Australian Government Department of Health and Ageing Medicare Benefits Schedule Book Pathology Services Category 6 Operating from 01 November 2010



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PATHOLOGY

PATHOLOGY



GROUP P11 - SPECIMEN REFERRED


73940

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 rules 14, 15 and 16)

Fee: $10.30 Benefit: 75% = $7.75 85% = $8.80



PATHOLOGY

PATHOLOGY



GROUP P12 - MANAGEMENT OF BULK-BILLED SERVICES


74990

A pathology service to which an item in this table (other than this item or item 74991) applies if:

(a) the service is an unreferred service; and

(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and

(c) the person is not an admitted patient of a hospital; and

(d) the service is bulk-billed in respect of the fees for:

(i) this item; and

(ii) the other item in this table applying to the service



(See para P16.13 of explanatory notes to this Category)

Fee: $6.75 Benefit: 85% = $5.75

74991

A pathology service to which an item in this table (other than this item or item 74990) applies if:

(a) the service is an unreferred service; and

(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and

(c) the person is not an admitted patient of a hospital; and

(d) the service is bulk-billed in respect of the fees for:

(i) this item; and

(ii) the other item in this table applying to the service; and

(e) the service is provided at, or from, a practice location in:

(i) a regional, rural or remote area; or

(ii) Tasmania; or

(iii) A geographical area included in any of the following SSD spatial units:

(A) Beaudesert Shire Part A

(B) Belconnen

(C) Darwin City

(D) Eastern Outer Melbourne

(E) East Metropolitan

(F) Frankston City

(G) Gosford-Wyong

(H) Greater Geelong City Part A

(I) Gungahlin-Hall

(J) Ipswich City (part in BSD)

(K) Litchfield Shire

(L) Melton-Wyndham

(M) Mornington Peninsula Shire

(N) Newcastle

(O) North Canberra

(P) Palmerston-East Arm

(Q) Pine Rivers Shire

(R) Queanbeyan

(S) South Canberra

(T) South Eastern Outer Melbourne

(U) Southern Adelaide

(V) South West Metropolitan

(W) Thuringowa City Part A

(X) Townsville City Part A

(Y) Tuggeranong

(Z) Weston Creek-Stromlo

(ZA) Woden Valley

(ZB) Yarra Ranges Shire Part A; or

(iv) the geographical area included in the SLA spatial unit of Palm Island (AC)

(See para P16.13 of explanatory notes to this Category)

Fee: $10.25 Benefit: 85% = $8.75




PATHOLOGY

PATHOLOGY



GROUP P13 - BULK BILLED PATHOLOGY EPISODE INCENTIVE ITEMS


74992

A payment when the episode is bulk billed and includes item 73920.


Fee: $1.60 Benefit: 75% = $1.20 85% = $1.40

74993

A payment when the episode is bulk billed and includes item 73922 or 73926.


Fee: $3.75 Benefit: 75% = $2.85 85% = $3.20

74994

A payment when the episode is bulk billed and includes item 73924.



Fee: $3.25 Benefit: 75% = $2.45 85% = $2.80

74995

A payment when the episode is bulk billed and includes item 73928, 73930 or 73936.


Fee: $4.00 Benefit: 75% = $3.00 85% = $3.40

74996

A payment when the episode is bulk billed and includes item 73932 or 73940.



Fee: $3.70 Benefit: 75% = $2.80 85% = $3.15

74997

A payment when the episode is bulk billed and includes item 73934.


Fee: $3.30 Benefit: 75% = $2.50 85% = $2.85

74998

A payment when the episode is bulk billed and includes item 73938.


Fee: $2.00 Benefit: 75% = $1.50 85% = $1.70

74999

A payment when the episode is bulk billed and includes item 73923, 73925,73927, 73929, 73931, 73933, 73935, 73937 or 73939.



Fee: $1.60 Benefit: 75% = $1.20 85% = $1.40




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