Commonwealth Numbered Regulations

HEALTH INSURANCE (1997-98 DIAGNOSTIC IMAGING SERVICES TABLE) AMENDMENT REGULATIONS 1998 (No. 1) 1998 No. 267 - REG 4

4.1 Part 1 (Rules of interpretation): Rule 1: Omit the rule, substitute:
Definitions generally

"1. In this table: Act means the Health Insurance Act 1973. exclusion, in
relation to a condition for which a MRI or MRA service is requested, means use
of the service as the initial imaging modality for diagnosis of the condition.
MRA means magnetic resonance angiography. MRI means magnetic resonance
imaging. sequence, in relation to a scan, means a series of images collected
at the same time with similar image parameters (not including a scan designed
to establish patient position and subsequently used to plan other scans). Note
Specialist is defined in subsection 3 (1) of the Act.".

4.2 Part 1: Rule 5 (Who may provide a diagnostic imaging service):
Omit "A diagnostic", insert "Unless the contrary intention appears, a
diagnostic".

4.3 Part 1: After rule 15, insert: MRI and MRA services - eligible services

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

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

   (b)  in a permissible circumstance, in accordance with rule 18; and

   (c)  with eligible equipment, in accordance with rule 20. Referral for MRI
        and MRA services - requirements

"17. A referral for any of items 63000 to 63946 must:

   (a)  be in writing; and

   (b)  identify the clinical indications for the service. MRI and MRA
        services - permissible circumstances for performance

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

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

   (b)  if paragraph (a) is not complied with:

        (i)    in an emergency; or

        (ii)   because of medical necessity - in a remote or rural location.
               MRI and MRA services - eligible provider

"19. (1) For rule 18, an eligible provider is a specialist in diagnostic
radiology who satisfies the Commission that:

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

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

"(2) The specialist must give the Commission a statutory declaration:

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

   (b)  specifying the location of the proposed equipment; and

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

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

   (e)  if the installation date was 12 May 1998 - stating the time at which
        the equipment was installed.

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

"(4) The Commission may request a specialist to:

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

   (b)  answer questions put to the specialist by the Commission about those
        statements. Note The documents may include the contract for purchase
        or lease of the proposed equipment, if not already given to the
        Commission under subrule (3). MRI and MRA services - eligible
        equipment

"20. (1) For rule 16, eligible equipment is equipment that complies with this
rule.

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

"(3) The equipment must:

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

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

   (c)  be replacement equipment for equipment mentioned in paragraph (a) or
        (b). Note Equipment can be relocated to a new location without
        affecting its compliance with subrule (3). However, to continue to be
        eligible equipment, the equipment would have to continue to comply
        with subrule (2).

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

"(5) For this rule: comprehensive, in relation to a range of diagnostic
imaging procedures, means that the range includes x-ray, ultrasound and
computerised tomography (CT) procedures. medical practice means a practice
conducted by a sole practitioner, a practice conducted by a group of
practitioners within the meaning of subsection 16A (9) or (10) of the Act or a
practice conducted by a medical entrepreneur. MRI and MRA services - meaning
of scan

"21. In items 63000 to 63946: scan means a minimum of 3 sequences. MRI and MRA
services - descriptions of purpose of services

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

   (a)  the exclusion of a condition; and

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

        (i)    when the diagnosis is uncertain; or

        (ii)   to assess the severity of the condition; and

   (c)  the monitoring of a condition, if the service is used following
        confirmed diagnosis to assess progress of a condition following
        treatment. Note For the meaning of exclusion of a condition, if that
        is the purpose of requesting a MRI or MRA service, see rule 1. MRI or
        MRA services - number of related services that can be claimed in a 12
        month period

"23. (1) The fee mentioned in an item does not apply if:

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

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

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

   (a)  items 63000Ð63024 - 1 service;

   (b)  items 63050Ð63062 - 1 service;

   (c)  items 63100Ð63133 - 1 service;

   (d)  items 63150Ð63162 - 1 service;

   (e)  items 63200Ð63221 - 2 services;

   (f)  items 63250Ð63256 - 2 services;

   (g)  items 63300Ð63315 - 1 service;

   (h)  items 63350Ð63365 - 1 service;

   (i)  items 63400Ð63430 - 1 service;

   (j)  items 63450Ð63480 - 1 service;

   (k)  items 63500Ð63524 - 1 service;

   (l)  items 63550Ð63574 - 1 service;

   (m)  items 63600Ð63627 - 1 service;

   (n)  items 63650Ð63680 - 1 service;

   (o)  items 63700Ð63721 - 1 service;

   (p)  item 63745 - 2 services;

   (q)  items 63750Ð63756 - 1 service;

   (r)  items 63800Ð63806 - 2 services;

   (s)  item 63870 - 1 service;

   (t)  items 63850Ð63868 - 2 services;

   (u)  items 63900Ð63909 - 1 service;

   (v)  item 63920 - 1 service;

   (w)  item 63930 - 1 service.".

4.4 Part 2: After item 61499, insert:

"GROUP I5 - MAGNETIC RESONANCE IMAGING Subgroup 1 - Scan of head for the
exclusion of a specified condition
63000     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of tumour of
the brain or meninges (R)
$475.00
63003     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of skull base
or orbital tumour (R)
$475.00
63006     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of acoustic
neuroma (R)
$475.00
63009     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of pituitary
tumour (R)
$475.00
63012     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of
inflammation of brain or meninges (R)
$475.00
63015     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of toxic or
metabolic or ischaemic encephalopathy (R)
$475.00
63018     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of
demyelinating disease of the brain (R)
$475.00
63021     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of congenital
malformation of brain or meninges (R)
$475.00
63024     MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for the exclusion of venous
sinus thrombosis (R)
$475.00 Subgroup 2 - Scan of head and cervical spine for the exclusion of a
specified condition
63050    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for the
exclusion of tumour of the central nervous system or meninges

                (R) 
$475.00
63053    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for the
exclusion of inflammation of the central nervous system or
meninges (R)
$475.00
63056    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for the
exclusion of demyelinating disease of the central nervous
system (R)
$475.00
63059    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for the
exclusion of congenital malformation of the central nervous
system or meninges (R)
$475.00
63062    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for the
exclusion of syrinx - congenital or acquired (R)
$475.00 Subgroup 3 - Scan of head for further investigation of a specified
condition
63100    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
tumour of the brain or meninges (R)
$475.00
63103    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
skull base or orbital tumour (R)
$475.00
63106    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
acoustic neuroma (R)
$475.00
63109    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
pituitary tumour (R)
$475.00
63112    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
inflammation of the brain or meninges (R)
$475.00
63115    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
toxic or metabolic or ischaemic encephalopathy (R)
$475.00
63118    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
demyelinating disease of the brain (R)
$475.00
63121    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
congenital malformation of the brain or meninges (R)
$475.00
63124    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of head
trauma (R)
$475.00
63127    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
epilepsy (R)
$475.00
63130    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
stroke (R)
$475.00
63133    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for further investigation of
venous sinus thrombosis (R)
$475.00 Subgroup 4 - Scan of head and cervical spine for further investigation
of a specified condition
63150    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
further investigation of tumour of the central nervous system
or meninges (R)
$475.00
63153    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
further investigation of inflammation of the central nervous
system or meninges (R)
$475.00
63156    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
further investigation of demyelinating disease of the central
nervous system (R)
$475.00
63159    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
further investigation of congenital malformation of the
central nervous system or meninges (R)
$475.00
63162    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
further investigation of syrinx - congenital or acquired (R)
$475.00 Subgroup 5 - Scan of head for monitoring of a specified condition
63200    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of acoustic
neuroma (R)
$475.00
63203    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of pituitary
tumour (R)
$475.00
63206    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of demyelinating
disease of the brain (R)
$475.00
63209    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of congenital
malformation of brain or meninges (R)
$475.00
63212    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of head trauma (R)
$475.00
63215    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of epilepsy (R)
$475.00
63218    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of stroke (R)
$475.00
63221    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of toxic or
metabolic or ischaemic encephalopathy (R)
$475.00 Subgroup 6 - Scan of head and cervical spine for monitoring of a
specified condition
63250    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
monitoring of demyelinating disease of the central nervous
system (R)
$475.00
63253    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
monitoring of congenital malformation of the central nervous
system or meninges (R)
$475.00
63256    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
monitoring of syrinx - congenital or acquired (R)
$475.00 Subgroup 7 - Scan of head and cervical spine for monitoring of a
specified condition
63270    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of tumour of the
brain or meninges (R)
$475.00
63273    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of skull base or
orbital tumour (R)
$475.00
63276    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of inflammation of
brain or meninges (R)
$475.00
63279    MRI - scan of head (with or without intravenous contrast and 

including MRA, if performed) for monitoring of venous sinus
thrombosis (R)
$475.00 Subgroup 8 - Scan of head and cervical spine for monitoring of a
specified condition
63290    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
monitoring of tumour of the central nervous system or meninges

                (R) 
$475.00
63293    MRI - scan of head and cervical spine (with or without 

intravenous contrast and including MRA, if performed) for
monitoring of inflammation of the central nervous system or
meninges (R)
$475.00 Subgroup 9 - Scan of 1 region of spine or 2 contiguous regions for the
exclusion of a specified condition
63300    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for the exclusion of
infection (R)
$475.00
63303    MRI - scan of one region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for the exclusion of
tumour (R)
$475.00
63306    MRI - scan of one region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for the exclusion of
demyelinating disease (R)
$475.00
63309    MRI - scan of one region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for the exclusion of
congenital malformation of the spinal cord or the cauda equina
or the meninges (R)
$475.00
63312    MRI - scan of one region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for the exclusion of
myelopathy (R)
$475.00
63315    MRI - scan of one region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for the exclusion of
syrinx - congenital or acquired (R)
$475.00 Subgroup 10 - Scan of 3 contiguous or 2 non-contiguous regions of
spine for the exclusion of a specified condition
63350    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
exclusion of infection (R)
$475.00
63353    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
exclusion of tumour (R)
$475.00
63356    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
exclusion of demyelinating disease (R)
$475.00
63359    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
exclusion of congenital malformation of the spinal cord or the
cauda equina or the meninges (R)
$475.00
63362    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
exclusion of myelopathy (R)
$475.00
63365    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
exclusion of syrinx - congenital or acquired (R)
$475.00 Subgroup 11 - Scan of 1 region of spine or 2 contiguous regions for
further investigation of a specified condition
63400    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of infection (R)
$475.00
63403    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of tumour (R)
$475.00
63406    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of demyelinating disease (R)
$475.00
63409    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of congenital malformation of the spinal cord or
the cauda equina or the meninges (R)
$475.00
63412    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of myelopathy (R)
$475.00
63415    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of syrinx - congenital or acquired (R)
$475.00
63418    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of cervical radiculopathy (R)
$475.00
63421    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of sciatica (R)
$475.00
63424    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of spinal canal stenosis (R)
$475.00
63427    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of previous spinal surgery (R)
$475.00
63430    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for further
investigation of trauma (R)
$475.00 Subgroup 12 - Scan of 3 contiguous of spine or 2 non-contiguous
regions for further investigation of a specified condition
63450    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of infection (R)
$475.00
63453    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of tumour (R)
$475.00
63456    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of demyelinating disease (R)
$475.00
63459    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
exclusion of congenital malformation of the spinal cord or the
cauda equina or the meninges (R)
$475.00
63462    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of myelopathy (R)
$475.00
63465    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of syrinx - congenital or acquired (R)
$475.00
63468    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of cervical radiculopathy (R)
$475.00
63471    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of sciatica (R)
$475.00
63474    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of spinal canal stenosis (R)
$475.00
63477    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of previous spinal surgery (R)
$475.00
63480    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
further investigation of trauma (R)
$475.00 Subgroup 13 - Scan of 1 region of spine or 2 contiguous regions for
monitoring of a specified condition
63500    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
demyelinating disease (R)
$475.00
63503    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
congenital malformation of the spinal cord or the cauda equina
or the meninges (R)
$475.00
63506    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
myelopathy (R)
$475.00
63509    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
syrinx - congenital or acquired (R)
$475.00
63512    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
cervical radiculopathy (R)
$475.00
63515    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
sciatica (R)
$475.00
63518    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
spinal canal stenosis (R)
$475.00
63521    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
previous spinal surgery (R)
$475.00
63524    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
trauma (R)
$475.00 Subgroup 14 - Scan of 3 contiguous or 2 non-contiguous regions of the
spine for monitoring of a specified condition
63550    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
monitoring of demyelinating disease (R)
$475.00
63553    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
monitoring of congenital malformation of the spinal cord or
the cauda equina or the meninges (R)
$475.00
63556    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
monitoring of myelopathy (R)
$475.00
63559    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for the
monitoring of syrinx - congenital or acquired (R)
$475.00
63562    MRI - scan of up to 3 contiguous regions or 2 non-contiguous 

regions of the spine (with or without intravenous contrast)
for monitoring of cervical radiculopathy (R)
$475.00
63565    MRI - scan of up to 3 contiguous regions or 2 non-contiguous 

regions of the spine (with or without intravenous contrast)
for monitoring of sciatica (R)
$475.00
63568    MRI - scan of up to 3 contiguous regions or 2 non-contiguous 

regions of the spine (with or without intravenous contrast)
for monitoring of spinal canal stenosis (R)
$475.00
63571    MRI - scan of up to 3 contiguous regions or 2 non-contiguous 

regions of the spine (with or without intravenous contrast)
for monitoring of previous spinal surgery (R)
$475.00
63574    MRI - scan of up to 3 contiguous regions or 2 non-contiguous 

regions of the spine (with or without intravenous contrast)
for monitoring of trauma (R)
$475.00 Subgroup 15 - Scan of 1 region of spine or 2 contiguous region for
monitoring of a specified condition
63580    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
infection (R)
$475.00
63583    MRI - scan of 1 region or 2 contiguous regions of the spine 

(with or without intravenous contrast) for monitoring of
tumour (R)
$475.00 Subgroup 16 - Scan of 3 contiguous or 2 non-contiguous regions of
spine for monitoring of a specified condition
63590    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for
monitoring of infection (R)
$475.00
63593    MRI - scan of 3 contiguous regions or 2 non-contiguous 
regions
of the spine (with or without intravenous contrast) for
monitoring of tumour (R)
$475.00 Subgroup 17 - Scan of musculoskeletal system for the exclusion of a
specified condition
63600    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of tumour arising in
bone or other connective tissue (R)
$475.00
63603    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of infection arising
in bone or other connective tissue (R)
$475.00
63606    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of osteonecrosis (R)
$475.00
63609    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of derangement of hip
or its supporting structures (R)
$475.00
63612    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of derangement of
shoulder or its supporting structures (R)
$475.00
63615    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of derangement of knee
or its supporting structures (R)
$475.00
63618    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of derangement of
ankle or its supporting structures (R)
$475.00
63621    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of derangement of
temporomandibular joint or its supporting structures (R)
$475.00
63624    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of derangement of
wrist or its supporting structures (R)
$475.00
63627    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for the exclusion of derangement of
elbow or its supporting structures (R)
$475.00 Subgroup 18 - Scan of musculoskeletal system for further investigation
of a specified condition
63650    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of tumour
arising in bone or other connective tissue (R)
$475.00
63653    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of infection
arising in bone or other connective tissue (R)
$475.00
63656    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of
osteonecrosis (R)
$475.00
63659    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of derangement
of hip or its supporting structures (R)
$475.00
63662    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of derangement
of shoulder or its supporting structures (R)
$475.00
63665    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of derangement
of knee or its supporting structures (R)
$475.00
63668    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of derangement
of ankle or its supporting structures (R)
$475.00
63671    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of derangement
of temporomandibular joint or its supporting structures (R)
$475.00
63674    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of derangement
of wrist or its supporting structures (R)
$475.00
63677    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of derangement
of elbow or its supporting structures (R)
$475.00
63680    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation of post
inflammatory or post traumatic physeal fusion in a person
under 16 years of age (R)
$475.00 Subgroup 19 - Scan of musculoskeletal system for monitoring of a
specified condition
63700    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of derangement of hip or
its supporting structures (R)
$475.00
63703    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of derangement of
shoulder or its supporting structures (R)
$475.00
63706    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of derangement of knee or
its supporting structures (R)
$475.00
63709    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of derangement of ankle
or its supporting structures (R)
$475.00
63712    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of derangement of
temporomandibular joint or its supporting structures (R)
$475.00
63715    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of derangement of wrist
or its supporting structures (R)
$475.00
63718    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of derangement of elbow
or its supporting structures (R)
$475.00
63721    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of post inflammatory or
post traumatic physeal fusion in a person under 16 years of
age (R)
$475.00 Subgroup 20 - Scan of musculoskeletal system for monitoring of a
specified condition
63736    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of osteonecrosis (R)
$475.00
63739    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of tumour arising in bone
or other connective tissue (R)
$475.00
63742    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for monitoring of infection arising in
bone or other connective tissue (R)
$475.00 Subgroup 21 - Scan of musculoskeletal system for further investigation
or monitoring of a specified condition
63745    MRI - scan of the musculoskeletal system (with or without 

intravenous contrast) for further investigation, or
monitoring, of Gaucher disease (R)
$475.00 Subgroup 22 - Scan of cardiovascular system for further investigation
of a specified condition
63750    MRI - scan of the cardiovascular system (with or without 

contrast and including MRA, if performed) for further
investigation of congenital disease of the heart or a great
vessel (R)
$475.00
63753    MRI - scan of the cardiovascular system (with or without 

contrast and including MRA, if performed) for further
investigation of tumour of the heart or a great vessel (R)
$475.00
63756    MRI - scan of the cardiovascular system (with or without 

contrast and including MRA, if performed) for further
investigation of abnormality of thoracic aorta (R)
$475.00 Subgroup 23 - Scan of cardiovascular system for monitoring of a
specified condition
63800    MRI - scan of the cardiovascular system (with or without 

contrast and including MRA, if performed) for monitoring of
congenital disease of the heart or a great vessel (R)
$475.00
63803    MRI - scan of the cardiovascular system (with or without 

contrast and including MRA, if performed) for monitoring of
tumour of the heart or a great vessel (R)
$475.00
63806    MRI - scan of the cardiovascular system (with or without 

contrast and including MRA, if performed) for monitoring of
abnormality of the thoracic aorta (R)
$475.00 Subgroup 24 - Magnetic resonance angiography - Scan of cardiovascular
system for the exclusion of or further investigation of a specified condition
63850    MRA - scan of cardiovascular system (with or without 
contrast)
for exclusion, or further investigation, of stroke (R)
$475.00
63853    MRA - scan of cardiovascular system (with or without 
contrast)
for exclusion, or further investigation, of carotid or
vertebral artery dissection (R)
$475.00
63856    MRA - scan of cardiovascular system (with or without 
contrast)
for exclusion, or further investigation of intracranial
aneurysm (R)
$475.00
63859    MRA - scan of cardiovascular system (with or without 
contrast)
for exclusion, or further investigation of intracranial
arteriovenous malformation (R)
$475.00
63862    MRA - scan of cardiovascular system (with or without 
contrast)
for exclusion, or further investigation of venous sinus
thrombosis (R)
$475.00
63865    MRA - scan of cardiovascular system (with or without 
contrast)
for exclusion, or further investigation of vascular
abnormality in a patient with a previous anaphylactic reaction
to an iodinated contrast medium (R)
$475.00
63868    MRA - scan of cardiovascular system (with or without 
contrast)
for exclusion, or further investigation of obstruction of the
superior vena cava, inferior vena cava or a major pelvic vein

                (R) 
$475.00 Subgroup 25 - Magnetic resonance angiography - Scan of cardiovascular
system for further investigation of a specified condition
63870    MRA - scan of cardiovascular system in a person under the age 

of 16 (with or without contrast) for further investigation of
the vasculature of limbs prior to limb or digit transfer
surgery in congenital limb deficiency syndrome (R)
$475.00 Subgroup 26 - Magnetic resonance angiography - Scan of cardiovascular
system for further investigation of a specified condition
63880    MRA - scan of cardiovascular system (with or without 
contrast)
for monitoring of carotid or vertebral artery dissection (R)
$475.00
63883    MRA - scan of cardiovascular system (with or without 
contrast)
for monitoring of venous sinus thrombosis (R)
$475.00 Subgroup 27 - Scan of body for further investigation of a specified
condition - Person under the age of 16 years
63900    MRI - scan of the body in a person under the age of 16 years 

(with or without intravenous contrast) for further
investigation of pelvic or abdominal mass (R)
$475.00
63903    MRI - scan of the body in a person under the age of 16 years 

(with or without intravenous contrast) for further
investigation of mediastinal mass (R)
$475.00
63906    MRI - scan of the body in a person under the age of 16 years 

(with or without intravenous contrast) for further
investigation of congenital uterine or anorectal abnormality

                (R) 
$475.00
63909    MRI - scan of the body in a person under the age of 16 years 

(with or without intravenous contrast) for further
investigation of Gaucher disease (R)
$475.00 Subgroup 28 - Scan of body for further investigation of a specified
condition
63920    MRI - scan of the body (with or without intravenous contrast) 

for further investigation of adrenal mass in a patient with a
malignancy which is otherwise resectable (R)
$475.00 Subgroup 29 - Scan of body for monitoring of a specified condition -
Person under the age of 16 years
63930    MRI - scan of the body (with or without intravenous contrast) 

for monitoring of congenital uterine or anorectal abnormality
in a person under the age of 16 years (R)
$475.00 Subgroup 30 - Scan of body for monitoring of a specified condition -
Person under the age of 16 years
63940    MRI - scan of the body in a person under the age of 16 years 

(with or without intravenous contrast) for monitoring of
mediastinal mass (R)
$475.00
63943    MRI - scan of the body in a person under the age of 16 years 

(with or without intravenous contrast) for monitoring of
pelvic or abdominal mass (R)
$475.00
63946    MRI - scan of the body in a person under the age of 16 years 

(with or without intravenous contrast) for monitoring of
Gaucher disease (R)
$475.00".