Health Insurance (Gippsland, Rockhampton and Gladstone Mobile MRI Service) Amendment Determination 2014

Link to law: https://www.comlaw.gov.au/Details/F2014L01454

Subscribe to a Global-Regulation Premium Membership Today!

Key Benefits:

Subscribe Now
 
 
Health Insurance (Gippsland, Rockhampton and Gladstone Mobile MRI Service) Amendment Determination 2014
__________________________________________________________________
I, Kirsty Faichney, Acting First Assistant Secretary, Medical Benefits Division, Department of Health, delegate of the Minister for Health, make this Determination under subsection 3C(1) of the Health Insurance Act 1973.
Dated 27 October 2014         
 
 
KIRSTY FAICHNEY
A/g First Assistant Secretary
Medical Benefits Division
Department of Health
_________________________________________________________________
 
 
 
 
 
 
Contents
 
1.               Name of Determination                                                                           3
2.               Commencement                                                                                      3
3.               Authority                                                                                                3
4.               Amendment of Health Insurance (Gippsland, Rockhampton and Gladstone Mobile MRI Service) Determination 2014 (No. 1)                                                                       3
Schedule        Amendments                                                                                  4
 
 

1.               Name of Determination
This Determination is the Health Insurance (Gippsland, Rockhampton and Gladstone Mobile MRI Service) Amendment Determination 2014.
2.               Commencement
This Determination commences on 1 November 2014. 
3.               Authority
 
This Determination is made under the Health Insurance Act 1973.
4.               Amendment of Health Insurance (Gippsland, Rockhampton and Gladstone Mobile MRI Service) Determination 2014 (No. 1)
 
Schedule 1 amends the Health Insurance (Gippsland, Rockhampton and Gladstone Mobile MRI Service) Determination 2014 (No. 1).
 
Schedule                Amendments
 
[1]               Section 3
                  
Substitute:
3.               Cessation
This Determination is repealed at 23:59, 30 June 2015.
 
[2]               Paragraph 5(1)(a)
 
                   After ‘63483’ insert:
 
                   and items 63740 to 63747
 
[3]               Paragraph 5AA(1)(a)
 
                   After ‘63483’ insert:
 
                   and items 63740 to 63747
 
[4]               Section 7
 
                   Substitute:
7.               MRI and MRA services – meaning of scan
Clause 2.5.7 of Part 2 of Schedule 1 of the diagnostic imaging services table shall have effect as if the reference to “items 63001 to 63561” also included reference to items 63002 to 63483, items 63525 to 63530, items 63584 to 63587 and items 63740 to 63747 specified in the Schedule.
 
[5]               Schedule – Specified health services
 
After item 63587 insert:
 
63740
MRI – scan to evaluate small bowel Crohn’s disease if the service is provided to a patient for:
(a) Evaluation of disease extent at time of initial diagnosis of Crohn’s disease;
(b) Evaluation of exacerbation/suspected complications of known Crohn’s disease;
(c) Evaluation of known or suspected Crohn’s disease in pregnancy; or
(d) Assessment of change to therapy in a patient with small bowel Crohn’s disease.
                             
This item applies only once in a 12 month period where the service is provided for assessment of change to therapy in a patient with small bowel Crohn’s disease. (R) (K) (Contrast)
 
457.20
 

63741
MRI – scan with enteroclysis for Crohn’s disease if the service is related to item 63740. (R) (K)
 
265.25
 

63743
MRI – scan for fistulising perianal Crohn’s disease if the service is provided to a patient for:
(a)   Evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn’s disease; or
(b)   Assessment of change to therapy of pelvis sepsis and fistulas from Crohn’s disease.
 
This item applies only once in a 12 month period where the service is provided for assessment of change to therapy of pelvis sepsis and fistulas from Crohn’s disease. (R) (K) (Contrast)
 
403.20
 

63744
MRI – scan to evaluate small bowel Crohn’s disease if the service is provided to a patient for:
(a) Evaluation of disease extent at time of initial diagnosis of Crohn’s disease;
(b) Evaluation of exacerbation/suspected complications of known Crohn’s disease;
(c) Evaluation of known or suspected Crohn’s disease in pregnancy; or
(d) Assessment of change to therapy  in a patient with small bowel Crohn’s disease.
 
This item applies only once in a 12 month period where the service is provided for assessment of change to therapy in a patient with small bowel Crohn’s disease. (R) (NK) (Contrast)
 
228.60
 

63746
MRI – scan with enteroclysis for Crohn’s disease if the service is related to item 63744. (R) (NK)
 
132.65
 

63747
MRI – scan for fistulising perianal Crohn’s disease if the service is provided to patients for:
(a)   Evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn’s disease; or
(b)   Assessment of change to therapy of pelvis sepsis and fistulas from Crohn’s disease.
 
This item applies only once in a 12 month period where the service is provided for assessment of change to therapy of pelvis sepsis and fistulas from Crohn’s disease. (R) (NK) (Contrast)
 
201.60