Health Insurance (Pathology Services Table) Regulations 2010

prescribed laboratory means a laboratory operated by:

(a) the Commonwealth; or

(b) an authority of the Commonwealth; or

(c) a State or internal Territory; or

(d) an authority of a State or internal Territory; or

(e) an Australian tertiary education institution.

residential care facility means a facility in which residential care, within the meaning of section 41 3 of the Aged Care Act 1997, is provided.

specimen collection centre has the same meaning as in Part IIA of the Act.

treating practitioner has the same meaning as in paragraph 16A (1) (a) of the Act.

(2) If a service mentioned in an item in Group P10 is rendered by, or on behalf of, an approved pathology practitioner who is a recognised pathologist, the relevant item does not apply to the service if:

(a) the service is rendered upon a request made in the course of an out patient service at a recognised hospital; or

(b) the service is rendered to a public patient at a recognised hospital.

(3) An item in Group P10 does not apply to a pathology service to which subsection 16A (7) of the Act applies.

(4) An item in Group P10 does not apply to a pathology service unless at least 1 item in Groups P1 to P8 also applies to the service.

(5) Subject to subclause (6), if 1 item in Group P10 applies to a patient episode, no other item in the Group applies to the patient episode.

(6) If, for the same patient episode:

(a) services mentioned in 1 or more items in Group P5 and 1 or more of Groups P1, P2, P3, P4, P6, P7 and P8 are rendered by an approved pathology practitioner in the laboratory of another approved pathology authority; or

(b) services mentioned in 1 or more items in Group P6 and 1 or more of Groups P1, P2, P3, P4, P5, P7 and P8 are rendered by an approved pathology practitioner in the laboratory of another approved pathology authority;

the fee mentioned in the applicable item in Group P10 applies to both approved pathology practitioners.

(7) If more than 1 specimen is collected from a person on the same day for the provision of pathology services:

(a) in accordance with more than 1 request; and

(b) in or by a single approved pathology authority;

the fee mentioned in the applicable item in Group P10 applies once only to the services unless an exemption mentioned in clause 4 applies or the Minister has made a direction under subsection 4B (3) of the Act.

Note   Items 73922 to 73927 in Subgroup 1 apply to the initiation of a patient episode consisting of a service described in a particular item in the table. If the initiation of the patient episode consists of a service described in an item other than those particular services, an item mentioned in Subgroup 2 will apply to the patient episode.