Group P2: Chemical
147 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 66500Quantitative measurement of a single routine biochemistry analyte (such as glucose, electrolytes, liver or kidney function markers, lipids, or proteins) from serum, plasma, urine or other body fluid by laboratory method. | $9.70 | $7.30 | $8.25 (85%) |
| 66503Pathology tests for detection of cytomegalovirus (CMV) infection and HIV viral load monitoring in immunocompromised patients or those with suspected CMV disease. | $11.65 | $8.75 | $9.95 (85%) |
| 66506Pathology tests for blood glucose, lipids, and liver function; typically ordered together for routine screening or chronic disease monitoring. | $13.65 | $10.25 | $11.65 (85%) |
| 66509Pathology tests for bone turnover markers (P1NP, CTX, NTX, and alkaline phosphatase) to assess bone metabolism and monitor osteoporosis treatment response. | $15.65 | $11.75 | $13.35 (85%) |
| 66512Pathology testing service involving 5 or more of the specified laboratory tests performed on a single patient episode. | $17.70 | $13.30 | $15.05 (85%) |
| 66517Measurement of bile acid levels in blood during pregnancy, limited to 3 tests per pregnancy. | $19.65 | $14.75 | $16.75 (85%) |
| 66518Blood test measuring creatine kinase isoenzymes, troponin or myoglobin to investigate cardiac or skeletal muscle damage, limited to one specimen per 24-hour period. | $20.05 | $15.05 | $17.05 (85%) |
| 66519Quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin from 2+ blood specimens within 24 hours to investigate cardiac or skeletal muscle damage. | $40.15 | $30.15 | $34.15 (85%) |
| 66520Serum or plasma fibroblast growth factor 23 quantification requested by a specialist or consultant physician to assess eligibility for PBS-listed treatment. | $90.00 | $67.50 | $76.50 (85%) |
| 66522Faecal calprotectin test for patients under 50 with persistent gastrointestinal symptoms (>6 weeks) suggestive of inflammatory or functional bowel disease, when infectious causes excluded, malignancy risk assessed as low, and no clinical alarm featur… | $75.00 | $56.25 | $63.75 (85%) |
| 66523Repeat faecal calprotectin test when initial result was 50–100 μg/g with ongoing GI symptoms, requested by a gastroenterologist, and endoscopy not initially needed. | $75.00 | $56.25 | $63.75 (85%) |
| 66525Faecal calprotectin test to assess inflammation in patients with diagnosed inflammatory bowel disease, requested by or on behalf of a specialist or consultant physician. | $75.00 | $56.25 | $63.75 (85%) |
| 66536Blood test measuring high-density lipoprotein (HDL) cholesterol levels to assess cardiovascular risk. | $11.05 | $8.30 | $9.40 (85%) |
| 66539Serum electrophoresis to identify lipoprotein subclasses when cholesterol exceeds 6.5 mmol/L and triglycerides exceed 4.0 mmol/L, or for diagnosing type III or IV hyperlipidaemia. | $30.60 | $22.95 | $26.05 (85%) |
| 66542Oral glucose tolerance test for diabetes diagnosis, including glucose administration and at least 2 blood glucose measurements, with optional additional testing. | $18.95 | $14.25 | $16.15 (85%) |
| 66545Screening test for gestational diabetes in pregnancy involving glucose administration and one or two blood glucose measurements, with optional additional testing. | $15.80 | $11.85 | $13.45 (85%) |
| 66548Oral glucose tolerance test in pregnancy to diagnose gestational diabetes, including glucose administration and at least 3 blood glucose measurements. | $19.90 | $14.95 | $16.95 (85%) |
| 66551Measurement of HbA1c to monitor blood sugar control in patients with established diabetes. | $16.80 | $12.60 | $14.30 (85%) |
| 66554Quantitation of glycated haemoglobin (HbA1c) for managing pre-existing diabetes in pregnant patients, including counselling if provided. | $16.80 | $12.60 | $14.30 (85%) |
| 66557Fructosamine test to monitor blood sugar control in established diabetes, up to 4 tests per 12 months. | $9.70 | $7.30 | $8.25 (85%) |
| 66560Quantitative measurement of microalbumin in urine to detect early kidney disease or monitor diabetic nephropathy. | $20.10 | $15.10 | $17.10 (85%) |
| 66563Measurement of osmolality in blood or urine using an osmometer to assess kidney function or electrolyte balance. | $24.70 | $18.55 | $21.00 (85%) |
| 66566Measurement of blood gases (oxygen, CO2, pH, bicarbonate) and related tests like haemoglobin, lactate, potassium or ionised calcium from a single blood specimen. | $33.70 | $25.30 | $28.65 (85%) |
| 66569Blood gas, bicarbonate and pH testing on up to 2 specimens collected within the same day. | $42.60 | $31.95 | $36.25 (85%) |
| 66572Blood gas analysis (pH, bicarbonate, oxygen and CO2) on up to 3 specimens collected within one day. | $51.55 | $38.70 | $43.85 (85%) |
| 66575Quantitation of blood gases, bicarbonate and pH on up to 4 specimens collected within one day. | $60.45 | $45.35 | $51.40 (85%) |
| 66578Blood gas, bicarbonate and pH testing on up to 5 specimens collected within a single day. | $69.35 | $52.05 | $58.95 (85%) |
| 66581Blood gas, bicarbonate and pH testing on 6 or more specimens collected within a single day. | $78.25 | $58.70 | $66.55 (85%) |
| 66584Measurement of ionised calcium in blood, excluding tests done alongside item 66566. | $9.70 | $7.30 | $8.25 (85%) |
| 66585Laboratory testing of BNP or NT-proBNP in systemic sclerosis patients to assess pulmonary arterial hypertension risk, limited to 2 tests per 12 months. | $58.50 | $43.90 | $49.75 (85%) |
| 66586Measurement of BNP or NT-proBNP in patients with diagnosed pulmonary arterial hypertension to monitor disease progression, up to 4 times per 12-month period. | $58.50 | $43.90 | $49.75 (85%) |
| 66587Diagnostic test for renal tubular acidosis using acid load administration with pH measurements from 4+ urine samples and ≥1 blood sample. | $47.55 | $35.70 | $40.45 (85%) |
| 66590Analysis of calculus (tartar) removed from teeth, including one or more teeth in a single visit. | $30.60 | $22.95 | $26.05 (85%) |
| 66593Blood test to measure ferritin levels alone, excluding tests ordered as part of comprehensive iron studies. | $18.00 | $13.50 | $15.30 (85%) |
| 66596Measurement of serum iron, transferrin (or iron binding capacity), and ferritin to assess iron metabolism and storage status. | $32.55 | $24.45 | $27.70 (85%) |
| 66605Blood or urine testing for one or more B vitamins (B1, B2, B3, B6) or vitamin C levels. | $30.60 | $22.95 | $26.05 (85%) |
| 66606Pathology test performed by an accredited pathology practitioner, subject to applicable rules regarding frequency and referral requirements. | $30.60 | $22.95 | $26.05 (85%) |
| 66607Blood, urine or other body fluid test measuring vitamin A or E levels; up to multiple tests allowed within a 6-month period. | $75.75 | $56.85 | $64.40 (85%) |
| 66610Pathology test performed by an accredited pathology provider; multiple tests may be ordered together. | $75.75 | $56.85 | $64.40 (85%) |
| 66623Qualitative and quantitative testing of blood, urine or other body fluids for drugs of abuse (illegal or misused legal drugs) or toxic chemicals, excluding sports surveillance and drug treatment program monitoring. | $41.50 | $31.15 | $35.30 (85%) |
| 66626Drug or therapeutic substance testing (blood, urine, or other body fluid) for patients in drug abuse treatment programs, excluding nicotine monitoring and sports surveillance. | $24.10 | $18.10 | $20.50 (85%) |
| 66629Measurement of beta-2-microglobulin levels in serum, urine or other body fluids to assess kidney function or detect certain cancers. | $20.10 | $15.10 | $17.10 (85%) |
| 66632Quantitation of caeruloplasmin, haptoglobins, or prealbumin in serum, urine, or other body fluids; one or more tests billed as a single service. | $20.10 | $15.10 | $17.10 (85%) |
| 66635Measurement of alpha-1-antitrypsin levels in serum, urine or other body fluid to assess for deficiency or monitor related conditions. | $20.10 | $15.10 | $17.10 (85%) |
| 66638Serum alpha-1-antitrypsin phenotype testing using isoelectric focussing or equivalent method to identify genetic variants. | $49.05 | $36.80 | $41.70 (85%) |
| 66639Pathology test performed by an accredited pathology practitioner, subject to Medicare rules on frequency and referral requirements. | $29.20 | $21.90 | $24.85 (85%) |
| 66641Electrophoresis of serum or body fluid to identify lactate dehydrogenase or alkaline phosphatase isoenzymes, with preliminary quantitation of total enzyme activity. | $29.20 | $21.90 | $24.85 (85%) |
| 66642Pathology test performed by an accredited pathology practitioner, subject to rule 18 limitations on frequency and referral requirements. | $29.20 | $21.90 | $24.85 (85%) |
| 66644Quantitative measurement of C1-esterase inhibitor levels in blood, used to diagnose hereditary angioedema and monitor treatment effectiveness. | $20.15 | $15.15 | $17.15 (85%) |
| 66647Functional assay measuring C1-esterase inhibitor activity levels to diagnose or monitor hereditary angioedema and related complement disorders. | $45.10 | $33.85 | $38.35 (85%) |
| 66650Quantitative serum testing for tumour markers (AFP, CA-15.3, CA-125, CA-19.9, CASA, CEA, HCG, NSE, thyroglobulin) in monitoring malignancy, hepatic tumours, gestational trophoblastic disease or germ cell tumours; one test only. | $24.35 | $18.30 | $20.70 (85%) |
| 66651Initial pathology test performed by allied health professional when referred by another provider with no prior testing by the referring provider. | $24.35 | $18.30 | $20.70 (85%) |
| 66652A test rendered by a receiving allied health professional, excluding the specific test covered under 66651, limited to 1 test per service period (subject to MBS rules 6 and 18). | $20.30 | $15.25 | $17.30 (85%) |
| 66653Bulk-billed pathology tests for eligible patients; claims limited to 2 or more tests from the item 66650 list per service event. | $44.60 | $33.45 | $37.95 (85%) |
| 66654PSA blood test to monitor high-risk prostate cancer patients, limited to once per 11-month period. | $20.15 | $15.15 | $17.15 (85%) |
| 66655Blood test measuring PSA levels for prostate cancer screening, limited to once per 23-month period per patient. | $20.15 | $15.15 | $17.15 (85%) |
| 66656PSA blood test to monitor patients with previously diagnosed prostate cancer, prostatitis, or premalignant prostate conditions. | $20.15 | $15.15 | $17.15 (85%) |
| 66659PSA fractionation testing for follow-up of borderline PSA results (2–5.5 µg/L with family history, 3–5.5 µg/L ages 50–69, or 5.5–10 µg/L ages ≥70), limited to once per 11 months. | $37.30 | $28.00 | $31.75 (85%) |
| 66660PSA monitoring with 2+ fractions and derived indices for previously diagnosed prostate disease when PSA is 2.0-5.5 µg/L (family history), 3.0-5.5 µg/L (age 50-69), or 5.5-10.0 µg/L (age 70+); maximum 4 times in 11 months. | $37.30 | $28.00 | $31.75 (85%) |
| 66662Pathology test quantifying hormone receptors (estrogen/progesterone) on breast or ovarian cancer tissue or metastases to guide treatment decisions. | $79.95 | $60.00 | $68.00 (85%) |
| 66663Pathology test performed by an accredited pathology practitioner; multiple tests may be claimed together, subject to rule 18 restrictions. | $79.95 | $60.00 | $68.00 (85%) |
| 66665Lead quantitation in blood or urine (excluding occupational screening), up to 3 tests per 6-month period. | $30.60 | $22.95 | $26.05 (85%) |
| 66666Pathology test performed by an accredited pathology laboratory on a specimen received from another provider, subject to MBS rules on frequency and referral requirements. | $30.60 | $22.95 | $26.05 (85%) |
| 66667Serum zinc level measurement for patients on intravenous nutrition support, performed once per test request. | $30.60 | $22.95 | $26.05 (85%) |
| 66671Serum aluminium level measurement for patients in renal dialysis programs, performed once per test. | $36.90 | $27.70 | $31.40 (85%) |
| 66674Faecal fat measurement or breath hydrogen test after disaccharide loading to assess fat malabsorption or carbohydrate intolerance; up to one test per 28-day period. | $39.95 | $30.00 | $34.00 (85%) |
| 66677Faecal tryptic activity test to investigate chronic diarrhoea (>4 weeks) in children under 6 years old. | $11.15 | $8.40 | $9.50 (85%) |
| 66680Measurement of one or more enzymes (such as disaccharidases) in intestinal tissue samples to assess digestion and absorption capacity. | $74.45 | $55.85 | $63.30 (85%) |
| 66683Measurement of one or more enzymes in solid tissue or non-blood tissues (excluding intestinal tissue) to aid diagnosis or disease assessment. | $74.45 | $55.85 | $63.30 (85%) |
| 66686Biochemical diagnostic testing including growth hormone suppression or stimulation tests, dexamethasone suppression testing, or iontophoretic sweat chloride analysis. | $50.65 | $38.00 | $43.10 (85%) |
| 66695Blood or urine quantitation of a single hormone or hormone binding protein from a specified list (ACTH, cortisol, testosterone, insulin, prolactin, growth hormone, and others). | $30.50 | $22.90 | $25.95 (85%) |
| 66696Pathology test performed by receiving allied health professional when no tests from this item have been rendered by the referring allied health professional; subject to referral and frequency rules. | $30.50 | $22.90 | $25.95 (85%) |
| 66697APP-performed pathology tests (maximum 4 tests per service), excluding the specific test in item 66696, when rendered by a receiving allied health professional. | $13.20 | $9.90 | $11.25 (85%) |
| 66698Urine culture and sensitivity testing to identify bacteria and determine antibiotic susceptibility, used to diagnose and guide treatment of urinary tract infections. | $43.70 | $32.80 | $37.15 (85%) |
| 66701I don't have access to the specific content of MBS item 66695 or its associated test descriptions. To provide an accurate summary, I would need you to share the item descriptor text. Could you please provide the item descriptor for 66695, and I'll c… | $56.90 | $42.70 | $48.40 (85%) |
| 66704A single laboratory or multiple labs from the same accreditation body perform exactly 4 specified tests on a request, with remaining tests referred to a separate accredited laboratory. | $70.15 | $52.65 | $59.65 (85%) |
| 66707Pathology testing for diagnosis, monitoring or screening including 5 or more individual tests from the specified list, subject to applicable frequency and clinical requirements. | $83.35 | $62.55 | $70.85 (85%) |
| 66711Saliva cortisol measurement to investigate suspected Cushing's syndrome or manage congenital adrenal hyperplasia in children. | $30.15 | $22.65 | $25.65 (85%) |
| 66712I don't have access to the specific MBS item 66711 or its descriptor details. To provide an accurate summary, I'd need you to share the item descriptor text or tell me which two tests are described in that item. Could you provide the item descriptor… | $43.05 | $32.30 | $36.60 (85%) |
| 66714Pathology test performed by a receiving accredited pathology practitioner when the referring practitioner has not rendered any tests from this item, subject to referral and claiming rules. | $30.15 | $22.65 | $25.65 (85%) |
| 66715Pathology tests (excluding the specific test in 66714) performed by an authorized receiving assistant practitioner, limited to one test per service. | $12.85 | $9.65 | $10.95 (85%) |
| 66716Thyroid stimulating hormone blood test to measure thyroid function, typically used to diagnose or monitor thyroid disorders. | $25.05 | $18.80 | $21.30 (85%) |
| 66719Thyroid function tests including TSH, free thyroxine and/or free T3 when TSH is abnormal, monitoring thyroid disease, investigating sick euthyroid syndrome, dementia, psychiatric illness, amenorrhoea, infertility, suspected pituitary dysfunction, or… | $34.80 | $26.10 | $29.60 (85%) |
| 66722TSH quantitation and one other specified test performed by a single laboratory or multiple laboratories within the same APA, with any remaining tests referred to a different APA laboratory. | $37.90 | $28.45 | $32.25 (85%) |
| 66723TSH quantitation and one additional test when performed by a receiving allied health professional with no prior tests by the referring provider, subject to usage rules. | $37.90 | $28.45 | $32.25 (85%) |
| 66724Thyroid function tests including TSH quantitation performed by an accredited practising pathologist, up to 4 tests maximum per service event. | $13.15 | $9.90 | $11.20 (85%) |
| 66725TSH quantitation plus two other specified tests when performed by a single laboratory or multiple labs from the same APA, with any additional tests referred to a different APA laboratory. | $51.05 | $38.30 | $43.40 (85%) |
| 66728Blood test for thyroid stimulating hormone (TSH) plus three other specified tests, payable when only these four tests are performed or when additional tests are referred to a different laboratory. | $64.20 | $48.15 | $54.60 (85%) |
| 66731TSH quantitation plus 4 other specified tests performed by one laboratory or multiple laboratories within the same APA group, with referral of remaining tests to a separate APA laboratory if needed. | $77.40 | $58.05 | $65.80 (85%) |
| 66734TSH quantitation and 5 other specified tests when 6 or more tests are requested from one laboratory or multiple laboratories within the same APA. | $90.55 | $67.95 | $77.00 (85%) |
| 66743Measurement of alpha-fetoprotein in maternal serum or body fluids during pregnancy, excluding measurements requested as part of items 66750 or 66751. | $20.10 | $15.10 | $17.10 (85%) |
| 66749Spectrophotometric analysis of amniotic fluid to assess fetal lung maturity (lecithin/sphingomyelin ratio, phospholipids) or hemolytic disease severity (bilirubin with hemoglobin correction); one or more tests per request. | $32.95 | $24.75 | $28.05 (85%) |
| 66750Measurement of any 2 markers (total HCG, free alpha/beta HCG, PAPP-A, uE3, or AFP) in pregnancy to screen for fetal abnormalities, performed once per pregnancy. | $39.75 | $29.85 | $33.80 (85%) |
| 66751Quantitation of three or more tests from item 66750 in pregnancy, subject to rule 25 limitations. | $55.25 | $41.45 | $47.00 (85%) |
| 66752Measurement of specific blood metabolites including ketones, organic acids, amino acids and related compounds to assess metabolic disorders or nutritional status. | $24.70 | $18.55 | $21.00 (85%) |
| 66755Pathology testing for two or more specified analytes or procedures in a single collection, typically used for diagnostic screening or monitoring. | $38.85 | $29.15 | $33.05 (85%) |
| 66756Measurement of 10+ amino acids in plasma, CSF or urine to diagnose inborn errors of metabolism; up to 4 tests per 12 months. | $98.30 | $73.75 | $83.60 (85%) |
| 66757Measurement of 10+ amino acids in one tissue to monitor known inborn errors of metabolism. | $98.30 | $73.75 | $83.60 (85%) |
| 66758Blood test measuring angiotensin converting enzyme (ACE) or cholinesterase levels to help diagnose conditions like sarcoidosis, organophosphate poisoning, or liver disease. | $24.70 | $18.55 | $21.00 (85%) |
| 66761Faecal test for reducing substances using laboratory methods (not reagent strips). | $13.15 | $9.90 | $11.20 (85%) |
| 66764Faecal occult blood test using laboratory methods (not reagent strips), maximum 3 specimens on separate days within 28 days. | $8.90 | $6.70 | $7.60 (85%) |
| 66767Two separate pathology examinations on different specimens as described in item 66764. | $17.85 | $13.40 | $15.20 (85%) |
| 66770Three separate histopathology examinations on individually identified specimens. | $26.70 | $20.05 | $22.70 (85%) |
| 66773Measurement of collagen breakdown or formation markers to monitor patients with confirmed low bone mineral density, performed once or more. | $24.65 | $18.50 | $21.00 (85%) |
| 66776Measurement of collagen breakdown or formation markers to monitor metabolic bone disease or Paget's disease, with optional additional testing. | $24.65 | $18.50 | $21.00 (85%) |
| 66779Quantitation of one or more catecholamines, metabolites or serotonin (adrenaline, noradrenaline, dopamine, histamine, 5HIAA, HMMA, HVA, metanephrines, MHPG, PAA, or serotonin) in a single test session. | $39.95 | $30.00 | $34.00 (85%) |
| 66780Pathology test performed by an accredited pathology practitioner, subject to referral and frequency restrictions under MBS rule 18. | $39.95 | $30.00 | $34.00 (85%) |
| 66782Detection of porphyrins or porphyrin precursors in plasma, red cells, urine or faeces to aid diagnosis of porphyria disorders, with one or more tests performed. | $13.15 | $9.90 | $11.20 (85%) |
| 66783Pathology test rendered by a receiving Aboriginal and Torres Strait Islander Health Practitioner; one or more tests covered, subject to rule 18 limitations. | $13.15 | $9.90 | $11.20 (85%) |
| 66785Quantitation of porphyrins or porphyrin precursors in plasma, red cells, urine, or faeces to diagnose or monitor porphyria; one test per service event. | $39.95 | $30.00 | $34.00 (85%) |
| 66788Measurement of porphyrins or porphyrin precursors in plasma, red cells, urine, or faeces using 2 or more tests to diagnose or monitor porphyria. | $65.85 | $49.40 | $56.00 (85%) |
| 66789Test rendered by receiving APP when referring APP has not performed any tests from this item; subject to rules 6 and 18 limitations. | $39.95 | $30.00 | $34.00 (85%) |
| 66790Testing service (other than the specific test in 66789) provided by an accredited pathology practitioner, limited to one test per occasion. | $25.90 | $19.45 | $22.05 (85%) |
| 66791Measurement of porphyrin biosynthetic enzyme activity in blood cells or other tissues to assist diagnosis of porphyria disorders. | $74.45 | $55.85 | $63.30 (85%) |
| 66792Pathology test performed by an accredited pathology practitioner; subject to rule 18 limitations on frequency and timing. | $74.45 | $55.85 | $63.30 (85%) |
| 66800Therapeutic drug level measurement in blood, urine or other body fluid for one of 20 specified medications (including digoxin, lithium, phenytoin, theophylline, vancomycin and others) using laboratory methods. | $18.15 | $13.65 | $15.45 (85%) |
| 66803Pathology tests for suspected acute coronary syndrome: troponin and either myoglobin or CK-MB, performed within 12 hours of symptom onset or chest pain presentation. | $30.50 | $22.90 | $25.95 (85%) |
| 66804Testing by receiving allied health professional when referring allied health professional has not performed any tests from this item; limited to 1 test. | $18.15 | $13.65 | $15.45 (85%) |
| 66805Allied health professional receives pathology test (not immunoassay) from referring practitioner; maximum 2 tests per session. | $12.35 | $9.30 | $10.50 (85%) |
| 66806Pathology tests for blood glucose, lipids, and liver function; subject to MBS rule 6 restrictions on frequency and clinical circumstances. | $41.85 | $31.40 | $35.60 (85%) |
| 66812Measurement of a single therapeutic drug level in blood, urine, or body fluid from a patient taking that medication, performed by one laboratory or with referrals to another laboratory. | $34.80 | $26.10 | $29.60 (85%) |
| 66815Two tests performed by a single laboratory or multiple laboratories within the same APA, with remaining tests referred to a different APA laboratory. | $59.55 | $44.70 | $50.65 (85%) |
| 66816Blood test ordered by a doctor and performed by another allied health professional, where no similar tests were done by the referring provider. | $34.80 | $26.10 | $29.60 (85%) |
| 66817Pathology test performed by an accredited pathology practitioner (other than the specific test in 66816), limited to one test per patient. | $24.75 | $18.60 | $21.05 (85%) |
| 66819Measurement of copper, manganese, selenium, or zinc levels in blood, urine or other body fluid; single test (not applicable if item 66667 applies). | $30.60 | $22.95 | $26.05 (85%) |
| 66820Pathology test ordered by referring APP with no prior tests from that APP; receiving APP performs one test, subject to billing rules for APP-rendered pathology. | $30.60 | $22.95 | $26.05 (85%) |
| 66821Allied health professional diagnostic test (other than those in item 66820), maximum 1 test per service event. | $21.80 | $16.35 | $18.55 (85%) |
| 66822Measurement of copper, manganese, selenium, or zinc levels in blood, urine or body fluid when 2 or more of these elements are tested together. | $52.45 | $39.35 | $44.60 (85%) |
| 66825Blood, urine or tissue testing for heavy metals (aluminium, arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, strontium); maximum 3 tests per 6 months. | $30.60 | $22.95 | $26.05 (85%) |
| 66826Allied Health Professionals can claim one pathology test when referred by another APP with no prior tests from the referring APP, subject to applicable frequency and eligibility rules. | $30.60 | $22.95 | $26.05 (85%) |
| 66827Initial allied health pathology test by accredited practitioner, maximum 1 per patient, subject to referral and frequency restrictions. | $21.80 | $16.35 | $18.55 (85%) |
| 66828Blood or urine testing for 2+ heavy metals (aluminium, arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, strontium); maximum 3 tests per 6 months. | $52.45 | $39.35 | $44.60 (85%) |
| 66829Blood test measuring BNP or NT-proBNP to rule out heart failure in patients with suspected symptoms, performed once per 12 months to help decide if echocardiogram is needed. | $58.50 | $43.90 | $49.75 (85%) |
| 66830Blood test measuring BNP or NT-proBNP to diagnose heart failure in patients with shortness of breath presenting to a hospital emergency department. | $58.50 | $43.90 | $49.75 (85%) |
| 66831Measurement of copper or iron levels in a liver tissue sample to assess for storage disorders or liver damage. | $30.95 | $23.25 | $26.35 (85%) |
| 66832Pathology test for receiving accredited pathology practitioner, subject to referral and frequency limitations under MBS rules 18A and 22. | $30.95 | $23.25 | $26.35 (85%) |
| 66833Serum 25-hydroxyvitamin D test for patients with suspected vitamin D deficiency due to symptoms (osteoporosis, rickets), malabsorption, limited sun exposure, relevant medications, renal disease, or family/infant risk factors. | $30.05 | $22.55 | $25.55 (85%) |
| 66834Pathology test performed by an accredited pathology practitioner, subject to Rule 18 restrictions on claiming frequency and conditions. | $30.05 | $22.55 | $25.55 (85%) |
| 66835Serum 1,25-dihydroxyvitamin D quantification when requested by or on advice of a specialist or consultant physician managing the patient's treatment. | $39.05 | $29.30 | $33.20 (85%) |
| 66836Serum 1,25-dihydroxyvitamin D test for hypercalcaemic patients referred by their GP for treatment management. | $39.05 | $29.30 | $33.20 (85%) |
| 66837Pathology test (66835 or 66836) performed by an accredited pathology practitioner, subject to Rule 18 requirements. | $39.05 | $29.30 | $33.20 (85%) |
| 66838Blood test measuring total vitamin B12 and/or holotranscobalamin levels, available no more than once per 11 months. | $23.60 | $17.70 | $20.10 (85%) |
| 66839Quantification of methylmalonic acid or homocysteine when initial B12 or folate testing (item 66838) is inconclusive or abnormal, maximum once per 11 months. | $42.95 | $32.25 | $36.55 (85%) |
| 66840Serum folate test to assess folate deficiency risk in patients with malabsorption, macrocytic anaemia, or coeliac disease, with red cell folate testing if needed. | $23.60 | $17.70 | $20.10 (85%) |
| 66841HbA1c test to diagnose diabetes in asymptomatic high-risk patients, subject to MBS rule 25 limitations. | $16.80 | $12.60 | $14.30 (85%) |
| 66842Vitamin B12 level testing (total B12, holotranscobalamin, methylmalonic acid, or homocysteine) for patients with symptoms persisting 3-6 months post-treatment, inconclusive prior results, or risk factors including dietary deficiency, family history,… | $23.60 | $17.70 | $20.10 (85%) |
| 66900Non-invasive breath test to detect or confirm Helicobacter pylori infection or verify successful eradication using carbon-labelled urea. | $77.65 | $58.25 | $66.05 (85%) |