Document ID: chunk:federal_register_of_legislation:F2024L01330:clause:1_1:p12
Version: federal_register_of_legislation:F2024L01330
Segment Type: clause
Provision Reference: sch 1 cl 1 (pt 12/13)
Character Range: 45714–49704

45891, 45894, 46050, 46052, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46101, 46102, 46103, 46104, 46105, 46106, 46107, 46108, 46109, 46110, 46111, 46112, 46113, 46114, 46115, 46116, 46117, 46118, 46119, 46120, 46121, 46122, 46123, 46124, 46125, 46126, 46127, 46128, 46129, 46130, 46131, 46132, 46133, 46134, 46135, 46136, 46140, 46141, 46142, 46143, 46150, 46151, 46152, 46153, 46154, 46155, 46156, 46157, 46158, 46159, 46160, 46161, 47766, 50411, 50414, 50417, 50420, 50423, 51904, 51906, 52010, 52036, 52045, 52048, 52106, 52108, 52111, 52117, 52120, 52122, 52123, 52300, 52303, 52306, 52309, 52312, 52315, 52318, 52319, 52321, 52324, 52327, 52330, 52333, 52336, 52337, 52339, 52342, 52345, 52348, 52351, 52354, 52357, 52360, 52363, 52366, 52369, 52372, 52375, 52378, 52379, 52380, 52382, 52420, 52424, 52430, 52440, 52442, 52444, 52446, 52450, 52452, 52456, 52458, 52460, 52480, 52482, 52484, 52600, 52603, 52606, 52609, 52612, 52615, 52618, 52621, 52624, 52626, 52627, 52630, 52633, 52636, 53242, 53453, 53455, 75024, 75027, 82226, 82227
(medically necessary)                                    For example: burns requiring a graft, cleft palate, club foot and angioma.
                                                         Plastic surgery that is medically necessary relating to the treatment of a skin-related condition is listed separately under Skin.
                                                         Chemotherapy and radiotherapy for cancer is listed separately under Chemotherapy, radiotherapy and immunotherapy for cancer.
Podiatric surgery                                        Hospital treatment for the investigation and treatment of conditions affecting the foot and/or ankle, provided by a registered podiatric surgeon, but limited to cover for:
(provided by a registered podiatric surgeon)
                                                               * accommodation; and

                                                               * the cost of a prosthesis as listed in the prostheses list set out in the Private Health Insurance (Prostheses) Rules, as in force from time to time.

                                                             Note: Insurers are not required to pay for any other benefits for hospital treatment for this clinical category but may choose to do so.

Pregnancy and birth                                      Hospital treatment for investigation and treatment of conditions associated with pregnancy and child birth.                                                                                                                                                                 16400, 16401, 16404, 16406, 16407, 16408, 16500, 16501, 16502, 16505, 16508, 16509, 16511, 16512, 16514, 16515, 16518, 16519, 16520, 16522, 16527, 16528, 16533, 16534, 16564, 16567, 16570, 16571, 16573, 16590, 16591, 16600, 16603, 16606, 16609, 16612, 16615, 16618, 16621, 16624, 16627, 82100, 82105, 82110, 82115, 82116, 82118, 82120, 82123, 82125, 82127
                                                         Treatment for the baby is covered under the clinical category relevant to their condition. For example, respiratory conditions are covered under Lung and chest.
                                                         Female reproductive conditions are listed separately under Gynaecology.
                                                         Fertility treatments are listed separately under Assisted reproductive services.
                                                         Miscarriage and termination of pregnancy is listed separately under Miscarriage and termination of pregnancy.

Skin                                                     Hospital treatment for the investigation and treatment of skin, skin-related conditions and nails. The removal of foreign bodies is also included. Plastic surgery that is medically necessary and relating to the treatment of a skin-related condition is also included.  12012,