Document ID: chunk:federal_register_of_legislation:F2024C01105:reg:7:p1
Version: federal_register_of_legislation:F2024C01105
Segment Type: reg
Provision Reference: reg 7 (pt 1/2)
Character Range: 15240–17742

7  Application of items – general
 (1) An item in a Schedule does not apply to a service mentioned in the item if the service is provided to a patient, or in relation to a patient, who is an admitted patient.
 (1A) Subsection (1) does not apply to item 91874, 91875, 91876, 91877, 91878, 91882, 91883 or 91884 of Schedule 2 or an item listed in Schedule 6 of this Determination.
 (2) An item in Subgroup 3 or 10 of Group A40, Subgroups 1 to 4 of Group M18 or Subgroups 6 to 9 of Group M18 does not apply to a service provided to a patient, or to a person other than the patient as part of the patient's treatment, who has already been provided, in the calendar year, with 10 services to which any of those items or the following items apply:
 (a) an item in Subgroup 2 of Group A20 of the general medical services table;
 (b) items 283, 285, 286, 287, 309, 311, 313 or 315 of the general medical services table; or
 (c) items 80000 to 80016, 80100 to 80116, 80125 to 80141 or 80150 to 80166 of the Allied Health Determination.
 (3) Subject to subsection (4), an item in a Schedule only applies to a service that is an attendance by a single health professional on a single person.
Note: Health professionals who can provide services under this instrument include general practitioners, medical practitioners, specialists and consultant physicians, allied health professionals and participating nurses and midwives.
 (4) Subsection (3) does not apply to items 92455 to 92457 and 92495 to 92497.
 (5) An item in Schedule 1 or 8 applies to a service performed by the patient's usual medical practitioner.
 (6) Subsection (5) does not apply to:
 (a) a service provided to:
 (i) a person who is under the age of 12 months; or
 (ii) a person who is experiencing homelessness; or
 (iii) a person who is in COVID‑19 isolation because of a State or Territory public health order; or
 (iv) a person who is in COVID‑19 quarantine because of a State or Territory public health order; or
 (v) a person who receives the service from a medical practitioner located at an Aboriginal Medical Service or an Aboriginal Community Controlled Health Service; or
 (vi) a person who is in a natural disaster affected area; or
 (b) a service to which an item in Subgroup 3, 10, 19, 20, 21, 25, 26, 27, 28 or 29 of Group A40 applies; or
 (c) a service to which item 91900, 91903, 91906, 91910, 91913 or 91916 applies; or
 (d) a service to which item 91790, 91800, 91801, 91802, 91920, 92115 or 91853 applies if:
 (i) the service