Medicare Benefits Schedule - Note PN.0.18

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Category 6 - PATHOLOGY SERVICES

PN.0.18

Human Immunodeficiency Virus (HIV) Diagnostic Tests - (Iincluded in Items 69384, 69387, 69390, 69393, 69396, 69405, 69408, 69411, 69413 and 69415)

Prior to ordering an HIV diagnostics tests (included in items 69384, 69387, 69390, 69393, 69396, 69405, 69408, 69411, 69413, 69415) the ordering practitioner should ensure that the patient has given informed consent.  Appropriate discussion should be provided to the patient.  Further discussion may be necessary upon receipt of the test results.

Related Items: 69384 69387 69390 69393 69396 69405 69408 69411 69413 69415


Related Items

Category 6 - PATHOLOGY SERVICES

69384

69384 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Nov-2007
Schedule Fee Start Date:
01-Jan-2013

Quantitation of 1 antibody to microbial antigens not elsewhere described in the Schedule - 1 test


(This fee applies where a laboratory performs the only antibody 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: $15.65 Benefit: 75% = $11.75 85% = $13.35

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69387

69387 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Nov-1998
Schedule Fee Start Date:
01-Jan-2013

2 tests described in item 69384


(This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 estimations specified on the request form or performs 2 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA)

(Item is subject to rule 6)

Fee: $29.00 Benefit: 75% = $21.75 85% = $24.65

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69390

69390 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Nov-1998
Schedule Fee Start Date:
01-Jan-2013

3 tests described in item 69384


(This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 estimations specified on the request form or performs 3 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA)

(Item is subject to rule 6)

Fee: $42.35 Benefit: 75% = $31.80 85% = $36.00

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69393

69393 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Nov-1998
Schedule Fee Start Date:
01-Jan-2013

4 tests described in item 69384


(This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 estimations specified on the request form or performs 4 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA)

(Item is subject to rule 6)

Fee: $55.70 Benefit: 75% = $41.80 85% = $47.35

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69396

69396 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Jul-2008
Schedule Fee Start Date:
01-Jan-2013

5 or more tests described in item 69384


(This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 estimations specified on the request form or performs 5 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA)

(Item is subject to rule 6)

Fee: $69.10 Benefit: 75% = $51.85 85% = $58.75

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69405

69405 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Nov-2005
Schedule Fee Start Date:
01-Jan-2013

Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including:

(a)    the determination of 1 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and

(b)    (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481

Fee: $15.65 Benefit: 75% = $11.75 85% = $13.35

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69408

69408 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Nov-2005
Schedule Fee Start Date:
01-Jan-2013

Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including:

(a)    the determination of 2 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and

(b)    (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481

Fee: $29.00 Benefit: 75% = $21.75 85% = $24.65

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69411

69411 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Nov-2005
Schedule Fee Start Date:
01-Jan-2013

Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including:

(a)    the determination of 3 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and

(b)    (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481

Fee: $42.35 Benefit: 75% = $31.80 85% = $36.00

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69413

69413 - Additional Information

Item Start Date:
01-Nov-2003
Description Start Date:
01-Nov-2005
Schedule Fee Start Date:
01-Jan-2013

Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including:

(a)    the determination of 4 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and

(b)    (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481

Fee: $55.70 Benefit: 75% = $41.80 85% = $47.35

(See para PN.0.18 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

69415

69415 - Additional Information

Item Start Date:
01-Nov-2005
Description Start Date:
01-May-2008
Schedule Fee Start Date:
01-Jan-2013

Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including:

(a)    the determination of all 5 of the following - rubella immune status, specific syphilis serology, carriage of

    Hepatitis B, Hepatitis C antibody, HIV antibody and

(b)    (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481

Fee: $69.10 Benefit: 75% = $51.85 85% = $58.75

(See para PN.0.18 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