Health Insurance (1999-2000 Diagnostic Imaging Services Table) Regulations 1999

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 an item in Subgroup 2 or 3 of this group applies; and

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

99.90

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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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 an item in Subgroup 2 or 3 of this group applies; and

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

99.90

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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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 an item in Subgroup 2 or 3 of this group applies; and

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

99.90

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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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 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; and

(c) the service is not performed with item 55038, 55044 or 55731 on the same patient within 24 hours (R)

101.95

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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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 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; and

(c) the service is not performed with item 55036, 55044 or 55731 on the same patient within 24 hours (R)

99.90

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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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 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; and

(c) the service is not performed with item 55036 or 55038 on the same patient within 24 hours (R)

101.95

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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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 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)

100.30

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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

55050

Musculoskeletal, 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 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)

100.30

55051

Musculoskeletal, 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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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 an item in Subgroup 2 or 3 of this group applies; and

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

99.90

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 an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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)

99.90

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)

27.25

55070

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

(a) the patient is referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

90.00

55073

Breast, one, ultrasound scan of, where:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR)

31.20

55076

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

(a) the patient is referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

99.90

55079

Breasts, both, ultrasound scan of, where:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR)

34.65

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)

163.90

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)

92.75

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)

257.65

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)

257.05

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)

372.20

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)

169.45

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)

197.00

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)

218.50

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)

169.45

55245

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, 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)

197.00

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)

169.45

55247

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, 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)

197.00

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)

169.45

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)

197.00

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)

169.45

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)

197.00

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)

169.45

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)

197.00

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)

218.50

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)

169.45

55263

Duplex scanning, bilateral, 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, 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)

197.00

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)

169.45

55265

Duplex scanning, bilateral, 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, 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)

197.00

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)

169.45

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, 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)

197.00

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)

169.45

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)

197.00

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)

169.45

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)

169.45

55277

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, for an examination of between 25 and 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)

109.40

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)

169.45

55279

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 between 25 and 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)

109.40

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)

169.45

55282

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:

(a) by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent; and

(b) performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vasular aetiology for impotence; and

(c) 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

169.45

(d) where 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)

55284

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:

(a) by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis; and

(b) where indicated, assess the progress and management of:

 (i) priapism; or

 (ii) fibrosis of any type; or

 (iii) fracture of the tunica; or

 (iv) arteriovenous malformations; and

(c) 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

(d) where 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 — 1 examination and report (R)

169.45

55288

Two examinations of the kind referred to in items 55238 to 55280 except for an examination of the kind referred to in the items shown in the following blocks, 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, 55245, 55246, 55247, 55262, 55263, 55264 and 55265;

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

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

block (e) items 55276, 55277, 55278 and 55279;

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)

298.65

55290

Three examinations of the kind referred to in items 55238 to 55280 except for an examination of the kind referred to in the items shown in the following blocks, 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, 55245, 55246, 55247, 55262, 55263, 55264 and 55265;

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

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

block (e) items 55276, 55277, 55278 and 55279;

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

298.65

Subgroup 4 — Urological

55600

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 that:

 (i) has 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)

99.90

55603

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 that:

 (i) has 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)

99.90

Subgroup 5 — Obstetric and gynaecological

55700

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; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and

(e) one or more of the following conditions are present:

(i) hyperemesis gravidarum;

(ii) diabetes mellitus;

(iii) hypertension;

(iv) toxaemia of pregnancy;

(v) liver or renal disease;

(vi) autoimmune disease;

(vii) cardiac disease;

(viii) alloimmunisation;

(ix) maternal infection;

(x) inflammatory bowel disease;

(xi) bowel stoma;

(xii) abdominal wall scarring;

(xiii) previous spinal or pelvic trauma or disease;

(xiv) drug dependency;

(xv) thrombophilia;

(xvi) gross maternal obesity;

(xvii) advanced maternal age;

(xviii) abdominal pain or mass;

(xix) uncertain dates;

(xx) high risk pregnancy;

(xxi) previous post dates delivery;

(xxii) previous caesarean section;

(xxiii) poor obstetric history;

(xxiv) suspicion of ectopic pregnancy;

(xxv) risk of miscarriage;

(xxvi) diminished symptoms of pregnancy;

(xxvii) suspected or known cervical incompetence;

(xxviii) suspected or known uterine abnormality;

60.00

(xxix) pregnancy after assisted reproduction;

(xxx) risk of fetal abnormality (R)

55703

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

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) one or more of the following conditions are present:

(i) hyperemesis gravidarum;

(ii) diabetes mellitus;

(iii) hypertension;

(iv) toxaemia of pregnancy;

(v) liver or renal disease;

(vi) autoimmune disease;

(vii) cardiac disease;

(viii) alloimmunisation;

(ix) maternal infection;

(x) inflammatory bowel disease;

(xi) bowel stoma;

(xii) abdominal wall scarring;

(xiii) previous spinal or pelvic trauma or disease;

(xiv) drug dependency;

(xv) thrombophilia;

(xvi) gross maternal obesity;

(xvii) advanced maternal age;

(xviii) abdominal pain or mass;

(xix) uncertain dates;

(xx) high risk pregnancy;

(xxi) previous post dates delivery;

(xxii) previous caesarean section;

(xxiii) poor obstetric history;

(xxiv) suspicion of ectopic pregnancy;

(xxv) risk of miscarriage;

(xxvi) diminished symptoms of pregnancy;

(xxvii) suspected or known cervical incompetence;

(xxviii) suspected or known uterine abnormality;

(xxix) pregnancy after assisted reproduction;

(xxx) risk of fetal abnormality (NR)

35.00

55704

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, 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; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and

(e) one or more of the following conditions are present:

(i) hyperemesis gravidarum;

(ii) diabetes mellitus;

(iii) hypertension;

(iv) toxaemia of pregnancy;

(v) liver or renal disease;

(vi) autoimmune disease;

(vii) cardiac disease;

(viii) alloimmunisation;

(ix) maternal infection;

(x) inflammatory bowel disease;

(xi) bowel stoma;

(xii) abdominal wall scarring;

(xiii) previous spinal or pelvic trauma or disease;

(xiv) drug dependency;

(xv) thrombophilia;

(xvi) gross maternal obesity;

(xvii) advanced maternal age;

(xviii) abdominal pain or mass;

(xix) uncertain dates;

(xx) high risk pregnancy;

(xxi) previous post dates delivery;

(xxii) previous caesarean section;

(xxiii) poor obstetric history;

(xxiv) suspicion of ectopic pregnancy;

(xxv) risk of miscarriage;

(xxvi) diminished symptoms of pregnancy;

(xxvii) suspected or known cervical incompetence;

(xxviii) suspected or known uterine abnormality;

(xxix) pregnancy after assisted reproduction;

(xxx) risk of fetal abnormality (R)

70.00

55705

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) one or more of the following conditions are present:

(i) hyperemesis gravidarum;

(ii) diabetes mellitus;

(iii) hypertension;

(iv) toxaemia of pregnancy;

(v) liver or renal disease;

(vi) autoimmune disease;

(vii) cardiac disease;

(viii) alloimmunisation;

(ix) maternal infection;

(x) inflammatory bowel disease;

(xi) bowel stoma;

(xii) abdominal wall scarring;

(xiii) previous spinal or pelvic trauma or disease;

(xiv) drug dependency;

(xv) thrombophilia;

(xvi) gross maternal obesity;

(xvii) advanced maternal age;

(xviii) abdominal pain or mass;

(xix) uncertain dates;

(xx) high risk pregnancy;

(xxi) previous post dates delivery;

(xxii) previous caesarean section;

(xxiii) poor obstetric history;

(xxiv) suspicion of ectopic pregnancy;

(xxv) risk of miscarriage;

(xxvi) diminished symptoms of pregnancy;

(xxvii) suspected or known cervical incompetence;

(xxviii) suspected or known uterine abnormality;

(xxix) pregnancy after assisted reproduction;

(xxx) risk of fetal abnormality (NR)

35.00

55706

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where:

(a) the patient is referred by a medical practitioner; and

(b) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

100.00

(d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and

(e) the service is not performed in the same pregnancy as item 55709 (R)

55709

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) the service is not performed in the same pregnancy as item 55706 (NR)

38.00

55712

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where:

(a) the patient is referred by a medical practitioner who:

(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non-metropolitan hospital; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and

115.00

(e) further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (R)

55715

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (NR)

40.00

55718

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) 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; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

100.00

(d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and

(e) the service is not performed in the same pregnancy as item 55723; and

(f) one or more of the following conditions are present:

(i) known or suspected fetal abnormality or fetal cardiac arrhythmia;

(ii) fetal anatomy (late booking or incomplete mid-trimester scan);

(iii) malpresentation;

(iv) cervical assessment;

(v) clinical suspicion of amniotic fluid abnormality;

(vi) clinical suspicion of placental or umbilical cord abnormality;

(vii) previous complicated delivery;

(viii) uterine scar assessment;

(ix) uterine fibroid;

(x) previous fetal death in utero or neonatal death;

(xi) antepartum haemorrhage;

(xii) clinical suspicion of intrauterine growth retardation;

(xiii) clinical suspicion of macrosomia;

(xiv) reduced fetal movements;

(xv) suspected fetal death;

(xvi) abnormal cardiotocography;

(xvii) prolonged pregnancy;

(xviii) premature labour;

(xix) multiple pregnancy;

(xx) fetal infection;

(xxi) pregnancy after assisted reproduction;

(xxii) trauma;

(xxiii) diabetes mellitus;

(xxiv) hypertension;

(xxv) toxaemia of pregnancy;

(xxvi) liver or renal disease;

(xxvii) autoimmune disease;

(xxviii) cardiac disease;

(xxix) alloimmunisation;

(xxx) maternal infection;

(xxxi) inflammatory bowel disease;

(xxxii) bowel stoma;

(xxxiii) abdominal wall scarring;

(xxxiv) previous spinal or pelvic trauma or disease;

(xxxv) drug dependency;

(xxxvi) thrombophilia;

(xxxvii) gross maternal obesity;

(xxxviii) advanced maternal age;

(xxxix) abdominal pain or mass (R)

55721

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, 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 who:

(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non-metropolitan hospital; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

115.00

(d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and

(e) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (R)

55723

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) the service is not performed in the same pregnancy as item 55718; and

(e) one or more of the following conditions are present:

(i) known or suspected fetal abnormality or fetal cardiac arrhythmia;

(ii) fetal anatomy (late booking or incomplete mid-trimester scan);

(iii) malpresentation;

(iv) cervical assessment;

(v) clinical suspicion of amniotic fluid abnormality;

(vi) clinical suspicion of placental or umbilical cord abnormality;

(vii) previous complicated delivery;

(viii) uterine scar assessment;

(ix) uterine fibroid;

(x) previous fetal death in utero or neonatal death;

(xi) antepartum haemorrhage;

(xii) clinical suspicion of intrauterine growth retardation;

(xiii) clinical suspicion of macrosomia;

(xiv) reduced fetal movements;

(xv) suspected fetal death;

(xvi) abnormal cardiotocography;

(xvii) prolonged pregnancy;

(xviii) premature labour;

(xix) multiple pregnancy;

(xx) fetal infection;

(xxi) pregnancy after assisted reproduction;

(xxii) trauma;

(xxiii) diabetes mellitus;

(xxiv) hypertension;

(xxv) toxaemia of pregnancy;

(xxvi) liver or renal disease;

(xxvii) autoimmune disease;

(xxviii) cardiac disease;

(xxix) alloimmunisation;

(xxx) maternal infection;

(xxxi) inflammatory bowel disease;

(xxxii) bowel stoma;

(xxxiii) abdominal wall scarring;

(xxxiv) previous spinal or pelvic trauma or disease;

(xxxv) drug dependency;

(xxxvi) thrombophilia;

(xxxvii) gross maternal obesity;

(xxxviii) advanced maternal age;

(xxxix) abdominal pain or mass (NR)

38.00

55725

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (NR)

40.00

55728

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, 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 who:

(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non-metropolitan hospital; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

100.00

(d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and

(e) it can be demonstrated that a clinical condition other than a condition mentioned in paragraph (f) of item 55718 or paragraph (e) of item 55723 is present (R)

55731

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; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(c) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and

(d) the service is not performed with item 55036 or 55038 on the same patient within 24 hours (R)

98.00

55733

Pelvis, female, ultrasound scan of, by any or all approaches, where:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR)

35.00

55736

Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, performed by or on behalf of a medical practitioner, where:

(a) the patient is referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

(d) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R)

127.00

55739

Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR)

57.00

Group I2 — Computed Tomography — Examination and Report

56001

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

195.00

56007

Computed 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) (K)

250.00

56010

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

252.10

56013

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

250.00

56016

Computed tomography — scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without contrast medium, with or without scan of brain (R) (K)

290.00

56022

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

225.00

56028

Computed 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) (K)

336.80

56030

Computed tomography — scan of facial bones, paranasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (K)

300.00

56036

Computed tomography — scan of facial bones, paranasal sinuses or both, with scan of brain, with intravenous contrast medium, where:

(a) a scan without intravenous contrast medium has been undertaken; and

(b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (K)

375.00

56041

Computed tomography — scan of brain without intravenous contrast medium, not being a service to which item 57041 applies (R) (NK)

98.75

56047

Computed 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 57047 applies (R) (NK)

126.10

56050

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

128.15

56053

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

128.15

56056

Computed tomography — scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (NK)

155.40

56062

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

113.15

56068

Computed 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) (NK)

168.40

56070

Computed tomography — scan of facial bones, paranasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (NK)

150.00

56076

Computed tomography — scan of facial bones, paranasal sinuses or both, with scan of brain, with intravenous contrast medium, where:

(a) a scan without intravenous contrast medium has been undertaken; and

(b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (NK)

187.50

56101

Computed 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) (K)

230.00

56107

Computed 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) (K)

340.00

56141

Computed 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 56841 applies (R) (NK)

116.40

56147

Computed 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 56847 applies (R) (NK)

171.60

56210

Computed 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) (K)

240.00

56216

Computed 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) (K)

351.35

56219

Computed 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) (K)

326.20

56250

Computed 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) (NK)

122.50

56256

Computed 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) (NK)

177.50

56259

Computed 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) (NK)

164.80

56301

Computed 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 and not including a study performed to exclude coronary artery calcification (R) (K)

295.00

56307

Computed 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 the chest, including lungs, mediastinum, chest wall or pleura and upper abdomen prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies and not including a study performed to exclude coronary artery calcification (R) (K)

400.00

56341

Computed 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 56841 or 57041 applies and not including a study performed to exclude coronary artery calcification (R) (NK)

149.50

56347

Computed 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 the chest, including lungs, mediastinum, chest wall or pleura and upper abdomen prior to intravenous contrast injection, when undertaken, not being a service to which item 56847 or 57047 applies and not including a study performed to exclude coronary artery calcification (R) (NK)

202.00

56401

Computed 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) (K)

250.00

56407

Computed 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) (K)

360.00

56409

Computed 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) (K)

250.00

56412

Computed 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) (K)

360.00

56441

Computed tomography — scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56341, 56541, 56841 or 57041 applies (R) (NK)

126.80

56447

Computed 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 56347, 56547, 56847 or 57047 applies (R) (NK)

181.45

56449

Computed 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 56441 applies (R) (NK)

126.80

56452

Computed 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 56447 applies (R) (NK)

181.45

56501

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

385.00

56507

Computed 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) (K)

480.00

56541

Computed tomography — scan of upper abdomen and pelvis without intravenous contrast medium, not being a service to which item 56841 or 57041 applies (R) (NK)

193.10

56547

Computed 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 56847 or 57047 applies (R) (NK)

243.75

56619

Computed 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) (K)

220.00

56625

Computed 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) (K)

334.65

56659

Computed 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) (NK)

112.10

56665

Computed 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) (NK)

167.35

56801

Computed tomography — scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification (R) (K)

466.55

56807

Computed 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, not including a study performed to exclude coronary artery calcification (R) (K)

560.00

56841

Computed tomography — scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification (R) (NK)

233.30

56847

Computed 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, not including a study performed to exclude coronary artery calcification (R) (NK)

283.85

57001

Computed tomography — scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification (R) (K)

466.65

57007

Computed 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, not including a study performed to exclude coronary artery calcification (R) (K)

567.75

57041

Computed tomography — scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification (R) (NK)

233.35

57047

Computed 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, not including a study performed to exclude coronary artery calcification (R) (NK)

283.90

57201

Computed tomography — pelvimetry (R) (K)

155.20

57247

Computed tomography — pelvimetry (R) (NK)

77.60

57341

Computed 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) (K)

470.00

57345

Computed 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) (NK)

242.00

57350

Computed tomography — spiral angiography with intravenous contrast medium including any scans performed before intravenous contrast injection — 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where:

(a) the service is not a service to which another item in this group applies; and

(b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and

(c) the service has not been performed on the same patient within the previous 12 months (R) (K)

510.00

57355

Computed tomography — spiral angiography with intravenous contrast medium including any scans performed before intravenous contrast injection — 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where:

(a) the service is not a service to which another item in this group applies; and

(b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and

(c) the service has not been performed on the same patient within the previous 12 months (R) (NK)

255.00

Group I3 — Diagnostic Radiology

Subgroup 1 — Radiographic examination of extremities and report

57506

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

28.05

57509

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

37.50

57512

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

38.15

57515

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

50.90

57518

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

30.65

57521

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

40.90

57524

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

46.55

57527

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

62.00

Subgroup 2 — Radiographic examination of shoulder or pelvis and report

57700

Shoulder or scapula (NR)

38.15

57703

Shoulder or scapula (R)

50.90

57706

Clavicle (NR)

30.65

57709

Clavicle (R)

40.90

57712

Hip joint (R)

44.45

57715

Pelvic girdle (R)

57.45

57721

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

93.55

Subgroup 3 — Radiographic examination of head and report

57901

Skull, not in association with item 57902 (R)

60.80

57902

Cephalometry, not in association with item 57901 (R)

60.80

57903

Sinuses (R)

44.55

57906

Mastoids (R)

60.80

57909

Petrous temporal bones (R)

60.80

57912

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

44.45

57915

Mandible, not by orthopantomography technique (R)

44.45

57918

Salivary calculus (R)

44.45

57921

Nose (R)

44.45

57924

Eye (R)

44.45

57927

Temporo-mandibular joints (R)

46.80

57930

Teeth — single area (R)

31.00

57933

Teeth — full mouth (R)

73.75

57936

Teeth — orthopantomography (R)

44.65

57939

Palato-pharyngeal studies with fluoroscopic screening (R)

60.80

57942

Palato-pharyngeal studies without fluoroscopic screening (R)

46.80

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)

40.90

Subgroup 4 — Radiographic examination of spine and report

58100

Spine — cervical (R)

63.30

58103

Spine — thoracic (R)

51.95

58106

Spine — lumbo-sacral (R)

72.55

58109

Spine — sacro-coccygeal (R)

44.30

58112

Spine — 2 regions (R)

91.65

58115

Spine — 3 or more regions (R)

125.30

Subgroup 5 — Bone age study and skeletal survey and report

58300

Bone age study (R)

37.80

58306

Skeletal survey (R)

84.25

Subgroup 6 — Radiographic examination of thoracic region and report

58500

Chest (lung fields) by direct radiography (NR)

33.30

58503

Chest (lung fields) by direct radiography (R)

44.45

58506

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

57.30

58509

Thoracic inlet or trachea (R)

37.50

58521

Left ribs, right ribs or sternum (R)

40.90

58524

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

53.25

58527

Left ribs, right ribs and sternum (R)

65.45

Subgroup 7 — Radiographic examination of urinary tract and report

58700

Plain renal only (R)

43.40

58706

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

148.85

58715

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

142.85

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)

118.90

58721

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

130.30

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)

33.65

58903

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

44.85

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)

84.80

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)

103.95

58915

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

74.40

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)

130.55

58921

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

127.50

58924

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

79.20

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)

72.05

58933

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

193.80

58936

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

184.70

58939

Defaecogram (R)

131.30

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:

(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)

82.00

59303

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

(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)

49.45

59306

Mammary ductogram (galactography) — 1 breast (R)

94.55

59309

Mammary ductogram (galactography) — 2 breasts (R)

189.10

59312

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

82.00

59314

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

49.45

59318

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

44.35

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)

84.25

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)

91.00

59703

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

71.55

59712

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

107.20

59715

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

135.30

59718

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

126.95

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)

213.45

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)

101.50

59736

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

58.45

59739

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

69.50

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)

131.15

59754

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

206.75

59760

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

108.55

59763

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

126.20

Subgroup 13 — Angiography and report

59900

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

87.55

59903

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

120.60

59906

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

120.60

59912

Selective coronary arteriography (R)

321.25

59915

Cerebral angiography — 1 side (R)

81.95

59918

Arteriography, peripheral — 1 side (R)

103.95

59921

Aortography (R)

103.95

59924

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

103.95

59970

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

158.65

60000

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

531.60

60003

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

779.60

60006

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

1108.60

60009

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

1297.30

60012

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

531.60

60015

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

779.60

60018

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

1108.60

60021

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

1297.30

60024

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

531.60

60027

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

779.60

60030

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

1108.60

60033

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

1297.30

60036

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

531.60

60039

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

779.60

60042

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

1108.60

60045

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

1297.30

60048

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

531.60

60051

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

779.60

60054

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

1108.60

60057

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

1297.30

60060

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

531.60

60063

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

779.60

60066

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

1108.60

60069

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

1297.30

60072

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

45.35

60075

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

90.60

60078

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

135.95

Subgroup 14 — Tomography and report

60100

Tomography of any region and report (R)

57.30

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)

40.90

60503

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

28.05

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)

60.10

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)

93.20

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 apply (NR)
(Anaes. 17710 = 5B + 5T)

120.80

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

66.55

60918

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

49.65

60927

Selective arteriogram or phlebogram, when used in association with a service to which item 59900, 59903, 59906, 59912, 59915, 59918, 59921 or 59924 applies, not being a service associated with a service to which items 60000 to 60078 apply (NR)
(Anaes. 17708 = 5B + 3T)

40.05

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)

244.05

Group I4 — Nuclear medicine imaging

61302

Single stress or rest myocardial perfusion study — planar imaging

391.25

61303

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

492.75

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)

618.60

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)

727.75

61310

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

320.15

61313

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

264.45

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)

366.10

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)

429.15

61320

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

199.55

61328

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

189.40

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)

220.55

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)

386.45

61352

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

226.05

61353

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

336.95

61356

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

342.35

61360

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

351.60

61361

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

402.20

61364

Bowel haemorrhage study (R)

433.15

61368

Meckel’s diverticulum study (R)

194.45

61372

Salivary study (R)

194.45

61373

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

426.85

61376

Oesophageal clearance study (R)

125.00

61381

Gastric emptying study, using single tracer (R)

500.65

61383

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

544.80

61384

Radionuclide colonic transit study (R)

599.45

61386

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

289.80

61387

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

375.45

61389

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

323.00

61390

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

357.40

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)

527.80

61397

Cystoureterogram (R)

215.20

61401

Testicular study (R)

141.45

61402

Cerebral perfusion study, with single photon emission tomography and with planar imaging when undertaken (R)

527.40

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)

301.60

61409

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

761.40

61413

Cerebro-spinal fluid shunt patency study (R)

196.95

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)

103.55

61421

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

418.20

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)

523.60

61426

Whole body study using iodine (R)

483.60

61429

Whole body study using gallium (R)

473.30

61430

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

574.80

61433

Whole body study using cells labelled with technetium (R)

433.15

61434

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

536.40

61437

Whole body study using thallium (R)

473.10

61438

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

586.60

61441

Bone marrow study — whole body using technetium labelled bone marrow agents (R)

426.85

61442

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

655.75

61445

Bone marrow study — localised using technetium labelled agent (R)

250.00

61446

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

290.75

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)

397.70

61450

Localised study using gallium (R)

346.50

61453

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

448.60

61454

Localised study using cells labelled with technetium (R)

303.40

61457

Localised study using cells labelled with technetium, with single photon emission tomography (R)

410.10

61458

Localised study using thallium (R)

345.95

61461

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

460.10

61462

Repeat planar and single photon emission tomography imaging, or repeat planar imaging or single photon emission tomography imaging on an occasion subsequent to the performance of any one of item 61364, 61426, 61429, 61430, 61442, 61450, 61453 or 61469, where there is no additional administration of radiopharmaceutical and where the previous radionuclide scan was abnormal or equicocal (R)

Amount under rule 14

61465

Venography (R)

231.45

61469

Lymphoscintigraphy (R)

303.40

61473

Thyroid study including uptake measurement when undertaken (R)

152.85

61480

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

337.20

61484

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

767.80

61485

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

871.00

61495

Tear duct study (R)

194.45

61499

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

220.55

Group I5 — Magnetic Resonance Imaging

Subgroup 1 — Scan of head — for the exclusion of specified conditions

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 specified conditions

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 specified conditions

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 specified conditions

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 specified conditions

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