Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 71175 | Group P4 | $52.55 | ≠ CHANGED | ||||
|
Item Number
71175
Schedule Fee
$52.55
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: 01.11.2021
Gov. Change Flags
Fee ≠
Full Description
A test, requested by a specialist or consultant physician, to diagnose neuromyelitis optica spectrum disorder (NMOSD) or myelin oligodendrocyte glycoprotein antibody‑related demyelination (MARD), by the detection of one or more antibodies, for a patient: suspected of having NMOSD or MARD; and with any of the following: recurrent, bilateral or severe optic neuritis; recurrent longitudinal extensive transverse myelitis (LETM); area postrema syndrome (unexplained hiccups, nausea or vomiting); acute brainstem syndrome; symptomatic narcolepsy or acute diencephalic clinical syndrome with typical NMOSD magnetic resonance imaging lesions; symptomatic cerebral syndrome with typical NMOSD magnetic resonance imaging lesions; monophasic neuromyelitis optica (no recurrence, and simultaneous or closely related optic neuritis and LETM within 30 days of each other); acute disseminated encephalomyelitis; aseptic meningitis and encephalomyelitis; poor recovery from multiple sclerosis relapses Applicable not more than 4 times in 12 months
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| 71180 | Group P4 | $36.30 | ≠ CHANGED | ||||
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Item Number
71180
Schedule Fee
$36.30
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
Antibody to cardiolipin or beta-2 glycoprotein I - detection, including quantitation if required; one antibody specificity (IgG or IgM)
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| 71183 | Group P4 | $49.85 | ≠ CHANGED | ||||
|
Item Number
71183
Schedule Fee
$49.85
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
Detection of two antibodies described in item 71180
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| 71186 | Group P4 | $63.35 | ≠ CHANGED | ||||
|
Item Number
71186
Schedule Fee
$63.35
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
Detection of three or more antibodies described in item 71180
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| 71189 | Group P4 | $16.25 | ≠ CHANGED | ||||
|
Item Number
71189
Schedule Fee
$16.25
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
Detection of specific IgG antibodies to 1 or more respiratory disease allergens not elsewhere specified.
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| 71192 | Group P4 | $29.80 | ≠ CHANGED | ||||
|
Item Number
71192
Schedule Fee
$29.80
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
2 items described in item 71189.
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| 71195 | Group P4 | $42.05 | ≠ CHANGED | ||||
|
Item Number
71195
Schedule Fee
$42.05
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
3 or more items described in item 71189.
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| 71198 | Group P4 | $42.60 | ≠ CHANGED | ||||
|
Item Number
71198
Schedule Fee
$42.60
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
Estimation of serum tryptase for the evaluation of unexplained acute hypotension or suspected anaphylactic event, assessment of risk in stinging insect anaphylaxis, exclusion of mastocytosis, monitoring of known mastocytosis.
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| 71200 | Group P4 | $62.65 | ≠ CHANGED | ||||
|
Item Number
71200
Schedule Fee
$62.65
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
Detection and quantitation, if present, of free kappa and lambda light chains in serum for the diagnosis or monitoring of amyloidosis, myeloma or plasma cell dyscrasias.
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| 71202 | Group P4 | $577.85 | ≠ CHANGED | ||||
|
Item Number
71202
Schedule Fee
$577.85
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Measurable residual disease (MRD) testing by flow cytometry, performed on bone marrow from a patient diagnosed with acute lymphoblastic leukaemia, for the purpose of determining baseline MRD, or facilitating the determination of MRD following combination chemotherapy or after salvage therapy, requested by a specialist or consultant physician practising as a haematologist or oncologist
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| 71203 | Group P4 | $42.60 | ≠ CHANGED | ||||
|
Item Number
71203
Schedule Fee
$42.60
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: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
Determination of HLAB5701 status by flow cytometry or cytotoxity assay prior to the initiation of Abacavir therapy including item 73323 if performed.
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| 72813 | Group P5 | $75.10 | ≠ CHANGED | ||||
|
Item Number
72813
Schedule Fee
$75.10
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 2 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13)
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| 72814 | Group P5 | $78.30 | ≠ CHANGED | ||||
|
Item Number
72814
Schedule Fee
$78.30
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Immunohistochemical examination by immunoperoxidase or other labelled antibody techniques using the programmed cell death ligand 1 (PD‑L1) antibody of tumour material from a patient diagnosed with: (a) non‑small cell lung cancer; or (b) recurrent or metastatic squamous cell carcinoma of the oral cavity, pharynx or larynx; or (c) locally recurrent unresectable or metastatic triple-negative breast cancer.
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| 72816 | Group P5 | $90.70 | ≠ CHANGED | ||||
|
Item Number
72816
Schedule Fee
$90.70
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 separately identified specimen (Item is subject to rule 13)
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| 72817 | Group P5 | $101.70 | ≠ CHANGED | ||||
|
Item Number
72817
Schedule Fee
$101.70
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 2 to 4 separately identified specimens (Item is subject to rule 13)
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| 72818 | Group P5 | $112.45 | ≠ CHANGED | ||||
|
Item Number
72818
Schedule Fee
$112.45
Category
Category 6 — Pathology
Group / Subheading
Group P5
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
Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 5 or more separately identified specimens (Item is subject to rule 13)
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| 72823 | Group P5 | $102.10 | ≠ CHANGED | ||||
|
Item Number
72823
Schedule Fee
$102.10
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 separately identified specimen (Item is subject to rule 13)
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| 72824 | Group P5 | $148.50 | ≠ CHANGED | ||||
|
Item Number
72824
Schedule Fee
$148.50
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 2 to 4 separately identified specimens (Item is subject to rule 13)
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| 72825 | Group P5 | $189.40 | ≠ CHANGED | ||||
|
Item Number
72825
Schedule Fee
$189.40
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 5 to 7 separately identified specimens (Item is subject to rule 13)
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| 72826 | Group P5 | $204.45 | ≠ CHANGED | ||||
|
Item Number
72826
Schedule Fee
$204.45
Category
Category 6 — Pathology
Group / Subheading
Group P5
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
Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 8 to 11 separately identified specimens (Item is subject to rule 13)
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| 72827 | Group P5 | $219.50 | ≠ CHANGED | ||||
|
Item Number
72827
Schedule Fee
$219.50
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2008
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 12 to 17 separately identified specimens (Item is subject to Rule 13)
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| 72828 | Group P5 | $234.60 | ≠ CHANGED | ||||
|
Item Number
72828
Schedule Fee
$234.60
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2008
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 18 or more separately identified specimens (Item is subject to Rule 13)
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| 72830 | Group P5 | $288.05 | ≠ CHANGED | ||||
|
Item Number
72830
Schedule Fee
$288.05
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 5 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13)
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| 72836 | Group P5 | $438.30 | ≠ CHANGED | ||||
|
Item Number
72836
Schedule Fee
$438.30
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Examination of complexity level 6 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13)
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| 72838 | Group P5 | $490.50 | ≠ CHANGED | ||||
|
Item Number
72838
Schedule Fee
$490.50
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2007
Gov. Change Flags
Fee ≠
Full Description
Examination of complexicity level 7 biopsy material with multiple tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens. (Item is subject to rule 13)
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| 72844 | Group P5 | $32.30 | ≠ CHANGED | ||||
|
Item Number
72844
Schedule Fee
$32.30
Category
Category 6 — Pathology
Group / Subheading
Group P5
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
Enzyme histochemistry of skeletal muscle for investigation of primary degenerative or metabolic muscle diseases or of muscle abnormalities secondary to disease of the central or peripheral nervous system - 1 or more tests
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| 72846 | Group P5 | $62.65 | ≠ CHANGED | ||||
|
Item Number
72846
Schedule Fee
$62.65
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 72848 (Item is subject to rule 13)
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| 72847 | Group P5 | $93.95 | ≠ CHANGED | ||||
|
Item Number
72847
Schedule Fee
$93.95
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4-6 antibodies (Item is subject to rule 13)
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| 72848 | Group P5 | $78.30 | ≠ CHANGED | ||||
|
Item Number
72848
Schedule Fee
$78.30
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2003
Gov. Change Flags
Fee ≠
Full Description
Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13)
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| 72849 | Group P5 | $109.60 | ≠ CHANGED | ||||
|
Item Number
72849
Schedule Fee
$109.60
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2008
Gov. Change Flags
Fee ≠
Full Description
Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 7-10 antibodies (Item is subject to rule 13)
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| 72850 | Group P5 | $125.20 | ≠ CHANGED | ||||
|
Item Number
72850
Schedule Fee
$125.20
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2008
Gov. Change Flags
Fee ≠
Full Description
Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 11 or more antibodies (Item is subject to rule 13)
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| 72851 | Group P5 | $593.60 | ≠ CHANGED | ||||
|
Item Number
72851
Schedule Fee
$593.60
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Electron microscopic examination of biopsy material - 1 separately identified specimen (Item is subject to rule 13)
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| 72852 | Group P5 | $791.10 | ≠ CHANGED | ||||
|
Item Number
72852
Schedule Fee
$791.10
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Electron microscopic examination of biopsy material - 2 or more separately identified specimens (Item is subject to rule 13)
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| 72855 | Group P5 | $193.65 | ≠ CHANGED | ||||
|
Item Number
72855
Schedule Fee
$193.65
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 1 separately identified specimen (Item is subject to rule 13)
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| 72856 | Group P5 | $258.25 | ≠ CHANGED | ||||
|
Item Number
72856
Schedule Fee
$258.25
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 20.03.1997
Gov. Change Flags
Fee ≠
Full Description
Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 2 to 4 separately identified specimens (Item is subject to rule 13)
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| 72857 | Group P5 | $301.30 | ≠ CHANGED | ||||
|
Item Number
72857
Schedule Fee
$301.30
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2003
Gov. Change Flags
Fee ≠
Full Description
Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 5 or more separately identified specimens (Item is subject to rule 13)
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| 72858 | Group P5 | $189.10 | ≠ CHANGED | ||||
|
Item Number
72858
Schedule Fee
$189.10
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2015
Gov. Change Flags
Fee ≠
Full Description
A second opinion, provided in a written report, where the opinion and report together require no more than 30 minutes to complete, on a patient specimen, requested by a treating practitioner, where further information is needed for accurate diagnosis and appropriate patient management.
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| 72859 | Group P5 | $388.75 | ≠ CHANGED | ||||
|
Item Number
72859
Schedule Fee
$388.75
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2015
Gov. Change Flags
Fee ≠
Full Description
A second opinion, provided in a written report, where the opinion and report together require more than 30 minutes to complete, on a patient specimen, requested by a treating practitioner, where further information is needed for accurate diagnosis and appropriate patient management.
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| 72860 | Group P5 | $89.30 | ≠ CHANGED | ||||
|
Item Number
72860
Schedule Fee
$89.30
Category
Category 6 — Pathology
Group / Subheading
Group P5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2019
Gov. Change Flags
Fee ≠
Full Description
Retrieval and review of one or more archived formalin fixed paraffin embedded blocks to determine the appropriate samples for the purpose of conducting genetic testing, other than: (a) a service associated with a service to which item 72858 or 72859 applies; or (b) a service associated with, and rendered in the same patient episode as, a service to which an item in Group P5, P6, P10 or P11 applies Applicable not more than once in a patient episode
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| 73043 | Group P6 | $24.00 | ≠ CHANGED | ||||
|
Item Number
73043
Schedule Fee
$24.00
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Cytology (including serial examinations) of nipple discharge or smears from skin, lip, mouth, nose or anus for detection of precancerous or cancerous changes 1 or more tests
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| 73045 | Group P6 | $51.05 | ≠ CHANGED | ||||
|
Item Number
73045
Schedule Fee
$51.05
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Cytology (including serial examinations) for malignancy (other than an examination mentioned in item 73076); and including any Group P5 service, if performed on: (a) specimens resulting from washings or brushings from sites not specified in item 73043; or (b) a single specimen of sputum or urine; or (c) 1 or more specimens of other body fluids; 1 or more tests
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| 73047 | Group P6 | $99.45 | ≠ CHANGED | ||||
|
Item Number
73047
Schedule Fee
$99.45
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Cytology of a series of 3 sputum or urine specimens for malignant cells
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| 73049 | Group P6 | $71.60 | ≠ CHANGED | ||||
|
Item Number
73049
Schedule Fee
$71.60
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues - 1 identified site
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| 73051 | Group P6 | $179.00 | ≠ CHANGED | ||||
|
Item Number
73051
Schedule Fee
$179.00
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Cytology of material obtained directly from a patient at one identified site by fine needle aspiration of solid tissue or tissues if a recognized pathologist: (a) performs the aspiration; or (b) attends the aspiration and performs cytological examination during the attendance
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| 73059 | Group P6 | $45.20 | ≠ CHANGED | ||||
|
Item Number
73059
Schedule Fee
$45.20
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1997
Gov. Change Flags
Fee ≠
Full Description
Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 73061 (Item is subject to rule 13)
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| 73060 | Group P6 | $60.30 | ≠ CHANGED | ||||
|
Item Number
73060
Schedule Fee
$60.30
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1997
Gov. Change Flags
Fee ≠
Full Description
Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4 to 6 antibodies (Item is subject to rule 13)
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| 73061 | Group P6 | $53.80 | ≠ CHANGED | ||||
|
Item Number
73061
Schedule Fee
$53.80
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2003
Gov. Change Flags
Fee ≠
Full Description
Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13)
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|||||||
| 73062 | Group P6 | $93.50 | ≠ CHANGED | ||||
|
Item Number
73062
Schedule Fee
$93.50
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2009
Gov. Change Flags
Fee ≠
Full Description
Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues - 2 or more separately identified sites.
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|||||||
| 73063 | Group P6 | $104.40 | ≠ CHANGED | ||||
|
Item Number
73063
Schedule Fee
$104.40
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2009
Gov. Change Flags
Fee ≠
Full Description
Cytology of material obtained directly from a patient at one identified site by fine needle aspiration of solid tissue or tissues if an employee of an approved pathology authority attends the aspiration for confirmation of sample adequacy
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| 73064 | Group P6 | $75.30 | ≠ CHANGED | ||||
|
Item Number
73064
Schedule Fee
$75.30
Category
Category 6 — Pathology
Group / Subheading
Group P6
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2009
Gov. Change Flags
Fee ≠
Full Description
Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 7 to 10 antibodies (Item is subject to rule 13)
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