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Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013

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Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013
 
I, RICHARD BARTLETT, delegate of the Minister for Health, make this determination under subsection 3C(1) of the Health Insurance Act 1973.
 
Dated:                                           30th October 2013
 
 
 
 
 
____________________________________
 
Richard Bartlett
First Assistant Secretary
Medical Benefits Division
Department of Health
 

Contents
 
 
PART 1            PRELIMINARY   3
 
1           Name of Determination  3
2.          Commencement 3
3.          Authority  3
4.          Schedule                                                                                                3
 
 
Schedule 1 – Amendments  4
ScHEDULE 2 – RePEALs                                                                                        6
 
Part 1        Preliminary
 
1.               Name of Determination
 
This Determination is the Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013.
 
2.               Commencement
 
This Determination commences as follows:
(a)        sections 1 to 4 and Schedule 1 on 1 November 2013;
(b)        Schedule 2 on the cessation or earlier repeal of the Health Insurance (Diagnostic Imaging Services Table) Regulation 2012.
 
3.               Authority
 
This Determination is made under the Health Insurance Act 1973.
 
4.               Schedule
 
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
 
Schedule 1 – Amendments
 
Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011
 
1         After Subdivision E of Division 2.5 of Schedule 1
 
Add

Subdivision F         Subgroup 34 of Group I5
 
Group I5—Magnetic resonance imaging
 
Item
Health service
Fee ($) (for each State)

Subgroup 34 — Scan of body — for specified conditions

63552
Scan of head for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for any of the following:
(a) unexplained seizure(s);
(b) unexplained chronic headache with suspected intracranial pathology (R) (NK) (Contrast) (Anaes.)
201.60

63555
Scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical radiculopathy (R) (NK) (Contrast) (Anaes.)
179.20

63558
Scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical spinal trauma (R) (NK) (Contrast) (Anaes.)
246.40

63561
Scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient 16 years or older with:
(a) inability to extend the knee suggesting the possibility of acute meniscal tear; or
(b) clinical findings suggesting acute anterior cruciate ligament tear (R) (NK) (Contrast) (Anaes.)
201.60

 
2         Schedule 2, table 1 – Diagnostic imaging services table - clauses, table item (q)
 
Omit “63523”, substitute “63523, 63552, 63555, 63558, 63561”.
 
3         Schedule 2, table 1 – Diagnostic imaging services table - clauses, table item (ff)
 
Omit “63520 and 63523”, substitute “63520, 63523, 63552, 63555, 63558, 63561”.
 
4         Schedule 2, table 3 – Dictionary, table item (b)
 
Omit “63523”, substitute “63523, 63552, 63555, 63558, 63561”.
Schedule 2 – Repeals
 
Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011
 
5         The whole of the determination
 
Repeal the determination.