Document ID: chunk:federal_register_of_legislation:F2024C01086:schedule:1:p4
Version: federal_register_of_legislation:F2024C01086
Segment Type: schedule
Provision Reference: sch 1 (pt 4/10)
Character Range: 22749–25369

be referred when an item in this Schedule specifies a service that is to be rendered by a specialist or consultant physician to a patient who has been referred.

1.1.7  Meaning of symbol (H)
  An item in this Schedule including the symbol (H) applies only to a service performed or provided in a hospital.

1.1.8  References in this Schedule to items include items determined under section 3C of the Act
  A reference in this Schedule to an item includes a reference to an item relating to a health service that, under a determination in force under subsection 3C(1) of the Act, is treated as if there were an item in the table that relates to the service.

Division 1.2—General application provisions

1.2.1  Application
  An item in this Schedule does not apply to a service provided in contravention of a law of the Commonwealth, a State or Territory.

1.2.2  Restrictions on certain items—attendances by specialists and consultant physicians without referrals
 (1) Use this clause for items 104 to 111, 115 to 137, 141 to 147, 289 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 6018 to 6028, 6051 to 6063, 16401, 16404, 16407, 16408, 16508, 16509, 16533, 16534, 17640 to 17655, 90260, 90261, 90266 and 90267.
 (2) The item does not apply to an attendance on a patient by a specialist or consultant physician if:
 (a) the attendance forms part of a single course of treatment for the patient; and
 (b) the attendance is after the end of the period of validity (under section 102 of the Health Insurance Regulations 2018) of the referral that was valid for the initial attendance on the patient by the specialist or consultant physician in the single course of treatment; and
 (c) the attendance is not within the period of validity (under section 102 of the Health Insurance Regulations 2018) of a later referral.
Note: Division 4 of Part 11 of the Health Insurance Regulations 2018 prescribes the manner in which patients are to be referred when an item in this Schedule specifies a service that is to be rendered by a specialist or consultant physician to a patient who has been referred.

1.2.3  Restrictions on certain items—attendances by specialist radiologists in conjunction with certain diagnostic imaging services
 (1) Use this clause for items 52, 53, 54, 57, 104, 105 and 151.
 (2) The item does not apply to an attendance on a patient by a specialist in the specialty of diagnostic radiology if the attendance is in association with a service to which any of the following items of the diagnostic imaging services table applies:
 (a) an item in Subgroup 6 of Group I1;
 (b) an item in any of Subgroups