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Health Insurance (Pathology Services Table) Amendment Regulations 2008 (No. 1)

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Health Insurance (Pathology Services Table) Amendment Regulations 2008 (No. 1)1
Select Legislative Instrument 2008 No. 32
I, PHILIP MICHAEL JEFFERY, Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 20 March 2008
P. M. JEFFERY
Governor‑General
By His Excellency’s Command
NICOLA ROXON
Minister for Health and Ageing
1              Name of Regulations
                These Regulations are the Health Insurance (Pathology Services Table) Amendment Regulations 2008 (No. 1).
2              Commencement
                These Regulations commence on 1 May 2008.
3              Amendment of Health Insurance (Pathology Services Table) Regulations 2007
                Schedule 1 amends the Health Insurance (Pathology Services Table) Regulations 2007.
Schedule 1        Amendments
(regulation 3)
  
[1]           Schedule 1, Part 2, after subrule 4 (1)
insert
      (1A)   Rule 3 does not apply to a pathology service described in item 65109 or 65110 if:
                (a)    the service is rendered:
                          (i)    for a service described in item 65109 — on 1 of not more than 5 occasions in a period of 24 hours; and
                         (ii)    for a service described in item 65110 — on 1 of not more than 2 occasions in a period of 24 hours; and
               (b)    the service was requested on a separate occasion to any other occasions on which the service was requested in the period of 24 hours; and
                (c)    the account for the service is endorsed ‘Rule 3 Exemption’.
[2]           Schedule 1, Part 2, rule 11
substitute
11            Investigation for hepatitis serology
                The fee applying in a single patient episode that includes any of items 69475, 69478 and 69481 is the fee specified for only 1 of those items.
[3]           Schedule 1, Part 2, subrule 13 (1), definition of biopsy material
omit
(other than a bone marrow biopsy)
[4]           Schedule 1, Part 2, subrule 18A (2), definition of set of pathology services, paragraph (d)
after
item
insert
69484,
[5]           Schedule 1, Part 3, item 65078
omit
when indicated on the basis of an abnormal full blood examination or by the clinical need for family studies,
[6]           Schedule 1, Part 3, item 65081
omit
(including S, C, D, E), other than thalassaemia, when indicated on the basis of an abnormal full blood examination or by the clinical need for family studies,
[7]           Schedule 1, Part 3, items 65084 and 65087
substitute
65084
Bone marrow trephine biopsy — histopathological examination of sections of bone marrow and examination of aspirated material (including clot sections where necessary), including (if performed) any test described in item 65060, 65066 or 65070
168.75

65087
Bone marrow — examination of aspirated material (including clot sections where necessary), including (if performed) any test described in item 65060, 65066 or 65070
84.55

[8]           Schedule 1, Part 3, item 69378
omit
on 1 or more specimens
[9]           Schedule 1, Part 3, items 69475 to 69484
substitute
69475
Detection of hepatitis antigens or antibodies to determine immune status or viral carriage following exposure or vaccination to Hepatitis A, Hepatitis B, Hepatitis C or Hepatitis D — 1 test
(Item is subject to rule 11)
15.75

69478
2 tests described in item 69475
(Item is subject to rule 11)
29.45

69481
Investigation of infectious causes of acute or chronic hepatitis — 3 tests described in item 69475
(Item is subject to rule 11)
40.80

69484
Supplementary test for hepatitis B surface antigen or hepatitis C antibody using a different assay on a specimen that yielded a reactive result on initial testing
(Item is subject to rule 18)
17.20

[10]         Further amendments — Schedule 1, Part 3
 
Item
omit
insert

65084
168.75
163.70

65087
84.55
79.50

69387
29.75
29.20

69390
43.75
42.65

69393
57.75
56.10

69396
71.75
69.55

69399
85.75
83.00

69401
14.00
13.45

69408
28.00
29.20

69411
39.35
42.65

69413
50.65
56.10

69415
61.95
69.55

Note
1.       All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au.