Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_10992
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 10992
Character Range: 582206–584518

10992                                                  A medical service to which:                                                                                                                                                                                                11.60
                                                       (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or
                                                       (b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018);
                                                       if:
                                                       (c) the service is an unreferred service; and
                                                       (d) the service is provided to a person who is under the age of 16 or is a concessional beneficiary; and
                                                       (e) the person is not an admitted patient of a hospital; and
                                                       (f) the service is not provided in consulting rooms; and
                                                       (g) the service is provided in any of the following areas:
                                                       (i) a Modified Monash 2 area;
                                                       (ii) a Modified Monash 3 area;
                                                       (iii) a Modified Monash 4 area;
                                                       (iv) a Modified Monash 5 area;
                                                       (v) a Modified Monash 6 area;
                                                       (vi) a Modified Monash 7 area; and
                                                       (h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an area mentioned in paragraph (g); and
                                                       (i) the service is bulk‑billed in relation to the fees for:
                                                       (i) this item; and
                                                       (ii) the other item mentioned in paragraph (a) or (b) applying to the service