Document ID: chunk:federal_register_of_legislation:F2025C00183:clause:1_74999:p1
Version: federal_register_of_legislation:F2025C00183
Segment Type: clause
Provision Reference: sch 1 cl 74999 (pt 1/8)
Character Range: 438920–447286

74999                             A patient episode that:                                                                                                         1.60
                                  (a) consists of a pathology service to which item 73923, 73925, 73927, 73929, 73931, 73933, 73935, 73937 or 73939 applies; and
                                  (b) is bulk‑billed

Division 2.14—Indexation of fees

2.14.1  Indexation—1 July 2024
 (1) At the start of 1 July 2024 (the indexation time), the amount of a fee for an item in Group P12 is replaced by the amount worked out using the following formula:
Note: The indexed fees could in 2024 be viewed on the Department's MBS Online website (http://www.health.gov.au).
 (2) An amount worked out under subclause (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

Part 3—Complexity levels for tissue pathology items

3.1  Complexity levels
  The following table specifies complexity levels for specimen types.

Complexity levels for tissue pathology items
Column 1                                                                                                                Column 2

Specimen type                                                                                                           Complexity level
Adrenal resection, neoplasm                                                                                             5
Adrenal resection, not neoplasm                                                                                         4
Anus, all specimens not otherwise specified                                                                             3
Anus, neoplasm, biopsy                                                                                                  4
Anus, neoplasm, radical resection                                                                                       6
Anus, submucosal resection—neoplasm                                                                                     5
Appendix                                                                                                                3
Artery, all specimens not otherwise specified                                                                           3
Artery, biopsy                                                                                                          4
Bartholin's gland—cyst                                                                                                  3
Bile duct, resection—all specimens                                                                                      6
Bone—all specimens not otherwise specified                                                                              4
Bone, biopsy, curettings or fragments—lesion                                                                            5
Bone, biopsy or curettings quantitation—metabolic disease                                                               6
Bone, femoral head                                                                                                      4
Bone marrow, biopsy                                                                                                     4
Bone, resection, neoplasm—all sites and types                                                                           6
Brain neoplasm, resection—cerebello‑pontine angle                                                                       4
Brain or meninges, biopsy—all lesions                                                                                   5
Brain or meninges, not neoplasm—temporal lobe                                                                           6
Brain or meninges, resection—neoplasm (intracranial)                                                                    5
Brain or meninges, resection—not neoplasm                                                                               4
Branchial cleft, cyst                                                                                                   4
Breast, excision biopsy, guidewire localisation—non‑palpable lesion                                                     6
Breast, excision biopsy, or radical resection, malignant neoplasm or atypical proliferative disease—all specimen types  6
Breast, incision biopsy or needle biopsy, malignant neoplasm—all specimen types                                         4
Breast, microdochectomy                                                                                                 6
Breast, orientated wide local excision for carcinoma with margin assessment                                             7
Breast tissue—all specimens not otherwise specified                                                                     4
Bronchus, biopsy                                                                                                        4
Carotid body—neoplasm                                                                                                   5
Cholesteatoma                                                                                                           3
Digits, amputation—not traumatic                                                                                        4
Digits, amputation—traumatic                                                                                            2
Ear, middle and inner—not cholesteatoma                                                                                 4
Endocrine neoplasm—not otherwise specified                                                                              5
Extremity, amputation—not otherwise specified                                                                           4
Extremity, amputation or disarticulation—neoplasm                                                                       6
Eye, conjunctiva—biopsy or pterygium                                                                                    3
Eye, cornea                                                                                                             4
Eye, enucleation or exenteration—all lesions                                                                            6
Eye—not otherwise specified                                                                                             4
Fallopian tube, biopsy                                                                                                  4
Fallopian tube, ectopic pregnancy                                                                                       4
Fallopian tube, sterilisation                                                                                           2
Fetus with dissection                                                                                                   6
Foreskin—new born                                                                                                       2
Foreskin—not new born                                                                                                   3
Gallbladder                                                                                                             3
Gallbladder and porta hepatis‑radical resection                                                                         6
Ganglion cyst, all sites                                                                                                3
Gum or oral mucosa, biopsy                                                                                              4
Heart—not otherwise specified                                                                                           5
Heart valve                                                                                                             4
Hernia sac                                                                                                              2
Hydrocele sac                                                                                                           2
Jaw, upper or lower, including bone—radical resection for neoplasm                                                      6
Joint and periarticular tissue, without bone—all specimens