Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations (Cth)

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Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations

Statutory Rules 1997 No. 297

made under the

Health Insurance Act 1973

This compilation was prepared on 12 June 2002

taking into account amendments up to SR 1998 No. 302

[Note:

These regulations were repealed by SR 1998 No. 302]

Prepared by the Office of Legislative Drafting,

Attorney-General’s Department, Canberra

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    1Citation

These Regulations may be cited as the Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations.

2Commencement

 These Regulations commence on 1 November 1997.

3Repeal of Health Insurance (1996-97 Diagnostic Imaging Services Table) Regulations

 Statutory Rules 1996 Nos. 233 and 337, and 1997 No. 12 are repealed.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)

Part1Rules of interpretation1Definitions generally

 In this table:

Act means the Health Insurance Act 1973.

exclusion, in relation to a condition for which a MRI or MRA service is requested, means use of the service as the initial imaging modality for diagnosis of the condition.

MRA means magnetic resonance angiography.

MRI means magnetic resonance imaging.

sequence, in relation to a scan, means a series of images collected at the same time with similar image parameters (not including a scan designed to establish patient position and subsequently used to plan other scans).

Note Specialist is defined in subsection 3 (1) of the Act.

2References to items in the general medical services table

 A reference by number to an item in the series 11603 to 11612 (inclusive), 30361 and 30488 is a reference to the item so numbered in the general medical services table.

3Meaning 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.

4Meaning of (S)

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

5Who may provide a diagnostic imaging service

 Unless the contrary intention appears, 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.

6Meaning of report in certain items

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

7Administration 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:

Anaes. n= n1  B+ n2  T

in which:

  • (a)

    n is a number; and

  • (b)

    n1 and n2are 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.

8Meaning of group of practitioners

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

9Meaning of medical practitioner in certain items
  • (1)

    In items 55028, 55030 and 55032, medical practitioner in the phrase referred by a medical practitioner or the referring medical practitioner includes a dental practitioner who is approved by the Minister under paragraph (b) of the definition of professional service in subsection 3 (1) of the Health Insurance Act 1973.

  • (2)

    In items 55050 and 55052, medical practitioner in the phrase referred by a medical practitioner or the referring medical practitioner includes a dental practitioner who is:

    • (a)

      approved by the Minister under paragraph (b) of the definition of professional service in subsection 3 (1) of the Health Insurance Act 1973; or

    • (b)

      a prosthodontist.

10Meaning of Amount under rule 10 in certain items

 In item 59103, Amount under rule 10 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 is provided; and

  • (b)

    $21.45.

11Preparation of patients for radiological procedures

 Items 60903 to 60927 (inclusive) apply only to the preparation of a patient for a radiological procedure for a service to which items 59900 to 59970 (inclusive) applies by:

  • (a)

    injecting opaque or contrast media; or

  • (b)

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

  • (c)

    a similar method.

12Meaning 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.

13Nuclear scanning services

 Items 61302 to 61499 (inclusive) apply to a nuclear scanning service only if:

  • (a)

    the performance of the scan is undertaken:

    • (i)

      by a specialist or consultant physician; or

    • (ii)

      by a person acting on behalf of a specialist or consultant physician in the presence of the specialist or consultant physician; and

  • (b)

    the compilation of the final report is undertaken by the specialist or consultant physician who undertook the preliminary examination of the patient and the estimation and administration of the dosage.

14Meaning of Amount under rule 14 in item 61462

 In item 61462, Amount under rule 14 means an amount equal to the sum of:

  • (a)

    the fee set out in the item in group I4 in conjunction with which a service referred to in item 61462 is provided; and

  • (b)

    $111.85.

15Multiple services
  • (1)

    If a medical practitioner renders 2 or more diagnostic imaging services for the same patient on the same day, the fees set out in the items that apply to the services, other than the item with the highest fee, are reduced by $5.00.

  • (2)

    If a medical practitioner renders:

    • (a)

      at least 1 R-type diagnostic imaging service; and

    • (b)

      at least 1 consultation;

     for the same patient on the same day, the highest fee, set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day, is reduced by the least of:

    • (c)

      if the fee for the consultation is at least $40.00 — $35.00; or

    • (d)

      if the fee for the consultation is less than $40.00 — $15.00; or

    • (e)

      that fee.

  • (3)

    Subrule (2) only applies to the consultation for which the highest fee is set out in the items that apply to the consultations.

  • (4)

    If a medical practitioner renders:

    • (a)

      at least 1 R-type diagnostic imaging service; and

    • (b)

      at least 1 non-consultation service;

     for the same patient on the same day, the highest fee, set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day, is reduced by $5.00.

  • (5)

    If a medical practitioner renders:

    • (a)

      an R-type diagnostic imaging service; and

    • (b)

      a consultation; and

    • (c)

      a non-consultation service;

     for the same patient on the same day, the sum of the reductions under subrules (2) and (4) is not to exceed the highest fee set out in the items that apply to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day.

  • (6)

    This rule does not apply to diagnostic imaging services that are rendered in a remote area by a medical practitioner for whom a remote area exemption under section 23DX of the Act is in force for that area.

  • (7)

    In this rule:

    consultation means a service under an item listed in Groups A1 to A9 of the general medical services table;

    non-consultation servicemeans a service under an item listed in the general medical service table other than in Groups A1 to A9.

  • (8)

    A reference in this rule to a highest feeis a reference to a fee for an item in the first claim processed by the Commission for which subrule (1), (2) or (4) applies.

16MRI and MRA services – eligible services

 Items 63000 to 63946 apply only to an MRI or MRA service performed:

  • (a)

    on referral, in accordance with rule 17, by a specialist or consultant physician; and

  • (b)

    in a permissible circumstance, in accordance with rule 18; and

  • (c)

    with eligible equipment, in accordance with rule 20.

17Referral for MRI and MRA services – requirements

 A referral for any of items 63000 to 63946 must:

  • (a)

    be in writing; and

  • (b)

    identify the clinical indications for the service.

18MRI and MRA services – permissible circumstances for performance

 For rule 16, a service is performed in a permissible circumstance only if it is performed:

  • (a)

    under the professional supervision of an eligible provider who is available to monitor and influence the conduct and diagnostic quality of the examination, including, if necessary, by personal attendance on the patient; or

  • (b)

    if paragraph (a) is not complied with:

    • (i)

      in an emergency; or

    • (ii)

      because of medical necessity — in a remote or rural location.

19MRI and MRA services – eligible provider
  • (1)

    For rule 18, an eligible provider is a specialist in diagnostic radiology who satisfies the Commission that:

    • (a)

      he or she is a participant in the Royal Australasian College of Radiologists’ Quality and Accreditation Program; and

    • (b)

      the equipment he or she proposes to use for providing services of the kind mentioned in group I5 in the diagnostic imaging services table (the proposed equipment) is eligible equipment for rule 20.

  • (2)

    The specialist must give the Commission a statutory declaration:

    • (a)

      stating the matters mentioned in paragraphs (1) (a) and (b); and

    • (b)

      specifying the location of the proposed equipment; and

    • (c)

      specifying the kinds of diagnostic imaging procedures offered at that location; and

    • (d)

      if the proposed equipment has been installed at that location — stating the date that it was installed (the installation date); and

    • (e)

      if the installation date was 12 May 1998 — stating the time at which the equipment was installed.

  • (3)

    If the equipment had not been installed before 7.30 pm on 12 May 1998, Eastern Standard Time, the specialist must give the Commission, with the statutory declaration, a copy of the contract for the purchase or lease of the equipment.

  • (4)

    The Commission may request a specialist to:

    • (a)

      give the Commission documents to support statements made in the statutory declaration; and

    • (b)

      answer questions put to the specialist by the Commission about those statements.

    Note   The documents may include the contract for purchase or lease of the proposed equipment, if not already given to the Commission under subrule (3).

20MRI and MRA services – eligible equipment
  • (1)

    For rule 16, eligible equipment is equipment that complies with this rule.

  • (2)

    The equipment must be located in a medical practice, or the radiology department of a hospital, that offers a comprehensive range of diagnostic imaging procedures.

  • (3)

    The equipment must:

    • (a)

      have been installed in a medical practice or hospital before 7.30 pm on 12 May 1998, Eastern Standard Time; or

    • (b)

      although uninstalled, have been purchased or leased before that time on that day under a contract, in writing, that did not contain an option to cancel the contract; or

    • (c)

      be replacement equipment for equipment mentioned in paragraph (a) or (b).

    Note   Equipment can be relocated to a new location without affecting its compliance with subrule (3). However, to continue to be eligible equipment, the equipment would have to continue to comply with subrule (2).

  • (4)

    Equipment mentioned in paragraph (3) (a) or (b) ceases to be eligible equipment when replaced by other equipment.

  • (5)

    For this rule:

    comprehensive, in relation to a range of diagnostic imaging procedures, means that the range includes x‑ray, ultrasound and computerised tomography (CT) procedures.

    medical practice means a practice conducted by a sole practitioner, a practice conducted by a group of practitioners within the meaning of subsection 16A (9) or (10) of the Act or a practice conducted by a medical entrepreneur.

21MRI and MRA services – meaning of scan

 In items 63000 to 63946:

scan means a minimum of 3 sequences.

22MRI and MRA services – descriptions of purpose of services

 The purposes for which a MRI or MRA service may be claimed (the purpose for each particular service being set out in each of items 63000 to 63946) are:

  • (a)

    the exclusion of a condition; and

  • (b)

    the further investigation of a condition, if the service is used as the secondary imaging modality:

    • (i)

      when the diagnosis is uncertain; or

    • (ii)

      to assess the severity of the condition; and

  • (c)

    the monitoring of a condition, if the service is used following confirmed diagnosis to assess progress of a condition following treatment.

Note   For the meaning of exclusion of a condition, if that is the purpose of requesting a MRI or MRA service, see rule 1.

23MRI or MRA services – number of related services that can be claimed in a 12 month period
  • (1)

    The fee mentioned in an item does not apply if:

    • (a)

      the item is included in a class mentioned in subrule (2); and

    • (b)

      the service mentioned in the item is provided to a person who, in the 12 months before the service, has been provided with the maximum number of services in that class mentioned in subrule (2).

  • (2)

    For subrule (1), the classes, and maximum number of services, are:

    • (a)

      items 63000–63024 — 1 service;

    • (b)

      items 63050–63062 — 1 service;

    • (c)

      items 63100–63133 — 1 service;

    • (d)

      items 63150–63162 — 1 service;

    • (e)

      items 63200–63221 — 2 services;

    • (f)

      items 63250–63256 — 2 services;

    • (g)

      items 63300–63315 — 1 service;

    • (h)

      items 63350–63365 — 1 service;

    • (i)

      items 63400–63430 — 1 service;

    • (j)

      items 63450–63480 — 1 service;

    • (k)

      items 63500–63524 — 1 service;

    • (l)

      items 63550–63574 — 1 service;

    • (m)

      items 63600–63627 — 1 service;

    • (n)

      items 63650–63680 — 1 service;

    • (o)

      items 63700–63721 — 1 service;

    • (p)

      item 63745 — 2 services;

    • (q)

      items 63750–63756 — 1 service;

    • (r)

      items 63800–63806 — 2 services;

    • (s)

      item 63870 — 1 service;

    • (t)

      items 63850–63868 — 2 services;

    • (u)

      items 63900–63909 — 1 service;

    • (v)

      item 63920 — 1 service;

    • (w)

      item 63930 — 1 service.

Part2Service and fees

Item

Diagnostic imaging service

Fee ($)

Group I1 — Ultrasound

Subgroup 1 — General

55028

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

  • (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)

$100.45

55029

Head, 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)

$34.85

55030

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

  • (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)

$100.45

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)

$34.85

55032

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

  • (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)

$100.45

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)

$34.85

55034

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

  • (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)

$100.45

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)

$34.85

55036

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

  • (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)

$100.45

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)

$34.85

55038

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

  • (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)

$100.45

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)

$34.85

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 where:

  • (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)

$100.45

55041

Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where 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)

$34.85

55042

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

  • (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)

$100.45

55043

Pelvis, female, ultrasound scan of, by any or all approaches, 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)

$34.85

55044

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

  • (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)

$100.45

55045

Pelvis, male, ultrasound scan of, by any or all approaches, 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)

$34.85

55048

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

  • (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)

$100.85

55049

Scrotum, 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)

$34.85

55050

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

  • (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)

$100.85

55051

Musculo — skeletal, 1 or more regions, 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)

$34.85

55052

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

  • (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)

$100.45

55053

Joint, 1 or more, 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)

$34.85

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)

$100.45

55055

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

$60.80

55058

Measurement of umbilical blood flow using pulsed wave or continuous wave Doppler techniques after the 26th week of gestation where the patient is referred by a medical practitioner for this procedure and where 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)

$27.40

Subgroup 2 — Cardiac

55102

M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, with recordings on video tape, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies (R)

$164.80

55105

M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of cardiac dimensions, with recordings on video tape, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies (R)

$93.25

55112

M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 thoracic windows, with recordings on video tape, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies (R)

$259.00

55118

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

  • (a)

    performed using a mechanical sector scanner or phased array transducer with:

    • (i)

      measurement of blood flow velocities across the cardiac valves using 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; and

  • (b)

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

$258.40

55130

Intra-operative 2 dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure (R) (Anaes. 17710 = 6B + 4T)

$374.20

Subgroup 3 — Vascular

55238

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb or of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55240

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb or of arteries and bypass grafts in the lower limb, below the inguinal ligament, 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 (with the exception of item 55054) or 4 of this group applies — 1 examination and report (R)

$198.05

55242

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb or of arteries and bypass grafts in the lower limb,

  below the inguinal ligament, including a service referred to in item 11612, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$219.65

55244

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55246

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55248

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb or of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55250

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb or of arteries and bypass grafts in the upper limb, 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 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$198.05

55252

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55254

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, 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 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$198.05

55256

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limbs or of arteries and bypass grafts in the lower limbs, below the inguinal ligament, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this group applies — 1 examination and report (R)

$170.35

55258

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limbs or of arteries and bypass grafts in the lower limbs, below the inguinal ligament, 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 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$198.05

55260

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limbs or of arteries and bypass grafts in the lower limbs, below the inguinal ligament, including a service referred to in item 11612, not being a service associated with a service to which an item in Subgroup 1 (with exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$219.65

55262

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limbs, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55264

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limbs, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55266

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limbs or of arteries and bypass grafts in the upper limbs, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55268

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limbs, or of arteries and bypass grafts in the upper limbs, 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 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$198.05

55270

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limbs, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55272

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limbs, 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 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$198.05

55274

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra-cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri‑orbital Doppler examination, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55276

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries or inferior vena cava and iliac veins or of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, for an examination of not less than 45 minutes duration, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55278

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels or of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required, excluding pregnancy related studies, for an examination of not less than 45 minutes duration, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55280

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-cranial vessels, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — 1 examination and report (R)

$170.35

55282

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of 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 vasular aetiology for impotence, where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine 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 or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies — examination and report (R)

$170.35

55284

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

  • (a)

    priapism; or

  • (b)

    fibrosis of any type; or

  • (c)

    fracture of the tunica; or

  • (d)

    arteriovenous malformations;

where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine 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 or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Groups applies — 1 examination and report (R)

170.35

55286

Duplex scanning, unilateral or bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of vessels not otherwise specified (excluding the cavernosal artery and the dorsal artery of the penis), not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054), 3 or 4 of this Group applies — 1 examination and report (R)

$170.35

55288

Two examinations of a kind referred to in items 55238 to 55286 inclusive (excluding items 55282 and 55284) except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:

block (a) — items 55238, 55240, 55242, 55256, 55258 and 55260;

block (b) — items 55244, 55246, 55262 and 55264;

block (c) — items 55248, 55250, 55266 and 55268;

block (d) — items 55252, 55254, 55270 and 55272;

block (e) — item 55276 and 55278;

not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054), 3 (where the examination is of a kind referred to in item 55286) or 4 of this Group applies — examination and report (R)

300.25

55290

Three examinations of a kind referred to in items 55238 to 55286 inclusive (excluding items 55282 and 55284) except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:

block (a) — items 55238, 55240, 55242, 55256, 55258 and 55260;

block (b) — items 55244, 55246, 55262 and 55264;

block (c) — items 55248, 55250, 55266 and 55268;

block (d) — items 55252, 55254, 55270 and 55272;

block (e) — items 55276 and 55278;

not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054), 3 (where the examination is of a kind referred to in item 55286) or 4 of this Group applies — examination and report (R)

$300.25

Subgroup 4 — Urological

55300

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

  • (a)

    personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using a transducer probe or probes that:

    • (i)

      have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which 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

$100.45

  • (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)

55303

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

  • (a)

    personally by a medical practitioner who undertook the assessment referred to in paragraph (c) using a transducer probe or probes that:

    • (i)

      have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which 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)

$100.45

Group I2 — Computerised tomography — examination and report

56001

Computerised tomography — scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R)

$198.45

56007

Computerised tomography — scan of brain with intravenous contrast medium and with any scans of the brain prior to intravenous contrast injection when undertaken, not being a service to which item 57007 applies (R)

$253.45

56010

Computerised tomography — scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when undertaken (R)

$287.15

56013

Computerised tomography — scan of orbits with or without intravenous contrast medium and with or without brain scan when undertaken (R)

$287.15

56016

Computerised tomography — scan of middle ear and temporal bone, unilateral or bilateral, with or without intravenous contrast medium and with or without brain scan when undertaken (R)

$341.95

56019

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

$420.10

56022

Computerised tomography — scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R)

$227.50

56028

Computerised tomography — scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both prior to intravenous contrast injection, when undertaken (R)

$338.60

56101

Computerised tomography — scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56801 applies (R)

$233.95

56107

Computerised tomography — scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) with intravenous contrast medium and with any scans of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) prior to intravenous contrast injection, when undertaken, not being a service associated with a service

 to which item 56807 applies (R)

$345.00

56210

Computerised tomography — scan of spine, 1 or more regions, without intravenous contrast medium, payable once only whether 1 or more attendances are required to complete the service (R)

$246.25

56216

Computerised tomography — scan of spine, 1 or more regions, with intravenous contrast medium and with any scans of the spine, prior to intravenous contrast injection, when undertaken, only 1 benefit is payable whether 1 or more attendances are required to complete the service (R)

$356.85

56219

Computerised tomography — scan of spine, 1 or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X-rays, not being a service to which item 59724 applies (R)

$331.35

56301

Computerised tomography — scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies (R)

$300.55

56307

Computerised tomography — scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of chest, including lungs, mediastinum, chest wall and pleura and upper abdomen prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies (R)

$406.60

56401

Computerised tomography — scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56301, 56501, 56801 or 57001 applies (R)

$255.00

56407

Computerised tomography — scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium and with any scans of upper abdomen (diaphragm to iliac crest) prior to intravenous contrast injection, when undertaken, not being a service to which item 56307, 56507, 56807 or 57007 applies (R)

$364.85

56409

Computerised tomography — scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item 56401 applies (R)

$255.00

56412

Computerised tomography — scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) prior to intravenous contrast injection, when undertaken, not being a service to which item 56407 applies (R)

$364.85

56501

Computerised tomography — scan of upper abdomen and pelvis without intravenous contrast medium, not being a service to which item 56801 or 57001 applies (R)

$388.30

56507

Computerised tomography — scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies (R)

$490.00

56619

Computerised tomography — scan of extremities, 1 or more regions without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R)

$225.35

56625

Computerised tomography — scan of extremities, 1 or more regions with intravenous contrast medium and with any scans of extremities, prior to intravenous contrast injection, when undertaken, only 1 benefit is payable whether 1 or more attendances are required to complete the service (R)

$336.45

56801

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

$469.00

56807

Computerised tomography — scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck prior to intravenous contrast injection, when undertaken (R)

$570.70

57001

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

$469.10

57007

Computerised tomography — scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen prior to intravenous contrast injection, when undertaken (R)

$570.80

57201

Computerised tomography — pelvimetry (R)

$156.05

57341

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)

$486.60

57350

Computerised tomography — spiral angiography with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken — 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, including multiple projections, not being a service to which another item in this group applies (R)

$531.10

Group I3 — Diagnostic radiology

Subgroup 1 — Radiographic examination of extremities and report

57506

Hand, wrist, forearm, elbow or humerus (NR)

$31.35

57509

Hand, wrist, forearm, elbow or humerus (R)

$41.85

57512

Hand, wrist and forearm, or forearm and elbow, or elbow and humerus (NR)

$42.60

57515

Hand, wrist and forearm, or forearm and elbow, or elbow and humerus (R)

$56.85

57518

Foot, ankle, leg, knee or femur (NR)

$34.25

57521

Foot, ankle, leg, knee or femur (R)

$45.70

57524

Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (NR)

$51.95

57527

Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (R)

$69.25

Subgroup 2 — Radiographic examination of shoulder or pelvis and report

57700

Shoulder or scapula (NR)

$42.60

57703

Shoulder or scapula (R)

$56.85

57706

Clavicle (NR)

$34.25

57709

Clavicle (R)

$45.70

57712

Hip joint (R)

$49.65

57715

Pelvic girdle (R)

$64.20

57721

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

$104.50

Subgroup 3 — Radiographic examination of head and report

57900

Skull or cephalometry (R)

$67.95

57903

Sinuses (R)

$49.65

57906

Mastoids (R)

$67.95

57909

Petrous temporal bones (R)

$67.95

57912

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

$49.65

57915

Mandible, not by orthopantomography technique (R)

$49.65

57918

Salivary calculus (R)

$49.65

57921

Nose (R)

$49.65

57924

Eye (R)

$49.65

57927

Temporo-mandibular joints (R)

$52.25

57930

Teeth — single area (R)

$34.65

57933

Teeth — full mouth (R)

$82.35

57936

Teeth — orthopantomography (R)

$49.85

57939

Palato-pharyngeal studies with fluoroscopic screening (R)

$67.95

57942

Palato-pharyngeal studies without fluoroscopic screening (R)

$52.25

57945

Larynx, lateral airways and soft tissues of the neck, not being a service associated with a service to which item 57939 or 57942 applies (R)

$45.70

Subgroup 4 — Radiographic examination of spine and report

58100

Spine — cervical (R)

$70.75

58103

Spine — thoracic (R)

$58.10

58106

Spine — lumbo-sacral (R)

$81.05

58109

Spine — sacro-coccygeal (R)

$49.45

58112

Spine — 2 regions (R)

$102.40

58115

Spine — 3 or more regions (R)

$140.00

Subgroup 5 — Bone age study and skeletal surveys and report

58300

Bone age study (R)

$42.20

58306

Skeletal survey (R)

$94.10

Subgroup 6 — Radiographic examination of thoracic region and report

58500

Chest (lung fields) by direct radiography (NR)

$37.20

58503

Chest (lung fields) by direct radiography (R)

$49.65

58506

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

$64.00

58509

Thoracic inlet or trachea (R)

$41.85

58521

Left ribs, right ribs or sternum (R)

$45.70

58524

Left and right ribs, left ribs and sternum, or right ribs and sternum (R)

$59.45

58527

Left ribs, right ribs and sternum (R)

$73.15

Subgroup 7 — Radiographic examination of urinary tract and report

58700

Plain renal only (R)

$48.45

58706

Intravenous pyelography, with or without preliminary plain films and with or without tomography — examination and report (R)

$166.30

58715

Antegrade or retrograde pyelography, with or without preliminary plain films and with preparation and contrast injection — 1 side — examination and report (R)

$159.55

58718

Retrograde cystography or retrograde urethrography with or without preliminary plain films and with preparation and contrast injection — examination and report (R) (Anaes. 17705 = 3B + 2T)

$132.80

58721

Retrograde micturating cysto-urethrography, with preparation and contrast injection — examination and report (R) (Anaes. 17705 = 3B + 2T)

$145.55

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)

$37.60

58903

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

$50.10

58909

Barium or other opaque meal of 1 or more of pharynx, oesophagus, stomach or duodenum, with or without preliminary plain films of pharynx, chest or duodenum, not being a service associated with a service to which item 57939, 57942 or 57945 applies — examination and report (R)

$94.75

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)

$116.10

58915

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

$83.10

58916

Small bowel enema, barium or other opaque study of the small bowel, including duodenal intubation, with or without preliminary plain films, not being a service associated with a service to which item 30488 applies — examination and report (R) (Anaes. 17707 = 5B + 2T)

$145.80

58921

Opaque enema, with or without air contrast study and with or without preliminary plain films — examination and report (R)

$142.10

58924

Graham’s test (cholecystography), with preliminary plain films and with or without tomography — examination and report (R)

$88.45

58927

Cholegraphy direct, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 30439 applies — examination and report (R)

$80.50

58933

Cholegraphy, percutaneous transhepatic, with or without preliminary plain films and with preparation and contrast injection — examination and report (R)

$216.50

58936

Cholegraphy, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography — examination and report (R)

$206.35

58939

Defaecogram (R)

$146.70

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

59103

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

Amount under rule 10

Subgroup 10 — Radiographic examination of breasts and report

59300

Radiographic examination of both breasts, (with or without thermography) and report if:

$82.40

  • (a)

    the patient is referred with a specific request for this procedure; and

  • (b)

    there is reason to suspect the presence of malignancy in the breasts because of:

  • (i)

    the past occurrence of breast malignancy in the patient or members of the patient’s family; or

  • (ii)

    symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) (S)

59303

Radiographic examination of 1 breast, (with or without thermography) and report if:

$49.70

  • (a)

    the patient is referred with a specific request for this procedure; and

  • (b)

    there is reason to suspect the presence of malignancy in the breast because of:

  • (i)

    the past occurrence of breast malignancy in the patient or members of the patient’s family; or

  • (ii)

    symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) (S)

59306

Mammary ductogram (galactography) — 1 breast (R)

$95.05

59309

Mammary ductogram, (galactography) — 2 breasts (R)

$190.10

59312

Radiographic examination of both breasts, in conjunction with a surgical procedure on each breast, using interventional techniques — examination and report (R)

$82.40

59314

Radiographic examination of 1 breast, in conjunction with a surgical procedure using interventional techniques — examination and report (R)

$49.70

59318

Radiographic examination of excised breast tissue to confirm satisfactory excision of 1 or more lesions in 1 or both breasts following pre-operative localisation in conjunction with a service under item 30361 — examination and report (R)

$44.60

Subgroup 11 — Radiographic examination in connection with pregnancy and report

59503

Pelvimetry, not being a service associated with a service to which item 57201 applies (R)

$94.10

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

59700

Discography, each disc, with or without preliminary plain films and with preparation and contrast injection — examination and report (R) (Anaes. 17707 = 5B + 2T)

$101.65

59703

Dacryocystography, 1 side, with or without preliminary plain film and with preparation and contrast injection — examination and report (R)

$79.90

59712

Hysterosalpingography, with without preliminary plain films and with preparation and contrast injection — examination and report (R) (Anaes. 17705 = 3B + 2T)

$119.75

59715

Bronchography, 1 side, with or without preliminary plain films and with preparation and contrast injection — examination and report (R) (Anaes. 17709 = 6B + 3T)

$151.15

59718

Phlebography, 1 side, with or without preliminary plain films and with preparation and contrast injection — examination and report (R) (Anaes. 17708 = 5B + 3T)

$141.80

59724

Myelography, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 56219 applies — examination and report (R) (Anaes. 17712 = 7B + 5T)

$238.40

59733

Sialography, 1 side, with preparation and contrast injection, not being a service associated with a service to which item 57918 applies — examination and report (R)

$113.35

59736

Vasoepididymography, 1 side, for other than an investigation for reversal of previous sterilisation — examination and report (R)

$65.30

59739

Sinogram or fistulogram, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection — examination and report (R)

$77.65

59751

Arthrography, each joint, excluding the facet (zygapophyseal) joints of the spine, single or double contrast study, with or without preliminary plain films and with preparation and contrast injection — examination and report (R)

$146.50

59754

Lymphangiography, one or both sides, with preliminary plain films and follow-up radiography and with preparation and contrast injection — examination and report (R)

$231.00

59760

Peritoneogram (herniography) with or without contrast medium including preparation — performed on a person over 14 years of age (R)

$121.25

59763

Air insufflation during video-fluoroscopic imaging, including associated consultation (R)

$140.95

Subgroup 13 — Angiography and report

59900

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

$88.05

59903

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

$121.25

59906

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

$121.25

59912

Selective coronary arteriography (R)

$322.95

59915

Cerebral angiography — 1 side (R)

$82.35

59918

Arteriography, peripheral — 1 side (R)

$104.50

59921

Aortography (R)

$104.50

59924

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

$104.50

59970

Angiography with fluoroscopy and image acquisition using a mobile image intensifier, one or more regions including any preliminary plain films, preparation and contrast injection (R)

$159.50

60000

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

$534.45

60003

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

$783.75

60006

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

$1114.50

60009

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

$1304.25

60012

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

$534.45

60015

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

$783.75

60018

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

$1114.50

60021

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

$1304.25

60024

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

$534.45

60027

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

$783.75

60030

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

$1114.50

60033

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

$1304.25

60036

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

$534.45

60039

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

$783.75

60042

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

$1114.50

60045

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

$1304.25

60048

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

$534.45

60051

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

$783.75

60054

Digital subtraction angiography, examination of lower limb or limbs — 7 to

9 data acquisition runs (R)

$1114.50

60057

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

$1304.25

60060

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

$534.45

60063

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

$783.75

60066

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

$1114.50

60069

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

$1304.25

60072

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

$45.55

60075

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

$91.10

60078

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

$136.65

Subgroup 14 — Tomography and report

60100

Tomography of any region and report (R)

$64.00

Subgroup 15 — Fluoroscopic examination and report

60500

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

$45.70

60503

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

$31.35

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)

$67.15

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)

$104.10

Subgroup 16 — Preparation for radiological procedure

60903

Cerebral angiography, 1 side — percutaneous, catheter or open exposure, when used in association with a service to which item 59900, 59903, 59906, 59912, 59915, 59918, 59921, 59924 or 59970 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR) (Anaes. 17710 = 5B + 5T)

$135.00

60915

Aortography, when used in association with a service to which item 59900, 59903, 59906, 59912, 59915, 59918, 59921, 59924 or 59970 applies, not being a service associated with a service to

 which items 60000 to 60078 inclusive apply (NR) (Anaes. 17709 = 5B + 4T)

$74.35

60918

Arteriography (peripheral) or phlebography — 1 vessel, when used in association with a service to which item 59900, 59903, 59906, 59912, 59915, 59918, 59921, 59924 or 59970 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR) (Anaes. 17708 = 5B + 3T)

$55.45

60927

Selective arteriogram or phlebogram, when used in association with a service to which item 59900, 59903, 59906, 59912, 59915, 59918, 59921, 59924 or 59970 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR)

 (Anaes. 17708 = 5B + 3T)

$45.75

Subgroup 17 — 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)

$272.60

Group I4 — Nuclear medicine imaging

61302

Single stress or rest myocardial perfusion study — planar imaging (R)

$385.45

61303

Single stress or rest myocardial perfusion study — with single photon emission tomography and with planar imaging when undertaken (R)

$497.30

61306

Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion — planar imaging (R)

$609.45

61307

Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion — with single photon emission tomography and with planar imaging when undertaken (R)

$741.65

61310

Myocardial infarct-avid study, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$315.40

61313

Gated cardiac blood pool study, (equilibrium), with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$265.45

61314

Gated cardiac blood pool study, and first pass blood flow or cardiac shunt study, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$365.60

61316

Gated cardiac blood pool study, with intervention, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$332.20

61317

Gated cardiac blood pool study, with intervention and first pass blood flow study or cardiac shunt study, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$427.75

61320

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

$196.60

61328

Lung perfusion study, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$186.60

61340

Lung ventilation study using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$217.30

61348

Lung perfusion study and lung ventilation study using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$383.20

61352

Liver and spleen study (colloid) — planar imaging (R)

$222.70

61353

Liver and spleen study (colloid), with single photon emission tomography and with planar imaging when undertaken (R)

$331.95

61356

Red blood cell spleen or liver study, including single photon emission tomography when undertaken (R)

$337.30

61360

Hepatobiliary study, including morphine administration or pre-treatment with cholecystokinin (CCK) when undertaken (R)

$350.35

61361

Hepatobiliary study with formal quantification following baseline imaging, using an infusion of cholecystokinin (CCK) (R)

$401.20

61364

Bowel haemorrhage study (R)

$426.75

61368

Meckel’s diverticulum study (R)

$191.60

61372

Salivary study (R)

$191.60

61373

Gastro-oesophageal reflux study, including delayed imaging on a separate occasion when undertaken (R)

$420.55

61376

Oesophageal clearance study (R)

$123.15

61381

Gastric emptying study, using single tracer (R)

$517.90

61383

Combined solid and liquid gastric emptying study using dual isotope technique or the same isotope on separate days (R)

$561.40

61384

Radionuclide colonic transit study (R)

$620.15

61386

Renal study, including perfusion and renogram images and computer analysis or cortical study with planar imaging (R)

$285.50

61387

Renal cortical study, with single photon emission tomography and planar quantification (R)

$391.60

61389

Single renal study with pre-procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R)

$318.25

61390

Renal study with diuretic administration following a baseline study (R)

$352.10

61393

Combined examination involving a renal study following angiotensin converting enzyme (ACE) inhibitor provocation and a baseline study, in either order and related to a single referral episode (R)

$529.85

61397

Cystoureterogram (R)

$212.00

61401

Testicular study (R)

$139.35

61402

Brain study using TC-exametazine, with single photon emission tomography and with planar imaging when undertaken (R)

$519.60

61405

Brain study with blood brain barrier agent, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)

$297.15

61409

Cerebro-spinal fluid transport study, with imaging on 2 or more separate occasions (R)

$750.15

61413

Cerebro-spinal fluid shunt patency study (R)

$194.05

61417

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)

$102.00

61421

Bone study — whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)

$416.45

61425

Bone study — whole body and single photon emission tomography, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)

$522.25

61426

Whole body study using iodine (R)

$476.45

61429

Whole body study using gallium (R)

$466.30

61430

Whole body study using gallium, with single photon emission tomography (R)

$578.15

61433

Whole body study using cells labelled with Technetium (R)

$426.75

61434

Whole body study using cells labelled with Technetium, with single photon emission tomography (R)

$528.45

61437

Whole body study using thallium (R)

$466.10

61438

Whole body study using thallium, with single photon emission tomography (R)

$577.95

61441

Bone marrow study — whole body (R)

$420.55

61442

Whole body study, using gallium — with single photon emission tomography of 2 or more body regions acquired separately (R)

$669.70

61446

Localised bone or joint study, including when undertaken, blood flow, blood pool and repeat imaging on a separate occasion (R)

$289.90

61449

Localised bone or joint study and single photon emission tomography, including when undertaken, blood flow, blood pool and imaging on a separate occasion (R)

$397.75

61450

Localised study using gallium (R)

$341.40

61453

Localised study using gallium, with single photon emission tomography (R)

$453.80

61454

Localised study using cells labelled with Technetium (R)

$298.90

61458

Localised study using thallium (R)

$340.85

61461

Localised study using thallium, with single photon emission tomography (R)

$453.30

61462

Repeat planar and single photon emission tomography imaging, or repeat planar or single photon emission tomography imaging on a subsequent occasion where no fee has been paid for the first investigation and there is no additional administration of radiopharmaceutical agent, not being a service associated with item 61373, 61409, 61421, 61425, 61446, 61449, 61484 or 61485 (R)

Amount under rule 14

61465

Venography (R)

$228.05

61469

Lymphoscintigraphy (R)

$298.90

61473

Thyroid study including uptake measurement when undertaken (R)

$152.55

61480

Parathyroid study, planar imaging and single photon emission tomography when undertaken (R)

$332.20

61484

Adrenal study, with imaging on 2 or more separate occasions (R)

$756.45

61485

Adrenal study, with imaging on 2 or more occasions and renal localisation and single photon emission tomography when undertaken (R)

$858.15

61495

Tear duct study (R)

$191.60

61499

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

$217.30

GROUP I5 — MAGNETIC RESONANCE IMAGING

Subgroup 1 — Scan of head for the exclusion of a specified condition

63000

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of tumour of the brain or meninges (R)

$475.00

63003

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of skull base or orbital tumour (R)

$475.00

63006

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of acoustic neuroma (R)

$475.00

63009

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of pituitary tumour (R)

$475.00

63012

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of inflammation of brain or meninges (R)

$475.00

63015

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of toxic or metabolic or ischaemic encephalopathy (R)

$475.00

63018

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of demyelinating disease of the brain (R)

$475.00

63021

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of congenital malformation of brain or meninges (R)

$475.00

63024

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of venous sinus thrombosis (R)

$475.00

Subgroup 2 — Scan of head and cervical spine for the exclusion of a specified condition

63050

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of tumour of the central nervous system or meninges (R)

$475.00

63053

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of inflammation of the central nervous system or meninges (R)

$475.00

63056

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of demyelinating disease of the central nervous system (R)

$475.00

63059

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of congenital malformation of the central nervous system or meninges (R)

$475.00

63062

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of syrinx — congenital or acquired (R)

$475.00

Subgroup 3 — Scan of head for further investigation of a specified condition

63100

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of tumour of the brain or meninges (R)

$475.00

63103

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of skull base or orbital tumour (R)

$475.00

63106

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of acoustic neuroma (R)

$475.00

63109

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of pituitary tumour (R)

$475.00

63112

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of inflammation of the brain or meninges (R)

$475.00

63115

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of toxic or metabolic or ischaemic encephalopathy (R)

$475.00

63118

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of demyelinating disease of the brain (R)

$475.00

63121

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of congenital malformation of the brain or meninges (R)

$475.00

63124

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of head trauma (R)

$475.00

63127

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of epilepsy (R)

$475.00

63130

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of stroke (R)

$475.00

63133

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of venous sinus thrombosis (R)

$475.00

Subgroup 4 — Scan of head and cervical spine for further investigation of a specified condition

63150

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of tumour of the central nervous system or meninges (R)

$475.00

63153

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of inflammation of the central nervous system or meninges (R)

$475.00

63156

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of demyelinating disease of the central nervous system (R)

$475.00

63159

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of congenital malformation of the central nervous system or meninges (R)

$475.00

63162

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of syrinx — congenital or acquired (R)

$475.00

Subgroup 5 — Scan of head for monitoring of a specified condition

63200

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of acoustic neuroma (R)

$475.00

63203

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of pituitary tumour (R)

$475.00

63206

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of demyelinating disease of the brain (R)

$475.00

63209

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of congenital malformation of brain or meninges (R)

$475.00

63212

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of head trauma (R)

$475.00

63215

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of epilepsy (R)

$475.00

63218

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of stroke (R)

$475.00

63221

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of toxic or metabolic or ischaemic encephalopathy (R)

$475.00

Subgroup 6 — Scan of head and cervical spine for monitoring of a specified condition

63250

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of demyelinating disease of the central nervous system (R)

$475.00

63253

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of congenital malformation of the central nervous system or meninges (R)

$475.00

63256

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of syrinx — congenital or acquired (R)

$475.00

Subgroup 7 — Scan of head and cervical spine for monitoring of a specified condition

63270

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of tumour of the brain or meninges (R)

$475.00

63273

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of skull base or orbital tumour (R)

$475.00

63276

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of inflammation of brain or meninges (R)

$475.00

63279

MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of venous sinus thrombosis (R)

$475.00

Subgroup 8 — Scan of head and cervical spine for monitoring of a specified condition

63290

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of tumour of the central nervous system or meninges (R)

$475.00

63293

MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of inflammation of the central nervous system or meninges (R)

$475.00

Subgroup 9 — Scan of 1 region of spine or 2 contiguous regions for the exclusion of a specified condition

63300

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of infection (R)

$475.00

63303

MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of tumour (R)

$475.00

63306

MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of demyelinating disease (R)

$475.00

63309

MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of congenital malformation of the spinal cord or the cauda equina or the meninges (R)

$475.00

63312

MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of myelopathy (R)

$475.00

63315

MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of syrinx — congenital or acquired (R)

$475.00

Subgroup 10 — Scan of 3 contiguous or 2 non‑contiguous regions of spine for the exclusion of a specified condition

63350

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of infection (R)

$475.00

63353

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of tumour (R)

$475.00

63356

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of demyelinating disease (R)

$475.00

63359

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of congenital malformation of the spinal cord or the cauda equina or the meninges (R)

$475.00

63362

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of myelopathy (R)

$475.00

63365

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of syrinx — congenital or acquired (R)

$475.00

Subgroup 11 — Scan of 1 region of spine or 2 contiguous regions for further investigation of a specified condition

63400

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of infection (R)

$475.00

63403

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of tumour (R)

$475.00

63406

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of demyelinating disease (R)

$475.00

63409

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of congenital malformation of the spinal cord or the cauda equina or the meninges (R)

$475.00

63412

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of myelopathy (R)

$475.00

63415

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of syrinx — congenital or acquired (R)

$475.00

63418

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of cervical radiculopathy (R)

$475.00

63421

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of sciatica (R)

$475.00

63424

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of spinal canal stenosis (R)

$475.00

63427

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of previous spinal surgery (R)

$475.00

63430

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of trauma (R)

$475.00

Subgroup 12 — Scan of 3 contiguous of spine or 2 non‑contiguous regions for further investigation of a specified condition

63450

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of infection (R)

$475.00

63453

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of tumour (R)

$475.00

63456

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of demyelinating disease (R)

$475.00

63459

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of congenital malformation of the spinal cord or the cauda equina or the meninges (R)

$475.00

63462

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of myelopathy (R)

$475.00

63465

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of syrinx — congenital or acquired (R)

$475.00

63468

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of cervical radiculopathy (R)

$475.00

63471

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of sciatica (R)

$475.00

63474

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of spinal canal stenosis (R)

$475.00

63477

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of previous spinal surgery (R)

$475.00

63480

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the further investigation of trauma (R)

$475.00

Subgroup 13 — Scan of 1 region of spine or 2 contiguous regions for monitoring of a specified condition

63500

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of demyelinating disease (R)

$475.00

63503

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of congenital malformation of the spinal cord or the cauda equina or the meninges (R)

$475.00

63506

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of myelopathy (R)

$475.00

63509

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of syrinx — congenital or acquired (R)

$475.00

63512

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of cervical radiculopathy (R)

$475.00

63515

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of sciatica (R)

$475.00

63518

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of spinal canal stenosis (R)

$475.00

63521

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of previous spinal surgery (R)

$475.00

63524

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of trauma (R)

$475.00

Subgroup 14 — Scan of 3 contiguous or 2 non‑contiguous regions of the spine for monitoring of a specified condition

63550

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the monitoring of demyelinating disease (R)

$475.00

63553

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the monitoring of congenital malformation of the spinal cord or the cauda equina or the meninges (R)

$475.00

63556

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the monitoring of myelopathy (R)

$475.00

63559

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the monitoring of syrinx — congenital or acquired (R)

$475.00

63562

MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of cervical radiculopathy (R)

$475.00

63565

MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of sciatica (R)

$475.00

63568

MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of spinal canal stenosis (R)

$475.00

63571

MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of previous spinal surgery (R)

$475.00

63574

MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of trauma (R)

$475.00

Subgroup 15 — Scan of 1 region of spine or 2 contiguous region for monitoring of a specified condition

63580

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of infection (R)

$475.00

63583

MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of tumour (R)

$475.00

Subgroup 16 — Scan of 3 contiguous or 2 non‑contiguous regions of spine for monitoring of a specified condition

63590

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of infection (R)

$475.00

63593

MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of tumour (R)

$475.00

Subgroup 17 — Scan of musculoskeletal system for the exclusion of a specified condition

63600

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of tumour arising in bone or other connective tissue (R)

$475.00

63603

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of infection arising in bone or other connective tissue (R)

$475.00

63606

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of osteonecrosis (R)

$475.00

63609

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of hip or its supporting structures (R)

$475.00

63612

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of shoulder or its supporting structures (R)

$475.00

63615

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of knee or its supporting structures (R)

$475.00

63618

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of ankle or its supporting structures (R)

$475.00

63621

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of temporomandibular joint or its supporting structures (R)

$475.00

63624

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of wrist or its supporting structures (R)

$475.00

63627

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of elbow or its supporting structures (R)

$475.00

Subgroup 18 — Scan of musculoskeletal system for further investigation of a specified condition

63650

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of tumour arising in bone or other connective tissue (R)

$475.00

63653

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of infection arising in bone or other connective tissue (R)

$475.00

63656

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of osteonecrosis (R)

$475.00

63659

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of hip or its supporting structures (R)

$475.00

63662

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of shoulder or its supporting structures (R)

$475.00

63665

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of knee or its supporting structures (R)

$475.00

63668

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of ankle or its supporting structures (R)

$475.00

63671

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of temporomandibular joint or its supporting structures (R)

$475.00

63674

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of wrist or its supporting structures (R)

$475.00

63677

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of elbow or its supporting structures (R)

$475.00

63680

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of post inflammatory or post traumatic physeal fusion in a person under 16 years of age (R)

$475.00

Subgroup 19 — Scan of musculoskeletal system for monitoring of a specified condition

63700

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of hip or its supporting structures (R)

$475.00

63703

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of shoulder or its supporting structures (R)

$475.00

63706

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of knee or its supporting structures (R)

$475.00

63709

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of ankle or its supporting structures (R)

$475.00

63712

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of temporomandibular joint or its supporting structures (R)

$475.00

63715

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of wrist or its supporting structures (R)

$475.00

63718

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of elbow or its supporting structures (R)

$475.00

63721

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of post inflammatory or post traumatic physeal fusion in a person under 16 years of age (R)

$475.00

Subgroup 20 — Scan of musculoskeletal system for monitoring of a specified condition

63736

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of osteonecrosis (R)

$475.00

63739

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of tumour arising in bone or other connective tissue (R)

$475.00

63742

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of infection arising in bone or other connective tissue (R)

$475.00

Subgroup 21 — Scan of musculoskeletal system for further investigation or monitoring of a specified condition

63745

MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation, or monitoring, of Gaucher disease (R)

$475.00

Subgroup 22 — Scan of cardiovascular system for further investigation of a specified condition

63750

MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for further investigation of congenital disease of the heart or a great vessel (R)

$475.00

63753

MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for further investigation of tumour of the heart or a great vessel (R)

$475.00

63756

MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for further investigation of abnormality of thoracic aorta (R)

$475.00

Subgroup 23 — Scan of cardiovascular system for monitoring of a specified condition

63800

MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for monitoring of congenital disease of the heart or a great vessel (R)

$475.00

63803

MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for monitoring of tumour of the heart or a great vessel (R)

$475.00

63806

MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for monitoring of abnormality of the thoracic aorta (R)

$475.00

Subgroup 24 — Magnetic resonance angiography — Scan of cardiovascular system for the exclusion of or further investigation of a specified condition

63850

MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation, of stroke (R)

$475.00

63853

MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation, of carotid or vertebral artery dissection (R)

$475.00

63856

MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of intracranial aneurysm (R)

$475.00

63859

MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of intracranial arteriovenous malformation (R)

$475.00

63862

MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of venous sinus thrombosis (R)

$475.00

63865

MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R)

$475.00

63868

MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R)

$475.00

Subgroup 25 — Magnetic resonance angiography — Scan of cardiovascular system for further investigation of a specified condition

63870

MRA — scan of cardiovascular system in a person under the age of 16 (with or without contrast) for further investigation of the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R)

$475.00

Subgroup 26 — Magnetic resonance angiography — Scan of cardiovascular system for further investigation of a specified condition

63880

MRA — scan of cardiovascular system (with or without contrast) for monitoring of carotid or vertebral artery dissection (R)

$475.00

63883

MRA — scan of cardiovascular system (with or without contrast) for monitoring of venous sinus thrombosis (R)

$475.00

Subgroup 27 — Scan of body for further investigation of a specified condition — Person under the age of 16 years

63900

MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for further investigation of pelvic or abdominal mass (R)

$475.00

63903

MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for further investigation of mediastinal mass (R)

$475.00

63906

MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for further investigation of congenital uterine or anorectal abnormality (R)

$475.00

63909

MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for further investigation of Gaucher disease (R)

$475.00

Subgroup 28 — Scan of body for further investigation of a specified condition

63920

MRI — scan of the body (with or without intravenous contrast) for further investigation of adrenal mass in a patient with a malignancy which is otherwise resectable (R)

$475.00

Subgroup 29 — Scan of body for monitoring of a specified condition — Person under the age of 16 years

63930

MRI — scan of the body (with or without intravenous contrast) for monitoring of congenital uterine or anorectal abnormality in a person under the age of 16 years (R)

$475.00

Subgroup 30 — Scan of body for monitoring of a specified condition — Person under the age of 16 years

63940

MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for monitoring of mediastinal mass (R)

$475.00

63943

MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for monitoring of pelvic or abdominal mass (R)

$475.00

63946

MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for monitoring of Gaucher disease (R)

$475.00

Notes to the Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations

Note 1

The Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations (in force under the Health Insurance Act 1973) as shown in this compilation comprise Statutory Rules 1997 No. 297 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

1997 No. 297

31 Oct 1997

1 Nov 1997

1998 No. 267

26 Aug 1998

1 Sept 1998

—

1998 No. 302

30 Oct 1998

1 Nov 1998

—

Table of Amendments

    ad. = added or inserted

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

Provision affected

How affected

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

am. 1998 No. 267

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