Health Insurance (Pathology Services Table) Regulations 2007
1Interpretation of table
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1 Interpretation of table
(1) In this table:
item means:
(a) an item mentioned, by number, in column 1 of:
(i) Part 3; or
(ii) Part 3 of the diagnostic imaging services table; or
(iii) Part 3 of the general medical services table; and
(b) in a reference immediately followed by a number — the item so numbered.
patient episode means:
(a) a pathology service or pathology services (other than a pathology service to which paragraph (b) refers) provided for a single patient whose need for the service or services was determined under section 16A of the Act:
(i) on the same day; or
(ii) if more than 1 test is performed on the 1 specimen within 14 days — on the same or different days;
whether the services:
(iii) are requested by 1 or more practitioners; or
(iv) are described in a single item or in more than 1 item; or
(v) are rendered by 1 approved pathology practitioner or more than 1 approved pathology practitioner; or
(vi) are rendered on the same or different days; or
(b) a pathology service to which rule 4 refers that is provided in the circumstances set out in that rule that relate to the service.
receiving APP, for a patient episode, means an approved pathology practitioner in an approved pathology authority who:
(a) receives a request from a referring APP to render a designated test or tests; and
(b) renders each test included in the designated test that the referring APP has not performed.
recognised pathologist means:
(a) a medical practitioner recognised as a specialist in pathology under subsection 3D (1) of the Act; or
(b) a medical practitioner in relation to whom there is in force a determination under paragraph 3DB (4) (a) or subsection 3E (1) of the Act that the practitioner is recognised as a specialist in pathology.
referring APP, for a patient episode, means an approved pathology practitioner in an approved pathology authority who:
(a) has been requested to render 1 or more designated tests; and
(b) is unable, because of the lack of facilities in, or expertise or experience of the staff of, the laboratory of the authority, to render 1 or more of the tests included in the designated test; and
(c) requests a receiving APP in another approved pathology authority to render: