Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Trial) Determination HS/05/2007 (Cth)

Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Trial) Determination HS/05/2007

__________________________________________________________________

I, MEGAN MORRIS, Delegate of the Minister for Health and Ageing, make this Determination in accordance with the powers vested in the Minister under subsection 3C (1) of the Health Insurance Act 1973.

Dated           3 September 2007

_______Megan Morris_________________________

DELEGATE OF THE MINISTER FOR HEALTH AND AGEING

Contents

1.Name of Determination   3

2.Commencement   3

3.Cessation   3

4.Interpretation   3

5.Circumstances where this Determination applies   4

6.Treatment of a relevant service   5

7.MRI and MRA services – meaning of scan   5

8.MRI and MRA services – related services that can be claimed in a 12 month period     5

9.MRI services – limit for items 63472 and 63475   6

10.MRI and MRA services – modifying items   6

11.Diagnostic imaging services which dental practitioners may request             7

Schedule -     Specified health services   8

1. Name of Determination

This Determination is the Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Trial) Determination HS/05/2007.

1. Commencement

This Determination is taken to have commenced on 1 July 2006. 

1. Cessation

This Determination will cease to have effect at the end of 31 October 2009.

1. Interpretation

1. In this Determination, unless the contrary intention appears:

Act means the Health Insurance Act 1973.

Bega means Bega, NSW, 2250.

eligible provider means a specialist in diagnostic radiology who has satisfied the Medicare Australia CEO that he or she is a participant in the Royal Australian and New Zealand College of Radiologists’ Quality and Accreditation Program.

establishment period means the Establishment Period as defined in the funding agreement.

funding agreement means the deed of agreement between the Department of Health and Ageing and Regional Imaging Pty Limited [ABN 81 095 630 792] dated 30 June 2006 as in force from time to time.

item means an item in the Schedule.

MRA means magnetic resonance angiography.

MRI means magnetic resonance imaging.

relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in the Schedule.

Schedule means the Schedule to this Determination.

teleradiology means the electronic transmission of radiological images in digital form from one location to another using a data communication link provided by a third party carrier.

Trial means the trial of a Medicare benefits eligible mobile MRI service for the Gippsland region of Victoria and the South Eastern region of New South Wales, pursuant to the funding agreement.

Note          Unless the contrary intention appears, expressions used in this Determination have the same meanings as in the Act—see section 13 of the Legislative Instruments Act 2003.

1. For the avoidance of doubt, in this Determination:

(a)a reference to the Act includes a reference to regulations made under the Act; and

(b)a reference to the National Health Act 1953 includes a reference to regulations made under that Act; and

(c)a reference to any legislation shall be construed as a reference to that legislation as in force from time to time; and

(d)a reference to the Health Insurance (Diagnostic Imaging Services Table) Regulations 2006 is a reference to such regulations made pursuant to section 4AA of the Act as are in force from time to time.

1. Circumstances where this Determination applies

1. This Determination applies to a relevant service where the following circumstances apply:

(a)in respect of items 63002 to 63483, where the service is performed pursuant to a request that is in accordance with subsection (2); and

(b)where the service is performed pursuant to the funding agreement during the establishment period or as part of the Trial; and

(c)where the service is performed in a permissible circumstance in accordance with subsection (3), (4), (5) or (6); and

(d)where the service is a service of a kind referred to in paragraph 10(2)(a) of the Act – the patient in respect of whom the service is provided is charged a fee that is no more than 75% of the amount specified in the Schedule as the fee applicable to the item that relates to the service; and

(e)where the service is not a service to which paragraph (d) applies – the patient in respect of whom the service is provided is charged a fee that is no more than 85% of the amount specified in the Schedule as the fee applicable to the item that relates to the service.

1. The request referred to in paragraph (1)(a) must:

(a)be made by a practitioner who is a specialist, consultant physician or dental practitioner; and

(b)be made in writing; and

(c)identify the clinical indications for the service.

Note: Subsection 16B(2) of the Act limits the R-type diagnostic imaging services in respect of which a medicare benefit is payable where the service is requested by a dental practitioner. See section 11 below.

1. For paragraph (1)(c), subject to subsection (4), a relevant service is performed in a permissible circumstance if the service is performed in Bega and it is:

(a)performed  under the professional supervision of an eligible provider who is available to monitor and influence the conduct and diagnostic quality of the examination via telephone and real-time teleradiology; and

(b)reported by an eligible provider; and

(c)monitored by a medical practitioner by personal attendance on the patient if the circumstances are such as to require on-site monitoring by a medical practitioner.

1. If subsection (3) is not complied with, a relevant service is performed in a permissible circumstance if the service is performed in Bega and it is performed in an emergency.

1. For paragraph (1)(c), subject to subsection (6), a relevant service is performed in a permissible circumstance if it is:

(a)performed  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; and

(b)reported by an eligible provider.

1. If subsection (5) is not complied with, a relevant service is performed in a permissible circumstance if it is performed:

(a)in an emergency; or

(b)because of medical necessity, in a remote location.

1. Treatment of a relevant service

A relevant service shall be treated as if:

(a)it were both a professional service and a medical service for the purposes of the provisions of the Act and the National Health Act 1953 that relate to professional and medical services; and

(b)there were an item in the diagnostic imaging services table that related to the relevant service and specified in respect of the service a fee in relation to a State, being the fee specified in the Schedule in relation to the State specified; and

(c)the item specified in paragraph (b) were part of Group I5 of the diagnostic imaging services table and of the relevant subgroup of Group I5 as is specified in the Schedule.

1. MRI and MRA services – meaning of scan

Rule 37 of Part 2 of Schedule 1 of the Health Insurance (Diagnostic Imaging Services Table) Regulations 2006 shall have effect as if the reference to “items 63001 to 63482” in that rule was a reference to “items 63002 to 63483” of the Schedule.

1. MRI and MRA services – related services that can be claimed in a 12 month period

Rule 39 of Part 2 of Schedule 1 of the Health Insurance (Diagnostic Imaging Services Table) Regulations 2006 shall have effect as if the references to the items mentioned in column 1 of the table below (Existing references) include references to the items mentioned in column 2 of the following table (Additional references).

Existing references

Additional references

63040 to 63073

63041 to 63065

63101

63102

63125 to 63131

63126 to 63132

63161 to 63185

63163 to 63177

63219 to 63243

63271 to 63280

63322 to 63340

63361

63385 to 63391

63401 and 63404

63416

63425 and 63428

63461

63482

63220 to 63244

63272 to 63281

63323 to 63332

63363

63386 to 63389

63402 and 63405

63417

63426 and 63429

63463

63483

1. MRI services – limit for items 63472 and 63475

Rule 40 of Part 2 of Schedule 1 of the Health Insurance (Diagnostic Imaging Services Table) Regulations 2006 shall have effect as if:

(a)the reference to item 63473 in subrule 40(1) was a reference to “item 63472, 63473 or 63475”;

(b)the reference to item 63470 in subrule 40(2) was a reference to “item 63470, 63472 or 63475”;

(c)there is an additional subrule 40(3) as follows “Item 63472 does not apply to the service described in that item if the person to whom the service is provided has previously been provided with that service or a service described in items 63470, 63473 or 63475”; and

(d)there is an additional subrule 40(4) as follows “Item 63475 does not apply to the service described in that item if the person to whom the service is provided has previously been provided with that service or a service described in item 63470, 63472 or 63473”.

1. MRI and MRA services – modifying items

Rule 41 of Part 2 of Schedule 1 of the Health Insurance (Diagnostic Imaging Services Table) Regulations 2006 shall have effect as if:

(a)the reference to item 63491 in that rule was a reference to item 63492; and

(b)the references to item 63494 in that rule were references to item 63493; and

(c)the references to item 63497 in that rule were references to item 63495.

1. Diagnostic imaging services which dental practitioners may request

Regulation 10 of the Health Insurance Regulations 1975 shall have effect as if the paragraphs of that regulation mentioned in column 1 of the table below (Existing references) include references to the items mentioned in column 2 of the table below (Additional references).

Existing references

Additional references

paragraph 10(1)(a)

63008, 63329

paragraph 10(1)(b)

63329

paragraph 10(1)(c)

paragraph 10(1)(d)

63329

63008, 63329

Schedule -        Specified health services

Item	Health Service	Fee for all States	Relevant subgroup of Group I5
63002	MRI — scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (Anaes.) (Contrast)	403.20	Subgroup 1 – Scan of head – for specified conditions
63005	MRI — scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (Anaes.) (Contrast)	403.20	Subgroup 1 – Scan of head – for specified conditions
63008	MRI — scan of head (including MRA, if performed) for skull base or orbital tumour (R) (Anaes.) (Contrast)	403.20	Subgroup 1 – Scan of head – for specified conditions
63011	MRI — scan of head (including MRA, if performed) for stereotactic scan of brain, with fiducials in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (Anaes.) (Contrast)	336.00	Subgroup 2 – Scan of head – for specified conditions
63041	MRI — scan of head (including MRA, if performed) for acoustic neuroma (R) (Anaes.) (Contrast)	336.00	Subgroup 2 – Scan of head – for specified conditions
63042	MRI — scan of head (including MRA, if performed) for pituitary tumour (R) (Anaes.) (Contrast)	358.40	Subgroup 2 – Scan of head – for specified conditions
63044	MRI — scan of head (including MRA, if performed) for toxic or metabolic or ischaemic encephalopathy (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63045	MRI — scan of head (including MRA, if performed) for demyelinating disease of the brain (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63047	MRI — scan of head (including MRA, if performed) for congenital malformation of the brain or meninges (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63048	MRI — scan of head (including MRA, if performed) for venous sinus thrombosis (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63051	MRI — scan of head (including MRA, if performed) for head trauma (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63054	MRI — scan of head (including MRA, if performed) for epilepsy (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63057	MRI — scan of head (including MRA, if performed) for stroke (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63060	MRI — scan of head (including MRA, if performed) for carotid or vertebral artery dissection (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63063	MRI — scan of head (including MRA, if performed) for intracranial aneurysm (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions

63065	MRI — scan of head (including MRA, if performed) for intracranial arteriovenous malformation (R) (Anaes.) (Contrast)	403.20	Subgroup 2 – Scan of head – for specified conditions
63102	MRI and MRA of extracranial or intracranial circulation (or both) — scan of head and neck vessels for stroke (R) (Anaes.) (Contrast)	492.80	Subgroup 3 – Scan of head and neck vessels – for specified conditions
63113	MRI — scan of head and cervical spine (including MRA, if performed) for tumour of the central nervous system or meninges (R) (Anaes.) (Contrast)	492.80	Subgroup 4 – Scan of head and cervical spine – for specified conditions
63116	MRI — scan of head and cervical spine (including MRA, if performed) for inflammation of the central nervous system or meninges (R) (Anaes.) (Contrast)	492.80	Subgroup 4 – Scan of head and cervical spine – for specified conditions
63126	MRI — scan of head and cervical spine (including MRA, if performed) for demyelinating disease of the central nervous system (R) (Anaes.) (Contrast)	492.80	Subgroup 5 – Scan of head and cervical spine – for specified conditions
63129	MRI — scan of head and cervical spine (including MRA, if performed) for congenital malformation of the central nervous system or meninges (R) (Anaes.) (Contrast)	492.80	Subgroup 5 – Scan of head and cervical spine – for specified conditions
63132	MRI — scan of head and cervical spine (including MRA, if performed) for syrinx (congenital or acquired) (R) (Anaes.) (Contrast)	492.80	Subgroup 5 – Scan of head and cervical spine – for specified conditions
63152	MRI — scan of 1 region or 2 contiguous regions of the spine for infection (R) (Anaes.) (Contrast)	358.40	Subgroup 6 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63155	MRI — scan of 1 region or 2 contiguous regions of the spine for tumour (R) (Anaes.) (Contrast)	358.40	Subgroup 6 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63163	MRI — scan of 1 region or 2 contiguous regions of the spine for demyelinating disease (R) (Anaes.) (Contrast)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63165	MRI — scan of 1 region or 2 contiguous regions of the spine for congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) (Contrast)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63168	MRI — scan of 1 region or 2 contiguous regions of the spine for myelopathy (R) (Anaes.) (Contrast)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63169	MRI — scan of 1 region or 2 contiguous regions of the spine for syrinx (congenital or acquired) (R) (Anaes.) (Contrast)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63171	MRI — scan of 1 region or 2 contiguous regions of the spine for cervical radiculopathy (R) (Anaes.) (Contrast)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63172	MRI — scan of 1 region or 2 contiguous regions of the spine for sciatica (R) (Anaes.) (Contrast)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63174	MRI — scan of 1 region or 2 contiguous regions of the spine for spinal canal stenosis (R) (Anaes.) (Contrast)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63175	MRI — scan of 1 region or 2 contiguous regions of the spine for previous spinal surgery (R) (Anaes.) (Contrast)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63177	MRI — scan of 1 region or 2 contiguous regions of the spine for trauma (R) (Anaes.)	358.40	Subgroup 7 – Scan of spine – 1 region or 2 contiguous regions – for specified conditions
63202	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for infection (R) (Anaes.) (Contrast)	448.00	Subgroup 8 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63205	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for tumour (R) (Anaes.) (Contrast)	448.00	Subgroup 8 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63220	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for demyelinating disease (R) (Anaes.) (Contrast)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63223	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) (Contrast)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63224	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for myelopathy (R) (Anaes.) (Contrast)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions

63226	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for syrinx (congenital or acquired) (R) (Anaes.) (Contrast)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63227	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for cervical radiculopathy (R) (Anaes.) (Contrast)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63229	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for sciatica (R) (Anaes.) (Contrast)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63230	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for spinal canal stenosis (R) (Anaes.) (Contrast)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63232	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for previous spinal surgery (R) (Anaes.) (Contrast)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63244	MRI — scan of 3 contiguous or 2 non-contiguous regions of the spine for trauma (R) (Anaes.)	448.00	Subgroup 9 – Scan of spine – 3 contiguous or 2 non-contiguous regions – for specified conditions
63272	MRI — Scan of cervical spine and brachial plexus for tumour (R) (Anaes.) (Contrast)	492.80	Subgroup 10 – Scan of cervical spine and brachial plexus – for specified conditions
63275	MRI — Scan of cervical spine and brachial plexus for trauma (R) (Anaes.) (Contrast)	492.80	Subgroup 10 – Scan of cervical spine and brachial plexus – for specified conditions
63278	MRI — Scan of cervical spine and brachial plexus for cervical radiculopathy (R) (Anaes.) (Contrast)	492.80	Subgroup 10 – Scan of cervical spine and brachial plexus – for specified conditions
63281	MRI — Scan of cervical spine and brachial plexus for previous surgery (R) (Anaes.) (Contrast)	492.80	Subgroup 10 – Scan of cervical spine and brachial plexus – for specified conditions
63302	MRI — scan of musculoskeletal system for tumour arising in bone or musculoskeletal system, excluding tumours arising in breast, prostate or rectum (R) (Anaes.) (Contrast)	380.80	Subgroup 11 – Scan of musculoskeletal system – for specified conditions

63305	MRI — scan of musculoskeletal system for infection arising in bone or musculoskeletal system, excluding infection arising in breast, prostate or rectum (R) (Anaes.) (Contrast)	380.80	Subgroup 11 – Scan of musculoskeletal system – for specified conditions
63308	MRI — scan of musculoskeletal system for osteonecrosis (R) (Anaes.) (Contrast)	380.80	Subgroup 11 – Scan of musculoskeletal system – for specified conditions
63323	MRI — scan of musculoskeletal system for derangement of hip or its supporting structures (R) (Anaes.) (Contrast)	403.20	Subgroup 12 – Scan of musculoskeletal system – for specified conditions
63324	MRI — scan of musculoskeletal system for derangement of shoulder or its supporting structures (R) (Anaes.) (Contrast)	403.20	Subgroup 12 – Scan of musculoskeletal system – for specified conditions
63326	MRI — scan of musculoskeletal system for derangement of knee or its supporting structures (R) (Anaes.) (Contrast)	403.20	Subgroup 12 – Scan of musculoskeletal system – for specified conditions
63327	MRI — scan of musculoskeletal system for derangement of ankle or foot (or both) or its supporting structures (R) (Anaes.) (Contrast)	403.20	Subgroup 12 – Scan of musculoskeletal system – for specified conditions
63329	MRI — scan of musculoskeletal system for derangement of 1 or both temporomandibular joints or their supporting structures (R) (Anaes.) (Contrast)	336.00	Subgroup 12 – Scan of musculoskeletal system – for specified conditions
63330	MRI — scan of musculoskeletal system for derangement of wrist or hand (or both) or its supporting structures (R) (Anaes.) (Contrast)	448.00	Subgroup 12 – Scan of musculoskeletal system – for specified conditions
63332	MRI — scan of musculoskeletal system for derangement of elbow or its supporting structures (R) (Anaes.) (Contrast)	403.20	Subgroup 12 – Scan of musculoskeletal system – for specified conditions
63363	MRI — scan of musculoskeletal system for Gaucher disease (R) (Anaes.)	403.20	Subgroup 13 – Scan of musculoskeletal system – for specified conditions
63386	MRI — scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Anaes.) (Contrast)	448.00	Subgroup 14 – Scan of cardiovascular system – for specified conditions
63387	MRI — scan of cardiovascular system for tumour of the heart or a great vessel (R) (Anaes.) (Contrast)	448.00	Subgroup 14 – Scan of cardiovascular system – for specified conditions
63389	MRI — scan of cardiovascular system for abnormality of thoracic aorta (R) (Anaes.) (Contrast)	403.20	Subgroup 14 – Scan of cardiovascular system – for specified conditions

63402	MRA — if the request for the scan specifically identifies the clinical indication for the scan — scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Anaes.) (Contrast)	403.20	Subgroup 15 – Magnetic resonance angiography – scan of cardiovascular system – for specified conditions
63405	MRA — if the request for the scan specifically identifies the clinical indication for the scan — scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Anaes.) (Contrast)	403.20	Subgroup 15 – Magnetic resonance angiography – scan of cardiovascular system – for specified conditions
63417	MRA — scan of person under the age of 16 for the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (Anaes.) (Contrast)	403.20	Subgroup 16 – Magnetic resonance angiography – for specified conditions – person under the age of 16 years
63426	MRI — scan of person under the age of 16 for post-inflammatory or post-traumatic physeal fusion (R) (Anaes.)	403.20	Subgroup 17 – Magnetic resonance imaging – for specified conditions – person under the age of 16 years
63429	MRI — scan of person under the age of 16 for Gaucher disease (R) (Anaes.)	403.20	Subgroup 17 – Magnetic resonance imaging – for specified conditions – person under the age of 16 years
63441	MRI — scan of person under the age of 16 for pelvic or abdominal mass (R) (Anaes.) (Contrast)	403.20	Subgroup 18 – Magnetic resonance imaging – for specified conditions – person under the age of 16 years
63442	MRI — scan of person under the age of 16 for mediastinal mass (R) (Anaes.) (Contrast)	403.20	Subgroup 18 – Magnetic resonance imaging – for specified conditions – person under the age of 16 years
63444	MRI — scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Anaes.) (Contrast)	403.20	Subgroup 18 – Magnetic resonance imaging – for specified conditions – person under the age of 16 years
63463	MRI — scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) (Anaes.)	358.40	Subgroup 19 – Scan of body – for specified conditions

63472	MRI — if: (a) the patient is referred by a specialist or by a consultant physician; and (b) the request for scan identifies that: (i) a histological diagnosis of carcinoma of the cervix has been made; and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater — scan of pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Anaes.) (Contrast)	403.20	Subgroup 20 – Scan of pelvis and upper abdomen – for specified conditions
63475	MRI — if: (a) the patient is referred by a specialist or by a consultant physician; and (b) the request for scan identifies that: (i) a histological diagnosis of carcinoma of the cervix has been made; and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater — scan of pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Anaes.) (Contrast)	627.20	Subgroup 20 – Scan of pelvis and upper abdomen – for specified conditions
63483	MRI — scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) (Anaes.)	403.20	Subgroup 21 – Scan of body – for specified conditions
63492	MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the item for the service includes in its description ‘(Contrast)’; and (b) the service is performed using a contrast agent	44.80	Subgroup 22 – Modifying items
63493	MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if the service is performed on a person using intravenous or intra muscular sedation	44.80	Subgroup 22 – Modifying items
63495	MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic	156.80	Subgroup 22 – Modifying items

Note          Section 3C (7) of the Act deems an internal Territory to form part of the State of New South Wales.