Statutory Rules 1993   No. 1451
__________________
Health Insurance (1992-1993 General Medical Services Table) Regulations2 (Amendment)
I, The 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 22 June 1993.
 
                                                                                     BILL HAYDEN
                                                                                    Governor-General
By His Excellency’s Command,
 
R. KELLY
Minister for the Environment, Sport and Territories
for the
Minister for Health
____________
1.   Commencement
1.1   These Regulations commence on 1 July 1993.
2.   Amendment
2.1   The Health Insurance (1992-1993 General Medical Services Table) Regulations are amended as set out in these Regulations.
3.   Schedule (Table of general medical services)
3.1   Rules of Interpretation:
Subrule 1 (1):
Insert the following definition:
“‘intensive care unit’ means a separate hospital area that:
             (a)   is equipped and staffed so as to be capable of providing to a patient:
                          (i)   mechanical ventilation for a period of several days; and
                         (ii)   invasive cardiovascular monitoring; and
             (b)   is supported by:
                          (i)   at least one specialist or consultant physician in the speciality of Intensive Care who is immediately available during normal working hours; and
                         (ii)   a registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and
                       (iii)   a Registered Nurse for at least 18 hours in each day; and
             (c)   has defined admission and discharge policies;”.
3.2   Rules of Interpretation:
Subrule 1 (5):
Add at the end:
                     “; and
             (d)   if the referral:
                          (i)   arises out of a dental service given by a dental practitioner who is approved by the Minister for the purposes of paragraph (b) of the definition of “professional service” in subsection 3 (1) of the Act; and
                         (ii)   is given to a consultant physician;
                     a dental practitioner.”.
3.3   Rules of Interpretation:
Subrule 11 (2):
After “13221,”, insert: “13915, 13918, 13921, 13924, 13927, 13930, 13933, 13936, 13939, 13942, 13945, 13948,”.
3.4   Item 11221:
Omit “67.00”, substitute “53.00”.
3.5   Item 11224:
Omit “40.00”, substitute “32.00”.
3.6   Item 11503:
Omit the item, substitute:
“11503
Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood, electrical activity of muscles (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital)—each occasion at which 1 or more such tests are performed
98.00”.
3.7   Item 11600:
Omit the item, substitute:
“11600
Blood pressure monitoring by intravascular cannula (not being a service associated with a service to which item 13818 or 13819 applies) (AU 4)
48.50”.
3.8   After item 11700, insert:

“11701
Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, including any consultation on the same day
12.20

11702
Twelve-lead electrocardiography, tracing only
12.20”.

3.9   Item 11703:
Omit the item.
3.10   After item 11706, insert:
“11708
Continuous ECG recording of ambulatory patient for 12 or more hours, including microprocessor based analysis, interpretation and report of recordings, not being a service to which item 11709 applies
100.00”.
3.11   Items 11709 and 11710:
Omit the items, substitute:

“11709
Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours involving recording and storage on a device, utilising a system capable of superimposition and full disclosure printout of at least 12 hours of recorded ECG data, microprocessor based scanning analysis, interpretation and report, including resting ECG and the recording of parameters
132.00

11710
Ambulatory ECG monitoring, patient activated, single or multiple event recording, utilising a looping memory recording device which is connected continuously to the patient for 12 hours or more and is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation, including transmission, analysis, interpretation and report—payable once in any 4 week period
36.50

11711
Ambulatory ECG monitoring for 12 hours or more, patient activated, single or multiple event recording, utilising a memory recording device which is capable of recording for at least 30 seconds after each activation, including transmission, analysis, interpretation and report—payable once in any 4 week period
20.00”.

3.12   Items 12000 and 12003:
Omit the items, substitute:

“12000
Skin sensitivity testing for allergens, using 1 to 20 allergens, not being a service associated with a service to which item 12006 or 12009 applies
27.50

12003
Skin sensitivity testing for allergens, using more than 20 allergens, not being a service associated with a service to which item 12006 or 12009 applies
41.50”.

3.13   Item 13800 to 13806:
Omit the items, substitute:

“13809
Management of a patient in an Intensive Care Unit by a specialist or consultant physician—including initial and subsequent attendances, electrocardiograms, arterial sampling, bladder catheterisation and blood sampling—management on the first day
215.00

13812
Management of a patient in an Intensive Care Unit by a specialist or consultant physician—including all attendances, electrocardiograms, arterial sampling, bladder catheterisation and blood sampling—management on each day subsequent to the first day
160.00

13815
Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure not being a service to which item 13318 applies (AU 6)
60.00

13818
Right heart balloon flotation using a pulmonary artery catheter, including pulmonary wedge pressure and cardiac output measurement and including monitoring of pulmonary arterial and central venous pressures on the day of insertion—management on the first day
168.00

13819
Central venous pressure, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter by a specialist or consultant physician in an Intensive Care Unit—each day of monitoring for each pressure up to a maximum of 4 pressures (not being a service to which item 11600 or 13818 applies)
48.00

13821
Mechanical ventilation, initiation of, by a specialist or consultant physician in conjunction with subsequent management of ventilatory support on the first day in an Intensive Care Unit
156.00

13824
Ventilatory support in an Intensive Care Unit, management of, by a specialist or consultant physician—not being a service to which item 13809 applies—each day
53.00

13827
Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices
130.00

13830
Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician—each day
53.00

13833
Continuous arterio-venous or veno-venous haemofiltration, management by a specialist or consultant physician—on the first day in an Intensive Care Unit
96.00

13836
Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician—on each day subsequent to the first day in an Intensive Care Unit
50.00”.

3.14   Items 13900 to 13912:
Omit the items, substitute:

“13915
Chemotherapy, administration of, either by intravenous push technique (directly into a vein, or a butterfly needle, or the side-arm of an infusion) or by intravenous infusion of not more than 1 hours duration—payable once only on the same day
46.00

13918
Chemotherapy, administration of, by intravenous infusion of more than 1 hours duration but not more than 6 hours duration—payable once only on the same day
69.00

13921
Chemotherapy, administration of, by intravenous infusion of more than 6 hours duration—for the first day of treatment
78.00

13924
Chemotherapy, administration of, by intravenous infusion of more than 6 hours duration—on each day subsequent to the first in the same continuous treatment episode
46.00

13927
Chemotherapy, administration of, either by intra-arterial push technique (directly into an artery, a butterfly needle or the side-arm of an infusion) or by intra-arterial infusion of not more than 1 hours duration—payable once only on the same day
60.00

13930
Chemotherapy, administration of, by intra-arterial infusion of more than 1 hours duration but not more than 6 hours duration—payable once only on the same day
83.00

13933
Chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration—for the first day of treatment
92.00

13936
Chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration—on each day subsequent to the first in the same continuous treatment episode
60.00

13939
Implanted pump or reservoir, loading of, with a therapeutic agent or agents, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies
69.00

13942
Ambulatory drug delivery device, loading of, with a therapeutic agent or agents for the infusion of the agent or agents via the intravenous, intra-arterial or spinal routes, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies
46.00

13945
Long-term implanted drug delivery device, accessing of
37.00

13948
Cytotoxic agent, instillation of, into a body cavity
46.00”.

3.15   Item 14203:
Omit the item, substitute:
“14203
Hormone or living tissue implantation, by direct implantation involving incision and suture
36.00”.
3.16   After item 14206, insert:
“14209
Intra‑arterial infusion or retrograde intravenous perfusion of a sympatholytic agent
63.00”.
3.17   Item 18212:
Omit the item, substitute:
“18212
Maintenance of narcotic analgesia referred to in item 18206 by the administration of a narcotic or maintenance of local anaesthetic referred to in item 18209 through an in situ needle or catheter, when performed other than by the operating surgeon
28.50”.
3.18   Item 30213:
Omit the item, substitute:
“30213
Telangiectases or starburst vessels on the head or neck, diathermy or sclerosant injection of, including associated consultation—for a session of at least 20 minutes duration
77.00”.
3.19   Item 30309:
Omit “(AU 10)”, substitute “(AU 14)”.
3.20   Item 30479:
Omit the item, substitute:
“30479
Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract (AU 12)
335.00”.
3.21   Item 30514:
Omit the item substitute:
“30514
Morbid obesity, surgical reversal of procedure to which item 30511 or 30512 applies (AU 22)
1,085.00”.
3.22   Items 30535 to 30539:
Omit the items, substitute:

“30535
Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (AU 27)
1,195.00

30536
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck—1 surgeon (AU 31)
1,210.00

30538
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck—conjoint surgery, principal surgeon (including aftercare) (AU 31)
840.00

30539
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck— conjoint surgery, co-surgeon
615.00”.

3.23   Item 32760:
Omit the item, substitute:
“32760
Vein, harvesting of, from leg or arm for bypass or replacement graft when not performed on the limb which is the subject of the bypass or graft—each vein (AU 9)
285.00”.
3.24   Item 35625:
Omit the item, substitute:
“35625
Endometrium, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage, not being a service associated with a service to which item 30390 applies (AU 9)
425.00.”
3.25   Item 38221:
Omit the item, substitute:

“38250
Single chamber permanent transvenous electrode, insertion of (AU 12)
450.00

38253
Permanent pacemaker, insertion or replacement of (AU 12)
180.00

38256
Temporary transvenous pacemaking electrode, insertion of (AU 11)
188.00

38259
Permanent dual chamber transvenous electrodes, insertion of (AU 12)
590.00”.

3.26   After item 38409, insert:
“38410
Intercostal drain, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare) (AU 7)
116.00”.
3.27   Items 38432 and 38434:
Omit the items.
3.28   After item 38446, insert:
“38447
Pericardiectomy via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (AU 28)
1,080.00”.
3.29   After item 38448, insert:
“38449
Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (AU 32)
1,510.00”.
3.30   Item 38454:
Omit the item, substitute:

“38455
Tracheal excision and repair, with cardiopulmonary bypass (AU 40)
1,640.00”.

38456
Intrathoracic operation on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than 1 of those organs, not being a service to which another item in this Group applies (AU 28)
1,080.00

38457
Pectus excavatum or pectus carinatum, repair or radical correction of (AU 16)
1,010.00

38458
Pectus excavatum, repair of, with implantation of subcutaneous prosthesis (AU 16)
535.00

38460
Sternal wire or wires, removal of (AU 8)
194.00

38462
Sternotomy wound, débridement of, not involving reopening of the mediastinum (AU 12)
230.00

38464
Sternotomy wound, débridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum (AU 12)
250.00

38466
Sternum, reoperation on for dehiscence or infection involving reopening of the mediastinum, with or without rewiring (AU 18)
675.00

38468
Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps or greater omentum (AU 28)
1,040.00

38469
Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps and greater omentum (AU 32)
1,210.00”.

3.31   Item 38476 to 38488:
Omit the items, substitute:

“38486
Aortic valve, decalcification of (AU 32)
1,210.00

38487
Mitral valve, open valvotomy of (AU 32)
1,210.00

38488
Valve replacement with bioprosthesis, mechanical prosthesis or unstented xenograft (AU 32)
1,345.00”.

3.32   Item 38491:
Omit the item, substitute:
“38492
Valve replacement with allograft, subcoronary or cylindrical implant (AU 36)
1,600.00”.
3.33   After item 38571, insert:
“38572
Operative management of acute rupture or dissection, in conjunction with procedures on the thoracic aorta (AU 25)
1,400.00”.
3.34   Items 38600 and 38603:
Omit the items, substitute:

“38600
Central cannulation for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies (AU 16)
1,080.00

38603
Peripheral cannulation for cardiopulmonary bypass excluding post-operative management (AU 13)
675.00”.

3.35   Items 38609 and 38612:
Omit the items, substitute:

“38609
Intra-aortic balloon pump, insertion of, by arteriotomy (AU 14)
340.00

38612
Intra-aortic balloon pump, removal of, with closure of artery by direct suture (AU 14)
380.00

38613
Intra-aortic balloon pump, removal of, with closure of artery by patch graft (AU 20)
475.00”.

3.36   After item 39012, insert:
“39013
Injection under image intensification with 1 or more of contrast media, local anaesthetic or corticosteroid into 1 or more zygo-apophyseal or costo-transverse joints or 1 or more primary posterior rami of spinal nerves
77.00”.
3.37   Item 39015:
Omit the item, substitute:
“39015
Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of—including burr-hole (excluding after-care) (AU 12)
265.00”.
3.38   Item 39115:
Omit the item, substitute:
“39115
Percutaneous neurotomy of posterior divisions (or rami) of spinal nerves by any method, including any associated spinal, epidural or regional nerve block (payable once only in a 30 day period) (AU 6)
70.00”.
3.39   After item 39124, insert:

“39125
Spinal catheter, insertion of—for an automated infusion device (AU 8)
210.00

39126
Automated subcutaneous infusion device, insertion of (AU 8)
255.00”.

3.40   After item 39127, insert:
“39128
Automated subcutaneous infusion device and spinal catheter, insertion of (AU 11)
465.00”.
3.42   Item 39130:
Omit the item, substitute:

39130
Percutaneous epidural electrode, insertion of 1 or more of—for spinal stimulation (AU 10)
430.00

39131
Percutaneous epidural electrodes, management, adjustment, electronic programming and trial of stimulation of, by a medical practitioner—each day
90.00

3.42   After item 39133, insert:
39134
Spinal neurostimulator receiver or pulse generator, subcutaneous placement of (AU 8)
240.00
3.43   Items 39136 and 39139:
Omit the items, substitute:

“39136
Percutaneous epidural implant for management of pain, removal of (AU 7)
112.00

39139
Epidural electrode for management of pain, insertion of 1 or more of by laminectomy, including implantation of pulse generator (1 or 2 stages) (AU 18)
760.00”.

3.44   After item 39321, insert:
“39323
Percutaneous neurotomy by cryoneurotomy or radiofrequency lesion generator, not being a service to which another item applies (AU 8)
194.00”.
3.45   Items 39324 and 39327:
Omit the items, substitute:

“39324
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (AU 8)
194.00

39327
Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation (AU 10)
335.00”.

3.46   After item 39330, insert:
“39331
Carpal tunnel release (division of transverse carpal ligament), by any method (AU 7)
194.00”.
3.47   Item 39612:
Omit the item, substitute:
“39612
Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (AU 14)
790.00”.
3.48   Item 39703:
Omit the item, substitute:
“39703
Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (AU 10)
365.00”.
3.49   Item 39715:
Omit the item, substitute:
“39715
Pituitary tumour, removal of, by transcranial or transphenoidal approach (AU 25)
1,400.00”.
3.50   Item 40015:
Omit “168.00”, substitute “450.00”.
3.51   Items 40300 to 40306:
Omit the items, substitute:

“40300
Intervertebral disc or discs, laminectomy for removal of (AU 12)
675.00

40301
Intervertebral disc or discs, microsurgical dissectomy of (AU 12)
675.00

40303
Recurrent disc lesion or spinal stenosis, or both, laminectomy for—1 level (AU 13)
770.00

40306
Spinal stenosis, laminectomy for, involving more than 1 vertebral interspace (disc level) (AU 16)
1,010.00”.

3.52   Item 40800:
Omit the item, substitute:

“40800
Stereotactic anatomical localisation, as an independent procedure (AU 17)
450.00

40801
Functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation and lesion production in the basal ganglia, brain stem or deep white matter tracts (AU 25)
1,230.00”.

3.53   Item 40900:
Omit the item.
3.54   Insert after item 41907:
“41910
Duct of major salivary gland, transposition of (AU 16)
275.00”.
3.55   Item 45033:
Omit the item, substitute:
“45033
Angioma, large or involving deeper tissue including facial muscle or breast, excision and suture of (AU 9)
170.00”.
3.56   Item 45045:
Omit the item, substitute:
“45045
Arteriovenous malformation on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (AU 16)
215.00”.
3.57   Item 45051:
Omit the item, substitute:
“45051
Contour reconstruction for pathological deformity, insertion of foreign implant (non biological but excluding injection of liquid or semisolid material) by open operation (AU 10)
335.00”.
3.58   Item 45206:
Omit the item, substitute:
“45206
Single stage local flap where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals (AU 12)
270.00”.
3.59   After item 45500, insert:
“45502
Microvascular anastomosis of artery or vein using microsurgical techniques, for reimplantation of limb or digit or free transfer of tissue (AU 38)
1,250.00”.
3.60   Items 45506 to 45518:
Omit the items, substitute:

“45506
Scar, of face or neck, not more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (AU 8)
154.00

45512
Scar, of face or neck, more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (AU 9)
210.00

45515
Scar, other than on face or neck, not more than 7 cm in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (AU 10)
132.00

45518
Scar, other than on face or neck, more than 7 cm in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her speciality (AU 12)
158.00”.

3.61   Items 45551 and 45554:
Omit the items, substitute:

“45551
Breast prosthesis, removal of, with complete excision of fibrous capsule as an independent procedure (AU 10)
315.00

45552
Breast prosthesis, removal of, with complete excision of fibrous capsule and replacement of prosthesis (AU 13)
450.00

45554
Breast prosthesis, replacement of, following medical complications (such as rupture, migration of prosthetic material, or capsule formation), where new pocket is formed, including excision of fibrous capsule (AU 15)
495.00”.

3.62   Item 45623:
Omit the item, substitute:
“45623
Ptosis of eyelid (unilateral), correction of (AU 12)
550.00”.
3.63   After item 45752, insert:

“45753
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III—involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (AU 50)
1,535.00

45754
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III—involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 58)
1,840.00”.

3.64   Item 47006:
Omit “80.00”, substitute “120.00”.
3.65   Item 47360:
Omit the item, substitute:
“47360
Radius or ulna, distal end of, treatment of fracture of, by cast immobilisation, not being a service to which item 47363 or 47366 applies (AU 6)
93.00”.
3.66   Item 47369:
Omit the item, substitute:
“47369
Radius, distal end of, treatment of Colles’, Smith’s or Barton’s fracture of, by cast immobilisation, not being a service to which item 47372 or 47375 applies (AU 6)
120.00”.
3.67   Item 47378:
Omit the item, substitute:
“47378
Radius or ulna, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47381, 47384, 47385 or 47386 applies (AU 6)
120.00”.
3.68   Item 47387:
Omit the item, substitute:
“47387
Radius and ulna, shafts of, treatment of fracture of, by cast immobilisation, not being a service to which item 47390 or 47393 applies (AU 6)
192.00”.
3.69   Item 47540:
Omit the item, substitute:
“47540
Hip spica or shoulder spica, application of, as an independent procedure (AU 9)
152.00”.
3.70   Item 47561:
Omit the item, substitute:
“47561
Tibia, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47564, 47567, 47570 or 47573 applies (AU 10)
192.00”.
3.71   Item 47660:
Omit the item.
3.72   Item 47669:
Omit the item.
3.73   Item 47675:
Omit the item.
3.74   Item 47915:
Omit the item, substitute:

“47915
Ingrowing nail of finger or toe, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (AU 6)
120.00

47916
Ingrowing nail of finger or toe, partial resection of nail, including phenolisation but not including excision of nail bed (AU 5)
60.00”.

3.75   Item 47939:
Omit the item, substitute:
“47939
Limb lengthening (first stage) osteotomy for, including application of distracting apparatus (AU 12)
565.00”.
3.76   After item 47942, insert:
“47943
Limb lengthening requiring slow distraction and application of ring fixator, not being a service to which item 47939 applies (AU 26)
900.00”.
3.77   After item 47972, insert:

“47975
Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (AU 9)
260.00

47978
Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (AU 7)
158.00

47981
Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, not being a service to which another item applies (AU 5)
106.00”.

3.78   After item 48630, insert:
“48632
Scoliosis, congenital, vertebral resection and fusion for (AU 30)
1,100.00”.
3.79   Item 49348:
Omit the item, substitute:
“49348
Hip, congenital dislocation of, treatment of, by closed reduction (AU 5)
112.00”.
3.80   After item 49354, insert:
“49357
Hip spica, initial application of, for congenital dislocation of hip (excluding aftercare) (AU 8)
250.00”.
3.81   Items 49503 to 49509:
Omit the items, substitute:

“49503
Knee, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure, not being a service to which another item in this Group applies—any 1 procedure (AU 10)
345.00

49506
Knee, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure, not being a service to which another item in this Group applies—any 2 or more procedures (AU 12)
515.00

49509
Knee, total synovectomy or arthrodesis of (AU 12)
530.00”.

3.82   After item 49515, insert:
“49517
Knee, hemiarthroplasty of (AU 20)
850.00”.
3.83   After item 50103, insert:
“50104
Joint, synovectomy of, not being a service to which another item in this Group applies (AU 9)
220.00”.
3.84   After item 50124, insert:

“50127
Joint or joints, arthroplasty of, by any technique not being a service to which another item applies (AU 15)
495.00

50130
Joint or joints, application of external fixator to, other than for treatment of fractures (AU 9)
220.00”.

____________________________________________________________
NOTES
1.   Notified in the Commonwealth of Australia Gazette on 29 June 1993.
2.   Statutory Rules 1992 No. 338 as amended by 1992 Nos. 347 and 398.