15Multiple services

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.