Document ID: chunk:federal_register_of_legislation:F2025C00183:schedule:1:p7
Version: federal_register_of_legislation:F2025C00183
Segment Type: schedule
Provision Reference: sch 1 (pt 7/8)
Character Range: 21750–24451

or a blood product that is autologous.

1.2.12  Restriction on items—services rendered with harvesting, storage, in vitro processing or injection of non‑haematopoietic stem cells
  An item in this Schedule does not apply to a service described in the item if the service is rendered to a patient at the same time as, or in connection with, the harvesting, storage, in vitro processing or injection of non‑haematopoietic stem cells.

1.2.13  Restriction on items 66551, 73812 and 73826—timing
  For any patient, items 66551, 73812 and 73826 cannot be claimed more than 4 times in 12 months, whether claimed individually or in any combination of the items.

Division 1.3—Patient episodes

1.3.1  Meaning of patient episode
  In this Schedule:
patient episode means:
 (a) one or more pathology services (other than a pathology service to which paragraph (b) refers) rendered for a single patient whose need for the services was determined under section 16A of the Act:
 (i) on the same day; or
 (ii) if more than one test is performed on the one specimen within 14 days—on the same or different days;
  whether the services:
 (iii) are requested by one or more practitioners, participating midwives or participating nurse practitioners; or
 (iv) are described in a single item or in more than one item; or
 (v) are rendered by one approved pathology practitioner or more than one approved pathology practitioner; or
 (vi) are rendered on the same or different days; or
 (b) a pathology service to which clause 1.2.3, 1.2.4 or 1.2.5 refers that is rendered in the circumstances, set out in the clause, that relate to the service.

1.3.2  When later services are taken to be part of an earlier patient episode

Group P1 services
 (1) If:
 (a) a patient episode for a patient includes one or more services described in items in Group P1 (except items 65099, 65102, 65105 and 65108); and
 (b) specimen material from the patient episode is stored; and
 (c) in response to a request made within 14 days of the initiation of the patient episode, one or more further services described in items in Group P1 (except items 65099, 65102, 65105 and 65108) are rendered using the stored material;
the services mentioned in paragraph (c) are taken to be part of the patient episode mentioned in paragraph (a).

Group P3 services
 (2) If:
 (a) a patient episode for a patient includes one or more services described in items in Group P3; and
 (b) specimen material from the patient episode is stored; and
 (c) in response to a request made within 14 days of the initiation of the patient episode, one or more further services described in items in Group P3 are rendered using the stored material;
the services mentioned