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HEALTH INSURANCE REGULATIONS 1975 - REG 20C

Primary information -- types of diagnostic imaging equipment

         (1)   For subsection 23DZR (2) of the Act, the following types of diagnostic imaging equipment are prescribed:

                (a)    ultrasound equipment non-musculoskeletal K-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in Group I1 of the diagnostic imaging services table (other than subgroup 6); and

                                   (B)     is not a service for which a description is inserted in Group I1 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    does not include a transducer capable of operating at a frequency of 7.5 megahertz or higher; and

                        (iii)    is 10 years old or less;

              (aa)    ultrasound equipment non-musculoskeletal K-type upgraded -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in Group I1 of the diagnostic imaging services table (other than subgroup 6); and

                                   (B)     is not a service for which a description is inserted in Group I1 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    does not include a transducer capable of operating at a frequency of 7.5 megahertz or higher; and

                        (iii)    is more than 10 years old and no more than 15 years old and was upgraded on or before it was 10 years old;

              (ab)    ultrasound equipment non-musculoskeletal NK-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service for which a description is inserted in Group I1 of the diagnostic imaging services table by the 2011 Determination (other than subgroup 6); and

                         (ii)    does not include a transducer capable of operating at a frequency of 7.5 megahertz of higher; and

                        (iii)    either:

                                   (A)     is more than 10 years old and has not been upgraded; or

                                   (B)     was upgraded on or before it was 10 years old and is more than 15 years old;

               (b)    ultrasound equipment musculoskeletal K-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in subgroup 6 of Group I1 of the diagnostic imaging services table; and

                                   (B)     is not a service for which a description is inserted in subgroup 6 of Group I1 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    includes a transducer capable of operating at a frequency of 7.5 megahertz or higher; and

                        (iii)    is 10 years old or less;

              (ba)    ultrasound equipment musculoskeletal K-type upgraded -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in subgroup 6 of Group I1 of the diagnostic imaging services table; and

                                   (B)     is not a service for which a description is inserted in subgroup 6 of Group I1 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    includes a transducer capable of operating at a frequency of 7.5 megahertz or higher; and

                        (iii)    is more than 10 years old and no more than 15 years old and was upgraded on or before it was 10 years old;

             (bb)    ultrasound equipment musculoskeletal NK-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service for which a description is inserted in subgroup 6 of Group I1 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    includes a transducer capable of operating at a frequency of 7.5 megahertz or higher; and

                        (iii)    either:

                                   (A)     is more than 10 years old and has not been upgraded; or

                                   (B)     was upgraded on or before it was 10 years old and is more than 15 years old;

                (c)    computed tomography equipment - K-type  -- that is, equipment used in the carrying out of a diagnostic imaging procedure used in the rendering of a service described in an item in Group I2 in the diagnostic imaging services table in which the designation '(K)' appears;

               (d)    computed tomography equipment - NK-type  -- that is, equipment used in the carrying out of a diagnostic imaging procedure used in the rendering of a service described in Group I2 in the diagnostic imaging services table in which the designation '(NK)' appears;

                (e)    magnetic resonance imaging equipment K-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in Group I5 of the diagnostic imaging services table; and

                                   (B)     is not a service for which a description is inserted in Group I5 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    is 10 years old or less;

              (ea)    magnetic resonance imaging equipment K-type upgraded -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in Group I5 of the diagnostic imaging services table; and

                                   (B)     is not a service for which a description is inserted in Group I5 of the diagnostic imaging services table by the 2011 Determination; and

                        (iii)    is more than 10 years old and no more than 15 years old and was upgraded on or before it was 10 years old;

              (eb)    magnetic resonance imaging equipment NK-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering of a service for which a description is inserted in Group I5 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    either:

                                   (A)     is more than 10 years old and has not been upgraded; or

                                   (B)     was upgraded on or before it was 10 years old and is more than 15 years old;

                (f)    nuclear medicine imaging equipment for positron emission tomography  -- that is, equipment used in carrying out a diagnostic imaging procedure used in rendering a service described in items 61523 to 61646 in Group I4 of the diagnostic imaging services table;

               (g)    nuclear medicine imaging equipment K-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in Group I4 (other than items 61523 to 61646) of the diagnostic imaging services table; and

                                   (B)     is not a service for which a description is inserted in Group I4 in the diagnostic imaging table by the 2011 Determination; and

                         (ii)    is 10 years old or less;

              (ga)    nuclear medicine imaging equipment K-type upgraded-- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in Group I4 (other than items 61523 to 61646) of the diagnostic imaging services table; and

                                   (B)     is not a service for which a description is inserted in Group I4 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    is more than 10 years old and no more than 15 years old and was upgraded on or before it was 10 years old;

             (gb)    nuclear medicine imaging equipment NK-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that is a service for which a description is inserted in Group I4 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    either:

                                   (A)     is more than 10 years old and has not been upgraded; or

                                   (B)     was upgraded on or before it was 10 years old and is more than 15 years old;

               (h)    diagnostic radiology equipment for mammography K-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in subgroup 10 of Group I3; and

                                   (B)     is not a service for which a description is inserted in subgroup 10 of Group I3 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    is 10 years old or less;

              (ha)    diagnostic radiology equipment for mammography K-type upgraded -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure used in rendering a service that:

                                   (A)     is described in subgroup 10 of Group I3; and

                                   (B)     is not a service for which a description is inserted in subgroup 10 of Group I3 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    is more than 10 years old and no more than 15 years old and was upgraded on or before it was 10 years old;

             (hb)    diagnostic radiology equipment for mammography NK-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service for which a description is inserted in subgroup 10 of Group 13 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    either:

                                   (A)     is more than 10 years old and has not been upgraded; or

                                   (B)     was upgraded on or before it was 10 years old and is more than 15 years old;

                (i)    diagnostic radiology equipment for angiography - K-type  -- that is, equipment used in the carrying out of a diagnostic imaging procedure used in the rendering of a service described in subgroup 13 of Group I3 in the diagnostic imaging services table in which the designation '(K)' appears;

                (j)    diagnostic radiology equipment for angiography - NK-type  -- that is, equipment used in the carrying out of a diagnostic imaging procedure used in the rendering of a service described in subgroup 13 of Group I3 in the diagnostic imaging services table in which the designation '(NK)' appears;

               (k)    diagnostic radiology equipment for fluoroscopic examination K-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service described in subgroup 15 or 17 of Group I3 of the diagnostic imaging services table; and

                         (ii)    is 15 years old or less;

              (ka)    diagnostic radiology equipment for fluoroscopic examination K-type upgraded -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service described in subgroup 15 or 17 of Group I3 of the diagnostic imaging services table; and

                         (ii)    is more than 15 years old and no more than 20 years old and was upgraded on or before it was 15 years old;

             (kb)    diagnostic radiology equipment for fluoroscopic examination NK-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service that:

                                   (A)     is described in subgroup 15 or 17 of Group I3 of the diagnostic imaging services table; or

                                   (B)     is inserted in subgroup 15 or 17 of Group I3 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    either:

                                   (A)     is more than 15 years old and has not been upgraded; or

                                   (B)     was upgraded on or before it was 15 years old and is more than 20 years old;

                (l)    diagnostic radiology equipment for orthopantomography K-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service described in items 57960, 57963, 57966 and 579696 of subgroup 3 of Group I3 of the diagnostic imaging services table; and

                         (ii)    is 15 years old or less;

               (la)    diagnostic radiology equipment for orthopantomography K-type upgraded -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service described in items 57960, 57963, 57966 and 579696 of subgroup 3 of Group I3 of the diagnostic imaging services table; and

                         (ii)    is more than 15 years old and no more than 20 years old and was upgraded on or before it was 15 years old;

              (lb)    diagnostic radiology equipment for orthopantomography NK-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service that is inserted in subgroup 3 of Group I3 of the diagnostic imaging services table by the 2011 Determination; and

                         (ii)    either:

                                   (A)     is more than 15 years old and has not been upgraded; or

                                   (B)     was upgraded on or before it was 15 years old and is more than 20 years old;

              (m)    diagnostic radiology equipment x-ray K-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service described in the following subgroups of Group I3 of the diagnostic imaging services table:

                                   (A)     subgroups 1 and 2;

                                   (B)     subgroup 3 (other than items 57960, 57963, 57966 and 579696;

                                   (C)     subgroups 4 to 9;

                                   (D)     subgroups 11 and 12;

                                   (E)     subgroup 14; and

                         (ii)    is 15 years old or less;

             (ma)    diagnostic radiology equipment x-ray K-type upgraded -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service described in the following subgroups of Group I3 of the diagnostic imaging services table:

                                   (A)     subgroups 1 and 2;

                                   (B)     subgroup 3 (other than items 57960, 57963, 57966 and 57969);

                                   (C)     subgroups 4 to 9;

                                   (D)     subgroups 11 and 12;

                                   (E)     subgroup 14; and

                         (ii)    is more than 15 years old and no more than 20 years old and was upgraded on or before it was 15 years old;

            (mb)    diagnostic radiology equipment x-ray NK-type -- that is, equipment that:

                          (i)    is used in carrying out a diagnostic imaging procedure in rendering a service described in the following subgroups of Group I3 inserted of the diagnostic imaging services table by the 2011 Determination:

                                   (A)     subgroups 1 and 2;

                                   (B)     subgroup 3 (other than items 57959, 57962, 57965 and 57968);

                                   (C)     subgroups 4 to 9;

                                   (D)     subgroups 11 and 12;

                                   (E)     subgroup 14; and

                         (ii)    either:

                                   (A)     is more than 15 years old and has not been upgraded; or

                                   (B)     was upgraded on or before it was 15 years old and is more than 20 years old;

         (2)   In this regulation:

2011 Determination means Schedule 1 to the Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011 [F2011L00724].

upgraded , for equipment, means:

                (a)    the equipment is currently accredited under the Royal Australian and New Zealand College of Radiologists' Mammography Quality Assurance Program; or

               (b)    an additional reasonable investment has been made to the equipment:

                          (i)    that improved the overall performance of the imaging system provided by the equipment; and

                         (ii)    had the effect that the equipment was equivalent to new diagnostic imaging equipment supplied in Australia at the time of the improvement; and

         (3)   In this regulation the day from which the age of diagnostic imaging equipment is worked out is:

                (a)    the day the equipment was first installed in Australia; or

               (b)    if the equipment was imported as used equipment -- the day of the oldest component of the equipment was manufactured.



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