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Category 6 - PATHOLOGY SERVICES
PR.5.1
Limitation of item 72860
Item 72860 applies to a service (the relevant service) for a patient if:
(a) the relevant service is subsequent to one or more earlier patient episodes involving:
(i) the rendering of services to which one or more items in Groups P5, P6 or P7 apply (other than item 72860); and
(ii) the collection of tissue material (either biopsy material or samples submitted for cytology) from which a tissue block was prepared; and
(iii) the archiving of the tissue material in formalin fixed paraffin embedded blocks; and
(b) following the earlier patient episode or episodes, the treating practitioner determines that a service to which an item in Group P7 (which deal with genetic testing) applies is clinically necessary for the patient; and
(c) the relevant service is rendered in a patient episode with services to which one or more items in Group P7 apply, but is not rendered in the same accredited pathology laboratory as those services.
Related Items: 72860
Related Items
Category 6 - PATHOLOGY SERVICES
72860 - Additional Information
Retrieval and review of one or more archived formalin fixed paraffin embedded blocks to determine the appropriate samples for the purpose of conducting genetic testing, other than:
(a) a service associated with a service to which item 72858 or 72859 applies; or
(b) a service associated with, and rendered in the same patient episode as, a service to which an item in Group P5, P6, P10 or P11 applies
Applicable not more than once in a patient episode
Fee: $85.00 Benefit: 75% = $63.75 85% = $72.25
(See para PR.5.1 of explanatory notes to this Category)
Legend
- Assist - Addition/Deletion of (Assist.)
- Amend - Amended Description
- Anaes - Anaesthetic Values Amended
- Emsn - EMSN Change
- Fee - Fee Amended
- Renum - Item Number Change (renumbered)
- New - New Item
- NewMin - New Item (previous Ministerial Determination)
- Qfe - QFE Change