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 5001–5050 of 6045 Pg 101/121
Item No. Description Schedule Fee Status
69396
5 or more tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 estimations specified on the request form or performs 5 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
Group P3 		$69.10
Item Number
69396
Schedule Fee
$69.10
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
5 or more tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 estimations specified on the request form or performs 5 of the antibody tests 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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69400
A test described in item 69384, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rules 6 and 18)
Group P3 		$15.65
Item Number
69400
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69384, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rules 6 and 18)
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69401
A test described in item 69384, other than that described in 69400, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6, 18 and 18A)
Group P3 		$13.35
Item Number
69401
Schedule Fee
$13.35
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69384, other than that described in 69400, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6, 18 and 18A)
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69405
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 1 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Group P3 		$15.65
Item Number
69405
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
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 1 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
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69408
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 2 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Group P3 		$29.00
Item Number
69408
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
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 2 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
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69411
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 3 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Group P3 		$42.35
Item Number
69411
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
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 3 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
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69413
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 4 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Group P3 		$55.70
Item Number
69413
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: 01.11.2003
Gov. Change Flags
No changes flagged
Full Description
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 4 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
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69415
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of all 5 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Group P3 		$69.10
Item Number
69415
Schedule Fee
$69.10
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: 01.11.2005
Gov. Change Flags
No changes flagged
Full Description
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of all 5 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
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69421
Detection of respiratory pathogen nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample Testing of 4 pathogens
Group P3 		$78.25
Item Number
69421
Schedule Fee
$78.25
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2024
Item from: 01.07.2024
Gov. Change Flags
No changes flagged
Full Description
Detection of respiratory pathogen nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample Testing of 4 pathogens
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69422
Detection of respiratory pathogen nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample, including a service described in item 69421 Testing of 5 or more pathogens
Group P3 		$85.55
Item Number
69422
Schedule Fee
$85.55
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2024
Item from: 01.07.2024
Gov. Change Flags
No changes flagged
Full Description
Detection of respiratory pathogen nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample, including a service described in item 69421 Testing of 5 or more pathogens
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69445
Detection of Hepatitis C viral RNA in a patient undertaking antiviral therapy for chronic HCV hepatitis (including a service described in item 69499) - 1 test. To a maximum of 4 of this item in a 12 month period (Item is subject to rule 25)
Group P3 		$92.20
Item Number
69445
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: 01.11.2000
Gov. Change Flags
No changes flagged
Full Description
Detection of Hepatitis C viral RNA in a patient undertaking antiviral therapy for chronic HCV hepatitis (including a service described in item 69499) - 1 test. To a maximum of 4 of this item in a 12 month period (Item is subject to rule 25)
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69451
A test described in item 69445 if rendered by a receiving APP - 1 test. (Item is subject to rule 18 and 25)
Group P3 		$92.20
Item Number
69451
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69445 if rendered by a receiving APP - 1 test. (Item is subject to rule 18 and 25)
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69471
Test of cell‑mediated immune response in blood for the detection of latent tuberculosis by interferon gamma release assay (IGRA) in the following people: (a) a person who has been exposed to a confirmed case of active tuberculosis; (b) a person who is infected with human immunodeficiency virus; (c) a person who is to commence, or has commenced, tumour necrosis factor (TNF) inhibitor therapy; (d) a person who is to commence, or has commenced, renal dialysis; (e) a person with silicosis; (f) a person who is, or is about to become, immunosuppressed because of a disease, or a medical treatment, not mentioned in paragraphs (a) to (e)
Group P3 		$34.90
Item Number
69471
Schedule Fee
$34.90
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
Test of cell‑mediated immune response in blood for the detection of latent tuberculosis by interferon gamma release assay (IGRA) in the following people: (a) a person who has been exposed to a confirmed case of active tuberculosis; (b) a person who is infected with human immunodeficiency virus; (c) a person who is to commence, or has commenced, tumour necrosis factor (TNF) inhibitor therapy; (d) a person who is to commence, or has commenced, renal dialysis; (e) a person with silicosis; (f) a person who is, or is about to become, immunosuppressed because of a disease, or a medical treatment, not mentioned in paragraphs (a) to (e)
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69472
Detection of antibodies to Epstein Barr Virus using specific serology - 1 test
Group P3 		$15.65
Item Number
69472
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: 01.11.2001
Gov. Change Flags
No changes flagged
Full Description
Detection of antibodies to Epstein Barr Virus using specific serology - 1 test
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69474
Detection of antibodies to Epstein Barr Virus using specific serology - 2 or more tests
Group P3 		$28.65
Item Number
69474
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: 01.11.2001
Gov. Change Flags
No changes flagged
Full Description
Detection of antibodies to Epstein Barr Virus using specific serology - 2 or more tests
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69475
One test for hepatitis antigen or antibodies to determine immune status or viral carriage following exposure or vaccination to Hepatitis A, Hepatitis B, Hepatitis C or Hepatitis D (Item subject to rule 11)
Group P3 		$15.65
Item Number
69475
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: 01.11.2002
Gov. Change Flags
No changes flagged
Full Description
One test for hepatitis antigen or antibodies to determine immune status or viral carriage following exposure or vaccination to Hepatitis A, Hepatitis B, Hepatitis C or Hepatitis D (Item subject to rule 11)
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69478
2 tests described in 69475 (Item subject to rule 11)
Group P3 		$29.25
Item Number
69478
Schedule Fee
$29.25
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: 01.11.2002
Gov. Change Flags
No changes flagged
Full Description
2 tests described in 69475 (Item subject to rule 11)
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69481
Investigation of infectious causes of acute or chronic hepatitis - 3 tests for hepatitis antibodies or antigens, (Item subject to rule 11)
Group P3 		$40.55
Item Number
69481
Schedule Fee
$40.55
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: 01.11.2002
Gov. Change Flags
No changes flagged
Full Description
Investigation of infectious causes of acute or chronic hepatitis - 3 tests for hepatitis antibodies or antigens, (Item subject to rule 11)
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69482
Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and have chronic hepatitis B, but are not receiving antiviral therapy - 1 test (Item is subject to rule 25)
Group P3 		$152.10
Item Number
69482
Schedule Fee
$152.10
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: 01.07.2008
Gov. Change Flags
No changes flagged
Full Description
Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and have chronic hepatitis B, but are not receiving antiviral therapy - 1 test (Item is subject to rule 25)
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69483
Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and who have chronic hepatitis B and are receiving antiviral therapy - 1 test (Item is subject to rule 25)
Group P3 		$152.10
Item Number
69483
Schedule Fee
$152.10
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: 01.07.2008
Gov. Change Flags
No changes flagged
Full Description
Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and who have chronic hepatitis B and are receiving antiviral therapy - 1 test (Item is subject to rule 25)
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69484
Supplementary testing for Hepatitis B surface antigen or Hepatitis C antibody using a different assay on the specimen which yielded a reactive result on initial testing (Item is subject to rule 18)
Group P3 		$17.10
Item Number
69484
Schedule Fee
$17.10
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: 01.11.2002
Gov. Change Flags
No changes flagged
Full Description
Supplementary testing for Hepatitis B surface antigen or Hepatitis C antibody using a different assay on the specimen which yielded a reactive result on initial testing (Item is subject to rule 18)
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69488
Quantitation of HCV RNA load in plasma or serum in: (a) the pre-treatment evaluation, of a patient with chronic HCV hepatitis, for antiviral therapy; or (b) the assessment of efficacy of antiviral therapy for such a patient (including a service in item 69499 or 69445) (Item is subject to rule 18 and 25)
Group P3 		$180.25
Item Number
69488
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
Quantitation of HCV RNA load in plasma or serum in: (a) the pre-treatment evaluation, of a patient with chronic HCV hepatitis, for antiviral therapy; or (b) the assessment of efficacy of antiviral therapy for such a patient (including a service in item 69499 or 69445) (Item is subject to rule 18 and 25)
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69489
A test described in item 69488 if rendered by a receiving APP (Item is subject to rule 18 and 25)
Group P3 		$180.25
Item Number
69489
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 69488 if rendered by a receiving APP (Item is subject to rule 18 and 25)
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69491
Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis. To a maximum of 1 of this item in a 12 month period
Group P3 		$204.80
Item Number
69491
Schedule Fee
$204.80
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
Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis. To a maximum of 1 of this item in a 12 month period
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69492
A test described in item 69491 if rendered by a receiving APP - 1 test (Item is subject to rule 18 and 25)
Group P3 		$204.80
Item Number
69492
Schedule Fee
$204.80
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 69491 if rendered by a receiving APP - 1 test (Item is subject to rule 18 and 25)
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69494
Detection of a virus or microbial antigen or microbial nucleic acid (not elsewhere specified) 1 test (Item is subject to rule 6 and 26)
Group P3 		$28.65
Item Number
69494
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 a virus or microbial antigen or microbial nucleic acid (not elsewhere specified) 1 test (Item is subject to rule 6 and 26)
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69495
2 tests described in 69494 (Item is subject to rule 6 and 26)
Group P3 		$35.85
Item Number
69495
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
2 tests described in 69494 (Item is subject to rule 6 and 26)
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69496
3 or more tests described in 69494 (Item is subject to rule 6 and 26)
Group P3 		$43.05
Item Number
69496
Schedule Fee
$43.05
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
3 or more tests described in 69494 (Item is subject to rule 6 and 26)
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69497
A test described in item 69494, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18 and 26)
Group P3 		$28.65
Item Number
69497
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
A test described in item 69494, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18 and 26)
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69498
A test described in item 69494, other than that described in 69497, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6, 18 and 26)
Group P3 		$7.20
Item Number
69498
Schedule Fee
$7.20
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 69494, other than that described in 69497, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6, 18 and 26)
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69499
Detection of hepatitis C viral RNA if: (a) the patient is hepatitis C seropositive; or (aa) the patient's hepatitis C serological status is uncertain after an inconclusive serology test result; or (b) the test is performed for the purpose of: (i) determining the hepatitis C status of an immunosuppressed or immunocompromised patient; or (ii) the detection of acute hepatitis C prior to seroconversion if considered necessary for the clinical management of the patient (Item is subject to rule 25 - not more than once in a 12-month period in total for both items 69499 and 69500)
Group P3 		$92.20 ✎ UPDATED
Item Number
69499
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: 01.05.2007
Gov. Change Flags
Descriptor ≠
Full Description
Detection of hepatitis C viral RNA if: (a) the patient is hepatitis C seropositive; or (aa) the patient's hepatitis C serological status is uncertain after an inconclusive serology test result; or (b) the test is performed for the purpose of: (i) determining the hepatitis C status of an immunosuppressed or immunocompromised patient; or (ii) the detection of acute hepatitis C prior to seroconversion if considered necessary for the clinical management of the patient (Item is subject to rule 25 - not more than once in a 12-month period in total for both items 69499 and 69500)
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69500
A test described in item 69499 if the test is performed by a receiving APP (Item is subject to rules 18 and 25)
Group P3 		$92.20 ✎ UPDATED
Item Number
69500
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: 01.05.2007
Gov. Change Flags
Descriptor ≠
Full Description
A test described in item 69499 if the test is performed by a receiving APP (Item is subject to rules 18 and 25)
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69505
Sequencing and analysis of the genome of mycobacterium tuberculosis complex from an isolate or nucleic acid extract: (a) to speciate the organism: (i) at the time of a patient’s initial diagnosis and commencement of initial empiric therapy; or (ii) following recurrence of a patient’s symptoms or a patient’s failure to respond to treatment within the expected timeframe; and (b) for the purpose of: (i) genome‑wide determination of the antimicrobial resistance markers (resistome) of the isolate; and (ii) individualising the patient’s treatment Applicable once at initial diagnosis and once per episode of disease recurrence
Group P3 		$150.00
Item Number
69505
Schedule Fee
$150.00
Category
Category 6 — Pathology
Group / Subheading
Group P3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2023
Item from: 01.07.2023
Gov. Change Flags
No changes flagged
Full Description
Sequencing and analysis of the genome of mycobacterium tuberculosis complex from an isolate or nucleic acid extract: (a) to speciate the organism: (i) at the time of a patient’s initial diagnosis and commencement of initial empiric therapy; or (ii) following recurrence of a patient’s symptoms or a patient’s failure to respond to treatment within the expected timeframe; and (b) for the purpose of: (i) genome‑wide determination of the antimicrobial resistance markers (resistome) of the isolate; and (ii) individualising the patient’s treatment Applicable once at initial diagnosis and once per episode of disease recurrence
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71057
Electrophoresis, quantitative and qualitative, of serum, urine or other body fluid all collected within a 28 day period, to demonstrate: (a) protein classes; or (b) presence and amount of paraprotein; including the preliminary quantitation of total protein, albumin and globulin - 1 specimen type
Group P4 		$34.60 ≠ CHANGED
Item Number
71057
Schedule Fee
$34.60
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Electrophoresis, quantitative and qualitative, of serum, urine or other body fluid all collected within a 28 day period, to demonstrate: (a) protein classes; or (b) presence and amount of paraprotein; including the preliminary quantitation of total protein, albumin and globulin - 1 specimen type
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71058
Examination as described in item 71057 of 2 or more specimen types
Group P4 		$53.05 ≠ CHANGED
Item Number
71058
Schedule Fee
$53.05
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Examination as described in item 71057 of 2 or more specimen types
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71059
Immunofixation or immunoelectrophoresis or isoelectric focusing of: (a) urine for detection of Bence Jones proteins; or (b) serum, plasma or other body fluid; and characterisation of a paraprotein or cryoglobulin - examination of 1 specimen type (eg. serum, urine or CSF)
Group P4 		$37.45 ≠ CHANGED
Item Number
71059
Schedule Fee
$37.45
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Immunofixation or immunoelectrophoresis or isoelectric focusing of: (a) urine for detection of Bence Jones proteins; or (b) serum, plasma or other body fluid; and characterisation of a paraprotein or cryoglobulin - examination of 1 specimen type (eg. serum, urine or CSF)
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71060
Examination as described in item 71059 of 2 or more specimen types
Group P4 		$46.25 ≠ CHANGED
Item Number
71060
Schedule Fee
$46.25
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Examination as described in item 71059 of 2 or more specimen types
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71062
Electrophoresis and immunofixation or immunoelectrophoresis or isoelectric focussing of CSF for the detection of oligoclonal bands and including if required electrophoresis of the patient's serum for comparison purposes - 1 or more tests
Group P4 		$46.25 ≠ CHANGED
Item Number
71062
Schedule Fee
$46.25
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Electrophoresis and immunofixation or immunoelectrophoresis or isoelectric focussing of CSF for the detection of oligoclonal bands and including if required electrophoresis of the patient's serum for comparison purposes - 1 or more tests
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71064
Detection and quantitation of cryoglobulins or cryofibrinogen - 1 or more tests
Group P4 		$21.80 ≠ CHANGED
Item Number
71064
Schedule Fee
$21.80
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Detection and quantitation of cryoglobulins or cryofibrinogen - 1 or more tests
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71066
Quantitation of total immunoglobulin A by any method in serum, urine or other body fluid - 1 test
Group P4 		$15.30 ≠ CHANGED
Item Number
71066
Schedule Fee
$15.30
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2002
Gov. Change Flags
Fee ≠
Full Description
Quantitation of total immunoglobulin A by any method in serum, urine or other body fluid - 1 test
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71068
Quantitation of total immunoglobulin G by any method in serum, urine or other body fluid - 1 test
Group P4 		$15.30 ≠ CHANGED
Item Number
71068
Schedule Fee
$15.30
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2002
Gov. Change Flags
Fee ≠
Full Description
Quantitation of total immunoglobulin G by any method in serum, urine or other body fluid - 1 test
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71069
2 tests described in items 71066, 71068, 71072 or 71074
Group P4 		$23.90 ≠ CHANGED
Item Number
71069
Schedule Fee
$23.90
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.09.1992
Gov. Change Flags
Fee ≠
Full Description
2 tests described in items 71066, 71068, 71072 or 71074
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71071
3 or more tests described in items 71066, 71068, 71072 or 71074
Group P4 		$32.50 ≠ CHANGED
Item Number
71071
Schedule Fee
$32.50
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.09.1992
Gov. Change Flags
Fee ≠
Full Description
3 or more tests described in items 71066, 71068, 71072 or 71074
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71072
Quantitation of total immunoglobulin M by any method in serum, urine or other body fluid - 1 test
Group P4 		$15.30 ≠ CHANGED
Item Number
71072
Schedule Fee
$15.30
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2002
Gov. Change Flags
Fee ≠
Full Description
Quantitation of total immunoglobulin M by any method in serum, urine or other body fluid - 1 test
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71073
Quantitation of all 4 immunoglobulin G subclasses
Group P4 		$111.55 ≠ CHANGED
Item Number
71073
Schedule Fee
$111.55
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.09.1992
Gov. Change Flags
Fee ≠
Full Description
Quantitation of all 4 immunoglobulin G subclasses
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71074
Quantitation of total immunoglobulin D by any method in serum, urine or other body fluid - 1 test
Group P4 		$15.30 ≠ CHANGED
Item Number
71074
Schedule Fee
$15.30
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2002
Gov. Change Flags
Fee ≠
Full Description
Quantitation of total immunoglobulin D by any method in serum, urine or other body fluid - 1 test
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71075
Quantitation of immunoglobulin E (total), 1 test. (Item is subject to rule 25)
Group P4 		$24.15 ≠ CHANGED
Item Number
71075
Schedule Fee
$24.15
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.09.1992
Gov. Change Flags
Fee ≠
Full Description
Quantitation of immunoglobulin E (total), 1 test. (Item is subject to rule 25)
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71076
A test described in item 71073 if rendered by a receiving APP - 1 test (Item is subject to rule 18)
Group P4 		$111.55 ≠ CHANGED
Item Number
71076
Schedule Fee
$111.55
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2007
Gov. Change Flags
Fee ≠
Full Description
A test described in item 71073 if rendered by a receiving APP - 1 test (Item is subject to rule 18)
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71077
Quantitation of immunoglobulin E (total) in the follow up of a patient with proven immunoglobulin-E-secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, 1 test. (Item is subject to rule 25)
Group P4 		$28.40 ≠ CHANGED
Item Number
71077
Schedule Fee
$28.40
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.09.1992
Gov. Change Flags
Fee ≠
Full Description
Quantitation of immunoglobulin E (total) in the follow up of a patient with proven immunoglobulin-E-secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, 1 test. (Item is subject to rule 25)
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71079
Detection of specific immunoglobulin E antibodies to single or multiple potential allergens, 1 test (Item is subject to rule 25)
Group P4 		$28.15 ≠ CHANGED
Item Number
71079
Schedule Fee
$28.15
Category
Category 6 — Pathology
Group / Subheading
Group P4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.09.1992
Gov. Change Flags
Fee ≠
Full Description
Detection of specific immunoglobulin E antibodies to single or multiple potential allergens, 1 test (Item is subject to rule 25)
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Fee From
01.01.2013
Category
Category 6 — Pathology
Description
5 or more tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 estimations specified on the request form or performs 5 of the antibody tests 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
A test described in item 69384, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rules 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69384, other than that described in 69400, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6, 18 and 18A)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 1 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 2 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 3 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 4 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of all 5 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
Fee From
01.07.2024
Category
Category 6 — Pathology
Description
Detection of respiratory pathogen nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample Testing of 4 pathogens
Fee From
01.07.2024
Category
Category 6 — Pathology
Description
Detection of respiratory pathogen nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample, including a service described in item 69421 Testing of 5 or more pathogens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Detection of Hepatitis C viral RNA in a patient undertaking antiviral therapy for chronic HCV hepatitis (including a service described in item 69499) - 1 test. To a maximum of 4 of this item in a 12 month period (Item is subject to rule 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69445 if rendered by a receiving APP - 1 test. (Item is subject to rule 18 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Test of cell‑mediated immune response in blood for the detection of latent tuberculosis by interferon gamma release assay (IGRA) in the following people: (a) a person who has been exposed to a confirmed case of active tuberculosis; (b) a person who is infected with human immunodeficiency virus; (c) a person who is to commence, or has commenced, tumour necrosis factor (TNF) inhibitor therapy; (d) a person who is to commence, or has commenced, renal dialysis; (e) a person with silicosis; (f) a person who is, or is about to become, immunosuppressed because of a disease, or a medical treatment, not mentioned in paragraphs (a) to (e)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Detection of antibodies to Epstein Barr Virus using specific serology - 1 test
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Detection of antibodies to Epstein Barr Virus using specific serology - 2 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
One test for hepatitis antigen or antibodies to determine immune status or viral carriage following exposure or vaccination to Hepatitis A, Hepatitis B, Hepatitis C or Hepatitis D (Item subject to rule 11)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 tests described in 69475 (Item subject to rule 11)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Investigation of infectious causes of acute or chronic hepatitis - 3 tests for hepatitis antibodies or antigens, (Item subject to rule 11)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and have chronic hepatitis B, but are not receiving antiviral therapy - 1 test (Item is subject to rule 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and who have chronic hepatitis B and are receiving antiviral therapy - 1 test (Item is subject to rule 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Supplementary testing for Hepatitis B surface antigen or Hepatitis C antibody using a different assay on the specimen which yielded a reactive result on initial testing (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of HCV RNA load in plasma or serum in: (a) the pre-treatment evaluation, of a patient with chronic HCV hepatitis, for antiviral therapy; or (b) the assessment of efficacy of antiviral therapy for such a patient (including a service in item 69499 or 69445) (Item is subject to rule 18 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69488 if rendered by a receiving APP (Item is subject to rule 18 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis. To a maximum of 1 of this item in a 12 month period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69491 if rendered by a receiving APP - 1 test (Item is subject to rule 18 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Detection of a virus or microbial antigen or microbial nucleic acid (not elsewhere specified) 1 test (Item is subject to rule 6 and 26)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 tests described in 69494 (Item is subject to rule 6 and 26)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
3 or more tests described in 69494 (Item is subject to rule 6 and 26)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69494, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18 and 26)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69494, other than that described in 69497, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6, 18 and 26)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Detection of hepatitis C viral RNA if: (a) the patient is hepatitis C seropositive; or (aa) the patient's hepatitis C serological status is uncertain after an inconclusive serology test result; or (b) the test is performed for the purpose of: (i) determining the hepatitis C status of an immunosuppressed or immunocompromised patient; or (ii) the detection of acute hepatitis C prior to seroconversion if considered necessary for the clinical management of the patient (Item is subject to rule 25 - not more than once in a 12-month period in total for both items 69499 and 69500)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 69499 if the test is performed by a receiving APP (Item is subject to rules 18 and 25)
Fee From
01.07.2023
Category
Category 6 — Pathology
Description
Sequencing and analysis of the genome of mycobacterium tuberculosis complex from an isolate or nucleic acid extract: (a) to speciate the organism: (i) at the time of a patient’s initial diagnosis and commencement of initial empiric therapy; or (ii) following recurrence of a patient’s symptoms or a patient’s failure to respond to treatment within the expected timeframe; and (b) for the purpose of: (i) genome‑wide determination of the antimicrobial resistance markers (resistome) of the isolate; and (ii) individualising the patient’s treatment Applicable once at initial diagnosis and once per episode of disease recurrence
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Electrophoresis, quantitative and qualitative, of serum, urine or other body fluid all collected within a 28 day period, to demonstrate: (a) protein classes; or (b) presence and amount of paraprotein; including the preliminary quantitation of total protein, albumin and globulin - 1 specimen type
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Examination as described in item 71057 of 2 or more specimen types
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Immunofixation or immunoelectrophoresis or isoelectric focusing of: (a) urine for detection of Bence Jones proteins; or (b) serum, plasma or other body fluid; and characterisation of a paraprotein or cryoglobulin - examination of 1 specimen type (eg. serum, urine or CSF)
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Examination as described in item 71059 of 2 or more specimen types
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Electrophoresis and immunofixation or immunoelectrophoresis or isoelectric focussing of CSF for the detection of oligoclonal bands and including if required electrophoresis of the patient's serum for comparison purposes - 1 or more tests
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Detection and quantitation of cryoglobulins or cryofibrinogen - 1 or more tests
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Quantitation of total immunoglobulin A by any method in serum, urine or other body fluid - 1 test
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Quantitation of total immunoglobulin G by any method in serum, urine or other body fluid - 1 test
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
2 tests described in items 71066, 71068, 71072 or 71074
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
3 or more tests described in items 71066, 71068, 71072 or 71074
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Quantitation of total immunoglobulin M by any method in serum, urine or other body fluid - 1 test
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Quantitation of all 4 immunoglobulin G subclasses
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Quantitation of total immunoglobulin D by any method in serum, urine or other body fluid - 1 test
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Quantitation of immunoglobulin E (total), 1 test. (Item is subject to rule 25)
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
A test described in item 71073 if rendered by a receiving APP - 1 test (Item is subject to rule 18)
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Quantitation of immunoglobulin E (total) in the follow up of a patient with proven immunoglobulin-E-secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, 1 test. (Item is subject to rule 25)
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
Detection of specific immunoglobulin E antibodies to single or multiple potential allergens, 1 test (Item is subject to rule 25)
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