Health Insurance (Pathology Services Table) Regulations 2010



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Group P7 — Genetics

Item

Pathology service

Fee ($)

73287

Study of the whole of every chromosome by cytogenetics or other techniques, performed on 1 or more of any tissue or fluid except blood (including a service mentioned in item 73293, if performed) — 1 or more tests

397.20

73289

Study of the whole of every chromosome by cytogenetics or other techniques, performed on blood (including a service mentioned in item 73293, if performed) — 1 or more tests

361.35

73290

Study of the whole of every chromosome by cytogenetics or other techniques, performed on blood or bone marrow, to diagnose or monitor haematological malignancy (including a service mentioned in item 73287 or 73289, if performed) — 1 or more tests

397.20

73291

Analysis of 1 or more chromosome regions, performed on blood or fresh tissue, for specific constitutional genetic abnormalities in:

(a) diagnostic studies of a person with developmental delay, intellectual disability, autism, or at least 2 congenital abnormalities, in whom a study by cytogenetics or other techniques mentioned in item 73287 or 73289 is normal or has not been performed — 1 or more tests; or

(b) studies of a relative of the person for an abnormality previously identified in the person — 1 or more tests


232.50

73292

Analysis of chromosomes by genome-wide microarray, including targeted assessment of specific regions for constitutional genetic abnormalities in diagnostic studies of a person with developmental delay, intellectual disability, autism, or at least 2 congenital abnormalities (including a service mentioned in item 73287, 73289 or 73291, if performed) — 1 or more tests

593.85

73293

Analysis of 1 or more regions on all chromosomes, performed on fresh tissue, for specific constitutional genetic abnormalities in diagnostic studies of the products of conception, including exclusion of maternal cell contamination — 1 or more tests

232.50

73294

Analysis of the PMP22 gene for constitutional genetic abnormalities causing peripheral neuropathy, as:

(a) diagnostic studies of a person with peripheral neuropathy — 1 or more tests; or

(b) studies of a relative of the person for an abnormality previously identified in the person — 1 or more tests


232.50

73300

Detection of mutation of the FMR1 gene if:

(a) the patient exhibits intellectual disability, ataxia, neurodegeneration, or premature ovarian failure consistent with an FMR1 mutation; or

(b) the patient has a relative with an FMR1 mutation;

1 or more tests



102.00

73305

Detection of a mutation of the FMR1 gene by Southern Blot analysis, if the results of a service performed in item 73300 are inconclusive

204.00

73308

Characterisation of the genotype of a patient for Factor V Leiden gene mutation, or detection of other relevant mutations in the investigation of proven venous thrombosis or pulmonary embolism — 1 or more tests

36.70

73309

A test described in item 73308 if the test is performed by a receiving APP — 1 or more tests

36.70

73311

Characterisation of the genotype of a person who is a first degree relative of a person who has been proven to have 1 or more abnormal genotypes under item 73308 — 1 or more tests

36.70

73312

A test described in item 73311 if the test is performed by a receiving APP — 1 or more tests

36.70

73314

Characterisation of gene rearrangement or the identification of mutations within a known gene rearrangement in the diagnosis and monitoring of patients with laboratory evidence of:

(a) acute myeloid leukaemia; or

(b) acute promyelocytic leukaemia; or

(c) acute lymphoid leukaemia; or



232.50




(d) chronic myeloid leukaemia




73315

A service described in item 73314 if the characterisation is performed by a receiving APP — 1 or more tests

232.50

73317

Detection of the C282Y genetic mutation of the HFE gene and, if performed, detection of other mutations 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

(c) the patient has a first degree relative with homozygosity for the C282Y genetic mutation, or with compound heterozygosity for recognised genetic mutations for haemochromatosis



36.70

73318

A test described in item 73317 if the detection is performed by a receiving APP — 1 or more tests

36.70

73320

Detection of HLA B27 by nucleic acid amplification including a service described in item 71147 unless the service in this item is rendered as a pathologist determinable service

40.80

73321

A test described in item 73320 if the detection is performed by a receiving APP — 1 or more tests

40.80

73323

Determination of HLAB5701 status by molecular techniques prior to the initiation of Abacavir therapy including item 71203 if performed

40.80

73324

A test described in item 73323 if rendered by a receiving APP — 1 or more tests

41.25

Division 2.8 Group P8 — Infertility and pregnancy tests


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