9Item 66536

9 Item 66536

The amount specified in item 66536 is not payable in respect of a pathology service described in the item unless at least one of the following paragraphs applies:

(a) if the HDL cholesterol or apolipoprotein B/A1 ratio of the patient is requested to be determined because the patient has a serum cholesterol level >5.5 mmol/L — the determination is performed on the sample that the serum cholesterol level determination for the patient was performed;

(b) if the HDL cholesterol or apolipoprotein B/A1 ratio of the patient is requested to be determined because the patient has a fasting serum triglyceride level >2.0 mmol/L — the determination is performed on the sample that the serum triglyceride level determination for the patient was performed;

(c) the pathologist who renders the service has a written statement from the medical practitioner who requested the service that the patient is on a lipid lowering drug.