Billing Codes
Medicare Benefits Schedule — Updated Quarterly

MBS Item Tracker

Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging

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Total Items
6045
MBS item numbers
Showing 4951–5000 of 6045 Pg 100/121
Item No. Description Schedule Fee Status
66828
Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 2 or more tests. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25)
Group P2 		$52.45
Item Number
66828
Schedule Fee
$52.45
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 2 or more tests. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25)
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66829
Quantitation of BNP or NT‑proBNP for the exclusion of a diagnosis of heart failure in a patient presenting in a non‑hospital setting to assist in decision‑making regarding the clinical necessity of an echocardiogram, where heart failure is suspected based on signs and symptoms but diagnosis is uncertain Applicable once in any 12 month period
Group P2 		$58.50
Item Number
66829
Schedule Fee
$58.50
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2024
Item from: 01.11.2024
Gov. Change Flags
No changes flagged
Full Description
Quantitation of BNP or NT‑proBNP for the exclusion of a diagnosis of heart failure in a patient presenting in a non‑hospital setting to assist in decision‑making regarding the clinical necessity of an echocardiogram, where heart failure is suspected based on signs and symptoms but diagnosis is uncertain Applicable once in any 12 month period
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66830
Quantitation of BNP or NT-proBNP for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department (Item is subject to rule 25)
Group P2 		$58.50
Item Number
66830
Schedule Fee
$58.50
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.07.2008
Gov. Change Flags
No changes flagged
Full Description
Quantitation of BNP or NT-proBNP for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department (Item is subject to rule 25)
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66831
Quantitation of copper or iron in liver tissue biopsy
Group P2 		$30.95
Item Number
66831
Schedule Fee
$30.95
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.2008
Gov. Change Flags
No changes flagged
Full Description
Quantitation of copper or iron in liver tissue biopsy
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66832
A test described in item 66831 if rendered by a receiving APP (Item is subject to rule 18A and 22)
Group P2 		$30.95
Item Number
66832
Schedule Fee
$30.95
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.2008
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66831 if rendered by a receiving APP (Item is subject to rule 18A and 22)
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66833
25-hydroxyvitamin D, quantification in serum, for the investigation of a patient who: (a) has signs or symptoms of osteoporosis or osteomalacia; or (b) has increased alkaline phosphatase and otherwise normal liver function tests; or (c) has hyperparathyroidism, hypo- or hypercalcaemia, or hypophosphataemia; or (d) is suffering from malabsorption (for example, because the patient has cystic fibrosis, short bowel syndrome, inflammatory bowel disease or untreated coeliac disease, or has had bariatric surgery); or (e) has deeply pigmented skin, or chronic and severe lack of sun exposure for cultural, medical, occupational or residential reasons; or (f) is taking medication known to decrease 25OH-D levels (for example, anticonvulsants); or (g) has chronic renal failure or is a renal transplant recipient; or (h) is less than 16 years of age and has signs or symptoms of rickets; or (i) is an infant whose mother has established vitamin D deficiency; or (j) is a exclusively breastfed baby and has at least one other risk factor mentioned in a paragraph in this item; or (k) has a sibling who is less than 16 years of age and has vitamin D deficiency
Group P2 		$30.05
Item Number
66833
Schedule Fee
$30.05
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
25-hydroxyvitamin D, quantification in serum, for the investigation of a patient who: (a) has signs or symptoms of osteoporosis or osteomalacia; or (b) has increased alkaline phosphatase and otherwise normal liver function tests; or (c) has hyperparathyroidism, hypo- or hypercalcaemia, or hypophosphataemia; or (d) is suffering from malabsorption (for example, because the patient has cystic fibrosis, short bowel syndrome, inflammatory bowel disease or untreated coeliac disease, or has had bariatric surgery); or (e) has deeply pigmented skin, or chronic and severe lack of sun exposure for cultural, medical, occupational or residential reasons; or (f) is taking medication known to decrease 25OH-D levels (for example, anticonvulsants); or (g) has chronic renal failure or is a renal transplant recipient; or (h) is less than 16 years of age and has signs or symptoms of rickets; or (i) is an infant whose mother has established vitamin D deficiency; or (j) is a exclusively breastfed baby and has at least one other risk factor mentioned in a paragraph in this item; or (k) has a sibling who is less than 16 years of age and has vitamin D deficiency
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66834
A test described in item 66833 if rendered by a receiving APP (Item is subject to Rule 18)
Group P2 		$30.05
Item Number
66834
Schedule Fee
$30.05
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66833 if rendered by a receiving APP (Item is subject to Rule 18)
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66835
1, 25-dihydroxyvitamin D - quantification in serum, if the request for the test is made by, or on advice of, the specialist or consultant physician managing the treatment of the patient
Group P2 		$39.05
Item Number
66835
Schedule Fee
$39.05
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
1, 25-dihydroxyvitamin D - quantification in serum, if the request for the test is made by, or on advice of, the specialist or consultant physician managing the treatment of the patient
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66836
1, 25-dihydroxyvitamin D-quantification in serum, if: (a) the patient has hypercalcaemia; and (b) the request for the test is made by a general practitioner managing the treatment of the patient
Group P2 		$39.05
Item Number
66836
Schedule Fee
$39.05
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
1, 25-dihydroxyvitamin D-quantification in serum, if: (a) the patient has hypercalcaemia; and (b) the request for the test is made by a general practitioner managing the treatment of the patient
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66837
A test described in item 66835 or 66836 if rendered by a receiving APP (Item is subject to Rule 18)
Group P2 		$39.05
Item Number
66837
Schedule Fee
$39.05
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66835 or 66836 if rendered by a receiving APP (Item is subject to Rule 18)
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66838
Quantification of either or both of total vitamin B12 and holotranscobalamin Applicable not more than once in 11 months
Group P2 		$23.60
Item Number
66838
Schedule Fee
$23.60
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
Quantification of either or both of total vitamin B12 and holotranscobalamin Applicable not more than once in 11 months
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66839
Quantification of methylmalonic acid or homocysteine, rendered in the same patient episode as a service to which item 66838 applies if the result of that service is inconclusive or abnormal Applicable not more than once in 11 months
Group P2 		$42.95
Item Number
66839
Schedule Fee
$42.95
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
Quantification of methylmalonic acid or homocysteine, rendered in the same patient episode as a service to which item 66838 applies if the result of that service is inconclusive or abnormal Applicable not more than once in 11 months
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66840
Serum folate test and, if required, red cell folate test for a patient at risk of folate deficiency, including patients with malabsorption conditions, macrocytic anaemia or coeliac disease
Group P2 		$23.60
Item Number
66840
Schedule Fee
$23.60
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
Serum folate test and, if required, red cell folate test for a patient at risk of folate deficiency, including patients with malabsorption conditions, macrocytic anaemia or coeliac disease
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66841
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk. (Item is subject to rule 25)
Group P2 		$16.80
Item Number
66841
Schedule Fee
$16.80
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2014
Item from: 01.11.2014
Gov. Change Flags
No changes flagged
Full Description
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk. (Item is subject to rule 25)
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66842
Quantification of one or more of total vitamin B12, holotranscobalamin, methylmalonic acid or homocysteine for a patient: a) who: (i) is still experiencing symptoms of vitamin B12 deficiency 3 to 6 months after a service described in item 66838 or 66839 was rendered for the patient; or(ii) obtained inconclusive results from a service described in item 66839; or b) to whom one or more of the following applies: (i) the patient has a diet low in vitamin B12;(ii) the patient has a family history of vitamin B12 deficiency or an autoimmune condition;(iii) the patient has previously had abdominal or pelvic radiotherapy;(iv) the patient has previously had surgery involving the gastrointestinal tract;(v) the patient uses, or has a recent history of using, recreational nitrous oxide;(vi) the patient requires monitoring of vitamin B12 treatment;(vii) the patient uses vitamin B12-antagonistic medicines;(viii) the patient has one or more clinical conditions with a recognised risk of vitamin B12 deficiency
Group P2 		$23.60
Item Number
66842
Schedule Fee
$23.60
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2025
Item from: 01.07.2025
Gov. Change Flags
No changes flagged
Full Description
Quantification of one or more of total vitamin B12, holotranscobalamin, methylmalonic acid or homocysteine for a patient: a) who: (i) is still experiencing symptoms of vitamin B12 deficiency 3 to 6 months after a service described in item 66838 or 66839 was rendered for the patient; or(ii) obtained inconclusive results from a service described in item 66839; or b) to whom one or more of the following applies: (i) the patient has a diet low in vitamin B12;(ii) the patient has a family history of vitamin B12 deficiency or an autoimmune condition;(iii) the patient has previously had abdominal or pelvic radiotherapy;(iv) the patient has previously had surgery involving the gastrointestinal tract;(v) the patient uses, or has a recent history of using, recreational nitrous oxide;(vi) the patient requires monitoring of vitamin B12 treatment;(vii) the patient uses vitamin B12-antagonistic medicines;(viii) the patient has one or more clinical conditions with a recognised risk of vitamin B12 deficiency
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66900
CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, including the measurement of exhaled 13CO2 or 14CO2 (except if item 12533 applies) for either:- (a) the confirmation of Helicobacter pylori colonisation OR (b) the monitoring of the success of eradication of Helicobacter pylori.
Group P2 		$77.65
Item Number
66900
Schedule Fee
$77.65
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2009
Gov. Change Flags
No changes flagged
Full Description
CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, including the measurement of exhaled 13CO2 or 14CO2 (except if item 12533 applies) for either:- (a) the confirmation of Helicobacter pylori colonisation OR (b) the monitoring of the success of eradication of Helicobacter pylori.
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69300
Microscopy of wet film material other than blood, from 1 or more sites, obtained directly from a patient (not cultures) including: (a) differential cell count (if performed); or (b) examination for dermatophytes; or (c) dark ground illumination; or (d) stained preparation or preparations using any relevant stain or stains; 1 or more tests
Group P3 		$12.50
Item Number
69300
Schedule Fee
$12.50
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy of wet film material other than blood, from 1 or more sites, obtained directly from a patient (not cultures) including: (a) differential cell count (if performed); or (b) examination for dermatophytes; or (c) dark ground illumination; or (d) stained preparation or preparations using any relevant stain or stains; 1 or more tests
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69303
Culture and (if performed) microscopy to detect pathogenic micro-organisms from nasal swabs, throat swabs, eye swabs and ear swabs (excluding swabs taken for epidemiological surveillance), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in item 69300; specimens from 1 or more sites
Group P3 		$22.00
Item Number
69303
Schedule Fee
$22.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Culture and (if performed) microscopy to detect pathogenic micro-organisms from nasal swabs, throat swabs, eye swabs and ear swabs (excluding swabs taken for epidemiological surveillance), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in item 69300; specimens from 1 or more sites
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69306
Microscopy and culture to detect pathogenic micro-organisms from skin or other superficial sites, including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69312, 69318; 1 or more tests on 1 or more specimens
Group P3 		$33.75
Item Number
69306
Schedule Fee
$33.75
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy and culture to detect pathogenic micro-organisms from skin or other superficial sites, including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69312, 69318; 1 or more tests on 1 or more specimens
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69309
Microscopy and culture to detect dermatophytes and other fungi causing cutaneous disease from skin scrapings, skin biopsies, hair and nails (excluding swab specimens) and including (if performed): (a) the detection of antigens not elsewhere specified in this Schedule; or (b) a service described in items 69300, 69303, 69306, 69312, 69318; 1 or more tests on 1 or more specimens
Group P3 		$48.15
Item Number
69309
Schedule Fee
$48.15
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy and culture to detect dermatophytes and other fungi causing cutaneous disease from skin scrapings, skin biopsies, hair and nails (excluding swab specimens) and including (if performed): (a) the detection of antigens not elsewhere specified in this Schedule; or (b) a service described in items 69300, 69303, 69306, 69312, 69318; 1 or more tests on 1 or more specimens
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69312
Microscopy and culture to detect pathogenic micro-organisms from urethra, vagina, cervix or rectum (except for faecal pathogens), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69318; 1 or more tests on 1 or more specimens
Group P3 		$33.75
Item Number
69312
Schedule Fee
$33.75
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy and culture to detect pathogenic micro-organisms from urethra, vagina, cervix or rectum (except for faecal pathogens), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69318; 1 or more tests on 1 or more specimens
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69316
Detection of Chlamydia trachomatis by any method - 1 test (Item is subject to rule 26)
Group P3 		$28.65
Item Number
69316
Schedule Fee
$28.65
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Detection of Chlamydia trachomatis by any method - 1 test (Item is subject to rule 26)
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69317
1 test described in item 69494 and a test described in 69316. (Item is subject to rule 26)
Group P3 		$35.85
Item Number
69317
Schedule Fee
$35.85
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
1 test described in item 69494 and a test described in 69316. (Item is subject to rule 26)
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69318
Microscopy and culture to detect pathogenic micro-organisms from specimens of sputum (except when part of items 69324, 69327 and 69330), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69312; 1 or more tests on 1 or more specimens
Group P3 		$33.75
Item Number
69318
Schedule Fee
$33.75
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy and culture to detect pathogenic micro-organisms from specimens of sputum (except when part of items 69324, 69327 and 69330), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69312; 1 or more tests on 1 or more specimens
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69319
2 tests described in item 69494 and a test described in 69316. (Item is subject to rule 26)
Group P3 		$42.95
Item Number
69319
Schedule Fee
$42.95
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
2 tests described in item 69494 and a test described in 69316. (Item is subject to rule 26)
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69321
Microscopy and culture of post-operative wounds, aspirates of body cavities, synovial fluid, CSF or operative or biopsy specimens, for the presence of pathogenic micro-organisms involving aerobic and anaerobic cultures and the use of different culture media, and including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in item 69300, 69303, 69306, 69312 or 69318; specimens from 1 or more sites
Group P3 		$48.15
Item Number
69321
Schedule Fee
$48.15
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy and culture of post-operative wounds, aspirates of body cavities, synovial fluid, CSF or operative or biopsy specimens, for the presence of pathogenic micro-organisms involving aerobic and anaerobic cultures and the use of different culture media, and including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in item 69300, 69303, 69306, 69312 or 69318; specimens from 1 or more sites
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69324
Microscopy (with appropriate stains) and culture for mycobacteria - 1 specimen of sputum, urine, or other body fluid or 1 operative or biopsy specimen, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service described in item 69300
Group P3 		$43.00
Item Number
69324
Schedule Fee
$43.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy (with appropriate stains) and culture for mycobacteria - 1 specimen of sputum, urine, or other body fluid or 1 operative or biopsy specimen, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service described in item 69300
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69325
A test described in item 69324 if rendered by a receiving APP (Item is subject to rule 18)
Group P3 		$43.00
Item Number
69325
Schedule Fee
$43.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69324 if rendered by a receiving APP (Item is subject to rule 18)
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69327
Microscopy (with appropriate stains) and culture for mycobacteria - 2 specimens of sputum, urine, or other body fluid or 2 operative or biopsy specimens, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300
Group P3 		$85.00
Item Number
69327
Schedule Fee
$85.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy (with appropriate stains) and culture for mycobacteria - 2 specimens of sputum, urine, or other body fluid or 2 operative or biopsy specimens, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300
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69328
A test described in item 69327 if rendered by a receiving APP (Item is subject to rule 18)
Group P3 		$85.00
Item Number
69328
Schedule Fee
$85.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69327 if rendered by a receiving APP (Item is subject to rule 18)
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69330
Microscopy (with appropriate stains) and culture for mycobacteria - 3 specimens of sputum, urine, or other body fluid or 3 operative or biopsy specimens, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300
Group P3 		$128.00
Item Number
69330
Schedule Fee
$128.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy (with appropriate stains) and culture for mycobacteria - 3 specimens of sputum, urine, or other body fluid or 3 operative or biopsy specimens, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300
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69331
A test described in item 69330 if rendered by a receiving APP (Item is subject to rule 18)
Group P3 		$128.00
Item Number
69331
Schedule Fee
$128.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69330 if rendered by a receiving APP (Item is subject to rule 18)
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69333
Urine examination (including serial examinations), if: (a) the patient has symptoms of urinary tract infection or kidney disease, or is a clinically‑indicated asymptomatic patient who is: (i) pregnant; or (ii) less than 16 years of age; or (iii) a renal transplant recipient; or (iv) suffering from recurrent urinary tract infections; or (v) being investigated or monitored for kidney disease; or (vi) undergoing urinary tract instrumentation, a urological procedure or transurethral resection of the prostate; and (b) the examination is performed by any means other than simple culture by dip slide, including: (i) cell count; and (ii) culture; and (iii) colony count; and (iv) (if performed) stained preparations; and (v) (if performed) identification of cultured pathogens; and (vi) (if performed) antibiotic susceptibility testing; and (vii) (if performed) examination for pH, specific gravity, blood, protein, urobilinogen, sugar, acetone or bile salts
Group P3 		$20.55
Item Number
69333
Schedule Fee
$20.55
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Urine examination (including serial examinations), if: (a) the patient has symptoms of urinary tract infection or kidney disease, or is a clinically‑indicated asymptomatic patient who is: (i) pregnant; or (ii) less than 16 years of age; or (iii) a renal transplant recipient; or (iv) suffering from recurrent urinary tract infections; or (v) being investigated or monitored for kidney disease; or (vi) undergoing urinary tract instrumentation, a urological procedure or transurethral resection of the prostate; and (b) the examination is performed by any means other than simple culture by dip slide, including: (i) cell count; and (ii) culture; and (iii) colony count; and (iv) (if performed) stained preparations; and (v) (if performed) identification of cultured pathogens; and (vi) (if performed) antibiotic susceptibility testing; and (vii) (if performed) examination for pH, specific gravity, blood, protein, urobilinogen, sugar, acetone or bile salts
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69336
Microscopy of faeces for ova, cysts and parasites that must include a concentration technique, and the use of fixed stains or antigen detection for cryptosporidia and giardia - including (if performed) a service described in item 69300 - 1 of this item in any 7 day period
Group P3 		$33.45
Item Number
69336
Schedule Fee
$33.45
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy of faeces for ova, cysts and parasites that must include a concentration technique, and the use of fixed stains or antigen detection for cryptosporidia and giardia - including (if performed) a service described in item 69300 - 1 of this item in any 7 day period
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69339
Microscopy of faeces for ova, cysts and parasites using concentration techniques examined subsequent to item 69336 on a separately collected and identified specimen collected within 7 days of the examination described in 69336 - 1 examination in any 7 day period
Group P3 		$19.10
Item Number
69339
Schedule Fee
$19.10
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Microscopy of faeces for ova, cysts and parasites using concentration techniques examined subsequent to item 69336 on a separately collected and identified specimen collected within 7 days of the examination described in 69336 - 1 examination in any 7 day period
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69345
Culture and (if performed) microscopy without concentration techniques of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a) pathogen identification and antibiotic susceptibility testing; and (b) the detection of clostridial toxins; and (c) a service described in item 69300; - 1 examination in any 7 day period
Group P3 		$52.90
Item Number
69345
Schedule Fee
$52.90
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Culture and (if performed) microscopy without concentration techniques of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a) pathogen identification and antibiotic susceptibility testing; and (b) the detection of clostridial toxins; and (c) a service described in item 69300; - 1 examination in any 7 day period
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69354
Blood culture for pathogenic micro-organisms (other than viruses), including sub-cultures and (if performed): (a) identification of any cultured pathogen; and (b) necessary antibiotic susceptibility testing; to a maximum of 3 sets of cultures - 1 set of cultures
Group P3 		$30.75
Item Number
69354
Schedule Fee
$30.75
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Blood culture for pathogenic micro-organisms (other than viruses), including sub-cultures and (if performed): (a) identification of any cultured pathogen; and (b) necessary antibiotic susceptibility testing; to a maximum of 3 sets of cultures - 1 set of cultures
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69357
2 sets of cultures described in item 69354
Group P3 		$61.45
Item Number
69357
Schedule Fee
$61.45
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
2 sets of cultures described in item 69354
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69360
3 sets of cultures described in item 69354
Group P3 		$92.20
Item Number
69360
Schedule Fee
$92.20
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
3 sets of cultures described in item 69354
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69363
Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in item 69345 has been performed) - one or more tests
Group P3 		$28.65
Item Number
69363
Schedule Fee
$28.65
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in item 69345 has been performed) - one or more tests
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69378
Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV sero-positive patient not on antiretroviral therapy - 1 or more tests
Group P3 		$180.25
Item Number
69378
Schedule Fee
$180.25
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV sero-positive patient not on antiretroviral therapy - 1 or more tests
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69379
A test described in item 69378 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Group P3 		$180.25
Item Number
69379
Schedule Fee
$180.25
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69378 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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69380
Genotypic testing for HIV antiretroviral resistance in a patient with confirmed HIV infection if the patient's viral load is greater than 1,000 copies per ml at any of the following times: (a) at presentation; or (b) before antiretroviral therapy: or (c) when treatment with combination antiretroviral agents fails; maximum of 2 tests in a 12 month period
Group P3 		$770.30
Item Number
69380
Schedule Fee
$770.30
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.07.2011
Gov. Change Flags
No changes flagged
Full Description
Genotypic testing for HIV antiretroviral resistance in a patient with confirmed HIV infection if the patient's viral load is greater than 1,000 copies per ml at any of the following times: (a) at presentation; or (b) before antiretroviral therapy: or (c) when treatment with combination antiretroviral agents fails; maximum of 2 tests in a 12 month period
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69381
Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV sero-positive patient - 1 or more tests on 1 or more specimens
Group P3 		$180.25
Item Number
69381
Schedule Fee
$180.25
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV sero-positive patient - 1 or more tests on 1 or more specimens
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69382
Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV sero-positive patient - 1 or more tests on 1 or more specimens
Group P3 		$180.25
Item Number
69382
Schedule Fee
$180.25
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.03.1999
Gov. Change Flags
No changes flagged
Full Description
Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV sero-positive patient - 1 or more tests on 1 or more specimens
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69383
A test described in item 69381 if rendered by a receiving APP - 1 or more tests on 1 or more specimens (Item is subject to rule 18)
Group P3 		$180.25
Item Number
69383
Schedule Fee
$180.25
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69381 if rendered by a receiving APP - 1 or more tests on 1 or more specimens (Item is subject to rule 18)
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69384
Quantitation of 1 antibody to microbial antigens not elsewhere described in the Schedule - 1 test (This fee applies where a laboratory performs the only antibody test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Group P3 		$15.65
Item Number
69384
Schedule Fee
$15.65
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Quantitation of 1 antibody to microbial antigens not elsewhere described in the Schedule - 1 test (This fee applies where a laboratory performs the only antibody test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
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69387
2 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 estimations specified on the request form or performs 2 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
Group P3 		$29.00
Item Number
69387
Schedule Fee
$29.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
2 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 estimations specified on the request form or performs 2 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
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69390
3 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 estimations specified on the request form or performs 3 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
Group P3 		$42.35
Item Number
69390
Schedule Fee
$42.35
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
3 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 estimations specified on the request form or performs 3 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
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69393
4 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 estimations specified on the request form or performs 4 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
Group P3 		$55.70
Item Number
69393
Schedule Fee
$55.70
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
4 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 estimations specified on the request form or performs 4 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
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Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 2 or more tests. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25)
Fee From
01.11.2024
Category
Category 6 — Pathology
Description
Quantitation of BNP or NT‑proBNP for the exclusion of a diagnosis of heart failure in a patient presenting in a non‑hospital setting to assist in decision‑making regarding the clinical necessity of an echocardiogram, where heart failure is suspected based on signs and symptoms but diagnosis is uncertain Applicable once in any 12 month period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of BNP or NT-proBNP for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department (Item is subject to rule 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of copper or iron in liver tissue biopsy
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66831 if rendered by a receiving APP (Item is subject to rule 18A and 22)
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
25-hydroxyvitamin D, quantification in serum, for the investigation of a patient who: (a) has signs or symptoms of osteoporosis or osteomalacia; or (b) has increased alkaline phosphatase and otherwise normal liver function tests; or (c) has hyperparathyroidism, hypo- or hypercalcaemia, or hypophosphataemia; or (d) is suffering from malabsorption (for example, because the patient has cystic fibrosis, short bowel syndrome, inflammatory bowel disease or untreated coeliac disease, or has had bariatric surgery); or (e) has deeply pigmented skin, or chronic and severe lack of sun exposure for cultural, medical, occupational or residential reasons; or (f) is taking medication known to decrease 25OH-D levels (for example, anticonvulsants); or (g) has chronic renal failure or is a renal transplant recipient; or (h) is less than 16 years of age and has signs or symptoms of rickets; or (i) is an infant whose mother has established vitamin D deficiency; or (j) is a exclusively breastfed baby and has at least one other risk factor mentioned in a paragraph in this item; or (k) has a sibling who is less than 16 years of age and has vitamin D deficiency
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
A test described in item 66833 if rendered by a receiving APP (Item is subject to Rule 18)
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
1, 25-dihydroxyvitamin D - quantification in serum, if the request for the test is made by, or on advice of, the specialist or consultant physician managing the treatment of the patient
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
1, 25-dihydroxyvitamin D-quantification in serum, if: (a) the patient has hypercalcaemia; and (b) the request for the test is made by a general practitioner managing the treatment of the patient
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
A test described in item 66835 or 66836 if rendered by a receiving APP (Item is subject to Rule 18)
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
Quantification of either or both of total vitamin B12 and holotranscobalamin Applicable not more than once in 11 months
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
Quantification of methylmalonic acid or homocysteine, rendered in the same patient episode as a service to which item 66838 applies if the result of that service is inconclusive or abnormal Applicable not more than once in 11 months
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
Serum folate test and, if required, red cell folate test for a patient at risk of folate deficiency, including patients with malabsorption conditions, macrocytic anaemia or coeliac disease
Fee From
01.11.2014
Category
Category 6 — Pathology
Description
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk. (Item is subject to rule 25)
Fee From
01.07.2025
Category
Category 6 — Pathology
Description
Quantification of one or more of total vitamin B12, holotranscobalamin, methylmalonic acid or homocysteine for a patient: a) who: (i) is still experiencing symptoms of vitamin B12 deficiency 3 to 6 months after a service described in item 66838 or 66839 was rendered for the patient; or(ii) obtained inconclusive results from a service described in item 66839; or b) to whom one or more of the following applies: (i) the patient has a diet low in vitamin B12;(ii) the patient has a family history of vitamin B12 deficiency or an autoimmune condition;(iii) the patient has previously had abdominal or pelvic radiotherapy;(iv) the patient has previously had surgery involving the gastrointestinal tract;(v) the patient uses, or has a recent history of using, recreational nitrous oxide;(vi) the patient requires monitoring of vitamin B12 treatment;(vii) the patient uses vitamin B12-antagonistic medicines;(viii) the patient has one or more clinical conditions with a recognised risk of vitamin B12 deficiency
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, including the measurement of exhaled 13CO2 or 14CO2 (except if item 12533 applies) for either:- (a) the confirmation of Helicobacter pylori colonisation OR (b) the monitoring of the success of eradication of Helicobacter pylori.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy of wet film material other than blood, from 1 or more sites, obtained directly from a patient (not cultures) including: (a) differential cell count (if performed); or (b) examination for dermatophytes; or (c) dark ground illumination; or (d) stained preparation or preparations using any relevant stain or stains; 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Culture and (if performed) microscopy to detect pathogenic micro-organisms from nasal swabs, throat swabs, eye swabs and ear swabs (excluding swabs taken for epidemiological surveillance), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in item 69300; specimens from 1 or more sites
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy and culture to detect pathogenic micro-organisms from skin or other superficial sites, including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69312, 69318; 1 or more tests on 1 or more specimens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy and culture to detect dermatophytes and other fungi causing cutaneous disease from skin scrapings, skin biopsies, hair and nails (excluding swab specimens) and including (if performed): (a) the detection of antigens not elsewhere specified in this Schedule; or (b) a service described in items 69300, 69303, 69306, 69312, 69318; 1 or more tests on 1 or more specimens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy and culture to detect pathogenic micro-organisms from urethra, vagina, cervix or rectum (except for faecal pathogens), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69318; 1 or more tests on 1 or more specimens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Detection of Chlamydia trachomatis by any method - 1 test (Item is subject to rule 26)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
1 test described in item 69494 and a test described in 69316. (Item is subject to rule 26)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy and culture to detect pathogenic micro-organisms from specimens of sputum (except when part of items 69324, 69327 and 69330), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69312; 1 or more tests on 1 or more specimens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 tests described in item 69494 and a test described in 69316. (Item is subject to rule 26)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy and culture of post-operative wounds, aspirates of body cavities, synovial fluid, CSF or operative or biopsy specimens, for the presence of pathogenic micro-organisms involving aerobic and anaerobic cultures and the use of different culture media, and including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in item 69300, 69303, 69306, 69312 or 69318; specimens from 1 or more sites
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy (with appropriate stains) and culture for mycobacteria - 1 specimen of sputum, urine, or other body fluid or 1 operative or biopsy specimen, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service described in item 69300
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69324 if rendered by a receiving APP (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy (with appropriate stains) and culture for mycobacteria - 2 specimens of sputum, urine, or other body fluid or 2 operative or biopsy specimens, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69327 if rendered by a receiving APP (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy (with appropriate stains) and culture for mycobacteria - 3 specimens of sputum, urine, or other body fluid or 3 operative or biopsy specimens, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69330 if rendered by a receiving APP (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Urine examination (including serial examinations), if: (a) the patient has symptoms of urinary tract infection or kidney disease, or is a clinically‑indicated asymptomatic patient who is: (i) pregnant; or (ii) less than 16 years of age; or (iii) a renal transplant recipient; or (iv) suffering from recurrent urinary tract infections; or (v) being investigated or monitored for kidney disease; or (vi) undergoing urinary tract instrumentation, a urological procedure or transurethral resection of the prostate; and (b) the examination is performed by any means other than simple culture by dip slide, including: (i) cell count; and (ii) culture; and (iii) colony count; and (iv) (if performed) stained preparations; and (v) (if performed) identification of cultured pathogens; and (vi) (if performed) antibiotic susceptibility testing; and (vii) (if performed) examination for pH, specific gravity, blood, protein, urobilinogen, sugar, acetone or bile salts
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy of faeces for ova, cysts and parasites that must include a concentration technique, and the use of fixed stains or antigen detection for cryptosporidia and giardia - including (if performed) a service described in item 69300 - 1 of this item in any 7 day period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy of faeces for ova, cysts and parasites using concentration techniques examined subsequent to item 69336 on a separately collected and identified specimen collected within 7 days of the examination described in 69336 - 1 examination in any 7 day period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Culture and (if performed) microscopy without concentration techniques of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a) pathogen identification and antibiotic susceptibility testing; and (b) the detection of clostridial toxins; and (c) a service described in item 69300; - 1 examination in any 7 day period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Blood culture for pathogenic micro-organisms (other than viruses), including sub-cultures and (if performed): (a) identification of any cultured pathogen; and (b) necessary antibiotic susceptibility testing; to a maximum of 3 sets of cultures - 1 set of cultures
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 sets of cultures described in item 69354
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
3 sets of cultures described in item 69354
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in item 69345 has been performed) - one or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV sero-positive patient not on antiretroviral therapy - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69378 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Genotypic testing for HIV antiretroviral resistance in a patient with confirmed HIV infection if the patient's viral load is greater than 1,000 copies per ml at any of the following times: (a) at presentation; or (b) before antiretroviral therapy: or (c) when treatment with combination antiretroviral agents fails; maximum of 2 tests in a 12 month period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV sero-positive patient - 1 or more tests on 1 or more specimens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV sero-positive patient - 1 or more tests on 1 or more specimens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69381 if rendered by a receiving APP - 1 or more tests on 1 or more specimens (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of 1 antibody to microbial antigens not elsewhere described in the Schedule - 1 test (This fee applies where a laboratory performs the only antibody test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 estimations specified on the request form or performs 2 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
3 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 estimations specified on the request form or performs 3 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
4 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 estimations specified on the request form or performs 4 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
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