Document ID: chunk:federal_register_of_legislation:F2025C00117:body:0:p18
Version: federal_register_of_legislation:F2025C00117
Segment Type: other
Provision Reference: 
Character Range: 52092–55128

46364, 46365, 46370, 46420, 46438, 46441, 46450, 46486, 46489, 46495, 46501, 46510, 46525, 47738, 47906, 47915, 47918, 47927, 48436, 48438, 48440, 48945, 49218, 49800, 49803, 49806, 49809, 49881, 49884, 49887, 49890, 50115, 50352, 51112, 51113, 51120, 51902, 52015, 52025, 52042, 52045, 52057, 52058, 52061, 52062, 52064, 52072, 52073, 52075, 52081, 52084, 52087, 52097, 52099, 52102, 52180, 52321, 52826, 53003, 53006, 53009, 53054, 53056, 53058, 53060, 53062, 53064, 53070, 53206, 53215, 53218, 53225, 53410, 53459, 58939, 59970, 60000, 60003, 60006, 60009, 60012, 60015, 60018, 60021, 60024, 60027, 60030, 60033, 60036, 60039, 60042, 60045, 60048, 60051, 60054, 60057, 60060, 60063, 60066, 60069, 60072, 60075, 60078, 71202, 73310, 73313, 73316, 73425, 73426

      (2) A non‑band specific Type B day procedure is Band 2, 3 or 4 treatment depending on anaesthetic type and, where applicable, theatre time as specified in clause 6 of this Schedule.

      (3) If a non‑band specific Type B day procedure does not involve anaesthetic or theatre times, the minimum benefit is the benefit for Band 1 treatment.

6. Other bands

      (1) In this Schedule:

     Band 2 treatment means procedures, other than those that are Band 1 treatment, carried out under local anaesthetic with no sedation.

     Band 3 treatment means procedures, other than those that are Band 1 treatment, carried out under:
            (a) general anaesthesia; or
            (b) regional anaesthesia; or
            (c) intravenous sedation,

     where the theatre time, being the actual time in theatre, is less than one hour.

     Band 4 treatment means procedures, other than those that are Band 1 treatment, carried out under:
            (a) general anaesthesia; or
            (b) regional anaesthesia; or
            (c) intravenous sedation,

     where the theatre time, being the actual time in theatre, is one hour or more.

7. Certified Type C procedure

     Note: Type C procedures are procedures that do not normally require hospital treatment.

      (1) Benefits for day‑only accommodation are payable for patients receiving a Type C procedure only if certification under subclause (2) is provided.

      (2) Certification must be provided as follows, the medical practitioner providing the professional service must certify in writing that:
            (a) because of the medical condition of the patient specified in the certificate; or
            (b) because of the special circumstances specified in the certificate,

     it would be contrary to accepted medical practice to provide the procedure to the patient unless the patient is given hospital treatment at the hospital for a period that does not include part of an overnight stay.

     Part 3 Type C procedures

8. Interpretation
A Type C procedure is a procedure specified in this clause by reference to MBS items in the following table:
Note:        These procedures normally do not require hospital treatment.

Type C procedures – list of MBS items
3, 4, 23, 24, 36, 37, 44,