Health Insurance (Pathology Services Table) Regulations 2010


Group P11 — Specimen referred



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Group P11 — Specimen referred

Item

Pathology service

Fee ($)

73940

Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of another approved pathology authority

10.30

Division 2.12 Group P12 — Management of bulk billed services

2.12.1 Application of items 74990 and 74991

(1) Despite clause 1.2.1:

(a) if the pathology service described in item 74991 is provided to a person, either that item or item 74990, but not both those items, applies to the service; and

(b) if item 74990 or 74991 applies to a pathology service, the fee specified in that item applies in addition to the fee specified in any other item in this table that applies to the service.

(2) For items 74990 and 74991:

bulk billed, for a pathology service, means:

(a) a medicare benefit is payable to a person for the service; and

(b) under an agreement entered into under section 20A of the Act:

(i) the person assigns to the practitioner by whom, or on whose behalf, the service is provided, his or her right to the payment of the medicare benefit; and

(ii) the practitioner accepts the assignment in full payment of his or her fee for the service provided.


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