Health Insurance (1997-98 Diagnostic Imaging Services Table) Amendment Regulations 1998 (No. 1)

I, WILLIAM PATRICK DEANE, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following regulations under the Health Insurance Act 1973.

Dated 25 August 1998.

WILLIAM DEANE
Governor-General

By His Excellency’s Command,

MICHAEL WOOLDRIDGE

Minister for Health and Family Services

____________

1. Name of regulations

1.1 These regulations are the Health Insurance (1997-98 Diagnostic Imaging Services Table) Amendment Regulations 1998 (No. 1).

2. Commencement

2.1 These regulations commence on 1 September 1998.

3. Amendment

3.1 The Health Insurance (1997-98 Diagnostic Imaging Services Table) Regulations are amended as set out in these regulations.

4. Schedule (Table of Diagnostic Imaging Services)

4.1 Part 1 (Rules of interpretation):

Rule 1:

Omit the rule, substitute:

Definitions generally

“1. In this table:

Act means the Health Insurance Act 1973.

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

MRA means magnetic resonance angiography.

MRI means magnetic resonance imaging.

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

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

4.2 Part 1:

Rule 5 (Who may provide a diagnostic imaging service):

Omit “A diagnostic”, insert “Unless the contrary intention appears, a diagnostic”.

4.3 Part 1:

After rule 15, insert:

MRI and MRA services — eligible services

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

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

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

Referral for MRI and MRA services — requirements

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

(a) be in writing; and

(b) identify the clinical indications for the service.

MRI and MRA services — permissible circumstances for performance

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

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

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

(i) in an emergency; or

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

MRI and MRA services — eligible provider

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

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

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

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

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

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

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

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

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

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

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

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

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

MRI and MRA services — eligible equipment

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

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

“(3) The equipment must:

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

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

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

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

“(5) For this rule:

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

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

MRI and MRA services — meaning of scan

“21. In items 63000 to 63946:

scan means a minimum of 3 sequences.

MRI and MRA services — descriptions of purpose of services

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

(a) the exclusion of a condition; and

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

(i) when the diagnosis is uncertain; or

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

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

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

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

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

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

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

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

(a) items 63000–63024 — 1 service;

(b) items 63050–63062 — 1 service;

(d) items 63150–63162 — 1 service;

(e) items 63200–63221 — 2 services;

(f) items 63250–63256 — 2 services;

(g) items 63300–63315 — 1 service;

(h) items 63350–63365 — 1 service;

(i) items 63400–63430 — 1 service;

(j) items 63450–63480 — 1 service;

(k) items 63500–63524 — 1 service;

(l) items 63550–63574 — 1 service;

(m) items 63600–63627 — 1 service;

(n) items 63650–63680 — 1 service;

(o) items 63700–63721 — 1 service;

(p) item 63745 — 2 services;

(q) items 63750–63756 — 1 service;

(r) items 63800–63806 — 2 services;

(s) item 63870 — 1 service;

(t) items 63850–63868 — 2 services;

(u) items 63900–63909 — 1 service;

(v) item 63920 — 1 service;

(w) item 63930 — 1 service.”.

4.4 Part 2:

After item 61499, insert:

“GROUP I5 — MAGNETIC RESONANCE IMAGING

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

63000	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of tumour of the brain or meninges (R)	$475.00
63003	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of skull base or orbital tumour (R)	$475.00
63006	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of acoustic neuroma (R)	$475.00
63009	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of pituitary tumour (R)	$475.00
63012	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of inflammation of brain or meninges (R)	$475.00
63015	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of toxic or metabolic or ischaemic encephalopathy (R)	$475.00
63018	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of demyelinating disease of the brain (R)	$475.00
63021	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of congenital malformation of brain or meninges (R)	$475.00
63024	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of venous sinus thrombosis (R)	$475.00

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

63050	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of tumour of the central nervous system or meninges (R)	$475.00
63053	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of inflammation of the central nervous system or meninges (R)	$475.00
63056	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of demyelinating disease of the central nervous system (R)	$475.00
63059	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of congenital malformation of the central nervous system or meninges (R)	$475.00
63062	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for the exclusion of syrinx — congenital or acquired (R)	$475.00

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

63100	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of tumour of the brain or meninges (R)	$475.00
63103	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of skull base or orbital tumour (R)	$475.00
63106	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of acoustic neuroma (R)	$475.00
63109	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of pituitary tumour (R)	$475.00
63112	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of inflammation of the brain or meninges (R)	$475.00
63115	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of toxic or metabolic or ischaemic encephalopathy (R)	$475.00
63118	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of demyelinating disease of the brain (R)	$475.00
63121	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of congenital malformation of the brain or meninges (R)	$475.00
63124	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of head trauma (R)	$475.00
63127	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of epilepsy (R)	$475.00
63130	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of stroke (R)	$475.00
63133	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of venous sinus thrombosis (R)	$475.00

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

63150	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of tumour of the central nervous system or meninges (R)	$475.00
63153	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of inflammation of the central nervous system or meninges (R)	$475.00
63156	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of demyelinating disease of the central nervous system (R)	$475.00
63159	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of congenital malformation of the central nervous system or meninges (R)	$475.00
63162	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for further investigation of syrinx — congenital or acquired (R)	$475.00

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

63200	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of acoustic neuroma (R)	$475.00
63203	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of pituitary tumour (R)	$475.00
63206	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of demyelinating disease of the brain (R)	$475.00
63209	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of congenital malformation of brain or meninges (R)	$475.00
63212	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of head trauma (R)	$475.00
63215	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of epilepsy (R)	$475.00
63218	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of stroke (R)	$475.00
63221	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of toxic or metabolic or ischaemic encephalopathy (R)	$475.00

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

63250	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of demyelinating disease of the central nervous system (R)	$475.00
63253	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of congenital malformation of the central nervous system or meninges (R)	$475.00
63256	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of syrinx — congenital or acquired (R)	$475.00

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

63270	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of tumour of the brain or meninges (R)	$475.00
63273	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of skull base or orbital tumour (R)	$475.00
63276	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of inflammation of brain or meninges (R)	$475.00
63279	MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of venous sinus thrombosis (R)	$475.00

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

63290	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of tumour of the central nervous system or meninges (R)	$475.00
63293	MRI — scan of head and cervical spine (with or without intravenous contrast and including MRA, if performed) for monitoring of inflammation of the central nervous system or meninges (R)	$475.00

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

63300	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of infection (R)	$475.00
63303	MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of tumour (R)	$475.00
63306	MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of demyelinating disease (R)	$475.00
63309	MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of congenital malformation of the spinal cord or the cauda equina or the meninges (R)	$475.00
63312	MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of myelopathy (R)	$475.00
63315	MRI — scan of one region or 2 contiguous regions of the spine (with or without intravenous contrast) for the exclusion of syrinx — congenital or acquired (R)	$475.00

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

63350	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of infection (R)	$475.00
63353	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of tumour (R)	$475.00
63356	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of demyelinating disease (R)	$475.00
63359	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of congenital malformation of the spinal cord or the cauda equina or the meninges (R)	$475.00
63362	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of myelopathy (R)	$475.00
63365	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the exclusion of syrinx — congenital or acquired (R)	$475.00

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

63400	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of infection (R)	$475.00
63403	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of tumour (R)	$475.00
63406	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of demyelinating disease (R)	$475.00
63409	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of congenital malformation of the spinal cord or the cauda equina or the meninges (R)	$475.00
63412	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of myelopathy (R)	$475.00
63415	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of syrinx — congenital or acquired (R)	$475.00
63418	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of cervical radiculopathy (R)	$475.00
63421	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of sciatica (R)	$475.00
63424	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of spinal canal stenosis (R)	$475.00
63427	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of previous spinal surgery (R)	$475.00
63430	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for further investigation of trauma (R)	$475.00

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

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

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

63500	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of demyelinating disease (R)	$475.00
63503	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of congenital malformation of the spinal cord or the cauda equina or the meninges (R)	$475.00
63506	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of myelopathy (R)	$475.00
63509	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of syrinx — congenital or acquired (R)	$475.00
63512	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of cervical radiculopathy (R)	$475.00
63515	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of sciatica (R)	$475.00
63518	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of spinal canal stenosis (R)	$475.00
63521	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of previous spinal surgery (R)	$475.00
63524	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of trauma (R)	$475.00

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

63550	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the monitoring of demyelinating disease (R)	$475.00
63553	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the monitoring of congenital malformation of the spinal cord or the cauda equina or the meninges (R)	$475.00
63556	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the monitoring of myelopathy (R)	$475.00
63559	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for the monitoring of syrinx — congenital or acquired (R)	$475.00
63562	MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of cervical radiculopathy (R)	$475.00
63565	MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of sciatica (R)	$475.00
63568	MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of spinal canal stenosis (R)	$475.00
63571	MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of previous spinal surgery (R)	$475.00
63574	MRI — scan of up to 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of trauma (R)	$475.00

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

63580	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of infection (R)	$475.00
63583	MRI — scan of 1 region or 2 contiguous regions of the spine (with or without intravenous contrast) for monitoring of tumour (R)	$475.00

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

63590	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of infection (R)	$475.00
63593	MRI — scan of 3 contiguous regions or 2 non‑contiguous regions of the spine (with or without intravenous contrast) for monitoring of tumour (R)	$475.00

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

63600	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of tumour arising in bone or other connective tissue (R)	$475.00
63603	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of infection arising in bone or other connective tissue (R)	$475.00
63606	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of osteonecrosis (R)	$475.00
63609	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of hip or its supporting structures (R)	$475.00
63612	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of shoulder or its supporting structures (R)	$475.00
63615	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of knee or its supporting structures (R)	$475.00
63618	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of ankle or its supporting structures (R)	$475.00
63621	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of temporomandibular joint or its supporting structures (R)	$475.00
63624	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of wrist or its supporting structures (R)	$475.00
63627	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for the exclusion of derangement of elbow or its supporting structures (R)	$475.00

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

63650	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of tumour arising in bone or other connective tissue (R)	$475.00
63653	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of infection arising in bone or other connective tissue (R)	$475.00
63656	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of osteonecrosis (R)	$475.00
63659	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of hip or its supporting structures (R)	$475.00
63662	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of shoulder or its supporting structures (R)	$475.00
63665	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of knee or its supporting structures (R)	$475.00
63668	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of ankle or its supporting structures (R)	$475.00
63671	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of temporomandibular joint or its supporting structures (R)	$475.00
63674	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of wrist or its supporting structures (R)	$475.00
63677	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of derangement of elbow or its supporting structures (R)	$475.00
63680	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for further investigation of post inflammatory or post traumatic physeal fusion in a person under 16 years of age (R)	$475.00

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

63700	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of hip or its supporting structures (R)	$475.00
63703	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of shoulder or its supporting structures (R)	$475.00
63706	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of knee or its supporting structures (R)	$475.00
63709	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of ankle or its supporting structures (R)	$475.00
63712	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of temporomandibular joint or its supporting structures (R)	$475.00
63715	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of wrist or its supporting structures (R)	$475.00
63718	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of elbow or its supporting structures (R)	$475.00
63721	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of post inflammatory or post traumatic physeal fusion in a person under 16 years of age (R)	$475.00

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

63736	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of osteonecrosis (R)	$475.00
63739	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of tumour arising in bone or other connective tissue (R)	$475.00
63742	MRI — scan of the musculoskeletal system (with or without intravenous contrast) for monitoring of infection arising in bone or other connective tissue (R)	$475.00

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

63745

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

$475.00

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

63750	MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for further investigation of congenital disease of the heart or a great vessel (R)	$475.00
63753	MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for further investigation of tumour of the heart or a great vessel (R)	$475.00
63756	MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for further investigation of abnormality of thoracic aorta (R)	$475.00

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

63800	MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for monitoring of congenital disease of the heart or a great vessel (R)	$475.00
63803	MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for monitoring of tumour of the heart or a great vessel (R)	$475.00
63806	MRI — scan of the cardiovascular system (with or without contrast and including MRA, if performed) for monitoring of abnormality of the thoracic aorta (R)	$475.00

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

63850	MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation, of stroke (R)	$475.00
63853	MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation, of carotid or vertebral artery dissection (R)	$475.00
63856	MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of intracranial aneurysm (R)	$475.00
63859	MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of intracranial arteriovenous malformation (R)	$475.00
63862	MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of venous sinus thrombosis (R)	$475.00
63865	MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R)	$475.00
63868	MRA — scan of cardiovascular system (with or without contrast) for exclusion, or further investigation of obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R)	$475.00

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

63870

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

$475.00

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

63880	MRA — scan of cardiovascular system (with or without contrast) for monitoring of carotid or vertebral artery dissection (R)	$475.00
63883	MRA — scan of cardiovascular system (with or without contrast) for monitoring of venous sinus thrombosis (R)	$475.00

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

63900	MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for further investigation of pelvic or abdominal mass (R)	$475.00
63903	MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for further investigation of mediastinal mass (R)	$475.00
63906	MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for further investigation of congenital uterine or anorectal abnormality (R)	$475.00
63909	MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for further investigation of Gaucher disease (R)	$475.00

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

63920

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

$475.00

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

63930

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

$475.00

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

63940	MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for monitoring of mediastinal mass (R)	$475.00
63943	MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for monitoring of pelvic or abdominal mass (R)	$475.00
63946	MRI — scan of the body in a person under the age of 16 years (with or without intravenous contrast) for monitoring of Gaucher disease (R)	$475.00”.

_____________________________________________________

NOTES

1. Notified in the Commonwealth of Australia Gazette on 26 August 1998.

2. Statutory Rules 1997 No. 297.

Federal Register of Legislation - Australian Government

Primary content

Health Insurance (1997-98 Diagnostic Imaging Services Table) Amendment Regulations 1998 (No. 1)