Document ID: chunk:federal_register_of_legislation:F2025C00183:schedule:1:p1
Version: federal_register_of_legislation:F2025C00183
Segment Type: schedule
Provision Reference: sch 1 (pt 1/8)
Character Range: 6870–9582

Schedule 1—Pathology services table
Note: See section 4.

Part 1—Preliminary

Division 1.1—Interpretation

1.1.1  Dictionary
  The Dictionary in Part 4 defines certain words and expressions that are used in this Schedule, and includes references to certain words and expressions that are defined elsewhere in this Schedule.

1.1.2  Methodology for services
  If the description of a pathology service in an item in this Schedule does not include the methodology for the service, the methodology by which the service may be carried out includes assay, estimation and test.
Note: A pathology service is deemed to include any necessary interpretation, analysis or reporting—see subsection 3(5A) of the Act.

1.1.3  References in this Schedule to items include items determined under section 3C of the Act
  A reference in this Schedule to an item includes a reference to an item relating to a health service that, under a determination in force under subsection 3C(1) of the Act, is treated as if there were an item in the table that relates to the service.

Division 1.2—General application provisions

1.2.1  Restriction on items—precedence
 (1) If a service is described:
 (a) in an item in general terms; and
 (b) in another item in specific terms;
only the item that describes the service in specific terms applies to the service.
 (2) Subject to subclause (3), if:
 (a) subclause (1) does not apply; and
 (b) a service is described in 2 or more items;
only the item that provides the lower or lowest fee for the service applies to the service.
 (3) If an item is expressed to include a service that is described in another item, the other item does not apply to the service in addition to the first‑mentioned item, whether or not the services described in the 2 items are requested separately.

1.2.2  When services rendered following multiple requests are taken to have been rendered following a single request
  Two or more pathology services (other than services to which, under clause 1.2.3, 1.2.4 or 1.2.5, this clause does not apply) rendered for a patient following 2 or more requests are taken to have been rendered following a single request if:
 (a) the services are listed in the same item; and
 (b) that item is not item 74990, 74991, 75861, 75862, 75863 or 75864; and
 (c) the patient's need for the services was determined under subsection 16A(1) of the Act on the same day even if the services are rendered by an approved pathology practitioner on more than 1 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