Group P1: Haematology
48 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 65060Blood tests measuring haemoglobin level, erythrocyte sedimentation rate, and/or blood viscosity in one service. | $8.25 | $6.20 | $7.05 (85%) |
| 65066Microscopic examination of blood film with special stains (Heinz bodies, parasites, iron, enzyme markers) or other staining methods, or urine sediment for haemosiderin. | $10.95 | $8.25 | $9.35 (85%) |
| 65070Complete blood count including red cell indices, white cell differential, and platelet count from a single sample, with optional blood film assessment. | $17.80 | $13.35 | $15.15 (85%) |
| 65072Blood test counting immature red blood cells (reticulocytes) to assess bone marrow function and red cell production. | $10.70 | $8.05 | $9.10 (85%) |
| 65075Blood tests to assess red blood cell breakdown or metabolic enzyme disorders, including autohaemolysis, osmotic fragility, glucose-6-phosphate dehydrogenase, pyruvate kinase, and other related enzyme or antibody tests. | $54.60 | $40.95 | $46.45 (85%) |
| 65078Diagnostic testing for thalassaemia using haemoglobin electrophoresis or chromatography plus at least two of: HbH examination, HbA2 quantitation, or HbF quantitation, including related testing if performed. | $94.75 | $71.10 | $80.55 (85%) |
| 65079Pathology tests performed by an accredited pathology practitioner when referred by another provider, with multiple tests covered in a single service under rule 18 restrictions. | $94.75 | $71.10 | $80.55 (85%) |
| 65081Investigation of haemoglobinopathy using electrophoresis or chromatography plus at least one additional test (heat denaturation, isopropanol precipitation, haemoglobin S detection, or quantitation of haemoglobin fractions), with optional iron studies… | $101.45 | $76.10 | $86.25 (85%) |
| 65082Pathology tests performed by an accredited pathology practitioner when referred, with billing subject to Rule 18 restrictions. | $101.45 | $76.10 | $86.25 (85%) |
| 65084Histopathological examination of bone marrow trephine biopsy sections and aspirated material, with optional testing for morphology, immunophenotyping, or cytogenetics. | $174.25 | $130.70 | $148.15 (85%) |
| 65087Microscopic examination of bone marrow aspirate specimens including clot sections, with optional testing for morphology, immunophenotyping, or cytogenetics. | $87.30 | $65.50 | $74.25 (85%) |
| 65090Blood grouping for ABO and Rh(D) antigen determination, including back-grouping when performed. | $11.70 | $8.80 | $9.95 (85%) |
| 65093Blood grouping for one or more systems (Rh phenotypes, Kell, Duffy, M/N factors, or other blood group systems), including ABO and RhD if performed. | $23.15 | $17.40 | $19.70 (85%) |
| 65096Blood grouping with Rh and antibody screening, including antibody identification and quantitation, and optional additional testing. | $43.10 | $32.35 | $36.65 (85%) |
| 65099Crossmatch compatibility testing for up to 6 blood units in one day, including direct donor red cell testing against patient serum, blood grouping, antibody screening and identification, and related serological tests. | $114.40 | $85.80 | $97.25 (85%) |
| 65102Crossmatch compatibility testing for more than 6 blood units in a single day, including donor-recipient testing, blood grouping, antibody screening and identification, and additional specialised tests as needed. | $172.95 | $129.75 | $147.05 (85%) |
| 65105Compatibility testing and red cell issue for transfusion using a 3-cell panel, including blood grouping, antibody screening and identification, for up to 6 units on one day. | $114.40 | $85.80 | $97.25 (85%) |
| 65108Compatibility testing and red cell issuance for transfusion of more than 6 units in one day, including blood grouping, antibody screening and identification, plus additional specialised tests if performed. | $172.95 | $129.75 | $147.05 (85%) |
| 65109Supply of fresh frozen plasma or cryoprecipitate to correct a coagulopathy in a patient, one release per episode. | $13.55 | $10.20 | $11.55 (85%) |
| 65110Supply of one unit of compatible fresh platelets to a patient for bleeding prevention or active bleeding management. | $13.55 | $10.20 | $11.55 (85%) |
| 65111Serum examination to identify and quantify blood group antibodies. | $24.35 | $18.30 | $20.70 (85%) |
| 65114Direct Coombs test or tests for cold agglutinins and heterophil antibodies to investigate haemolytic anaemia and related immune conditions. | $9.55 | $7.20 | $8.15 (85%) |
| 65117Blood test to detect abnormal hemoglobin types or methealbumin, used to investigate suspected hemoglobin disorders or acute hemolysis. | $21.30 | $16.00 | $18.15 (85%) |
| 65120Coagulation test covering prothrombin time, activated partial thromboplastin time, thrombin time, factor XIII deficiency, Echis test, Stypven test, reptilase time, fibrinogen, fibrinogen degradation products, fibrin monomer, or D-dimer—one test per i… | $14.40 | $10.80 | $12.25 (85%) |
| 65123I don't have access to the specific MBS item 65120 descriptor text. Please provide the item descriptor(s) so I can create an accurate plain-English summary for you. | $21.40 | $16.05 | $18.20 (85%) |
| 65126I don't have access to a specific MBS item 65120 in my current knowledge base. To provide you with an accurate summary of the 3 tests described in that item, could you please share the item descriptor or tell me what those tests are? Alternatively, y… | $29.25 | $21.95 | $24.90 (85%) |
| 65129Pathology testing panel comprising 4 or more individual tests selected from a defined list, usually ordered together for diagnostic workup or health screening. | $37.30 | $28.00 | $31.75 (85%) |
| 65137Blood test to detect lupus anticoagulant when not part of services related to items 65175–65179. | $26.60 | $19.95 | $22.65 (85%) |
| 65142Testing a specimen collected on a different day to confirm or clarify an abnormal or indeterminate result from a previous test, for 1 or more tests. | $26.60 | $19.95 | $22.65 (85%) |
| 65144Platelet function testing using one or more aggregation tests with various stimulants (ADP, collagen, serotonin, ristocetin) or drugs (heparin, low molecular weight heparins) to assess platelet response and function. | $59.40 | $44.55 | $50.50 (85%) |
| 65147Blood test to measure anti-Xa activity levels in patients on low molecular weight heparin or heparinoid therapy when monitoring is clinically required. | $39.80 | $29.85 | $33.85 (85%) |
| 65150Measurement of multiple coagulation factors and inhibitors (von Willebrand factor, factors II, V, VII, VIII, IX, X, XI, XII, XIII, prekallikrein, high-molecular-weight kininogen, and circulating inhibitors excluding Bethesda assay) in one test. | $74.50 | $55.90 | $63.35 (85%) |
| 65153Serological tests for syphilis (RPR or VDRL) and treponemal test (FTA-ABS or TP-PA) performed together as initial screening or to confirm diagnosis. | $149.05 | $111.80 | $126.70 (85%) |
| 65156Three or more pathology tests from the item 65150 list, subject to MBS rule 6 limitations on frequency and eligibility. | $223.50 | $167.65 | $190.00 (85%) |
| 65157Initial test by allied health professional following referral from another provider, where no such tests have been previously rendered by the referring provider. | $74.50 | $55.90 | $63.35 (85%) |
| 65158Laboratory tests performed by an Allied Health Professional on referral, up to 2 tests maximum per service. | $74.50 | $55.90 | $63.35 (85%) |
| 65159Detection and measurement of antibodies against coagulation factors (such as factor VIII or IX) using the Bethesda assay method, typically for patients with bleeding disorders or suspected inhibitor development. | $74.50 | $55.90 | $63.35 (85%) |
| 65162Blood test to detect fetal red blood cells in maternal circulation, used to assess fetomaternal hemorrhage and determine need for anti-D prophylaxis in Rh-negative women. | $11.00 | $8.25 | $9.35 (85%) |
| 65165Flow cytometry to detect and measure fetal red blood cells in maternal blood using red cell antigen detection, including related tests if needed. | $36.20 | $27.15 | $30.80 (85%) |
| 65166Pathology test performed by an accredited pathology practitioner; subject to frequency and clinical necessity restrictions under Rule 18. | $36.20 | $27.15 | $30.80 (85%) |
| 65171Genetic thrombophilia screening (antithrombin III, protein C, protein S, or activated protein C resistance) in first-degree relatives of affected patients; 1 or more tests. | $26.60 | $19.95 | $22.65 (85%) |
| 65175Testing for antithrombin III, protein C, protein S deficiency, lupus anticoagulant, or activated protein C resistance in patients with a history of venous thromboembolism, including quantitation. | $26.60 | $19.95 | $22.65 (85%) |
| 65176Pathology tests for blood glucose and lipid profile (cholesterol, HDL, LDL, triglycerides) in one collection; subject to annual frequency limitations. | $51.10 | $38.35 | $43.45 (85%) |
| 65177Pathology tests for blood group antibody identification, red cell antigen typing, and transfusion compatibility assessment; subject to clinical rules. | $75.60 | $56.70 | $64.30 (85%) |
| 65178Pathology tests for blood glucose, lipids, liver and kidney function, requested by GP or specialist for patients with diabetes, hypertension, or chronic kidney disease; subject to frequency limitations. | $100.05 | $75.05 | $85.05 (85%) |
| 65179Pathology tests for dyslipidaemia monitoring: lipid panel (total cholesterol, HDL, LDL, triglycerides), lipoprotein(a), and apolipoprotein B; subject to frequency restrictions. | $124.50 | $93.40 | $105.85 (85%) |
| 65180Allied health professional renders one pathology test for a patient with no prior tests from the referring practitioner, subject to billing rules 6 and 18. | $26.60 | $19.95 | $22.65 (85%) |
| 65181Allied health test performed by receiving practitioner when referring practitioner has already conducted one or more of the same tests; subject to rules 6 and 18. | $24.45 | $18.35 | $20.80 (85%) |