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Health Insurance (Pathology Services Table) Regulations 2017
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Department of Health, Disability and Ageing
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F2017C01103 C01
01 December 2017
-
30 June 2018
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1 Name
3 Authority
5 Pathology services table
6 Dictionary
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Schedule 1—Pathology services table
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Part 1—Preliminary
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Division 1.1—Interpretation
1.1.1 Abbreviations for services and drugs—Part 3
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Division 1.2—General application provisions
1.2.1 Precedence of items
1.2.2 Circumstances in which services rendered following 2 requests to be taken to have been rendered following one request
1.2.3 Services to which clause 1.2.2 does not apply
1.2.4 Referral of designated tests by one pathology practitioner to another
1.2.5 Items not to be split
1.2.6 Certain pathology services to be treated as one service
1.2.7 Definition of set of pathology services
1.2.8 Satisfying requirements described in pathology service
1.2.9 Application of items—services provided with autologous injections of blood or blood products
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Part 2—Services and fees
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Division 2.1—Group P1: haematology
2.1.1 Services to which clause 1.2.2 does not apply
2.1.2 Item taken to refer only to the first service of a particular kind
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Division 2.2—Group P2: chemical
2.2.1 Creatinine ratios
2.2.2 Services to which clause 1.2.2 does not apply
2.2.3 Limitation on certain items
2.2.5 Thyroid function testing
2.2.6 Limitation on certain items
2.2.7 Nutritional and toxicity metals testing
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Division 2.3—Group P3: microbiology
2.3.1 Meaning of serial examinations or cultures
2.3.2 Antigen detection
2.3.3 Investigation for hepatitis serology
2.3.4 Limitation on certain items
2.3.5 Hepatitis C viral RNA testing
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Division 2.4—Group P4: immunology
2.4.1 Limitation on certain items
2.4.2 Tests in Group P4 relating to antibodies
2.4.3 HLA-B27 typing
2.4.4 Antineutrophil cytoplasmic antibody tests
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Division 2.5—Group P5: tissue pathology
2.5.1 Tests on biopsy material
2.5.2 Limitations on items 72858 and 72859
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Division 2.6—Group P6: cytology
2.6.1 Tests on biopsy material
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Division 2.7—Group P7: genetics
2.7.1 Haemochromatosis testing
2.7.2 HLA-B27 typing
2.7.3 Limitation on items 73339 and 73340
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Division 2.8—Group P8: infertility and pregnancy tests
2.8.1 Limitation on item 73523
Division 2.9—Group P9: simple basic pathology tests
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Division 2.10—Group P10: patient episode initiation
2.10.1 Items in Group P10 not to apply in certain circumstances
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Division 2.11—Group P11: specimen referred
2.11.1 Items in Group P11 not to apply in certain circumstances
2.11.2 Application of an item in Group P11 to a service excludes certain other items
2.11.3 Circumstances in which an item in Group P11 does not apply
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Division 2.12—Group P12: management of bulk-billed services
2.12.1 Application of items 74990 and 74991
Division 2.13—Group P13: bulk-billing incentive
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Part 3—Abbreviations for services and drugs
3.1 Abbreviations
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Part 4—Complexity levels for histopathology items
4.1 Complexity levels
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Part 5—Dictionary
5.1 Dictionary
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Part 6—Application and transitional provisions
6.1 Application—amendments made by Part 1 of the Health Insurance Legislation Amendment (2017 Measures No. 3) Regulations 2017
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Endnotes
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history