Health Insurance (1995-96 Diagnostic Imaging Services Table) Regulations (Cth)

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Health Insurance (1995–96 Diagnostic Imaging Services Table) Regulations

Statutory Rules 1995 No. 299 as amended

made under the

Health Insurance Act 1973

This compilation was prepared on 12 January 2001

taking into account amendments up to SR 1996 No. 128

[Note: This Statutory Rules is repealed by SR 1996 No. 233]

Prepared by the Office of Legislative Drafting,

Attorney-General’s Department, Canberra

Contents

Page

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    1Citation [see Note 1]

 These Regulations may be cited as the Health Insurance

(1995–96 Diagnostic Imaging Services Table) Regulations.

2Commencement

 These Regulations commence on 1 November 1995.

3Repeal of Health Insurance (1994-1995 Diagnostic Imaging Services Table) Regulations

  Statutory Rules 1994 No. 363 and 1995 No. 154 are repealed.

4Diagnostic imaging services table

The table of diagnostic imaging services set out in the Schedule is prescribed for the purposes of subsection 4AA (1) of the Health Insurance Act 1973.

ScheduleTable of diagnostic imaging services

(regulation 4)

Part 1Rules of interpretation

1General

 In this table, unless the contrary intention appears:

Act means the Health Insurance Act 1973.

2References to items in the general medical services table

 A reference by number to an item in the series 11603 to 11612 (inclusive) is a reference to the item so numbered in the general medical services table.

3Meaning of (C) and (NC)

  • (1)

    An item including the symbol ‘(C)’ applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that has computerised processing facilities capable of being used for the service.

  • (2)

    An item including the symbol ‘(NC)’ applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that does not have computerised processing facilities capable of being used for the service.

4Meaning of (R)and (NR)

  • (1)

    An item including the symbol ‘(R)’ is an R-type diagnostic imaging service.

  • (2)

    An item including the symbol ‘(NR)’ is an NR-type diagnostic imaging service.

5Meaning of (S)

 An item including the symbol ‘(S)’ applies only to a service provided by a specialist in the practice of diagnostic radiology.

6Who may provide a diagnostic imaging service

 A diagnostic imaging service set out in this table is a diagnostic imaging service for the purposes of the Act, whether the service is provided by:

  • (a)

    a medical practitioner; or

  • (b)

    a person, other than a medical practitioner, who:

    • (i)

      is employed by a medical practitioner; or

    • (ii)

      provides the service under the supervision of a medical practitioner in accordance with accepted medical practice.

7Meaning of report in certain items

 In items 55028 to 61109 (inclusive), report means a report prepared by a medical practitioner.

8Administration of anaesthetics in connection with certain services.

 If a general anaesthetic is administered in connection with a service specified in an item that includes the formula:

 in which:

  • (a)

    n is a number; and

  • (b)

    n1 and n2 are other numbers;

 the service that is provided by the medical practitioner who administers the anaesthetic is the service described in item n in the general medical services table.

9Meaning of group of practitioners

 In this table, group of practitioners has the same meaning as in subsection 16A (10) of the Act.

10Meaning of Amount under rule 10in item 57303

 In item 57303, Amount under rule 10 means an amount equal to the sum of:

  • (a)

    the fee set out in the item in items 56000 to 57406 (inclusive) in conjunction with which a service referred to in item 57303 is provided; and

  • (b)

    $115.15.

11Meaning of Amount under rule 11 in certain items

 In items 59103, 59739 and 60300, Amount under rule 11 means an amount equal to the sum of:

  • (a)

    the fee set out in another item for the radiographic examination in conjunction with which a service referred to in item 59103, 59739 or 60300 is provided; and

  • (b)

    1 of the following amounts:

    • (i)

      in the case of item 59103 — $21.10;

    • (ii)

      in the case of item 59739 — $22.40;

    • (iii)

      in the case of item 60300 — $13.45.

12Preparation of patients for radiological procedures

  • (1)

    Subject to subrule (2), items 60900 to 60981 (inclusive) apply only to the preparation of a patient for a radiological procedure for a service to which an item in Group I3 applies by:

    • (a)

      injecting opaque or contrast media; or

    • (b)

      removing fluid and replacing it by air, oxygen or other contrast media; or

    • (c)

      a similar method.

  • (2)

    Item 60957 also applies to the preparation of a patient for a radiological procedure to which item 56218 in Group I2 applies.

13Meaning of angiography suite in item 61109

 In item 61109, angiography suite means a room that contains only equipment designed for angiography that is able to perform digital subtraction or rapid sequence film angiography.

14Nuclear scanning services

 Items 61300 to 61502 (inclusive) apply to a nuclear scanning service only if:

  • (a)

    the performance of the scan is undertaken:

    • (i)

      by a medical practitioner; or

    • (ii)

      by a person acting on behalf of a medical practitioner in the presence of the practitioner; and

  • (b)

    the compilation of the final report is undertaken by the medical practitioner who undertook the preliminary examination of the patient and the estimation and administration of the dosage.

15Meaning of Amount under rule 15 in certain items

 In items 61322 and 61323, Amount under rule 15 means an amount equal to the sum of:

  • (a)

    the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which a service referred to in item 61322 or 61323 is provided and:

  • (b)

    1 of the following amounts:

    • (i)

      in the case of item 61322 — $92.80;

    • (ii)

      in the case of item 61323 — $69.35.

16Meaning of Amount under rule 16 in item 61490

 In item 61490, Amount under rule 16 means an amount equal to the sum of:

  • (a)

    the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which a service referred to in item 61490 is provided; and

  • (b)

    $185.55.

Part 2Services and fees

Group I1Ultrasound

Subgroup 1 — General

Item

Diagnostic imaging service

Fee

55028

Head, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55029

Head, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55030

Orbital contents, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55031

Orbital contents, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55032

Neck, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55033

Neck, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55034

Breast, 1 or both, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55035

Breast, 1 or both, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55036

Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55037

Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

 $34.25

55038

Urinary tract, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55039

Urinary tract, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55040

Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

$98.75

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

55041

Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, if the patient is not referred by a medical practitioner for ultrasonic examination — each ultrasonic examination, not exceeding 2 examinations in any 1 pregnancy, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55042

Pelvis, female, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55043

Pelvis, female, ultrasound scan of, by any or all approaches, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55044

Pelvis, male, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

$98.75

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

55045

Pelvis, male, ultrasound scan of, by any or all approaches, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55048

Scrotum, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$99.15

55049

Scrotum, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55050

Musculo-skeletal, 1 or more regions, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$99.15

55051

Musculo-skeletal, 1 or more regions, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055,or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55052

Joint, 1 or more, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

$98.75

55053

Joint, 1 or more, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)

$34.25

55054

Ultrasonic cross-sectional echography, in conjunction with a surgical procedure, using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R)

$98.75

55055

Orbital contents, ultrasonic echography of, unidimensional, not being a service associated with a service to which another item in this Group applies (NR)

$59.80

55056

Ultrasound scan not otherwise specified, not being a service associated with a service to which item 55055, or an item in Subgroups 2 or 3 of this Group, applies (R)

$5.20

55057

Ultrasound scan not otherwise specified, not being a service associated with a service to which item 55055, or an item in Subgroups 2 or 3 of this Group, applies (NR)

$5.20

55058

Measurement of umbilical blood flow using pulsed wave or continuous wave Doppler techniques after the 26th week of gestation, if:

  • (a)

    the patient is referred by a medical practitioner for this procedure; and

  • (b)

    there is reason to suspect intrauterine growth retardation or a significant risk of foetal death; not being a service associated with a service to which an item in this Group applies — examination and report (R)

$26.95

Subgroup 2 — Cardiac

55102

M-Mode and 2-dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows:

  • (a)

    that is performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves; and

  • (b)

    that uses pulsed wave and continuous wave Doppler techniques; and

  • (c)

    with recordings on video tape;

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies (R)

$162.05

55105

M-Mode and 2-dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows:

  • (a)

    that is performed using a mechanical sector scanner or phased array transducer; and

  • (b)

    with measurement of cardiac dimensions; and

  • (c)

    with recordings on video tape;

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies (R)

$91.70

55112

M-Mode and 2-dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows:

  • (a)

    that is performed using a mechanical sector scanner or phased array transducer; and

  • (b)

    with measurement of blood flow velocities across the cardiac valves using:

    • (i)

      pulsed wave and continuous wave Doppler techniques; and

    • (ii)

      real time colour flow mapping from at least 2 thoracic windows; and

    • (iii)

      recordings on video tape;

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies (R)

$250.60

55118

Heart, 2 dimensional real time transoesophageal examination of, from at least 2 oesophageal windows:

  • (a)

    that is performed using a mechanical sector scanner or phased array transducer; and

  • (b)

    with measurement of blood flow velocities across the cardiac valves using:

    • (i)

      pulsed wave and continuous Doppler techniques; and

    • (ii)

      real time colour flow mapping from at least 2 oesophageal windows; and

    • (iii)

      recordings on video tape;

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies (R) (Anaes. 17708 = 6B + 2T)

$250.10

55130

Intra-operative 2-dimensional real time transoesophageal echocardiography incorporating:

  • (a)

    Doppler techniques with colour flow mapping; and

  • (b)

    recording onto video tape; and

  • (c)

    sequential assessment of cardiac function before and after the surgical procedure (R) (Anaes. 17710 = 6B + 4T)

$357.15

Subgroup 3 — Vascular

55201

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of:

  • (a)

    carotid vessels (with or without vertebral arteries); or

  • (b)

    peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis) (with or without intra-abdominal studies necessary for views of the lower aorta); or

  • (c)

    intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy related studies);

not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.60

55204

2 or more examinations of the kind referred to in item 55201 and report — not being a service associated with a service to which an item in Subgroups 1 (except item 55054) or 4 of this Group applies (R)

$293.20

55207

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of the cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence, where a specialist in diagnostic radiology, urology or general surgery (sub-specialising in vascular surgery) attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies—examination and report (R)

$170.60

55210

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of:

  • (a)

    apriapism; or

  • (b)

    fibrosis of any type; or

  • (c)

    fracture of the tunica; or

  • (d)

    arteriovenous malformations;

where a specialist in diagnostic radiology, urology or general surgery (sub-specialising in vascular surgery) attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies-examination and report (R)

$170.60

55225

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies — examination and report (R)

$204.70

55231

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis) and carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies — examination and report (R)

$330.50

55234

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis), including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies — examination and report (R)

$198.30

55237

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels before measured exercise using treadmill or bicycle ergometer, and measurement of pressure:

  • (a)

    after exercise for 10 minutes; or

  • (b)

    until pressure is normal (unilateral or bilateral);

not being a service associated with a service to which an item in Subgroup 1 (except mitem 55054) or 4 of this Group applies — examination and report (R)

$218.55

Subgroup 4 — Urological

55300

Prostate, bladder base and urethra, transrectal ultrasound scan of, if performed:

  • (a)

    personally by a medical practitioner (not being the medical practitioner who assessed a patient referred to in paragraph (c)), using a transducer probe or probes with a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range that:

    • (i)

      includes frequencies of 7 to 7.5 megahertz; and

    • (ii)

      can obtain both axial and sagittal scans in 2 planes at right angles; and

  • (b)

    following a digital rectal examination of the prostate by that medical practitioner; and

  • (c)

    on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has:

    • (i)

      examined the patient in the 60 days prior to the scan; and

    • (ii)

      recommended the scan for the management of the patient’s current prostatic disease (R)

$98.75

55303

Prostate, bladder base and urethra, transrectal ultrasound scan of, if performed:

  • (a)

    personally by a medical practitioner who undertook the assessment referred to in paragraph (c) using a transducer probe, or probes, with a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range that:

    • (i)

      includes frequencies of 7 to 7.5 megahertz; and

    • (ii)

      can obtain both axial and sagittal scans in 2 planes at right angles; and

  • (b)

    following a digital rectal examination of the prostate by that medical practitioner; and

  • (c)

    on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has:

    • (i)

      examined the patient in the 60 days prior to the scan; and

    • (ii)

      recommended the scan for the management of the patient’s current prostatic disease (R)

$98.75

Group I2Computerised tomography (excluding magnetic resonance imaging)

Subgroup 1 — Computerised tomography on a body scanner and report

56000

Computerised tomography — scan of brain with or without scan of internal auditory meatus without intravenous contrast medium, not being a service to which item 57000 or 57100 applies (R)

$147.40

56003

Computerised tomography — scan of brain with or without scan of internal auditory meatus with intravenous contrast medium, not being a service to which item 57003 or 57103 applies (R)

$204.70

56006

Computerised tomography — scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) with intravenous contrast medium, not being a service to which item 57006 or 57106 applies (R)

$241.90

56009

Computerised tomography — scan of pituitary fossa by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)

$489.35

56012

Computerised tomography — scan of orbits by multiple thin slices (including reconstructions), with or without intravenous contrast medium or brain scan (R)

$483.70

56015

Computerised tomography — scan of middle ear and temporal bone, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)

$472.45

56018

Computerised tomography — scan of temporal bones with air study (including reconstructions), including intrathecal injection but not including an associated brain scan (R)

$380.80

56021

Computerised tomography — scan of 1 or more regions of facial bones, sinuses and salivary glands without intravenous contrast medium (R)

$264.10

56024

Computerised tomography — scan of 1 or more regions of facial bones, sinuses and salivary glands with intravenous contrast medium (R)

$281.20

56027

Computerised tomography — scan of 1 or more regions of facial bones, sinuses and salivary glands without and with intravenous contrast medium (R)

$399.30

56100

Computerised tomography — scan of 1 or more regions of soft tissues of the neck, including larynx, pharynx and upper oesophagus (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56900 applies (R)

$380.80

56103

Computerised tomography — scan 1 or more regions of soft tissues of the neck, including larynx, pharynx and upper oesophagus (not associated with cervical spine), with intravenous contrast medium, not being a service to which item 56903 applies (R)

$410.55

56106

Computerised tomography — scan 1 or more regions of soft tissues of the neck, including larynx, pharynx and upper oesophagus (not associated with cervical spine), without and with intravenous contrast medium, not being a service to which item 56906 applies (R)

$449.95

56200

Computerised tomography — scan of spine, 1 or more regions, 25 slices or less without intravenous contrast medium (R)

$186.70

56203

Computerised tomography — scan of spine, 1 or more regions, 25 slices or less with intravenous contrast medium (R)

$218.25

56206

Computerised tomography — scan of spine, 1 or more regions, 25 slices or less without and with intravenous contrast medium (R)

$292.45

56209

Computerised tomography — scan of spine, 1 or more regions, 26 or more slices without intravenous contrast medium (R)

$264.10

56212

Computerised tomography — scan of spine, 1 or more regions, 26 or more slices with intravenous contrast medium (R)

$292.45

6215

Computerised tomography — scan of spine, 1 or more regions, 26 or more slices without and with intravenous contrast medium (R)

$410.55

56218

Computerised tomography — scan of spine, 1 or more regions with intrathecal contrast medium, not including the preparation by intrathecal injection of contrast medium (R)

$264.10

56300

Computerised tomography — scan of chest, including lungs, mediastinum and pleura, without intravenous contrast medium, not being a service to which item 56700, 56800, 56900, 57000 or 57100 applies (R)

$264.10

56303

Computerised tomography — scan of chest, including lungs, mediastinum and pleura, with intravenous contrast medium, not being a service to which item 56703, 56803, 56903, 57003 or 57103 applies (R)

$303.70

56306

Computerised tomography — scan of chest, including lungs, mediastinum and pleura, without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service to which item 56706, 56806, 56906, 57006 or 57106 applies (R)

$382.45

56400

Computerised tomography — scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium, not being a service to which item 56700, 56800, 56900 or 57100 applies (R)

$147.40

56403

Computerised tomography — scan of upper abdomen (diaphragm to iliac crest) or pelvis with intravenous contrast medium, not being a service to which item 56703, 56803, 56903 or 57103 applies (R)

$180.00

56406

Computerised tomography — scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service to which item 56706, 56806, 56906 or 57106 applies (R)

$292.45

56500

Computerised tomography — scan of upper abdomen and pelvis without intravenous contrast medium, not being a service to which item 56700, 56800, 56900 or 57100 applies (R)

$226.05

56503

Computerised tomography — scan of upper abdomen and pelvis with intravenous contrast medium, not being a service to which item 56703, 56803, 56903 or 57103 applies (R)

$269.95

56506

Computerised tomography — scan of upper abdomen and pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service to which item 56706, 56806, 56906 or 57106 applies (R)

$382.45

56600

Computerised tomography — scan of extremities, 1 or more regions involving up to 20 slices without intravenous contrast medium (R)

$147.40

56603

Computerised tomography — scan of extremities, 1 or more regions involving up to 20 slices with intravenous contrast medium (R)

$180.00

56606

Computerised tomography — scan of extremities, 1 or more regions involving up to 20 slices without and with intravenous contrast medium (R)

$218.25

56609

Computerised tomography — scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices without intravenous contrast medium (R)

$186.70

56612

Computerised tomography — scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices with intravenous contrast medium (R)

$218.25

56615

Computerised tomography — scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium (R)

$292.45

56618

Computerised tomography — scan of extremities, 1 or more regions involving more than 40 slices without intravenous contrast medium (R)

$264.10

56621

Computerised tomography — scan of extremities, 1 or more regions involving more than 40 slices with intravenous contrast medium (R)

$292.45

56624

Computerised tomography — scan of extremities, 1 or more regions involving more than 40 slices without and with intravenous contrast medium (R)

$371.15

56700

Computerised tomography — scan of chest and upper abdomen (from lung apices to iliac crest) without intravenous contrast medium, not being a service to which item 56800, 56900 or 57100 applies (R)

$264.10

56703

Computerised tomography — scan of chest and upper abdomen (from lung apices to iliac crest) with intravenous contrast medium, not being a service to which item 56803, 56903 or 57103 applies (R)

$309.30

56706

Computerised tomography — scan of chest and upper abdomen (from lung apices to iliac crest) without and with intravenous contrast medium, not being a service to which item 56806, 56906 or 57106 applies (R)

$388.10

56800

Computerised tomography — scan of chest, abdomen and pelvis without intravenous contrast medium, not being a service to which item 56900 applies (R)

$344.00

56803

Computerised tomography — scan of chest, abdomen and pelvis with intravenous contrast medium, not being a service to which item 56903 applies (R)

$388.10

56806

Computerised tomography — scan of chest, abdomen and pelvis without and with intravenous contrast medium, not being a service to which item 56906 applies (R)

$545.55

56900

Computerised tomography — scan of neck, chest, abdomen and pelvis without intravenous contrast medium (R)

$497.50

56903

Computerised tomography — scan of neck, chest, abdomen and pelvis with intravenous contrast medium (R)

$545.55

56906

Computerised tomography — scan of neck, chest, abdomen and pelvis without and with intravenous contrast medium (R)

$658.05

57000

Computerised tomography — scan of brain and chest without intravenous contrast medium (R)

$264.10

57003

Computerised tomography — scan of brain and chest with intravenous contrast medium (R)

$309.30

57006

Computerised tomography — scan of brain and chest without and with intravenous contrast medium (R)

$427.45

57100

Computerised tomography — scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium (R)

$380.80

57103

Computerised tomography — scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium (R)

$427.45

57106

Computerised tomography — scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without and with intravenous contrast medium (R)

$545.55

57200

Computerised tomography — pelvimetry (R)

$147.40

57300

Computerised tomography — dynamic scan of region, not being a service associated with a service to which another item in this Group applies (R)

$180.00

57303

Computerised tomography — dynamic scan of region, being a service associated with a service to which another item in this Group applies (R)

Amount under rule 10

57340

Computerised tomography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)

$266.55

Subgroup 2 — Computerised tomography on a brain scanner and report

57400

Computerised tomography — scan of brain without intravenous contrast medium (R)

$74.90

57403

Computerised tomography — scan of brain with intravenous contrast medium (R)

$91.10

57406

Computerised tomography — scan of brain without and with intravenous contrast medium (R)

$141.75

Group I3Diagnostic radiology

Subgroup 1 — Radiographic examination of extremities and report

57500

Digits or phalanges — all or any of either hand or either foot (NR)

$30.85

57503

Digits or phalanges — all or any of either hand or either foot (R)

$41.15

57506

Hand, wrist, forearm, elbow or arm (elbow to shoulder) (NR)

$30.85

57509

Hand, wrist, forearm, elbow or arm (elbow to shoulder) (R)

$41.15

57512

Hand, wrist and lower forearm or upper forearm and elbow or elbow and arm (elbow to shoulder) (NR)

$41.90

57515

Hand, wrist and lower forearm or upper forearm and elbow or elbow and arm (elbow to shoulder) (R)

$55.90

57518

Foot, ankle, lower leg, upper leg, knee or thigh (femur) (NR)

$33.70

57521

Foot, ankle, lower leg, upper leg, knee or thigh (femur) (R)

$44.95

57524

Foot, ankle and lower leg or upper leg and knee (NR)

$51.10

57527

Foot, ankle and lower leg or upper leg and knee (R)

$68.10

Subgroup 2 — Radiographic examination of shoulder or pelvis and report

57700

Shoulder or scapula (NR)

$41.90

57703

Shoulder or scapula (R)

$55.90

57706

Clavicle (NR)

$33.70

57709

Clavicle (R)

$44.95

57712

Hip joint (R)

$48.80

57715

Pelvic girdle (R)

$62.95

57718

Sacro-iliac joints (R)

$62.95

57721

Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R)

$102.75

Subgroup 3 — Radiographic examination of head and report

57900

Skull (calvarium) (R)

$66.80

57903

Sinuses (R)

$48.80

57906

Mastoids (R)

$66.80

57909

Petrous temporal bones (R)

$66.80

57912

Facial bones — orbit, maxilla or malar, any or all (R)

$48.80

57915

Mandible (R)

$48.80

57918

Salivary calculus (R)

$48.80

57921

Nose (R)

$48.80

57924

Eye (R)

$48.80

57927

Temporo-mandibular joints (R)

$51.40

57930

Teeth — single area (R)

$34.05

57933

Teeth — full mouth (R)

$80.95

57936

Teeth — orthopantomography (R)

$49.00

57939

Palato-pharyngeal studies with fluoroscopic screening (R)

$66.80

57942

Palato-pharyngeal studies without fluoroscopic screening (R)

$51.40

57945

Larynx (R)

$44.95

Subgroup 4 — Radiographic examination of spine and report

58100

Spine — cervical (R)

$66.80

58103

Spine — thoracic (R)

$57.15

58106

Spine — lumbo-sacral (R)

$78.40

58109

Spine — sacro-coccygeal (R)

$48.20

58112

Spine — 2 regions (R)

$98.90

58115

Spine — 3 or more regions (R)

$136.20

58118

Spine — functional views of 1 area (R)

$21.35

Subgroup 5 — Bone age study and skeletal survey and report

58300

Bone age study, wrist and knee (R)

$48.80

58303

Bone age study, wrist (R)

$41.15

58306

Skeletal survey involving 4 or more regions (R)

$92.55

Subgroup 6 — Radiographic examination of thoracic region and report

58500

Chest (lung fields) by direct radiography (NR)

$36.60

58503

Chest (lung fields) by direct radiography (R)

$48.80

58506

Chest (lung fields) by direct radiography with fluoroscopic screening (R)

$62.95

58509

Thoracic inlet or trachea (R)

$41.15

58512

Chest by miniature radiography (R)

$22.65

58515

Cardiac examination (including barium swallow) (NR)

$47.25

58518

Cardiac examination (including barium swallow) (R)

$62.95

58521

Sternum or ribs on 1 side (R)

$44.95

58524

Sternum and ribs on 1 side or ribs on both sides (R)

$58.45

58527

Sternum and ribs on both sides (R)

$71.95

Subgroup 7 — Radiographic examination of urinary tract and report

58700

Plain renal only (R)

$48.80

58703

Drip-infusion pyelography (R)

$136.20

58706

Intravenous pyelography, including preliminary plain film (R)

$128.25

58709

Intravenous pyelography, including preliminary plain film and limited tomography, involving up to 3 tomographic cuts (R)

$159.70

58712

Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflux (R)

$161.95

58715

Antegrade or retrograde pyelography including preliminary plain film (R)

$102.75

58718

Retrograde cystography or retrograde urethrography (R) (Anaes. 17705 = 3B + 2T)

$68.10

58721

Retrograde micturating cysto-urethrography (R) (Anaes. 17705 = 3B + 2T)

$80.95

58724

Retro-peritoneal pneumogram (R)

$51.40

Subgroup 8 — Radiographic examination of alimentary tract and biliary system and report

58900

Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (NR)

$36.60

58903

Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (R)

$48.80

58906

Oesophagus, with or without examination for foreign body or barium swallow (R)

$69.40

58909

Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest and with or without preliminary plain film (R)

$95.10

58912

Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest and with or without preliminary plain film (R)

$113.10

58915

Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R)

$80.95

58918

Opaque enema (R)

$95.10

58921

Opaque enema, including air contrast study (R)

$113.10

58924

Graham’s test (cholecystography), including preliminary abdominal radiography (R)

$80.95

58927

Cholegraphy direct — operative or post-operative (R)

$78.40

58930

Cholegraphy — intravenous (R)

$113.10

58933

Cholegraphy — percutaneous transhepatic (R)

$92.55

58936

Cholegraphy — drip infusion (R)

$154.20

Subgroup 9 — Radiographic examination for localisation of foreign bodies and report

59100

Foreign body in eye (special method, Sweet’s or other) (R)

$68.10

59103

Foreign body, localisation of and report, not being a service to which another item in this Group applies (R)

Amount under rule 11

Subgroup 10 — Radiographic examination of breasts and report

59300

Radiographic examination of both breasts (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breasts because of the past occurrence of breast malignancy in the patient or members of the patient’s family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (R) (S)

$80.95

59303

Radiographic examination of one breast (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breast because of the past occurrence of breast malignancy in the patient or members of the patient’s family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (R) (S)

$48.80

59306

Mammary ductogram (galactography) — 1 breast (R)

$93.35

59309

Mammary ductogram (galactography) — 2 breasts (R)

$186.75

Subgroup 11 — Radiographic examination in connection with pregnancy and report

59500

Pregnant uterus (R)

$50.10

59503

Pelvimetry or placentography (R)

$92.55

59506

Control X-rays in conjunction with intrauterine foetal blood transfusion (R)

$68.10

Subgroup 12 — Radiographic examination with opaque or contrast media and report

59700

Discography — 1 disc (R)

$71.95

59703

Dacryocystography — 1 side (R)

$48.80

59706

Encephalography (R)

$106.65

59709

Cerebral ventriculography (R)

$92.55

59712

Hysterosalpingography (R)

$69.40

59715

Bronchography — 1 side (R)

$102.75

59718

Phlebography — 1 side (R)

$102.75

59721

Splenography (R)

$102.75

59724

Myelography — 1 region (R)

$123.35

59727

Myelography — 2 regions (R)

$205.60

59730

Myelography — 3 regions (R)

$276.25

59733

Sialography — 1 side (R)

$69.40

59736

Vasoepididymography — 1 side (R)

$69.40

59739

Sinuses and fistulae (R)

Amount under rule 11

59742

Laryngography with contrast media (R)

$51.40

59745

Pneumoarthrography (R)

$43.70

59748

Arthrography — contrast (R)

$51.40

59751

Arthrography — double contrast (R)

$89.95

59754

Lymphangiography, including follow up radiography (R)

$68.10

59757

Pneumomediastinum (R)

$62.95

Subgroup 13 — Angiography and report

59900

Serial angiocardiography (rapid cassette changing) — each series (R) (Anaes. 17711 = 7B + 4T)

$86.60

59903

Serial angiocardiography (single plane) — each series (R) (Anaes. 17711 = 7B + 4T)

$119.20

59906

Serial angiocardiography (bi-plane) — each series (R) (Anaes. 17711 = 7B + 4T)

$119.20

59912

Selective coronary arteriography (R)

$314.95

59915

Cerebral angiography — 1 side (R)

$80.95

59918

Arteriography, peripheral — 1 side (R)

$102.75

59921

Aortography (R)

$102.75

59924

Selective arteriography — per injection and film or data acquisition run (R)

$102.75

60000

Digital subtraction angiography, examination of head and neck with or without arch aortography, 1 to 3 data acquisition runs (R)

$522.50

60003

Digital subtraction angiography, examination of head and neck with or without arch aortography, 4 to 6 data acquisition runs (R)

$767.65

60006

Digital subtraction angiography, examination of head and neck with or without arch aortography, 7 to 9 data acquisition runs (R)

$1,092.85

60009

Digital subtraction angiography, examination of head and neck with or without arch aortography, 10 or more data acquisition runs (R)

$1,279.45

60012

Digital subtraction angiography, examination of thorax, 1 to 3 data acquisition runs (R)

$522.50

60015

Digital subtraction angiography, examination of thorax, 4 to 6 data acquisition runs (R)

$767.65

60018

Digital subtraction angiography, examination of thorax, 7 to 9 data acquisition runs (R)

$1,092.85

60021

Digital subtraction angiography, examination of thorax, 10 or more data acquisition runs (R)

$1,279.45

60024

Digital subtraction angiography, examination of abdomen, 1 to 3 data acquisition runs (R)

$522.50

60027

Digital subtraction angiography, examination of abdomen, 4 to 6 data acquisition runs (R)

$767.65

60030

Digital subtraction angiography, examination of abdomen, 7 to 9 data acquisition runs (R)

$1,092.85

60033

Digital subtraction angiography, examination of abdomen, 10 or more data acquisition runs (R)

$1,279.45

60036

Digital subtraction angiography, examination of upper limb or limbs, 1 to 3 data acquisition runs (R)

$522.50

60039

Digital subtraction angiography, examination of upper limb or limbs, 4 to 6 data acquisition runs (R)

$767.65

60042

Digital subtraction angiography, examination of upper limb or limbs, 7 to 9 data acquisition runs (R)

$1,092.85

60045

Digital subtraction angiography, examination of upper limb or limbs, 10 or more data acquisition runs (R)

$1,279.45

60048

Digital subtraction angiography, examination of lower limb or limbs, 1 to 3 data acquisition runs (R)

$522.50

60051

Digital subtraction angiography, examination of lower limb or limbs, 4 to 6 data acquisition runs (R)

$767.65

60054

Digital subtraction angiography, examination of lower limb or limbs, 7 to 9 data acquisition runs (R)

$1,092.85

60057

Digital subtraction angiography, examination of lower limb or limbs, 10 or more data acquisition runs (R)

$1,279.45

60060

Digital subtraction angiography, examination of aorta and lower limb or limbs, 1 to 3 data acquisition runs (R)

$522.50

60063

Digital subtraction angiography, examination of aorta and lower limb or limbs, 4 to 6 data acquisition runs (R)

$767.65

60066

Digital subtraction angiography, examination of aorta and lower limb or limbs, 7 to 9 data acquisition runs (R)

$1,092.85

60069

Digital subtraction angiography, examination of aorta and lower limb or limbs, 10 or more data acquisition runs (R)

$1,279.45

60072

Selective arteriography or selective venography by digital subtraction angiography technique, 1 vessel (NR)

$44.80

60075

Selective arteriography or selective venography by digital subtraction angiography technique, 2 vessels (NR)

$89.60

60078

Selective arteriography or selective venography by digital subtraction angiography technique, 3 or more vessels (NR)

$134.35

Subgroup 14 — Tomography and report

60100

Tomography of any region and report (R)

$62.95

Subgroup 15 — Stereoscopic examination and report

60300

Stereoscopic examination of any region and report (R)

Amount under rule 11

Subgroup 16 — Fluoroscopic examination and report

60500

Fluoroscopy, with general anaesthesia, not being a service associated with a radiographic examination (R) (Anaes. 17707 = 5B + 2T)

$44.95

60503

Fluoroscopy without general anaesthesia, not being a service associated with a radiographic examination (R)

$30.85

60506

Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting less than 1 hour, not being a service associated with a service to which another item in this table applies (R)

$66.05

60509

Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting 1 hour or more, not being a service associated with a service to which another item in this table applies (R)

$102.35

Subgroup 17 — Examination and report to which no other Item applies

60700

Radiographic examination of region and report not being a service to which another item in this Group applies (R)

$5.20

Subgroup 18 — Preparation for radiological procedure

60900

Encephalography (NR) (Anaes. 17711 = 7B + 4T)

$187.55

60903

Cerebral angiography, 1 side — percutaneous, catheter or open exposure (NR) (Anaes. 17710 = 5B + 5T)

$132.75

60906

Cerebral ventriculography (NR) (Anaes. 17710 =

5B + 5T)

$180.00

60909

Dacryocystography — 1 side (NR)

$41.15

60912

Bronchography — 1 or both sides (NR) (Anaes.

17709 = 6B + 3T)

$62.95

60915

Aortography (NR) (Anaes. 17709 = 5B + 4T)

$73.10

60918

Arteriography (peripheral) or phlebography — 1 vessel (NR) (Anaes. 17708 = 5B + 3T)

$54.50

60921

Splenography (NR) (Anaes. 17708 = 5B + 3T)

$45.00

60924

Retroperitoneal pneumogram (NR)

$48.80

60927

Selective arteriogram or phlebogram (NR) (Anaes. 17708 = 5B + 3T)

$45.00

60930

Percutaneous injection of radio-opaque material into renal pelvis or into a renal cyst (including aspiration of the cyst) for antegrade pyelography (NR)

$62.95

60933

Pneumoarthrography or pneumoperitoneum (NR)

$50.10

60936

A single or double contrast arthrography excluding arthography of the joints between articular processes of the vertebrae (NR)

$50.20

60939

Drip-infusion pyelography or drip-infusion cholegraphy (NR)

$37.65

60942

Retrograde micturating cystourethrography (NR)

$70.65

60945

Hysterosalpingography (NR) (Anaes. 17705 = 3B + 2T)

$62.95

60948

Discography — 1 disc (NR) (Anaes. 17707 = 5B + 2T)

$41.15

60954

Intra-osseous venography (NR)

$46.75

60957

Myelography (NR) (Anaes. 17712 = 7B + 5T)

$123.35

60963

Cisternal puncture (NR)

$80.95

60966

Sinus or fistula injection into (NR)

$21.35

60969

Sialography (NR)

$56.10

60972

Lymphangiography - 1 side (NR)

$123.35

60975

Laryngography (NR)

$62.95

60978

Pneumomediastinum (NR)

$80.95

60981

Cholegram, percutaneous transhepatic (NR) (Anaes. 17709 = 4B + 5T)

$123.35

Subgroup 19 — Interventional techniques

61109

Fluoroscopy in an angiography suite with image intensification, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)

$266.55

Group I4Nuclear medicine imaging

61300

Myocardial perfusion study using thallium — single study for stress or reperfusion (R) (C)

$379.20

61301

Myocardial perfusion study using thallium — single study for stress or reperfusion (R) (NC)

$281.30

61304

Myocardial perfusion study using thallium — combined study for stress and reperfusion (R) (C)

$599.45

61305

Myocardial perfusion study using thallium — combined study for stress and reperfusion (R) (NC)

$446.50

61308

Myocardial infarct-avid imaging study (R) (C)

$222.65

61309

Myocardial infarct-avid imaging study (R) (NC)

$166.40

61312

Gated cardiac blood pool (equilibrium) study (R) (C)

$256.90

61315

Gated cardiac blood pool study with intervention (R) (C)

$318.00

61318

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, not being a service associated with a service to which another item in this Group applies (R) (C)

$193.30

61319

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, not being a service associated with a service to which another item in this Group applies (R) (NC)

$144.35

61322

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, being a service associated with a service to which another item in this Group applies (R) (C)

Amount under rule 15

61323

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, being a service associated with a service to which another item in this Group applies (R) (NC)

Amount under rule 15

61326

Lung perfusion study (R) (C)

$183.50

61327

Lung perfusion study (R) (NC)

$137.00

61330

Lung ventilation study using Xe127 gas (R) (C)

$305.80

61331

Lung ventilation study using Xe127 gas (R) (NC)

$230.00

61334

Lung ventilation study using Xe133 gas (R) (C)

$171.25

61335

Lung ventilation study using Xe133 gas (R) (NC)

$127.20

61338

Lung ventilation study using aerosol (R) (C)

$212.80

61339

Lung ventilation study using aerosol (R) (NC)

$159.00

61342

Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (R) (C)

$330.30

61343

Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (R) (NC)

$244.65

61346

Lung perfusion study and lung ventilation study using aerosol (R) (C)

$367.00

61347

Lung perfusion study and lung ventilation study using aerosol (R) (NC)

$275.25

61350

Liver and spleen study (colloid) (R) (C)

$217.75

61351

Liver and spleen study (colloid) (R) (NC)

$163.90

61354

Red blood cell spleen or liver study (R) (C)

$222.65

61355

Red blood cell spleen or liver study (R) (NC)

$166.40

61358

Hepatobiliary study (R) (C)

$354.70

61359

Hepatobiliary study (R) (NC)

$263.00

61362

Bowel haemorrhage study (R) (C)

$409.80

61363

Bowel haemorrhage study (R) (NC)

$305.80

1366

Meckel’s diverticulum study (R) (C)

$188.40

61367

Meckel’s diverticulum study (R) (NC)

$141.90

61370

Salivary study (R) (C)

$188.40

61371

Salivary study (R) (NC)

$141.90

61374

Gastro-oesophageal reflux study (R) (C)

$403.70

61375

Gastro-oesophageal reflux study (R) (NC)

$299.70

61378

Oesophageal clearance study (R) (C)

$121.10

61379

Oesophageal clearance study (R) (NC)

$90.50

61382

Gastric emptying study using single tracer (R) (C)

$599.45

61385

Gastric emptying study using dual tracer (R) (C)

$642.20

61388

Renal study with or without dynamic flow study and with or without computer extraction of functional parameters (R) (C)

$275.25

61391

Renal study with intervention (R) (C)

$336.40

61392

Renal study with intervention (R) (NC)

$250.80

61395

Cystoureterogram (R) (C)

$207.95

61396

Cystoureterogram (R) (NC)

$156.60

61399

Testicular study (R) (C)

$137.00

61400

Testicular study (R) (NC)

$102.70

61403

Brain study with blood brain barrier agent (R) (C)

$185.95

61404

Brain study with blood brain barrier agent (R) (NC)

$139.40

61407

Cerebro-spinal fluid transport study (R) (C)

$727.80

61408

Cerebro-spinal fluid transport study (R) (NC)

$544.40

61411

Cerebro-spinal fluid shunt patency study (R) (C)

$190.80

61412

Cerebro-spinal fluid shunt patency study (R) (NC)

$141.90

61415

Dynamic blood flow study or regional blood volume quantitative study, not being a service associated with a service to which another item in this Group applies (R) (C)

$100.30

61416

Dynamic blood flow study or regional blood volume quantitative study, not being a service associated with a service to which another item in this Group applies (R) (NC)

$74.60

61419

Bone study — whole body (R) (C)

$403.70

61420

Bone study — whole body (R) (NC)

$299.70

61423

Bone study — whole body and dynamic blood flow or regional blood volume quantitative study (R) (C)

$501.55

61424

Bone study — whole body and dynamic blood flow or regional blood volume quantitative study (R) (NC)

$379.20

61427

Whole body study using iodine (R) (C)

$458.70

61428

Whole body study using iodine (R) (NC)

$342.50

61431

Whole body study using gallium (R) (C)

$458.70

61432

Whole body study using gallium (R) (NC)

$342.50

61435

Whole body study using cells labelled with technetium (R) (C)

$409.80

61436

Whole body study using cells labelled with technetium (R) (NC)

$305.80

61439

Bone marrow study — whole body (R) (C)

$403.70

61440

Bone marrow study — whole body (R) (NC)

$299.70

61443

Repeat of a whole body study on a different occasion using the same administration of radiopharmaceutical (R) (C)

$185.95

61444

Repeat of a whole body study on a different occasion using the same administration of radiopharmaceutical (R) (NC)

$139.40

61447

Localised bone or joint study including flow and blood pool studies (R) (C)

$281.30

61448

Localised bone or joint study including flow and blood pool studies (R) (NC)

$210.40

61451

Localised bone, joint, tumour, infection or inflammation seeking study using gallium (R) (C)

$336.40

61452

Localised bone, joint, tumour, infection or inflammation seeking study using gallium (R) (NC)

$250.80

61455

Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (R) (C)

$287.50

61456

Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (R) (NC)

$215.30

61459

Repeat of a localised bone, joint, tumour, infection or inflammation seeking study on a different occasion using the same administration of radiopharmaceutical (R) (C)

$124.80

61460

Repeat of a localised bone, joint, tumour, infection or inflammation seeking study on a different occasion using the same administration of radiopharmaceutical (R) (NC)

$93.00

61463

Venography (including blood pool study, active uptake study or dynamic blood flow study) (R) (C)

$222.65

61464

Venography (including blood pool study, active uptake study or dynamic blood flow study) (R) (NC)

$166.40

61467

Lymphoscintigraphy (R) (C)

$287.50

61468

Lymphoscintigraphy (R) (NC)

$215.30

61471

Thyroid Study (R) (C)

$127.20

61472

Thyroid Study (R) (NC)

$95.45

61475

Thyroid uptake study performed on gamma camera (R) (C)

$62.35

61476

Thyroid uptake study performed on gamma camera (R) (NC)

$46.45

61479

Parathyroid (R) (C)

$318.00

61482

Adrenal study using selenocholesterol (R) (C)

$734.00

61483

Adrenal study using selenocholesterol (R) (NC)

$550.50

61486

Adrenal study, not being a service to which item 61482 or 61483 applies (R) (C)

$373.10

61487

Adrenal study, not being a service to which item 61482 or 61483 applies (R) (NC)

$281.30

61490

Single photon emission tomography being a service associated with a service to which another item in this Group applies (R) (C)

Amount under rule 16

61493

Tear duct study (R) (C)

$188.40

61494

Tear duct study (R) (NC)

$141.90

61497

Particle perfusion study (intra-arterial) or Le Veen Shunt study (R) (C)

$212.80

61498

Particle perfusion study (intra-arterial) or Le Veen Shunt study (R) (NC)

$159.00

61501

Study of region or organ, not being a service to which another item in this Group applies (R) (C)

$5.20

61502

Study of region or organ, not being a service to which another item in this Group applies (R) (NC)

$5.20

Notes to the Health Insurance (199596 Diagnostic Imaging Services Table) Regulations

Note 1

The Health Insurance (1995–96 Diagnostic Imaging Services Table) Regulations (in force under the Health Insurance Act 1973) as shown in this compilation comprise Statutory Rules 1995 No. 299 amended as indicated in the Tables below.

Table of Statutory Rules

Year and

number

Date of notification

in Gazette

Date of

commencement

Application, saving or

transitional provisions

1995 No. 299

26 Oct 1995

1 Nov 1995

1996 No. 128

28 June 1996

1 July 1996

—

Table of Amendments

    ad. = added or inserted

     am. = amended rep. = repealed rs. = repealed and substituted

Provision affected

How affected

Schedule.................................

am. 1996 No. 128

     
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