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HEALTH INSURANCE (DIAGNOSTIC IMAGING SERVICES TABLE) REGULATIONS 2000 2000 NO. 291 - SCHEDULE 1

Table of diagnostic imaging services

(regulation 5)

Part 1 Prescription of table

1 Prescription of table
For section 4AA of the Act, these Regulations prescribe a table of diagnostic imaging services that sets out:

(a)
in Part 2 — rules for interpretation of the table; and

(b) in Part 3:

(i)
items of diagnostic imaging services; and
(ii)
the amount of fees applicable for each item.

Part 2 Rules of interpretation

2 General
(1) In this table, unless the contrary intention appears:

"computed tomography" means a service performed (with or without intravenous contrast):

(a)
using a detector coupled to an X-ray tube that emits a finely collimated X-ray beam as it rotates within a gantry around a patient either in incremental or helical manner; and

(b)
registering a resulting variable amount of X-rays and transforming that information into a cross-sectional image after the application of complex algorithms.

"CT" means computed tomography.

CT equipment includes the following components:

(a)
a gantry;

(b)
a couch;

(c)
a computer;

(d)
an operator station;

(e)
a generator.

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

"group of practitioners" has the same meaning as in subsection 16A

(10)
of the Act.

"item "means:

(a) an item mentioned, by number, in column 1 of:

(i)
Part 3; or
(ii)
Part 3 of the pathology services table; or
(iii)
Part 3 of the general medical services table; and
(b)
in a reference immediately followed by a number — the item so numbered.

Example
A reference by number to any of items 11240, 11603 to 11612, 30361 and 30488 is a reference to the item so numbered in the general medical services table.

"MRA" means magnetic resonance angiography.

"MRI" means magnetic resonance imaging.

"non-metropolitan hospital" means a hospital that is located outside the Sydney, Melbourne, Brisbane, Adelaide, Perth, Greater Hobart, Darwin and Canberra major statistical divisions, as defined in the Australian Standard Geographical Classification 1999 published by the Australian Bureau of Statistics (publication number 1216.0 of 1999).

"remote location "means a place within Australia that is more than 30 kilometres by road from:

(a)
a hospital that provides a radiology or computed tomography service under the direction of a specialist in the specialty of diagnostic radiology; or

(b)
a free-standing radiology or computed tomography facility under the direction of a specialist in the specialty of diagnostic radiology.

"report" means a report prepared by a medical practitioner.

"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
A number of words and expressions used in this table are defined in subsection 3 (1) of the Act. For instance:

* diagnostic imaging service
* general medical services table
* specialist.

(2)
A reference to a Group in the table includes every item in the Group and a reference to a Subgroup in the table includes every item in the Subgroup.

3 Meaning of (R) and (NR) in the table

(1)
An item including the symbol (R ) is an R-type diagnostic imaging service.

(2)
An item including the symbol (NR) is an NR-type diagnostic imaging service.

4 Meaning of (S) in the table

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

5 Who may provide a diagnostic imaging service

Unless the contrary intention appears, the fee for a diagnostic imaging service mentioned in an item in this table applies, whether the service is provided by:

(a)
a medical practitioner; or

(b) a person, other than a medical practitioner, who:

(i)
is employed by a medical practitioner; or
(ii)
provides the service under the supervision of a medical practitioner in accordance with accepted medical practice.

6 Administration of anaesthetics in connection with certain services

(1) This rule applies to an item in which the service described includes the formula:

Anaes.  n  n1  B   n2  T

in which n , n1 and n2 appear as numbers.

(2)
The service provided by the medical practitioner who administers the anaesthetic represented by the formula must be the service described in the general medical services table by the item having the number n .

7 Meaning of medical practitioner in certain items

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

8 Meaning of Amount under rule 8 in certain items

In item 59103:

Amount under rule 8 means an amount equal to the sum of:

(a)
the fee set out in another item for the radiographic examination in conjunction with which a service mentioned in item 59103 is provided; and

(b)
$21.30.

9 Ultrasound services — eligible services
(1) Items 55028 to 55850 (except items 55600 and 55603), if marked with the symbol ( R ), apply to an ultrasound service (the eligible service ) only if the service is performed:
(a) under the professional supervision of a specialist or a consultant physician in the practice of his or her specialty who is available:

(i)
to monitor and influence the conduct and diagnostic quality of the examination; and
(ii)
if necessary, to personally attend the patient; or

(b) under the professional supervision of a practitioner who:

(i)
is not a specialist or consultant physician; and
(ii)
meets the requirement of subrule (2); and
(iii)
is available to monitor and influence the conduct and diagnostic quality of the examination and, if necessary, to personally attend the patient; or

(c) in the circumstance mentioned in subrule (3), and under the professional supervision of a practitioner who is available:

(i)
to monitor and influence the conduct and diagnostic quality of the examination; and
(ii)
if necessary, to personally attend the patient; or

(d) if paragraph (a), (b) or (c) cannot be complied with:

(i)
in an emergency; or
(ii)
in a location that is not less than 30 kilometres by the most direct road route from another practice where services that comply with paragraph (a) or (b) are available.
(2)
The requirement of this subrule is that, between 1 September 1997 and 31 August 1999, at least 50 services were rendered by or on behalf of the practitioner at the location where the eligible service was rendered, and the rendering of those services entitled payment of medicare benefits.

(3)
For paragraph (1) (c), the circumstance is that, between 1 September 1997 and 31 August 1999, at least 50 services were rendered in nursing homes or patients' residences by or on behalf of the practitioner, and the rendering of those services entitled payment of medicare benefits.

10 Personal attendance for musculoskeletal ultrasound
Items 55800 to 55850 apply to a musculoskeletal ultrasound service only if:

(a)
the medical practitioner responsible for the conduct and report of the examination personally attends during the performance of the scan and personally examines the patient; or

(b)
the service is performed, because of medical necessity, in a location that is more than 30 kilometres by the most direct road route from another practice where services that comply with paragraph (a) are available.

11 Obstetric and gynaecological ultrasound — limits

The fees mentioned in items in the item range from 55700 to 55774 in Part 3 of this table are applicable to no more than 3 items of NR-type diagnostic imaging for the same patient in any 1 pregnancy.

12 Clinical indications

(1)
For items where clinical conditions are listed, or where a clinical indication is required for performance of subsequent scans (item 55712, 55715, 55721, 55725, 55764, 55766, 55772 or 55774), the referral must identify the relevant clinical indication for the service.

(2)
If the service is pathologist-determined, the clinical condition or indication must be recorded in the pathology practitioner's clinical notes.

13 Referral forms from practitioners who have obstetric privileges at a non-metropolitan hospital

A referral form for an item in Subgroup 5 of Group I1 for a referral by a practitioner who has obstetric privileges at a non-metropolitan hospital must show his or her eligibility to refer for the service by specifying on the form `non-metropolitan obstetric privileges'.

14 Comparison ultra-sonography

For items in Subgroup 6 of Group I1, the fee applicable for the item includes any views of another part of the patient taken for comparison purposes.

15 Equipment

Items 55800 to 55850 apply only to an ultrasound service performed using an ultrasound system which has available on-site a transducer capable of operation at at least 7.5 megahertz.

16 Items 55800 to 55850 — multiple scans

The fee mentioned in items 55800 to 55850 is payable once only for a service described in any of those items regardless of the number of regions scanned in performing the service.

17 Computed tomography services — meaning of (K)  and "(NK)"

(1) In any of items 56001 to 57355, the symbol (K) means:
(a) for CT equipment that was first installed and used as new equipment at a site in Australia:

(i)
the service was rendered earlier than 10 years after the earliest date on which any component of the equipment was first installed and ready for use; or
(ii)
the service was performed in a remote location; or

(b) for CT equipment imported as pre-used equipment:

(i)
the service was rendered earlier than 10 years after the earliest date of manufacture of any component of the equipment; or
(ii)
the service was rendered in a remote location.

(2) In any of items 56001 to 57355, the symbol (NK) means the service was rendered 10 years or more after:

(a)
for CT equipment that was first installed and used as new equipment in Australia — the earliest date on which any component of the equipment was first installed and ready for use; or

(b)
for CT equipment imported as pre-used equipment — the earliest date of manufacture of any component of the equipment.

(3) In this rule:

"CT equipment imported as pre-used equipment" means equipment that has been used to perform CT services before being imported into Australia.

"installed and ready for use", in relation to a component, means ready for immediate income-producing purposes whether or not it is so used.

18 CT services — eligible services

Items 56001 to 57355 apply only to a computed tomography service performed:
(a) under the professional supervision of a specialist in the specialty of diagnostic radiology who is available:

(i)
to monitor and influence the conduct and diagnostic quality of the examination; and
(ii)
if necessary, to personally attend on the patient; or

(b) if paragraph (a) cannot be complied with:

(i)
in an emergency; or
(ii)
because of medical necessity, in a remote location.

19 Computed tomography services — exclusion of acoustic neuroma

If an axial scan is performed for the exclusion of acoustic neuroma, item 56001 or 56007 applies instead of any other item in this table that might be taken to describe the service.

20 Computed tomography — assessment of headache

(1) If the service described in item 56007 or 56047 is used for the assessment of headache of a patient to whom this rule applies, the fee mentioned in the item applies only if:

(a)
a scan without intravenous contrast medium has been performed on the patient; and

(b)
the service is required because the result of the scan is abnormal.

(2) This rule applies to a patient who:

(a)
is under 50 years; and

(b)
is (apart from the headache) otherwise well; and

(c)
has no localising symptoms or signs; and

(d)
has no history of malignancy or immunosuppression.

21 Mammography services — eligible services

Items 59300 to 59318 apply only to a mammography service performed:
(a) under the professional supervision of a specialist in the specialty of diagnostic radiology who is available:

(i)
to monitor and influence the conduct and diagnostic quality of the examination; and
(ii)
if necessary, to personally attend on the patient; or

(b) if paragraph (a) cannot be complied with:

(i)
in an emergency; or
(ii)
because of medical necessity, in a remote location.

22 Preparation of patients for radiological procedures

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

(a)
injecting opaque or contrast media; or

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

(c)
a similar method.

23 Meaning of angiography suite in item 61109

In item 61109:

"angiography suite" means a room that contains only equipment designed for angiography that is able to perform digital subtraction or rapid-sequence film angiography.

24 Nuclear scanning services

Items 61302 to 61499 apply only if:

(a)
the performance of the service does not involve the use of positron-emission radio-isotopes or a Positron Emission Tomography (PET) scanner; and

(b) the service is performed:

(i)
by a specialist or consultant physician whose name is included in a register, given to the Commission by the Joint Nuclear Medicine Specialist Credentialling and Accreditation Committee of the Royal Australasian College of Physicians and the Royal Australian and New Zealand College of Radiologists, of participants in the Joint Nuclear Medicine Specialist Credentialling Program of the Committee; or
(ii)
by a person acting on behalf of a specialist or consultant physician mentioned in subparagraph (i); and
(c)
the final report of the service is compiled by the specialist or consultant physician who performed the preliminary examination of the patient and the estimation and administration of the dosage of radiopharmaceuticals.

25 Meaning of Amount under rule 25 in item 61462

In item 61462:

Amount under rule 25 means an amount equal to the sum of:

(a)
the fee set out in the item in Group I4 in conjunction with which a service mentioned in item 61462 is performed; and

(b)
$113.55.

26 Multiple services

(1)
If a medical practitioner renders 2 or more diagnostic imaging services for the same patient on the same day, the fees set out in the items that apply to the services, other than the item with the highest fee, are reduced by $5.00.

(2) If a medical practitioner renders at least 1 R-type diagnostic imaging service and at least 1 consultation service for the same patient on the same day, the highest fee, set out in the items that apply to diagnostic imaging services rendered by the practitioner for that patient on that day, is reduced:

(a)
if the fee for the relevant consultation is at least $40.00 — by $35.00; or

(b)
if that fee is less than $40.00 but more than $15.00 — by $15.00; or

(c)
if that fee is less than $15.00 — by the amount of that fee.

(3)
For subrule (2), if more than 1 consultation has occurred, the relevant consultation is the consultation having the highest fee set out in the items that apply to the consultation.

(4)
If a medical practitioner renders at least 1 R-type diagnostic imaging service and at least 1 non-consultation service for the same patient on the same day, the highest fee that applies to any diagnostic imaging services performed by the medical practitioner for the same patient on the same day, is reduced by $5.00.

(5)
If a medical practitioner renders an R-type diagnostic imaging service, a consultation and a non-consultation service for the same patient on the same day, the sum of the reductions under subrules (2) and (4) must not exceed the highest fee that applies to any diagnostic imaging services rendered by the medical practitioner for the same patient on the same day.

(6)
This rule does not apply to diagnostic imaging services that are rendered in a remote area by a medical practitioner for whom a remote area exemption under section 23DX of the Act is in force for that area.

(7) In this rule:

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

"highest fee" means the highest fee specified for an item in the first claim submitted to the Commission in relation to the services concerned.

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

27 MRI and MRA services — eligible services

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

(a)
on request, in accordance with rule 28, by a specialist or consultant physician; and

(b)
in a permissible circumstance, in accordance with rule 29; and

(c)
with eligible equipment, in accordance with rule 31.

28 Request for MRI and MRA services — requirements

Items 63000 to 63946 apply only to a service in respect of which the request:

(a)
was made in writing; and

(b)
identified the clinical indications for the service.

29 MRI and MRA services — permissible circumstances for performance

For rule 27, 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 location.

30 MRI and MRA services — eligible provider

(1) For rule 29, 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 31.

(2) The Commission must have been given 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 and is equipment to which subrule 31 (3) or (4) applies, stating the date that it was installed (the installation date ); and

(e)
if paragraph (d) applies, and the installation date was 12 May 1998 — stating the time at which the equipment was installed.

(3)
If paragraph (2) (d) applies, and the equipment was not installed before 7.30 pm on 12 May 1998, Eastern Standard Time, the specialist must have given 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).

31 MRI and MRA services — eligible equipment

(1)
For rule 27, eligible equipment is equipment that complies with this rule.

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

(3) For a medical practice or hospital located in a non-metropolitan area:

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

(b) if the equipment was uninstalled at the time and on the day mentioned in paragraph (a), it must:

(i)
have been purchased or leased (under a contract, in writing, that did not contain an option to cancel) before that time on that day; and
(ii)
on or before 18 October 1999, be in use for services for which a medicare benefit is claimed; or
(c)
be replacement equipment for equipment mentioned in paragraph (a) or (b).

Note
Equipment relocated to a new location may continue to comply with subrule (3). However, to continue to be eligible equipment, the equipment would have to continue to comply with subrule (2).

(4) For a medical practice or hospital located in a metropolitan area the equipment must:

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

(b)
if uninstalled at that time on that day, have been purchased or leased (under a contract, in writing, that did not contain an option to cancel) before 10 February 1998; or

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

Note
Equipment relocated to a new location may continue to comply with subrule (4). However, to continue to be eligible equipment, the equipment would have to continue to comply with subrule (2).

(5)
Equipment mentioned in paragraph (3) (a) or (b) or (4) (a) or (b) ceases to be eligible equipment when replaced by other equipment.

(6)
The Commission must have been given, before 11 October 1999:

(a)
the statutory declaration, under subrule 30 (2), in relation to the equipment; and

(b)
if paragraph (3) (b) or (4) (b) applies, the copy contract mentioned in subrule 30 (3).

(7) For this rule:

"comprehensive", in relation to a range of diagnostic imaging procedures, means that the range includes x-ray, ultrasound and computed 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.

"metropolitan area" includes any location within any of the Sydney, Melbourne, Brisbane, Adelaide, Perth, Greater Hobart, Darwin or Canberra major statistical divisions, as defined in the Australian Standard Geographical Classification 1999 published by the Australian Bureau of Statistics (publication number 1216.0 of 1999).

32 MRI and MRA services — meaning of scan

In items 63000 to 63946:

"scan" means a minimum of 3 sequences.

33 MRI and MRA services — descriptions of purpose of services

The description of a service mentioned in an item in Group I5 means, as applicable:

(a)
the exclusion of a condition; or

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

(i)
when the diagnosis is uncertain; or
(ii)
to assess the severity of the condition; or
(c)
the monitoring of a condition, using the service following confirmed diagnosis to assess progress of a condition following treatment.

Note
For exclusion of a condition , see rule 2.

34 MRI or MRA services — related services that can be claimed in a 12 month period

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

(a)
the item is 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 those services mentioned in subrule (2) for that item.

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

(a)
for items 63000 to 63024, 63050 to 63062, 63100 to 63133, 63150 to 63162, 63300 to 63315, 63350 to 63365, 63400 to 63430, 63450 to 63480, 63500 to 63524, 63550 to 63574, 63600 to 63627, 63650 to 63680, 63700 to 63721, 63750 to 63756, 63870, 63900 to 63909, 63920 and 63930 — 1 service; and

(b)
for items 63200 to 63221, 63250 to 63256, 63745, 63800 to 63806 and 63850 to 63868 — 2 services.

Part 3 Services and fees

Item


Diagnostic imaging service


Fee ($)


Group I1 — Ultrasound


Subgroup 1 — General


55028


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

(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 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, if 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 applies (NR)


34.65


55030


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

(a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroup 2 or 3 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, if 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 applies (NR)


34.65


55032


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

(a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroup 2 or 3 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, if 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 applies (NR)


34.65


55036


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

(a) the patient is referred by a medical practitioner for ultrasonic examination; 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 a service associated with a service to which an item in Subgroup 2 or 3 applies; and
(d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and
(e) within 24 hours of the service, a service described in item 55038, 55044 or 55731 is not performed on the same patient by the practitioner (R)


101.95


55037


Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:

(a) the patient is not referred by a medical practitioner; and
(b) the service is not a service associated with a service to which an item in Subgroup 2 or 3 applies; and
(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR)


34.65


55038


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

(a) the patient is referred by a medical practitioner for ultrasonic examination; 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 a service associated with a service to which an item in Subgroup 2 or 3 applies; and
(d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and
(e) within 24 hours of the service, a service described in item 55036, 55044 or 55731 is not performed on the same patient by the practitioner (R)


99.90


55039


Urinary tract, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and
(b) the service is not a service associated with a service to which an item in Subgroup 2 or 3 applies; and
(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR)


34.65


55044


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

(a) the patient is referred by a medical practitioner for ultrasonic examination; 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 a service associated with a service to which an item in Subgroup 2 or 3 applies; and
(d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and
(e) within 24 hours of the service, a service described in item 55036 or 55038 is not performed on the same patient by the practitioner (R)


101.95


55045


Pelvis, male, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and
(b) the service is not a service associated with a service to which an item in Subgroup 2 or 3 applies; and
(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR)


34.65


55048


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

(a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroup 2 or 3 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, if 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 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


55070


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

(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 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, if:

(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 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 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, if:

(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 applies (NR)


34.65


Subgroup 2 — Cardiac


55112


M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows 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 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 3 applies (R)


257.65


55116


Exercise stress echocardiography performed in conjunction with item 11712, with two-dimensional recordings before exercise (baseline) from at least 3 acoustic windows and matching recordings from the same windows at, or immediately after, peak exercise. Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R)


257.65


55117


Pharmacological stress echocardiography performed in conjunction with item 11712, with two-dimensional recordings before drug infusion (baseline) from at least 3 acoustic windows and matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose or immediately after peak exercise. Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R)


257.65


55118


Heart, 2 dimensional real time transoesophageal examination of, from at least 2 levels, and in more than 1 plane at each level:

(a) with:
(i) pulsed wave Doppler examination; and
(ii) real time colour flow mapping; and
(iii) recordings on video tape or digital medium; and
(b) not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 3 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 or digital medium, 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 performed, immediately before or for a period during the performance 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 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


169.45



(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 performed, immediately before or for a period during the performance 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 applies — 1 examination and report (R)



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;


298.65



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 applies — examination and report (R)



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;


298.65



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 applies — examination and report (R)



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


99.90



(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 before the scan; and
(ii) recommended the scan for the management of the patient's current prostatic disease (R)



55603


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

(a) personally by a medical practitioner who made the assessment mentioned 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


99.90



(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 before the scan; and
(ii) recommended the scan for the management of the patient's current prostatic disease (R)



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 applies; and


60.00



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




(e) 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) significant 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 foetal 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


35.00



(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 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) significant 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 foetal abnormality (NR)



55704


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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 applies; and


70.00



(d) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member; and
(e) 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) significant 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 foetal abnormality (R)



55705


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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 applies; and


35.00



(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) significant 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 foetal abnormality (NR)



55706


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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 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, foetal 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


38.00



(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 applies; and




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



55712


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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


115.00



(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 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) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709 (R)



55715


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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


40.00



(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 applies; and




(d) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709 (NR)



55718


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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 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 foetal abnormality or foetal cardiac arrhythmia;




(ii) foetal 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 foetal death in utero or neonatal death;
(xi) antepartum haemorrhage;
(xii) clinical suspicion of intrauterine growth retardation;
(xiii) clinical suspicion of macrosomia;
(xiv) reduced foetal movements;
(xv) suspected foetal death;
(xvi) abnormal cardiotocography;
(xvii) prolonged pregnancy;
(xviii) premature labour;




(xx) foetal 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, foetal 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


115.00



(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 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) 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, foetal development and anatomy, ultrasound scan of (not exceeding 1 service in any 1 pregnancy), 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 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 foetal abnormality or foetal cardiac arrhythmia;


38.00



(ii) foetal 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 foetal death in utero or neonatal death;
(xi) antepartum haemorrhage;
(xii) clinical suspicion of intrauterine growth retardation;




(xiii) clinical suspicion of macrosomia;
(xiv) reduced foetal movements;
(xv) suspected foetal death;
(xvi) abnormal cardiotocography;
(xvii) prolonged pregnancy;
(xviii) premature labour;




(xx) foetal 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)



55725


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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


40.00



(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(d) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (NR)



55728


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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


100.00



(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 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) 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)



55729


Measurement of umbilical blood flow using pulsed wave or continuous wave Doppler techniques after the 26 th 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


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 applies; and


98.00



(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)



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 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 applies; and


127.00



(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)



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


57.00


55759


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal development and anatomy, ultrasound scan of (not exceeding 1 service in any 1 pregnancy), 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) ultrasound of the same pregnancy confirms a multiple pregnancy; and


150.00



(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and
(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and





(e) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member; and
(f) the service described in item 55706, 55709, 55712, 55715 or 55762 is not performed in conjunction with the scan during the same pregnancy (R)




55762


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal development and anatomy, ultrasound scan of (not exceeding 1 service in any 1 pregnancy), 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 not referred by a medical practitioner; and
(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and



60.00



(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and
(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and





(e) the service described in item 55706, 55709, 55712, 55715 or 55759 is not performed in conjunction with the scan during the same pregnancy (NR)




55764


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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, if:

(a) the patient is referred by a medical practitioner who:
(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or
(ii) has a Diploma of Obstetrics; or
(ii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or



160.00



(iv) has obstetric privileges at a non-metropolitan hospital; and
(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and





(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and
(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and





(e) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member; and
(f) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and





(g) the service described in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the scan during the same pregnancy (R)




55766


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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 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) ultrasound of the same pregnancy confirms a multiple pregnancy; and
(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and



65.00



(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(e) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and





(f) the service described in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the scan during the same pregnancy (NR)




55768


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal development and anatomy, ultrasound scan of (not exceeding 1 service in any 1 pregnancy), by any or all approaches, performed by or on behalf of a medical practitioner, where:

(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and
(b) the ultrasound confirms a multiple pregnancy; and
(c) the patient is referred by a medical practitioner; and



150.00



(d) the service is not performed in the same pregnancy as item 55770; and
(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and





(f) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member; and
(g) the service described in item 55718, 55721, 55723, 55725 or 55728 is not performed in conjunction with the scan with during the same pregnancy (R)




55770


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

(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and
(b) the patient is not referred by a medical practitioner; and
(c) the service is not performed in the same pregnancy as item 55768; and



60.00



(d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and
(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and





(f) the service described in item 55718, 55721, 55723, 55725 or 55728 is not performed in conjunction with the scan during the same pregnancy (NR)




55772


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

(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and
(b) the patient is referred by a medical practitioner who:
(i) is a Member or 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 equivalent to a Diploma of Obstetrics; or
(iv) has obstetric privileges at a non-metropolitan hospital; and



160.00



(c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and





(d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and
(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and





(f) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member; and
(g) the service described in item 55718, 55721, 55723, 55725 or 55728 is not performed in conjunction with the scan during the same pregnancy (R)




55774


Pelvis or abdomen, pregnancy-related or pregnancy complication, foetal 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) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and



65.00



(b) the patient is not referred by a medical practitioner; and
(c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and





(d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and
(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(f) the service described in item 55718, 55721, 55723, 55725 or 55728 is not performed in conjunction with the scan during the same pregnancy (NR)




Subgroup 6 — Musculoskeletal Ultrasound


55800


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55802


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55804


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55806


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55808


Shoulder or upper arm, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55810


Shoulder or upper arm, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55812


Chest or abdominal wall, 1 or more areas, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55814


Chest or abdominal wall, 1 or more areas, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55816


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55818


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55820


Paediatric hip examination for dysplasia, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55822


Paediatric hip examination for dysplasia 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55824


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55826


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55828


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55830


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55832


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55834


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

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55836


Ankle or hind foot, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55838


Ankle or hind foot, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55840


Mid foot or fore foot, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



99.90


55842


Mid foot or fore foot, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55844


Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, 1 or more areas, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is referred by a medical practitioner; and
(c) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



80.00


55846


Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, 1 or more areas, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and
(b) the patient is not referred by a medical practitioner (NR)



34.65


55848


Musculoskeletal 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, and not performed in conjunction with item 55054 (R)



99.90


55850


Musculoskeletal cross-sectional echography, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, where:

(a) the referring practitioner has indicated on a referral for a musculoskeletal ultrasound that an ultrasound guided intervention be performed if clinically indicated; and
(b) the service is not performed in conjunction with items 55054, or 55800 to 55848; and
(c) the patient is referred by a medical practitioner; and
(d) the referring practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)



140.00


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 before intravenous contrast injection, when performed, 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 performed (R) (K)


252.10


56013


Computed tomography — scan of orbits with or without intravenous contrast medium and with or without brain scan when performed (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 before intravenous contrast injection, when performed (R) (K)


336.80


56030


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


300.00


56036


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

(a) a scan without intravenous contrast medium has been performed; 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 before intravenous contrast injection, when performed, 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 performed (R) (NK)


128.15


56053


Computed tomography — scan of orbits with or without intravenous contrast medium and with or without brain scan when performed (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 before intravenous contrast injection, when performed (R) (NK)


168.40


56070


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


150.00


56076


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

(a) a scan without intravenous contrast medium has been performed; 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) before 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) before intravenous contrast injection, when performed, 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 before intravenous contrast injection when performed; 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 before intravenous contrast injection when performed; 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 before 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 before 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) before 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) before 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) before intravenous contrast injection, when performed, 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) before 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 before intravenous contrast injection, when performed, 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 before intravenous contrast injection, when performed, 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 before intravenous contrast injection, when performed; 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 before intravenous contrast injection, when performed; 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 before intravenous contrast injection, when performed, 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 before intravenous contrast injection, when performed, 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 before intravenous contrast injection, when performed, 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 before intravenous contrast injection, when performed, 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 8


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)


1 108.60


60009


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


1 297.30


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)


1 108.60


60021


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


1 297.30


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)


1 108.60


60033


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


1 297.30


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)


1 108.60


60045


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


1 297.30


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)


1 108.60


60057


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


1 297.30


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)


1 108.60


60069


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


1 297.30


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 performed (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 performed (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 performed (R)


336.95


61356


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


342.35


61360


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


Amount under rule 25


61465


Venography (R)


231.45


61469


Lymphoscintigraphy (R)


303.40


61473


Thyroid study including uptake measurement when performed (R)


152.85


61480


Parathyroid study, planar imaging and single photon emission tomography when performed (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 performed (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


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 specified conditions


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 — for monitoring of specified conditions


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 specified conditions


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 spine — 1 region 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 1 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 1 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 1 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 1 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 1 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 spine — 3 contiguous or 2 non-contiguous regions — for the exclusion of specified conditions


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 spine — 1 region or 2 contiguous regions — for further investigation of specified conditions


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 spine — 3 contiguous or 2 non-contiguous regions — for further investigation of specified conditions


63450


MRI — scan of 3 contiguous regions or 2 non-contiguous regions of the spine (with or without intravenous contrast) for 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 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 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 further investigation 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 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 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 spine — 1 region or 2 contiguous regions — for monitoring of specified conditions


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 spine — 3 contiguous or 2 non-contiguous regions — for monitoring of specified conditions


63550


MRI — scan of 3 contiguous regions or 2 non-contiguous regions of the spine (with or without intravenous contrast) for 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 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 spine — 1 region or 2 contiguous regions — for monitoring of specified conditions


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 spine — 3 contiguous or 2 non-contiguous regions — for monitoring of specified conditions


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 specified conditions


63600


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


475.00


63609


MRI — scan of 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 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 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 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 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 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 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 specified conditions


63650


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


475.00


63659


MRI — scan of 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 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 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 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 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 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 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 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 specified conditions


63700


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


475.00


63703


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


475.00


63706


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


475.00


63709


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


475.00


63712


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


475.00


63718


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


475.00


63721


MRI — scan of 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 specified conditions


63736


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


475.00


63739


MRI — scan of 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 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 specified conditions


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 specified conditions


63750


MRI — scan of the cardiovascular system (with or without intravenous 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 intravenous 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 intravenous 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 specified conditions


63800


MRI — scan of the cardiovascular system (with or without intravenous 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 intravenous 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 intravenous 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 specified conditions


63850


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


475.00


63853


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


475.00


63856


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


475.00


63859


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


475.00


63862


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


475.00


63865


MRA — scan of the cardiovascular system (with or without intravenous 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 the cardiovascular system (with or without intravenous 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 specified conditions — person under the age of 16 years


63870


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


475.00


Subgroup 26 — Magnetic resonance angiography — scan of cardiovascular system — for monitoring of specified conditions


63880


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


475.00


63883


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


475.00


Subgroup 27 — Scan of body — for further investigation of specified conditions — 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 specified conditions


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 specified conditions — 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 specified conditions — person under the age of 16 years


63940


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


475.00


1. Notified in the Commonwealth of Australia Gazette on 1 November 2000.



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