Document ID: chunk:federal_register_of_legislation:F2025C00183:clause:1_73939:p1
Version: federal_register_of_legislation:F2025C00183
Segment Type: clause
Provision Reference: sch 1 cl 73939 (pt 1/2)
Character Range: 424888–427926

73939                                 Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926 or 73927) if the specimen is collected by, or on behalf of, the treating practitioner and:                                                                                                                              2.40
                                      (a) the service is performed in a prescribed laboratory; or
                                      (b) the person is a private patient in a recognised hospital

Division 2.11—Group P11: specimen referred

2.11.1  Restriction on items in Group P11—circumstances

Services to which subsection 16A(7) of the Act applies
 (1) An item in Group P11 does not apply to a pathology service to which subsection 16A(7) of the Act applies.

Services to which items in Groups P1 to P8 do not also apply
 (2) An item in Group P11 does not apply to a pathology service unless at least one item in Groups P1 to P8 also applies to the service.

Approved pathology practitioner or approved pathology authority
 (3) An item in Group P11 applies only to the approved pathology practitioner or approved pathology authority to whom the specimen mentioned in the item was referred.

Item 73940—timing
 (4) The fee mentioned in item 73940 applies only once for a single patient episode.

2.11.2  Restriction on items in Group P10—patient episodes including a service to which item 73940 applies
  If item 73940 applies to a patient episode, none of the items in Group P10 apply to any pathology service rendered by the approved pathology authority or approved pathology practitioner who claimed item 73940 for the patient episode.

2.11.3  Restrictions on items in Group P11—referrals
 (1) An item in Group P11 does not apply to a referral if:
 (a) a service for the same patient episode has been carried out by the referring approved pathology authority; and
 (b) the approved pathology authority to which the referral is made is related to the referring approved pathology authority.
 (2) An approved pathology authority is related to another approved pathology authority for the purposes of subclause (1) if:
 (a) both approved pathology authorities are employed (including employed under contract) by the same person, whether or not the person is also an approved pathology authority; or
 (b) either of the approved pathology authorities is employed (including employed under contract) by the other; or
 (c) both approved pathology authorities are corporations and are connected entities within the meaning of the Corporations Act 2001; or
 (d) the approved pathology authorities are partners (whether or not either or both of the approved pathology authorities are individuals and whether or not other persons are in partnership with either or both of the approved pathology authorities); or
 (e) both approved pathology authorities are operated by the Commonwealth or an authority of the