Health Insurance Regulations 2018
55Pathology services—other particulars
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55 Pathology services—other particulars
(1) This section applies to a professional service that is a pathology service. Requested pathology services (2) If the service is rendered in accordance with subsections 16A(2) and (3) of the Act, the following particulars are prescribed: (a) the name of the treating practitioner who requested the service; (b) if the request was made at a place of practice of the treating practitioner: (i) the address of the place of practice; or (ii) if the treating practitioner has been allocated a provider number in respect of the place of practice—the provider number; (c) if the request was not made at such a place of practice: (i) the address of any place of practice of the treating practitioner; or (ii) the provider number of the treating practitioner in respect of any place of practice; (d) the date on which the treating practitioner determined that the service was necessary. Pathologist‑determinable services (3) If the service is a pathologist‑determinable service that was determined to be necessary by the approved pathology practitioner by whom, or on whose behalf, the service was performed, a prescribed particular is an indication that the service was determined to be necessary by that approved pathology practitioner. Services rendered by a member of a group of medical practitioners (4) If the service is rendered in the circumstances described in paragraph 16A(7)(b) of the Act, the following particulars are prescribed: (a) the name of the treating practitioner who requested the service; (b) the date on which the treating practitioner made the request. Initiation of a patient episode by collection of a specimen (5) If the service is initiation of a patient episode by collection of a specimen, a prescribed particular is an identification of the collection point as follows: (a) for a collection made at an approved collection centre—the identification number of the centre; (b) for a collection made at a recognised hospital—the recognised hospital collection point identification number assigned by the Chief Executive Medicare; (c) for any other collection—“A01”.