Commonwealth Numbered Regulations

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HEALTH INSURANCE REGULATIONS 2018 (F2018L01365) - REG 57

Diagnostic imaging services--other particulars

             (1)  This section applies to a professional service that is a diagnostic imaging service.

R-type diagnostic imaging services

             (2)  For an R-type diagnostic imaging service, the following particulars are prescribed:

                     (a)  the name of the person who requested the service;

                     (b)  the address of the place of practice, or the provider number in respect of the place of practice, or the requester number, of the person who requested the service;

                     (c)  the date on which the service was requested.

Use of equipment

             (3)  If the service is rendered using a diagnostic imaging procedure that is carried out using:

                     (a)  diagnostic imaging equipment that is ordinarily located at registered diagnostic imaging premises; or

                     (b)  diagnostic imaging equipment that, when not in use, is ordinarily located at a registered base for mobile diagnostic imaging equipment;

a prescribed particular is the location specific practice number for the premises or base.

Recording application of exemptions

             (4)  If the service is rendered in the circumstances mentioned in:

                     (a)  subsection 16B(6) of the Act (consultant physicians and specialists); or

                     (b)  subsection 16B(7) of the Act (remote area); or

                     (c)  subsection 16B(10) of the Act (additional services); or

                     (d)  subsection 16B(11) of the Act (pre-existing diagnostic imaging practices);

a prescribed particular is the letters "SD" (for self-determined).

             (5)  If the service is rendered in the circumstances mentioned in subsection 16B(8) of the Act (emergencies), a prescribed particular is the word "emergency".

             (6)  If the service is rendered in the circumstances mentioned in subsection 16B(9) of the Act (lost requests), a prescribed particular is the words "lost request".

             (7)  If the service is rendered in the circumstances mentioned in subsection 16B(10A) of the Act (substituted services), a prescribed particular is the letters "SS".



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