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Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2006 (No. 2)

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Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2006 (No. 2)1 Select Legislative Instrument 2006 No. 85
I, PROFESSOR MARIE BASHIR, AC, CVO, Administrator 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 2006 MARIE BASHIR Administrator By Her Excellency’s Command TONY ABBOTT Minister for Health and Ageing
1              Name of Regulations                 These Regulations are the Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2006 (No. 2). 2              Commencement                 These Regulations commence on 1 May 2006. 3              Amendment of Health Insurance (Diagnostic Imaging Services Table) Regulations 2005                 Schedule 1 amends the Health Insurance (Diagnostic Imaging Services Table) Regulations 2005.

Schedule 1        Amendments (regulation 3)    [1]           Schedule 1, Part 2, rules 19 and 20 substitute
19            CT services — eligible services          (1)   Subject to subrule (2), items 56001 to 57356 apply only to a CT service that is:                 (a)    performed under the professional supervision of a specialist in the specialty of diagnostic radiology who is available:                           (i)    to monitor and influence the conduct and diagnostic quality of the examination; and                          (ii)    if necessary, to personally attend on the patient; and                (b)    reported by a specialist in the specialty of diagnostic radiology.          (2)   Items 56001 to 57356 apply to a CT service which fails to comply with subrule (1) if the service is performed:                 (a)    in an emergency; or                (b)    because of medical necessity, in a remote location.
20            CT services — exclusion of attenuation correction and anatomical correlation                 Items 56001 to 57356 do not apply to a CT service that is performed for the purposes of attenuation correction or anatomical correlation of another diagnostic imaging procedure. [2]           Schedule 1, Part 2, rule 33 substitute
33            MRI and MRA services — permissible circumstances for performance          (1)   For rule 31, and subject to subrule (2), a service is performed in a permissible circumstance only if it is:                 (a)    performed under the professional supervision of an eligible provider who is available to monitor and influence the conduct and diagnostic quality of the examination, including, if necessary, by personal attendance on the patient; and                (b)    reported by an eligible provider.          (2)   If subrule (1) is not complied with, a service is performed in a permissible circumstance if the service is performed:                 (a)    in an emergency; or                (b)    because of medical necessity, in a remote location. [3]           Schedule 1, Part 2, subrules 34 (1) and (2) omit rule 33, insert subrule 33 (1), [4]           Schedule 1, Part 2, subrule 39 (3) omit [5]           Schedule 1, Part 3, item 57350, column 2, paragraph (c) substitute
 
   (c)  the service has not been performed on the same patient within the previous 12 months; and    (d)  the service is not a study performed to image the coronary arteries (R) (K) (Anaes.)
 
[6]           Schedule 1, Part 3, item 57351, column 2, paragraph (c) substitute
 
   (c)  a service to which item 57350 or 57355 applies has been performed on the same patient within the previous 12 months; and    (d)  the service is not a study performed to image the coronary arteries (R) (K) (Anaes.)
 
[7]           Schedule 1, Part 3, item 57355, column 2, paragraph (c) substitute
 
   (c)  the service has not been performed on the same patient within the previous 12 months; and    (d)  the service is not a study performed to image the coronary arteries (R) (NK) (Anaes.)
 
[8]           Schedule 1, Part 3, item 57356, column 2, paragraph (c) substitute
 
   (c)  the service to which item 57350 or 57355 applies has been performed on the same patient within the previous 12 months; and    (d)  the service is not a study performed to image the coronary arteries (R) (NK) (Anaes.)
 
[9]           Further amendments
Provision
omit each mention of
insert
Schedule 1, Part 3, items 56301 to 56347 and 56801 to 57047, column 2
coronary artery calcification
coronary artery calcification or image the coronary arteries
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.