Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2013

2013/138

Coat of Arms of New Zealand

Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2013

Jerry Mateparae, Governor-General

Order in Council

At Wellington this 13th day of May 2013

Present:
The Right Hon John Key presiding in Council

Pursuant to section 324 of the Accident Compensation Act 2001, His Excellency the Governor-General, acting on the advice and with the consent of the Executive Council and on the recommendation of the Minister for ACC, makes the following regulations.

Regulations

1 Title
  • These regulations are the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2013.

2 Commencement
  • These regulations come into force on 19 June 2013.

3 Principal regulations
4 Name of principal regulations changed
5 Regulation 9 amended (Counsellors' costs)
6 Regulation 13 amended (Medical practitioners' costs)
7 Regulation 14 amended (Nurses' costs)
8 Regulation 15 amended (Medical practitioners' and nurses' costs for combined treatment)
9 Regulation 15A amended (Nurse practitioners' costs)
10 Regulation 16 amended (Specialists' costs)
11 Regulation 17 amended (Specified treatment providers' costs)
12 Schedule amended

Schedule
Amendments to Schedule

r 12

In the Schedule, before the heading Dentists' costs, insert:

Counsellors' costs 
C1Consultation provided by a counsellor who is a specialist 
C2Consultation provided by a counsellor 

In the Schedule, replace the heading Dentists' Costs and items DE1 to DY21, and the associated subheadings, with:

Dentists' costs 
 Examination 
DE1Dental consultation, including examination44.09
DE2Periodic oral examination/review28.36
DE3Extended initial examination (complex cases relating to dental implants, orthodontics, and advanced restorative work)—including study models and photographs and tomography121.74
 Radiological examination and interpretation 
DX1Periapical or bitewing film (each)22.04
DX2Occlusal (each)22.04
DX3Panorex57.61
DX4Other additional images (per treatment episode)8.70
DX7Acute sedation (IV only) (initial consultation only)152.17
 Emergency temporary cover 
DT1Emergency temporary cover42.70
 General oral surgery 
 Extractions 
DG1Extraction of permanent or rooted deciduous tooth per first tooth113.87
DG2Surgical removal of tooth (includes insertion and removal of sutures)182.61
DG4Extraction of subsequent permanent or deciduous tooth in same quadrant as for DG162.22
 Surgery 
DG5Management of lacerations by suturing per operative site118.70
DG7Incision and drainage abscess cellulitis133.91
DG8Excision of traumatic mucous cyst158.26
DG10Splint application or removal (for 3 splint units)91.30
DG11Cleaning of wound and removal of debris41.74
DG14Reduction of fractured alveolar process88.89
DG15Repositioning of displaced tooth (per tooth) or replacing avulsed tooth44.44
DG17Occlusal adjustment (simple)29.60
DG22Minor surgical operations not otherwise covered by this schedule127.47
DG23Provision of bite splints182.61
 Restorative 
DR1Amalgam 1 surface filling (including 2 fillings on the 1 surface)80.87
DR2Amalgam 2 surface filling (approximo-occlusal)105.78
DR3Complex amalgam restoration153.04
DR6Non-metallic simple fillings (including 2 fillings on the 1 surface)93.30
DR7Non-metallic filling (2 or more surfaces per tooth)124.43
DR8Rebonding tooth fragment or coronal portion83.64
DR9Complex reconstruction in composite resin, direct 166.13
 Prosthodontics 
DP1Plastic denture (1 tooth—material of choice)465.78
DP2Each additional tooth (all dentures)20.87
DP5Metal-framed partial denture (1 tooth)1,066.65
DP7Transitional denture replacing missing tooth or teeth424.35
DP8Full upper or lower denture695.65
DP11Reline or rebase denture217.78
DP13Repair (all types)71.13
DP14Addition of tooth to existing denture (includes additional tooth)130.65
 Crown and bridge 
 Inlay/onlay and veneers 
DC3Indirect inlay/onlay265.60
DC6Porcelain veneer781.91
DC7Composite resin veneer170.43
DC8Post (wrought or pre-formed)91.30
DC9Composite or amalgam core109.57
DC11Cast post and core (metal or ceramic)209.39
 Crowns 
DC15All ceramic crown924.52
DC16Porcelain fused to metal crown889.04
DC17Cast gold crown (full and three-quarters)835.74
 Bridges 
DC19Maryland bridge644.17
DC20Composite bridge (per unit)213.04
DC25Re-cementing crown/bridge/veneer/inlay32.00
DC26Non-composite bridge (on injured teeth that meet the
requirement for a crown) (3 units)
2,177.39
DC27Replacement of non-composite bridge2,605.22
 Endodontics 
DN1Pulpotomy or pulpectomy121.74
DN2Irrigation and dressing of root canal system123.57
DN3Complete preparation and obturation of root canal (per canal)—open or closed apex273.91
DN5Apicectomy and retrograde filling (per canal)266.67
DN6Removal of root filling (per canal)213.96
DN7Removal of post or post crown213.96
DN8Bleaching, 1 non-vital tooth (per treatment)152.17
DN9Pulp capping35.56
DN10Removal of a fractured post or instrument213.96
DN11Repair of perforation213.96
DN13Negotiation of a calcified canal (can be used with item DN3)213.96
 Periodontics 
DD1Gingivectomy101.96
DD2Crown lengthening (per tooth)213.04
DD4Subgingival curettage (per tooth)85.07
DD7Site preparation for dental implant311.11
DD8Placement of membrane333.33
DD9Substitute bone material133.33
 Dental implants 
DM1Resilient linings (tooth or teeth)64.00
DM2Fixture head impressions and copings (per fixture)342.22
DM3Dental implant crown (per single unit)1,066.67
DM4Dental stent and guide (per fixture)115.56
DM5Definitive abutment (per fixture)342.22
DM6Temporary abutment (per fixture)42.67
DM7Repairs to abutments (per fixture)74.04
 Claimants under 18 years old 
DY1Dental consultation, including examination57.40
DY14Temporary crown106.67
DY15Temporary bridge106.67
DY21Surgical decoronation373.33
DY22Removal of deciduous teeth26.09

In the Schedule, under the heading Specified treatment providers' costs, item relating to TMT All treatment, replace 21.76 with 22.17.

Rebecca Kitteridge,
Clerk of the Executive Council.


Explanatory note

This note is not part of the regulations, but is intended to indicate their general effect.

These regulations, which come into force on 19 June 2013, amend the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 (the principal regulations).

Regulation 4 amends the title of the principal regulations to reflect the name of the empowering Act.

Regulations 5 to 11

  • increase the rates payable to medical practitioners (GPs) and combined GP/nurse rates by $5 (GST inclusive) per visit for children under 6 years old:

  • increase the rates payable for other specified consultations by 1.9%.

Regulation 12 and the Schedule

  • reinstate items relating to counsellors' costs:

  • substitute updated procedures and rates for dentists' costs:

  • increase the amount payable for the item relating to TMT All treatment by 1.9%.


Issued under the authority of the Acts and Regulations Publication Act 1989.

Date of notification in Gazette: 16 May 2013.

These regulations are administered by the Ministry of Business, Innovation, and Employment.