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Health Insurance (1999-2000 Pathology Services Table) Regulations 1999
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Health Insurance (1999-2000 Pathology Services Table) Regulations 1999
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Turn the raw legal text into a practical explanation grounded in Health Insurance (1999-2000 Pathology Services Table) Regulations 1999.
Part 4 Complexity levels for histopathology items
| 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 |
| Appendix | 3 |
| Artery, all specimens not otherwise specified | 3 |
| Artery, biopsy | 4 |
| Bartholin’s gland — cyst | 3 |
| Bile duct, resection — all specimens | 6 |
| Bone, biopsy, currettings or fragments — lesion | 5 |
| Bone, biopsy or currettings quantitation — metabolic disease | 6 |
| Bone, femoral head | 4 |
| Bone, resection, neoplasm — all sites and types | 6 |
| Bone marrow, biopsy | 4 |
| Bone — all specimens not otherwise specified | 4 |
| 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 — all specimen types | 6 |
| Breast, incision biopsy or needle biopsy, malignant neoplasm — all specimen types | 4 |
| 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 or disarticulation — neoplasm | 6 |
| Extremity, amputation — not otherwise specified | 4 |
| Eye, conjunctiva — biopsy or pterygium | 3 |
| Eye, cornea | 4 |
| Eye, enucleation or exenteration — all lesions | 5 |
| Eye — not otherwise specified | 4 |
| Fallopian tube, biopsy | 4 |
| Fallopian tube, ectopic pregnancy | 4 |
| Fallopian tube, sterilization | 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 valve | 4 |
| Heart — not otherwise specified | 5 |
| Hernia sac | 2 |
| Hydrocele sac | 2 |
| Joint and periarticular tissue, without bone — all specimens | 3 |
| Joint tissue, including bone — all specimens | 4 |
| Kidney, biopsy including transplant | 5 |
| Kidney, nephrectomy transplant | 5 |
| Kidney, partial or total nephrectomy or nephroureterectomy — neoplasm | 6 |
| Kidney, partial or total nephrectomy — not neoplasm | 4 |
| Large bowel (including rectum), biopsy — all sites | 4 |
| Large bowel, colostomy — stoma | 3 |
| Large bowel (including rectum), polyp | 4 |
| Large bowel, segmental resection — colon, not neoplasm | 5 |
| Large bowel (including rectum), segmental resection, neoplasm | 6 |
| Larynx, biopsy | 4 |
| Larynx, partial or total resection | 5 |
| Larynx, resection with nodes or pharynx or both | 6 |
| Lip, biopsy or wedge resection | 4 |
| Liver, hydatid cyst — resection for trauma | 4 |
| Liver, total or subtotal hepatectomy | 6 |
| Liver — all specimens not otherwise specified | 5 |
| Lung, needle or transbronchial biopsy | 4 |
| Lung, resection — neoplasm | 6 |
| Lung, wedge biopsy | 5 |
| Lung segment, lobe or total — not neoplasm | 5 |
| Lymph node, biopsy — all sites | 4 |
| Lymph nodes, regional resection — all sites | 5 |
| Mediastinum mass | 5 |
| Muscle, biopsy | 5 |
| Nasopharynx or oropharynx, biopsy | 4 |
| Nerve, biopsy neuropathy | 5 |
| Nerve, neurectomy or removal of neoplasm | 4 |
| Nerve — not otherwise specified | 3 |
| Nose, mucosal biopsy | 4 |
| Nose or sinuses, polyps | 3 |
| Odontogenic neoplasm | 5 |
| Odontogenic or dental cyst | 4 |
| Oesophagus, biopsy | 4 |
| Oesophagus, diverticulum | 3 |
| Oesophagus, partial or total resection | 6 |
| Omentum, biopsy | 4 |
| Ovary with or without tube — neoplasm | 5 |
| Ovary with or without tube — not neoplasm | 4 |
| Pancreas, biopsy | 5 |
| Pancreas, cyst | 4 |
| Pancreas, subtotal or total with or without splenectomy | 6 |
| Parathyroid gland(s) | 4 |
| Penisectomy with node dissection | 5 |
| Penisectomy — simple | 4 |
| Peritoneum, biopsy | 4 |
| Pituitary neoplasm | 4 |
| Placenta — not third trimester | 4 |
| Placenta — third trimester, abnormal pregnancy or delivery | 4 |
| Pleura or pericardium, biopsy or tissue | 4 |
| Products of conception, spontaneous or missed abortion | 4 |
| Products of conception, termination of pregnancy | 3 |
| Prostate, radical resection | 6 |
| Prostate — all types of specimen not otherwise specified | 4 |
| Retroperitoneum, neoplasm | 5 |
| Salivary gland, Mucocele | 3 |
| Salivary gland, neoplasm — all sites | 5 |
| Salivary gland — all specimens not otherwise specified | 4 |
| Sinus, front nasal, ethmoidectomy | 6 |
| Sinus, paranasal, biopsy | 4 |
| Sinus, paranasal, resection — neoplasm | 5 |
| Skin, biopsy — blistering skin diseases | 5 |
| Skin, biopsy — inflammatory dermatosis | 5 |
| Skin, eyelid, wedge resection | 4 |
| Skin, local resection — orientation or margins, at least 5cm long | 4 |
| Skin, resection of malignant melanoma with full evaluation including measurement of Breslow thickness and Clark level | 5 |
| Skin — all specimens not otherwise specified including all neoplasms and cysts | 3 |
| Small bowel, diverticulum | 3 |
| Small bowel, resection — neoplasm | 6 |
| Small bowel — all specimens not otherwise specified | 4 |
| Soft tissue, extensive resection at least 5cm long — neoplasm | 6 |
| Soft tissue, lipoma and variants | 3 |
| Soft tissue, neoplasm, not lipoma — all specimens | 5 |
| Soft tissue — not otherwise specified | 4 |
| Spleen | 5 |
| Stomach, endoscopic biopsy or endoscopic polypectomy | 4 |
| Stomach, resection, neoplasm — all specimens | 6 |
| Stomach — all specimens not otherwise specified | 4 |
| Tendon or tendon sheath, giant cell neoplasm | 4 |
| Tendon or tendon sheath — not otherwise specified | 3 |
| Testis, biopsy | 5 |
| Testis and adjacent structures, castration | 2 |
| Testis and adjacent structures, neoplasm with or without nodes | 5 |
| Testis and adjacent structures, vas deferens sterilization | 2 |
| Testis and adjacent structures — not otherwise specified | 3 |
| Thymus — not otherwise specified | 5 |
| Thyroglossal duct — all lesions | 4 |
| Thyroid — all specimens | 5 |
| Tissue or organ not otherwise specified, abscess | 3 |
| Tissue or organ not otherwise specified, haematoma | 3 |
| Tissue or organ not otherwise specified, malignant neoplasm with regional nodes | 6 |
| Tissue or organ not otherwise specified, neoplasm local | 4 |
| Tissue or organ not otherwise specified, pilonidal cyst or sinus | 3 |
| Tissue or organ not otherwise specified, thrombus or embolus | 3 |
| Tissue or organ not otherwise specified, veins varicosity | 3 |
| Tissue or organ — all specimens not otherwise specified | 3 |
| Tongue, biopsy | 4 |
| Tongue or tonsil, neoplasm local | 5 |
| Tongue or tonsil, neoplasm with nodes | 6 |
| Tonsil, biopsy — excluding resection of whole organ | 4 |
| Tonsil or adenoids or both | 2 |
| Trachea, biopsy | 4 |
| Ureter, biopsy | 4 |
| Ureter, resection | 5 |
| Urethra, biopsy | 4 |
| Urethra, resection | 5 |
| Urinary bladder, partial or total with or without prostatectomy | 6 |
| Urinary bladder, transurethral resection of neoplasm | 5 |
| Urinary bladder — all specimens not otherwise specified | 4 |
| Uterus, cervix, curettings or biopsy | 4 |
| Uterus, cervix cone, biopsy (including LEEP or LLETZ biopsy) | 5 |
| Uterus, endocervix, polyp | 3 |
| Uterus, endometrium, polyp | 3 |
| Uterus with or without adnexa, malignant neoplasm — all specimen types not otherwise specified | 5 |
| Uterus with or without adnexa, neoplasm, Wertheim’s or pelvic clearance | 6 |
| Uterus and/or cervix — all specimens not otherwise specified | 4 |
| Vagina, biopsy | 4 |
| Vagina, radical resection | 6 |
| Vaginal mucosa, incidental | 3 |
| Vulva or labia, biopsy | 4 |
| Vulval, subtotal or total with or without nodes | 6 |
Notes to the Health Insurance (1999-2000 Pathology Services Table) Regulations 1999
Note 1
Note: The Health Insurance (1999-2000 Pathology Services Table) Regulations 1999 (in force under the Health Insurance Act 1973) as shown in this compilation comprise Statutory Rules 1999 No. 257 amended as indicated in the Tables below.
Note: Table of Statutory Rules
| Year andnumber | Date of notificationin Gazette | Date ofcommencement | Application, saving ortransitional provisions |
|---|---|---|---|
| 1999 No. 257 | 27 Oct 1999 | 1 Nov 1999 | |
| 2000 No. 61 | 28 Apr 2000 | 1 May 2000 | — |
| 2000 No. 85 | 1 June 2000 | 1 June 2000 | — |
Note: Table of Amendments
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td colspan="2" style="width:354.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableOfAmendHead" style="margin-right:0pt"><span>ad. = added or inserted</span><span> </span><span>am. = amended</span><span> </span><span>rep. = repealed</span><span> </span><span>rs. = repealed and substituted</span></p></td></tr><tr><td style="width:111.1pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableColHead"><span>Provision affected</span></p></td><td style="width:233pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableColHead"><span>How affected</span></p></td></tr><tr><td style="width:111.1pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableOfAmend" style="margin-right:0pt; margin-bottom:3pt"><span>Schedule 1 </span><span style="width:65.86pt; text-indent:0pt; font-family:'Lucida Console', monospace; display:inline-block">............</span></p></td><td style="width:233pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableOfAmend" style="margin-right:0pt; margin-bottom:3pt"><span>am. 2000 Nos. 61 and 85</span></p></td></tr></tbody></table>