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 4851–4900 of 6045 Pg 98/121
Item No. Description Schedule Fee Status
66587
Urine acidification test for the diagnosis of renal tubular acidosis including the administration of an acid load, and pH measurements on 4 or more urine specimens and at least 1 blood specimen
Group P2 		$47.55
Item Number
66587
Schedule Fee
$47.55
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
Urine acidification test for the diagnosis of renal tubular acidosis including the administration of an acid load, and pH measurements on 4 or more urine specimens and at least 1 blood specimen
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66590
Calculus, analysis of 1 or more
Group P2 		$30.60
Item Number
66590
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
Calculus, analysis of 1 or more
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66593
Ferritin - quantitation, except if requested as part of iron studies
Group P2 		$18.00
Item Number
66593
Schedule Fee
$18.00
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
Ferritin - quantitation, except if requested as part of iron studies
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66596
Iron studies, consisting of quantitation of: (a) serum iron; and (b) transferrin or iron binding capacity; and (c) ferritin
Group P2 		$32.55
Item Number
66596
Schedule Fee
$32.55
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
Iron studies, consisting of quantitation of: (a) serum iron; and (b) transferrin or iron binding capacity; and (c) ferritin
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66605
Vitamins - quantitation of vitamins B1, B2, B3, B6 or C in blood, urine or other body fluid - 1 or more tests
Group P2 		$30.60
Item Number
66605
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
Vitamins - quantitation of vitamins B1, B2, B3, B6 or C in blood, urine or other body fluid - 1 or more tests
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66606
A test described in item 66605 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18 and 25)
Group P2 		$30.60
Item Number
66606
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66605 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18 and 25)
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66607
Vitamins - quantitation of vitamins A or E in blood, urine or other body fluid - 1 or more tests within a 6 month period
Group P2 		$75.75
Item Number
66607
Schedule Fee
$75.75
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2009
Gov. Change Flags
No changes flagged
Full Description
Vitamins - quantitation of vitamins A or E in blood, urine or other body fluid - 1 or more tests within a 6 month period
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66610
A test described in item 66607 if rendered by a receiving APP - 1 or more tests
Group P2 		$75.75
Item Number
66610
Schedule Fee
$75.75
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.07.2011
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66607 if rendered by a receiving APP - 1 or more tests
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66623
All qualitative and quantitative tests on blood, urine or other body fluid for: (a) a drug or drugs of abuse (including illegal drugs and legally available drugs taken other than in appropriate dosage); or (b) ingested or absorbed toxic chemicals; including a service described in item 66800, 66803, 66806, 66812 or 66815 (if performed), but excluding: (c) the surveillance of sports people and athletes for performance improving substances; and (d) the monitoring of patients participating in a drug abuse treatment program
Group P2 		$41.50
Item Number
66623
Schedule Fee
$41.50
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
All qualitative and quantitative tests on blood, urine or other body fluid for: (a) a drug or drugs of abuse (including illegal drugs and legally available drugs taken other than in appropriate dosage); or (b) ingested or absorbed toxic chemicals; including a service described in item 66800, 66803, 66806, 66812 or 66815 (if performed), but excluding: (c) the surveillance of sports people and athletes for performance improving substances; and (d) the monitoring of patients participating in a drug abuse treatment program
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66626
Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient participating in a drug abuse treatment program; but excluding the surveillance of sports people and athletes for performance improving substances; including all tests on blood, urine or other body fluid (Item is subject to rule 25)
Group P2 		$24.10
Item Number
66626
Schedule Fee
$24.10
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
Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient participating in a drug abuse treatment program; but excluding the surveillance of sports people and athletes for performance improving substances; including all tests on blood, urine or other body fluid (Item is subject to rule 25)
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66629
Beta-2-microglobulin - quantitation in serum, urine or other body fluids - 1 or more tests
Group P2 		$20.10
Item Number
66629
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
Beta-2-microglobulin - quantitation in serum, urine or other body fluids - 1 or more tests
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66632
Caeruloplasmin, haptoglobins, or prealbumin - quantitation in serum, urine or other body fluids - 1 or more tests
Group P2 		$20.10
Item Number
66632
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
Caeruloplasmin, haptoglobins, or prealbumin - quantitation in serum, urine or other body fluids - 1 or more tests
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66635
Alpha-1-antitrypsin - quantitation in serum, urine or other body fluid - 1 or more tests
Group P2 		$20.10
Item Number
66635
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
Alpha-1-antitrypsin - quantitation in serum, urine or other body fluid - 1 or more tests
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66638
Isoelectric focussing or similar methods for determination of alpha-1-antitrypsin phenotype in serum - 1 or more tests
Group P2 		$49.05
Item Number
66638
Schedule Fee
$49.05
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
Isoelectric focussing or similar methods for determination of alpha-1-antitrypsin phenotype in serum - 1 or more tests
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66639
A test described in item 66638 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Group P2 		$29.20
Item Number
66639
Schedule Fee
$29.20
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66638 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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66641
Electrophoresis of serum or other body fluid to demonstrate: (a) the isoenzymes of lactate dehydrogenase; or (b) the isoenzymes of alkaline phosphatase; including the preliminary quantitation of total relevant enzyme activity - 1 or more tests
Group P2 		$29.20
Item Number
66641
Schedule Fee
$29.20
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 or other body fluid to demonstrate: (a) the isoenzymes of lactate dehydrogenase; or (b) the isoenzymes of alkaline phosphatase; including the preliminary quantitation of total relevant enzyme activity - 1 or more tests
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66642
A test described in item 66641 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Group P2 		$29.20
Item Number
66642
Schedule Fee
$29.20
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66641 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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66644
C-1 esterase inhibitor - quantitation
Group P2 		$20.15
Item Number
66644
Schedule Fee
$20.15
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: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
C-1 esterase inhibitor - quantitation
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66647
C-1 esterase inhibitor - functional assay
Group P2 		$45.10
Item Number
66647
Schedule Fee
$45.10
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
C-1 esterase inhibitor - functional assay
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66650
Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), neuron specific enolase (NSE), thyroglobulin in serum or other body fluid, in the monitoring of malignancy or in the detection or monitoring of hepatic tumours, gestational trophoblastic disease or germ cell tumour - quantitation - 1 test (Item is subject to rule 6)
Group P2 		$24.35
Item Number
66650
Schedule Fee
$24.35
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
Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), neuron specific enolase (NSE), thyroglobulin in serum or other body fluid, in the monitoring of malignancy or in the detection or monitoring of hepatic tumours, gestational trophoblastic disease or germ cell tumour - quantitation - 1 test (Item is subject to rule 6)
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66651
A test described in item 66650 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 P2 		$24.35
Item Number
66651
Schedule Fee
$24.35
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66650 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)
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66652
A test described in item 66650 if rendered by a receiving APP - other than that described in 66651, if rendered by a receiving APP, 1 test (Item is subject to rule 6 and 18)
Group P2 		$20.30
Item Number
66652
Schedule Fee
$20.30
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66650 if rendered by a receiving APP - other than that described in 66651, if rendered by a receiving APP, 1 test (Item is subject to rule 6 and 18)
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66653
2 or more tests described in item 66650 (Item is subject to rule 6)
Group P2 		$44.60
Item Number
66653
Schedule Fee
$44.60
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
2 or more tests described in item 66650 (Item is subject to rule 6)
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66654
Prostate specific antigen – quantitation in the monitoring of high-risk patients For any particular patient, applicable not more than once in 11 months
Group P2 		$20.15
Item Number
66654
Schedule Fee
$20.15
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
Prostate specific antigen – quantitation in the monitoring of high-risk patients For any particular patient, applicable not more than once in 11 months
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66655
Prostate specific antigen—quantitation For any particular patient, applicable not more than once in 23 months
Group P2 		$20.15
Item Number
66655
Schedule Fee
$20.15
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: 01.05.2001
Gov. Change Flags
No changes flagged
Full Description
Prostate specific antigen—quantitation For any particular patient, applicable not more than once in 23 months
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66656
Prostate specific antigen (PSA) quantitation in the monitoring of previously diagnosed prostatic disease (including prostate cancer, prostatitis or a premalignant condition such as atypical small acinar proliferation)
Group P2 		$20.15
Item Number
66656
Schedule Fee
$20.15
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: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Prostate specific antigen (PSA) quantitation in the monitoring of previously diagnosed prostatic disease (including prostate cancer, prostatitis or a premalignant condition such as atypical small acinar proliferation)
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66659
Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, including, if performed, a test described in item 66656, in the follow up of a PSA result under item 66654 or 66655 that lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than once in 11 months
Group P2 		$37.30
Item Number
66659
Schedule Fee
$37.30
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
Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, including, if performed, a test described in item 66656, in the follow up of a PSA result under item 66654 or 66655 that lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than once in 11 months
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66660
Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, in the monitoring of previously diagnosed prostatic disease, including, if performed, a test described in item 66656, if the current PSA level lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than 4 times in 11 months
Group P2 		$37.30
Item Number
66660
Schedule Fee
$37.30
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2009
Gov. Change Flags
No changes flagged
Full Description
Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, in the monitoring of previously diagnosed prostatic disease, including, if performed, a test described in item 66656, if the current PSA level lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than 4 times in 11 months
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66662
Quantitation of hormone receptors on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast - 1 or more tests
Group P2 		$79.95
Item Number
66662
Schedule Fee
$79.95
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
Quantitation of hormone receptors on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast - 1 or more tests
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66663
A test described in item 66662 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Group P2 		$79.95
Item Number
66663
Schedule Fee
$79.95
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66662 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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66665
Lead quantitation in blood or urine (other than for occupational health screening purposes) to a maximum of 3 tests in a 6 month period - each test
Group P2 		$30.60
Item Number
66665
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
Lead quantitation in blood or urine (other than for occupational health screening purposes) to a maximum of 3 tests in a 6 month period - each test
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66666
A test described in item 66665 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Group P2 		$30.60
Item Number
66666
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66665 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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66667
Quantitation of serum zinc in a patient receiving intravenous alimentation - each test
Group P2 		$30.60
Item Number
66667
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: 01.11.2000
Gov. Change Flags
No changes flagged
Full Description
Quantitation of serum zinc in a patient receiving intravenous alimentation - each test
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66671
Quantitation of serum aluminium in a patient in a renal dialysis program - each test
Group P2 		$36.90
Item Number
66671
Schedule Fee
$36.90
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
Quantitation of serum aluminium in a patient in a renal dialysis program - each test
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66674
Quantitation of: (a) faecal fat; or (b) breath hydrogen in response to loading with disaccharides; 1 or more tests within a 28 day period
Group P2 		$39.95
Item Number
66674
Schedule Fee
$39.95
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
Quantitation of: (a) faecal fat; or (b) breath hydrogen in response to loading with disaccharides; 1 or more tests within a 28 day period
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66677
Test for tryptic activity in faeces in the investigation of diarrhoea of longer than 4 weeks duration in children under 6 years old
Group P2 		$11.15
Item Number
66677
Schedule Fee
$11.15
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: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Test for tryptic activity in faeces in the investigation of diarrhoea of longer than 4 weeks duration in children under 6 years old
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66680
Quantitation of disaccharidases and other enzymes in intestinal tissue - 1 or more tests
Group P2 		$74.45
Item Number
66680
Schedule Fee
$74.45
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 disaccharidases and other enzymes in intestinal tissue - 1 or more tests
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66683
Enzymes - quantitation in solid tissue or tissues other than blood elements or intestinal tissue - 1 or more tests
Group P2 		$74.45
Item Number
66683
Schedule Fee
$74.45
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
Enzymes - quantitation in solid tissue or tissues other than blood elements or intestinal tissue - 1 or more tests
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66686
Performance of 1 or more of the following procedures: (a) growth hormone suppression by glucose loading; (b) growth hormone stimulation by exercise; (c) dexamethasone suppression test; (d) sweat collection by iontophoresis for chloride analysis; (e) pharmacological stimulation of growth hormone
Group P2 		$50.65
Item Number
66686
Schedule Fee
$50.65
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
Performance of 1 or more of the following procedures: (a) growth hormone suppression by glucose loading; (b) growth hormone stimulation by exercise; (c) dexamethasone suppression test; (d) sweat collection by iontophoresis for chloride analysis; (e) pharmacological stimulation of growth hormone
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66695
Quantitation in blood or urine of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, - 1 test (Item is subject to rule 6)
Group P2 		$30.50
Item Number
66695
Schedule Fee
$30.50
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Quantitation in blood or urine of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, - 1 test (Item is subject to rule 6)
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66696
A test described in item 66695, if rendered by a receiving APP - where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18)
Group P2 		$30.50
Item Number
66696
Schedule Fee
$30.50
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66695, if rendered by a receiving APP - where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18)
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66697
Tests described in item 66695, other than that described in 66696, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6 and 18)
Group P2 		$13.20
Item Number
66697
Schedule Fee
$13.20
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Tests described in item 66695, other than that described in 66696, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6 and 18)
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66698
2 tests described in item 66695 (Item is subject to rule 6)
Group P2 		$43.70
Item Number
66698
Schedule Fee
$43.70
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
2 tests described in item 66695 (Item is subject to rule 6)
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66701
3 tests described in item 66695 (Item is subject to rule 6)
Group P2 		$56.90
Item Number
66701
Schedule Fee
$56.90
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
3 tests described in item 66695 (Item is subject to rule 6)
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66704
4 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 tests specified on the request form or performs 4 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Group P2 		$70.15
Item Number
66704
Schedule Fee
$70.15
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: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
4 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 tests specified on the request form or performs 4 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
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66707
5 or more tests described in item 66695 (Item is subject to rule 6)
Group P2 		$83.35
Item Number
66707
Schedule Fee
$83.35
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
5 or more tests described in item 66695 (Item is subject to rule 6)
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66711
Quantitation in saliva of cortisol in: (a) the investigation of Cushing's syndrome; or (b) the management of children with congenital adrenal hyperplasia (Item is subject to rule 6)
Group P2 		$30.15
Item Number
66711
Schedule Fee
$30.15
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: 01.11.2005
Gov. Change Flags
No changes flagged
Full Description
Quantitation in saliva of cortisol in: (a) the investigation of Cushing's syndrome; or (b) the management of children with congenital adrenal hyperplasia (Item is subject to rule 6)
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66712
Two tests described in item 66711 (Item is subject to rule 6)
Group P2 		$43.05
Item Number
66712
Schedule Fee
$43.05
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: 01.11.2005
Gov. Change Flags
No changes flagged
Full Description
Two tests described in item 66711 (Item is subject to rule 6)
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66714
A test described in item 66711, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18)
Group P2 		$30.15
Item Number
66714
Schedule Fee
$30.15
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66711, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18)
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66715
Tests described in item 66711, other than that described in 66714, if rendered by a receiving APP, each test to a maximum of 1 test (Item is subject to rule 6 and 18)
Group P2 		$12.85
Item Number
66715
Schedule Fee
$12.85
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Tests described in item 66711, other than that described in 66714, if rendered by a receiving APP, each test to a maximum of 1 test (Item is subject to rule 6 and 18)
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Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Urine acidification test for the diagnosis of renal tubular acidosis including the administration of an acid load, and pH measurements on 4 or more urine specimens and at least 1 blood specimen
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Calculus, analysis of 1 or more
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Ferritin - quantitation, except if requested as part of iron studies
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Iron studies, consisting of quantitation of: (a) serum iron; and (b) transferrin or iron binding capacity; and (c) ferritin
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Vitamins - quantitation of vitamins B1, B2, B3, B6 or C in blood, urine or other body fluid - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66605 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Vitamins - quantitation of vitamins A or E in blood, urine or other body fluid - 1 or more tests within a 6 month period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66607 if rendered by a receiving APP - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
All qualitative and quantitative tests on blood, urine or other body fluid for: (a) a drug or drugs of abuse (including illegal drugs and legally available drugs taken other than in appropriate dosage); or (b) ingested or absorbed toxic chemicals; including a service described in item 66800, 66803, 66806, 66812 or 66815 (if performed), but excluding: (c) the surveillance of sports people and athletes for performance improving substances; and (d) the monitoring of patients participating in a drug abuse treatment program
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient participating in a drug abuse treatment program; but excluding the surveillance of sports people and athletes for performance improving substances; including all tests on blood, urine or other body fluid (Item is subject to rule 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Beta-2-microglobulin - quantitation in serum, urine or other body fluids - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Caeruloplasmin, haptoglobins, or prealbumin - quantitation in serum, urine or other body fluids - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Alpha-1-antitrypsin - quantitation in serum, urine or other body fluid - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Isoelectric focussing or similar methods for determination of alpha-1-antitrypsin phenotype in serum - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66638 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Electrophoresis of serum or other body fluid to demonstrate: (a) the isoenzymes of lactate dehydrogenase; or (b) the isoenzymes of alkaline phosphatase; including the preliminary quantitation of total relevant enzyme activity - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66641 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
C-1 esterase inhibitor - quantitation
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
C-1 esterase inhibitor - functional assay
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), neuron specific enolase (NSE), thyroglobulin in serum or other body fluid, in the monitoring of malignancy or in the detection or monitoring of hepatic tumours, gestational trophoblastic disease or germ cell tumour - quantitation - 1 test (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66650 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
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66650 if rendered by a receiving APP - other than that described in 66651, if rendered by a receiving APP, 1 test (Item is subject to rule 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 or more tests described in item 66650 (Item is subject to rule 6)
Fee From
01.11.2023
Category
Category 6 — Pathology
Description
Prostate specific antigen – quantitation in the monitoring of high-risk patients For any particular patient, applicable not more than once in 11 months
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Prostate specific antigen—quantitation For any particular patient, applicable not more than once in 23 months
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Prostate specific antigen (PSA) quantitation in the monitoring of previously diagnosed prostatic disease (including prostate cancer, prostatitis or a premalignant condition such as atypical small acinar proliferation)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, including, if performed, a test described in item 66656, in the follow up of a PSA result under item 66654 or 66655 that lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than once in 11 months
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, in the monitoring of previously diagnosed prostatic disease, including, if performed, a test described in item 66656, if the current PSA level lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than 4 times in 11 months
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of hormone receptors on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66662 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Lead quantitation in blood or urine (other than for occupational health screening purposes) to a maximum of 3 tests in a 6 month period - each test
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66665 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of serum zinc in a patient receiving intravenous alimentation - each test
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of serum aluminium in a patient in a renal dialysis program - each test
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of: (a) faecal fat; or (b) breath hydrogen in response to loading with disaccharides; 1 or more tests within a 28 day period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Test for tryptic activity in faeces in the investigation of diarrhoea of longer than 4 weeks duration in children under 6 years old
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of disaccharidases and other enzymes in intestinal tissue - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Enzymes - quantitation in solid tissue or tissues other than blood elements or intestinal tissue - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Performance of 1 or more of the following procedures: (a) growth hormone suppression by glucose loading; (b) growth hormone stimulation by exercise; (c) dexamethasone suppression test; (d) sweat collection by iontophoresis for chloride analysis; (e) pharmacological stimulation of growth hormone
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation in blood or urine of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, - 1 test (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66695, if rendered by a receiving APP - where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Tests described in item 66695, other than that described in 66696, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 tests described in item 66695 (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
3 tests described in item 66695 (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
4 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 tests specified on the request form or performs 4 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
5 or more tests described in item 66695 (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation in saliva of cortisol in: (a) the investigation of Cushing's syndrome; or (b) the management of children with congenital adrenal hyperplasia (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Two tests described in item 66711 (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66711, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Tests described in item 66711, other than that described in 66714, if rendered by a receiving APP, each test to a maximum of 1 test (Item is subject to rule 6 and 18)
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