Document ID: chunk:federal_register_of_legislation:F2025C00183:schedule:1:p4
Version: federal_register_of_legislation:F2025C00183
Segment Type: schedule
Provision Reference: sch 1 (pt 4/8)
Character Range: 14281–16953

applies; and
 (b) for each subsequent designated test (if any) that is rendered by the receiving APP—subject to subclause (6), item 65158, 65181, 66652, 66697, 66715, 66724, 66790, 66805, 66817, 66821, 66827, 69401, 69498, 71092, 71156 or 71170 (as the case may be) applies to each test rendered.
 (5) For the purposes of paragraph (3)(b), the maximum number of designated tests to which the relevant item applies is as follows:
 (a) for item 66652, 66715, 66790, 66817, 66821 or 66827—2 less the number of designated tests rendered by a referring APP;
 (b) for item 65158, 66805, 69498 or 71092—3 less the number of designated tests rendered by a referring APP;
 (c) for item 71156 or 71170—4 less the number of designated tests rendered by a referring APP;
 (d) for item 65181 or 66724—5 less the number of designated tests rendered by a referring APP.
 (6) For the purposes of paragraph (4)(b), the maximum number of designated tests to which the relevant item applies is as follows:
 (a) for item 66652, 66715, 66790, 66817, 66821 or 66827—1;
 (b) for item 65158, 66805, 69498 or 71092—2;
 (c) for item 71156 or 71170—3;
 (d) for item 65181 or 66724—4.
 (7) Items in Group P10 (Patient episode initiation) do not apply to a receiving APP in subclause (2).

1.2.7  Items not to be split except as stated in clause 1.2.6
  Except as stated in clause 1.2.6, an item applies only to one approved pathology practitioner for a single patient episode.

1.2.8  Services in certain sets of services to be treated as individual services
 (1) If a medical practitioner (other than a specialist or consultant physician), participating midwife or participating nurse practitioner requests a set of pathology services to which clause 1.2.9 applies, the pathology services in the set are to be treated as individual pathology services in accordance with this clause.
 (2) If the fee mentioned in an item that describes any of the services in the set is higher than the fees mentioned in the other items that describe the services in the set:
 (a) the pathology service described in the first‑mentioned item is to be treated as one pathology service; and
 (b) either:
 (i) the pathology service in the set that is described in the item that mentions the second‑highest fee is to be treated as one pathology service; or
 (ii) if 2 or more items that describe any of those services mentions the second‑highest fee—the pathology service described in the item 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