Document ID: chunk:federal_register_of_legislation:F2025C00183:schedule:1:p2
Version: federal_register_of_legislation:F2025C00183
Segment Type: schedule
Provision Reference: sch 1 (pt 2/8)
Character Range: 9348–12084

day.

1.2.3  Services to which clause 1.2.2 does not apply—general
 (1) Clause 1.2.2 does not apply to a pathology service described in subclause (2) if:
 (a) under a request for a service, other than a request for a service described in paragraph (2)(a), no more than 6 tests are requested; and
 (b) the tests are performed within 6 months of the request; and
 (c) the pathology provider of the service writes on the account for the service that the service has a "rule 3 exemption".
 (2) For the purposes of subclause (1), the pathology services are:
 (a) estimation of prothrombin time (INR) for a patient undergoing anticoagulant therapy; and
 (b) quantitative estimation of lithium for a patient undergoing lithium therapy; and
 (c) a service described in item 65070 in relation to a patient undergoing chemotherapy for neoplastic disease or immunosuppressant therapy; and
 (d) a service described in item 65070 in relation to clozaril, ticlopidine hydrochloride, methotrexate, gold, sulphasalazine or penicillamine therapy of a patient; and
 (e) a service described in any of items 66500 to 66512, in relation to methotrexate or leflunomide therapy of a patient; and
 (f) quantitative estimation of urea, creatinine and electrolytes in relation to:
 (i) cis‑platinum or cyclosporin therapy of a patient; or
 (ii) chronic renal failure of a patient being treated in a dialysis program conducted by a recognised hospital; and
 (g) quantitative estimation of albumin and calcium in relation to therapy of a patient with vitamin D, its metabolites or analogues; and
 (h) quantitative estimation of calcium, phosphate, magnesium, urea, creatinine and electrolytes for a cancer patient receiving bisphosphonate infusions.

1.2.4  Services to which clause 1.2.2 does not apply—haematology
 (1) Clause 1.2.2 does not apply to a pathology service described in item 65060, 65070, 65120, 65123, 65126, 65129, 65150, 65153 or 65156 if:
 (a) the service is rendered in relation to one or more specimens taken on any of not more than 6 occasions in 24 hours; and
 (b) the service is rendered to an inpatient of a hospital; and
 (c) the service is rendered in relation to each specimen as soon as possible after the specimen is taken; and
 (d) the pathology provider of the service writes on the account for the service that the service has a "rule 3 exemption".
 (2) Clause 1.2.2 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 one of not more than 5 occasions in 24 hours; and
 (ii) for a service described in item 65110—on one of not more than 2 occasions in 24 hours; and
 (b) the service was requested on a separate occasion to any other