Billing Codes — Australian Health Schedule Tracker

Showing 4801–4850 of 6045 Pg 97/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	65144	Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or other substances; or heparin, low molecular weight heparins, heparinoid or other drugs - 1 or more tests Group P1	Category 6 — Pathology	$59.40	—	≠ CHANGED
Item Number 65144 Schedule Fee $59.40 Category Category 6 — Pathology Group / Subheading Group P1 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 Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or other substances; or heparin, low molecular weight heparins, heparinoid or other drugs - 1 or more tests Sign in to watch this code → Get an email alert when this item changes
	65147	Quantitation of anti-Xa activity when monitoring is required for a patient receiving a low molecular weight heparin or heparinoid - 1 test Group P1	Category 6 — Pathology	$39.80	—	≠ CHANGED
Item Number 65147 Schedule Fee $39.80 Category Category 6 — Pathology Group / Subheading Group P1 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 Quantitation of anti-Xa activity when monitoring is required for a patient receiving a low molecular weight heparin or heparinoid - 1 test Sign in to watch this code → Get an email alert when this item changes
	65150	Assessment of von Willebrand factor, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, prekallikrein, high-molecular-weight kininogen, circulating coagulation factor inhibitors other than by Bethesda assay—one test Group P1	Category 6 — Pathology	$74.50	—	≠ CHANGED
Item Number 65150 Schedule Fee $74.50 Category Category 6 — Pathology Group / Subheading Group P1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.1998 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Assessment of von Willebrand factor, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, prekallikrein, high-molecular-weight kininogen, circulating coagulation factor inhibitors other than by Bethesda assay—one test Sign in to watch this code → Get an email alert when this item changes
	65153	2 tests described in item 65150 (Item is subject to rule 6 ) Group P1	Category 6 — Pathology	$149.05	—	≠ CHANGED
Item Number 65153 Schedule Fee $149.05 Category Category 6 — Pathology Group / Subheading Group P1 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 2 tests described in item 65150 (Item is subject to rule 6 ) Sign in to watch this code → Get an email alert when this item changes
	65156	3 or more tests described in item 65150 (Item is subject to rule 6 ) Group P1	Category 6 — Pathology	$223.50	—	≠ CHANGED
Item Number 65156 Schedule Fee $223.50 Category Category 6 — Pathology Group / Subheading Group P1 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 3 or more tests described in item 65150 (Item is subject to rule 6 ) Sign in to watch this code → Get an email alert when this item changes
	65157	A test described in item 65150, 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 and 18) Group P1	Category 6 — Pathology	$74.50	—	≠ CHANGED
Item Number 65157 Schedule Fee $74.50 Category Category 6 — Pathology Group / Subheading Group P1 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 65150, 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 and 18) Sign in to watch this code → Get an email alert when this item changes
	65158	Tests described in item 65150, other than that described in 65157, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18) Group P1	Category 6 — Pathology	$74.50	—	≠ CHANGED
Item Number 65158 Schedule Fee $74.50 Category Category 6 — Pathology Group / Subheading Group P1 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 Tests described in item 65150, other than that described in 65157, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18) Sign in to watch this code → Get an email alert when this item changes
	65159	Quantitation of circulating coagulation factor inhibitors by Bethesda assay - 1 test Group P1	Category 6 — Pathology	$74.50	—	≠ CHANGED
Item Number 65159 Schedule Fee $74.50 Category Category 6 — Pathology Group / Subheading Group P1 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 Quantitation of circulating coagulation factor inhibitors by Bethesda assay - 1 test Sign in to watch this code → Get an email alert when this item changes
	65162	Examination of a maternal blood film for the presence of fetal red blood cells (Kleihauer test) Group P1	Category 6 — Pathology	$11.00	—	≠ CHANGED
Item Number 65162 Schedule Fee $11.00 Category Category 6 — Pathology Group / Subheading Group P1 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 of a maternal blood film for the presence of fetal red blood cells (Kleihauer test) Sign in to watch this code → Get an email alert when this item changes
	65165	Detection and quantitation of fetal red blood cells in the maternal circulation by detection of red cell antigens using flow cytometric methods including (if performed) any test described in item 65070 or 65162 Group P1	Category 6 — Pathology	$36.20	—	≠ CHANGED
Item Number 65165 Schedule Fee $36.20 Category Category 6 — Pathology Group / Subheading Group P1 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 fetal red blood cells in the maternal circulation by detection of red cell antigens using flow cytometric methods including (if performed) any test described in item 65070 or 65162 Sign in to watch this code → Get an email alert when this item changes
	65166	A test described in item 65165 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) Group P1	Category 6 — Pathology	$36.20	—	≠ CHANGED
Item Number 65166 Schedule Fee $36.20 Category Category 6 — Pathology Group / Subheading Group P1 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 65165 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) Sign in to watch this code → Get an email alert when this item changes
	65171	Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency or activated protein C resistance in a first degree relative of a person who has a proven defect of any of the above - 1 or more tests Group P1	Category 6 — Pathology	$26.60	—	≠ CHANGED
Item Number 65171 Schedule Fee $26.60 Category Category 6 — Pathology Group / Subheading Group P1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.05.2000 Gov. Change Flags Fee ≠ Full Description Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency or activated protein C resistance in a first degree relative of a person who has a proven defect of any of the above - 1 or more tests Sign in to watch this code → Get an email alert when this item changes
	65175	Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - where the request for the test(s) specifically identifies that the patient has a history of venous thromboembolism - quantitation by 1 or more techniques - 1 test (Item is subject to Rule 6) Group P1	Category 6 — Pathology	$26.60	—	≠ CHANGED
Item Number 65175 Schedule Fee $26.60 Category Category 6 — Pathology Group / Subheading Group P1 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 Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - where the request for the test(s) specifically identifies that the patient has a history of venous thromboembolism - quantitation by 1 or more techniques - 1 test (Item is subject to Rule 6) Sign in to watch this code → Get an email alert when this item changes
	65176	2 tests described in item 65175 (Item is subject to rule 6) Group P1	Category 6 — Pathology	$51.10	—	≠ CHANGED
Item Number 65176 Schedule Fee $51.10 Category Category 6 — Pathology Group / Subheading Group P1 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 2 tests described in item 65175 (Item is subject to rule 6) Sign in to watch this code → Get an email alert when this item changes
	65177	3 tests described in item 65175 (Item is subject to rule 6) Group P1	Category 6 — Pathology	$75.60	—	≠ CHANGED
Item Number 65177 Schedule Fee $75.60 Category Category 6 — Pathology Group / Subheading Group P1 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 3 tests described in item 65175 (Item is subject to rule 6) Sign in to watch this code → Get an email alert when this item changes
	65178	4 tests described in item 65175 (Item is subject to rule 6) Group P1	Category 6 — Pathology	$100.05	—	≠ CHANGED
Item Number 65178 Schedule Fee $100.05 Category Category 6 — Pathology Group / Subheading Group P1 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 4 tests described in item 65175 (Item is subject to rule 6) Sign in to watch this code → Get an email alert when this item changes
	65179	5 tests described in item 65175 (Item is subject to rule 6) Group P1	Category 6 — Pathology	$124.50	—	≠ CHANGED
Item Number 65179 Schedule Fee $124.50 Category Category 6 — Pathology Group / Subheading Group P1 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 5 tests described in item 65175 (Item is subject to rule 6) Sign in to watch this code → Get an email alert when this item changes
	65180	A test described in item 65175, if rendered by a receiving APA, where no tests in the item have been rendered by the referring APA - 1 test (Item is subject to rule 6 and 18) Group P1	Category 6 — Pathology	$26.60	—	≠ CHANGED
Item Number 65180 Schedule Fee $26.60 Category Category 6 — Pathology Group / Subheading Group P1 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 65175, if rendered by a receiving APA, where no tests in the item have been rendered by the referring APA - 1 test (Item is subject to rule 6 and 18) Sign in to watch this code → Get an email alert when this item changes
	65181	A test described in item 65175, if rendered by a receiving APP, if one or more tests described in the item have been rendered by the referring APP - one test (Item is subject to rule 6 and 18) Group P1	Category 6 — Pathology	$24.45	—	≠ CHANGED
Item Number 65181 Schedule Fee $24.45 Category Category 6 — Pathology Group / Subheading Group P1 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 65175, if rendered by a receiving APP, if one or more tests described in the item have been rendered by the referring APP - one test (Item is subject to rule 6 and 18) Sign in to watch this code → Get an email alert when this item changes
	66500	Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter) of: acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, sodium, total protein, total cholesterol, triglycerides, urate or urea - 1 test Group P2	Category 6 — Pathology	$9.70	—
Item Number 66500 Schedule Fee $9.70 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter) of: acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, sodium, total protein, total cholesterol, triglycerides, urate or urea - 1 test Sign in to watch this code → Get an email alert when this item changes
	66503	2 tests described in item 66500 Group P2	Category 6 — Pathology	$11.65	—
Item Number 66503 Schedule Fee $11.65 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description 2 tests described in item 66500 Sign in to watch this code → Get an email alert when this item changes
	66506	3 tests described in item 66500 Group P2	Category 6 — Pathology	$13.65	—
Item Number 66506 Schedule Fee $13.65 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description 3 tests described in item 66500 Sign in to watch this code → Get an email alert when this item changes
	66509	4 tests described in item 66500 Group P2	Category 6 — Pathology	$15.65	—
Item Number 66509 Schedule Fee $15.65 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description 4 tests described in item 66500 Sign in to watch this code → Get an email alert when this item changes
	66512	5 or more tests described in item 66500 Group P2	Category 6 — Pathology	$17.70	—
Item Number 66512 Schedule Fee $17.70 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description 5 or more tests described in item 66500 Sign in to watch this code → Get an email alert when this item changes
	66517	Quantitation of bile acids in blood in pregnancy. Applicable not more than 3 times in a pregnancy. Group P2	Category 6 — Pathology	$19.65	—
Item Number 66517 Schedule Fee $19.65 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: 01.11.2007 Gov. Change Flags No changes flagged Full Description Quantitation of bile acids in blood in pregnancy. Applicable not more than 3 times in a pregnancy. Sign in to watch this code → Get an email alert when this item changes
	66518	Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 1 specimen in a 24 hour period Group P2	Category 6 — Pathology	$20.05	—
Item Number 66518 Schedule Fee $20.05 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 1 specimen in a 24 hour period Sign in to watch this code → Get an email alert when this item changes
	66519	Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 2 or more specimens in a 24 hour period Group P2	Category 6 — Pathology	$40.15	—
Item Number 66519 Schedule Fee $40.15 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: 01.11.2001 Gov. Change Flags No changes flagged Full Description Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 2 or more specimens in a 24 hour period Sign in to watch this code → Get an email alert when this item changes
	66520	Fibroblast growth factor 23 quantification in serum or plasma, requested by a specialist or consultant physician to determine eligibility for a relevant treatment listed on the Pharmaceutical Benefits Scheme Group P2	Category 6 — Pathology	$90.00	—
Item Number 66520 Schedule Fee $90.00 Category Category 6 — Pathology Group / Subheading Group P2 Type Codes Item: D Fee: N Benefit: C Effective Dates Fee from: 01.11.2025 Item from: 01.11.2025 Gov. Change Flags No changes flagged Full Description Fibroblast growth factor 23 quantification in serum or plasma, requested by a specialist or consultant physician to determine eligibility for a relevant treatment listed on the Pharmaceutical Benefits Scheme Sign in to watch this code → Get an email alert when this item changes
	66522	Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all the following apply: the patient is under 50 years of age; the patient has gastrointestinal symptoms suggestive of inflammatory or functional bowel disease of more than 6 weeks’ duration; infectious causes have been excluded; the likelihood of malignancy has been assessed as low; no relevant clinical alarms are present Group P2	Category 6 — Pathology	$75.00	—
Item Number 66522 Schedule Fee $75.00 Category Category 6 — Pathology Group / Subheading Group P2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.11.2021 Item from: 01.11.2021 Gov. Change Flags No changes flagged Full Description Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all the following apply: the patient is under 50 years of age; the patient has gastrointestinal symptoms suggestive of inflammatory or functional bowel disease of more than 6 weeks’ duration; infectious causes have been excluded; the likelihood of malignancy has been assessed as low; no relevant clinical alarms are present Sign in to watch this code → Get an email alert when this item changes
	66523	Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all the following apply: the results of a service to which item 66522 applies were inconclusive for the patient (that is, the results showed a faecal calprotectin level of more than 50 μg/g but not more than 100 μg/g); the patient has ongoing gastrointestinal symptoms suggestive of inflammatory or functional bowel disease; the service is requested by a specialist or consultant physician practising as a specialist gastroenterologist; the request indicates that an endoscopic examination is not initially required; no relevant clinical alarms are present Group P2	Category 6 — Pathology	$75.00	—
Item Number 66523 Schedule Fee $75.00 Category Category 6 — Pathology Group / Subheading Group P2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.11.2021 Item from: 01.11.2021 Gov. Change Flags No changes flagged Full Description Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all the following apply: the results of a service to which item 66522 applies were inconclusive for the patient (that is, the results showed a faecal calprotectin level of more than 50 μg/g but not more than 100 μg/g); the patient has ongoing gastrointestinal symptoms suggestive of inflammatory or functional bowel disease; the service is requested by a specialist or consultant physician practising as a specialist gastroenterologist; the request indicates that an endoscopic examination is not initially required; no relevant clinical alarms are present Sign in to watch this code → Get an email alert when this item changes
	66525	Faecal calprotectin test for the management of a symptomatic patient with diagnosed inflammatory bowel disease, requested by or on behalf of a specialist or consultant physician Group P2	Category 6 — Pathology	$75.00	—
Item Number 66525 Schedule Fee $75.00 Category Category 6 — Pathology Group / Subheading Group P2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.11.2025 Item from: 01.11.2025 Gov. Change Flags No changes flagged Full Description Faecal calprotectin test for the management of a symptomatic patient with diagnosed inflammatory bowel disease, requested by or on behalf of a specialist or consultant physician Sign in to watch this code → Get an email alert when this item changes
	66536	Quantitation of HDL cholesterol Group P2	Category 6 — Pathology	$11.05	—
Item Number 66536 Schedule Fee $11.05 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of HDL cholesterol Sign in to watch this code → Get an email alert when this item changes
	66539	Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the diagnosis of types III and IV hyperlipidaemia - (Item is subject to rule 25) Group P2	Category 6 — Pathology	$30.60	—
Item Number 66539 Schedule Fee $30.60 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the diagnosis of types III and IV hyperlipidaemia - (Item is subject to rule 25) Sign in to watch this code → Get an email alert when this item changes
	66542	Oral glucose tolerance test for the diagnosis of diabetes mellitus that includes: (a) administration of glucose; and (b) at least 2 measurements of blood glucose; and (c) (if performed) any test described in item 66695 Group P2	Category 6 — Pathology	$18.95	—
Item Number 66542 Schedule Fee $18.95 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Oral glucose tolerance test for the diagnosis of diabetes mellitus that includes: (a) administration of glucose; and (b) at least 2 measurements of blood glucose; and (c) (if performed) any test described in item 66695 Sign in to watch this code → Get an email alert when this item changes
	66545	Oral glucose challenge test in pregnancy for the detection of gestational diabetes that includes: (a) administration of glucose; and (b) 1 or 2 measurements of blood glucose; and (c) (if performed) any test in item 66695 Group P2	Category 6 — Pathology	$15.80	—
Item Number 66545 Schedule Fee $15.80 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Oral glucose challenge test in pregnancy for the detection of gestational diabetes that includes: (a) administration of glucose; and (b) 1 or 2 measurements of blood glucose; and (c) (if performed) any test in item 66695 Sign in to watch this code → Get an email alert when this item changes
	66548	Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabetes that includes: (a) administration of glucose; and (b) at least 3 measurements of blood glucose; and (c) any test in item 66695 (if performed) Group P2	Category 6 — Pathology	$19.90	—
Item Number 66548 Schedule Fee $19.90 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabetes that includes: (a) administration of glucose; and (b) at least 3 measurements of blood glucose; and (c) any test in item 66695 (if performed) Sign in to watch this code → Get an email alert when this item changes
	66551	Quantitation of glycated haemoglobin performed in the management of established diabetes (See para PR.2.2 of explanatory notes to this Category) Group P2	Category 6 — Pathology	$16.80	—
Item Number 66551 Schedule Fee $16.80 Category Category 6 — Pathology Group / Subheading Group P2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.01.2013 Item from: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of glycated haemoglobin performed in the management of established diabetes (See para PR.2.2 of explanatory notes to this Category) Sign in to watch this code → Get an email alert when this item changes
	66554	Quantitation of glycated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant - including a service in item 66551 (if performed) - (Item is subject to rule 25) Group P2	Category 6 — Pathology	$16.80	—
Item Number 66554 Schedule Fee $16.80 Category Category 6 — Pathology Group / Subheading Group P2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.01.2013 Item from: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of glycated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant - including a service in item 66551 (if performed) - (Item is subject to rule 25) Sign in to watch this code → Get an email alert when this item changes
	66557	Quantitation of fructosamine performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period Group P2	Category 6 — Pathology	$9.70	—
Item Number 66557 Schedule Fee $9.70 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of fructosamine performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period Sign in to watch this code → Get an email alert when this item changes
	66560	Microalbumin - quantitation in urine Group P2	Category 6 — Pathology	$20.10	—
Item Number 66560 Schedule Fee $20.10 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Microalbumin - quantitation in urine Sign in to watch this code → Get an email alert when this item changes
	66563	Osmolality, estimation by osmometer, in serum or in urine - 1 or more tests Group P2	Category 6 — Pathology	$24.70	—
Item Number 66563 Schedule Fee $24.70 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Osmolality, estimation by osmometer, in serum or in urine - 1 or more tests Sign in to watch this code → Get an email alert when this item changes
	66566	Quantitation of: (a) blood gases (including pO2, oxygen saturation and pCO2) ; and (b) bicarbonate and pH; including any other measurement (eg. haemoglobin, lactate, potassium or ionised calcium) or calculation performed on the same specimen - 1 or more tests on 1 specimen Group P2	Category 6 — Pathology	$33.70	—
Item Number 66566 Schedule Fee $33.70 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of: (a) blood gases (including pO2, oxygen saturation and pCO2) ; and (b) bicarbonate and pH; including any other measurement (eg. haemoglobin, lactate, potassium or ionised calcium) or calculation performed on the same specimen - 1 or more tests on 1 specimen Sign in to watch this code → Get an email alert when this item changes
	66569	Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 2 specimens performed within any 1 day Group P2	Category 6 — Pathology	$42.60	—
Item Number 66569 Schedule Fee $42.60 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 2 specimens performed within any 1 day Sign in to watch this code → Get an email alert when this item changes
	66572	Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 3 specimens performed within any 1 day Group P2	Category 6 — Pathology	$51.55	—
Item Number 66572 Schedule Fee $51.55 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 3 specimens performed within any 1 day Sign in to watch this code → Get an email alert when this item changes
	66575	Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 4 specimens performed within any 1 day Group P2	Category 6 — Pathology	$60.45	—
Item Number 66575 Schedule Fee $60.45 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 4 specimens performed within any 1 day Sign in to watch this code → Get an email alert when this item changes
	66578	Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 5 specimens performed within any 1 day Group P2	Category 6 — Pathology	$69.35	—
Item Number 66578 Schedule Fee $69.35 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 5 specimens performed within any 1 day Sign in to watch this code → Get an email alert when this item changes
	66581	Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 6 or more specimens performed within any 1 day Group P2	Category 6 — Pathology	$78.25	—
Item Number 66581 Schedule Fee $78.25 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 6 or more specimens performed within any 1 day Sign in to watch this code → Get an email alert when this item changes
	66584	Quantitation of ionised calcium (except if performed as part of item 66566) - 1 test Group P2	Category 6 — Pathology	$9.70	—
Item Number 66584 Schedule Fee $9.70 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: 01.11.1998 Gov. Change Flags No changes flagged Full Description Quantitation of ionised calcium (except if performed as part of item 66566) - 1 test Sign in to watch this code → Get an email alert when this item changes
	66585	Quantification of laboratory‑based BNP or NT‑proBNP testing in a patient with systemic sclerosis (scleroderma) to assess risk of pulmonary arterial hypertension Maximum of 2 tests in a 12 month period Group P2	Category 6 — Pathology	$58.50	—
Item Number 66585 Schedule Fee $58.50 Category Category 6 — Pathology Group / Subheading Group P2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.11.2023 Item from: 01.11.2023 Gov. Change Flags No changes flagged Full Description Quantification of laboratory‑based BNP or NT‑proBNP testing in a patient with systemic sclerosis (scleroderma) to assess risk of pulmonary arterial hypertension Maximum of 2 tests in a 12 month period Sign in to watch this code → Get an email alert when this item changes
	66586	Quantification of BNP or NT-proBNP testing in a patient with diagnosed pulmonary arterial hypertension to monitor for disease progression Applicable 4 times in any 12-month period Group P2	Category 6 — Pathology	$58.50	—
Item Number 66586 Schedule Fee $58.50 Category Category 6 — Pathology Group / Subheading Group P2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2024 Item from: 01.07.2024 Gov. Change Flags No changes flagged Full Description Quantification of BNP or NT-proBNP testing in a patient with diagnosed pulmonary arterial hypertension to monitor for disease progression Applicable 4 times in any 12-month period Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or other substances; or heparin, low molecular weight heparins, heparinoid or other drugs - 1 or more tests

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Quantitation of anti-Xa activity when monitoring is required for a patient receiving a low molecular weight heparin or heparinoid - 1 test

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Assessment of von Willebrand factor, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, prekallikrein, high-molecular-weight kininogen, circulating coagulation factor inhibitors other than by Bethesda assay—one test

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

2 tests described in item 65150 (Item is subject to rule 6 )

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

3 or more tests described in item 65150 (Item is subject to rule 6 )

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

A test described in item 65150, 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 and 18)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Tests described in item 65150, other than that described in 65157, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Quantitation of circulating coagulation factor inhibitors by Bethesda assay - 1 test

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Examination of a maternal blood film for the presence of fetal red blood cells (Kleihauer test)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Detection and quantitation of fetal red blood cells in the maternal circulation by detection of red cell antigens using flow cytometric methods including (if performed) any test described in item 65070 or 65162

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

A test described in item 65165 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency or activated protein C resistance in a first degree relative of a person who has a proven defect of any of the above - 1 or more tests

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - where the request for the test(s) specifically identifies that the patient has a history of venous thromboembolism - quantitation by 1 or more techniques - 1 test (Item is subject to Rule 6)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

2 tests described in item 65175 (Item is subject to rule 6)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

3 tests described in item 65175 (Item is subject to rule 6)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

4 tests described in item 65175 (Item is subject to rule 6)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

5 tests described in item 65175 (Item is subject to rule 6)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

A test described in item 65175, if rendered by a receiving APA, where no tests in the item have been rendered by the referring APA - 1 test (Item is subject to rule 6 and 18)

Fee From

01.07.2026

Category

Category 6 — Pathology

Description

A test described in item 65175, if rendered by a receiving APP, if one or more tests described in the item have been rendered by the referring APP - one test (Item is subject to rule 6 and 18)

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter) of: acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, sodium, total protein, total cholesterol, triglycerides, urate or urea - 1 test

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

2 tests described in item 66500

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

3 tests described in item 66500

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

4 tests described in item 66500

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

5 or more tests described in item 66500

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of bile acids in blood in pregnancy. Applicable not more than 3 times in a pregnancy.

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 1 specimen in a 24 hour period

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 2 or more specimens in a 24 hour period

Fee From

01.11.2025

Category

Category 6 — Pathology

Description

Fibroblast growth factor 23 quantification in serum or plasma, requested by a specialist or consultant physician to determine eligibility for a relevant treatment listed on the Pharmaceutical Benefits Scheme

Fee From

01.11.2021

Category

Category 6 — Pathology

Description

Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all the following apply: the patient is under 50 years of age; the patient has gastrointestinal symptoms suggestive of inflammatory or functional bowel disease of more than 6 weeks’ duration; infectious causes have been excluded; the likelihood of malignancy has been assessed as low; no relevant clinical alarms are present

Fee From

01.11.2021

Category

Category 6 — Pathology

Description

Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all the following apply: the results of a service to which item 66522 applies were inconclusive for the patient (that is, the results showed a faecal calprotectin level of more than 50 μg/g but not more than 100 μg/g); the patient has ongoing gastrointestinal symptoms suggestive of inflammatory or functional bowel disease; the service is requested by a specialist or consultant physician practising as a specialist gastroenterologist; the request indicates that an endoscopic examination is not initially required; no relevant clinical alarms are present

Fee From

01.11.2025

Category

Category 6 — Pathology

Description

Faecal calprotectin test for the management of a symptomatic patient with diagnosed inflammatory bowel disease, requested by or on behalf of a specialist or consultant physician

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of HDL cholesterol

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the diagnosis of types III and IV hyperlipidaemia - (Item is subject to rule 25)

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Oral glucose tolerance test for the diagnosis of diabetes mellitus that includes: (a) administration of glucose; and (b) at least 2 measurements of blood glucose; and (c) (if performed) any test described in item 66695

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Oral glucose challenge test in pregnancy for the detection of gestational diabetes that includes: (a) administration of glucose; and (b) 1 or 2 measurements of blood glucose; and (c) (if performed) any test in item 66695

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabetes that includes: (a) administration of glucose; and (b) at least 3 measurements of blood glucose; and (c) any test in item 66695 (if performed)

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of glycated haemoglobin performed in the management of established diabetes (See para PR.2.2 of explanatory notes to this Category)

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of glycated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant - including a service in item 66551 (if performed) - (Item is subject to rule 25)

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of fructosamine performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Microalbumin - quantitation in urine

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Osmolality, estimation by osmometer, in serum or in urine - 1 or more tests

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of: (a) blood gases (including pO2, oxygen saturation and pCO2) ; and (b) bicarbonate and pH; including any other measurement (eg. haemoglobin, lactate, potassium or ionised calcium) or calculation performed on the same specimen - 1 or more tests on 1 specimen

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 2 specimens performed within any 1 day

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 3 specimens performed within any 1 day

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 4 specimens performed within any 1 day

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 5 specimens performed within any 1 day

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 6 or more specimens performed within any 1 day

Fee From

01.01.2013

Category

Category 6 — Pathology

Description

Quantitation of ionised calcium (except if performed as part of item 66566) - 1 test

Fee From

01.11.2023

Category

Category 6 — Pathology

Description

Quantification of laboratory‑based BNP or NT‑proBNP testing in a patient with systemic sclerosis (scleroderma) to assess risk of pulmonary arterial hypertension Maximum of 2 tests in a 12 month period

Fee From

01.07.2024

Category

Category 6 — Pathology

Description

Quantification of BNP or NT-proBNP testing in a patient with diagnosed pulmonary arterial hypertension to monitor for disease progression Applicable 4 times in any 12-month period

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