Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_4
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 4
Character Range: 308269–310813

4                                                                                             231                                                The circumstances are that:
                                                                                                                                                 (a) either:
                                                                                                                                                 (i) in the 3 months before performance of the service by a prescribed medical practitioner for a patient, being a service to which any of the following items apply but had not been performed for the patient:
                                                                                                                                                 (A) item 232, 233, 731 or 732;
                                                                                                                                                 (B) item 92027, 92028, 92058 or 92059 of the Telehealth and Telephone Determination; or
                                                                                                                                                 (ii) in the 12 months before performance of the service, being a service that has not been performed for the patient:
                                                                                                                                                 (A) by a medical practitioner who performs the service to which item 231 or 729, or item 92026 or 92057 of the Telehealth and Telephone Determination, would, but for this item, apply; and
                                                                                                                                                 (B) for which a payment has been made under item 229, 230, 721 or 723, or item 92024, 92025, 92055 or 92056 of the Telehealth and Telephone Determination; and
                                                                                                                                                 (b) a service to which item 729, or item 92026 or 92057 of the Telehealth and Telephone Determination, applies is performed not more than once in a 3 month period; and
                                                                                                                                                 (c) the service to which item 231 applies is performed not more than once in a 3 month period