Health Insurance (Pathology Services Table) Regulations 2010


Limitation on certain items



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2.4.1 Limitation on certain items

(1) For any particular patient, items 71075, 71127, 71135 and 71137 are applicable not more than twice in a 12 month period.

(2) For any particular patient, item 71079 is applicable not more than 4 times in a 12 month period.

(3) For any particular patient, item 71077 is applicable not more than 6 times in a 12 month period.



2.4.2 Tests in Group P4 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 1 patient episode.




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