Health Insurance (Pathology Services Table) Regulations 2010



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Part 2 Services and fees

Division 2.1 Group P1 — Haematology

2.1.1 Services to which clause 1.2.2 does not apply

(1) Clause 1.2.2 of Division 1.2 does not apply to a pathology service described in item 65060, 65070, 65120, 65123, 65126, 65129, 65150, 65153 or 65156 if:

(a) the service is rendered in relation to 1 or more specimens taken on any of not more than 6 occasions in a period of 24 hours; and

(b) the service is rendered to an inpatient of a hospital; and

(c) the service is rendered in relation to each specimen as soon as possible after the specimen is taken; and

(d) the account for the service is endorsed ‘Rule 3 Exemption’.



Note   Rule 3 in the Health Insurance (Pathology Services Table) Regulations 2009 has been replaced by clause 1.2.2.

(2) Clause 1.2.2 of Division 1.2 does not apply to a pathology service described in item 65109 or 65110 if:

(a) the service is rendered:

(i) for a service described in item 65109 — on 1 of not more than 5 occasions in a period of 24 hours; and

(ii) for a service described in item 65110 — on 1 of not more than 2 occasions in a period of 24 hours; and

(b) the service was requested on a separate occasion to any other occasions on which the service was requested in the period of 24 hours; and

(c) the account for the service is endorsed ‘Rule 3 Exemption’.

Note   Rule 3 in the Health Insurance (Pathology Services Table) Regulations 2009 has been replaced by clause 1.2.2.


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