Health Insurance (Pathology Services Table) Regulations 2009
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Health Insurance (Pathology Services Table) Regulations 2009
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Turn the raw legal text into a practical explanation grounded in Health Insurance (Pathology Services Table) Regulations 2009.
(1) For an item in Group P1 (Haematology):
(a) if pathology services of a kind mentioned in item 65090 or 65093 are rendered for a patient during a period when the patient is in hospital, the item applies only to the first pathology service of that kind rendered for the patient during the period; and
(b) if:
(i) tests (except tests mentioned in item 65099, 65102, 65105 or 65108) are carried out in relation to a patient episode; and
(ii) specimen material from the patient episode is stored; and
(iii) in response to a request made within 14 days of the patient episode, further tests (except tests mentioned in item 65099, 65102, 65105 or 65108) are carried out on the stored material;
the later tests and the earlier tests are taken to be part of 1 patient episode.
(2) Items 65102 and 65108 apply only if a minimum of 6 units are issued for a patient’s care in any 1 day.
(3) For items 65099 and 65102:
compatibility tests by crossmatch means that, in addition to all the tests mentioned in paragraphs (a) and (b) of the item, donor red cells from each unit must have been tested directly against the serum of the patient by 1 or more accepted crossmatching techniques.