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Commonwealth legislation
This Act has been repealed and is no longer in force. It is retained for historical reference.
This regulation prescribes the official list of diagnostic imaging services, the conditions under which they qualify and the fees attached, for use under the Health Insurance Act 1973 from 1 November 1993. It replaces earlier 1992–93 tables and sets rules about who may provide services, how reports and fee amounts are determined, and when calculated fees apply. Affects medical practitioners, other imaging providers and patients claiming health‑insurance benefits under the Act because it fixes which procedures and amounts are recognised for payment.
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Direct links to the current provisions in Health Insurance (1993-1994 Diagnostic Imaging Services Table) Regulations.
Sourced from the Federal Register of Legislation (legislation.gov.au), CC BY 4.0.
Statutory Rules 1993 No. 2711
__________________
Health Insurance (1993-1994 Diagnostic Imaging Services Table) Regulations
I, The 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 28 October 1993.
BILL HAYDEN
Governor-General
By His Excellency’s Command,
GRAHAM RICHARDSON
Minister for Health
____________
Citation
Commencement
Repeal
Diagnostic imaging services table
–––––––––––––––––
SCHEDULE Regulation 4
TABLE OF DIAGNOSTIC IMAGING SERVICES
PART 1—RULES OF INTERPRETATION
General
(2) In this table, a reference by number to an item in the series 11603 to 11612 (both inclusive) is a reference to the item so numbered in the table of general medical services.
Meaning of “(AU n)”
Meaning of “(C)” and (“NC)”
SCHEDULE—continued
PART 1 (RULES OF INTERPRETATION)—continued
(2) An item including the symbol “(NC)” applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that does not have computerised processing facilities capable of being used for the service.
Meaning of “(R)” and “(NR)”
(2) An item including the symbol “(NR)” is an NR-type diagnostic imaging service.
Meaning of “(S)”
Who may give a diagnostic imaging service
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who:
(i) is employed by a medical practitioner; or
(ii) gives the service under the supervision of a medical practitioner in accordance with accepted medical practice.
Meaning of “report” in certain items
SCHEDULE—continued
PART 1 (RULES OF INTERPRETATION)—continued
Meaning of “group of practitioners”
Meaning of “Amount under rule 9” in item 57303
(a) the fee set out in the item in items 56000 to 57406 (inclusive) in conjunction with which a service referred to in item 57303 is given; and
(b) $111.70.
Meaning of “Amount under rule 10” in certain items
(a) the fee set out in another item for the radiographic examination in conjunction with which a service referred to in item 59103, 59739 or 60300 is given; and
(b) 1 of the following amounts:
(i) in the case of item 59103—$20.50;
(ii) in the case of item 59739—$21.70;
(iii) in the case of item 60300—$13.05.
Preparation of patients for radiological procedures
(a) injecting opaque or contrast media; or
(b) removing fluid and replacing it by air, oxygen or other contrast media; or
(c) a similar method.
SCHEDULE—continued
PART 1 (RULES OF INTERPRETATION)—continued
Meaning of “angiography suite” in item 61109
Nuclear scanning services
(a) the performance of the scan is undertaken:
(i) by a medical practitioner; or
(ii) by a person acting on behalf of a medical practitioner in the presence of the practitioner; and
(b) the compilation of the final report is undertaken by the medical practitioner who undertook the preliminary examination of the patient and the estimation and administration of the dosage.
Meaning of “Amount under rule 14” in certain items
(a) the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which a service referred to in item 61322 or 61323 is given and:
(b) 1 of the following amounts:
(i) in the case of item 61322—$90.00;
(ii) in the case of item 61323—$67.25.
Meaning of “Amount under rule 15” in item 61490
SCHEDULE—continued
PART 1 (RULES OF INTERPRETATION)—continued
(a) the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which a service referred to in item 61490 is given; and
(b) $179.95.
PART 2—SERVICES AND FEES
GROUP I1—ULTRASOUND
Subgroup 1—General
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:52pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>Item</span></p></td><td style="width:231pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>Diagnostic imaging service</span></p></td><td colspan="2" style="width:57pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="text-align:right"><span>Fee</span></p><p style="text-align:right"><span></span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:52pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>55028</span></p></td><td colspan="2" style="width:232pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>Head, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies, and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)</span></p></td><td colspan="2" style="width:57pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; text-align:right"><span>$95.80</span></p></td></tr><tr><td style="width:52pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>55029</span></p></td><td colspan="2" style="width:232pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>Head, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies (NR)</span></p></td><td colspan="2" style="width:57pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; text-align:right"><span>$33.25</span></p></td></tr><tr style="height:0pt"><td style="width:60pt"></td><td style="width:239pt"></td><td style="width:1pt"></td><td style="width:64pt"></td><td style="width:1pt"></td></tr></tbody></table>
SCHEDULE—continued
PART 2 (SERVICES AND FEES)—continued
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:52pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>Item</span></p></td><td style="width:231pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>Diagnostic imaging service</span></p></td><td colspan="2" style="width:57pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="text-align:right"><span>Fee</span></p><p style="text-align:right"><span></span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:52pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>55030</span></p></td><td colspan="2" style="width:232pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>Orbital contents, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies, and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)</span></p></td><td colspan="2" style="width:57pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; text-align:right"><span>$95.80</span></p></td></tr><tr><td style="width:52pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>55031</span></p></td><td colspan="2" style="width:232pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>Orbital contents, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies (NR)</span></p></td><td colspan="2" style="width:57pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; text-align:right"><span>$33.25</span></p></td></tr><tr><td style="width:52pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>55032</span></p></td><td colspan="2" style="width:232pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; margin-bottom:12pt"><span>Neck, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies, and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)</span></p><p style="margin-top:12pt"><span></span></p></td><td colspan="2" style="width:57pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; text-align:right"><span>$95.80</span></p></td></tr><tr style="height:0pt"><td style="width:60pt"></td><td style="width:239pt"></td><td style="width:1pt"></td><td style="width:64pt"></td><td style="width:1pt"></td></tr></tbody></table>
SCHEDULE—continued
PART 2 (SERVICES AND FEES)—continued
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:52pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>Item</span></p></td><td style="width:231pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>Diagnostic imaging service</span></p></td><td colspan="2" style="width:57pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="text-align:right"><span>Fee</span></p><p style="text-align:right"><span></span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:52pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>55033</span></p></td><td colspan="2" style="width:232pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>Neck, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies (NR)</span></p></td><td colspan="2" style="width:57pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; text-align:right"><span>$33.25</span></p></td></tr><tr><td style="width:52pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>55034</span></p></td><td colspan="2" style="width:232pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>Breast, 1 or both, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies, and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)</span></p></td><td colspan="2" style="width:57pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; text-align:right"><span>$95.80</span></p></td></tr><tr><td style="width:52pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>55035</span></p></td><td colspan="2" style="width:232pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt"><span>Breast, 1 or both, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies (NR)</span></p></td><td colspan="2" style="width:57pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:12pt; text-align:right"><span>$33.25</span></p></td></tr><tr style="height:0pt"><td style="width:60pt"></td><td style="width:239pt"></td><td style="width:1pt"></td><td style="width:64pt"></td><td style="width:1pt"></td></tr></tbody></table>
SCHEDULE—continued
PART 2 (SERVICES AND FEES)—continued
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:52pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>Item</span></p></td><td style="width:231pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>Diagnostic imaging service</span></p></td><td colspan="2" style="width:57pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="text-align:right"><span>Fee</span></p>
This is an opening excerpt, not the complete document.