Health Insurance (Pathology Services Table) Regulations 2010


Items in Group P11 not to apply in certain circumstances



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2.11.1 Items in Group P11 not to apply in certain circumstances

(1) An item in Group P11 does not apply to a pathology service to which subsection 16A (7) of the Act applies.

(2) An item in Group P11 does not apply to a pathology service unless at least 1 item in Groups P1 to P8 also applies to the service.

(3) An item in Group P11 applies only to the approved pathology practitioner or approved pathology authority to whom the specimen mentioned in the item was referred.

(4) The fee mentioned in item 73940 applies only once for a single patient episode.

2.11.2 Application of an item in Group P11 to a service excludes certain other items

If item 73940 applies to a patient episode, none of the items in Group P10 applies to any pathology service rendered by the approved pathology authority or approved pathology practitioner who claimed item 73940 for the patient episode.




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