Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_7:p8
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 7 (pt 8/11)
Character Range: 34216–36819

this Schedule is provided; and
 (b) the service is not provided in a hospital; and
 (c) the service is bulk‑billed.
 (2) The fee for the service is 95% of the fee mentioned in this Schedule for the service.
Note: Under paragraph 10(2)(aa) of the Act and subsection 28(2) of the Health Insurance Regulations 2018, the medicare benefit payable is 100% of the fee for the service.
 (3) This clause does not apply to the service specified in item 61369, 61466 or 61485.

1.2.21  Reduction in fees—multiple services on same day—general
 (1) If a medical practitioner renders 2 or more diagnostic imaging services for the same patient on the same day, the fees set out in the items that apply to the services, other than the item with the highest fee, are reduced by $5.
 (2) If a medical practitioner renders at least one R‑type diagnostic imaging service and at least one consultation service for the same patient on the same day, the highest fee, set out in the items that apply to diagnostic imaging services rendered by the practitioner for that patient on that day, is reduced:
 (a) if the fee for the relevant consultation is at least $40—by $35; or
 (b) if that fee is less than $40 but more than $15—by $15; or
 (c) if that fee is less than $15—by the amount of that fee.
 (3) For the purposes of subclause (2), if more than one consultation has occurred, the relevant consultation is the consultation having the highest fee set out in the items that apply to the consultation.
 (4) If a medical practitioner renders at least one R‑type diagnostic imaging service and at least one non‑consultation service for the same patient on the same day, the highest fee that applies to any diagnostic imaging services performed by the medical practitioner for the same patient on the same day, is reduced by $5.
 (5) If a medical practitioner renders an R‑type diagnostic imaging service, a consultation and a non‑consultation service for the same patient on the same day, the sum of the reductions under subclauses (2) and (4) must not exceed the highest fee that applies to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day.
 (6) Clauses 2.1.2A, 2.1.17 and 2.5.8 apply, subject to subclauses (7), (8) and (8A), in addition to this clause.
 (7) For the purposes of clause 2.1.2A, if a medical practitioner provides:
 (a) 2 or more vascular ultrasound services for the same patient on the same day; and
 (b) one or more other diagnostic imaging services for that patient on that day;
the amount of the fees payable for the vascular ultrasound services is