Document ID: chunk:federal_register_of_legislation:F2025C00183:schedule:1:p5
Version: federal_register_of_legislation:F2025C00183
Segment Type: schedule
Provision Reference: sch 1 (pt 5/8)
Character Range: 16725–19352

that mentions the second‑highest fee, and has the lowest item number, is to be treated as one pathology service; and
 (c) the pathology services in the set, other than the services that are to be treated as one pathology service under paragraphs (a) and (b), are to be treated as one pathology service.
 (3) If the fees mentioned in 2 or more items that describe any of the services in the set are the same, and higher than the fees mentioned in the other items that describe the services in the set:
 (a) the pathology service in the set that is described in the item that mentions the highest fee, and has the lowest item number, is to be treated as one pathology service; and
 (b) the pathology service in the set that is described in the item that mentions the highest fee, and has the second‑lowest item number, is to be treated as one pathology service; and
 (c) the pathology services in the set, other than the services that are to be treated as one pathology service under paragraphs (a) and (b), are to be treated as one pathology service.
 (4) If pathology services are to be treated as one pathology service under paragraph (2)(c) or (3)(c), the fee for the one pathology service is the highest fee mentioned in any of the items that describe the pathology services that are to be treated as the one pathology service.

1.2.9  Sets of services for the purposes of clause 1.2.8
 (1) This clause applies to a set of pathology services if:
 (a) the set consists of services that are described in at least 4 different items, other than an item mentioned in subclause (2); and
 (b) all of the services in the set are requested in a single patient episode; and
 (c) each of the services in the set relates to a patient who is not an admitted patient of a hospital; and
 (d) none of the services in the set is referred to in item 66900, 69484, 73070, 73071, 73072, 73074, 73075 or 73076.
 (2) For the purposes of paragraph (1)(a), the items are as follows:
 (a) an item in Group P10 (Patient episode initiation), Group P11 (Specimen referred), Group P12 (Management of bulk‑billed services) or Group P13 (Bulk‑billing incentive);
 (b) if a service is requested by an approved pathology practitioner of an approved pathology authority and rendered by another approved pathology practitioner of an approved pathology authority that is not related to the approved pathology authority of the first‑mentioned approved pathology practitioner—item 65079, 65082, 65157, 65158, 65166, 65180, 65181, 66606, 66610, 66639, 66642, 66651, 66652, 66663, 66666, 66696, 66697, 66714, 66715, 66723, 66724, 66780, 66783, 66789, 66790, 66792,