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 4901–4950 of 6045 Pg 99/121
Item No. Description Schedule Fee Status
66716
TSH quantitation
Group P2
$25.05
Item Number
66716
Schedule Fee
$25.05
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
TSH quantitation
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66719
Thyroid function tests (comprising the service described in item 66716 and either or both of a test for free thyroxine and a test for free T3) for a patient, if: (a) the patient has a level of TSH that is outside the normal reference range for the particular method of assay used to determine the level; or (b) the request from the requesting medical practitioner indicates that the tests are performed: (i) for the purpose of monitoring thyroid disease in the patient; or (ii) to investigate the sick euthyroid syndrome if the patient is an admitted patient; or (iii) to investigate dementia or psychiatric illness of the patient; or (iv) to investigate amenorrhoea or infertility of the patient; or (c) the request from the requesting medical practitioner indicates that the medical practitioner suspects the patient has a pituitary dysfunction; or (d) the request from the requesting medical practitioner indicates that the patient is on drugs that interfere with thyroid hormone metabolism or function
Group P2
$34.80
Item Number
66719
Schedule Fee
$34.80
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
Thyroid function tests (comprising the service described in item 66716 and either or both of a test for free thyroxine and a test for free T3) for a patient, if: (a) the patient has a level of TSH that is outside the normal reference range for the particular method of assay used to determine the level; or (b) the request from the requesting medical practitioner indicates that the tests are performed: (i) for the purpose of monitoring thyroid disease in the patient; or (ii) to investigate the sick euthyroid syndrome if the patient is an admitted patient; or (iii) to investigate dementia or psychiatric illness of the patient; or (iv) to investigate amenorrhoea or infertility of the patient; or (c) the request from the requesting medical practitioner indicates that the medical practitioner suspects the patient has a pituitary dysfunction; or (d) the request from the requesting medical practitioner indicates that the patient is on drugs that interfere with thyroid hormone metabolism or function
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66722
TSH quantitation described in item 66716 and 1 test described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Group P2
$37.90
Item Number
66722
Schedule Fee
$37.90
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
TSH quantitation described in item 66716 and 1 test described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
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66723
Tests described in item 66722, that is, TSH quantitation and 1 test described in 66695, 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
$37.90
Item Number
66723
Schedule Fee
$37.90
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Tests described in item 66722, that is, TSH quantitation and 1 test described in 66695, 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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66724
Tests described in item 66722, if rendered by a receiving APP, other than that described in 66723. It is to include a quantitation of TSH - each test to a maximum of 4 tests described in item 66695 (Item is subject to rule 6 and 18)
Group P2
$13.15
Item Number
66724
Schedule Fee
$13.15
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
Tests described in item 66722, if rendered by a receiving APP, other than that described in 66723. It is to include a quantitation of TSH - each test to a maximum of 4 tests described in item 66695 (Item is subject to rule 6 and 18)
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66725
TSH quantitation described in item 66716 and 2 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 tests specified on the request form or performs 3 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Group P2
$51.05
Item Number
66725
Schedule Fee
$51.05
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
TSH quantitation described in item 66716 and 2 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 tests specified on the request form or performs 3 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
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66728
TSH quantitation described in item 66716 and 3 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
$64.20
Item Number
66728
Schedule Fee
$64.20
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
TSH quantitation described in item 66716 and 3 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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66731
TSH quantitation described in item 66716 and 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 5 tests specified on the request form or performs 5 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Group P2
$77.40
Item Number
66731
Schedule Fee
$77.40
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
TSH quantitation described in item 66716 and 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 5 tests specified on the request form or performs 5 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
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66734
TSH quantitation described in item 66716 and 5 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 6 or more tests specified on the request form) (Item is subject to rule 6)
Group P2
$90.55
Item Number
66734
Schedule Fee
$90.55
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
TSH quantitation described in item 66716 and 5 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 6 or more tests specified on the request form) (Item is subject to rule 6)
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66743
Quantitation of alpha-fetoprotein in serum or other body fluids during pregnancy except if requested as part of items 66750 or 66751
Group P2
$20.10
Item Number
66743
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
Quantitation of alpha-fetoprotein in serum or other body fluids during pregnancy except if requested as part of items 66750 or 66751
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66749
Amniotic fluid, spectrophotometric examination of, and quantitation of: (a) lecithin/sphingomyelin ratio; or (b) palmitic acid, phosphatidylglycerol or lamellar body phospholipid; or (c) bilirubin, including correction for haemoglobin 1 or more tests
Group P2
$32.95
Item Number
66749
Schedule Fee
$32.95
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
Amniotic fluid, spectrophotometric examination of, and quantitation of: (a) lecithin/sphingomyelin ratio; or (b) palmitic acid, phosphatidylglycerol or lamellar body phospholipid; or (c) bilirubin, including correction for haemoglobin 1 or more tests
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66750
Quantitation, in pregnancy, of any 2 of the following to detect foetal abnormality - total human chorionic gonadotrophin (total HCG), free alpha human chorionic gonadotrophin (free alpha HCG), free beta human chorionic gonadotrophin (free beta HCG), pregnancy associated plasma protein A (PAPP-A), unconjugated oestriol (uE3), alpha-fetoprotein (AFP) - including (if performed) a service described in item 73527 or 73529 - Applicable not more than once in a pregnancy
Group P2
$39.75
Item Number
66750
Schedule Fee
$39.75
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: 01.05.2003
Gov. Change Flags
No changes flagged
Full Description
Quantitation, in pregnancy, of any 2 of the following to detect foetal abnormality - total human chorionic gonadotrophin (total HCG), free alpha human chorionic gonadotrophin (free alpha HCG), free beta human chorionic gonadotrophin (free beta HCG), pregnancy associated plasma protein A (PAPP-A), unconjugated oestriol (uE3), alpha-fetoprotein (AFP) - including (if performed) a service described in item 73527 or 73529 - Applicable not more than once in a pregnancy
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66751
Quantitation, in pregnancy, of any three or more tests described in 66750 (Item is subject to rule 25)
Group P2
$55.25
Item Number
66751
Schedule Fee
$55.25
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: 01.05.2003
Gov. Change Flags
No changes flagged
Full Description
Quantitation, in pregnancy, of any three or more tests described in 66750 (Item is subject to rule 25)
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66752
Quantitation of acetoacetate, beta-hydroxybutyrate, citrate, oxalate, total free fatty acids, cysteine, homocysteine, cystine, lactate, pyruvate or other amino acids and hydroxyproline (except if performed as part of item 66773 or 66776) - 1 test
Group P2
$24.70
Item Number
66752
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
Quantitation of acetoacetate, beta-hydroxybutyrate, citrate, oxalate, total free fatty acids, cysteine, homocysteine, cystine, lactate, pyruvate or other amino acids and hydroxyproline (except if performed as part of item 66773 or 66776) - 1 test
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66755
2 or more tests described in item 66752
Group P2
$38.85
Item Number
66755
Schedule Fee
$38.85
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: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
2 or more tests described in item 66752
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66756
Quantitation of 10 or more amino acids for the diagnosis of inborn errors of metabolism - up to 4 tests in a 12 month period on specimens of plasma, CSF and urine.
Group P2
$98.30
Item Number
66756
Schedule Fee
$98.30
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
Quantitation of 10 or more amino acids for the diagnosis of inborn errors of metabolism - up to 4 tests in a 12 month period on specimens of plasma, CSF and urine.
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66757
Quantitation of 10 or more amino acids for monitoring of previously diagnosed inborn errors of metabolism in 1 tissue type.
Group P2
$98.30
Item Number
66757
Schedule Fee
$98.30
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
Quantitation of 10 or more amino acids for monitoring of previously diagnosed inborn errors of metabolism in 1 tissue type.
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66758
Quantitation of angiotensin converting enzyme, or cholinesterase - 1 or more tests
Group P2
$24.70
Item Number
66758
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
Quantitation of angiotensin converting enzyme, or cholinesterase - 1 or more tests
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66761
Test for reducing substances in faeces by any method (except reagent strip or dipstick)
Group P2
$13.15
Item Number
66761
Schedule Fee
$13.15
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 reducing substances in faeces by any method (except reagent strip or dipstick)
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66764
Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces except by reagent strip or dip stick methods) with a maximum of 3 examinations on specimens collected on separate days in a 28 day period
Group P2
$8.90
Item Number
66764
Schedule Fee
$8.90
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
Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces except by reagent strip or dip stick methods) with a maximum of 3 examinations on specimens collected on separate days in a 28 day period
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66767
2 examinations described in item 66764 performed on separately collected and identified specimens
Group P2
$17.85
Item Number
66767
Schedule Fee
$17.85
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: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
2 examinations described in item 66764 performed on separately collected and identified specimens
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66770
3 examinations described in item 66764 performed on separately collected and identified specimens
Group P2
$26.70
Item Number
66770
Schedule Fee
$26.70
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
3 examinations described in item 66764 performed on separately collected and identified specimens
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66773
Quantitation of products of collagen breakdown or formation for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66752 - 1 or more tests (Low bone densitometry is defined in the explanatory notes to Category 2 - Diagnostic Procedures and Investigations of the Medicare Benefits Schedule)
Group P2
$24.65
Item Number
66773
Schedule Fee
$24.65
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
Quantitation of products of collagen breakdown or formation for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66752 - 1 or more tests (Low bone densitometry is defined in the explanatory notes to Category 2 - Diagnostic Procedures and Investigations of the Medicare Benefits Schedule)
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66776
Quantitation of products of collagen breakdown or formation for the monitoring of patients with metabolic bone disease or Paget's disease of bone, and if performed, a service described in item 66752 - 1 or more tests
Group P2
$24.65
Item Number
66776
Schedule Fee
$24.65
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
Quantitation of products of collagen breakdown or formation for the monitoring of patients with metabolic bone disease or Paget's disease of bone, and if performed, a service described in item 66752 - 1 or more tests
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66779
Adrenaline, noradrenaline, dopamine, histamine, hydroxyindoleacetic acid (5HIAA), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), phenylacetic acid (PAA) or serotonin quantitation - 1 or more tests
Group P2
$39.95
Item Number
66779
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
Adrenaline, noradrenaline, dopamine, histamine, hydroxyindoleacetic acid (5HIAA), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), phenylacetic acid (PAA) or serotonin quantitation - 1 or more tests
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66780
A test described in item 66779 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Group P2
$39.95
Item Number
66780
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66779 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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66782
Porphyrins or porphyrins precursors - detection in plasma, red cells, urine or faeces - 1 or more tests
Group P2
$13.15
Item Number
66782
Schedule Fee
$13.15
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
Porphyrins or porphyrins precursors - detection in plasma, red cells, urine or faeces - 1 or more tests
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66783
A test described in item 66782 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Group P2
$13.15
Item Number
66783
Schedule Fee
$13.15
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 66782 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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66785
Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 1 test (Item is subject to rule 6)
Group P2
$39.95
Item Number
66785
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
Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 1 test (Item is subject to rule 6)
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66788
Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 2 or more tests (Item is subject to rule 6)
Group P2
$65.85
Item Number
66788
Schedule Fee
$65.85
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: 01.11.1998
Gov. Change Flags
No changes flagged
Full Description
Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 2 or more tests (Item is subject to rule 6)
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66789
A test described in item 66785 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
$39.95
Item Number
66789
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66785 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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66790
A test described in item 66785 other than that described in 66789, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18)
Group P2
$25.90
Item Number
66790
Schedule Fee
$25.90
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66785 other than that described in 66789, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18)
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66791
Porphyrin biosynthetic enzymes - measurement of activity in blood cells or other tissues - 1 or more tests
Group P2
$74.45
Item Number
66791
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
Porphyrin biosynthetic enzymes - measurement of activity in blood cells or other tissues - 1 or more tests
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66792
A test described in item 66791 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
Group P2
$74.45
Item Number
66792
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66791 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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66800
Quantitation in blood, urine or other body fluid by any method (except reagent tablet or reagent strip) of any of the following being used therapeutically by the patient from whom the specimen was taken: amikacin, carbamazepine, digoxin, disopyramide, ethanol, ethosuximide, gentamicin, lithium, lignocaine, netilmicin, paracetamol, phenobarbitone, primidone, phenytoin, procainamide, quinidine, salicylate, theophylline, tobramycin, valproate or vancomycin - 1 test (Item to be subject to rule 6)
Group P2
$18.15
Item Number
66800
Schedule Fee
$18.15
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: 01.11.2003
Gov. Change Flags
No changes flagged
Full Description
Quantitation in blood, urine or other body fluid by any method (except reagent tablet or reagent strip) of any of the following being used therapeutically by the patient from whom the specimen was taken: amikacin, carbamazepine, digoxin, disopyramide, ethanol, ethosuximide, gentamicin, lithium, lignocaine, netilmicin, paracetamol, phenobarbitone, primidone, phenytoin, procainamide, quinidine, salicylate, theophylline, tobramycin, valproate or vancomycin - 1 test (Item to be subject to rule 6)
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66803
2 tests described in item 66800 (Item is subject to rule 6)
Group P2
$30.50
Item Number
66803
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: 01.11.2003
Gov. Change Flags
No changes flagged
Full Description
2 tests described in item 66800 (Item is subject to rule 6)
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66804
A test described in item 66800 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
$18.15
Item Number
66804
Schedule Fee
$18.15
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 66800 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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66805
A test described in item 66800 other than that described in 66804, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18)
Group P2
$12.35
Item Number
66805
Schedule Fee
$12.35
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 66800 other than that described in 66804, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18)
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66806
3 tests described in item 66800 (Item is subject to rule 6)
Group P2
$41.85
Item Number
66806
Schedule Fee
$41.85
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: 01.11.2003
Gov. Change Flags
No changes flagged
Full Description
3 tests described in item 66800 (Item is subject to rule 6)
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66812
Quantitation, not elsewhere described in this Table by any method or methods, in blood, urine or other body fluid, of a drug being used therapeutically by the patient from whom the specimen was taken - 1 test (This fee applies where 1 laboratory performs the only test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Group P2
$34.80
Item Number
66812
Schedule Fee
$34.80
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: 01.11.2003
Gov. Change Flags
No changes flagged
Full Description
Quantitation, not elsewhere described in this Table by any method or methods, in blood, urine or other body fluid, of a drug being used therapeutically by the patient from whom the specimen was taken - 1 test (This fee applies where 1 laboratory performs the only test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
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66815
2 tests described in item 66812 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Group P2
$59.55
Item Number
66815
Schedule Fee
$59.55
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: 01.11.2003
Gov. Change Flags
No changes flagged
Full Description
2 tests described in item 66812 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
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66816
A test described in item 66812 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
$34.80
Item Number
66816
Schedule Fee
$34.80
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66812 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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66817
A test described in item 66812, other than that described in 66816, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18)
Group P2
$24.75
Item Number
66817
Schedule Fee
$24.75
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66812, other than that described in 66816, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18)
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66819
Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 1 test. (Item is subject to rule 6, 22 and 25)
Group P2
$30.60
Item Number
66819
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
Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 1 test. (Item is subject to rule 6, 22 and 25)
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66820
A test described in item 66819 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18, 22 and 25)
Group P2
$30.60
Item Number
66820
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 66819 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18, 22 and 25)
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66821
A test described in item 66819 other than that described in 66820 if rendered by a receiving APP to a maximum of 1 test (Item is subject to rule 6, 18, 22 and 25)
Group P2
$21.80
Item Number
66821
Schedule Fee
$21.80
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66819 other than that described in 66820 if rendered by a receiving APP to a maximum of 1 test (Item is subject to rule 6, 18, 22 and 25)
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66822
Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 2 or more tests. (Item is subject to rule 6, 22 and 25)
Group P2
$52.45
Item Number
66822
Schedule Fee
$52.45
Category
Category 6 — Pathology
Group / Subheading
Group P2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 2 or more tests. (Item is subject to rule 6, 22 and 25)
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66825
Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 1 test. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25)
Group P2
$30.60
Item Number
66825
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
Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 1 test. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25)
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66826
A test described in item 66825 if rendered by a receiving APP where no tests have been rendered by the referring APP - 1 test (Item is subject to rules 6, 18, 22 and 25 )
Group P2
$30.60
Item Number
66826
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 66825 if rendered by a receiving APP where no tests have been rendered by the referring APP - 1 test (Item is subject to rules 6, 18, 22 and 25 )
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66827
A test described in item 66825, other than that described in 66826, if rendered by a receiving APP to a maximum of 1 test (Item is subject to rules 6, 18, 22 and 25)
Group P2
$21.80
Item Number
66827
Schedule Fee
$21.80
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: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
A test described in item 66825, other than that described in 66826, if rendered by a receiving APP to a maximum of 1 test (Item is subject to rules 6, 18, 22 and 25)
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Fee From
01.01.2013
Category
Category 6 — Pathology
Description
TSH quantitation
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Thyroid function tests (comprising the service described in item 66716 and either or both of a test for free thyroxine and a test for free T3) for a patient, if: (a) the patient has a level of TSH that is outside the normal reference range for the particular method of assay used to determine the level; or (b) the request from the requesting medical practitioner indicates that the tests are performed: (i) for the purpose of monitoring thyroid disease in the patient; or (ii) to investigate the sick euthyroid syndrome if the patient is an admitted patient; or (iii) to investigate dementia or psychiatric illness of the patient; or (iv) to investigate amenorrhoea or infertility of the patient; or (c) the request from the requesting medical practitioner indicates that the medical practitioner suspects the patient has a pituitary dysfunction; or (d) the request from the requesting medical practitioner indicates that the patient is on drugs that interfere with thyroid hormone metabolism or function
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
TSH quantitation described in item 66716 and 1 test described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 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
Tests described in item 66722, that is, TSH quantitation and 1 test described in 66695, 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
Tests described in item 66722, if rendered by a receiving APP, other than that described in 66723. It is to include a quantitation of TSH - each test to a maximum of 4 tests described in item 66695 (Item is subject to rule 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
TSH quantitation described in item 66716 and 2 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 tests specified on the request form or performs 3 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
TSH quantitation described in item 66716 and 3 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
TSH quantitation described in item 66716 and 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 5 tests specified on the request form or performs 5 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
TSH quantitation described in item 66716 and 5 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 6 or more tests specified on the request form) (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of alpha-fetoprotein in serum or other body fluids during pregnancy except if requested as part of items 66750 or 66751
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Amniotic fluid, spectrophotometric examination of, and quantitation of: (a) lecithin/sphingomyelin ratio; or (b) palmitic acid, phosphatidylglycerol or lamellar body phospholipid; or (c) bilirubin, including correction for haemoglobin 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation, in pregnancy, of any 2 of the following to detect foetal abnormality - total human chorionic gonadotrophin (total HCG), free alpha human chorionic gonadotrophin (free alpha HCG), free beta human chorionic gonadotrophin (free beta HCG), pregnancy associated plasma protein A (PAPP-A), unconjugated oestriol (uE3), alpha-fetoprotein (AFP) - including (if performed) a service described in item 73527 or 73529 - Applicable not more than once in a pregnancy
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation, in pregnancy, of any three or more tests described in 66750 (Item is subject to rule 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of acetoacetate, beta-hydroxybutyrate, citrate, oxalate, total free fatty acids, cysteine, homocysteine, cystine, lactate, pyruvate or other amino acids and hydroxyproline (except if performed as part of item 66773 or 66776) - 1 test
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 or more tests described in item 66752
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of 10 or more amino acids for the diagnosis of inborn errors of metabolism - up to 4 tests in a 12 month period on specimens of plasma, CSF and urine.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of 10 or more amino acids for monitoring of previously diagnosed inborn errors of metabolism in 1 tissue type.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of angiotensin converting enzyme, or cholinesterase - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Test for reducing substances in faeces by any method (except reagent strip or dipstick)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces except by reagent strip or dip stick methods) with a maximum of 3 examinations on specimens collected on separate days in a 28 day period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 examinations described in item 66764 performed on separately collected and identified specimens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
3 examinations described in item 66764 performed on separately collected and identified specimens
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of products of collagen breakdown or formation for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66752 - 1 or more tests (Low bone densitometry is defined in the explanatory notes to Category 2 - Diagnostic Procedures and Investigations of the Medicare Benefits Schedule)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of products of collagen breakdown or formation for the monitoring of patients with metabolic bone disease or Paget's disease of bone, and if performed, a service described in item 66752 - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Adrenaline, noradrenaline, dopamine, histamine, hydroxyindoleacetic acid (5HIAA), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), phenylacetic acid (PAA) or serotonin quantitation - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66779 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
Porphyrins or porphyrins precursors - detection in plasma, red cells, urine or faeces - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66782 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
Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 1 test (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 2 or more tests (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66785 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 66785 other than that described in 66789, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Porphyrin biosynthetic enzymes - measurement of activity in blood cells or other tissues - 1 or more tests
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66791 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 in blood, urine or other body fluid by any method (except reagent tablet or reagent strip) of any of the following being used therapeutically by the patient from whom the specimen was taken: amikacin, carbamazepine, digoxin, disopyramide, ethanol, ethosuximide, gentamicin, lithium, lignocaine, netilmicin, paracetamol, phenobarbitone, primidone, phenytoin, procainamide, quinidine, salicylate, theophylline, tobramycin, valproate or vancomycin - 1 test (Item to be subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 tests described in item 66800 (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66800 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 66800 other than that described in 66804, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
3 tests described in item 66800 (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation, not elsewhere described in this Table by any method or methods, in blood, urine or other body fluid, of a drug being used therapeutically by the patient from whom the specimen was taken - 1 test (This fee applies where 1 laboratory performs the only test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
2 tests described in item 66812 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 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
A test described in item 66812 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 66812, other than that described in 66816, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 1 test. (Item is subject to rule 6, 22 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66819 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18, 22 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66819 other than that described in 66820 if rendered by a receiving APP to a maximum of 1 test (Item is subject to rule 6, 18, 22 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 2 or more tests. (Item is subject to rule 6, 22 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 1 test. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66825 if rendered by a receiving APP where no tests have been rendered by the referring APP - 1 test (Item is subject to rules 6, 18, 22 and 25 )
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
A test described in item 66825, other than that described in 66826, if rendered by a receiving APP to a maximum of 1 test (Item is subject to rules 6, 18, 22 and 25)
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