Group P5: Tissue Pathology
28 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 72813Pathology examination of up to 1 or more tissue blocks from biopsy material, including dissection, processing, staining, microscopy and professional opinion. | $75.10 | $56.35 | $63.85 (85%) |
| 72814Immunohistochemical testing of tumour tissue using PD-L1 antibody for non-small cell lung cancer, recurrent/metastatic head and neck squamous cell carcinoma, or triple-negative breast cancer. | $78.30 | $58.75 | $66.60 (85%) |
| 72816Pathologist examination of a single complex biopsy specimen with one or more tissue blocks, including dissection, processing, staining, microscopy and professional opinion. | $90.70 | $68.05 | $77.10 (85%) |
| 72817Pathology examination of 2-4 tissue biopsy specimens with full processing, staining, microscopy and professional interpretation for complex cases. | $101.70 | $76.30 | $86.45 (85%) |
| 72818Pathology examination of 5+ separately identified specimens from a complex biopsy, including dissection, processing, staining, microscopy and professional opinion. | $112.45 | $84.35 | $95.60 (85%) |
| 72823Pathological examination of a complex biopsy specimen with one or more tissue blocks, including dissection, processing, staining, and microscopy assessment. | $102.10 | $76.60 | $86.80 (85%) |
| 72824Pathology examination of 2–4 tissue specimens (complexity level 4) including dissection, processing, staining, microscopy and professional opinion. | $148.50 | $111.40 | $126.25 (85%) |
| 72825Pathology examination of 5-7 tissue specimens with complexity level 4, including dissection, processing, staining, microscopy and professional interpretation. | $189.40 | $142.05 | $161.00 (85%) |
| 72826Pathology examination of 8–11 tissue specimens with complexity level 4, including dissection, processing, staining, microscopy and professional opinion. | $204.45 | $153.35 | $173.80 (85%) |
| 72827Pathology examination of 12-17 tissue specimens from a complex biopsy, including dissection, processing, staining, microscopy and professional opinion. | $219.50 | $164.65 | $186.60 (85%) |
| 72828Pathology examination of 18+ tissue specimens from a complex case, including dissection, processing, staining, microscopy and professional opinion. | $234.60 | $175.95 | $199.45 (85%) |
| 72830Pathology examination of complex biopsies (level 5) with one or more tissue blocks, including dissection, processing, staining, microscopy and professional opinion for one or more separately identified specimens. | $288.05 | $216.05 | $244.85 (85%) |
| 72836Histopathology examination of complex biopsies (1+ tissue blocks) including dissection, processing, staining, microscopy and professional opinion for 1 or more separately identified specimens. | $438.30 | $328.75 | $372.60 (85%) |
| 72838Examination of complexity level 7 biopsy material with multiple tissue blocks, including dissection, processing, staining, microscopy and professional opinion for one or more separately identified specimens. | $490.50 | $367.90 | $416.95 (85%) |
| 72844Enzyme histochemistry testing on skeletal muscle biopsy to diagnose primary muscle diseases, metabolic disorders, or muscle changes from neurological conditions. | $32.30 | $24.25 | $27.50 (85%) |
| 72846Immunohistochemical examination of a biopsy using multiple labelled antibody techniques (1–3 antibodies) to identify tissue antigens, excluding specific antibodies listed elsewhere. | $62.65 | $47.00 | $53.30 (85%) |
| 72847Immunohistochemical testing of biopsy samples using fluorescence, peroxidase, or antibody labelling methods with 4–6 different antibody markers per specimen. | $93.95 | $70.50 | $79.90 (85%) |
| 72848Immunohistochemical staining of biopsy specimens using labelled antibodies to identify 1–3 markers (oestrogen, progesterone, or HER2) in cancer diagnosis and prognosis assessment. | $78.30 | $58.75 | $66.60 (85%) |
| 72849Immunohistochemical examination of biopsy material using fluorescence, peroxidase or antibody labelling techniques testing 7-10 different antigens per specimen. | $109.60 | $82.20 | $93.20 (85%) |
| 72850Immunohistochemical analysis of biopsy tissue using labelled antibody techniques (fluorescence, peroxidase, or similar) testing 11 or more different antigens in one specimen. | $125.20 | $93.90 | $106.45 (85%) |
| 72851Electron microscopic examination of a single biopsy specimen to identify ultrastructural features for diagnostic purposes. | $593.60 | $445.20 | $504.60 (85%) |
| 72852Electron microscopic examination of 2 or more separately identified biopsy specimens to provide detailed tissue analysis at ultramicroscopic resolution. | $791.10 | $593.35 | $686.60 (85%) |
| 72855Pathologist's intraoperative examination of a single biopsy specimen using frozen section, tissue imprint, or smear technique to provide real-time diagnostic guidance during surgery. | $193.65 | $145.25 | $164.65 (85%) |
| 72856Pathologist examination of 2 to 4 tissue specimens during surgery using frozen section, tissue imprint, or smear techniques to guide surgical decisions. | $258.25 | $193.70 | $219.55 (85%) |
| 72857Pathologist examination of 5 or more intraoperative biopsy specimens using frozen section, tissue imprint, or smear techniques to guide surgical decision-making. | $301.30 | $226.00 | $256.15 (85%) |
| 72858Written second opinion on a patient specimen requiring ≤30 minutes to complete, requested by a treating practitioner when further diagnostic information is needed for patient management. | $189.10 | $141.85 | $160.75 (85%) |
| 72859Written second opinion on a patient specimen requiring over 30 minutes to complete, requested by a treating practitioner when additional diagnostic information is needed. | $388.75 | $291.60 | $330.45 (85%) |
| 72860Retrieval and review of archived formalin-fixed paraffin-embedded tissue blocks to select appropriate samples for genetic testing, excluding certain associated genetic services; limited to once per patient episode. | $89.30 | $67.00 | $75.95 (85%) |