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Health Insurance (Deep Brain Stimulation for Parkinson’s Disease) Determination HS/01/2005 _______________________________________________________ I, TONY ABBOTT, Minister for Health and Ageing, make the following determination under subsection 3C(1) of the Health Insurance Act 1973. Dated             22/12/04                                                                         Tony Abbott   Minister for Health and Ageing _______________________________________________________
  1.             Citation                 This determination is the Health Insurance (Deep Brain Stimulation for Parkinson’s Disease) Determination HS/01/2005. 2.             Interpretation                 (1)   In this Determination:                  relevant centre means a centre that is specified in Schedule 1.                  relevant service means a health service that is specified in Schedule 2.                       the Act means the Health Insurance Act 1973.                       Note 1: general medical services table and professional service are defined in subsection 3 (1) of the Act.                       Note 2: health service is defined in subsection 3C (8) of the Act. (2)      For the avoidance of doubt, in this Determination: (a) a reference to the Act includes a reference to regulations made under the Act; and (b)   a reference to the National Health Act 1953 includes a reference to regulations made under that Act. 3.                        Commencement This Determination commences on 1 February 2005. 4.                           Cessation This Determination ceases to have effect on 30 April 2006. 5.             Treatment of a relevant service (Act s. 3C (1))                 Subject to section 6, a relevant service shall be treated as if: (a)        it were both a professional service and a medical service for the purposes of the provisions of the Act and the National Health Act 1953 that relate to professional and medical services; and (b)       there were an item in the general medical services table relating to the relevant service that specified a fee for the service, being the fee specified in the Schedule for that service.
  6.                           Specified circumstances (Act s. 3C (1)) Section 5 applies only to a relevant service performed in the following circumstances: (a)       the service is performed in a relevant centre that is participating in an appropriate controlled trial to obtain information on adverse events, longer term patient outcomes and costs in the Australian setting in consultation with appropriate groups and States; and (b)      the service is performed in respect of a patient whose response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations.
SCHEDULE 1 – RELEVANT CENTRES                                  
STATE
HOSPITAL
Victoria
Epworth Private
 
Alfred Public
 
St Vincent's Public
NSW
St Vincent's Private
 
North Shore Private
WA
Sir Charles Gairdner
Queensland
Mater Private
 
St Andrew’s War Memorial
 
Wesley Private
 
SCHEDULE 2 – RELEVANT SERVICES  
40850
DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes (Anaes.) (Assist.)
$1921.45
40851
DEEP BRAIN STIMULATION for Parkinson’s disease (bilateral), functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes (Anaes.) (Assist.)
$3,362.60
40852
DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), subcutaneous placement of neurostimulator receiver or pulse generator. (Anaes.) (Assist)
$289.00
40854
DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), revision or removal of brain electrode (Anaes.)
$446.60
40856
DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), removal or replacement of neurostimulator receiver or pulse generator (Anaes.)
$216.75
40858
DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), placement, removal or replacement of extension lead (Anaes.)
$446.60
40860
DEEP BRAIN STIMULATION for Parkinson’s disease (unilateral), target localisation incorporating anatomical and physiological techniques, including intra-operative clinical evaluation, for the insertion of a single neurostimulation wire (Anaes.)
$1,716.30
40862
DEEP BRAIN STIMULATION for Parkinson’s disease, electronic analysis and programming of neurostimulator pulse generator (Anaes.)
$160.90