Health Insurance (1998-99 Pathology Services Table) Regulations 1998 (Cth)

Case

Health Insurance (1998–99 Pathology Services Table) Regulations 1998

Statutory Rules 1998 No. 303

made under the

Health Insurance Act 1973

Consolidated as in force on 16 August 1999

(includes amendments up to SR 1999 No. 109)

Prepared by the Office of Legislative Drafting,


Attorney-General’s Department, Canberra

Health Insurance (1998–99 Pathology Services Table) Regulations 1998

Statutory Rules 1998 No. 303 as amended

made under the

Health Insurance Act 1973

Contents

Page

1Name of regulations [see Note 1]                                3

2Commencement                                                   3

3Pathology Services Table                                         3

4Repeals                                                             3

Schedule 1Table of pathology services                            4

Part 1Rules of interpretation                                             4

Part 2Services and fees                                                21

Part 3Abbreviations                                                     76

Part 4Complexity levels for histopathology items                  117

Notes                                                                                  126

  1. Name of regulations [see Note 1]

These regulations are the Health Insurance (1998–99 Pathology Services Table) Regulations 1998.

  1. Commencement

These regulations commence on 1 November 1998.

  1. Pathology Services Table

The table of pathology services in Schedule 1 is prescribed for subsection 4A (1) of the Health Insurance Act 1973.

  1. Repeals

The following statutory rules are repealed:

·      Health Insurance (1997–98 Pathology Services Table) Regulations 1997 No. 299

· Health Insurance (1997–98 Pathology Services Table) Regulations (Amendment) 1998 No. 203.

Schedule 1          Table of pathology services

(regulation 3)

Part 1           Rules of interpretation

  1. Interpretation of table

(1)In this table:

patient episode means:

(a)a pathology service or pathology services (other than a pathology service to which paragraph (b) refers) provided for a single patient whose need for the service or services was determined under section 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 approved 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 pathologist 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 the Health 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 the Group.

  1. Precedence of items

(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. Circumstances in which services rendered following 2 requests to be taken to have been rendered following 1 request

(1)In subrule (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. Services to which rule 3 does not apply

(1)Rule 3 does not apply to a pathology service described in item 66500 or 66584, if:

(a)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

(b)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

(c)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

(d)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 (INR) 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 65063 or 65069 in relation to a patient undergoing chemotherapy for neoplastic disease or immunosuppressant therapy;

(d)a service described in item 65063 or 65069 in relation to clozaril, ticlopidine hydrochloride, methotrexate, gold, sulfasalazine or penicillamine therapy of a patient;

(e)a service described in item 66500 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;

(g)quantitative estimation of albumin and calcium in relation to therapy of a patient with vitamin D, its metabolites or analogues;

if:

(h)under a request for a service, other than a request for a service described in paragraph (a), no more than 6 tests are requested; and

(i)the tests are performed within 6 months of the request; and

(j)the account for the service is endorsed “Rule 3 Exemption”.

  1. Item taken to refer only to the first service of a particular kind

(1)For an item in Group P1 (Haematology):

(a)if pathology services of a kind referred to in item 65090 or 65093 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 the period; and

(b)if:

(i)tests (except tests mentioned in item 65099, 65102, 65105 or 65108) 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 65099, 65102, 65105 or 65108) are carried out on the stored material;

the later tests and the earlier tests are taken to be part of one patient episode.

(2)Benefits for items 65102 and 65108 are payable only if the first 6 units were transfused into a patient within 24 hours.

(3)For items 65099 and 65102:

compatibility tests by crossmatch means that, in addition to all the tests described in (a) and (b) of the item, donor red cells from each unit must have been tested directly against the serum of the patient by 1 or more accepted crossmatching techniques.

  1. Certain items not to apply to a service referred by one pathology practitioner to another

(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 66611; or

(b)tests of the kind described in item 66695; or

(c)tests of the kind described in item 66722; or

(d)tests of the kind described in item 69384.

(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 66617, 66710, 66734 or 69399.

(3)If this rule applies in respect of a designated pathology service:

(a)item 66611, 66614, 66695, 66698, 66701, 66704, 66707, 66722, 66725, 66728, 66731, 69384, 69387, 69390, 69393 or 69396 (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 (4), the amount specified in item 66620, 66713, 66737 or 69402 (as the case requires) is payable for each test that the service comprises.

(4)For paragraph (3) (b), the maximum number of tests to which item 66620, 66713, 66737 or 69402 applies is:

(a)for item 66620:

3 – X; or

(b)for item 66713, 66737 or 69402:

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.

(5)Items in Group P10 (Patient episode initiation) do not apply to the second-mentioned approved pathology practitioner in subrule (2).

  1. Items not to be split

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.

  1. Certain tests on stored material to be treated as part of the same patient episode

For 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.

  1. Item 66536

The amount specified in item 66536 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/L — 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/L — 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. Thyroid function testing

(1)For item 66719:

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 66719 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 66719; 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.

  1. Meaning of serial examinations or cultures

For 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. Investigation for hepatitis and syphilis serology

(1)A medicare benefit is not payable in respect of more than one of items 69414, 69417, 69420, 69423, 69426, 69429, 69432, 69435, 69438, 69447, 69450, 69453, 69456, 69459, 69462, 69465 and 69468 in a patient episode.

(2)For items 69459 and 69468, 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 on a sample taken for the investigation or on a sample taken within the previous 7 days.

  1. Tests in Group P4 (Immunology) relating to antibodies

For 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. Tests on biopsy material — Group P5 (Tissue pathology) and Group P6 (Cytology)

(1)For 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 but, in accordance with customary laboratory practice, does not include examination of a blood film and a bone marrow aspirate; and

(d)separately identified specimen means an individual specimen collected, identified so that it is clearly distinguished from any other specimen, and sent for testing by or on behalf of the treating practitioner responsible for the procedure in which the specimen was taken.

(2)For 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 subrule (2), any sample submitted for cytology from which a cell block is prepared does not qualify for a Group P5 item.

(4)If more than 1 of the services mentioned in items 72813, 72816, 72817, 72823, 72824, 72825, 72830 and 72836 are performed in a single patient episode, a medicare benefit is payable only for the item performed that has the highest schedule fee.

(5)If more than 1 histopathological examinations are performed on separate specimens, of different complexity levels, from a single patient episode, a medicare benefit is payable only for the examination that has the highest schedule fee.

(6)In items 72813, 72816, 72817, 72823, 72824, 72825, 72830 and 72836 a reference to a complexity level is a reference to the level given to a specimen type mentioned in Part 4 of this table.

  1. Items in Groups P10 (Patient episode initiation) and P11 (Specimen referred) not to apply in certain circumstances

(1)For 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 the service.

(5)Subject to subrule (7), if one item in Group P10 applies to a patient episode, no other item in the Group applies to the 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 1 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 1 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.

  1. Application of an item in Group P11 (Specimen referred) to a service excludes certain other items

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 practitioner who claimed item 73921 in respect of the patient episode.

  1. Circumstances in which an item in Group P11 (Specimen referred) does not apply

(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 subrule (1) if:

(a)both approved pathology authorities are employed (including employed under contract) by the same person, whether or not the 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)both approved pathology authorities are corporations and 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).

(3)An item in Group P11 does not apply to a referral if the following common tests are referred either singly or in combination (except if the following items are referred in combination with other items not similarly specified): 65060, 65063, 65069, 65120, 66500, 66503, 66506, 66509, 66512, 66515, 66521, 66524, 66527, 66530, 66533, 66536, 66596, 69300, 69303, 69333 or 73527.

  1. Abbreviations

(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 or drugs not listed in Part 3 of this table must be written in full.

  1. Certain pathology services to be treated as 1 service

(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 66620, 66713, 66737, 69402, 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 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 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 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 (3) (c) or (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. Hepatitis C viral RNA testing

For item 69444:

Hepatitis C sero-positive, for a patient, means 2 different assays of Hepatitis C antibodies are positive.

serological status is uncertain, for a patient, means any result where 2 different assays of Hepatitis C antibodies are inconclusive.

  1. Haemochromatosis testing

For item 66794:

elevated serum ferritin, for a patient, means a level of ferritin above the normal reference range in respect of the particular method of assay used to determine the level.

  1. Items 66599 and 66602

(1)A medicare benefit is not payable for more than 3 episodes of services described in item 66599 or 66602, or any combination of those items, in a 12 month period.

(2)A medicare benefit is not payable for a service described in item 66599 if the service was provided as part of the same patient episode as a service described in item 66602.

Part 2           Services and fees

Category 6           Pathology services

Item Pathology service Fee   ($)

Group P1 — Haematology

65060 Haemoglobin, erythrocyte sedimentation rate, blood viscosity — 1 or more tests 7.70
65063 Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and instrument generated differential count — including any services in item 65060 or 65072 — 2 or more instrument generated results from a single sample 17.20
65066

Examination of:

(a)     a blood film by special stains to demonstrate          Heinz bodies, parasites or iron; or

(b)     a blood film by enzyme cytochemistry for neutrophil alkaline phosphatase, alpha‑naphthyl acetate esterase or chloroacetate esterase; or

(c)     a blood film using any other special staining methods including periodic acid Schiff and Sudan Black; or

(d)     a urinary sediment for haemosiderin;

including a service described in item 65072

10.25
65069

Full blood examination consisting of:

(a)     a morphological assessment of a blood film; and

(b)     item 65063; and

(c)     (if performed) any test in item
65060 or 65072

17.20
65072 Examination for reticulocytes including a reticulocyte count by any method — 1 or more tests in any episode 10.00
65075

Haemolysis or metabolic enzymes — assessment by:

(a)     erythrocyte autohaemolysis test; or

(b)     erythrocyte osmotic fragility test; or

(c)     sugar water test; or

(d)     G‑6‑P D (qualitative or quantitative) test; or

(e)     pyruvate kinase (qualitative or quantitative) test; or

(f)     acid haemolysis test; or

(g)     quantitation of muramidase in serum or urine; or

(h)     Donath Landsteiner antibody test; or

(i)     other erythrocyte metabolic enzyme tests;

1 or more tests

46.60
65078

Tests for the diagnosis of thalassaemia when indicated on the basis of an abnormal full blood examination or by the clinical need for family studies, consisting of haemoglobin electrophoresis or chromatography and at least 2 of:

(a)     examination for HbH; or

(b)     quantitation of HbA2; or

(c)     quantitation of HbF;

including (if performed) any service described in item 65060 or 65063 or 65069

80.90
65081

Tests for the investigation of haemoglobinopathy (including S, C, D, E), other than thalassaemia, when indicated on the basis of an abnormal full blood examination or by the clinical need for family studies, consisting of haemoglobin electrophoresis or chromatography and at least 1 of:

(a)     heat denaturation test; or

(b)     isopropanol precipitation test; or

(c)     tests for the presence of haemoglobin S; or

(d)     quantitation of any haemoglobin fraction (including S, C, D, E);

including (if performed) any service described in item 65060, 65063, 65069 or 65078

86.70
65084

Bone marrow trephine biopsy — histopathological examination of sections of bone marrow and examination of aspirated material (including clot sections where necessary), including (if performed):

(a)     special stains or immunohistochemical techniques (if any); and

(b)     any test described in item 65060, 65063, 65066 or 65069

163.70
65087

Bone marrow — examination of aspirated material (including clot sections where necessary), including (if performed):

(a)     special stains or immunohistochemical techniques (if any); and

(b)     any test described in item 65060, 65063, 65066 or 65069

82.00
65090 Blood grouping (including back‑grouping if performed) — ABO and Rh (D antigen) 10.90
65093 Blood grouping — Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system — 1 or more systems, including item 65090 (if performed) 21.70
65096

Blood grouping (including back‑grouping if performed), and examination of serum for Rh and other blood group antibodies, including:

(a)     identification and quantitation of any antibodies detected; and

(b)     (if performed) any test described in item 65060, 65063 or 65069

40.40
65099

Compatibility tests by crossmatch — all tests performed on any one day for up to 6 units, including:

(a)     all grouping checks of the patient and donor; and

(b)     examination for antibodies, and if necessary identification of any antibodies detected; and

(c)     (if performed) any tests described in item 65060, 65063, 65069, 65090 or 65096

(Item is subject to rule 5)

109.75
65102

Compatibility tests by crossmatch — all tests performed on any one day in excess of 6 units, including:

(a)     all grouping checks of the patient and donor; and

(b)     examination for antibodies, and if necessary identification of any antibodies detected; and

(c)     (if performed) any tests described in item 65060, 65063, 65069, 65090, 65096, 65099 or 65105

(Item is subject to rule 5)

165.00
65105

Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion — all tests performed on any one day for up to 6 units, including:

(a)     all grouping checks of the patient and donor; and

(b)     examination for antibodies and, if necessary, identification of any antibodies detected; and

(c)     (if performed) any tests described in item 65060, 65063, 65069, 65090 or 65096

(Item is subject to rule 5)

88.00
65108

Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion — all tests performed on any one day in excess of 6 units, including:

(a)     all grouping checks of the patient and donor; and

(b)     examination for antibodies and, if necessary, identification of any antibodies detected; and

(c)     (if performed) any tests described in item 65060, 65063, 65069, 65090, 65096, 65099 or 65105

(Item is subject to rule 5)

143.00
65111 Examination of serum for blood group antibodies (including identification and, if necessary, quantitation of any antibodies detected) 22.90
65114

1 or more of the following tests:

(a)     direct Coombs (antiglobulin) test;

(b)     qualitative or quantitative test for cold agglutinins or heterophil antibodies

8.95
65117

1 or more of the following tests:

(a)     qualitative spectroscopic examination of blood for chemically altered haemoglobins;

(b)     detection of methaemalbumin (Schumm’s test)

20.00
65120 Prothrombin time (including INR where appropriate), activated partial thromboplastin time, thrombin time (including test for the presence of heparin), test for factor XIII deficiency (qualitative), Echis test, Stypven test, reptilase time, fibrinogen, or 1 of fibrinogen degradation products, fibrin monomer or D ‑dimer — 1 test 13.65
65123 2 tests described in item 65120 18.05
65126 3 tests described in item 65120 22.45
65129 4 or more tests described in item 65120 26.85
65132 Quantitation, by 1 or more techniques, of antithrombin III, Protein C, Protein S, heparin cofactor II, plasminogen, euglobulin clot lysis time and test for lupus anticoagulant — 1 to 3 tests 39.40
65138 4 or more tests described in item 65132 92.90
65141 Test for Activated Protein C resistance for a patient with a history of venous thrombosis or pulmonary thromboembolism — where any request for the test by a medical practitioner specifically identifies in writing a history of venous thrombosis or pulmonary thromboembolism 24.00
65144 Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or other substances; or heparin, low molecular weight heparins, heparinoid or other drugs — 1 or more tests 55.80
65147 Quantitation of anti‑Xa activity when monitoring is required for a patient receiving a low molecular weight heparin or heparinoid — 1 test 37.40
65150 Quantitation of von Willebrand factor antigen, von Willebrand factor activity (ristocetin cofactor assay), von Willebrand factor collagen binding activity, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, circulating coagulation factor inhibitors other than by Bethesda assay — 1 test 56.10
65153 2 tests described in item 65150 110.20
65156 3 or more tests described in item 65150 161.90
65159 Quantitation of circulating coagulation factor inhibitors by Bethesda assay — 1 test 56.10
65162 Examination of a maternal blood film for the presence of fetal red blood cells (Kleihauer test) 10.25
65165 Detection and quantitation of fetal red blood cells in the maternal circulation by detection of red cell surface antigens using flow cytometric methods including (if performed) any test described in item  65069 or 65162 34.00

Group P2 — Chemical

66500 Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter or electrophoresis) of: acetoacetate, acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, beta-hydroxybutyrate, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, pyruvate, sodium, total protein, urate or urea — 1 test 9.55
66503 2 tests described in item 66500 11.60
66506 3 tests described in item 66500 13.65
66509 4 tests described in item 66500 15.70
66512 5 tests described in item 66500 17.75
66515 6 or more tests described in item 66500 19.80
66518 Investigation of cardiac or skeletal muscle damage by measurement of creatine kinase isoenzymes (by any method), troponin or myoglobin in plasma or serum — 1 or more tests in a 24 hour period 19.80
66521 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
66524 A service described in item 66521 and 1 test described in item 66500 13.65
66527 A service described in item 66521 and 2 tests described in item 66500 15.70
66530 A service described in item 66521 and 3 tests described in item 66500 17.75
66533 A service described in item 66521 and 4 or more tests described in item 66500 19.80
66536

Quantitation of HDL cholesterol or apolipoprotein B/A1 ratio in a patient who:

(a)     has a serum cholesterol level >5.5mmol/L; or

(b)     has a fasting serum triglyceride level >2.0 mmol/L; or

(c)     is on a lipid lowering drug prescribed by a medical practitioner;

each episode to a maximum of 4 episodes in a 12 month period

(Item is subject to rule 9)

12.35
66539 Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the diagnosis of types III and IV hyperlipidaema — each episode to a maximum of 2 episodes in a 12 month period 30.20
66542

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;

(c)     (if performed) any test described in item 66695

17.70
66545

Oral glucose challenge test in pregnancy for the detection of gestational diabetes that includes:

(a)     administration of glucose; and

(b)     1 or 2 measurements of blood glucose; and

(c)     (if performed) any test in item 66695

1 patient episode in a pregnancy

13.60
66548

Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabetes that includes:

(a)     administration of glucose; and

(b)     at least 3 measurements of blood glucose; and

(c)     (if performed) any test in item 66695

1 patient episode in a pregnancy

17.70
66551 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
66554 Quantitation of glycosylated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant — each test to a maximum of 6 tests in a 12 month period which includes the whole pregnancy, including a service in item 66551 (if performed) 16.60
66557 Quantitation of fructosamine performed in the management of established diabetes — each test to a maximum of 4 tests in a 12 month period 9.55
66560 Microalbumin in proven diabetes mellitus —  quantitation in urine — 1 or more tests 19.90
66563 Osmolality, estimation by osmometer, in serum or in urine — 1 or more tests 24.35
66566

Quantitation of:

(a)     blood gases (including pO2, oxygen saturation and pCO2 ); and

(b)     bicarbonate and pH;

including any other measurement (eg haemoglobin, potassium or ionised calcium) or calculation performed on the same specimen — 1 or more tests on 1 specimen

33.25
66569 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 2 specimens performed within any 1 day 42.05
66572 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 3 specimens performed within any 1 day 50.85
66575 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 4 specimens performed within any 1 day 59.65
66578 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 5 specimens performed within any 1 day 68.45
66581 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 6 or more specimens performed within any 1 day 77.25
66584 Quantitation of ionised calcium (except if performed as part of item 66566) — 1 test 9.55
66587 Urine acidification test for the diagnosis of renal tubular acidosis including the administration of an acid load, and pH measurements on 4 or more urine specimens and at least 1 blood specimen 46.90
66590 Calculus, analysis of 1 or more 30.20
66593 Ferritin — quantitation, except if requested as part of iron studies 19.90
66596

Iron studies, consisting of quantitation of:

(a)     serum iron; and

(b)     transferrin or iron binding capacity; and

(c)     ferritin

36.70
66599

Serum B12 or red cell folate and, if required, serum folate

(Item is subject to rule 23)

$24.35
66602

Serum B12 and red cell folate and, if required, serum folate

(Item is subject to rule 23)

$44.45
66605 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
66608 Vitamin D or D fractions — 1 or more tests 41.70
66611

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
66614

2 tests described in item 66611

(Item is subject to rule 6)

28.65
66617

3 or more tests described in item 66611

(Item is subject to rule 6)

36.85
66620

Tests described in item 66611, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 — each test to a maximum of 2 tests

(Item is subject to rule 6)

8.20
66623

All qualitative and quantitative tests on blood, urine or other body fluid for:

(a)     a drug or drugs of abuse (including illegal drugs and legally available drugs taken other than in appropriate dosage); or

(b)     ingested or absorbed toxic chemicals;

including a service described in item 66611, 66614 or 66617 (if performed), but excluding:

(c)     the surveillance of sports people and athletes for performance improving substances; and

(d)     the monitoring of patients participating in a drug abuse treatment program

41.00
66626

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:

(a)     participating in a drug abuse treatment program; or

(b)     being monitored for drug effects;

but excluding the surveillance of sports people and athletes for performance improving substances;

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
66629 Beta-2-microglobulin — quantitation in serum, urine or other body fluids — 1 or more tests 19.90
66632 Caeruloplasmin, haptoglobins, or prealbumin — quantitation in serum, urine or other body fluids — 1 or more tests 19.90
66635 Alpha‑1‑antitrypsin — quantitation in serum, urine or other body fluid — 1 or more tests 19.90
66638 Isoelectric focussing or similar methods for determination of alpha‑1‑antitrypsin phenotype in serum — 1 or more tests 28.80
66641

Electrophoresis of serum or other body fluid to demonstrate:

(a)     the isoenzymes of lactate dehydrogenase; or

(b)     the isoenzymes of alkaline phosphatase;

including the preliminary quantitation of total relevant enzyme activity — 1 or more tests

28.80
66644 C-1 esterase inhibitor — quantitation 19.90
66647 C-1 esterase inhibitor — functional assay 44.50
66650 Alpha‑fetoprotein, CA‑15.3 antigen (CA15.3), CA‑125 antigen (CA125), CA‑19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), mammary serum antigen (MSA), thyroglobulin in serum or other body fluid, in the monitoring of malignancy — quantitation — 1 test 20.50
66653 2 or more tests described in item 66650 37.75
66656 Prostate specific antigen or prostate acid phosphatase — quantitation in the confirmation or monitoring of malignancy — 1 test 19.90
66659 2 tests described in item 66656 36.65
66662 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
66665 Lead quantitation in blood or urine (other than for occupational health screening purposes) to a maximum of 3 tests in a 6 month period — each test 30.20
66668 Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium,  strontium, or zinc, in blood, urine or other body fluid or tissue — 1 or more tests in a 6 month period 36.40
66671 Quantitation of serum aluminium in a patient in a renal dialysis program — each test 36.40
66674

Quantitation of:

(a)     faecal fat; or

(b)     breath hydrogen in response to loading with disaccharides;

1 or more tests within a 28 day period

39.45
66677 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
66680 Quantitation of disaccharidases and other enzymes in intestinal tissue — 1 or more tests 73.45
66683 Enzymes — quantitation in solid tissue or tissues other than blood elements or intestinal tissue — 1 or more tests 73.45
66686

Performance of 1 or more of the following procedures:

(a)     growth hormone suppression by glucose loading;

(b)     growth hormone stimulation by exercise;

(c)     dexamethasone suppression test;

(d)     sweat collection by iontophoresis for chloride analysis;

(e)     pharmacological stimulation of growth hormone

50.00
66689

Personal performance by a recognised pathologist of 1 of the following procedures:

(a)     gonadotrophin releasing hormone stimulation test;

(b)     synacthen stimulation test;

(c)     glucagon stimulation test with C‑peptide measurement;

(d)     pentagastrin or calcium stimulation of thyrocalcitonin release;

(e)     secretin or calcium stimulation of gastrin release;

(f)     insulin hypoglycaemia;

(g)     arginine infusion;

(h)     thyrotrophin releasing hormone (TRH) test

80.00
66692 Personal performance by a recognised pathologist of 2 or more tests described in item 66689 140.00
66695 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(IGF ‑1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (antidiuretic hormone) — 1 test 31.55
66698

2 tests described in item 66695

(Item is subject to rule 6)

42.55
66701

3 tests described in item 66695

(Item is subject to rule 6)

53.55
66704

4 tests described in item 66695

(Item is subject to rule 6)

64.55
66707

5 tests described in item 66695

(Item is subject to rule 6)

75.55
66710 6 or more tests described in item 66695
(Item is subject to rule 6)
86.55
66713

Tests described in item 66695, 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
66716 TSH quantitation 31.55
66719

Thyroid function tests (comprising the service described in item 66716 and 1 or more of the following tests — estimation of free thyroxine index, free thyroxine, free T3, total T3, thyroxine binding globulin) for a patient, if at least 1 of the following conditions is satisfied:

(a)     the patient has an abnormal level of TSH;

(b)     the tests are performed:

         (i)     for the purpose of monitoring thyroid         disease in the patient; or

         (ii)     to investigate the sick euthyroid         syndrome if the patient is an admitted         patient; or

         (iii)    to investigate dementia or psychiatric         illness of the patient; or

         (iv)    to investigate amenorrhoea or         infertility of the patient;

(c)     the medical practitioner who requested the tests suspects the patient has a pituitary dysfunction;

(d)     the patient is on drugs that interfere with thyroid hormone metabolism or function

(Item is subject to rule 10)

41.00
66722

TSH quantitation described in item 66716 and 1 test described in item 66695

(Item is subject to rule 6)

42.55
66725

TSH quantitation described in item 66716 and 2 tests described in item 66695

(Item is subject to rule 6)

53.55
66728

TSH quantitation described in item 66716 and 3 tests described in item 66695

(Item is subject to rule 6)

64.55
66731

TSH quantitation described in item 66716 and 4 tests described in item 66695

(Item is subject to rule 6)

75.55
66734

TSH quantitation described in item 66716 and 5 tests described in item 66695

(Item is subject to rule 6)

66737

Tests described in items 66716 and 66695, if rendered under a request mentioned in subparagraph (2) (a) (iii) of rule 6 — each test to a maximum of 5 tests

(Item is subject to rule 6)

11.05
66740 Quantitation, in 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 66743, 66746, 73527 and 73529 (if performed) — 1 patient episode in a pregnancy 54.50
66743 Quantitation of alpha-fetoprotein in serum or other body fluids during pregnancy except if requested as part of item 66740 19.90
66746 Human placental lactogen or oestriol-quantitation, except if requested as part of item 66740 — 1 test 31.55
66749

Amniotic fluid, spectrophotometric examination of, and quantitation of:

(a)     lecithin/sphingomyelin ratio; or

(b)     palmitic acid, phosphatidylglycerol orlamellar body phospholipid; or

(c)     bilirubin, including correction for haemoglobin

1 or more tests

32.50
66752 Quantitation of citrate, oxalate, total free fatty acids or amino acids including cysteine, homocysteine, cystine and hydroxyproline (except if performed as part of item 66773 or 66776) — 1 test 24.35
66755 2 or more tests described in item 66752 38.30
66758 Quantitation of angiotensin converting enzyme, or cholinesterase — 1 or more tests 24.35
66761 Test for reducing substances in faeces by any method (except reagent strip or dipstick) 13.00
66764

Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces) by:

(a)     an immunological method; and

(b)     a chemical method (except reagent strip or dip stick);

with a maximum of 3 examinations on specimens collected on separate days in a 28 day period — 1 examination by both methods

8.80
66767 2 examinations by both methods described in item 66764 performed on separately collected and identified specimens 17.60
66770 3 examinations by both methods described in item 66764 performed on separately collected and identified specimens 26.40
66773 Quantitation of products of collagen breakdown for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66752 — 1 or more tests 24.35
66776 Quantitation of products of collagen breakdown for the monitoring of patients with metabolic bone disease or Paget’s disease of bone, and if performed, a service described in item 66752 — 1 or more tests 24.35
66779 Adrenaline, noradrenaline, dopamine, histamine, hydroxyindoleacetic acid (5HIAA), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), phenylacetic acid (PAA) or serotonin — quantitation — 1 or more tests 39.45
66782 Porphyrins or porphyrins precursors — detection in plasma, red cells, urine or faeces — 1 or more tests 13.00
66785 Porphyrins or porphyrins precursors — quantitation in plasma, red cells, urine or faeces — 1 test 39.45
66788 Porphyrins or porphyrins precursors — quantitation in plasma, red cells, urine or faeces — 2 or more tests 65.00
66791 Porphyrin biosynthetic enzymes — measurement of activity in blood cells or other tissues — 1 or more tests 73.45
66794

Detection of the C282Y genetic mutation for haemochromatosis where:

(a)     the patient has an elevated transferrin saturation or elevated serum ferritin on testing of repeated specimens; or

(b)     the patient has a first degree relative with haemochromatosis or with homozygosity for the C282Y genetic mutation;

not exceeding 1 episode in a 3 year period

(Item is subject to rule 22)

36.00

Group P3 — Microbiology

69300

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

(d)     stained preparation or preparations using any relevant stain or stains;

1 or more tests

12.20
69303

Culture and (if performed) microscopy to detect pathogenic micro‑organisms (including fungi but excluding viruses) from nasal swabs, throat swabs, eye swabs and ear swabs (excluding swabs taken for epidemiological surveillance), including (if performed):

(a)     pathogen identification and antibiotic susceptibility testing; or

(b)     the detection of antigens not elsewhere described in this table; or

(c)     a service described in item 69300;

specimens from 1 or more sites

21.50
69306

Microscopy and culture to detect pathogenic micro-organisms (including fungi but excluding viruses) from skin or other superficial sites, including (if performed):

(a)     the detection of antigens not elsewhere specified in this table; or

(b)     pathogen identification and antibiotic susceptibility testing; or

(c)     a service described in items 69300, 69303, 69312, 69318 and 73810;

1 or more tests on 1 or more specimens

33.00
69309

Microscopy and culture to detect dermatophytes and other fungi causing cutaneous disease from skin scrapings, skin biopsies, hair and nails (excluding swab specimens) and including (if performed):

(a)     the detection of antigens not elsewhere specified in this table; or

(b)     a service described in items 69300, 69303, 69306, 69312, 69318 and 73810;

1 or more tests on 1 or more specimens

47.00
69312

Microscopy and culture to detect pathogenic micro‑organisms (including fungi but excluding viruses) from urethra, vagina, cervix or rectum (except for faecal pathogens), including (if performed):

(a)     the detection of antigens not elsewhere specified in this table; or

(b)     pathogen identification and antibiotic susceptibility testing; or

(c)     a service described in items 69300, 69303, 69306 and 69318;

1 or more tests on 1 or more specimens

33.00
69315

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

(b)     pathogen identification and antibiotic susceptibility testing; or

(c)     a service described in item 69300, 69303, 69306, 69312, 69318, 69363, 69369, 69372, 69375 or 73810;

1 or more tests on 1 or more specimens

64.00
69318

Microscopy and culture to detect pathogenic micro‑organisms (including fungi but excluding viruses) from specimens of sputum (except when part of items 69324, 69327, 69330), including (if performed):

(a)     the detection of antigens not elsewhere specified in this table; or

(b)     pathogen identification and antibiotic susceptibility testing; or

(c)     a service described in items 69300, 69303, 69306 and 69312;

1 or more tests on 1 or more specimens

33.00
69321

Microscopy and culture of post-operative 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):

(a)     pathogen identification and antibiotic susceptibility testing; or

(b)     the detection of antigens not elsewhere specified in this table; or

(c)     a service described in item 69300, 69303 or 69306, 69312 or 69318;

specimens from 1 or more sites

47.00
69324

Microscopy with appropriate stains and culture of 1 specimen of sputum, urine, other body fluids or operative or biopsy specimens for mycobacteria including (if performed):

(a)     microscopy and culture of other bacterial pathogens; or

(b)     pathogen identification and antibiotic susceptibility testing;

including a service described in item 69300

42.00
69327

Microscopy with appropriate stains and culture of 2 specimens of sputum, urine, other body fluids or operative or biopsy specimens for mycobacteria including (if performed):

(a)     microscopy and culture of other bacterial pathogens; or

(b)     pathogen identification and antibiotic susceptibility testing;

including a service described in item 69300

83.00
69330

Microscopy with appropriate stains and culture of 3 specimens of sputum, urine, other body fluids or operative or biopsy specimens for mycobacteria including (if performed):

(a)     microscopy and culture of other bacterial          pathogens; or

(b)     pathogen identification and antibiotic          susceptibility testing;

including a service described in item 69300

125.00
69333

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; and

(d)     (if performed) stained preparations; and

(e)     (if performed) identification of cultured pathogens; and

(f)     (if performed) antibiotic susceptibility testing; and

(g)     (if performed) examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts

20.55
69336 Microscopy of faeces for parasites using concentration techniques (including the use of appropriate stains) with a maximum of 3 examinations on specimens collected on separate days, including (if performed) a service described in item 69300 — 1 examination 18.65
69339 2 examinations described in item 69336 performed on separately collected and identified specimens 37.25
69342 3 examinations described in item 69336 performed on separately collected and identified specimens 55.90
69345

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):

(a)     pathogen identification and antibiotic susceptibility testing; and

(b)     the detection of clostridial toxins or antigens not elsewhere specified in this table; and

(c)     a service described in item 69300;

with a maximum of 3 examinations performed on separately collected and identified specimens in any 7 day period — 1 examination

51.65
69348 2 examinations described in item 69345 performed on separately collected and identified specimens 103.30
69351 3 examinations described in item 69345 performed on separately collected and identified specimens 154.95
69354

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

30.00
69357 2 sets of cultures described in item 69354 60.00
69360 3 sets of cultures described in item 69354 90.00
69363 Detection of clostridium difficile or clostridium difficile toxin (except if a service described in items 69345, 69348, 69351, 69369 or 69372 has been performed) — 1 or more tests 25.00
69366

Test for Helicobacter pylori in faeces, for either:

(a)     the confirmation of Helicobacter pylori colonisation:

         (i)     where suitable biopsy material for         diagnosis cannot be obtained at         endoscopy in patients with peptic ulcer         disease, or where the diagnosis of      peptic ulcer has been made on barium         meal; or

         (ii)     in patients with a history of peptic         ulcer disease or gastric neoplasia,          where endoscopy is not indicated; or

(b)     the monitoring of the success of eradication  therapy for Helicobacter pylori in patients with peptic ulcer disease;

where any request for the test by a medical practitioner specifically identifies in writing one or more of the clinical indications for the test

34.10
69369 Detection of chlamydia by any method in specimens from 1 or more sites 27.80
69372 Detection of microbial antigens (except if the service described in item 69369 has been performed) — 1 or more tests 25.00
69375 Examination for Herpes simplex virus, varicella zoster virus or cytomegalovirus by culture, including a service described in item 69369 or 69372 (if performed) — 1 or more tests $28.20
69378 Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV sero-positive patient not on antiretroviral therapy — 1 or more assays on 1 or more specimens in any 1 episode $176.00
69381 Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV sero-positive patient — 1 or more assays on 1 or more specimens in any 1 episode $176.00
69382 Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV sero‑positive patient — 1 or more assays on 1 or more specimens in any 1 episode $176.00
69384

Quantitation of 1 antibody to microbial or exogenous antigens not elsewhere described in the Schedule — 1 test

(Item is subject to rule 6)

15.30
69387

2 tests described in item 69384

(Item is subject to rule 6)

27.15
69390

3 tests described in item 69384

(Item is subject to rule 6)

38.15
69393

4 tests described in item 69384

(Item is subject to rule 6)

49.15
69396

5 tests described in item 69384

(Item is subject to rule 6)

60.15
69399 6 or more tests described in item 69384 71.15
69402

Tests described in item 69384, 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
69405

Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including:

(a)     the determination of 1 of the following: rubella immune status, specific syphilis serology, hepatitis B surface antigen; and

(b)     (if performed) a service described in 1 or more of items 69384, 69414 to 69435, 69447 to 69456, 69462 and 69465

15.30
69408

Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including:

(a)     the determination of 2 of the following — rubella immune status, specific syphilis serology or, hepatitis B surface antigen; and

(b)     (if performed) a service described in 1 or more of items 69384, 69414 to 69435, 69447 to 69456, 69462 and 69465

27.15
69411

Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including:

(a)     the determination of all 3 of the following: rubella immune status, specific syphilis serology and, Hepatitis B surface antigen; and

(b)     (if performed) a service described in 1 or more of items 69384, 69414 to 69435, 69447 to 69456, 69462 and 69465

38.15
69414

Investigation for acute Hepatitis A using:

 Hepatitis A IgM antibody test

(Item is subject to rule 12)

15.30
69417

Determination of immune status to Hepatitis A using:

      Hepatitis A IgG antibody test

(Item is subject to rule 12)

15.30
69420

Investigation for acute or resolving Hepatitis B, or testing of close, recent contacts of proven Hepatitis B infection, including:

(a)     Hepatitis B surface antigen test; and

(b)     Hepatitis B core antibody test; and

(c)     if performed, Hepatitis B e antibody test (where the Hepatitis B surface antigen test is negative and Hepatitis B core antibody test is positive)

(Item is subject to rule 12)

27.15
69423

Investigation for resolution of Hepatitis B if the Hepatitis B core antibody test is positive and the Hepatitis B surface antigen test is negative, including:

(a)     Hepatitis B core antibody test; and

(b)     Hepatitis B surface antigen test; and

(c)     Hepatitis B surface antibody test

(Item is subject to rule 12)

38.15
69426

Determination of immune status to Hepatitis B (post exposure) using:

       Hepatitis B core antibody test

(Item is subject to rule 12)

15.30
69429

Determination of immune status to Hepatitis B (post vaccination) using:

       Hepatitis B surface antibody test 

(Item is subject to rule 12)

15.30
69432

Investigation for chronic Hepatitis B or determination of carriage of Hepatitis B antigen using:

       Hepatitis B surface antigen test

(Item is subject to rule 12)

15.30
69435

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 12)

27.15
69438

Testing for Hepatitis C using:

Hepatitis C antibody test

(Item is subject to rule 12)

16.70
69441

Supplementary testing for Hepatitis C antibodies using a different Hepatitis C antibody assay on the specimen which has a reactive result on the initial Hepatitis C antibody test

(Item is not subject to rule 12)

16.70
69444

Detection of Hepatitis C viral RNA if at least 1 of the following criteria is satisfied:

(a)     the patient is Hepatitis C sero‑positive and has normal liver function tests on 2 occasions at least 6 months apart;

(b)     the patient’s serological status is uncertain after testing;

(c)     the test is performed for the purpose of:

         (i)     determining the Hepatitis C status of         an immunosuppressed or              immunocompromised patient; or

         (ii)     the detection of acute Hepatitis C prior         to seroconversion where considered         necessary for the clinical management         of the patient;

not exceeding 1 episode in a 12 month period

(Item is subject to rule 21)

90.00
69447

Investigation for acute or chronic Hepatitis D in a patient with a positive Hepatitis B surface antigen test using:

       Hepatitis D antibody test

(Item is subject to rule 12)

15.30
69450

Determination of immune status to Hepatitis A and Hepatitis B, including:

(a)     Hepatitis A IgG antibody test; and

(b)     Hepatitis B core antibody test or Hepatitis B surface antibody test

(Item is subject to rule 12)

27.15
69453

Investigation for chronic viral hepatitis, or Hepatitis B or Hepatitis C carriage, including:

(a)     Hepatitis B surface antigen test; and

(b)     Hepatitis C antibody test

(Item is subject to rule 12)

28.55
69456

Investigation for chronic viral hepatitis, or Hepatitis B or Hepatitis C carriage, if 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 12)

39.55
69459

Investigation for acute Hepatitis A, Hepatitis B, Hepatitis C and Hepatitis D 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

(e)     if performed, Hepatitis B e antibody test (if Hepatitis B surface antigen test is negative and Hepatitis B core antibody test is positive); and

(f)     if performed, Hepatitis D antibody test (if Hepatitis B surface antigen test is positive)

(Item is subject to rule 12)

50.55
69462

Determination of immune status to Hepatitis B and testing for Hepatitis C, including:

(a)     Hepatitis C antibody test; and

(b)     Hepatitis B core antibody test or Hepatitis B surface antibody test

(Item is subject to rule 12)

28.55
69465

Syphilis serology and any 1 of item 69435, 69438 or 69453

(Item is subject to rule 12)

38.15
69468

Investigation for acute Hepatitis A and Hepatitis C in a patient with a currently elevated transaminase level, including:

(a)     Hepatitis A IgM antibody test; and

(b)     Hepatitis C antibody test

(Item subject to rule 12)

30.20
69471 Test of cell‑mediated immunity in blood for the detection of active tuberculosis or atypical mycobacterial infection in an immunosuppressed or immunocompromised patient — 1 test 34.10

Group P4 — Immunology

71057

Electrophoresis, quantitative and qualitative, of serum, urine or other body fluid all collected within a 28 day period, to demonstrate:

(a)     protein classes; or

(b)     presence and amount of paraprotein;

including the preliminary quantitation of total protein, albmin and globulin — 1 specimen type

35.20
71058 Examination as described in item 71057 of 2 or more specimen types 49.85
71059

Electrophoresis and immunofixation or immuno electrophoresis or isoelectric focussing of:

(a)     urine for detection of Bence Jones proteins; and 

(b)     serum, plasma or other body fluid;

and characerisation, if detected, of a paraprotein or cryoglobulin not previously characterised — examination of 1 specimen type (eg serum, urine or CSF)

28.80
71060 Examination as described in item 71059 of 2 or more specimen types 43.45

71062

Electrophoresis and immunofixation or immuno electrophoresis or isoelectric focussing of CSF for the detection of oligoclonal bands and including if required electrophoresis of the patient’s serum for comparison purposes — 1 or more tests

43.45

71064 Detection and quantitation of cryoglobulins or cryofibrinogen — 1 or more tests 20.45
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 Quantitation of all 4 immunoglobulin G subclasses — each patient episode 104.75
71075 Quantitation of immunoglobulin E (total), with a maximum of 2 patient episodes in any 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 26.50
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
71095 Quantitation of serum or plasma eosinophil cationic protein, or both, to a maximum of 3 assays in 1 year, for monitoring the response to therapy in corticosteroid treated asthma, in a child aged less than 12 years 40.00
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 Antibodies to tissue antigens (acetylcholine receptor, adrenal cortex, cardiolipin, glomerular basement membrane, heart, histone, insulin, insulin receptor, intrinsic factor, islet cell, lymphocyte, neuron, neutrophil cytoplasm, ovary, parathyroid, platelet, salivary gland, skeletal muscle, skin basement membrane and intercellular substance, thyroglobulin, thyroid microsome or thyroid stimulating hormone receptor) — detection, including quantitation if required, 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:

(a)     proliferation induced by 1 or more mitogens; or

(b)     proliferation induced by 1 or more antigens; or

(c)     estimation of 1 or more mixed lymphocyte reactions;

including a test described in item 65063 or 65066 (if performed), with a maximum of 2 patient episodes in a 12 month period — each patient episode

174.05
71129 2 tests described in item 71127 215.00
71131 3 or more tests described in item 71127 255.95
71135

Quantitation of neutrophil function, comprising at least 2 of the following:

(a)     chemotaxis;

(b)     phagocytosis;

(c)     oxidative metabolism;

(d)     bactericidal activity;

including any test described in item 65063 or 65066 (other than nitroblue tetrazolium reduction slide test), with a maximum of 2 patient episodes in a 12 month period — each patient episode

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 40.00
71149 Complete tissue typing for 4 HLA-A and HLA-B Class I antigens (including any separation of leucocytes), including (if performed) a service described in item 71147 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

Group P5 — Tissue pathology

72813

Examination of complexity level 2 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions — 1 or more separately identified specimens

(Item is subject to rule 14)

79.00
72816

Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions — 1 separately identified specimen

(Item is subject to rule 14)

84.50
72817

Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions — 2 or more separately identified specimens

(Item is subject to rule 14)

94.50
72823

Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions — 1 separately identified specimen

(Item is subject to rule 14)

95.00
72824

Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions — 2 to 4 separately identified specimens

(Item is subject to rule 14)

126.00
72825

Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions — 5 or more separately identified specimens

(Item is subject to rule 14)

161.00
72830

Examination of complexity level 5 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions — 1 or more separately identified specimens

(Item is subject to rule 14)

150.00
72836

Examination of complexity level 6 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions — 1 or more separately identified specimens

(Item is subject to rule 14)

180.00
72844 Enzyme histochemistry of skeletal muscle for investigation of primary degenerative or metabolic muscle diseases or of muscle abnormalities secondary to disease of the central or peripheral nervous system — 1 or more tests 30.00
72846

Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen — 1 to 3 antibodies

(Item is subject to rule 14)

42.00
72847

Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen — 4 or more antibodies

(Item is subject to rule 14)

56.00
72851

Electron microscopic examination of biopsy material — 1 separately identified specimen

(Item is subject to rule 14)

180.00
72852

Electron microscopic examination of biopsy material — 2 or more separately identified specimens

(Item is subject to rule 14)

240.00
72855

Intraoperative frozen section diagnosis of biopsy material — 1 separately identified specimen

(Item is subject to rule 14)

180.00
72856

Intraoperative frozen section diagnosis of biopsy material — 2 or more separately identified specimens

(Item is subject to rule 14)

240.00

Group P6 — Cytology

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:

(a)     specimens resulting from washings or brushings from sites not specified in item 73043; or

(b)     a single specimen of sputum or urine; or

(c)     1 or more specimens of other body fluids;

1 or more tests

45.00
73047 Cytology of a series of 3 sputum or urine specimens for malignant cells 90.00
73049 Cytology material obtained directly from a patient by fine needle aspiration of solid tissue or tissues 65.00
73051

Cytology material obtained directly from a patient by fine needle aspiration of solid tissue or tissues if:

(a)     the aspiration is performed by a recognised pathologist; or

(b)     a recognised pathologist attends the aspiration and performs cytological examination during the attendance

73053

Cytology of smears from cervix:

(a)     for detection of precancerous or cancerous changes in women with no symptoms, signs or recent history suggestive of cervical neoplasia; or

(b)     due to an unsatisfactory smear taken in the circumstances defined in paragraph (a) above; or

(c)     if there is inadequate information provided to use item 73055;

each examination

17.80
73055

Cytology not associated with item 73053, of smears from cervix in association with:

(a)     the management of previously detected abnormalities including precancerous or cancerous conditions; or

(b)     the investigation of women with symptoms, signs or recent history suggestive of cervical neoplasia;

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
73059 Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen — 1 to 3 antibodies 42.00
73060 Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen — 4 or more antibodies 56.00

Group P7 — Cytogenetics

73287 Chromosome studies, including preparation, count, karyotyping and identification by banding techniques or fragile X-site determination of 1 or more of any tissue or fluid except blood — 1 or more tests 344.00
73289 Chromosome studies, including preparation, count, karyotyping and identification by banding techniques or fragile X-site determination of blood — 1 or more tests 311.70

Group P8 — Infertility and  pregnancy tests

73521 Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner’s test) 9.50
73523

Semen examination (other than post-vasectomy semen examination), including:

(a)     measurement of volume, sperm count and motility; and

(b)     examination of stained preparations; and

(c)     morphology; and

(d)     (if performed) differential count and 1 or more chemical tests;

with a maximum of 4 episodes in a 12 month period — each episode

41.20
73525 Sperm antibodies — sperm-penetrating ability — 1 or more tests 18.20
73527 Chorionic gonadotrophin (beta‑HCG) — detection 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 item 73527 — 1 test 28.25

Group P9 — Simple basic pathology tests

73801 Semen examination for presence of spermatozoa 6.75
73802 Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count — 1 test 4.45
73803 2 tests described in item 73802 6.20
73804 3 or more tests described in item 73802 7.95
73805 Microscopy of urine, whether stained or not, or catalase test 4.45
73806 Pregnancy test by 1 or more immunochemical methods 9.90
73807 Microscopy for wet film other than urine, including any relevant stain 6.75
73808 Microscopy of Gram-stained film, including (if performed) a service described in item 73805 or 73807 8.45
73809 Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method 2.30
73810 Microscopy for fungi in skin, hair or nails — 1 or more sites 6.75
73811 Mantoux test 10.95

Group P10 — Patient episode initiation

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 7.95
73903 Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72823, 72824, 72825, 72830 and 72836 from a person who is an in-patient of a hospital other than a recognised hospital 14.15
73905 Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72823, 72824, 72825, 72830 and 72836 from a person who is not an in-patient of a private hospital and not a patient of a recognised hospital 7.85
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 17.00
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 17.00
73910 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 person was residing 10.35
73912 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 a nursing home or institution 17.00
73913 Initiation of a patient episode by collection of a specimen for a service (other than a service described in items 73901, 73903, 73905, 73907 or items in Group P9) if the specimen is collected from the person by the person 10.35
73915 Initiation of a patient episode by collection of a specimen for a service (other than a service described in items 73901, 73903, 73905 or items in Group P9) if the specimen is collected by or on behalf of the treating practitioner 10.35

Group P11 — Specimen referred

73921

Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of a different approved pathology authority or another approved pathology authority

(Item is subject to subrule 15 (9))

10.35

Part 3           Abbreviations

Test Abbreviation Item
Abnormal haemoglobins AH 65117
Acid phosphatase ACP 66500
Acetoacetate ACAT 66500
Acetylcholine receptor — tissue antigens — antibodies ARA 71109
Actinomycetes — microbial antibody testing ACT 69384
Activated Protein C resistance APC 65141
Adenovirus — microbial antibody testing ADE 69384
Adrenal cortex — tissue antigens — antibodies ADR 71109
Adrenocorticotrophic hormone (ACTH) ACTH 66695
AFB microscopy & culture of sputum AFB 69324-30
Alanine aminotransferase ALT 66500
Albumin ALB 66500
Alcohol (ethanol) ETOH 66626
Aldosterone ALDS 66695
Alkaline phosphatase ALP 66500
Alkaline phosphatase — isoenzymes ALPI 66641
Alpha-1-antitrypsin AAT 66635
Alpha-fetoprotein AFP 66743
Alpha-fetoprotein — for Down’s syndrome and neural tube defect testing NTDD 66740
Aluminium AL 66668
Aluminium — renal dialysis ALR 66671
Amino acids AA 66752
Amiodarone AMIO 66611
Amitriptyline AMIT 66611
Ammonia NH3 66500
Amniotic fluid examination AFE 66749
Amylase AMS 66500
Amylobarb AMYL 66611
Androstenedione ANDR 66695
Angiotensin converting enzyme ACE 66758
Antibiotic & antimicrobial chemotherapeutic agents — quantitation QAA 66611
Antibodies to extractable nuclear antigens — characterisation of antibodies if positive ENA ENAP 71103
Antibodies to extractable nuclear antigens — detection ENA 71101
Antibodies to nuclear antigens — detection ANA 71097
Antibodies to nuclear antigens — quantitation & measurement of DNA binding if positive ANA ANAP 71099
Antibodies to tissue antigens — acetylcholine receptor 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
Antibodies to tissue antigens — glomerular basement membrane GBA 71109
Antibodies to tissue antigens — heart AHE 71109
Antibodies to tissue antigens — histone AHI 71109
Antibodies to tissue antigens — insulin receptor antibodies INSA 71109
Antibodies to tissue antigens — intercellular cement substance of skin 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
Antibodies to tissue antigens — liver/kidney microsomes 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
Antibodies to tissue antigens — skin basement membrane SKA 71109
Antibodies to tissue antigens — smooth muscle SMA 71119
Antibodies to tissue antigens — thyroglobulin ATG 71109
Antibodies to tissue antigens — thyroid microsome TMA 71109
Antibodies to tissue antigens — TSH receptor antibody test TSHA 71109
Antibody testing, microbial (see Microbial)
Antigen testing, microbial (see Microbial)
Antithrombin III ATH 65132
Anus — cytology on specimens from SMCY 73043
Apolipoprotein B/A1 ratio APO 66536
Arginine infusion ARIN 66689
Arsenic AS 66668
Aspartate aminotransferase AST 66500
Aspergillus — microbial antibody testing ASP 69384
Avian precipitins (bird fancier’s disease) — microbial antibody testing APP 69384
B12 vitamin RCF 66602
Barbiturate BARB 66611
Beryllium BE 66668
Beta-2-microglobulin BMIC 66629
Beta-hydroxybutyrate BHYB 66500
Bicarbonate HCO3 66500
Bilirubin (all fractions) BILI 66500
Bilirubin (all fractions) — in urine UBIL 66500
Bilirubin (all fractions) — neonatal BILN 66749
Bird fancier’s disease (see avian precipitins) APP 69384
Blastomyces — microbial antibody testing BLM 69384
Blood — compatability testing XMAT 65099-108
Blood — culture BC 69354-60
Blood — faecal occult FOB 66764-70
Blood — film BF 65066
Blood — full examination FBE 65069
Blood — gases GAS 66566
Blood — group & blood group antibodies BGAB 65096
Blood — group antibodies BGA 65111
Blood — group systems BGS 65093
Blood — grouping — ABO & RH (D antigen) BG 65090
Blood — viscosity VISC 65060
Body cavities — aspirations of — microscopy & culture of material from MCS3 69321
Body fluids — cytology BFCY 73045
Bone — low mineral densities CBLB 66773
Bone — metabolic bone disease CBMB 66776
Bone marrow examination — aspirate BMEA 65087
Bone marrow examination — trephine BMET 65084
Bordetella pertussis — microbial antibody testing BOR 69384
Borrelia burgdorferi — microbial antibody testing BOB 69384
Breath hydrogen test BHT 66674
Bromide BRMD 66611
Brucella — microbial antibody testing  BRU 69384
C-l esterase inhibitor — functional CEIF 66647
C-l esterase inhibitor — quantitation CEIQ 66644
CA-125 antigen C125 66650
CA-15.3 antigen CA15 66650
Cadmium CD 66668
Caeruloplasmin CPLS 66632
CA-l9.9 antigen CA19 66650
Calcitonin CALT 66695
Calcium (total or corrected for albumin) CA 66500
Calculus analysis CALC 66590
Campylobacter jejuni — microbial antibody testing CAM 69384
Candida — microbial antibody testing CAN 69384
Carbamazepine (Tegretol) CARB 66611
Carboxyhaemaglobin COHB 65117
Carcinoembryonic antigen CEA 66650
Cardiac enzymes (see group tests in Division A) CE 66506
Cardiolipin — tissue antigens — antibodies ACL 71109
Catecholamines CAT 66779
Cell mediated immunity — delayed type — hypersensitivity test CMI 71137
Cell-mediated immunity in blood CMIB 69471
Centromere — tissue antigens — antibodies ACA 71119
Cervix —  cytology — abnormalities CCRA 73055
Cervix — cytology — routine CCR 73053
Cervix — microscopy & culture of material from MCS2 69312-15
Characterisation of antibodies if positive ENA ENAP 71103
Chemicals, toxic (ingested or absorbed) — assays DRGO 66623
Chlamydia — investigation by any method CHLM 69369
Chlamydia — microbial antibody testing CHL 69384
Chlamydia — microbial antigen testing CHLY 69315, 69369
Chloral hydrate CHHY 66611
Chlorazepate CHZP 66611
Chloride CL 66500
Chloroquine CLOQ 66611
Chlorpromazine CHLO 66611
Cholesterol CHOL 66521
Cholesterol — HDL HDLC 66536
Cholinesterase CHSE 66758
Chorionic gonadotrophin — for diagnosis of specified conditions HCGD 73529
Chorionic gonadotrophin — for Down’s syndrome and neural tube defect testing NTDD 66740
Chorionic gonadotrophin — for pregnancy diagnosis HCG 73527
Chromium CR 66668
Chromosome identification — studies — blood CSB 73289
Chromosome identification — studies — other than blood CS 73287
Chromosome identification and banding 73287-89
Cimetidine CMTD 66611
Clobazam CLOB 66611
Clomipramine CLOM 66611
Clonazepam (Rivotril) CLON 66611
Clostridium difficile — microbial antigen testing CLDT 69363
Coagulation — factors (see individual factors)
Coagulation — studies (see group tests in Division A) COAG 65120
Coccidioides — microbial antibody testing CCC 69384
Cold agglutinins CAG 65114
Collagen — low bone CBLB 66773
Collagen — metabolic disease CBMB 66776
Compatability testing XMAT 65099-108
Complement, total haemolytic COM 71081
Complement, total haemolytic — components C3 C3 71083
Complement, total haemolytic — components C4 C4 71083
Complement, total haemolytic — other components COMP 71089
Complement, total haemolytic — properdin factor B PFB 71083
Copper CU 66668
Cortisol CORT 66695
Coxsackie B1-6 — microbial antibody testing  COX 69384
C-Peptide CPEP 66695
C-reactive protein CRP 66500
Creatine kinase CK 66500
Creatine kinase — isoenzymes CKI 66518
Creatine kinase — isoenzymes (electrophoresis) CKIE 66518
Creatinine C 66500
Cryofibrinogen — qualitative CFID 71064
Cryofibrinogen — quantitative CFIE 71064
Cryoglobulins — investigation by immunoelectrophoresis or  immunofixation  RYO 71059
Cryoglobulins — qualitative CGLD 71064
Cryoglobulins — quantitative CGLE 71064
Cryptococcal antigen — microbial antigen testing CRYN 69372
Cryptococus — microbial antibody testing CRY 69384
CSF — microscopy & culture of material from MCS3 69321
CSF antigens — group B streptococcus STB 69372
CSF antigens — Haemophilus influenzae HI 69372
CSF antigens — Neisseria meningitidis NMG 69372
CSF antigens — Streptoccus pneumoniae SPN 69372
Cultural examination of faeces FCS 69345-51
Cyclic AMP CAMP 66695
Cyclosporin A CLSA 66611
Cystine — qualitative UCYS 66752
Cystine — quantitative CYST 66752
Cytology — fine needle aspiration of solid tissues FNCY 73049
Cytology — fine needle aspiration of solid tissues — aspiration or attendance by a pathologist  FNCP 73051
Cytology — from 3 sputum or urine specimens SPCY 73047
Cytology — from body fluids, sputum (1 specimen), urine, washings or brushings BFCY 73045
Cytology — from cervix — abnormalities CCRA 73055
Cytology — from cervix — routine CCR 73053
Cytology — from skin, nipple discharge, lip, mouth, nose or anus SMCY 73043
Cytology — from vagina CVO 73057
Cytomegalovirus — microbial antibody testing CMV 69384
Cytomegalovirus serology in pregnancy — microbial antibody testing  CMVP 69405-11
D vitamin VITD 66608
D-dimer test DD 65120
Dehydroepiandrosterone sulphate (DHEAS) DHEA 66695
Dengue — microbial antibody testing DEN 69384
11 — Deoxycortisol DCOR 66695
Desipramine DESI 66611
Determination HepB/HepC HBC 69462
Dexamethasone DXST 66686
Dexamethasone — suppression test DEXA 66686
DHEAS (Dehydroepiandrosterone sulphate) DHEA 66695
Diazepam DIAZ 66611
Differential cell count DIFF 65063
Digoxin DIG 66611
Dihydrotestosterone DHTS 66695
Diphenylhydantoin (Dilantin) DIL 66611
Diphtheria — microbial antibody testing DIP 69384
Direct Coombs test CMBS 65114
Disopyramide (Rythmodan) DISO 66611
DNA binding — quantitation & measurement if positive ANA ANAP 71099
DNA, double-stranded antibodies DNAD 71099
Donath Landsteiner antibody test DLAT 65075
Down’s syndrome and neural tube defects NTDD 66740
Doxepin hydrochloride DOXE 66611
Drugs — abuse treatment programme — assay DATP 66626
Drugs — inappropriate dosage — assay DRGO 66623
Drugs — therapeutic — assay (see individual drugs) 66611
Drugs not listed must be written in full
Dynamic function tests GHSE 66686
Ear — microscopy & culture of material from MCS1 69303
Echinococcus — microbial antibody testing ECC 69384
Echis test ECHI 65120
Echo-coxsackie group — microbial antibody testing ECH 69384
Electrolytes (see group tests in Division A) E 66509
Electron microscopy of biopsy material EM 72851-52
Electrophoresis, to demonstrate — creatine kinase isoenzymes CKIE 66518
Electrophoresis, to demonstrate — lactate dehydrogenase isoenzymes LDI 66641
Electrophoresis, to demonstrate — lipoprotein subclasses LEPG 66539
Electrophoresis, to demonstrate — protein classes, or paraprotein EPP1 71057
Elements (see individual elements)
Entamoeba histolytica — microbial antibody testing AMO 69384
Enzyme assays of solid tissue or tissues ENZS 66683
Enzyme histochemistry of skeletal muscle EHSK 72844
Eosinophil cationic protein ECP 71095
Epstein Barr virus — microbial antibody testing EBV 69384
Erythrocyte — assessment of haemolysis ERYH 65075
Erythrocyte — assessment of metabolic enzymes ERYM 65075
Erythrocyte — count RCC 65063
Erythrocyte — sedimentation rate ESR 65060
Ethosuximide (Zarontin) ETHO 66611
Euglobulin clot lysis time ECLT 65132
Extractable nuclear antigens — detection of antibodies to ENA 71101
Eye — microscopy & culture of material from MCS1 69303
Factor II FII 65150
Factor IX FIX 65150
Factor V FV 65150
Factor VII  FVII 65150
Factor VIII VIII 65150
Factor X FX 65150
Factor XI FXI 65150
Factor XII FXII 65150
Factor XIII XIII 65150
Factor XIII deficiency test F13D 65120
Faecal antigen test for Helicobacter pylori FAHP 69366
Faecal blood FOB 66764-70
Faecal fat FFAT 66674
Faecal fat — haemoglobin FFH 66764
Faecal fat — reducing substances FRS 66761
Faeces —  culture FCS 69345-51
Faeces — microscopy for parasites OCP 69336-42
Ferritin (see also Iron studies) FERR 66593
Fibrin monomer FM 65120
Fibrinogen FIB 65120
Fibrinogen — degradation products FDP 65120
Fitzgerald factor FGF 65150
Flecainide FLEC 66611
Fletcher factor FF 65150
Fluorescent treponemal antibody  — absorption test (FTA-ABS) — microbial antibody testing FTA 69384
Fluoxetine FLUX 66611
Foetal red blood cells — Kliehauer KLEI 65162
Folate — red cell RCF 66602
Follicle stimulating hormone (FSH) FSH 66695
Frozen section diagnosis of biopsy material FS 72855-56
Fructosamine FRUC 66557
Full blood examination FBE 65069
Gamma glutamyl transpeptidase GGT 66500
Gastric parietal cell — tissue antigens — antibodies PCA 71119
Gastrin GAST 66695
Gliadin IgA — tissue antigens — antibodies GLIA 71119
Globulin GLOB 66500
Glomerular basement membrane — tissue antigens — antibodies GBA 71109
Glucagon GLGO 66695
Glucagon stimulation test GSTC 66689
Glucose GLUC 66500
Glucose — tolerance test GTT 66542
Glycolated haemoglobin (Hb Alc) GHB 66551
Glycosylated haemoglobin (Hb Alc) GHB 66551
Gold AU 66668
Gonadotrophin GRHS 66689
Group B streptococcus — CSF antigens STB 69372
Group B streptococcus — microbial antigen testing STB 69372
Group P9 — simple basic pathology tests 73801-11
Growth hormone GH 66695
Growth hormone — stimulation by exercise or L-dopa GHSE 66686
Growth hormone — suppression by dexamethasone or glucose GHSG 66686
Haematocrit HCT 65063
Haemochromatosis FEUP 66794
Haemoglobin HB 65060
Haemoglobinopathy tests HMGP 65081
Haemophilus influenzae — CSF antigens HI 69372
Haemophilus influenzae — microbial antibody testing HUS 69384
Haemophilus influenzae — microbial antigen testing HI 69372
Haloperidol HALO 66611
Haptoglobins HGLB 66632
HDL cholesterol HDLC 66536
Heart — tissue antigens — antibodies AHE 71109
Heparin — cofactor II HRNC 65132
Heparin — test HEPR 65144
Hepatitis — acute HAVM 69414
Hepatitis — chronic viral HBCS 69453
Hepatitis — chronic viral HBCE 69456
Hepatitis A — immune status HAVG 69417
Hepatitis A and B — immune status HABI 69450
Hepatitis A, B or C — acute HVU 69459
Hepatitis B — acute or resolving HBAR 69420
Hepatitis B — chronic or carriage of Hepatitis B antigen HBSA 69432
Hepatitis B — chronic or carriage of Hepatitis B antigen HBSE 69435
Hepatitis B — immune status — post exposure HBIC 69426
Hepatitis B — immune status — post vaccination HBIS 69429
Hepatitis B — resolving HBR 69423
Hepatitis B and A — immune status HABI 69450
Hepatitis C — detection RNAC 69444
Hepatitis C — Hep. C antibody test HCV 69438
Hepatitis D — acute or chronic HDV 69447
Hepatitis serology — in pregnancy HEPP 69405-11
Herpes simplex virus — direct detection from clinical material HSV 69375
Herpes simplex virus — investigation by culture HSVC 69375
Herpes simplex virus — microbial antibody testing HPA 69384
Herpes simplex virus — microbial antigen testing HSV 69375
Heterophil antibodies IM 65114
HIAA (hydroxyindoleacetic acid) HIAA 66779
Histamine HIAM 66779
Histone — tissue antigens — antibodies AHI 71109
Histopathology of biopsy material HIST 72813-36
Histoplasma — microbial antibody testing HIP 69384
HIV — antiretroviral therapy TVLT 69381
HIV — monitoring MVLT 69378
HLA typing — HLA class 1 HLA1 71149
HLA typing — HLA class 2 HLA2 71151
HLA typing — HLA-B27 HLAB 71147
HMMA (hydroxy-3-methoxymandelic acid, previously known as VMA)  HMMA 66779
HMPG (hydroxy-methoxy phenylethylene glycol) HMPG 66779
Homovanillic acid HVA 66779
Hormomes — stimulation by exercise or L‑dopa GHSE 66686
Hormone receptor assay — breast HRA 66662
Hormone receptor assay — ovary HRO 66662
Hormones — 11 deoxycortisol DCOR 66695
Hormones — adrenocorticotrophic hormone ACTH 66695
Hormones — aldosterone ALDS 66695
Hormones — androstenedione ANDR 66695
Hormones — calcitonin CALT 66695
Hormones — cortisol CORT 66695
Hormones — C-Peptide CPEP 66695
Hormones — cyclic AMP CAMP 66695
Hormones — dehydroepiandrosterone sulphate (DHEAS) DHEA 66695
Hormones — dihydrotestosterone DHTS 66695
Hormones — follicle stimulating hormone FSH 66695
Hormones — gastrin GAST 66695
Hormones — glucagon GLGO 66695
Hormones — gonadotrophin GRHS 66689
Hormones — growth hormone GH 66695
Hormones — growth hormone — stimulation by exercise or L-dopa GHSE 66686
Hormones — growth hormone — suppression by dexamethasone or glucose GHSG 66686
Hormones — hormone receptor assay — breast HRA 66662
Hormones — hormone receptor assay — ovary HRO 66662
Hormones — human chorionic gonadotrophin — for diagnosis of specified conditions HCGD 73529
Hormones — human chorionic gonadotrophin — for pregnancy diagnosis HCG 73527
Hormones — human placental lactogen  HPL 66746
Hormones — hydroxyprogesterone OHP 66695
Hormones — insulin INS 66695
Hormones — insulin, hypoglycaemia test INHY 66689
Hormones — luteinizing hormone LH 66695
Hormones — oestradiol E2  66695
Hormones — oestriol E3 66746
Hormones — oestrone E1 66695
Hormones — parathyroid hormone PTH 66695
Hormones — pentagastrin PSTR 66689
Hormones — progesterone PROG 66695
Hormones — prolactin PROL 66695
Hormones — renin REN 66695
Hormones — sex hormone binding globulin SHBG 66695
Hormones — somatomedin SOMA 66695
Hormones — suppression by dexamethasone or glucose GHSG 66686
Hormones — testosterone TES 66695
Hormones — urine steroid fraction or fractions USF 66695
Hormones — vasoactive intestinal peptide VIP 66695
Hormones — vasopressin ADH 66695
Hormones & hormone binding proteins (see individual hormones and proteins) 66695
Huhner’s test HT 73521
Human chorionic gonadotrophin — for diagnosis of specified conditions HCGD 73529
Human chorionic gonadotrophin — for Down’s syndrome and neural tube defect testing NTDD 66740
Human chorionic gonadotrophin — for pregnancy diagnosis HCG 73527
Human placental lactogen HPL 66746
HVA (homovanillic acid) HVA 66779
Hydatid — microbial antibody testing HYD 69384
Hydroxy methoxy phenylethylene glycol HMPG 66779
Hydroxy-3-methoxymandelic acid, previously known as VMA)  HMMA 66779
Hydroxychloroquine  HOCQ 66611
Hydroxyindoleacetic acid HIAA 66779
Hydroxyprogesterone OHP 66695
Hydroxyproline HYDP
Imipramine IMIP 66611
Immediate frozen section diagnosis of biopsy material FS 72855-856
Immunocyto. 1-3 antibodies ICC 73059
Immunocyto. 4+ antibodies ICC1 73060
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 72846-47
Infectious mononucleosis IM 69384
Influenza A — microbial antibody testing  FLA 69384
Influenza B — microbial antibody testing  FLB 69384
Insulin INS 66695
Insulin — hypoglycaemia test  INHY 66689
Insulin — tissue antigens — antibodies AINS 71109
Insulin receptor antibodies — tissue antigens — antibodies INSA 71109
Intercellular cement substance of skin — tissue antigens — antibodies ICCS 71109
Intestinal disaccharidases INTD 66680
Intrinsic factor — tissue antigens — antibodies AIF 71109
Invest. HepA/HepC HAC 69468
Iron studies (iron, transferrin & ferritin) IS 66596
Islet cell — tissue antigens — antibodies AIC 71109
Jo-1 — tissue antigens — antibodies JO1 71119
Keratin — tissue antigens — antibodies KERA 71119
Kleihauer test KLEI 65162
Lactate LACT 66500
Lactate — dehydrogenase LDH 66500
Lactate — dehydrogenase isoenzymes LDI 66641
Lamellar body phospholipid LBPH 66749
Lead PB 66665
Lecithin/sphingomyelin ratio (amniotic fluid)  LS 66749
Legionella pneumophila — serogroup 1 — microbial antibody testing   LP1 69384
Legionella pneumophila — serogroup 2 — microbial antibody testing LP2 69384
Leishmaniasis — microbial antibody testing  LEI 69384
Leptospira — microbial antibody testing   LEP 69384
Leucocyte count WCC 65063
Leucocyte count — 3 surface markers — blood, CSF, serous fluid LMH3  71139
Leucocyte count — 3 surface markers — tissue LMT3  71141
Leucocyte count — 6 surface markers — blood, CSF, serous fluid & tissue (s) LMHT 71145
Leucocyte count — 6 surface markers — blood, CSF, serous fluid or tissue LM6  71143
Lignocaine LIGN 66611
Lip — cytology on specimens from SMCY 73043
Lipase LIP 66500
Lipid studies (see group tests in Division A) FATS 66521
Lipoprotein subclasses — electrophoresis  LEPG 66539
Listeria — microbial antibody testing LIS 69384
Lithium LI 66611
Liver function tests (see group tests in Division A) LFT 66515
Liver/kidney microsomes — tissue antigens — antibodies LKA 71119
Lupus anticoagulant LUPA 65132
Luteinizing hormone LH 66695
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 66500
Mammary serum antigen  MSA 66650
Manganese MN 66668
Mantoux test MANT 73811
Measles — microbial antibody testing MEA 69384
Mercury HG 66668
Metabolic bone disease CBMB 66776
Metalbumin detection (Schumm’s test) SCHM 65117
Metanephrines MNEP 66779
Methadone MTDN 66611
Methotrexate MTTA 66611
Methsuximide  MSUX 66611
Metronidazole MRDZ 66611
Mexiletine (Mexitil) MEX 66611
Mianserin MIAS 66611
Microalbumin MALB 66560
Microbial antibody testing — actinomycetes ACT 69384
Microbial antibody testing — adenovirus ADE 69384
Microbial antibody testing — aspergillus ASP 69384
Microbial antibody testing — avian precipitins (bird fancier’s disease) APP 69384
Microbial antibody testing — Blastomyces BLM 69384
Microbial antibody testing — Bordetella pertussis BOR 69384
Microbial antibody testing — Borrelia burgdorferi BOB 69384
Microbial antibody testing — Brucella BRU 69384
Microbial antibody testing — Campylobacter jejuni CAM 69384
Microbial antibody testing — Candida CAN 69384
Microbial antibody testing — Chlamydia CHL 69384
Microbial antibody testing — Coccidioides  CCC 69384
Microbial antibody testing — Coxsackie B1‑6 COX 69384
Microbial antibody testing — cryptococus CRY 69384
Microbial antibody testing — cytomegalovirus CMV 69384
Microbial antibody testing — cytomegalovirus serology in pregnancy CMVP 69384
Microbial antibody testing — dengue DEN 69384
Microbial antibody testing — diphtheria DIP 69384
Microbial antibody testing — echinococcus ECC 69384
Microbial antibody testing — echo-coxsackie group ECH 69384
Microbial antibody testing — Entamoeba histolytica AMO 69384
Microbial antibody testing — Epstein Barr virus EBV 69384
Microbial antibody testing — fluorescent treponemal antibody  — absorption test (FTA-ABS) FTA 69384
Microbial antibody testing — Haemophilus influenzae HUS 69384
Microbial antibody testing — hepatitis C HCV 69438
Microbial antibody testing — herpes simplex virus HPA 69384
Microbial antibody testing — Histoplasma HIP 69384
Microbial antibody testing — hydatid HYD 69384
Microbial antibody testing — infectious mononucleosis   IM 69384
Microbial antibody testing — influenza A FLA 69384
Microbial antibody testing — influenza B FLB 69384
Microbial antibody testing — Legionella pneumophila — serogroup 1 LP1 69384
Microbial antibody testing — Legionella pneumophila — serogroup 2 LP2 69384
Microbial antibody testing — leishmaniasis LEI 69384
Microbial antibody testing — Leptospira LEP 69384
Microbial antibody testing — Listeria LIS 69384
Microbial antibody testing — measles MEA 69384
Microbial antibody testing — Micropolyspora faeni MIC 69384
Microbial antibody testing — mumps MUM 69384
Microbial antibody testing — Murray Valley encephalitis MVE 69384
Microbial antibody testing — Mycoplasma pneumoniae MYC 69384
Microbial antibody testing — Neisseria menigitidis MEN 69384
Microbial antibody testing — Newcastle disease NCD 69384
Microbial antibody testing — parainfluenza 1 PF1 69384
Microbial antibody testing — parainfluenza 2 PF2 69384
Microbial antibody testing — parainfluenza 3 PF3 69384
Microbial antibody testing — paratyphi PTY 69384
Microbial antibody testing — pertussis PER 69384
Microbial antibody testing — poliomyelitis PLO 69384
Microbial antibody testing — Proteus OX 19 POX 69384
Microbial antibody testing — Proteus OXK POK 69384
Microbial antibody testing — Q fever QFF 69384
Microbial antibody testing — rapid plasma reagin test RPR 69384
Microbial antibody testing — respiratory syncytial virus RSV 69384
Microbial antibody testing — Ross River virus RRV 69384
Microbial antibody testing — rubella RUB 69384
Microbial antibody testing — Salmonella typhi (H) SAH 69384
Microbial antibody testing — Salmonella typhi (O) SAO 69384
Microbial antibody testing — Schistosoma STO 69384
Microbial antibody testing — streptococcal serology — anti-DNASE B titre ADNB 69384
Microbial antibody testing — streptococcal serology — anti-streptolysin O titre ASOT 69384
Microbial antibody testing — Streptococcus pneumoniae  PCC 69384
Microbial antibody testing — tetanus TET 69384
Microbial antibody testing — Thermoactinomyces vulgaris THE 69384
Microbial antibody testing — thermopolyspora TPS 69384
Microbial antibody testing — Toxocara TOC 69384
Microbial antibody testing — toxoplasma TOX 69384
Microbial antibody testing — TPHA (Treponema pallidum haemagglutination test) TPHA 69384
Microbial antibody testing — Treponema pallidum haemagglutination test TPHA 69384
Microbial antibody testing — trichinosis TOS 69384
Microbial antibody testing — typhus, Weil‑Felix TYP 69384
Microbial antibody testing — Varicella zoster VCZ 69384
Microbial antibody testing — VDRL (Venereal Disease Research Laboratory) VDRL 69384
Microbial antibody testing — Yersinia enterocolitica YER 69384
Microbial antigen testing — Chlamydia CHLY 69315, 69369
Microbial antigen testing — Clostridium difficile CLDT 69363
Microbial antigen testing — group B streptococcus STB 69372
Microbial antigen testing — Haemophilus influenzae HI 69372
Microbial antigen testing — herpes simplex virus HSV 69375
Microbial antigen testing — Neisseria gonorrhoeae GON 69372
Microbial antigen testing — Neisseria meningitidis NMG 69372
Microbial antigen testing — respiratory syncytial virus RSVN 69372
Microbial antigen testing — Streptococcus pneumoniae SPN 69372
Microbial antigen testing — Varicella zoster VCZN 69375
Micropolyspora faeni  MIC 69384
Microscopic examination of — faeces for parasites OCP 69336-42
Microscopic examination of — material other than blood M 69300
Microscopy & culture of — material from nose, throat, eye or ear MCS1  69303
Microscopy & culture of — material from skin, superficial sites, urethra, vagina, cervix or rectum     MCS2 69306-15
Microscopy & culture of — specimens of sputum MCS2 69318
Microscopy & culture of — specimens of sputum, urine or other body fluids for mycobacteria AFB 69324-30
Microscopy & culture to detect pathogenic micro‑organisms including chlamydia MCS4 69315
Microscopy, culture, identification & sensitivity of urine UMCS 69333
Mitochondria — tissue antigens — antibodies MA 71119
Mouth — cytology on specimens from SMCY 73043
Mumps — microbial antibody testing MUM 69384
Murray Valley encephalitis — microbial antibody testing MVE 69384
Mycobacteria microscopy & culture of sputum AFB 69324-330
Mycoplasma pneumoniae — microbial antibody testing  MYC 69384
Myoglobin MYOG 66518
N-acetyl procainamide NAPC 66611
Neisseria gonorrhoeae — microbial antigen testing GON 69372
Neisseria menigitidis — antigens NMG 69372
Neisseria menigitidis — microbial antibody testing  MEN 69384
Neisseria menigitidis — microbial antigen testing NMG 69372
Neural tube defects and Down’s syndrome NTDD 66740
Neuron — tissue antigens — antibodies ANE 71109
Neutrophil cytoplasm — tissue antigens — antibodies ANCA 71109
Neutrophil functions NFT 71135
Newcastle disease — microbial antibody testing  NCD 69384
Nickel NI 66668
Nipple discharge — cytology on specimens from SMCY 73043
Nitrazepam NITR 66611
Nordothiepin NDIP 66611
Norfluoxetine NFLE 66611
Nortriptyline NORT 66611
Nose — cytology on specimens from SMCY 73043
Nose — microscopy & culture of material from MCS1 69303
Nuclear antigens — detection of antibodies to ANA 71097
Oestradiol E2 66695
Oestriol E3 66746
Oestriol — for Down’s syndrome and neural tube defect testing NTDD 66740
Oestrone E1 66695
Oligoclonal proteins OGP 71062
Op/biopsy specimens — microscopy & culture of material from MCS3 69321
Oral glucose challenge test — gestational diabetes OGCT 66545
Oral glucose tolerance test — gestational diabetes GTTP 66542
Osmolality, serum or urine OSML 66563
Ovary — tissue antigens — antibodies AOV 71109
Oxalate OXAL 66752
Oxazepam OXAZ 66611
PAA (phenyl acetic acid) PAA 66779
Palmitic acid in amniotic fluid PALM 66749
Pap smear CCR 73053
Papanicolaou test CCR 73053
Paracetamol PARA 66611
Parainfluenza 1 — microbial antibody testing PF1 69384
Parainfluenza 2 — microbial antibody testing PF2 69384
Parainfluenza 3 — microbial antibody testing PF3 69384
Paraprotein investigation  — by immunoelectrophoresis or immunofixation  PPRO 71059
Paraprotein investigation — by electrophoresis EPPI 71057
Paraprotein investigation — on concurrently collected serum or urine  PPSU 71060
Paraquat PARQ 66611
Parasites — microscopic examination of faeces OCP 69336-42
Parathyroid — tissue antigens — antibodies PTHA 71109
Parathyroid hormone (PTH) PTH 66695
Paratyphi — microbial antibody testing PTY 69384
Partial thromboplastin time PTT 65120
Patient episode initiation fees PEI 73901-15
Pentagastrin PSTR 66689
Pentobarbitone PENT 66611
Perhexiline PHEX 66611
Pertussis — microbial antibody testing PER 69384
Phenobarbitone PHBA 66611
Phensuximide PHEN 66611
Phenylacetic acid PAA 66779
Phenytoin PHEY 66611
Phosphate PHOS 66500
Phosphatidylglycerol PTGL 66749
Plasminogen PLAS 65132
Platelet —  tissue antigens — antibodies APA 71109
Platelet — aggregation PLTG 65144
Platelet — count PLTC 65063
PM-Sc1 — tissue antigens — antibodies PM1 71119
Poliomyelitis — microbial antibody testing PLO 69384
Porphobilinogen in urine UPG 66782
Porphyrins — quantitative test, 1 or more fractions PR 66785
Porphyrins in urine — qualitative test UPR 66782
Potassium K 66500
Prealbumin PALB 66632
Prednisolone PRED 66611
Pregnancy serology — 1 test MSP1 69405
Pregnancy serology — 2 tests MSP2 69408
Pregnancy serology — 3 tests MSP3 69411
Pregnancy testing 73806
Pregnancy testing — diagnosis HCG 73527
Pregnancy testing — diagnosis of Down’s syndrome and neural tube defect NTDD 66740
Pregnancy testing — diagnosis of specified conditions HCGD 73529
Primidone  PRIM 66611
Procainamide PCAM 66611
Progesterone PROG 66695
Prolactin PROL 66695
Prominal PROM 66611
Propranolol PPNO 66611
Prostate specific antigen PSA 66656
Protein — C PROC 65132
Protein — S PROS 65132
Protein, quantitation of — alpha fetoprotein AFP 66743
Protein, quantitation of — alpha fetoprotein — for Down’s syndrome and neural tube defect testing NTDD 66740
Protein, quantitation of — alpha-l-antitrypsin AAT 66635
Protein, quantitation of — beta‑2‑microglobulin BMIC 66629
Protein, quantitation of — caeruloplasmin CPLS 66632
Protein, quantitation of — C-l esterase inhibitor CEI 66644
Protein, quantitation of — classes of paraprotein by electrophoresis EPPI 71057
Protein, quantitation of — classes or presence & amount of paraprotein by electrophoresis EPP2 71057
Protein, quantitation of — ferritin (see also Iron studies) FERR 66593
Protein, quantitation of — for Down’s syndrome/neural tube defect testing NTDD 66740
Protein, quantitation of — haptoglobins HGLB 66632
Protein, quantitation of — microalbumin MALB 66560
Protein, total — quantitation of PROT 66500
Proteus OX 19 — microbial antibody testing POX 69384
Proteus OXK — microbial antibody testing POK 69384
Prothrombin time PT 65120
Pyruvate PVTE 66500
Q fever — microbial antibody testing QFF 69384
Quinalbarb QUIB 66611
Quinidine QUIN 66611
Quinine QNN 66611
Rapid plasma reagin test — microbial antibody testing RPR 69384
RAST RAST 71079
Rectum — microscopy & culture of material from MCS2 69312-15
Red blood cells — Kleihauer KLEI 65162
Red cell folate & serum B12 & serum folate if required RCF 66602
Red cell porphyrins — qualitative test RCP 66782
Referred specimen fee 73921
Renin REN 66695
Reptilase test REPT 65120
Respiratory syncytial virus — microbial antibody testing RSV 69384
Respiratory syncytial virus — microbial antigen testing RSVN 69372
Reticulin – tissue antigens — antibodies RCA 71119
Reticulocyte count RETC 65072
Rheumatoid factor RF 71106
Rheumatoid factor — quantitation RFQ 71106
Ross River virus — microbial antibody testing RRV 69384
RSV (respiratory syncytial virus) — microbial antibody testing RSV 69384
RSV (respiratory syncytial virus) — microbial antigen testing RSVN 69372
Rubella – serology RUB 69384
Salicylate (aspirin) SALI 66611
Salivary gland — tissue antigens — antibodies ASG 71109
Salmonella typhi (H) — microbial antibody testing SAH 69384
Salmonella typhi (O) — microbial antibody testing SAO 69384
Schistosoma — microbial antibody testing STO 69384
Scl-70 – tissue antigens — antibodies SCL 71119
Secretin SSGR 66689
Selenium SE 66668
Semen examination SEE 73523
Semen examination — for spermatozoa (post vasectomy) SES 73521
Serology — in pregnancy (see Pregnancy serology)
Serotonin 5HT 66779
Serum — Bl2 B12 66599
Serum — folate (with Bl2 red cell folate) RCF 66602
Serum — folate (with Bl2) FOL 66599
Sex hormone binding globulin SHBG 66695
Skeletal muscle — tissue antigens — antibodies SLA 71109
Skin — cytology SMCY 73043
Skin — microscopy & culture of material from MCS2 69306-09
Skin basement membrane — tissue antigens — antibodies SKA 71109
Smooth muscle — tissue antigens — antibodies SMA 71119
Snake venom HISS 66623
Sodium NA 66500
Solid tissue or tissues — chemical assays ENZS 66683
Solid tissue or tissues — cytology of fine needle aspiration FNCY 73049
Solid tissue or tissues — cytology of fine needle aspiration by, or in presence of pathologist FNCP 73051
Somatomedin SOMA 66695
Sotalol SALL 66611
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 — for mycobacteria AFB 69324-30
Sputum — microscopy & culture of specimens MCS2 69318
Stelazine STEL 66611
Steroid fraction or fractions in urine USF 66695
Streptococcal serology — anti-DNASE B titre — microbial antibody testing ADNB 69384
Streptococcal serology — anti-streptolysin O titre — microbial antibody testing ASOT 69384
Streptococcus — Group B STB 69372
Streptococcus pneumoniae — CSF antigens SPN 69372
Streptococcus pneumoniae — microbial antibody testing  PCC 69384
Streptococcus pneumoniae — microbial antigen testing SPN 69372
Strontium SR 66668
Stypven test STYP 65120
Sulthiame (Ospolot) SUL 66611
Supplementary testing for Hepatitis C antibodies HCST 69441
Synacthen stimulation test SYNS 66689
Syphilis serology (see group tests in Division A) STS 69387
Syphilis serology with 1 of item 69435, 69438 or 69453 SHV 69465
Testosterone TES 66695
Tetanus — microbial antibody testing TET 69384
Thalassaemia studies TS 65078
Theophylline THEO 66611
Thermoactinomyces vulgaris — microbial antibody testing THE 69384
Thermopolyspora — microbial antibody testing TPS 69384
Thiopentone TOPO 66611
Thioridazine THIO 66611
Throat — microscopy & culture of material from MCS1 69303
Thrombin time TT 65120
Thyroglobulin TGL 66650
Thyroglobulin — tissue antigens — antibodies ATG 71109
Thyroid function tests (including TSH) TFT 66719
Thyroid microsome — tissue antigens — antibodies TMA 71109
Thyroid stimulating hormone (if requested on its own, or as a preliminary test to thyroid function testing) TSH 66716
Thyroid stimulating hormone (if requested with other hormones referred to in item 66695) TSH 66722-34
Thyrotrophin releasing hormone test TRH 66689
Total protein PROT 66500
Toxocara — microbial antibody testing TOC 69384
Toxoplasma — microbial antibody testing TOX 69384
TPHA (Treponema pallidum haemagglutination test) — microbial antibody testing TPHA 69384
Treponema pallidum haemagglutination test — microbial antibody testing TPHA 69384
Trichinosis — microbial antibody testing TOS 69384
Triglycerides TRIG 66521
Trimipramine TRIM 66611
Troponin TROP 66518
Tryptic activity in faeces TAF 66677
TSH receptor antibody test — tissue antigens — antibodies TSHA 71109
Tuberculosis MANT 73811
Tumour markers — CA-125 antigen C125 66650
Tumour markers — CA-15.3 antigen CA15 66650
Tumour markers — CA-19.9 antigen CA19 66650
Tumour markers — carcinoembryonic antigen CEA 66650
Tumour markers — mammary serum antigen MSA 66650
Tumour markers — prostate specific antigen PSA 66656
Tumour markers — prostatic acid phosphatase — 1 or more fractions ACP 66656
Tumour markers — thyroglobulin TGL 66650
Typhus, Weil-Felix — microbial antibody testing TYP 69384
Urate URAT 66500
Urea  U 66500
Urea, electrolytes, creatinine (see group tests in Division A) U&E 66515
Urethra — microscopy & culture of material from MCS2 69312-15
Urine — acidification test UAT 66587
Urine — catalase test UCAT 73805
Urine — cystine (cysteine) UCYS 66782
Urine — cytology —  on 1 specimen BFCY 73045
Urine — cytology —  on 3 specimens SPCY 73047
Urine — haemoglobin UHB 66782
Urine — microscopy, culture, identification & sensitivity UMCS 69333
Urine — porphobilinogen UPG 66782
Urine — porphyrins — qualitative test UPR 66782
Urine — steroid fraction or fractions USF 66695
Urine — urobilinogen UUB 66782
Vagina  — microscopy & culture of material from MCS2 69312-15
Vagina — cytology on specimens from CVO 73057
Valproate (Epilim) VALP 66611
Vancomycin VAN 66611
Varicella zoster — microbial antibody testing VCZ 69384
Varicella zoster — microbial antigen testing VCZN 69372
Vasoactive intestinal peptide VIP 66695
Vasopressin ADH 66695
VDRL (Venereal Disease Research Laboratory) — microbial antibody testing VDRL 69384
Viscosity of blood or plasma VISC 65060
Vitamins — B12 RCF 66602
Vitamins — D VITD 66608
Vitamins — folate RCF 66602
Vitamins — quantitation of A, B1, B2, B3, B6, C or E VIT 66605
VMA (see HMMA)
Von Willebrand’s factor VWF 65150
Von Willebrand’s factor antigen VWA 65150
Warfarin WFR 66611
Yersinia enterocolitica — microbial antibody testing YER 69384
Zinc ZN 66668

Part 4           Complexity levels for histopathology items

Specimen type Complexity level
Adrenal resection, neoplasm 5
Adrenal resection, not neoplasm 4
Anus, all specimens not otherwise specified 3
Anus, neoplasm, biopsy 4
Anus, neoplasm, radical resection 6
Appendix 3
Artery, all specimens not otherwise specified 3
Artery, biopsy 4
Bartholin’s gland — cyst 3
Bile duct, resection — all specimens 6
Bone, biopsy, currettings or fragments — lesion 5
Bone, biopsy or currettings quantitation — metabolic disease 6
Bone, femoral head 4
Bone, resection, neoplasm — all sites and types 6
Bone marrow, biopsy 4
Bone — all specimens not otherwise specified 4
Brain neoplasm, resection — cerebello-pontine angle 4
Brain or meninges, biopsy — all lesions 5
Brain or meninges, not neoplasm — temporal lobe 6
Brain or meninges, resection — neoplasm (intracranial) 5
Brain or meninges, resection — not neoplasm 4
Branchial cleft, cyst 4
Breast, excision biopsy, guidewire localisation — non-palpable lesion 6
Breast, excision biopsy, or radical resection, malignant neoplasm — all specimen types 6
Breast, incision biopsy or needle biopsy, malignant neoplasm — all specimen types 4
Breast tissue — all specimens not otherwise specified 4
Bronchus, biopsy 4
Carotid body — neoplasm 5
Cholesteatoma 3
Digits, amputation — not traumatic 4
Digits, amputation — traumatic 2
Ear, middle and inner — not cholesteatoma 4
Endocrine neoplasm — not otherwise specified 5
Extremity, amputation or disarticulation — neoplasm 6
Extremity, amputation — not otherwise specified 4
Eye, conjunctiva — biopsy or pterygium 3
Eye, cornea 4
Eye, enucleation or exenteration — all lesions 5
Eye — not otherwise specified 4
Fallopian tube, biopsy 4
Fallopian tube, ectopic pregnancy 4
Fallopian tube, sterilization 2
Fetus with dissection 6
Foreskin — new born 2
Foreskin — not new born 3
Gallbladder 3
Gallbladder and porta hepatis-radical resection 6
Ganglion cyst, all sites 3
Gum or oral mucosa, biopsy 4
Heart valve 4
Heart — not otherwise specified 5
Hernia sac 2
Hydrocele sac 2
Joint and periarticular tissue, without bone — all specimens 3
Joint tissue, including bone — all specimens 4
Kidney, biopsy including transplant 5
Kidney, nephrectomy transplant 5
Kidney, partial or total nephrectomy or nephroureterectomy — neoplasm 6
Kidney, partial or total nephrectomy — not neoplasm 4
Large bowel (including rectum), biopsy — all sites 4
Large bowel, colostomy — stoma 3
Large bowel (including rectum), polyp 4
Large bowel, segmental resection — colon, not neoplasm 5
Large bowel (including rectum), segmental resection, neoplasm 6
Larynx, biopsy 4
Larynx, partial or total resection 5
Larynx, resection with nodes or pharynx or both 6
Lip, biopsy or wedge resection 4
Liver, hydatid cyst — resection for trauma 4
Liver, total or subtotal hepatectomy 6
Liver — all specimens not otherwise specified 5
Lung, needle or transbronchial biopsy 4
Lung, resection — neoplasm 6
Lung, wedge biopsy 5
Lung segment, lobe or total — not neoplasm 5
Lymph node, biopsy — all sites 4
Lymph nodes, regional resection — all sites 5
Mediastinum mass 5
Muscle, biopsy 5
Nasopharynx or oropharynx, biopsy 4
Nerve, biopsy neuropathy 5
Nerve, neurectomy or removal of neoplasm 4
Nerve — not otherwise specified 3
Nose, mucosal biopsy 4
Nose or sinuses, polyps 3
Odontogenic neoplasm 5
Odontogenic or dental cyst 4
Oesophagus, biopsy 4
Oesophagus, diverticulum 3
Oesophagus, partial or total resection 6
Omentum, biopsy 4
Ovary with or without tube — neoplasm 5
Ovary with or without tube — not neoplasm 4
Pancreas, biopsy 5
Pancreas, cyst 4
Pancreas, subtotal or total with or without splenectomy 6
Parathyroid gland(s) 4
Penisectomy with node dissection 5
Penisectomy — simple 4
Peritoneum, biopsy 4
Pituitary neoplasm 4
Placenta — not third trimester 4
Placenta — third trimester, abnormal pregnancy or delivery 4
Pleura or pericardium, biopsy or tissue 4
Products of conception, spontaneous or missed abortion 4
Products of conception, termination of pregnancy 3
Prostate, radical resection 6
Prostate — all types of specimen not otherwise specified 4
Retroperitoneum, neoplasm 5
Salivary gland, Mucocele 3
Salivary gland, neoplasm — all sites 5
Salivary gland — all specimens not otherwise specified 4
Sinus, front nasal, ethmoidectomy 6
Sinus, paranasal, biopsy 4
Sinus, paranasal, resection — neoplasm 5
Skin, biopsy — blistering skin diseases 5
Skin, biopsy — inflammatory dermatosis 5
Skin, local resection — orientation or margins, at least 5cm long 4
Skin, resection of malignant melanoma with full evaluation including measurement of Breslow thickness and Clark level 5
Skin — all specimens not otherwise specified including all neoplasms and cysts 3
Small bowel, diverticulum 3
Small bowel, resection — neoplasm 6
Small bowel — all specimens not otherwise specified 4
Soft tissue, extensive resection at least 5cm long — neoplasm 6
Soft tissue, lipoma and variants 3
Soft tissue, neoplasm, not lipoma — all specimens 5
Soft tissue — not otherwise specified 4
Spleen 5
Stomach, endoscopic biopsy or endoscopic polypectomy 4
Stomach, resection, neoplasm — all specimens 6
Stomach — all specimens not otherwise specified 4
Tendon or tendon sheath, giant cell neoplasm 4
Tendon or tendon sheath — not otherwise specified 3
Testis, biopsy 5
Testis and adjacent structures, castration 2
Testis and adjacent structures, neoplasm with or without nodes 5
Testis and adjacent structures, vas deferens sterilization 2
Testis and adjacent structures — not otherwise specified 3
Thymus — not otherwise specified 5
Thyroglossal duct — all lesions 4
Thyroid — all specimens 5
Tissue or organ not otherwise specified, abscess 3
Tissue or organ not otherwise specified, haematoma 3
Tissue or organ not otherwise specified, malignant neoplasm with regional nodes 6
Tissue or organ not otherwise specified, neoplasm local 4
Tissue or organ not otherwise specified, pilonidal cyst or sinus 3
Tissue or organ not otherwise specified, thrombus or embolus 3
Tissue or organ not otherwise specified, veins varicosity 3
Tissue or organ — all specimens not otherwise specified 3
Tongue, biopsy 4
Tongue or tonsil, neoplasm local 5
Tongue or tonsil, neoplasm with nodes 6
Tonsil, biopsy — excluding resection of whole organ 4
Tonsil or adenoids or both 2
Trachea, biopsy 4
Ureter, biopsy 4
Ureter, resection 5
Urethra, biopsy 4
Urethra, resection 5
Urinary bladder, partial or total with or without prostatectomy 6
Urinary bladder, transurethral resection of neoplasm 5
Urinary bladder — all specimens not otherwise specified 4
Uterus, cervix, curettings or biopsy 4
Uterus, cervix cone, biopsy (including LLETZ or LEEP biopsy) 5
Uterus, endocervix, polyp 3
Uterus, endometrium, polyp 3
Uterus with or without adnexa, malignant neoplasm — all specimen types not otherwise specified 5
Uterus with or without adnexa, neoplasm, Wertheim’s or pelvic clearance 6
Uterus and/or cervix — all specimens not otherwise specified 4
Vagina, biopsy 4
Vagina, radical resection 6
Vaginal mucosa, incidental 3
Vulva or labia, biopsy 4
Vulval, subtotal or total with or without nodes 6

Notes to the Health Insurance (1998–99 Pathology Services Table) Regulations 1998

Note 1

The Health Insurance (1998–99 Pathology Services Table) Regulations 1998 (in force under the Health Insurance Act 1973) as shown in this consolidation comprise Statutory Rules 1998 No. 303 amended as indicated in the Tables below.

Table of Statutory Rules

Year and
number
Date of notification
in Gazette
Date of
commencement
Application, saving or
transitional provisions
1998 No. 303 30 Oct 1998 1 Nov 1998
1998 No. 373 22 Dec 1998 1 Nov 1998
1999 No. 19 26 Feb 1999 1 Mar 1999
1999 No. 109 17 June 1999 1 July 1999

Table of Amendments

ad. = added or inserted   am. = amended   rep. = repealed   rs. = repealed and substituted
Provision affected How affected
Schedule 1............................ am. 1998 No. 373; 1999 Nos. 19 and109
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