CTHRepealedLegislation
Health Insurance (Diagnostic Imaging Services Table) Regulation 2012
Part 1Preliminary
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Part 1 Preliminary
Division 1.1 Interpretation
1.1.1 Interpretation of table
A reference to a diagnostic imaging service in an item in Part 2 includes a reference to the undertaking of the diagnostic imaging procedure used for rendering the service.
Division 1.2 General application provisions
1.2.1 Meaning of symbols (R) and (NR) in the table
(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.
1.2.2 Who may provide a diagnostic imaging service
Unless the contrary intention appears, items in this table relating to diagnostic imaging services apply whether the service is provided by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who:
1.2.3 Report requirements for certain services
(1) An item in Part 2 (except an item to which subclause (2) applies) applies only if the providing practitioner gives a report of the service performed to the practitioner, participating midwife or participating nurse practitioner who requested the service.
(2) This subclause applies to the following items:
(a) items 55054, 55130, 55135, 55848, 55850, 57341, 57345, 59312, 59314, 60506, 60509 and 61109, being items of services performed in conjunction with a surgical procedure;
(b) items 60918 and 60927, being items of service performed in preparation for a radiological procedure.
1.2.4 Angiography services—meaning of symbols (K) and (NK) in items
(1) An item that includes the symbol (NK) at the end of the item applies to a service that is performed on equipment that is at least 10 years old.
(2) An item that includes the symbol (K) at the end of the item applies to a service that is performed on equipment that is less than 10 years old.
(3) The date from which the age of equipment is worked out for this clause is:
(a) the date that the equipment was first installed in Australia; or
(b) if the equipment was imported as used equipment—the date of manufacture of the oldest component of the equipment.
1.2.5 Bulk‑billing incentive
(1) This clause applies if:
(a) a service that is mentioned in an item in Divisions 2.1 to 2.4 of this table is provided; and
(b) the service is not provided in a hospital; and
(c) the service is bulk‑billed.
(2) The fee for the service is 95% of the fee mentioned in this table for the service.
(3) For paragraph 10 (2) (aa) of the Act, the benefit payable is the amount calculated under subclause (2).