Health Insurance (Pathologist-determinable Services) Determination 2006 (No. 3)

Health Insurance (Pathologist-determinable Services) Determination 2006 (No.3)

as amended

made under section 4BA of the Health Insurance Act 1973

Compilation start date:  1 November 2014

Includes amendments up to: Health Insurance (Pathologist-determinable Services) Amendment Determination 2014
(No. 2)

About this compilation

This compilation

This is a compilation of the Health Insurance (Pathologist-determinable Services) Determination 2006 (No.3) as in force on 1 November 2014. It includes any commenced amendment affecting the legislation to that date.

This compilation was prepared on 17 February 2015.

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of each amended provision.

Uncommenced amendments

The effect of uncommenced amendments is not reflected in the text of the compiled law but the text of the amendments is included in the endnotes.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Modifications

If a provision of the compiled law is affected by a modification that is in force, details are included in the endnotes.

Provisions ceasing to have effect

If a provision of the compiled law has expired or otherwise ceased to have effect in accordance with a provision of the law, details are included in the endnotes.

Contents

1. Name of Determination       1

2. Commencement        1

3. Revocation of previous Determination     1

4. Interpretation         1

5. Pathologist-determinable services      1

1 Name of Determination

  This Determination is the Health Insurance (Pathologist-determinable Services) Determination 2006 (No.3).

2 Commencement

  This Determination commences on 1 November 2006.

3 Revocation of previous Determination

  The Health Insurance (Pathologist-determinable Services) Determination 2005 (No. 2) made under section 4BA of the Health Insurance Act 1973 on  14 October 2005 is revoked.

4 Interpretation

 (1) In this Determination:

Act means the Health Insurance Act 1973.

Regulations means the Health Insurance Regulations 1975.

recognised pathologist means a medical practitioner recognised as a specialist in pathology for the purposes of the Act.

 (2) Unless the contrary intention appears, an expression that is used in this Determination and in the Act or the Regulations has the same meaning in this Determination as it has in the Act or the Regulations.

5 Pathologist-determinable services

  Pursuant to section 4BA of the Act, the following classes of pathology services are pathologist-determinable services:

 (a) a pathology service that:

 (i) is mentioned in an item in the pathology services table; and

 (ii) is rendered, by or on behalf of, an approved pathology practitioner to a patient of that practitioner;

 (b) a pathology service that:

 (i) is rendered, by or on behalf of, an approved pathology practitioner; and

 (ii) the approved pathology practitioner considers to be necessary, on the basis of information learned from another service:

 (A) that was rendered to the patient by, or on behalf of, that practitioner; and

 (B) the request for which complied with paragraph 16A (4) (a) or (b) of the Act; and

 (iii) is an item in the pathology services table that is mentioned in column 1 in the following table and, in relation to which, the pathology service originally requested was an item in the pathology services table that is mentioned in column 2 of the following table for that item of the table:

 (c) a pathology service that is mentioned in items 69494, 69495 or 69496 of the pathology services table and:

 (i) is rendered, by or on behalf of, an approved pathology practitioner who is a recognised pathologist; and

 (ii) is a service that the approved pathology practitioner determines to be necessary on the basis of:

(A)    information provided by a treating practitioner in relation to a pathology service mentioned in items 69303, 69306, 69312, 69318, 69321 or 69345 of the pathology services table, that was rendered to the patient by, or on behalf of, the approved pathology practitioner pursuant to a request that complied with paragraph 16A(4)(a) or (b) of the Act; or

(B)     the nature or appearance of the pathology specimen collected for a pathology service mentioned in items 69303, 69306, 69312, 69318, 69321 or 69345 of the pathology services table, that was rendered to the patient by, or on behalf of, the approved pathology practitioner pursuant to a request that complied with paragraph 16A(4)(a) or (b) of the Act; or

(C)     information learned from a pathology service mentioned in items 69303, 69306, 69312, 69318, 69321 or 69345 of the pathology services table, that was rendered to the patient by, or on behalf of, the approved pathology practitioner pursuant to a request that complied with paragraph 16A(4)(a) or (b) of the Act.

Endnotes

Endnote 1—About the endnotes

The endnotes provide details of the history of this legislation and its provisions. The following endnotes are included in each compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Endnote 5—Uncommenced amendments

Endnote 6—Modifications

Endnote 7—Misdescribed amendments

Endnote 8—Miscellaneous

If there is no information under a particular endnote, the word “none” will appear in square brackets after the endnote heading.

Abbreviation key—Endnote 2

The abbreviation key in this endnote sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended the compiled law. The information includes commencement information for amending laws and details of application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision level. It also includes information about any provisions that have expired or otherwise ceased to have effect in accordance with a provision of the compiled law.

Uncommenced amendments—Endnote 5

The effect of uncommenced amendments is not reflected in the text of the compiled law, but the text of the amendments is included in endnote 5.

Modifications—Endnote 6

If the compiled law is affected by a modification that is in force, details of the modification are included in endnote 6.

Misdescribed amendments—Endnote 7

An amendment is a misdescribed amendment if the effect of the amendment cannot be incorporated into the text of the compilation. Any misdescribed amendment is included in endnote 7.

Miscellaneous—Endnote 8

Endnote 8 includes any additional information that may be helpful for a reader of the compilation.

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Endnote 5—Uncommenced amendments [none]

Endnote 6—Modifications [none]

Endnote 7—Misdescribed amendments [none]

Endnote 8—Miscellaneous [none]