Health Insurance (Pathology Services Table) Regulations 2010


Limitation on certain items



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2.2.6 Limitation on certain items

(1) For any particular patient, each of items 66655, 66659 and 69482 is applicable not more than once in a 12 month period.

(2) For any particular patient, each of items 66819, 66820, 66821, 66822, 66825, 66826, 66827 and 66828 is applicable not more than 3 times in a 6 month period.

2.2.7 Nutritional and toxicity metals testing

(1) For this clause:



metal toxicity testing group means items 66825, 66826, 66827, 66828, 66831 and 66832.

nutritional metals testing group means items 66819, 66820, 66821 and 66822.

(2) An item in the nutritional metals testing group or the metal toxicity testing group does not apply to a service performed if medicare benefits are paid or payable for tests that are performed for the same patient in 3 patient episodes requested within 6 months before the request for that service, under any of:

(a) that item; or

(b) the other item in the same group; or

(c) an item in the other group.


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