Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_2:p2
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 2 (pt 2/2)
Character Range: 330145–332262

Multiple services with same highest fee
 (3) For the purposes of paragraphs (1)(a) and (2)(a), if 2 or more applicable fees are equally the highest, only one of those fees is taken to be the highest fee.

Services with documented clinical need
 (4) For the purposes of paragraphs (1)(b) and (2)(b), this subclause applies to a service provided to a person in an attendance if the clinical need for the service is:
 (a) stated in the request for the service; and
 (b) appropriately documented in the record of the service.

2.5.8B  Reduction in fees—multiple services on same day—Subgroups 12 and 13
 (1) If a medical practitioner provides 2 or more MRI services described in Subgroup 12 or 13 of Group I5 for the same person on the same day, the fees specified for the items that apply to the services, other than the item with the highest fee, are reduced by 50%.
 (2) For the purposes of subclause (1):
 (a) if 2 or more applicable fees are equally the highest, only one of those fees is taken to be the highest fee; and
 (b) if a reduced fee calculated under subclause (1) is not a multiple of 5 cents, the reduced fee is taken to be the nearest amount that is a multiple of 5 cents.

2.5.9  Restriction on items—related MRI or MRA services
  An MRI or MRA item does not apply to a service provided to a person if:
 (a) the MRI or MRA item is specified in column 1 of an item (the table item) of table 2.5.9; and
 (b) during the period (the limitation period):
 (i) specified in column 2 of the table item; and
 (ii) ending immediately before the service is provided;
  the person was provided with one or more services (the earlier services) to which any of the MRI or MRA items mentioned in the table item applied; and
 (c) the number of earlier services provided to the person in the limitation period was equal to the maximum number specified in column 3 of the table item.

Table 2.5.9—Related services
Item                          Column 1                           Column 2            Column 3

                              MRI or MRA items                   Limitation period   Maximum number of services