Document ID: chunk:federal_register_of_legislation:F2025C00056:reg:9:p1
Version: federal_register_of_legislation:F2025C00056
Segment Type: reg
Provision Reference: reg 9 (pt 1/5)
Character Range: 26762–29424

9     88768                                8              24 months

 (b) items 88111, 88114 and 88121 must not be provided more than two times per calendar year.

18 Limitation on provision of certain services

 For any particular eligible dental patient:
 (a) an item of the Dental Benefits Schedule mentioned in column 2 of the following table is applicable to a service provided by a particular eligible dental provider, not more than once in the period mentioned in column 3 of the table:

Item  Item of service  Period
 1    88012            5 months
 2    88011            24 months

 (b) item 88012 must not be provided more than two times by a particular eligible dental provider per calendar year.

19 Limitation on Diagnostic Services

       For any particular eligible dental patient:
 (a) an item listed in Subgroup 1 of Group U0 of the Dental Benefits Schedule:
 (i) is applicable to a service once only per day; and
 (ii) is not applicable to a service if the service is provided in combination with a service described in any of the other items in the Subgroup on that day that has been relevantly provided;
 (b) item 88012 is not applicable to a service if the service is provided within 5 months of a service described in item 88011 being relevantly provided, where both services are provided by the same eligible dental provider.

20 Limitation on Preventive Services

       For any particular eligible dental patient:
 (a) an item listed in Subgroup 1 of Group U1 of the Dental Benefits Schedule is not applicable to a service if:
 (i) the service is provided in combination with a service described in any of the other items in the Subgroup (the second service) on that day; and
 (ii) the second service is relevantly provided;
 (b) an item listed in Subgroup 3 of Group U1 of the Dental Benefits Schedule is not applicable to a service if the service is provided in respect of the same tooth on the same day as a service described in any of the items 88511 to 88535 is relevantly provided.

21 Limitation on Periodontic Services

      For any particular eligible dental patient item 88213 is not applicable to a service if the service is provided in respect of a tooth on the same day as the service described in item 88415 is relevantly provided in respect of the same tooth.

22 Limitation on Oral Surgery

  For any particular eligible dental patient:
 (a) item 88311 is not applicable to a service if the service is provided on the same day as the service described in item 88314 is relevantly provided;
 (b) item 88322 is not applicable to a service if the service is provided on the same day as a service described in either