00  875.00
875.00 7001
Right heart
catheterisation,
including fluoroscopy,
oximetry, dye dilution
curves, cardiac output
measurement by any
method, shunt detection
and exercise stress test
         (AU 12) ...............   280.00  280.00  280.00  280.00  280.00
280.00 7007
Cardiac
Electrophysiological
Study-up to and
including 3 catheter
investigation of any one
or more of-syncope,
atrio-ventricular
conduction, sinus node
function or simple
ventricular tachycardia
studies, not in
association with item
         7008 (AU 19) ..........   520.00  520.00  520.00  520.00  520.00
520.00 7008
Cardiac
Electrophysiological
Study-4 or more catheter
supraventricular
tachycardia
investigation; or
complex ventricular
tachycardia
investigation involving
multiple ventricular
tachycardia inductions,
or multiple catheter
mapping, or acute
intravenous
anti-arryhthmic drug
testing with pre and
post drug inductions; or
catheter ablation; or
intra-operative mapping;
or electrophysiological
services during
defibrillator
implantation or
testing-not in
association with item
         7007 (AU 27) ..........   865.00  865.00  865.00  865.00  865.00
865.00 8775
Red blood cell spleen or
         liver study (C)  ......   192.00  192.00  192.00  192.00  192.00
192.00 8776
Red blood cell spleen or
         liver study (NC)  .....   142.00  142.00  142.00  142.00  142.00
142.00 8805
Renal study with or
without dynamic flow
study and with or
without computer
extraction of functional
         parameters  ...........   235.00  235.00  235.00  235.00  235.00
235.00 8851
Localised bone, joint,
tumour, infection or
inflammation seeking
study using cells
labelled with technetium
         (C)  ..................   245.00  245.00  245.00  245.00  245.00
245.00 8852
Localised bone, joint,
tumour, infection or
inflammation seeking
study using cells
labelled with technetium
         (NC)  .................   184.00  184.00  184.00 184.00 184.00
184.00".