1
Citation
1 Citation
These Regulations may be cited as the Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations.
//
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Commonwealth legislation
This Act has been repealed and is no longer in force. It is retained for historical reference.
This is the 1997–98 Medicare fee schedule for diagnostic imaging, listing 400+ specific X‑ray, ultrasound, CT, MRI and nuclear medicine items with fixed government rebate amounts. It sets who may provide services (doctors or supervised staff), referral rules for rebate claims, tight MRI eligibility and accreditation limits, reduced rebates for multiple same‑day tests, and annual claim limits for certain services. These rules applied only in 1997–98 and were later repealed and replaced.
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Direct links to the current provisions in Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations.
1 Citation
These Regulations may be cited as the Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations.
2 Commencement
These Regulations commence on 1 November 1997.
3 Repeal of Health Insurance (1996-97 Diagnostic Imaging Services Table) Regulations
Statutory Rules 1996 Nos. 233 and 337, and 1997 No. 12 are repealed.
4 Diagnostic imaging services table
The table of diagnostic imaging services set out in the Schedule is prescribed for the purposes of subsection 4AA (1) of the Health Insurance Act 1973.
Schedule Table of diagnostic imaging services
(regulation 4)
Part 1 Rules of interpretation
1 Definitions generally
In this table:
Act means the Health Insurance Act 1973.
exclusion, in relation to a condition for which a MRI or MRA service is requested, means use of the service as the initial imaging modality for diagnosis of the condition.
MRA means magnetic resonance angiography.
MRI means magnetic resonance imaging.
sequence, in relation to a scan, means a series of images collected at the same time with similar image parameters (not including a scan designed to establish patient position and subsequently used to plan other scans).
Note Specialist is defined in subsection 3 (1) of the Act.
2 References to items in the general medical services table
A reference by number to an item in the series 11603 to 11612 (inclusive), 30361 and 30488 is a reference to the item so numbered in the general medical services table.
3 Meaning of (R) and (NR)
(1) An item including the symbol (R) is an R-type diagnostic imaging service.
(2) An item including the symbol (NR) is an NR-type diagnostic imaging service.
4 Meaning of (S)
An item including the symbol (S) applies only to a service provided by a specialist in the practice of diagnostic radiology.
5 Who may provide a diagnostic imaging service
Unless the contrary intention appears, a diagnostic imaging service set out in this table is a diagnostic imaging service for the purposes of the Act, whether the service is provided by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who:
(i) is employed by a medical practitioner; or
(ii) provides the service under the supervision of a medical practitioner in accordance with accepted medical practice.
6 Meaning of report in certain items
In items 55028 to 61109 (inclusive), report means a report prepared by a medical practitioner.
7 Administration of anaesthetics in connection with certain services
If a general anaesthetic is administered in connection with a service specified in an item that includes the formula:
Anaes. n = n1 B + n2 T
in which:
(a) n is a number; and
(b) n1 and n2 are other numbers;
the service that is provided by the medical practitioner who administers the anaesthetic is the service described in item n in the general medical services table.
8 Meaning of group of practitioners
In this table, group of practitioners has the same meaning as in subsection 16A (10) of the Act.
9 Meaning of medical practitioner in certain items
(1) In items 55028, 55030 and 55032, medical practitioner in the phrase referred by a medical practitioner or the referring medical practitioner includes a dental practitioner who is approved by the Minister under paragraph (b) of the definition of professional service in subsection 3 (1) of the Health Insurance Act 1973.
(2) In items 55050 and 55052, medical practitioner in the phrase referred by a medical practitioner or the referring medical practitioner includes a dental practitioner who is:
(a) approved by the Minister under paragraph (b) of the definition of professional service in subsection 3 (1) of the Health Insurance Act 1973; or
(b) a prosthodontist.
10 Meaning of Amount under rule 10 in certain items
In item 59103, Amount under rule 10 means an amount equal to the sum of:
(a) the fee set out in another item for the radiographic examination in conjunction with which a service referred to in item 59103 is provided; and
(b) $21.45.
11 Preparation of patients for radiological procedures
Items 60903 to 60927 (inclusive) apply only to the preparation of a patient for a radiological procedure for a service to which items 59900 to 59970 (inclusive) applies by:
(a) injecting opaque or contrast media; or
(b) removing fluid and replacing it with air, oxygen or other contrast media; or
(c) a similar method.
12 Meaning of angiography suite in item 61109
In item 61109, angiography suite means a room that contains only equipment designed for angiography that is able to perform digital subtraction or rapid sequence film angiography.
13 Nuclear scanning services
Items 61302 to 61499 (inclusive) apply to a nuclear scanning service only if:
(a) the performance of the scan is undertaken:
(i) by a specialist or consultant physician; or
(ii) by a person acting on behalf of a specialist or consultant physician in the presence of the specialist or consultant physician; and
(b) the compilation of the final report is undertaken by the specialist or consultant physician who undertook the preliminary examination of the patient and the estimation and administration of the dosage.
14 Meaning of Amount under rule 14 in item 61462
In item 61462, Amount under rule 14 means an amount equal to the sum of:
(a) the fee set out in the item in group I4 in conjunction with which a service referred to in item 61462 is provided; and
(b) $111.85.
15 Multiple services
(1) If a medical practitioner renders 2 or more diagnostic imaging services for the same patient on the same day, the fees set out in the items that apply to the services, other than the item with the highest fee, are reduced by $5.00.
(2) If a medical practitioner renders:
(a) at least 1 R-type diagnostic imaging service; and
(b) at least 1 consultation;
for the same patient on the same day, the highest fee, set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day, is reduced by the least of:
(c) if the fee for the consultation is at least $40.00 — $35.00; or
(d) if the fee for the consultation is less than $40.00 — $15.00; or
(e) that fee.
(3) Subrule (2) only applies to the consultation for which the highest fee is set out in the items that apply to the consultations.
(4) If a medical practitioner renders:
(a) at least 1 R-type diagnostic imaging service; and
(b) at least 1 non-consultation service;
for the same patient on the same day, the highest fee, set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day, is reduced by $5.00.
(5) If a medical practitioner renders:
(a) an R-type diagnostic imaging service; and
(b) a consultation; and
(c) a non-consultation service;
for the same patient on the same day, the sum of the reductions under subrules (2) and (4) is not to exceed the highest fee set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day.
(6) This rule does not apply to diagnostic imaging services that are rendered in a remote area by a medical practitioner for whom a remote area exemption under section 23DX of the Act is in force for that area.
(7) In this rule:
consultation means a service under an item listed in Groups A1 to A9 of the general medical services table;
non-consultation service means a service under an item listed in the general medical service table other than in Groups A1 to A9.
(8) A reference in this rule to a highest fee is a reference to a fee for an item in the first claim processed by the Commission for which subrule (1), (2) or (4) applies.
16 MRI and MRA services — eligible services
Items 63000 to 63946 apply only to an MRI or MRA service performed:
(a) on referral, in accordance with rule 17, by a specialist or consultant physician; and
(b) in a permissible circumstance, in accordance with rule 18; and
(c) with eligible equipment, in accordance with rule 20.
17 Referral for MRI and MRA services — requirements
A referral for any of items 63000 to 63946 must:
(a) be in writing; and
(b) identify the clinical indications for the service.
18 MRI and MRA services — permissible circumstances for performance
For rule 16, a service is performed in a permissible circumstance only if it is performed:
(a) under the professional supervision of an eligible provider who is available to monitor and influence the conduct and diagnostic quality of the examination, including, if necessary, by personal attendance on the patient; or
(b) if paragraph (a) is not complied with:
(i) in an emergency; or
(ii) because of medical necessity — in a remote or rural location.
19 MRI and MRA services — eligible provider
(1) For rule 18, an eligible provider is a specialist in diagnostic radiology who satisfies the Commission that:
(a) he or she is a participant in the Royal Australasian College of Radiologists’ Quality and Accreditation Program; and
(b) the equipment he or she proposes to use for providing services of the kind mentioned in group I5 in the diagnostic imaging services table (the proposed equipment) is eligible equipment for rule 20.
(2) The specialist must give the Commission a statutory declaration:
(a) stating the matters mentioned in paragraphs (1) (a) and (b); and
(b) specifying the location of the proposed equipment; and
(c) specifying the kinds of diagnostic imaging procedures offered at that location; and
(d) if the proposed equipment has been installed at that location — stating the date that it was installed (the installation date); and
(e) if the installation date was 12 May 1998 — stating the time at which the equipment was installed.
(3) If the equipment had not been installed before 7.30 pm on 12 May 1998, Eastern Standard Time, the specialist must give the Commission, with the statutory declaration, a copy of the contract for the purchase or lease of the equipment.
(4) The Commission may request a specialist to:
(a) give the Commission documents to support statements made in the statutory declaration; and
(b) answer questions put to the specialist by the Commission about those statements.
Note The documents may include the contract for purchase or lease of the proposed equipment, if not already given to the Commission under subrule (3).
20 MRI and MRA services — eligible equipment
(1) For rule 16, eligible equipment is equipment that complies with this rule.
(2) The equipment must be located in a medical practice, or the radiology department of a hospital, that offers a comprehensive range of diagnostic imaging procedures.
(3) The equipment must:
(a) have been installed in a medical practice or hospital before 7.30 pm on 12 May 1998, Eastern Standard Time; or
(b) although uninstalled, have been purchased or leased before that time on that day under a contract, in writing, that did not contain an option to cancel the contract; or
(c) be replacement equipment for equipment mentioned in paragraph (a) or (b).
Note Equipment can be relocated to a new location without affecting its compliance with subrule (3). However, to continue to be eligible equipment, the equipment would have to continue to comply with subrule (2).
(4) Equipment mentioned in paragraph (3) (a) or (b) ceases to be eligible equipment when replaced by other equipment.
(5) For this rule:
comprehensive, in relation to a range of diagnostic imaging procedures, means that the range includes x‑ray, ultrasound and computerised tomography (CT) procedures.
medical practice means a practice conducted by a sole practitioner, a practice conducted by a group of practitioners within the meaning of subsection 16A (9) or (10) of the Act or a practice conducted by a medical entrepreneur.
21 MRI and MRA services — meaning of scan
In items 63000 to 63946:
scan means a minimum of 3 sequences.
22 MRI and MRA services — descriptions of purpose of services
The purposes for which a MRI or MRA service may be claimed (the purpose for each particular service being set out in each of items 63000 to 63946) are:
(a) the exclusion of a condition; and
(b) the further investigation of a condition, if the service is used as the secondary imaging modality:
(i) when the diagnosis is uncertain; or
(ii) to assess the severity of the condition; and
(c) the monitoring of a condition, if the service is used following confirmed diagnosis to assess progress of a condition following treatment.
Note For the meaning of exclusion of a condition, if that is the purpose of requesting a MRI or MRA service, see rule 1.
23 MRI or MRA services — number of related services that can be claimed in a 12 month period
(1) The fee mentioned in an item does not apply if:
(a) the item is included in a class mentioned in subrule (2); and
(b) the service mentioned in the item is provided to a person who, in the 12 months before the service, has been provided with the maximum number of services in that class mentioned in subrule (2).
(2) For subrule (1), the classes, and maximum number of services, are:
(a) items 63000–63024 — 1 service;
(b) items 63050–63062 — 1 service;
(c) items 63100–63133 — 1 service;
(d) items 63150–63162 — 1 service;
(e) items 63200–63221 — 2 services;
(f) items 63250–63256 — 2 services;
(g) items 63300–63315 — 1 service;
(h) items 63350–63365 — 1 service;
(i) items 63400–63430 — 1 service;
(j) items 63450–63480 — 1 service;
(k) items 63500–63524 — 1 service;
(l) items 63550–63574 — 1 service;
(m) items 63600–63627 — 1 service;
(n) items 63650–63680 — 1 service;
(o) items 63700–63721 — 1 service;
(p) item 63745 — 2 services;
(q) items 63750–63756 — 1 service;
(r) items 63800–63806 — 2 services;
(s) item 63870 — 1 service;
(t) items 63850–63868 — 2 services;
(u) items 63900–63909 — 1 service;
(v) item 63920 — 1 service;
(w) item 63930 — 1 service.
Sourced from the Federal Register of Legislation (legislation.gov.au), CC BY 4.0.
Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations
Statutory Rules 1997 No. 297
made under the
Health Insurance Act 1973
This compilation was prepared on 12 June 2002
taking into account amendments up to SR 1998 No. 302
[Note: These regulations were repealed by SR 1998 No. 302]
Prepared by the Office of Legislative Drafting,
Attorney-General’s Department, Canberra
Contents
Page
1 Citation
2 Commencement
3 Repeal of Health Insurance (1996-97 Diagnostic Imaging Services Table) Regulations
4 Diagnostic imaging services table
Schedule Table of diagnostic imaging services
Part 1 Rules of interpretation
1 Definitions generally
2 References to items in the general medical services table
3 Meaning of (R) and (NR)
4 Meaning of (S)
5 Who may provide a diagnostic imaging service
6 Meaning of report in certain items
7 Administration of anaesthetics in connection with certain services
8 Meaning of group of practitioners
9 Meaning of medical practitioner in certain items
10 Meaning of Amount under rule 10 in certain items
11 Preparation of patients for radiological procedures
12 Meaning of angiography suite in item 61109
13 Nuclear scanning services
14 Meaning of Amount under rule 14 in item 61462
15 Multiple services
16 MRI and MRA services — eligible services
17 Referral for MRI and MRA services — requirements
18 MRI and MRA services — permissible circumstances for performance
19 MRI and MRA services — eligible provider
20 MRI and MRA services — eligible equipment
21 MRI and MRA services — meaning of scan
22 MRI and MRA services — descriptions of purpose of services
23 MRI or MRA services — number of related services that can be claimed in a 12 month period
Part 2 Service and fees
Notes
1 Citation
These Regulations may be cited as the Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations.
2 Commencement
These Regulations commence on 1 November 1997.
3 Repeal of Health Insurance (1996-97 Diagnostic Imaging Services Table) Regulations
Statutory Rules 1996 Nos. 233 and 337, and 1997 No. 12 are repealed.
4 Diagnostic imaging services table
The table of diagnostic imaging services set out in the Schedule is prescribed for the purposes of subsection 4AA (1) of the Health Insurance Act 1973.
Schedule Table of diagnostic imaging services
(regulation 4)
Part 1 Rules of interpretation
1 Definitions generally
In this table:
Act means the Health Insurance Act 1973.
exclusion, in relation to a condition for which a MRI or MRA service is requested, means use of the service as the initial imaging modality for diagnosis of the condition.
MRA means magnetic resonance angiography.
MRI means magnetic resonance imaging.
sequence, in relation to a scan, means a series of images collected at the same time with similar image parameters (not including a scan designed to establish patient position and subsequently used to plan other scans).
Note Specialist is defined in subsection 3 (1) of the Act.
2 References to items in the general medical services table
A reference by number to an item in the series 11603 to 11612 (inclusive), 30361 and 30488 is a reference to the item so numbered in the general medical services table.
3 Meaning of (R) and (NR)
(1) An item including the symbol (R) is an R-type diagnostic imaging service.
(2) An item including the symbol (NR) is an NR-type diagnostic imaging service.
4 Meaning of (S)
An item including the symbol (S) applies only to a service provided by a specialist in the practice of diagnostic radiology.
5 Who may provide a diagnostic imaging service
Unless the contrary intention appears, a diagnostic imaging service set out in this table is a diagnostic imaging service for the purposes of the Act, whether the service is provided by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who:
(i) is employed by a medical practitioner; or
(ii) provides the service under the supervision of a medical practitioner in accordance with accepted medical practice.
6 Meaning of report in certain items
In items 55028 to 61109 (inclusive), report means a report prepared by a medical practitioner.
7 Administration of anaesthetics in connection with certain services
If a general anaesthetic is administered in connection with a service specified in an item that includes the formula:
Anaes. n = n1 B + n2 T
in which:
(a) n is a number; and
(b) n1 and n2 are other numbers;
the service that is provided by the medical practitioner who administers the anaesthetic is the service described in item n in the general medical services table.
8 Meaning of group of practitioners
In this table, group of practitioners has the same meaning as in subsection 16A (10) of the Act.
9 Meaning of medical practitioner in certain items
(1) In items 55028, 55030 and 55032, medical practitioner in the phrase referred by a medical practitioner or the referring medical practitioner includes a dental practitioner who is approved by the Minister under paragraph (b) of the definition of professional service in subsection 3 (1) of the Health Insurance Act 1973.
(2) In items 55050 and 55052, medical practitioner in the phrase referred by a medical practitioner or the referring medical practitioner includes a dental practitioner who is:
(a) approved by the Minister under paragraph (b) of the definition of professional service in subsection 3 (1) of the Health Insurance Act 1973; or
(b) a prosthodontist.
10 Meaning of Amount under rule 10 in certain items
In item 59103, Amount under rule 10 means an amount equal to the sum of:
(a) the fee set out in another item for the radiographic examination in conjunction with which a service referred to in item 59103 is provided; and
(b) $21.45.
11 Preparation of patients for radiological procedures
Items 60903 to 60927 (inclusive) apply only to the preparation of a patient for a radiological procedure for a service to which items 59900 to 59970 (inclusive) applies by:
(a) injecting opaque or contrast media; or
(b) removing fluid and replacing it with air, oxygen or other contrast media; or
(c) a similar method.
12 Meaning of angiography suite in item 61109
In item 61109, angiography suite means a room that contains only equipment designed for angiography that is able to perform digital subtraction or rapid sequence film angiography.
13 Nuclear scanning services
Items 61302 to 61499 (inclusive) apply to a nuclear scanning service only if:
(a) the performance of the scan is undertaken:
(i) by a specialist or consultant physician; or
(ii) by a person acting on behalf of a specialist or consultant physician in the presence of the specialist or consultant physician; and
(b) the compilation of the final report is undertaken by the specialist or consultant physician who undertook the preliminary examination of the patient and the estimation and administration of the dosage.
14 Meaning of Amount under rule 14 in item 61462
In item 61462, Amount under rule 14 means an amount equal to the sum of:
(a) the fee set out in the item in group I4 in conjunction with which a service referred to in item 61462 is provided; and
(b) $111.85.
15 Multiple services
(1) If a medical practitioner renders 2 or more diagnostic imaging services for the same patient on the same day, the fees set out in the items that apply to the services, other than the item with the highest fee, are reduced by $5.00.
(2) If a medical practitioner renders:
(a) at least 1 R-type diagnostic imaging service; and
(b) at least 1 consultation;
for the same patient on the same day, the highest fee, set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day, is reduced by the least of:
(c) if the fee for the consultation is at least $40.00 — $35.00; or
(d) if the fee for the consultation is less than $40.00 — $15.00; or
(e) that fee.
(3) Subrule (2) only applies to the consultation for which the highest fee is set out in the items that apply to the consultations.
(4) If a medical practitioner renders:
(a) at least 1 R-type diagnostic imaging service; and
(b) at least 1 non-consultation service;
for the same patient on the same day, the highest fee, set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day, is reduced by $5.00.
(5) If a medical practitioner renders:
(a) an R-type diagnostic imaging service; and
(b) a consultation; and
(c) a non-consultation service;
for the same patient on the same day, the sum of the reductions under subrules (2) and (4) is not to exceed the highest fee set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day.
(6) This rule does not apply to diagnostic imaging services that are rendered in a remote area by a medical practitioner for whom a remote area exemption under section 23DX of the Act is in force for that area.
(7) In this rule:
consultation means a service under an item listed in Groups A1 to A9 of the general medical services table;
non-consultation service means a service under an item listed in the general medical service table other than in Groups A1 to A9.
(8) A reference in this rule to a highest fee is a reference to a fee for an item in the first claim processed by the Commission for which subrule (1), (2) or (4) applies.
16 MRI and MRA services — eligible services
Items 63000 to 63946 apply only to an MRI or MRA service performed:
(a) on referral, in accordance with rule 17, by a specialist or consultant physician; and
(b) in a permissible circumstance, in accordance with rule 18; and
(c) with eligible equipment, in accordance with rule 20.
17 Referral for MRI and MRA services — requirements
A referral for any of items 63000 to 63946 must:
(a) be in writing; and
(b) identify the clinical indications for the service.
18 MRI and MRA services — permissible circumstances for performance
For rule 16, a service is performed in a permissible circumstance only if it is performed:
(a) under the professional supervision of an eligible provider who is available to monitor and influence the conduct and diagnostic quality of the examination, including, if necessary, by personal attendance on the patient; or
(b) if paragraph (a) is not complied with:
(i) in an emergency; or
(ii) because of medical necessity — in a remote or rural location.
19 MRI and MRA services — eligible provider
(1) For rule 18, an eligible provider is a specialist in diagnostic radiology who satisfies the Commission that:
(a) he or she is a participant in the Royal Australasian College of Radiologists’ Quality and Accreditation Program; and
(b) the equipment he or she proposes to use for providing services of the kind mentioned in group I5 in the diagnostic imaging services table (the proposed equipment) is eligible equipment for rule 20.
(2) The specialist must give the Commission a statutory declaration:
(a) stating the matters mentioned in paragraphs (1) (a) and (b); and
(b) specifying the location of the proposed equipment; and
(c) specifying the kinds of diagnostic imaging procedures offered at that location; and
(d) if the proposed equipment has been installed at that location — stating the date that it was installed (the installation date); and
(e) if the installation date was 12 May 1998 — stating the time at which the equipment was installed.
(3) If the equipment had not been installed before 7.30 pm on 12 May 1998, Eastern Standard Time, the specialist must give the Commission, with the statutory declaration, a copy of the contract for the purchase or lease of the equipment.
(4) The Commission may request a specialist to:
(a) give the Commission documents to support statements made in the statutory declaration; and
(b) answer questions put to the specialist by the Commission about those statements.
Note The documents may include the contract for purchase or lease of the proposed equipment, if not already given to the Commission under subrule (3).
20 MRI and MRA services — eligible equipment
(1) For rule 16, eligible equipment is equipment that complies with this rule.
(2) The equipment must be located in a medical practice, or the radiology department of a hospital, that offers a comprehensive range of diagnostic imaging procedures.
(3) The equipment must:
(a) have been installed in a medical practice or hospital before 7.30 pm on 12 May 1998, Eastern Standard Time; or
(b) although uninstalled, have been purchased or leased before that time on that day under a contract, in writing, that did not contain an option to cancel the contract; or
(c) be replacement equipment for equipment mentioned in paragraph (a) or (b).
Note Equipment can be relocated to a new location without affecting its compliance with subrule (3). However, to continue to be eligible equipment, the equipment would have to continue to comply with subrule (2).
(4) Equipment mentioned in paragraph (3) (a) or (b) ceases to be eligible equipment when replaced by other equipment.
(5) For this rule:
comprehensive, in relation to a range of diagnostic imaging procedures, means that the range includes x‑ray, ultrasound and computerised tomography (CT) procedures.
medical practice means a practice conducted by a sole practitioner, a practice conducted by a group of practitioners within the meaning of subsection 16A (9) or (10) of the Act or a practice conducted by a medical entrepreneur.
21 MRI and MRA services — meaning of scan
In items 63000 to 63946:
scan means a minimum of 3 sequences.
22 MRI and MRA services — descriptions of purpose of services
The purposes for which a MRI or MRA service may be claimed (the purpose for each particular service being set out in each of items 63000 to 63946) are:
(a) the exclusion of a condition; and
(b) the further investigation of a condition, if the service is used as the secondary imaging modality:
(i) when the diagnosis is uncertain; or
(ii) to assess the severity of the condition; and
(c) the monitoring of a condition, if the service is used following confirmed diagnosis to assess progress of a condition following treatment.
Note For the meaning of exclusion of a condition, if that is the purpose of requesting a MRI or MRA service, see rule 1.
23 MRI or MRA services — number of related services that can be claimed in a 12 month period
(1) The fee mentioned in an item does not apply if:
(a) the item is included in a class mentioned in subrule (2); and
(b) the service mentioned in the item is provided to a person who, in the 12 months before the service, has been provided with the maximum number of services in that class mentioned in subrule (2).
(2) For subrule (1), the classes, and maximum number of services, are:
(a) items 63000–63024 — 1 service;
(b) items 63050–63062 — 1 service;
(c) items 63100–63133 — 1 service;
(d) items 63150–63162 — 1 service;
(e) items 63200–63221 — 2 services;
(f) items 63250–63256 — 2 services;
(g) items 63300–63315 — 1 service;
(h) items 63350–63365 — 1 service;
(i) items 63400–63430 — 1 service;
(j) items 63450–63480 — 1 service;
(k) items 63500–63524 — 1 service;
(l) items 63550–63574 — 1 service;
(m) items 63600–63627 — 1 service;
(n) items 63650–63680 — 1 service;
(o) items 63700–63721 — 1 service;
(p) item 63745 — 2 services;
(q) items 63750–63756 — 1 service;
(r) items 63800–63806 — 2 services;
(s) item 63870 — 1 service;
(t) items 63850–63868 — 2 services;
(u) items 63900–63909 — 1 service;
(v) item 63920 — 1 service;
(w) item 63930 — 1 service.
Part 2 Service and fees
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