PET - Plain English Taxonomy

HRF_604_0_7: Medical Speciality Block Grouping Information - ACT

Australian Business Number	Institution Name

Reporting Period	Scale Factor
Quarterly	Whole dollars to two decimal places
Reporting Consolidation
Health Benefits Fund

	Total number of services			Total amount charged for hospital and general medical services
MBS Speciality Block Groupings	No gap agreement	Known gap agreement	No agreement	No gap agreement	Known gap agreement	No agreement
	(1)	(2)	(3)	(4)	(5)	(6)
1) Specialist, consultant physician, and consultant psychiatric attendances: Groups A3, A4 and A8; items 104-108, 110-131, 300-352.	OI13099	OI13100	OI13101	PL18675	PL18676	PL18677
2) Procedures associated with intensive care and cardiopulmonary support and management: Subgroups T1.9 and T1.10; items 13815 - 13888.	OI13102	OI13103	OI13104	PL18678	PL18679	PL18680
3) Obstetrics and gynaecology obstetrics: Subgroup T4; items 16500 - 16636; and Surgical operations gynaecological: Subgroup T8.4; items 35500 - 35759.	OI13105	OI13106	OI13107	PL18681	PL18682	PL18683
4) Anaesthesia: Groups T6, T7, and T10; items 17603 - 18298, 20100-25205.	OI13108	OI13109	OI13110	PL18684	PL18685	PL18686
5) General surgical operations: Subgroup T8.1; items 30001 - 31472.	OI13111	OI13112	OI13113	PL18687	PL18688	PL18689
6) Colorectal surgical operations: Subgroup T8.2; items 32000 - 32212.	OI13114	OI13115	OI13116	PL18690	PL18691	PL18692
7) Vascular surgical operations: Subgroup T8.3; items 32500 - 35330.	OI13117	OI13118	OI13119	PL18693	PL18694	PL18695
8) Urology: Subgroup T8.5, items 36500 - 37854	OI13120	OI13121	OI13122	PL18696	PL18697	PL18698
9) Cardio-thoracic surgical operations: Subgroup T8.6; items 38200 - 38766; and Diagnostic procedures and investigations cardiovascular: Subgroup D1.6; items 11700-11724	OI13123	OI13124	OI13125	PL18699	PL18700	PL18701
10) Neurosurgical surgical operations: Subgroup T8.7; items 39000 - 40903.	OI13126	OI13127	OI13128	PL18702	PL18703	PL18704
11) Ear, nose and throat surgical operations: Subgroup T8.8; items 41500 - 41910.	OI13129	OI13130	OI13131	PL18705	PL18706	PL18707
12) Ophthalmology surgical operations: Subgroup T8.9; items 42503 - 42872.	OI13132	OI13133	OI13134	PL18708	PL18709	PL18710
13) Plastic and reconstructive surgical operations: Subgroup T8.13; items 45000-45797.	OI13135	OI13136	OI13137	PL18711	PL18712	PL18713
14) Orthopaedic surgical operations: Subgroup T8.15; items 47000 - 50426.	OI13138	OI13139	OI13140	PL18714	PL18715	PL18716
15) Assistance at operations: Group T9; items 51300 - 51318.	OI13141	OI13142	OI13143	PL18717	PL18718	PL18719
16) Diagnostic imaging services; Category 5; all Groups I1-I5; items 55028-63946.	OI13144	OI13145	OI13146	PL18720	PL18721	PL18722
17) Pathology services: Category 6; all Groups P1-P10; items 65060 and over.	OI13147	OI13148	OI13149	PL18723	PL18724	PL18725
18) All other items.	OI13150	OI13151	OI13152	PL18726	PL18727	PL18728
Total all services	OI13058	OI13059	OI13060	PL18595	PL18596	PL18597


	Total Medicare benefits paid for hospital and general medical services			Total fund benefits paid for hospital and general medical services
MBS Speciality Block Groupings	No gap agreement	Known gap agreement	No agreement	No gap agreement	Known gap agreement	No agreement
	(1)	(2)	(3)	(4)	(5)	(6)
1) Specialist, consultant physician, and consultant psychiatric attendances: Groups A3, A4 and A8; items 104-108, 110-131, 300-352.	PL18729	PL18730	PL18731	PL18732	PL18733	PL18734
2) Procedures associated with intensive care and cardiopulmonary support and management: Subgroups T1.9 and T1.10; items 13815 - 13888.	PL18735	PL18736	PL18737	PL18738	PL18739	PL18740
3) Obstetrics and gynaecology obstetrics: Subgroup T4; items 16500 - 16636; and Surgical operations gynaecological: Subgroup T8.4; items 35500 - 35759.	PL18741	PL18742	PL18743	PL18744	PL18745	PL18746
4) Anaesthesia: Groups T6, T7, and T10; items 17603 - 18298, 20100-25205.	PL18747	PL18748	PL18749	PL18750	PL18751	PL18752
5) General surgical operations: Subgroup T8.1; items 30001 - 31472.	PL18753	PL18754	PL18755	PL18756	PL18757	PL18758
6) Colorectal surgical operations: Subgroup T8.2; items 32000 - 32212.	PL18759	PL18760	PL18761	PL18762	PL18763	PL18764
7) Vascular surgical operations: Subgroup T8.3; items 32500 - 35330.	PL18765	PL18766	PL18767	PL18768	PL18769	PL18770
8) Urology: Subgroup T8.5, items 36500 - 37854	PL18771	PL18772	PL18773	PL18774	PL18775	PL18776
9) Cardio-thoracic surgical operations: Subgroup T8.6; items 38200 - 38766; and Diagnostic procedures and investigations cardiovascular: Subgroup D1.6; items 11700-11724	PL18777	PL18778	PL18779	PL18780	PL18781	PL18782
10) Neurosurgical surgical operations: Subgroup T8.7; items 39000 - 40903.	PL18783	PL18784	PL18785	PL18786	PL18787	PL18788
11) Ear, nose and throat surgical operations: Subgroup T8.8; items 41500 - 41910.	PL18789	PL18790	PL18791	PL18792	PL18793	PL18794
12) Ophthalmology surgical operations: Subgroup T8.9; items 42503 - 42872.	PL18795	PL18796	PL18797	PL18798	PL18799	PL18800
13) Plastic and reconstructive surgical operations: Subgroup T8.13; items 45000-45797.	PL18801	PL18802	PL18803	PL18804	PL18805	PL18806
14) Orthopaedic surgical operations: Subgroup T8.15; items 47000 - 50426.	PL18807	PL18808	PL18809	PL18810	PL18811	PL18812
15) Assistance at operations: Group T9; items 51300 - 51318.	PL18813	PL18814	PL18815	PL18816	PL18817	PL18818
16) Diagnostic imaging services; Category 5; all Groups I1-I5; items 55028-63946.	PL18819	PL18820	PL18821	PL18822	PL18823	PL18824
17) Pathology services: Category 6; all Groups P1-P10; items 65060 and over.	PL18825	PL18826	PL18827	PL18828	PL18829	PL18830
18) All other items.	PL18831	PL18832	PL18833	PL18834	PL18835	PL18836
Total all services	PL18604	PL18605	PL18606	PL18607	PL18608	PL18609


	Gap Services
	Number of gap services			Average gap per service where gap paid
MBS Speciality Block Groupings	No gap agreement	Known gap agreement	No agreement	No gap agreement	Known gap agreement	No agreement
	(1)	(2)	(3)	(4)	(5)	(6)
1) Specialist, consultant physician, and consultant psychiatric attendances: Groups A3, A4 and A8; items 104-108, 110-131, 300-352.	OI13153	OI13154	OI13155	PL18610	PL18611	PL18612
2) Procedures associated with intensive care and cardiopulmonary support and management: Subgroups T1.9 and T1.10; items 13815 - 13888.	OI13156	OI13157	OI13158	PL18613	PL18614	PL18615
3) Obstetrics and gynaecology obstetrics: Subgroup T4; items 16500 - 16636; and Surgical operations gynaecological: Subgroup T8.4; items 35500 - 35759.	OI13159	OI13160	OI13161	PL18616	PL18617	PL18618
4) Anaesthesia: Groups T6, T7, and T10; items 17603 - 18298, 20100-25205.	OI13162	OI13163	OI13164	PL18619	PL18620	PL18621
5) General surgical operations: Subgroup T8.1; items 30001 - 31472.	OI13165	OI13166	OI13167	PL18622	PL18623	PL18624
6) Colorectal surgical operations: Subgroup T8.2; items 32000 - 32212.	OI13168	OI13169	OI13170	PL18625	PL18626	PL18627
7) Vascular surgical operations: Subgroup T8.3; items 32500 - 35330.	OI13171	OI13172	OI13173	PL18628	PL18629	PL18630
8) Urology: Subgroup T8.5, items 36500 - 37854	OI13174	OI13175	OI13176	PL18631	PL18632	PL18633
9) Cardio-thoracic surgical operations: Subgroup T8.6; items 38200 - 38766; and Diagnostic procedures and investigations cardiovascular: Subgroup D1.6; items 11700-11724	OI13177	OI13178	OI13179	PL18634	PL18635	PL18636
10) Neurosurgical surgical operations: Subgroup T8.7; items 39000 - 40903.	OI13180	OI13181	OI13182	PL18637	PL18638	PL18639
11) Ear, nose and throat surgical operations: Subgroup T8.8; items 41500 - 41910.	OI13183	OI13184	OI13185	PL18640	PL18641	PL18642
12) Ophthalmology surgical operations: Subgroup T8.9; items 42503 - 42872.	OI13186	OI13187	OI13188	PL18643	PL18644	PL18645
13) Plastic and reconstructive surgical operations: Subgroup T8.13; items 45000-45797.	OI13189	OI13190	OI13191	PL18646	PL18647	PL18648
14) Orthopaedic surgical operations: Subgroup T8.15; items 47000 - 50426.	OI13192	OI13193	OI13194	PL18649	PL18650	PL18651
15) Assistance at operations: Group T9; items 51300 - 51318.	OI13195	OI13196	OI13197	PL18652	PL18653	PL18654
16) Diagnostic imaging services; Category 5; all Groups I1-I5; items 55028-63946.	OI13198	OI13199	OI13200	PL18655	PL18656	PL18657
17) Pathology services: Category 6; all Groups P1-P10; items 65060 and over.	OI13201	OI13202	OI13203	PL18658	PL18659	PL18660
18) All other items.	OI13204	OI13205	OI13206	PL18661	PL18662	PL18663
Total all services	OI13066	OI13067	OI13068	PL18664	PL18665	PL18666