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Health Insurance (General Medical Services Table) Amendment Regulations 2007 (No. 4)

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Health Insurance (General Medical Services Table) Amendment Regulations 2007 (No. 4)1
Select Legislative Instrument 2007 No. 100
I, PHILIP MICHAEL JEFFERY, Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 26 April 2007
P. M. JEFFERY
Governor‑General
By His Excellency’s Command
TONY ABBOTT
Minister for Health and Ageing
1              Name of Regulations
                These Regulations are the Health Insurance (General Medical Services Table) Amendment Regulations 2007 (No. 4).
2              Commencement
                These Regulations commence on 1 May 2007.
3              Amendment of Health Insurance (General Medical Services Table) Regulations 2006
                Schedule 1 amends the Health Insurance (General Medical Services Table) Regulations 2006.
Schedule 1        Amendments
(regulation 3)
  
[1]           Schedule 1, Part 2, subrule 3 (1), definition of general practitioner, paragraph (e)
omit
GPET.
insert
GPET; or
[2]           Schedule 1, Part 2, subrule 3 (1), definition of general practitioner, after paragraph (e)
insert
                (f)    a practitioner who is undertaking a placement in general practice as part of the Remote Vocational Training Scheme administered by Remote Vocational Training Scheme Limited.
[3]           Schedule 1, Part 2, after rule 13
insert
14            Group T8 services may be provided by a specialist trainee
         (1)   An item in Group T8 applies to a medical service provided by:
                (a)    a medical practitioner; or
               (b)    a specialist trainee under the direct supervision of a medical practitioner.
         (2)   For paragraph (1) (b), a medical service provided by a specialist trainee is taken to have been provided by the supervising medical practitioner.
         (3)   In this regulation:
accredited advanced training placement means a placement in an advanced training position:
                (a)    accredited by the Royal Australasian College of Surgeons; and
               (b)    allowing a participant to undertake part of a training program leading to the attainment of a Fellowship of the Royal Australasian College of Surgeons.
specialist trainee means a medical practitioner who is:
                (a)    enrolled in and undertaking a training course with the Royal Australasian College of Surgeons; or
               (b)    undertaking an accredited advanced training placement, with access to Medicare benefits, that is limited to attendances provided at a practice nominated by the Royal Australasian College of Surgeons for a specified time period.
[4]           Schedule 1, Part 2, paragraph 64C (1) (a)
omit
antenatal care; and
insert
an antenatal service; and
[5]           Schedule 1, Part 2, paragraph 64C (1) (c)
omit
servive
insert
service
[6]           Schedule 1, Part 2, rule 74
substitute
74            Restriction of telepsychiatry consultations to rural and remote areas
                Each of items 353 to 358 applies only to a consultation that is provided to a patient located in an R1, R2, R3, Rem1 or Rem2 area within the meaning of the Rural, Remote and Metropolitan Areas Classification.
[7]           Schedule 1, Part 2, rule 76A, heading
substitute
76A         Meaning of expressions used in rules 77A to 78 and Group A20
[8]           Schedule 1, Part 2, subrule 76A (1)
omit
rules 77
insert
rules 77A
[9]           Schedule 1, Part 2, subrule 76A (1), before definition of mental disorder
insert
3 Step Mental Health Process means a service provided to a patient under item 2574, 2575, 2577, 2578, 2704, 2705, 2707 or 2708 of the Health Insurance (General Medical Services Table) Regulations 2006 as in force on 30 April 2007.
[10]         Schedule 1, Part 2, paragraph 76A (2) (b)
after
patient’s
insert
care
[11]         Schedule 1, Part 2, rule 77
omit
[12]         Schedule 1, Part 2, paragraph 77A (4) (a)
substitute
                (a)    reviews the matters mentioned in subrule (1) as applicable; and
[13]         Schedule 1, Part 2, paragraph 77A (4) (c)
after
appropriate
insert
and if not previously provided
[14]         Schedule 1, Part 2, paragraph 77A (4) (d)
omit
or not previously used
[15]         Schedule 1, Part 2, after rule 97
insert
98            Application of item 35412
         (1)   Intra‑operative imaging is taken to be part of the service associated with the coiling of an aneurysm and cannot be charged in addition to item 35412.
         (2)   Pre‑operative diagnostic imaging, including aftercare, under item 60009, 60072, 60075 or 60078 of the diagnostic imaging services table may be separately claimed.
[16]         Schedule 1, Part 3, item 299, column 3
substitute
275.10
[17]         Schedule 1, Part 3, items 353 to 370
substitute
353
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 15 minutes duration, if:
   (a)  that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
50.60

355
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 15 minutes, but not more than 30 minutes, duration, if:
   (a)  that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
101.10

356
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 30 minutes, but not more than 45 minutes, duration, if:
   (a)  that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
148.25

357
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 45 minutes, but not more than 75 minutes, duration, if:
   (a)  that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
204.55

358
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 75 minutes duration, if:
   (a)  that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
249.15

364
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of not more than 15 minutes duration, if:
   (a)  the patient has had a telepsychiatry consultation to which any of items 353 to 358 applies:
         (i)   before that attendance; or
        (ii)   if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
38.30

366
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of more than 15 minutes, but not more than 30 minutes, duration, if:
   (a)  the patient has had a telepsychiatry consultation to which any of items 353 to 358 applies:
         (i)   before that attendance; or
        (ii)   if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
76.40

367
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of more than 30 minutes, but not more than 45 minutes, duration, if:
   (a)  the patient has had a telepsychiatry consultation to which any of items 353 to 358 apply:
         (i)   before that attendance; or
        (ii)   if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
117.60

369
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of more than 45 minutes, but not more than 75 minutes, duration, if:
   (a)  the patient has had a telepsychiatry consultation to which any of items 353 to 358 apply:
         (i)   before that attendance; or
        (ii)   if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
162.40

370
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of more than 75 minutes duration, if:
   (a)  the patient has had a telepsychiatry consultation to which any of items 353 to 358 applies:
         (i)   before that attendance; or
        (ii)   if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and
   (b)  that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
188.30

[18]         Schedule 1, Part 3, Group A18, Subgroup 4
omit
[19]         Schedule 1, Part 3, Group A19, Subgroup 4
omit
[20]         Schedule 1, Part 3, after item 30061
insert
 
30062
Etonogestrel subcutaneous implant, removal of, as an independent procedure (Anaes.)
53.65
[21]         Schedule 1, Part 3, items 31300, 31305, 31310, 31315, 31320, 31325, 31330 and 31335
omit
the primary tumour)
insert
excision)
[22]         Schedule 1, Part 3, item 37227
omit
15327 or 15328
insert
15331 or 15332
[23]         Schedule 1, Part 3, items 38200 to 38206
substitute
38200
Right heart catheterisation with any 1 or more of  — fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection or exercise stress test (Anaes.)
393.60

38203
Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture with any 1 or more of  — fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection or exercise stress test (Anaes.)
469.65

38206
Right heart catheterisation with left heart catheterisation via the right heart or by any other procedure, with any 1 or more of  — fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection or exercise stress test (Anaes.)
567.85

[24]         Schedule 1, Part 3, after item 45560
insert
 
45561
Microvascular anastomosis of artery or vein using microsurgical techniques, for supercharging of pedicled flaps (H) (Anaes.) (Assist.)
1 568.20
[25]         Schedule 1, Part 3, items 45564 and 45565
after
anastomoses of
insert
up to 2
Note
1.       All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.frli.gov.au.