Document ID: chunk:federal_register_of_legislation:F2024C01112:front:0:p3
Version: federal_register_of_legislation:F2024C01112
Segment Type: other
Provision Reference: 
Character Range: 5485–8366

the assessment and recommendation are recorded in writing.

     TAVI Hospital means a hospital, as defined by subsection 121‑5(5) of the Private Health Insurance Act 2007, that is clinically accepted as being a suitable hospital in which the service described in item 38495, 38514 or 38522 may be performed.

     TAVI Patient means a patient who, as a result of a TAVI Case Conference, has been assessed as having a high, intermediate or low risk for open surgical aortic valve replacement and is recommended as being suitable to receive the service described in item 38495, 38514 or 38522.

     TAVI Practitioner means a cardiothoracic surgeon or interventional cardiologist who is accredited by the Cardiac Accreditation Services Limited.

     Note: The following terms are defined in subsection 3(1) of the Act:

              clinically relevant service

              general medical services table

              item

              practitioner

              professional service

     (2) Unless the contrary intention appears, a reference in this Determination to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.

      6. Treatment of relevant services

       For subsection 3C(1) of the Act a relevant service specified in Schedule 1 to this Determination, provided in accordance with this Determination and as a clinically relevant service, is to be treated, for the relevant provisions, as if:

          (a) it were both a professional service and a medical service; and
(b) there were an item in the general medical services table that:
(i) related to the service; and
(ii) specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.

      7. Application of items 38495, 38514 and 38522

       Medicare benefit is not payable if the service described in item 38495, 38514 or 38522 is provided at the same time as, or in connection with, the provision of a pain pump for post‑surgical pain management.

      8. Meaning of symbol (H)

       An item in this Schedule including the symbol (H) applies only to a service performed or provided in a hospital.

      9. Indexation

      1.     At the start of 1 July 2024 (the indexation time), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

         Note: The indexed fees could in 2024 be viewed on the Department of Health and Aged Care's MBS Online website (http://www.health.gov.au).

 (2) The amounts covered by this subsection