Health Insurance (1995-96 Pathology Services Table) Regulations (Cth)
made under the
This compilation was prepared on 16 July 2001
taking into account amendments up to SR 1996 No. 54
Prepared by the Office of Legislative Drafting,
Attorney-General’s Department, Canberra
Page
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These Regulations may be cited as the Health Insurance (1995-96 Pathology Services Table) Regulations.
These Regulations commence on 28 September 1995.
The table of pathology services in the Schedule is prescribed for the purposes of subsection 4A (1) of the
Health Insurance Act 1973 .
Statutory Rules 1994 Nos. 233 and 361, and Statutory Rules 1995 Nos. 133 and 155, are repealed.
(regulation 3)
In this Table:
patient episode means:
(a) a pathology service or pathology services (other than a pathology service to which paragraph 1 (1) (b) refers) provided for a single patient whose need for the service or services was determined under subsection 16A of the Act:
(i) on the same day; or
(ii) if more than 1 test is performed on the 1 specimen within 14 days — on the same or different days;
whether the services:
(iii) are requested by 1 or more practitioners; or
(iv) are described in a single item or in more than 1 item; or
(v) are rendered by 1 approved pathology practitioner or more than 1 pathology practitioner; or
(vi) are rendered on the same or different days; or
(b) a pathology service to which rule 4 refers that is provided in the circumstances set out in that rule that relates to the service.
recognised pathologis t means a medical practitioner recognised as a specialist in pathology by a determination under section 3D or subsection 61 (3) of the Act.
serial examinations means a series of examinations requested on 1 occasion whether or not:
(a) the materials are received on different days by the approved pathology practitioner; or
(b) the examinations or cultures were requested on 1 or more request forms by the treating practitioner;
the Act means theHealth Insurance Act 1973 .(2) In these Rules, a reference to a request to an approved pathology practitioner includes a reference to a request for a pathologist-determinable service to which subsection 16A (6) of the Act applies.
(3) A reference in this Table by number to an item that is not included in this Table is a reference to the item that has that number in the general medical services table or the diagnostic imaging services table, as the case requires.
(4) A reference to a Group in the Table includes every item in that Group.
(1) In this rule:
general practitioner means a medical practitioner who:(a) is not a consultant physician in any specialty; and
(b) is not a specialist in any specialty.
set of pathology services means a group of pathology services:(a) that consists of services that are described in at least 4 different items; and
(b) all of which are requested in a single patient episode; and
(c) each of which relates to a patient who is not an admitted patient of a hospital; and
(d) none of which is referred to:
(i) in item 66241, 66417, 69241, 73053 or 73055; or
(ii) in an item in Group P10 (Patient episode initiation) or Group P11 (Specimen referred).
(2) If a general practitioner requests a set of pathology services, the pathology services in the set are to be treated as individual pathology services in accordance with this rule.
(3) If the fee specified in one item that describes any of the services in the set of pathology services is higher than the fees specified in the other items that describe the services in the set:
(a) the pathology service described in the first-mentioned item is to be treated as one pathology service; and
(b) either:
(i) the pathology service in the set that is described in the item that specifies the second-highest fee is to be treated as one pathology service; or
(ii) if 2 or more items that describe any of those services specify the second-highest fee — the pathology service described in the item that specifies the second-highest fee, and that has the lowest item number, is to be treated as one pathology service; and
(c) the pathology services in the set, other than the services that are to be treated as one pathology service under paragraphs (a) and (b), are to be treated as one pathology service.
(4) If the fees specified in 2 or more items that describe any of the services in the set of pathology services are the same, and higher than the fees specified in the other items that describe the services in the set:
(a) the pathology service in the set that is described in the item that specifies the highest fee, and that has the lowest item number, is to be treated as one pathology service; and
(b) the pathology service in the set that is described in the item that specifies the highest fee, and that has the second-lowest item number, is to be treated as one pathology service; and
(c) the pathology services in the set, other than the services that are to be treated as one pathology service under paragraphs (a) and (b), are to be treated as one pathology service.
(5) If pathology services are to be treated as one pathology service under paragraph 1A (3) (c) or paragraph 1A (4) (c), the fee for the one pathology service is the highest fee specified in any of the items that describe the pathology services that are to be treated as the one pathology service.
(1) If a service is described:
(a) in an item in general terms; and
(b) in another item in specific terms;
only the item that describes the service in specific terms applies to the service.
(2) Subject to subrule (3), if:
(a) subrule (1) does not apply; and
(b) a service is described in 2 or more items;
only the item that provides the lower or lowest fee for the service applies to the service.
(3) If an item is expressed to include a pathology service that is described in another item, the other item does not apply to the service in addition to the first-mentioned item, whether or not the services described in the 2 items are requested separately.
(1) In subrule 3 (2),
service includes assay, estimation and test.(2) Two or more pathology services (other than services to which, under rule 4, this rule does not apply) rendered for a patient following 2 or more requests are taken to have been rendered following a single request if:
(a) the services are listed in the same item; and
(b) the patient’s need for the services was determined under subsection 16A (1) of the Act on the same day even if the services are rendered by an approved pathology practitioner on more than one day.
(1) Rule 3 does not apply to:
(a) a pathology service described in item 66201, other than an estimation of fructosamine or lithium; or
(b) quantitative estimation, described in item 66365, of 1 or more fractions of neonatal bilirubin;
if:
(c) the service is rendered in relation to a single specimen taken on each of not more than 4 occasions in a period of 24 hours; and
(d) the service is rendered to a patient in a hospital unit where:
(i) the presence of 1 nurse is required for each group of not more than 4 patients; and
(ii) the condition of the patients is continuously observed in relevant respects; and
(e) in order to render the service, an approved pathology practitioner who is a recognised pathologist has to arrange for a member of the laboratory staff of the approved pathology authority concerned to undertake duties in respect of the service that are in addition to the usual duties of the staff member; and
(f) the account for the service is endorsed “Rule 3 Exemption”.
(2) Rule 3 does not apply to any of the following pathology services:
(a) estimation of prothrombin time in respect of a patient undergoing anticoagulant therapy;
(b) quantitative estimation of lithium in respect of a patient undergoing lithium therapy;
(c) a service described in item 65007 in relation to a patient undergoing chemotherapy for neoplastic disease or immunosuppressant therapy;
(d) a service described in item 65007 in relation to methotrexate, gold sulfasalazine or penicillamine therapy of a patient;
(e) a service described in item 66201 in relation to methotrexate therapy of a patient;
(f) quantitative estimation of urea, creatinine and electrolytes in relation to:
(i) cis-platinum therapy of a patient; or
(ii) chronic renal failure of a patient being treated in a dialysis program conducted by a recognised hospital;
if:
(g) under a request for a service, no more than 6 tests are requested; and
(h) the tests are performed within 6 months of the request; and
(i) the account for the service is endorsed “Rule 3 Exemption”.
(3) Rule 3 does not apply to a pathology service:
(a) to which item 66221 applies; and
(b) for which a specimen is collected on each of 3 days for the purpose of making a valid estimation; and
(c) for which the account is endorsed “Rule 3 Exemption”.
For the purposes of an item in Group P1 (Haematology):
(a) if pathology services of a kind referred to in item 65017 or 65019 are rendered for a patient during a period when the patient is in hospital, the item applies only to the first pathology service of that kind rendered for the patient during that period; and
(b) if:
(i) tests (except tests mentioned in item 65023) are carried out in relation to a patient episode; and
(ii) specimen material from the patient episode is stored; and
(iii) in response to a request made within 14 days of the patient episode, further tests (except tests mentioned in item 65023) are carried out on the stored material;
the later tests and the earlier tests are taken to be part of one patient episode.
(1) In this rule:
designated pathology service means a pathology service in respect of tests relating to a single patient episode that are:(a) tests of the kind described in item 66235; or
(b) tests of the kind described in item 66405; or
(c) tests of the kind described in item 69229.
(2) This rule applies in respect of a designated pathology service where:
(a) an approved pathology practitioner (“practitioner A”) in an approved pathology authority:
(i) has been requested to render the designated pathology service; and
(ii) is unable, because of the lack of facilities in, or expertise or experience of the staff of, the laboratory of the authority, to render 1 or more (but not all) of the tests included in the service; and
(iii) requests an approved pathology practitioner (“practitioner B”) in another approved pathology authority to render the test or tests that practitioner A is unable to render; and
(iv) renders each test included in the service, other than the test or tests in respect of which the request mentioned in subparagraph (iii) is made; and
(b) the tests mentioned in subparagraph (a) (iv) that practitioner A renders are not tests constituting a service described in item 66239, 66415 or 69239.
(2A) Where this rule applies in respect of a designated pathology service:
(a) item 66235, 66237, 66405, 66407, 66409, 66411, 66413, 69229, 69231, 69233, 69235 or 69237 (as the case requires) applies in respect of the test or tests rendered by practitioner A; and
(b) where practitioner B renders a service under a request referred to in subparagraph (2) (a) (iii) — subject to subrule (2B), the amount specified in item 66241, 66417 or 69241 (as the case requires) is payable for each test that the service comprises.
(2B) For the purposes of paragraph (2A) (b), the maximum number of tests to which item 66241, 66417 or 69241 applies is:
(a) in the case of item 66241:
3 -
X ; or(b) in the case of item 66417 or 69241:
6 -
X ;
where
X is the number of tests rendered by practitioner A in relation to the designated pathology service in respect of which the request mentioned in that paragraph is made.(3) Items in Group P10 (Patient episode initiation) do not apply to the second-mentioned approved pathology practitioner in subrule (2).
Except as stated in rule 6, the amount specified in an item is payable only to one approved pathology practitioner in respect of a single patient episode.
For the purposes of items in Group P2 (Chemical):
(a) if a pathology service that involves the measurement of a substance in urine requires calculation of a substance/creatinine ratio, the service is taken to include the measurement of creatinine necessary for the calculation; and
(b) if:
(i) tests are carried out in relation to a patient episode; and
(ii) specimen material from the patient episode is stored; and
(iii) in response to a request made within 14 days of the patient episode, further tests are carried out on the stored material;
the later tests and the earlier tests are taken to be part of one patient episode.
The amount specified in item 66317 is not payable in respect of a pathology service described in the item unless at least one of the following paragraphs applies:
(a) if the HDL cholesterol or apolipoprotein B/A1 ratio of the patient is requested to be determined because the patient has a serum cholesterol level >5.5 mmol/1 — the determination is performed on the sample that the serum cholesterol level determination for the patient was performed;
(b) if the HDL cholesterol or apolipoprotein B/A1 ratio of the patient is requested to be determined because the patient has a fasting serum triglyceride level >2.0 mmol/1 — the determination is performed on the sample that the serum triglyceride level determination for the patient was performed;
(c) the pathologist who renders the service has a written statement from the medical practitioner who requested the service that the patient is on a lipid lowering drug.
(1) For the purposes of item 66329:
abnormal level of TSH means a level of TSH that is outside the normal reference range in respect of the particular method of assay used to determine the level.(2) Except where paragraph (a) of item 66329 is satisfied, the amount specified in the item is not payable in respect of a pathology service described in the item unless the pathologist who renders the service has a written statement from the medical practitioner who requested the service that satisfies subrule (3).
(3) The written statement from the medical practitioner must indicate:
(a) that the tests are required for a particular purpose, being a purpose specified in paragraph (b) of item 66329; or
(b) that the medical practitioner who requested the tests suspects the patient has pituitary dysfunction; or
(c) that the patient is on drugs that interfere with thyroid hormone metabolism or function.
For the purposes of an item in Group P3 (Microbiology):
(a)
serial examinations or cultures means a series of examinations or cultures requested on 1 occasion whether or not:
(i) the materials are received on different days by the approved pathology practitioner; or
(ii) the examinations or cultures were requested on 1 or more request forms by the treating practitioner; and
(b) if:
(i) tests are carried out in relation to a patient episode; and
(ii) specimen material from the patient episode is stored; and
(iii) in response to a request made within 14 days of the patient episode, further tests are carried out on the stored material;
the later tests and the earlier tests are taken to be part of one patient episode.
(1) A medicare benefit is not payable in respect of more than one of items 69266, 69267, 69268, 69269, 69270, 69271, 69272, 69273, 69274, 69275, 69276, 69277, 69278, 69279 and 69281 in a patient episode.
(2) For the purposes of item 69279,
currently elevated transaminase level means a level of alanine aminotransferase or aspartate aminotransferase above the normal reference range in respect of the particular method of assay used to determine the level, as disclosed by a test carried out within the previous 7 days.
For the purposes of items in Group P4 (Immunology), in items 71119, 71121, 71123 and 71125, if:
(a) tests are carried out in relation to a patient episode; and
(b) specimen material from the patient episode is stored; and
(c) in response to a request made within 14 days of the patient episode, further tests are carried out on the stored material;
the later tests and the earlier tests are taken to be part of one patient episode.
(1) For the purposes of items in Group P5 (Tissue Pathology):
(a) biopsy material means all tissue (other than a bone marrow biopsy) received by an approved pathology practitioner from an operation, or a group of operations, performed on a patient at the same time; and(b) if:
(i) a pathology service that comprises the examination of biopsy material is rendered under any of those items; and
(ii) a further pathology service mentioned in any of those items is also rendered using that biopsy material;
those pathology services are taken to be 1 pathology service; and
(c) cytology means microscopic examination of 1 or more stained preparations of cells separated naturally or artificially from their normal environment by methods recognised as adequate to demonstrate their structure to a degree sufficient to enable an opinion to be formed about whether they are likely to be normal, abnormal but benign, or abnormal and malignant. In accordance with customary laboratory practice examination of a blood film and a bone marrow aspirate is excluded from this definition.
(2) For the purposes of Groups P5 and P6 of the Pathology Services Table, services in Group P6 include any services described in Group P5 on the material submitted for a test in Group P6.
(3) For the purposes of subrule 10. (2), any sample submitted for cytology from which a cell block is prepared does not qualify for a Group P5 item.
(1) For the purposes of this rule and items in Groups P10 (Patient episode initiation) and P11 (Specimen referred):
institution means a place at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:(a) disadvantaged children; or
(b) juvenile offenders; or
(c) aged persons; or
(d) chronically ill psychiatric patients; or
(e) homeless persons; or
(f) unemployed persons; or
(g) persons suffering from alcoholism; or
(h) persons addicted to drugs; or
(i) physically or mentally handicapped persons;
but does not include:
(j) a hospital; or
(k) a nursing home; or
(l) accommodation for aged persons that is attached to a nursing home or situated within a nursing home complex.
licensed collection centre has the same meaning as in Part IIa of the Act.prescribed laboratory means a laboratory operated by:(a) the Commonwealth; or
(b) a State or internal Territory; or
(c) an authority of a State or internal Territory; or
(d) an Australian tertiary education institution.
specimen collection centre has the same meaning as in Part IIA of the Act.treating practitioner has the same meaning as in paragraph 16A (1) (a) of the Act.(2) If a service described in an item in Group P10 or P11 is rendered by, or on behalf of, an approved pathology practitioner who is a recognised pathologist, the relevant one of those items does not apply to the service if:
(a) the service is rendered upon a request made in the course of an out-patient service at a recognised hospital; or
(b) the service is rendered upon a request made for a patient who is a private patient in a recognised hospital when the request is made; or
(c) the pathology equipment of a recognised hospital, or a prescribed laboratory, is used rendering the service; or
(d) a member of the staff of a recognised hospital, or a prescribed laboratory, participates in the service in the course of the member’s employment with the hospital or laboratory.
(3) An item in Group P10 or P11 does not apply to a pathology service to which subsection 16A (7) of the Act applies.
(4) An item in Group P10 or P11 does not apply to a pathology service unless at least one item in Groups P1 to P8 also applies to that service.
(5) Subject to subrule (7), if one item in Group P10 applies to a patient episode, no other item in that Group applies to that patient episode.
(6) An item in Group P11 applies only to the approved pathology practitioner or approved pathology authority to whom the specimen mentioned in the item was referred.
(7) If, in respect of the same patient episode:
(a) services referred to in 1 or more items in Group P5 and one or more of Groups P1, P2, P3, P4, P6, P7 and P8 are rendered by an approved pathology practitioner in the laboratory of another approved pathology authority; and
(b) services referred to in 1 or more items in Group P6 and one or more of Groups P1, P2, P3, P4, P5, P7 and P8 are rendered by another approved pathology practitioner in another approved pathology authority;
the fee specified in the applicable item in Group P10 is payable to both approved pathology practitioners.
(8) If more than one specimen is collected from a person on the same day for the provision of pathology services:
(a) in accordance with more than one request; and
(b) in or by a single approved pathology authority;
only a single amount specified in the applicable item in Group P10 is payable for the services.
(9) The amount specified in item 73921 is payable only once in respect of a single patient episode.
If item 73921 applies to a patient episode, none of the items in Group P10 applies to any pathology service rendered by the approved pathology authority or approved pathology provider who claimed item 73921 in respect of that patient episode.
(1) An item in Group P11 does not apply to a referral if:
(a) a service in respect of the same patient episode has been carried out by the referring approved pathology authority; and
(b) the approved pathology authority to which the referral is made is related to the referring approved pathology authority.
(2) An approved pathology authority is related to another approved pathology authority for the purposes of subclause (1) if:
(a) both approved pathology authorities are employed (including employed under contract) by the same person, whether or not that person is also an approved pathology authority; or
(b) either of the approved pathology authorities is employed (including employed under contract) by the other; or
(c) if both of the approved pathology authorities are corporations — the approved pathology authorities are related corporations within the meaning of the Corporations Law; or
(d) the approved pathology authorities are partners (whether or not either or both of the approved pathology authorities are individuals and whether or not other persons are in partnership with either or both of the approved pathology authorities).
(1) The abbreviations in Part 3 of this Table may be used to identify particular pathology services or groups of pathology services.
(2) The names of services not listed in Part 3 of this Table must be written in full.
65001 | Erythrocyte count, C-reactive protein, erythrocyte sedimentation rate, blood viscosity, haematocrit, haemoglobin, platelet count, leucocyte count, or reticulocyte count — 1 or 2 tests | 5.65 |
65003 | 3 or more tests described in item 65001, and calculation or measurement of cell index or indices | 7.75 |
65005 | Examination of blood film, or 5 part differential cell count, or both 5 part differential cell count and examination of blood film, including (if performed): (a) a service described in item 65027; and (b) any of the following services:
| 10.25 |
65007 | Full blood examination (consisting of the services described in items 65003 and 65005) | 17.20 |
65009 | Haemolysis or metabolic enzymes — assessment by: (a) erythrocyte autohaemolysis test; (b) erythrocyte fragility test; (c) sugar water test; (d) erythrocyte metabolic enzyme test; (e) heat denaturation test; (f) isopropanol precipitation test; (g) acid haemolysis test; and (h) quantitation of muramidase in serum or urine; 1 or more tests | 33.30 |
65011 | Haemoglobinopathy, tests for the diagnosis of, consisting of haemoglobin electrophoresis and 2 of: (a) examination for HbH; or (b) quantitation of HbA2; or (c) quantitation of HbF; including a service described in item 65001, 65003, 65005 or 65007 (if performed) | 52.80 |
65013 | Bone marrow trephine biopsy — histopathological examination of sections of bone marrow, including (if performed): (a) examination of aspirated material; and
| 133.70 |
65015 | Bone marrow — examination of aspirated material (including clot sections where necessary), including (if performed):
| 82.00 |
65017 | Blood grouping (including back-grouping if performed) — AABO and Rh (D antigen) | 9.90 |
65019 | Blood grouping — Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system — 1 or more systems, including a service described in item 65017 (if performed) | 19.75 |
65021 | Blood grouping (including back-grouping if performed), and examination of serum for Rh and other blood group antibodies, including:
| 36.75 |
65023 | Compatibility tests — all tests performed on any 1 day, including: (a) all grouping checks of patient and donor; and
| 99.75 |
65025 | Examination of serum for blood group antibodies (including identification and, if necessary, quantitation of any antibodies detected) | 20.80 |
65027 | 1 or more of the following tests: (a) direct Coombs test;
| 8.95 |
65029 | Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), test for factor XIII deficiency, fibrinogen, or 1 of: fibrinogen degradation products, fibrin monomer or D-dimer — 1 test | 12.40 |
65031 | 2 tests described in item 65029 | 16.40 |
65033 | 3 tests described in item 65029 | 20.40 |
65035 | 4 or more tests described in item 65029 | 24.40 |
65037 | Quantitation, by 1 or more techniques, of: plasminogen, antithrombin III, Protein C, Protein S, heparin cofactor II euglobulin clot lysis time and test for lupus anticoagulant — 1 to 3 tests | 35.80 |
65039 | 4 or more tests described in item 65037 | 80.80 |
65041 | Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance — 1 or more tests | 55.80 |
65043 | Heparin quantitation when monitoring a patient on subcutaneous heparin or low molecular weight heparin — 1 or more tests | 32.50 |
65045 | Quantitation of Von Willebrand’s factor antigen (factor VIII related antigen), Von Willebrand’s factor (ristocetin cofactor), factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, or Passovy factor — 1 tests | 48.80 |
65047 | 2 tests described in item 65045 | 95.80 |
65049 | 3 or more tests described in item 65045 | 140.80 |
66201 | alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any fractions), calcium (total, dialysed or ionised), chloride, creatine kinase, creatine kinase isoenzymes (if not performed as described in item 66249), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, urate or urea — 1 test | 9.55 |
66203 | 2 tests described in item 66201 | 11.60 |
66205 | 3 tests described in item 66201 | 13.65 |
66207 | 4 tests described in item 66201 | 15.70 |
66209 | 5 tests described in item 66201 | 17.75 |
66211 | 6 or more tests described in item 66201 | 19.80 |
66213 | Test by any method (except reagent strip or dip-stick): (a) for the presence of:
1 or more tests | 13.00 |
66215 | Quantitation of cryoglobulins or cryofibrinogen following their detection in a test described in item 66213, including that service — 1 or more tests | 20.45 |
66223 | Osmolality, estimation by osmometer, in serum or in urine — 1 or more tests | 24.35 |
66225 | Quantitation of:
(b) bicarbonate and pH; including any other measurement (e.g., haemoglobin or potassium) or calculation performed on the same specimen — 1 or more tests on 1 specimen | 33.25 |
66227 | Quantitation of blood gases, bicarbonate and pH as described in item 66225 on each specimen in excess of 1 to a maximum of 6 specimens within any 1 day | 8.80 |
66229 | Calculus, analysis of 1 or more | 30.20 |
66231 | All qualitative and quantitative tests on blood, urine or other body fluid for:
(b) ingested or absorbed toxic chemicals; including a service described in item 66235, 66237 or 66239 (if performed), but excluding:
| 41.00 |
66235 | Quantitation, not elsewhere described in this Table by any method or methods, in blood or other body fluid, of a drug being used therapeutically by the patient from whom the specimen was taken — 1 test (Item is subject to rule 6) | 20.45 |
66237 | 2 tests described in item 66235 (Item is subject to rule 6) | 28.65 |
66239 | 3 or more tests described in item 66235 | 36.85 |
66241 | Tests described in item 66235, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 — Aeach test to a maximum of 2 tests (Item is subject to rule 6) | 8.20. |
66243 | Amniotic fluid, spectrophotometric examination of, and quantitation of: (a) lecithin/sphingomyelin ratio; or
1 or more tests | 32.50 |
66247 | Electrophoresis (including quantitation), of serum and either or both urine or other body fluid all collected within a 28 day period, to demonstrate protein classes or presence of paraprotein, including the preliminary quantitation of: (a) total protein, albumin and globulin; or (b) total relevant enzyme activity; 2 or more tests | 49.85 |
66249 | Electrophoresis, quantitative or qualitative, of serum, urine or other body fluid to demonstrate: (a) protein classes; or (b) presence and amount of paraprotein; or
including the preliminary quantitation of total protein, albumin and globulin or of total relevant enzyme activity | 35.20 |
66250 | >6.5 mmol/l and triglyceride >3.0 mmol/l or in the diagnosis of types III and IV hyperlipidaemia — each episode to a maximum of 2 episodes in a 12 month period | 30.20 |
66255 | Alpha-1-acid glycoprotein, alpha-1-antitrypsin, or alpha-2-macroglobulin — quantitation in serum, urine or other body fluid — 1 or more tests | 19.90 |
66257 | C-1 esterase inhibitor — Aquantitation | 19.90 |
66258 | C-1 esterase inhibitor — functional assay | 44.50 |
66261 | CA-125 antigen, CA-15.3 antigen, CA-19.9 antigen, carcinoembryonic antigen (CEA), mammary serum antigen, mucin-like carcinoma-associated antigen (1 or more fractions), neuron-specific enolase, or thyroglobulin in serum or other body fluid, in the monitoring or confirmation of malignancy — quantitation — 1 test | 19.90 |
66262 | 2 or more tests described in item 66261 | 36.65 |
66263 | Iron studies, consisting of quantitation of: (a) serum iron; (b) transferrin or iron binding capacity; and (c) ferriti | 36.70 |
66265 | Serum B12 or serum folate — 1 or more tests within a 28-day period | 24.35 |
66267 | Red cell folate and serum B12, and, if required, serum folate, to a maximum of 3 episodes in a 12-month period | 44.45 |
66269 | Vitamins — quantitation of vitamins A, B1, B2, B3, B6, C, and E in blood, urine or other body fluid — 1 or more tests within a 6-month period | 30.20 |
66271 | Vitamin D or D fractions — 1 or more tests | 37.90 |
66277 | Quantitation of aluminium (except if item 66325 applies), arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, or strontium, in blood, urine or other body fluid or tissue — 1 or more tests in a 6-month period | 35.35 |
66279 | Blood lead quantitation (other than for occupational health screening purposes) to a maximum of 3 tests in a 6 — month period — each test | 30.20 |
66281 | Porphyrins (1 or more fractions), catecholamines (1 or more fractions), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), or phenylacetic acid (PAA) — quantitation — 1 or more tests | 39.45 |
66283 | Quantitation of: (a) faecal fat; or
1 or more tests within a 28-day period | 39.45 |
66285 | Enzymes — quantitation of 1 or 2 in solid tissue or tissues other than blood elements | 39.45 |
66287 | Quantitation of 3 to 5 enzymes as described in item 66285 | 73.45 |
66289 | Quantitation of 6 or more enzymes as described in item 66285 | 97.45 |
66293 | Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and quantitation of hormones | 54.50 |
66295 | Personal performance by a recognised pathologist of 1 or more of the following:
(b) growth hormone stimulation by exercise; (c) dexamethasone suppression test; (d) L-dopa stimulation of growth hormone | 25.80 |
66297 | Personal performance by a recognised pathologist of 1 of the following:
(b) synacthen stimulation test;
(e) secretin stimulation of gastrin release; (f) insulin hypoglycaemia; (g) arginine infusion | 54.50 |
66299 | Personal performance by a recognised pathologist of 2 or more tests described in item 66297 | 87.70 |
66315 | Quantitation of hormone receptors on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast — 1 or more tests | 78.90 |
66317 | Quantitation of HDL cholesterol or apolipoprotein B/A1 ratio in a patient who: (a) has a serum cholesterol level >5.5 mmol/1; or
each episode to a maximum of 4 episodes in a 12 month period (Item is subject to rule 7A) | 12.35 |
66319 | Quantitation of glycosylated haemoglobin performed in the management of established diabetes — each test to a maximum of 4 tests in a 12-month period | 16.60 |
66321 | Quantitation, in the 2nd trimester of pregnancy, of alpha fetoprotein, human chorionic gonadotrophin, oestriol and any other substance to detect foetal abnormality, including a service described in 1 or more of items 66353, 66373, 73527 and 73529 (if performed) — 1 patient episode in a pregnancy | 54.50 |
66323 | Test for tryptic activity in faeces in the investigation of diarrhoea of longer than 4 weeks duration in children under 6 years old | 11.00 |
66325 | of serum aluminium in a patient in a renal dialysis program — each test | 35.35 |
66327 | TSH — quantitation, requested as a preliminary test to thyroid function testing | 31.55 |
66329 | Thyroid function tests (comprising the service described in item 66327 and 1 or more of the following tests — estimation of free thyroxine index, free thyroxine, free T3, total T3, thyroxine binding globulin) in respect of a patient, if at least one of the following conditions is satisfied: (a) the patient has an abnormal level of TSH; (b) the tests are performed for the purpose of:
(Item is subject to rule 7B) | 41.00 |
66331 | Quantitation (except by reagent strip with or without reflectance meter or electrophoresis) of cholesterol or triglycerides or both in serum, plasma, urine or other body fluid | 11.40 |
66335 | A service described in item 66331 and 1 test described in item 66201 | 13.65 |
66337 | A service described in item 66331 and 2 tests described in item 66201 | 15.70 |
66339 | A service described in item 66331 and 3 tests described in item 66201 | 17.75 |
66341 | A service described in item 66331 and 4 or more tests described in item 66201 | 19.80 |
66343 | Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient:
(b) being treated for drug effects; including all tests on blood, urine or other body fluid — each episode, to a maximum of 21 episodes in a 12-month period | 23.80 |
66353 | Quantitation in serum or other body fluids of alpha fetoprotein, except if requested as part of item 66321 | 19.90 |
66355 | Ferritin — quantitation, except if requested as part of iron studies | 19.90 |
66357 | or monitoring of malignancy — 1 test | 19.90 |
66359 | 2 tests described in item 66357 | 36.65 |
66361 | Beta-2-microglobulin, caeruloplasmin, haptoglobins, microalbumin in proven diabetes mellitus, or prealbumin — quantitation in serum, urine or other body fluids — 1 test | 19.90 |
66363 | 2 or more tests described in item 66361 | 36.65 |
66367 | Quantitation of acetoacetate, alcohol, amino acids, ammonia, angiotensin converting enzyme, beta-hydroxybutyrate, cholinesterase, cysteine, total free fatty acids, histamine, hydroxyindoleacetic acid, hydroxyproline, lactate, oxalate, pyruvate, serotonin, xylose, or zinc — 1 test | |
24.35 | ||
66369 | 2 or more tests described in item 66367 | 38.30 |
66373 | Human placental lactogen or oestriol — quantitation, except if requested as part of item 66321 — 1 test | 31.55 |
66375 | 2 tests described in item 66373 | 42.60 |
66405 | Quantitation of hormones and hormone binding proteins — ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, cyclic AMP, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(lgF1), free or total testosterone, TSH (where not requested on its own or as part of a thyroid function test), urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (antidiuretic hormone) — 1 test (Item is subject to rule 6) | 31.55 |
66407 | 2 tests described in item 66405(Item is subject to rule 6) | 42.55 |
66409 | 3 tests described in item 66405 (Item is subject to rule 6) | 53.55 |
66411 | 4 tests described in item 66405 (Item is subject to rule 6) | 64.55 |
66413 | 5 tests described in item 66405 (Item is subject to rule 6) | 75.55 |
66415 | 6 or more tests described in item 66405 | 86.55 |
66417 | Tests described in item 66405, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 — each test to a maximum of 5 tests (Item is subject to rule 6) | 11.05 |
66419 | Oral glucose tolerance test for the diagnosis of diabetes mellitus that includes the following: (a) administration of glucose; (b) at least 3 estimations of blood glucose;
| 17.70 |
66421 | Test for reducing substances in faeces by any method (except reagent strip or dipstick) | 6.50. |
66422 | Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces) by: (a) an immunological method; and
with a maximum of 3 examinations on specimens collected on separate days in a 28 day period — 1 examination by both methods | 8.80 |
66423 | 2 examinations by both methods described in item 66422 performed on separately collected and identified specimens | 17.60 |
66424 | 3 examinations by both methods described in item 66422 performed on separately collected and identified specimens | 26.40 |
69201 | Microscopy of wet film material other than blood, from 1 or more sites, obtained directly from a patient (not cultures) including: (a) differential cell count (if performed); or (b) examination for dermatophytes; or (c) dark ground illumination; or
1 or more tests | 7.35 |
69205 | pathogenic micro-organisms (including fungi but excluding viruses), from nasal swabs, throat swabs, eye swabs and ear swabs, including (if performed):
(c) a service described in item 69201; specimens from 1 or more sites | 19.35 |
69207 | Microscopy and culture to detect pathogenic micro-organisms, including fungi but excluding viruses, from:
including (if performed):
1 or more tests on 1 or more specimens | 28.25 |
69209 | Microscopy and culture of postoperative wounds, aspirates of body cavities, synovial fluid, CSF or operative or biopsy specimens, for the presence of pathogenic micro-organisms (including fungi but excluding viruses) involving aerobic and anaerobic culture and the use of different culture media, and including (if performed):
specimens from 1 or more sites | 38.30 |
69213 | Microscopy with appropriate stains and culture of 3 specimens of sputum, urine or other body fluids for mycobacteria including (if performed):
(c) a service described in item 69201 | 99.35 |
69217 | Urine examination (including serial examination) by any means other than simple culture by dip slide, including: (a) cell count; and (b) culture; and (c) colony count (if performed); and (d) stained preparations; and (e) identification of cultured pathogens; and (f) antibiotic susceptibility testing; and
| 20.55 |
69219 | Detection of:
1 or more tests | 16.25 |
69223 | Detection of herpes simplex virus from material obtained directly from a patient (not cultures) — 1 or more tests | 9.70 |
69229 | Quantitation of 1 antibody to microbial or exogenous antigens not elsewhere described in the Schedule — 1 test (Item is subject to rule 6) | 13.90 |
69231 | 2 tests described in item 69229 (Item is subject to rule 6) | 24.70 |
69233 | 3 tests described in item 69229 (Item is subject to rule 6) | 34.70 |
69235 | 4 tests described in item 69229 (Item is subject to rule 6) | 44.70 |
69237 | 5 tests described in item 69229 (Item is subject to rule 6) | 54.70 |
69239 | 6 or more tests described in item 69229 | 64.70 |
69241 | Tests described in item 69229, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 — each test to a maximum of 5 tests (Item is subject to rule 6) | 10.80 |
69251 | Antibiotics or antimicrobial chemotherapeutic agents in serum, urine or other body fluid — quantitation — 1 or more tests | 24.35 |
69253 | Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including:
| 13.90 |
69255 | Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including:
| 24.70 |
69257 | Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including:
| 34.70 |
69262 | Detection of Chlamydia by any method in specimens from 1 or more sites | 19.85 |
69264 | Examination for Herpes simplex virus of 1 or more types by culture in material obtained directly from a patient, including a service described in items 69223, 69262 or 69282 (if performed) | 28.20 |
69266 | Investigation for acute Hepatitis A — Hepatitis A IgM antibody test (Item is subject to rule 8A) | 13.90 |
69267 | Determination of immune status to Hepatitis A — Hepatitis A IgG antibody test (Item is subject to rule 8A) | 13.90 |
69268 | Investigation for acute or resolving Hepatitis B, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B core antibody test; and
(Item is subject to rule 8A) | 24.70 |
69269 | Investigation for resolving Hepatitis B if Hepatitis B core antibody test is positive and Hepatitis B surface antigen test is negative, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B core antibody test; and (c) Hepatitis B surface antibody test (Item is subject to rule 8A) | 34.70 |
69270 | Determination of immune status to Hepatitis B (post exposure) — Hepatitis B core antibody test (Item is subject to rule 8A) | 13.90 |
69271 | Determination of immune status to Hepatitis B (post vaccination) — Hepatitis B surface antibody test (Item is subject to rule 8A) | 13.90 |
69272 | Investigation for chronic Hepatitis B or determination of carriage of Hepatitis B antigen — Hepatitis B surface antigen test (Item is subject to rule 8A) | 13.90 |
69273 | Investigation for chronic Hepatitis B or carriage of Hepatitis B antigen if the Hepatitis B surface antigen test is positive, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B e antigen test (Item is subject to rule 8A) | 24.70 |
69274 | Investigation for Hepatitis C — Hepatitis C antibody test (Item is subject to rule 8A) | 13.90 |
69275 | Investigation for acute or chronic Hepatitis D in a patient with a positive Hepatitis B surface antigen test — Hepatitis D antibody test (Item is subject to rule 8A) | 13.90 |
69276 | Determination of immune status to Hepatitis A and Hepatitis B, including: (a) Hepatitis A IgG antibody test; and
(Item is subject to rule 8A) | 24.70 |
69277 | including: (a) Hepatitis B surface antigen test; and (b) Hepatitis C antibody test (Item is subject to rule 8A) | 24.70 |
69278 | Hepatitis B surface antigen test is positive, including: (a) Hepatitis C antibody test; and (b) Hepatitis B surface antigen test; and (c) Hepatitis B e antigen test (Item is subject to rule 8A) | 34.70 |
69279 | Investigation for acute Hepatitis A, Hepatitis B or Hepatitis C in a patient with a currently elevated transaminase level, including: (a) Hepatitis A IgM antibody test; and (b) Hepatitis C antibody test; and (c) Hepatitis B surface antigen test; and (d) Hepatitis B core antibody test; and
(Item is subject to rule 8A) | 44.70 |
69281 | Syphilis serology and any 1 of items 69273, 69274 or 69277 (Item is subject to rule 8A) | 34.70 |
69282 | Microscopy and culture to detect pathogenic micro-organisms, including the detection of Chlamydia by any method from urethra, vagina, cervix or rectum and including (if performed): (a) the detection of microbial antigens; or
1 or more tests on 1 or more specimens | 48.10 |
69285 | appropriate stains) with a maximum of 3 examinations on specimens collected on separate days, including a service (if performed) described in item 69201 — 1 examination | 16.20 |
69286 | 2 examinations described in item 69285 performed on separately collected and identified specimens | 32.40 |
69287 | 3 examinations described in item 69285 performed on separately collected and identified specimens | 48.60 |
69289 | Culture of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed):
(c) a service described in item 69201; with a maximum of 3 examinations performed on separately collected and identified specimens in any 7 day period — 1 examination | 46.45 |
69290 | 2 examinations described in item 69289 performed on separately collected and identified specimens | 92.90 |
69291 | 3 examinations described in item 69289 performed on separately collected and identified specimens | 139.35 |
69293 | Blood culture for pathogenic micro-organisms (other than viruses), including sub-cultures and (if performed): (a) identification of any cultured pathogen; and (b) necessary antibiotic susceptibility testing; to a maximum of 3 sets of cultures — 1 set of cultures | 20.80 |
69294 | 2 sets of cultures described in item 69293 | 41.60 |
69295 | 3 sets of cultures described in item 69293 | 62.40 |
71061 | Immunoelectrophoresis or immunofixation, of serum, urine or other body fluid, and characterisation of, a paraprotein or cryoglobulin not previously characterised, including a service described in 1 or both of items 66213 and 66215 (if performed) — 1 or more tests | 28.80 |
71063 | Immunoelectrophoresis or immunofixation of serum and urine concurrently collected, and characterisation of, a paraprotein not previously characterised — 2 or more tests | 43.45 |
71065 | Examination of CSF and serum concurrently collected for the presence of oligoclonal proteins — 2 or more tests | 43.45 |
71067 | Quantitation of total immunoglobulins A, G, M or D by any method in serum, urine or other body fluid — 1 test | 14.85 |
71069 | 2 tests described in item 71067 | 23.45 |
71071 | 3 or more tests described in item 71067 | 32.05 |
71073 | immunoglobulin G subclasses, with a maximum of 2 patient episodes in a 12-month period — each patient episode | 104.75 |
71075 | Quantitation of immunoglobulin E (total), with a maximum of 2 patient episodes in a 12-month period — each patient episode | 26.70 |
71077 | Quantitation of immunoglobulin E (total) in the follow-up of a patient with proven immunoglobulin-E-secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, with a maximum of 6 patient episodes in a 12-month period — each patient episode | 26.70 |
71079 | Detection of specific immunoglobulin G or E antibodies to single or multiple potential allergens, with a maximum of 4 patient episodes in a 12 month period — each patient episode | 24.10 |
71081 | Quantitation of total haemolytic complement | 19.90 |
71083 | Quantitation of complement components C3 and C4 or properdin factor B — 1 test | 19.90 |
71085 | 2 tests described in item 71083 | 28.55 |
71087 | 3 or more tests described in item 71083 | 37.20 |
71089 | Quantitation of complement components or breakdown products of complement proteins not elsewhere described in an item in this Schedule — 1 test | 28.75 |
71091 | 2 tests described in item 71089 | 52.10 |
71093 | 3 or more tests described in item 71089 | 75.45 |
71097 | Antinuclear antibodies — detection in serum or other body fluids, including quantitation if required | 25.10 |
71099 | Double-stranded DNA antibodies — quantitation by 1 or more methods other than the Crithidia method | 26.20 |
71101 | Antibodies to 1 or more extractable nuclear antigens — detection in serum or other body fluids | 17.15 |
71103 | Characterisation of an antibody detected in a service described in item 71101 (including that service) | 51.35 |
71106 | Rheumatoid factor — detection by any technique in serum or other body fluids, including quantitation if required | 11.15 |
71109 | of 1 antibody | 34.10 |
71113 | Detection of 2 antibodies described in item 71109 | 46.80 |
71115 | Detection of 3 antibodies described in item 71109 | 59.50 |
71117 | Detection of 4 antibodies described in item 71109 | 72.20 |
71119 | Antibodies to tissue antigens not elsewhere specified in this Table — detection, including quantitation if required, of 1 antibody | 17.10 |
71121 | Detection of 2 antibodies specified in item 71119 | 20.50 |
71123 | Detection of 3 antibodies specified in item 71119 | 23.90 |
71125 | Detection of 4 or more antibodies specified in item 71119 | 27.30 |
71127 | Functional tests for lymphocytes — quantitation other than by microscopy of:
| 174.05 |
71129 | 2 tests described in item 711272 | 15.00 |
71131 | 3 or more tests described in item 711272 | 55.95 |
71135 | Quantitation of neutrophil function, comprising at least 2 of the following: (a) chemotaxis; (b) phagocytosis; (c) oxidative metabolism;
| 205.25 |
71137 | Quantitation of cell-mediated immunity by multiple antigen delayed type hypersensitivity intradermal skin testing using a minimum of 7 antigens, with a maximum of 2 patient episodes in a 12-month period — each patient episode | 29.85 |
71139 | Characterisation of 3 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations, including a total lymphocyte count by any method, on 1 or more specimens of blood, CSF or serous fluid | 102.65 |
71141 | Characterisation of 3 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations on 1 or more disaggregated tissue specimens | 194.80 |
71143 | Characterisation (but not monitoring) of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations in an immunological or haematological malignancy, including a service described in 1 or both of items 71139 and 71141 (if performed), on a specimen of blood, CSF, serous fluid or disaggregated tissue | 256.60 |
71145 | Characterisation (but not monitoring) of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations in an immunological or haematological malignancy, including a service described in 1 or more of items 71139, 71141 and 71143 (if performed), on 2 or more specimens of disaggregated tissues or 1 specimen of disaggregated tissue and 1 or more specimens of blood, CSF or serous fluid | 418.95 |
71147 | HLA-B27 typing | 32.00 |
71149 | Complete tissue typing for 4 HLA-A and HLA-B Class I antigens (including any separation of leucocytes), including a service described in item 71147 (if performed) | 106.85 |
71151 | Tissue typing for HLA-DR, HLA-DP and HLA-DQ Class II antigens (including any separation of leucocytes) — phenotyping or genotyping of 2 or more antigens | 117.30 |
72801 | and except as provided for in 72805 and 72807 — all professional opinions | 79.05 |
72803 | Intraoperative frozen section diagnosis of biopsy material, including any other tissue pathology service in Group P5 | 148.80 |
72805 | Immunohistochemical staining of biopsy material by 1 or more labelled antibody techniques (including immunofluorescence and immunoperoxidase) and including any other tissue pathology service in Group P5 | 107.45 |
72807 | Electron microscopy of biopsy material including any other tissue pathology service in Group P5 | 153.65 |
73043 | Cytology (including serial examinations) of nipple discharge or smears from skin, lip, mouth, nose or anus for detection of precancerous or cancerous changes — 1 or more tests | |
19.80 | ||
73045 | Cytology (including serial examinations) for malignancy (other than an examination mentioned in item 73053); and including any Group P5 service, if performed on:
(b) a single specimen of sputum or urine; or (c) 1 or more specimens of other body fluids; 1 or more tests | 35.80 |
73047 | Cytology of a series of 3 sputum or urine specimens for malignant cells | 80.80 |
73049 | Cytology material obtained directly from a patient by fine needle aspiration of solid tissue or tissues | 51.75 |
73051 | Cytology material obtained directly from a patient by fine needle aspiration of solid tissue or tissues if:
| 88.85 |
73053 | Cytology of smears from cervix:
each examination | 17.80 |
73055 | Cytology not associated with item 73053, of smears from cervix in association with:
each test | 17.80 |
73057 | Cytology of smears from vagina, not associated with item 73053 or 73055 nor to monitor hormone replacement therapy — each test | 17.80 |
73287 | Chromosome studies including preparation, count, karyotyping and identification by banding techniques or fragile X-site determination of one or more of any tissue or fluid except blood — 1 or more tests | 327.60 |
73289 | Chromosome studies including preparation, count, karyotyping and identification by banding techniques or fragile X-site determination of blood — 1 or more tests | 296.85 |
73521 | Semen examination for presence of spermatozoa, or examination of cervical mucus for spermatozoa (Huhner’s test) | 6.80 |
73523 | Semen examination (other than post-vasectomy semen examination), including:
(b) examination of stained preparations; and (c) morphology; and (if performed)
with a maximum Of 4 Episodes In A 12-Month Period — Each EpisodE | 35.80 |
73525 | Sperm antibodies—Asperm-penetrating ability — 1 or more tests | 18.20 |
73527 | in serum or urine by 1 or more methods, including serial dilution if performed, for diagnosis of pregnancy — 1 or more tests | 9.90 |
73529 | Chorionic gonadotrophin (beta-HCG) — quantitation in serum by 1 or more methods (except by latex, membrane, strip or other pregnancy test kit) for diagnosis of hydatidiform mole, HCG-secreting neoplasm, or threatened abortion, or follow-up of abortion or diagnosis of ectopic pregnancy, including any services performed in 73527 — 1 test | 28.25 |
73801 | Semen examination for presence of spermatozoa | 6.50 |
73802 | erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count — 1 test | 4.30 |
73803 | 2 tests described in item 73802 | 6.00 |
73804 | 3 or more tests described in item 73802 | 7.70 |
73805 | Microscopy of urine whether stained or not, or catalase test | 4.30 |
73806 | Pregnancy test by 1 or more immunochemical methods | 9.90 |
73807 | Microscopy for wet film other than urine, including any relevant stain | 6.50 |
73808 | Microscopy of Gram-stained film, including (if performed) a service described in item 73805 or 73807 | 8.15 |
73809 | Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method | 2.20 |
73810 | Microscopy for fungi in skin, hair or nails — 1 or more sites | 6.50 |
73811 | Mantoux test | 10.60 |
73901 | Initiation of a patient episode that consists only of a service described in item 73053, 73055 or 73057 from a person who is not in a recognised hospital or a prescribed laboratory | 7.10 |
73903 | Initiation of a patient episode that consists only of a service described in item 72801 from a person who is an in-patient of a hospital other than a recognised hospital | 13.40 |
73905 | Initiation of a patient episode that consists only of a service described in item 72801 from a person who is not an in-patient of a private hospital and not a patient of a recognised hospital | 7.10 |
73907 | Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903, 73905 or in Group P9) if the specimen is collected in a licensed collection centre | 15.50 |
73909 | Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903, 73905 or in Group P9) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person who is an in-patient of a hospital other than a recognised hospital | I15.50 |
73911 | Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903, 73905 or in Group P9) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in the place where the personwas residing or in a nursing home or institution | 9.25 |
73913 | Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903, 73905 or 73907 or items in Group P9) if the specimen is collected from the person by the person | 9.25 |
73915 | Initiation of a patient episode by collection of a specimen for a service (other than a service described in items 73901, 73903 or 73905 or items in Group P9) if the specimen is collected by or on behalf of the treating practitioner | 9.25 |
73921 | Receipt of specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of a different approved pathology authority or another pathology authority (Item is subject to subrule 11 (9)) | 10.00 |
Cardiac enzymes | Lactate dehydrogenase (LDH), aspartate aminotransferase (AST) and creatine kinase (CK) | CE | 66205 |
Coagulation studies | Prothrombin time, activated partial thrombo-plastin time and two or more of the following tests — bleeding time, thrombin clotting time, fibrinogen degradation products, fibrin monomer, D-dimer, factor XIII screening tests | COAG | 65035 |
Electrolytes | Sodium (NA), potassium (K), chloride (Cl), and bicarbonate (HCO3) | E | 66207 |
Lipid studies | Cholesterol (CHOL) and triglycerides (TRIG) | FATS | 66331 |
Liver function tests | Alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), albumin (ALB), bilirubin (BIL), gamma glutamyl transpeptidase (GGT), lactate dehydrogenase (LDH), and protein (PROT) | LFT | 66211 |
Syphilis serology | Rapid plasma reagin test (RPR), or venereal disease research laboratory test (VDRL), and treponema pallidum haemagglutination test (TPHA), or fluorescent treponemal antibody-absorption test (FTA) | STS | 69231 |
Urea, electrolytes, creatine | Urea, electrolytes, creatinine | U&E | 66211 |
Abnormal haemoglobins | AH | 65027 |
Acetoacetate | ACAT | 66367 |
Acetylcholine receptor — tissue antigens — antibodies | ARA | 71109 |
Actinomycetes — microbial antibody testing | ACT | 69229 |
Adenovirus — microbial antibody testing | ADE | 69229 |
Adrenal cortex — tissue antigens — antibodies | ADR | 71109 |
Adrenocorticotrophic hormone (ACTH) | ACTH | 66405 |
AFB microscopy and culture of sputum | AFB | 69213 |
Alanine aminotransferase | ALT | 66201 |
Albumin | ALB | 66201 |
Alcohol (ethanol) | ETOH | 66367 |
Aldosterone | ALDS | 66405 |
Alkaline phosphatase | ALP | 66201 |
Alkaline phosphatase — isoenzymes | ALPI | 66249 |
Alpha fetoprotein | AFP | 66353 |
| NTDD | 66321 |
Alpha-1-acid glycoprotein | AAG | 66255 |
Alpha-1-antitrypsin | AAT | 66255 |
Alpha-2-macroglobulin | AMG | 66255 |
Aluminium | AL | 66277 |
Aluminium — renal dialysis | ALR | 66325 |
Amino acids | AA | 66367 |
Amiodarone | AMIO | 66235 |
Amitriptyline | AMIT | 66235 |
Ammonia | NH3 | 66367 |
Amniotic fluid examination | AFE | 66243 |
Amylase | AMS | 66201 |
Amylobarb | AMYL | 66235 |
Androstenedione | ANDR | 66405 |
Angiotensin converting enzyme | ACE | 66367 |
| QAA | 69251 |
Antibodies to extractable nuclear antigens — detection | ENA | 71101 |
| ENAP | 71103 |
Antibodies to nuclear antigens — detection | ANA | 71097 |
| ANAP | 71099 |
| ARA | 71109 |
Antibodies to tissue antigens — adrenal cortex | ADR | 71109 |
Antibodies to tissue antigens — cardiolipin | ACL | 71109 |
Antibodies to tissue antigens — centromere | ACA | 71119 |
Antibodies to tissue antigens — gastric parietal cell | PCA | 71119 |
Antibodies to tissue antigens — gliadin IgA | GLIA | 71119 |
| GBA | 71109 |
Antibodies to tissue antigens — heart | AHE | 71109 |
Antibodies to tissue antigens — histone | AHI | 71109 |
| INSA | 71109 |
| ICCS | 71109 |
Antibodies to tissue antigens — intrinsic factor | AIF | 71109 |
Antibodies to tissue antigens — islet cell | AIC | 71109 |
Antibodies to tissue antigens — Jo-1 | JO1 | 71119 |
Antibodies to tissue antigens — keratin | KERA | 71119 |
| LKA | 71119 |
Antibodies to tissue antigens — lymphocyte | ALY | 71109 |
Antibodies to tissue antigens — mitochondria | MA | 71119 |
Antibodies to tissue antigens — neuron | ANE | 71109 |
Antibodies to tissue antigens — neutrophil cytoplasm | ANCA | 71109 |
Antibodies to tissue antigens — ovary | AOV | 71109 |
Antibodies to tissue antigens — parathyroid | PTHA | 71109 |
Antibodies to tissue antigens — platelet | APA | 71109 |
Antibodies to tissue antigens — PM-Sc1 | PM1 | 71119 |
Antibodies to tissue antigens — reticulin | RCA | 71119 |
Antibodies to tissue antigens — salivary gland | ASG | 71109 |
Antibodies to tissue antigens — Scl-70 | SCL | 71119 |
Antibodies to tissue antigens — skeletal muscle | SLA | 71109 |
| SKA | 71109 |
Antibodies to tissue antigens — smooth muscle | SMA | 71119 |
Antibodies to tissue antigens —thyroglobulin | ATG | 71109 |
Antibodies to tissue antigens —thyroid icrosome | TMA | 71109 |
| TSHA | 71109 |
Antibody testing, microbial (see Microbial) | ||
Antigen testing, microbial (see Microbial) | ||
Antithrombin III | ATH | 65037 |
Anus — cytology on specimens from | SMCY | 73043 |
Apolipoprotein B/A1 ratio | APO | 66317 |
Arginine infusion | ARIN | 66297 |
Arsenic | AS | 66277 |
Aspartate aminotransferase | AST | 66201 |
Aspergillus — microbial antibody testing | ASP | 69229 |
| APP | 69229 |
B12 vitamin | RCF | 66267 |
Barbiturate | BARB | 66235 |
Beryllium | BE | 66277 |
Beta-hydroxybutyrate | BHYB | 66367 |
Beta-2-microglobulin | BMIC | 66361 |
Bicarbonate | HCO3 | 66201 |
Bilirubin (all fractions) | BILI | 66201 |
Bilirubin (all fractions) — in urine | UBIL | 66213 |
Bilirubin (all fractions) — neonatal | BILN | 66365 |
(see avian precipitins) | ||
Blastomyces — microbial antibody testing | BLM | 69229 |
Bleeding time | BT | 65029 |
Blood — compatibility testing | XMAT | 65023 |
Blood — culture | BC | 69215 |
Blood — faecal occult | FOB | 66221 |
Blood — film | BF | 65005 |
Blood — full examination | FBE | 65001 |
Blood — gases | GAS | 66225 |
Blood — group and blood group antibodies | BGAB | 65021 |
Blood — group antibodies | BGA | 65025 |
Blood — group systems | BGS | 65019 |
Blood — grouping — ABO and RH (D antigen) | BG | 65017 |
Blood — viscosity | VISC | 65001 |
| MCS3 | 69209 |
Body fluids — cytology | BFCY | 73045 |
Bone marrow examination — aspirate | BMEA | 65015 |
Bone marrow examination — Atrephine | BMET | 65013 |
Bordetella pertussis — microbial antibody testing | BOR | 69229 |
Borrelia burgdorferi — microbial antibody testing | BOB | 69229 |
Breath hydrogen test | BHT | 66283 |
Bromide | BRMD | 66235 |
Brucella — microbial antibody testing | BRU | 69229 |
C-l esterase inhibitor — quantitation | CEIQ | 66257 |
C-l esterase inhibitor — functional | CEIF | 66258 |
C-Peptide | CPEP | 66405 |
C-reactive protein | CRP | 65001 |
CA-15.3 antigen | CA15 | 66261 |
CA-l9.9 antigen | CA19 | 66261 |
CA-125 antigen | C125 | 66261 |
Cadmium | CD | 66277 |
Caeruloplasmin | CPLS | 66361 |
Calcitonin | CALT | 66405 |
Calcium (total, dialysed or ionized) | CA | 66201 |
Calculus analysis | CALC | 66229 |
Campylobacter jejuni — microbial antibody testing | CAM | 69229 |
Candida — microbial antibody testing | CAN | 69229 |
Carbamazepine (Tegretol) | CARB | 66235 |
Carboxyhaemoglobin | COHB | 65027 |
Carcinoembryonic antigen | CEA | 66261 |
Cardiac enzymes (see group tests in Division A) | ||
Cardiolipin — tissue antigens — antibodies | ACL | 71109 |
Catecholamines | CAT | 66281 |
| CMI | 71137 |
Centromere — tissue antigens — antibodies | ACA | 71119 |
Cervix — cytology — routine | CCR | 73053 |
Cervix — cytology — abnormalities | CCRA | 73055 |
Cervix — microscopy and culture of material from | MCS2 | 69207 |
Characterisation of antibodies if positive ENA | ENAP | 71103 |
Chemicals, toxic (ingested or absorbed) — assays | DRGO | 66231 |
Chlamydia — direct detection from clinical material | CHLY | 69221 |
Chlamydia — investigation by cultural methods | CHLC | 69261 |
Chlamydia — investigation by DNA probe | CHLP | 69261 |
Chlamydia — microbial antibody testing | CHL | 69229 |
Chlamydia — microbial antigen testing | CHLY | 69221 |
Chloral hydrate | CHHY | 66235 |
Chlorazepate | CHZP | 66235 |
Chloride | CL | 66201 |
Chloroquine | CLOQ | 66235 |
Chlorpromazine | CHLO | 66235 |
Cholesterol | CHOL | 66331 |
Cholesterol — HDL | HDLC | 66317 |
Cholinesterase | CHSE | 66367 |
Chorionic gonadotrophin — for pregnancy diagnosis | HCG | 73527 |
| HCGD | 73529 |
| NTDD | 66321 |
Chromium | CR | 66277 |
Chromosome identification and banding | 73287-89 | |
Chromosome identification studies — blood | CSB | 73289 |
Chromosome identification studies — other than blood | CS | 73287 |
Cimetidine | CMTD | 66235 |
Clobazam | CLOB | 66235 |
Clomipramine | CLOM | 66235 |
Clonazepam (Rivotril) | CLON | 66235 |
Clostridium difficile — microbial antigen testing | CLDT | 69219 |
Coagulation — factors (see individual factors) | ||
Coagulation — studies (see group tests in Division A) | ||
Coagulation — time | CT | 65029 |
Coccidioides — microbial antibody testing | CCC | 69229 |
Cold agglutinins | CAG | 65005, 65027 |
Collection of specimen(s) for cytological examination | 73051 | |
Compatibility testing | XMAT | 65023 |
Complement, total haemolytic | COM | 71081 |
Complement, total haemolytic — components | C3C3 | 71083 |
Complement, total haemolytic — components | C4C4 | 71083 |
Complement, total haemolytic — properdin factor | BPFB | 71083 |
Complement, total haemolytic — other components | COMP | 71089 |
Copper | CU | 66277 |
Cortisol | CORT | 66405 |
Coxsackie B1-6 — microbial antibody testing | COX | 69229 |
Creatine kinase | CK | 66201 |
Creatine kinase — isoenzymes | CKI | 66201 |
Creatine kinase — isoenzymes (electrophoresis) | CKIE | 66249 |
Creatinine | C | 66201 |
Cryofibrinogen — qualitative | CFID | 66213 |
Cryofibrinogen — quantitative | CFIE | 66215 |
Cryoglobulins — qualitative | CGLD | 66213 |
Cryoglobulins — quantitative | CGLE | 66215 |
| RYO | 71061 |
Cryptococcal antigen — microbial antigen testing | CRYN | 69219 |
Cryptococcus — microbial antibody testing | CRY | 69229 |
CSF — microscopy and culture of material from | MCS3 | 69209 |
CSF antigens — group B streptococcus | STB | 69219 |
CSF antigens — Haemophilus influenzae | HI | 69219 |
CSF antigens — Neisseria meningitidis | NMG | 69219 |
CSF antigens — Streptoccus pneumoniae | SPN | 69219 |
Cultural examination of faeces | FCS | 69211 |
Cyclic AMP | CAMP | 66405 |
Cyclosporin | ACLSA | 66235 |
Cystine — qualitative | UCYS | 66213 |
Cystine — quantitative | CYST | 66367 |
Cytology — from body fluids, sputum (1 specimen), urine, washings or brushings | BFCY | 73045 |
Cytology — from cervix — routine | CCR | 73053 |
Cytology — from cervix — Aabnormalities | CCRA | 73055 |
Cytology — from fine needle aspiration of solid tissues | FNCY | 73049 |
| FNCP | 73051 |
| SMCY | 73043 |
Cytology — from vagina | CVO | 73057 |
Cytology — from 3 sputum or urine specimens | SPCY | 73047 |
Cytomegalovirus — microbial antibody testing | CMV | 69229 |
| CMVP | 69253-57 |
D-dimer test | DD | 65029 |
D vitamin | VITD | 66271 |
Dehydroepiandrosterone sulphate (DHEAS) | DHEA | 66405 |
Dengue — microbial antibody testing | DEN | 69229 |
11-Deoxycortisol | DCOR | 66405 |
Desipramine | DESI | 66235 |
Dexamethasone | DXST | 66295 |
Dexamethasone — suppression test | DEXA | 66295 |
DHEAS (Dehydroepiandrosterone sulphate) | DHEA | 66405 |
Diazepam | DIAZ | 66235 |
Differential cell count | DIFF | 65005 |
Digoxin | DIG | 66235 |
Dihydrotesterone | DHTS | 66405 |
Diphenylhydantoin (Dilantin) | DIL | 66235 |
Diphtheria — microbial antibody testing | DIPx | 69229 |
Direct Coombs test | CMBS | 65005, 65027 |
Disopyramide (Rythmodan) | DISO | 66235 |
DNA, double-stranded antibodies | DNAD | 71099 |
DNA binding — quantitation and measurement if positive ANA | ANAP | 71099 |
Down’s syndrome and neural tube defects | NTDD | 66321 |
Doxepin hydrochloride | DOXE | 66235 |
Drugs — abuse treatment programme — assay | DATP | 66343 |
Drugs — inappropriate dosage — assay | DRGO | 66231 |
Drugs — therapeutic — assay (see individual drugs) | ||
Dynamic function tests | GHSE | 66295 |
Ear — microscopy and culture of material from | MCS1 | 69205 |
Echinococcus — microbial antibody testing | ECC | 69229 |
Echo-coxsackie group — microbial antibody testing | ECH | 69229 |
Electrolytes (see group tests in Division A) | ||
Electron microscopy of biopsy material | EM | 72807 |
| CKIE | 66249 |
| LDI | 66249 |
| LEPG | 66250 |
| EPP1 | 66249 |
| EPP2 | 66247 |
Elements (see individual elements) | ||
Entamoeba histolytica — microbial antibody testing | AMO | 69229 |
Enzyme assays of solid tissue or tissues | ENZS | 66285 |
Epstein Barr virus — microbial antibody testing | EBV | 69229 |
Erythrocyte — assessment of haemolysis | ERYH | 65009 |
Erythrocyte — assessment of metabolic enzymes | ERYM | 65009 |
Erythrocyte — count | RCC | 65001 |
Erythrocyte — sedimentation rate | ESR | 65001 |
Ethosuximide (Zarontin) | ETHO | 66235 |
Euglobulin clot lysis time | ECLT | 65037 |
| ENA | 71101 |
Eye — microscopy and culture of material from | MCS1 | 69205 |
Factor II | FII | 65045 |
Factor V | FV | 65045 |
Factor VII | FVII | 65045 |
Factor VIII | VIII | 65045 |
Factor IX | FIX | 65045 |
Factor X | FX | 65045 |
Factor XI | FXI | 65045 |
Factor XII | FXII | 65045 |
Factor XIII | XIII | 65045 |
Factor XIII deficiency test | F13D | 65029 |
Faecal blood | FOB | 66221 |
Faecal fat | FFAT | 66283 |
Faecal fat — haemoglobin — chemical test | FHC | 66217 |
Faecal fat — haemoglobin — immunological test | FHI | 66219 |
Faecal fat — porphyrins — qualitative test | FPR | 66217 |
Faecal fat — reducing substances | FRS | 66217 |
Faeces — culture | FCS | 69211 |
Faeces — microscopy for parasites | OCP | 69203 |
Fatty acids — total free — quantitation | TFFA | 66367 |
Ferritin (see also Iron studies) | FERR | 66355 |
Fibrin monomer | FM | 65029 |
Fibrinogen | FIB | 65029 |
Fibrinogen — degradation products | FDP | 65029 |
Fitzgerald factor | FGF | 65045 |
Flecainide | FLEC | 66235 |
Fletcher factor | FF | 65045 |
| FTA | 69229 |
Fluoxetine | FLUX | 66235 |
Folate — red cell | RCF | 66267 |
Follicle stimulating hormone (FSH) | FSH | 66405 |
Frozen section diagnosis of biopsy material | FS | 72803 |
Fructosamine | FRUC | 66201 |
Full blood examination | FBE | 65007 |
Gamma glutamyl transpeptidase | GGT | 66201 |
Gastric parietal cell — tissue antigens — antibodies | PCA | 71119 |
Gastrin | GAST | 66405 |
Gliadin IgA — tissue antigens — antibodies | GLIA | 71119 |
Globulin | GLOB | 66201 |
Glomerular basement membrane — tissue antigens — antibodies | GBA | 71109 |
Glucagon | GLGO | 66405 |
Glucagon stimulation test | GSTC | 66297 |
Glucose | GLUC | 66201 |
Glucose — tolerance test |
GTT | 66419 | |
Glycolated haemoglobin (Hb A1c) | GHB | 66319 |
Glycosylated haemoglobin (Hb A1c) | GHB | 66319 |
Gold | AU | 66277 |
Gonadotrophin | GRHS | 66297 |
Group B streptococcus — CSF antigens | STB | 69219 |
Group B streptococcus — microbial antigen testing | STB | 69219 |
Group P9 — simple basic pathology tests | 73801-11 | |
Growth hormone | GH | 66405 |
Growth hormone — stimulation by exercise or L-dopa | GHSE | 66295 |
| GHSG | 66295 |
Haematocrit | HCT | 65001 |
Haemoglobin | HB | 65001 |
Haemoglobin — in urine | UHB | 66213 |
Haemoglobinopathy tests | HMGP | 65011 |
Haemophilus influenzae antigens | HI | 69219 |
Haemophilus influenzae — microbial antibody testing | HUS | 69229 |
Haemophilus influenzae — microbial antigen testing | HI | 69219 |
Haloperidol | HALO | 66235 |
Haptoglobins | HGLB | 66361 |
HDL cholesterol | HDLC | 66317 |
Heart — tissue antigens — antibodies | AHE | 71109 |
Heparin — cofactor II | HRNC | 65037 |
Heparin — test | HEPR | 65043 |
| HDA | 69229 |
Hepatitis serology — acute hepatitis | HEP | 69247 |
Hepatitis serology — follow-up of proven hepatitis B | HEPB | 69249 |
| HEP1 | 69245 |
Hepatitis serology — hepatitis B surface antigen HBsAg | HBSA | 69243 |
Hepatitis serology — hepatitis | CHEPC | 69265 |
Hepatitis serology — hepatitis delta antibody | HDA | 69229 |
Hepatitis serology — in pregnancy | HEPP | 69253-57 |
| HSV | 69223 |
Herpes simplex virus — investigation by culture | HSVC | 69263 |
Herpes simplex virus — microbial antibody testing | HPA | 69229 |
Herpes simplex virus — microbial antigen testing | HSV | 69223 |
Heterophile antibodies | IM | 65005, 65027 |
HIAA (hydroxyindoleacetic acid) | HIAA | 66367 |
Histamine | HIAM | 66367 |
Histone — tissue antigens — antibodies | AHI | 71109 |
Histopathology of biopsy material | HIST | 72801 |
Histoplasma — microbial antibody testing | HIP | 69229 |
HLA typing — HLA-B27 | HLAB | 71147 |
HLA typing — HLA class 1 | HLA1 | 71149 |
HLA typing — HLA class 2 | HLA2 | 71151 |
| HMMA | 66281 |
HMPG (hydroxy-methoxy-phenylethylene glycol) | HMPG | 66281 |
Homovanillic acid | HVA | 66281 |
Hormone receptor assay — breast | HRA | 66315 |
Hormone receptor assay — ovary | HRO | 66315 |
Hormones — adrenocorticotrophic | ACTH | 66405 |
Hormones — aldosterone | ALDS | 66405 |
Hormones — androstanedione | ANDR | 66405 |
Hormones — C-Peptide | CPEP | 66405 |
Hormones — calcitonin | CALT | 66405 |
Hormones — cortisol | CORT | 66405 |
Hormones — cyclic AMP | CAMP | 66405 |
| DHEA | 66405 |
Hormones — dihydrotestosterone | DHTS | 66405 |
Hormones — follicle stimulating hormone | FSH | 66405 |
Hormones — gastrin | GAST | 66405 |
Hormones — glucagon | GLGO | 66405 |
Hormones — gonadotrophin | GRHS | 66297 |
Hormones — growth hormone | GH | 66405 |
| GHSE | 66295 |
| GHSG | 66295 |
Hormones — hormone receptor assay — breast | HRA | 66315 |
Hormones — hormone receptor assay — ovaryH | RO | 66315 |
Hormones — human chorionic gonadotrophin — for pregnancy diagnosis | HCG | 73527 |
| ||
Hormones — human placental lactogen | HPL | 66373 |
Hormones — hydroxyprogesterone | OHP | 66405 |
Hormones — insulin | INS | 66405 |
Hormones — insulin, hypoglycaemia test | INHY | 66297 |
Hormones — luteinising hormone | LH | 66405 |
Hormones — oestradiol | E2 | 66405 |
Hormones — oestriol | E3 | 66373 |
Hormones — oestrone | E1 | 66405 |
Hormones — parathyroid hormone | PTH | 66405 |
Hormones — pentagastrin | PSTR | 66297 |
Hormones — progesterone | PROG | 66405 |
Hormones — prolactin | PROL | 66405 |
Hormones — renin | REN | 66405 |
Hormones — sex hormone binding globulin | SHBG | 66405 |
Hormones — somatomedin | SOMA | 66405 |
Hormones — testosterone | TES | 66405 |
Hormones — urine steroid fraction or fractions | USF | 66405 |
Hormones — vasoactive intestinal peptide | VIP | 66405 |
Hormones — vasopressin | ADH | 66405 |
Hormones — 11 deoxycortisol | DCOR | 66405 |
| 66405 | |
Huhner’s test | HT | 73521 |
| HCG | 73527 |
| HCGD | 73529 |
| NTDD | 66321 |
Human placental lactogen | HPL | 66373 |
HVA (homovanillic acid) | HVA | 66281 |
Hydatid — microbial antibody testing | HYD | 69229 |
Hydroxy methoxy phenylethylene glycol | HMPG | 66281 |
| HMMA | 66281 |
Hydroxychloroquine | HOCQ | 66235 |
Hydroxyindoleacetic acid | HIAA | 66367 |
Hydroxyprogesterone | OHP | 66405 |
Hydroxyproline | HYDP | 66367 |
ImipramineI | MIP | 66235 |
Immediate frozen-section diagnosis of biopsy material | FS | 72803 |
Immunoglobulins — A | IGA | 71067 |
Immunoglobulins — D | IGD | 71067 |
Immunoglobulins — E (total) | IGE | 71075-79 |
Immunoglobulins — G | IGG | 71067 |
Immunoglobulins — G, 4 subclasses | SIGG | 71073 |
Immunoglobulins — M | IGM | 71067 |
Immunohistochemical investigation of biopsy material | HIS | 72805 |
Infectious mononucleosis | IM | 69229 |
Influenza A — microbial antibody testing | FLA | 69229 |
Influenza B — microbial antibody testing | FLB | 69229 |
Insulin | INS | 66405 |
Insulin — hypoglycaemia test | INHY | 66297 |
Insulin — tissue antigens — antibodies | AINS | 71109 |
| INSA | 71109 |
| ICCS | 71109 |
Intestinal disaccharidases | INTD | 66283 |
Intrinsic factor — tissue antigens — antibodies | AIF | 71109 |
Iron studies (iron, transferrin and ferritin) | IS | 66263 |
Islet cell — tissue antigens — antibodies | AIC | 71109 |
Jo-1 — tissue antigens — antibodies | JO1 | 71119 |
Keratin — issue antigens — antibodies | KERA | 71119 |
L-dopa | GHLD | 66295 |
Lactate | LACT | 66367 |
Lactate — dehydrogenase | LDH | 66201 |
Lactate — dehydrogenase isoenzymes | LDI | 66249 |
Lamellar body phospholipid | LBPH | 66243 |
Lead | PB | 66279 |
Lecithin/sphingomyelin ratio (amniotic fluid) | LS | 66243 |
| LP1 | 69229 |
| LP2 | 69229 |
Leishmaniasis — microbial antibody testing | LEI | 69229 |
Leptospira — microbial antibody testing | LEP | 69229 |
Leucocyte count | WCC | 65001 |
| LMH | 371139 |
Leucocyte — 3 surface markers — tissue | LMT3 | 71141 |
| LM6 | 71143 |
| LMHT | 71145 |
Lignocaine | LIGN | 66235 |
Lip — cytology on specimens from | SMCY | 73043 |
Lipase | LIP | 66201 |
Lipoprotein electrophoresis | LEPG | 66250 |
Listeria — microbial antibody testing | LIS | 69229 |
Lithium | LI | 66201 |
Liver function tests (see group tests) | LFT | 66211 |
| LKA | 71119 |
Lupus anticoagulant | LUPA | 65037 |
Luteinising hormone | LH | 66405 |
Lymphocyte — tissue antigens — antibodies | ALY | 71109 |
Lymphocytes — functional tests — 1 test | LF1 | 71127 |
Lymphocytes — functional tests — 2 tests | LF2 | 71129 |
Lymphocytes — functional tests — 3 tests | LF3 | 71131 |
Magnesium | MG | 66201 |
Mammary serum antigen | MSA | 66261 |
Manganese | MN | 66277 |
Mantoux test | MANT | 73811 |
Measles — microbial antibody testing | MEA | 69229 |
Melanogen (see Urine melanin) | ||
Mercury | HG | 66277 |
Metalbumin detection (Schumm’s test) | SCHM | 65027 |
Metanephrines | MNEP | 66281 |
Methadone | MTDN | 66235 |
Methotrexate | MTTA | 66235 |
MethsuximideM | SUX | 66235 |
Metronidazole | MRDZ | 66235 |
Mexiletine (Mexitil) | MEX | 66235 |
Mianserin | MIAS | 66235 |
Microalbumin | MALB | 66361 |
Microbial antibody testing — actinomycetes | ACT | 69229 |
Microbial antibody testing — adenovirus | ADE | 69229 |
Microbial antibody testing — aspergillus | ASP | 69229 |
| ||
Microbial antibody testing — Blastomyces | BLM | 69229 |
Microbial antibody testing — Bordetella pertussis | BOR | 69229 |
Microbial antibody testing — Borrelia burgdorferi | BOB | 69229 |
Microbial antibody testing — Brucella | BRU | 69229 |
Microbial antibody testing — Campylobacter jejuni | CAM | 69229 |
Microbial antibody testing — Candida | CAN | 69229 |
Microbial antibody testing — Chlamydia | CHL | 69229 |
Microbial antibody testing — CoccidioidesC | CC | 69229 |
Microbial antibody testing — Coxsackie B1-6 | COX | 69229 |
Microbial antibody testing — cryptococcus | CRY | 69229 |
Microbial antibody testing — cytomegalovirus | CMV | 69229 |
| CMVP | 69253-57 |
Microbial antibody testing — dengue | DEN | 69229 |
Microbial antibody testing — diphtheria | DIP | 69229 |
Microbial antibody testing— echinococcus | ECC | 69299 |
Microbial antibody testing — echo-coxsackie group | ECH | 69229 |
Microbial antibody testing — Entamoeba histolytica | AMO | 69229 |
Microbial antibody testing — Epstein Barr virus | EBV | 69229 |
| FTA | 69229 |
Microbial antibody testing — Haemophilus influenzae | HUS | 69229 |
Microbial antibody testing — hepatitis C | HEPC | 69265 |
| HDA | 69229 |
Microbial antibody testing — herpes | HPA | 69229 |
Microbial antibody testing — Histoplasma | HIP | 69229 |
Microbial antibody testing — hydatid | HYD | 69229 |
| IM | 69229 |
Microbial antibody testing — influenza A | FLA | 69229 |
Microbial antibody testing — influenza B | FLB | 69229 |
| LP1 | 69229 |
| LP2 | 69229 |
Microbial antibody testing — leishmaniasis | LEI | 69229 |
Microbial antibody testing — Leptospira | LEP | 69229 |
Microbial antibody testing — Listeria | LIS | 69229 |
Microbial antibody testing — measles | MEA | 69229 |
Microbial antibody testing — Micropolyspora faeni | MIC | 69229 |
Microbial antibody testing — mumps | MUM | 69229 |
| MVE | 69229 |
| MYC | 69229 |
Microbial antibody testing — Neisseria menigitidis | MEN | 69229 |
Microbial antibody testing — Newcastle disease | NCD | 69229 |
Microbial antibody testing — parainfluenza 1 | PF1 | 69229 |
Microbial antibody testing — parainfluenza 2 | PF2 | 69229 |
Microbial antibody testing — parainfluenza 3 | PF3 | 69229 |
Microbial antibody testing — paratyphi | PTY | 69229 |
Microbial antibody testing — pertussis | PER | 69229 |
Microbial antibody testing — poliomyelitis | PLO | 69229 |
Microbial antibody testing — Proteus OX 19 | POX | 69229 |
Microbial antibody testing — Proteus OXK | POK | 69229 |
Microbial antibody testing — Q fever | QFF | 69229 |
Microbial antibody testing — rapid plasma reagin test | RPR | 69229 |
| RSV | 69229 |
Microbial antibody testing — Ross River virus | RRV | 69229 |
Microbial antibody testing — rubella | RUB | 69229 |
Microbial antibody testing — Salmonella typhi (H) | SAH | 69229 |
Microbial antibody testing — Salmonella typhi (O) | SAO | 69229 |
Microbial antibody testing — Schistosoma | STO | 69229 |
| ADNB | 69229 |
| ASOT | 69229 |
| PCC | 69229 |
Microbial antibody testing — tetanus | TET | 69229 |
| THE | 69229 |
Microbial antibody testing — thermopolyspora | TPS | 69229 |
Microbial antibody testing — Toxocara | TOC | 69229 |
Microbial antibody testing — toxoplasma | TOX | 69229 |
| TPHA | 69229 |
Microbial antibody testing — trichinosis | TOS | 69229 |
Microbial antibody testing — typhus, Weil-Felix | TYP | 69229 |
Microbial antibody testing — Varicella zoster | VCZ | 69229 |
| VDRL | 69229 |
| YER | 69229 |
Microbial antigen testing — Chlamydia | CHLY | 69221 |
Microbial antigen testing — Clostridium difficile | CLDT | 69219 |
Microbial antigen testing — group B streptococcus | STB | 69219 |
Microbial antigen testing — Haemophilus influenzae | HI | 69219 |
Microbial antigen testing — herpes simplex virus | HSV | 69263 |
Microbial antigen testing — Neisseria gonorrhoeae | GON | 69219 |
Microbial antigen testing — Neisseria meningitidis | NMG | 69219 |
Microbial antigen testing — respiratory syncytial virus | RSVN | 69219 |
| SPN | 69219 |
Microbial antigen testing — Varicella zoster | VCZN | 69219 |
Micropolyspora faeni | MIC | 69229 |
Microscopic examination of — faeces for parasites | OCP | 69203 |
| M | 69201 |
| MCS1 | 69205 |
| MCS2 | 69207 |
| MCS3 | 69209 |
Microscopy and culture of — specimens of sputum | MCS2 | 69207 |
| AFB | 69213 |
| UMCS | 69217 |
Mitochondria — tissue antigens — antibodies | MA | 71119 |
Mouth — cytology on specimens from | SMCY | 73043 |
Mucin-like carcinoma-associated antigen | MCA1 | 66261 |
Mumps — microbial antibody testing | MUM | 69229 |
| MVE | 69229 |
Mycobacteria microscopy and culture of sputum | AFB | 69213 |
| MYC | 69229 |
Myoglobin in urine | MYU | 66213 |
N-acetyl procainamide | NAPC | 66235 |
Neisseria gonorrhoeae — microbial antigen testing | GON | 69219 |
Neisseria menigitidis antigens | NMG | 69219 |
Neisseria menigitidis — microbial antibody testing | MEN | 69229 |
Neisseria menigitidis — microbial antigen testing | NMG | 69219 |
Neural tube defects and Down’s syndrome | NTDD | 66321 |
Neuron — tissue antigens — antibodies | ANE | 71109 |
Neuron specific enolase | NSEN | 66261 |
Neutrophil cytoplasm — tissue antigens — antibodies | ANCA | 71109 |
Neutrophil functions | NFT | 71135 |
Newcastle disease — microbial antibody testing | NCD | 69229 |
Nickel | NI | 66277 |
Nipple discharge — cytology on specimens from | SMCY | 73043 |
Nitrazepam | NITR | 66235 |
Nordothiepin | NDIP | 66235 |
Norfluoxetine | NFLE | 66235 |
Nortriptyline | NORT | 66235 |
Nose — cytology on specimens from | SMCY | 73043 |
Nose — microscopy and culture of material | MCS1 | 69205 |
Nuclear antigens — detection of antibodies to | ANA | 71097 |
Oestradiol | E2 | 66405 |
Oestriol | E3 | 66373 |
| NTDD | 66321 |
Oestrone | E1 | 66405 |
Oligoclonal proteins | OGP | 71065 |
| MCS3 | 69209 |
Osmolality — serum or urine | OSML | 66223 |
Ovary — tissue antigens — antibodies | AOV | 71109 |
Oxalate | OXAL | 66367 |
Oxazepam | OXAZ | 66235 |
PAA (phenyl acetic acid) | PAA6 | 6281 |
Palmitic acid in amniotic fluid | PALM | 66243 |
Pap smear | CCR | 73053 |
Papanicolaou test | CCR | 73053 |
Paracetamol | PARA | 66235 |
Parainfluenza 1 — microbial antibody testing | PF1 | 69229 |
Parainfluenza 2 — microbial antibody testing | PF2 | 69229 |
Parainfluenza 3 — microbial antibody testing | PF3 | 69229 |
Paraprotein investigation — by electrophoresis | EPPI | 66249 |
| PPRO | 71061 |
| PPSU | 71063 |
Paraquat | PARQ | 66235 |
Parasites — microscopic examination of faeces | OCP | 69203 |
Parathyroid hormone (PTH) | PTH | 66405 |
Parathyroid — tissue antigens — antibodies | PTHA | 71109 |
Paratyphi — microbial antibody testing | PTY | 69229 |
Partial thromboplastin time | PTT | 65029 |
Passovy factor | PF | 65045 |
Patient episode initiation | PEI | 73901-15 |
Pentagastrin | PSTR | 66297 |
Pentobarbitone | PENT | 66235 |
Perhexiline | PHEX | 66235 |
Pertussis — microbial antibody testing | PER | 69229 |
pH measurement of body fluids other than urine | PH | 66213 |
Phenobarbitone | PHBA | 66235 |
Phensuximide | PHEN | 66235 |
Phenylacetic acid | PAA | 66281 |
Phenytoin | PHEY | 66235 |
Phosphate | PHOS | 66201 |
Phosphatidylglycerol | PTGL | 66243 |
Plasminogen | PLAS | 65037 |
Platelet — aggregation | PLTG | 65041 |
Platelet — count | PLTC | 65001 |
Platelet — tissue antigens — antibodies | APA | 71109 |
PM-Sc1 — tissue antigens — antibodies | PM1 | 71119 |
Poliomyelitis — microbial antibody testing | PLO | 69229 |
Porphobilingen in urine | UPG | 66213 |
Porphyrins — quantitative test, 1 or more fractions | PR | 66281 |
Porphyrins in urine — qualitative test | UPR | 66213 |
Potassium | K | 66201 |
Prealbumin | PALB | 66361 |
Prednisolone | PRED | 66235 |
Pregnancy serology — 1 test | MSP1 | 69253 |
Pregnancy serology — 2 tests | MSP2 | 69255 |
Pregnancy serology — 3 tests | MSP3 | 69257 |
Pregnancy testing | 73805 | |
Pregnancy testing — diagnosis | HCG | 73527 |
Pregnancy testing — diagnosis of specified conditions | HCGD | 73529 |
Pregnancy testing — for diagnosis of Down’s syndrome and neural tube defect | NTDD | 66321 |
Primidone | PRIM | 66235 |
Procainamide | PCAM | 66235 |
Progesterone | PROG | 66405 |
Prolactin | PROL | 66405 |
Prominal | PROM | 66235 |
Propranolol | PPNO | 66235 |
Prostate specific antigen | PSA | 66357 |
Prostatic acid phosphatase | ACP | 66357 |
Protein — C | PROC | 65037 |
Protein — S | PROS | 65037 |
Protein, quantitation of — alpha fetoprotein | AFP | 66353 |
| NTDD | 66321 |
Protein, quantitation of — alpha-l-antitrypsin | AAT | 66255 |
Protein, quantitation of — alpha-2-macroglobulin | AMAC | 66255 |
Protein, quantitation of — beta-2-microglobulin | BMIC | 66361 |
Protein, quantitation of — C-l esterase inhibitor | CEI | 66257 |
Protein, quantitation of — caeruloplasmin | CPLS | 66361 |
| EPPI | 66249 |
| FERR | 66355 |
Protein, quantitation of — haptoglobins | HGLB | 66361 |
Protein, quantitation of — microalbumin | MALB | 66361 |
Protein, total — quantitation of | PROT | 66201 |
Proteus OX 19 — microbial antibody testing | POX | 69229 |
Proteus OXK — microbial antibody testing | POK | 69229 |
Prothrombin time | PT | 65029 |
Pyruvate | PVTE | 66367 |
Q fever — microbial antibody testing | QFF | 69229 |
Quinalbarb | QUIB | 66235 |
Quinidine | QUIN | 66235 |
Quinine | QNN | 66235 |
Rapid plasma reagin test — microbial antibody testing | RPR | 69229 |
RAST | RAST | 71079 |
Rectum — microscopy and culture of material from | MCS2 | 69207 |
| RCF | 66267 |
Red cell porphyrins — qualitative test | RCP | 65027 |
Referred specimen fee | 73921 | |
Renin | REN | 66405 |
| RSV | 69229 |
| RSVN | 69219 |
Reticulin — tissue antigens — antibodies | RCA | 71119 |
Reticulocyte count | RETC | 65001 |
Rheumatoid factor | RF | 71106 |
Rheumatoid factor — quantitation | RFQ | 71106 |
Ross River virus — microbial antibody testing | RRV | 69229 |
| RSVN | 69219 |
| RSV | 69229 |
Rubella — serology | RUB | 69229 |
Salicylate — aspirin | SALI | 66235 |
Salivary gland — tissue antigens — antibodies | ASG | 71109 |
Salmonella typhi (H) — microbial antibody testing | SAH | 69229 |
Salmonella typhi (O) — microbial antibody testing | SAO | 69229 |
Schistosoma — microbial antibody testing | STO | 69229 |
Scl-70 — tissue antigens — antibodies | SCL | 71119 |
Secretin | SSGR | 66297 |
Selenium | SE | 66277 |
Semen examination | SEE | 73523 |
Semen examination — for spermatozoa (post vasectomy) | SES | 73521 |
Serology — in pregnancy (see Pregnancy serology) | ||
Serotonin | 5HT | 66367 |
Serum — Bl2 | B12 | 66265 |
Serum — folate (with Bl2) | FOL | 66265 |
Serum — folate (with Bl2 red cell folate) | RCF | 66267 |
Sex hormone binding globulin | SHBG | 66405 |
Skeletal muscle — tissue antigens — antibodies | SLA | 71109 |
Skin — cytology | SMCY | 73043 |
Skin — microscopy and culture of material from | MCS2 | 69207 |
| SKA | 71109 |
Snake venom | HISS | 66231 |
Smooth muscle — issue antigens — antibodies | SMA | 71119 |
Sodium | NA | 66201 |
Solid tissue or tissues — chemical assays | ENZS | 66285 |
| FNCY | 73049 |
| FNCP | 73051 |
Somatomedin | SOMA | 66405 |
Sotalol | SALL | 66235 |
Specific IgG or IgE antibodies | RAST | 71079 |
Specimen referred fee | 73921 | |
Sperm antibodies | SAB | 73525 |
Sperm antibodies — penetrating ability | SPA | 73525 |
Sputum — cytology (1 specimen) | BFCY | 73045 |
Sputum — cytology (3 specimens) | SPCY | 73047 |
Sputum — microscopy and culture of specimens | MCS2 | 69207 |
Sputum — for mycobacteria | AFB | 69213 |
Stelazine | STEL | 66235 |
Steroid fraction or fractions in urine | USF | 66405 |
| ADNB | 69229 |
| ASOT | 69229 |
Streptococcus — Group B | STB | 69219 |
Streptococcus pneumoniae — antigens | SPN | 69219 |
| PCC | 69229 |
| SPN | 69219 |
Strontium | SR | 66277 |
Sulthiame (Ospolot) | SUL | 66235 |
Synacthen stimulation test | SYNS | 66297 |
Syphilis serology (see group tests) | STS | 69231 |
Testosterone | TES | 66405 |
Tetanus — microbial antibody testing | TET | 69229 |
Thalassaemia studies | TS | 65011 |
Theophylline | THEO | 66235 |
| THE | 69229 |
Thermopolyspora — microbial antibody testing |
TPS | 69229 | |
Thiopentone | TOPO | 66235 |
Thioridazine | THIO | 66235 |
Throat — microscopy and culture of material from | MCS1 | 69205 |
Thrombin time | TT | 65029 |
Thyroglobulin | TGL | 66261 |
Thyroglobulin — tissue antigens — antibodies | ATG | 71109 |
Thyroid function tests (including TSH) | TFT | 66329 |
| TSH | 66327 |
| TSH | 66405 |
Thyroid microsome — tissue antigens — antibodies | TMA | 71109 |
Thyrotrophin releasing hormone test | TRH | 66293 |
Total free fatty acids | TFFA | 66367 |
Total protein | PROT | 66201 |
Toxocara — microbial antibody testing | TOC | 69229 |
Toxoplasma — microbial antibody testing | TOX | 69229 |
| TPHA | 69229 |
| TPHA | 69229 |
Trichinosis — microbial antibody testing | TOS | 69229 |
Triglycerides | TRIG | 66331 |
Trimipramine | TRIM | 66235 |
Tryptic activity in faeces | TAF | 66323 |
| TSHA | 71109 |
Tuberculosis | MANT | 73811 |
Tumour markers — CA-15.3 antigen | CA15 | 66261 |
Tumour markers — CA-19.9 antigen | CA19 | 66261 |
Tumour markers — CA-125 antigen | C125 | 66261 |
Tumour markers — carcinoembryonic antigen | CEA | 66261 |
Tumour markers — mammary serum antigen | MSA | 66261 |
Tumour markers — mucin-like carcinoma associated antigen | MCA | 66261 |
Tumour markers — neuron specific enolase | NSEN | 66261 |
Tumour markers — prostate specific antigen | PSA | 66357 |
| ACP | 66357 |
Tumour markers — thyroglobulin | TGL | 66261 |
Typhus, Weil-Felix — microbial antibody testing | TYP | 69229 |
Urate | URAT | 66201 |
Urea | U | 66201 |
| ||
Urethra — microscopy and culture of material from | MCS2 | 69207 |
Urine — bilirubin | UBIL | 66213 |
Urine — catalase test | 73805 | |
Urine — cytology — on 1 specimen | BFCY | 73045 |
Urine — cytology — on 3 specimens | SPCY | 73047 |
Urine — cystine (cysteine) | UCYS | 66213 |
Urine — haemoglobin | UHB | 66213 |
Urine — melanin (melanogen) | UML | 66213 |
Urine — microscopy, culture, identification and sensitivity | UMCS | 69217 |
Urine — myoglobin | UMY | 66213 |
Urine — porphobilinogen | UPG | 66213 |
Urine — porphyrins — qualitative test | UPR | 66213 |
Urine — steroid fraction or fractions | USF | 66405 |
Urine — urobilinogen | UUB | 66213 |
Vagina — cytology on specimens from | CVO | 73057 |
Vagina — microscopy and culture of material from | MCS2 | 69207 |
Valproate (Epilim) | VALP | 66235 |
Vancomycin | VAN | 66235 |
Varicella zoster — microbial antibody testing | VCZ | 69229 |
Varicella zoster — microbial antigen testing | VCZN | 69219 |
Vasoactive intestinal peptide | VIP | 66405 |
Vasopressin | ADH | 66405 |
| VDRL | 69229 |
Viscosity of blood or plasma | VISC | 65001 |
Vitamins — B12 | RCF | 66267 |
Vitamins — D | VITD | 66271 |
Vitamins — folate | RCF | 66267 |
Vitamins — quantitation of A, B1, B2, B3, B6, C or E | VIT | 66269 |
VMA (see HMMA) | ||
Von Willebrand’s factor | VWF | 65045 |
Von Willebrand’s factor antigen | VWA | 65045 |
Warfarin | WFR | 66235 |
Xylose | XYL | 66367 |
Yersinia enterocolitica — microbial antibody testing | YER | 69229 |
Zinc | ZN | 66367 |
The Health Insurance
(1995-96 Pathology Services Table) Regulations (in force under the
1995 No. 281 | 28 Sept 1995 | 28 Sept 1995 | |
1995 No. 301 | 26 Oct 1995 | 1 Nov 1995 | — |
1996 No. 10 | 31 Jan 1996 | 1 Feb 1996 | — |
1996 No. 54 | 15 May 1996 | 1 July 1996 | — |
1996 No. 232 | 30 Oct 1996 | 1 Nov 1996 | — |
am. = amended rep. = repealed rs. = repealed and substituted | |
Schedule................................. | am. 1995 No. 301; 1996 Nos. 10 and 54 |
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