Health Insurance (Pathology Services Table) Regulations 2010


Group P12 — Management of bulk billed services



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Group P12 — Management of bulk billed services

Item

Pathology service

Fee ($)

74990

A pathology service to which an item in this table (other than this item or item 74991) applies if:

(a) the service is an unreferred service; and

(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and

(c) the person is not an admitted patient of a hospital; and

(d) the service is bulk billed in respect of the fees for:

(i) this item; and

(ii) the other item in this table applying to the service


6.75

74991

A pathology service to which an item in this table (other than this item or item 74990) applies if:

(a) the service is an unreferred service; and

(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and

(c) the person is not an admitted patient of a hospital; and

(d) the service is bulk billed in respect of the fees for:


10.25




(i) this item; and

(ii) the other item in this table applying to the service; and









(e) the service is provided at, or from, a practice location in:

(i) a regional, rural or remote area; or

(ii) Tasmania; or

(iii) a geographical area included in any of the following SSD spatial units:

(A) Beaudesert Shire Part A;

(B) Belconnen;









(C) Darwin City;

(D) Eastern Outer Melbourne;

(E) East Metropolitan;

(F) Frankston City;









(G) Gosford Wyong;

(H) Greater Geelong City Part A;

(I) Gungahlin Hall;

(J) Ipswich City (Part in BSD);

(K) Litchfield Shire;

(L) Melton Wyndham;

(M) Mornington Peninsula Shire;

(N) Newcastle;

(O) North Canberra;

(P) Palmerston East Arm;

(Q) Pine Rivers Shire;

(R) Queanbeyan;

(S) South Canberra;

(T) South Eastern Outer Melbourne;

(U) Southern Adelaide;

(V) South West Metropolitan;

(W) Thuringowa City Part A;








(X) Townsville City Part A;

(Y) Tuggeranong;

(Z) Weston Creek Stromlo;








(ZA) Woden Valley;

(ZB) Yarra Ranges Shire Part A; or

(iv) the geographical area included in the SLA spatial unit of Palm Island (AC)





Division 2.13 Group P13 — Bulk billing incentive for episodes consisting of a P10 service

Note   The payments mentioned in column 3 of Group P13 are additional payments for bulk billing a patient episode consisting of a pathology service to which a Group P10 item described in column 2 applies.


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