Item | Diagnostic imaging service | Fee ($) |
Group I1 — Ultrasound |
Subgroup 1 — General |
55028 | Head, ultrasound scan of, 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 providing 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, 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 providing 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, 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 providing 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), 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 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 | 101.95 |
| (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 providing practitioner (R) | |
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, 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 providing 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 | 99.90 |
| (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 providing practitioner (R) | |
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, 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 providing 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 providing 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, 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 providing 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, 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 providing 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, 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 providing 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 |
55113 | M-mode and two-dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain: (a) with: (i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and | 230.65 |
| (ii) real time colour flow mapping from at least 2 acoustic windows; and (iii) recordings on video tape or digital media; and (b) not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup (except items 55118 and 55130), applies (R) | |
55114 | M-mode and two-dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic or embolic disease or heart tumour: (a) with: (i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and | 230.65 |
| (ii) real time colour flow mapping from at least 2 acoustic windows; and (iii) recordings on video tape or digital media; and (b) not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup (except items 55118 and 55130), applies (R) | |
55115 | M-mode and two-dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of congenital heart disease: (a) with: (i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and (ii) real time colour flow mapping from at least 2 acoustic windows; and (iii) recordings on video tape or digital media; and (b) not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup (except items 55118 and 55130), applies (R) | 230.65 |
55116 | Exercise stress echocardiography performed in conjunction with item 11712: (a) with: (i) two-dimensional recordings before exercise (baseline) from at least 3 acoustic windows; and (ii) matching recordings from the same windows at, or immediately after, peak exercise; and (iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and (b) not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup (except items 55118 and 55130), applies (R) | 256.50 |
55117 | Pharmacological stress echocardiography performed in conjunction with item 11712: (a) with: (i) two-dimensional recordings before drug infusion (baseline) from at least 3 acoustic windows; and (ii) matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose; and | 256.50 |
| (iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and (b) not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup (except items 55118 and 55130), applies (R) | |
55118 | Heart, two-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 media; and (b) not being an intra-operative service or a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3 applies (R) (Anaes.) | 275.50 |
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.) | 353.60 |
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 (R) | 155.25 |
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 (R) | 155.25 |
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 (R) | 155.25 |
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 (R) | 155.25 |
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 (R) | 155.25 |
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 (R) | 155.25 |
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, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 applies (R) | 155.25 |
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, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 applies (R) | 155.25 |
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 (R) | 155.25 |
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 vascular aetiology for impotence; and | 155.25 |
| (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 (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 | 155.25 |
| (b) where indicated, assess the progress and management of: (i) priapism; or (ii) fibrosis of any type; or (iii) fracture of the tunica; or (iv) arteriovenous malformations; and (c) where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub‑specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is 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 (R) | |
55292 | Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous access grafts in the upper or lower 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 (R) | 155.25 |
55294 | Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or veins, or both, including any associated skin marking, for mapping of bypass conduit before vascular surgery, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054), 3 or 4 applies (R) | 155.25 |
55296 | Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow spectral analysis and marking of veins in the lower limbs below the inguinal ligament before varicose vein surgery, including any associated skin marking, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054), 3 or 4 applies (R) | 101.70 |
Subgroup 4 — Urological |
55600 | Prostate, bladder base and urethra, transrectal ultrasound scan of, where performed: (a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using a transducer probe that: (i) has a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i) examined the patient in the 60 days before the scan; and (ii) recommended the scan for the management of the patient’s current prostatic disease (R) | 99.90 |
55603 | Prostate, bladder base and urethra, transrectal ultrasound scan of, where performed: (a) personally by a medical practitioner who 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, 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 (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and | 60.00 |
| (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 fetal abnormality (R) | |
55703 | Pelvis or abdomen, pregnancy-related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 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; | 35.00 |
| (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 fetal abnormality (NR) | |
55704 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is 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 providing 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 fetal abnormality (R) | |
55705 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 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 fetal abnormality (NR) | |
55706 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, 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 providing practitioner is a member; and (e) the service is not performed in the same pregnancy as item 55709 (R) | |
55709 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (d) the service is not performed in the same pregnancy as item 55706 (NR) | 38.00 |
55712 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, 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 providing 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, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and | 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, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where: (a) the patient is 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 providing practitioner is a member; and (e) the service is not performed in the same pregnancy as item 55723; and (f) one or more of the following conditions are present: (i) known or suspected fetal abnormality or fetal cardiac arrhythmia; | |
| (ii) fetal anatomy (late booking or incomplete mid‑trimester scan); (iii) malpresentation; (iv) cervical assessment; (v) clinical suspicion of amniotic fluid abnormality; | |
| (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; | |
| (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; (xiii) clinical suspicion of macrosomia; | |
| (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy; (xviii) premature labour; (xix) fetal infection; (xx) pregnancy after assisted reproduction; (xxi) trauma; (xxii) diabetes mellitus; (xxiii) hypertension; (xxiv) toxaemia of pregnancy; (xxv) liver or renal disease; | |
| (xxvi) autoimmune disease; (xxvii) cardiac disease; (xxviii) alloimmunisation; (xxix) maternal infection; (xxx) inflammatory bowel disease; | |
| (xxxi) bowel stoma; (xxxii) abdominal wall scarring; (xxxiii) previous spinal or pelvic trauma or disease; (xxxiv) drug dependency; | |
| (xxxv) thrombophilia; (xxxvi) gross maternal obesity; (xxxvii) advanced maternal age; (xxxviii) abdominal pain or mass (R) | |
55721 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, 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 | 115.00 |
| (ii) has a Diploma of Obstetrics; or | |
| (iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or | |
| (iv) has obstetric privileges at a non-metropolitan hospital; and | |
| (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and | |
| (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (R) | |
55723 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan 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 | 38.00 |
| (e) one or more of the following conditions are present: (i) known or suspected fetal abnormality or fetal cardiac arrhythmia; (ii) fetal anatomy (late booking or incomplete mid‑trimester scan); (iii) malpresentation; (iv) cervical assessment; | |
| (v) clinical suspicion of amniotic fluid abnormality; (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; | |
| (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; | |
| (xiii) clinical suspicion of macrosomia; (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy; (xviii) premature labour; | |
| (xix) fetal infection; (xx) pregnancy after assisted reproduction; (xxi) trauma; (xxii) diabetes mellitus; (xxiii) hypertension; (xxiv) toxaemia of pregnancy; (xxv) liver or renal disease; | |
| (xxvi) autoimmune disease; (xxvii) cardiac disease; (xxviii) alloimmunisation; | |
| (xxix) maternal infection; (xxx) inflammatory bowel disease; (xxxi) bowel stoma; (xxxii) abdominal wall scarring; | |
| (xxxiii) previous spinal or pelvic trauma or disease; (xxxiv) drug dependency; (xxxv) thrombophilia; (xxxvi) gross maternal obesity; (xxxvii) advanced maternal age; (xxxviii) abdominal pain or mass (NR) | |
55725 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and | 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, fetal development and anatomy, ultrasound scan of, by any or all approaches, 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 providing 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 26th week of gestation where the patient is referred by a medical practitioner for this procedure and where there is reason to suspect intrauterine growth retardation or a significant risk of fetal 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, 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 providing 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, 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 providing 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, fetal 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, 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 providing 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, fetal 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, 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, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, 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 (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 | 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 providing 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, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or 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, fetal 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 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 providing 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) | |
55770 | Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal 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, fetal development and anatomy, ultrasound scan of, by any or all approaches, 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 | 160.00 |
| (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 (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 providing 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, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) 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, 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 providing practitioner is a member (R) | 99.90 |
55802 | Hand or wrist, 1 or both sides, ultrasound scan of, 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, 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 providing practitioner is a member (R) | 99.90 |
55806 | Forearm or elbow, 1 or both sides, ultrasound scan of, 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, if: (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 providing practitioner is a member; and | 99.90 |
| (d) the service is used for the assessment of 1 or more of the following suspected or known conditions: (i) an injury to a muscle, tendon or muscle/tendon junction; (ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus, infraspinatus); (iii) biceps subluxation; (iv) capsulitis and bursitis; (v) a mass, including a ganglion; (vi) an occult fracture; (vii) acromioclavicular joint pathology (R) | |
55810 | Shoulder or upper arm, 1 or both sides, ultrasound scan of, if: (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; and (c) the service is used for the assessment of 1 or more of the following suspected or known conditions: (i) an injury to a muscle, tendon or muscle/tendon junction; (ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus, infraspinatus); (iii) biceps subluxation; (iv) capsulitis and bursitis; (v) a mass, including a ganglion; (vi) an occult fracture; (vii) acromioclavicular joint pathology (NR) | 34.65 |
55812 | Chest or abdominal wall, 1 or more areas, ultrasound scan of, 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 providing practitioner is a member (R) | 99.90 |
55814 | Chest or abdominal wall, 1 or more areas, ultrasound scan of, 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, 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 providing practitioner is a member (R) | 99.90 |
55818 | Hip or groin, 1 or both sides, ultrasound scan of, 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, 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 providing practitioner is a member (R) | 99.90 |
55822 | Paediatric hip examination for dysplasia 1 or both sides, ultrasound scan of, 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, 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 providing practitioner is a member (R) | 99.90 |
55826 | Buttock or thigh, 1 or both sides, ultrasound scan of, 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, if: (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 providing practitioner is a member; and (d) the service is used for the assessment of 1 or more of the following suspected or known conditions: (i) abnormality of tendons or bursae about the knee; (ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass; (iii) a nerve entrapment or a nerve or nerve sheath tumour; (iv) an injury of collateral ligaments (R) | 99.90 | |
55830 | Knee, 1 or both sides, ultrasound scan of, if: (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; and (c) the service is used for the assessment of 1 or more of the following suspected or known conditions: (i) abnormality of tendons or bursae about the knee; (ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass; (iii) a nerve entrapment or a nerve or nerve sheath tumour; (iv) an injury of collateral ligaments (NR) | 34.65 | |
55832 | Lower leg, 1 or both sides, ultrasound scan of, 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 | 99.90 |
| (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) | |
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, 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 providing practitioner is a member (R) | 99.90 |
55838 | Ankle or hind foot, 1 or both sides, ultrasound scan of, 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, 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 providing practitioner is a member (R) | 99.90 |
55842 | Mid foot or fore foot, 1 or both sides, ultrasound scan of, 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, 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 | 80.00 |
| (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) | |
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, 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 providing practitioner is a member (R) | 140.00 |
55852 | Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, 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 providing practitioner is a member (R) | 99.90 |
55854 | Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, 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 |
Group I2 — Computed tomography — Examination |
56001 | Computed tomography — scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R) (K) (Anaes.) | 185.25 |
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) (Anaes.) | 237.50 |
56010 | Computed tomography — scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when performed (R) (K) (Anaes.) | 239.50 |
56013 | Computed tomography — scan of orbits with or without intravenous contrast medium and with or without brain scan when performed (R) (K) (Anaes.) | 237.50 |
56016 | 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) (K) (Anaes.) | 275.50 |
56022 | Computed tomography — scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) (K) (Anaes.) | 213.75 |
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) (Anaes.) | 319.95 |
56030 | Computed tomography — scan of facial bones, para nasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (K) (Anaes.) | 213.75 |
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) (Anaes.) | 319.95 |
56041 | Computed tomography — scan of brain without intravenous contrast medium, not being a service to which item 57041 applies (R) (NK) (Anaes.) | 93.80 |
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) (Anaes.) | 119.80 |
56050 | Computed tomography — scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when performed (R) (NK) (Anaes.) | 121.75 |
56053 | Computed tomography — scan of orbits with or without intravenous contrast medium and with or without brain scan when performed (R) (NK) (Anaes.) | 121.75 |
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) (Anaes.) | 147.65 |
56062 | Computed tomography — scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) (NK) (Anaes.) | 107.50 |
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) (Anaes.) | 160.00 |
56070 | Computed tomography — scan of facial bones, para nasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (NK) (Anaes.) | 107.50 |
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) (Anaes.) | 160.00 |
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) (Anaes.) | 218.50 |
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) (Anaes.) | 323.00 |
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) (Anaes.) | 110.60 |
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) (Anaes.) | 163.00 |
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) (Anaes.) | 309.90 |
56220 | Computed tomography — scan of spine, cervical region, without intravenous contrast medium (R) (K) (Anaes.) | 228.00 |
56221 | Computed tomography — scan of spine, thoracic region, without intravenous contrast medium (R) (K) (Anaes.) | 228.00 |
56223 | Computed tomography — scan of spine, lumbosacral region, without intravenous contrast medium (R) (K) (Anaes.) | 228.00 |
56224 | Computed tomography — scan of spine, cervical region, with intravenous contrast medium and with any scans of the cervical region of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.) | 333.80 |
56225 | Computed tomography — scan of spine, thoracic region, with intravenous contrast medium and with any scans of the cervical region of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.) | 333.80 |
56226 | Computed tomography — scan of spine, lumbosacral region, with intravenous contrast medium and with any scans of the cervical region of the spine prior to intravenous contrast injection when undertaken (R) (K) (Anaes.) | 333.80 |
56227 | Computed tomography — scan of spine, cervical region, without intravenous contrast medium (R) (NK) (Anaes.) | 116.40 |
56228 | Computed tomography — scan of spine, thoracic region, without intravenous contrast medium (R) (NK) (Anaes.) | 116.40 |
56229 | Computed tomography — scan of spine, lumbosacral region, without intravenous contrast medium (R) (NK) (Anaes.) | 116.40 |
56230 | Computed tomography — scan of spine, cervical region, with intravenous contrast medium and with any scans to the cervical region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.) | 168.60 |
56231 | Computed tomography — scan of spine, thoracic region, with intravenous contrast medium and with any scans to the cervical region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.) | 168.60 |
56232 | Computed tomography — scan of spine, lumbosacral region, with intravenous contrast medium and with any scans to the cervical region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.) | 168.60 |
56233 | Computed tomography — scan of spine, 2 examinations of the kind referred to in items 56220, 56221 and 56223, without intravenous contrast medium (R) (K) (Anaes.) | 228.00 |
56234 | Computed tomography — scan of spine, 2 examinations of the kind referred to in items 56224, 56225 and 56226, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.) | 333.80 |
56235 | Computed tomography — scan of spine, 2 examinations of the kind referred to in items 56227, 56228 and 56229, without intravenous contrast medium (R) (NK) (Anaes.) | 116.35 |
56236 | Computed tomography — scan of spine, 2 examinations of the kind referred to in items 56230, 56231 and 56232, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.) | 168.60 |
56237 | Computed tomography — scan of spine, 3 regions cervical, thoracic and lumbosacral, without intravenous contrast medium (R) (K) (Anaes.) | 228.00 |
56238 | Computed tomography — scan of spine, 3 regions, cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.) | 333.80 |
56239 | Computed tomography — scan of spine, 3 regions, cervical, thoracic and lumbosacral, without intravenous contrast medium (R) (NK) (Anaes.) | 116.35 |
56240 | Computed tomography — scan of spine, 3 regions, cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.) | 168.60 |
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) (Anaes.) | 156.55 |
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) (Anaes.) | 280.25 |
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) (Anaes.) | 380.00 |
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) (Anaes.) | 142.00 |
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) (Anaes.) | 191.90 |
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) (Anaes.) | 237.50 |
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) (Anaes.) | 342.00 |
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) (Anaes.) | 237.50 |
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) (Anaes.) | 342.00 |
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) (Anaes.) | 120.45 |
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) (Anaes.) | 172.40 |
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) (Anaes.) | 120.45 |
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) (Anaes.) | 172.40 |
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) (Anaes.) | 365.75 |
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) (Anaes.) | 456.00 |
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) (Anaes.) | 183.45 |
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) (Anaes.) | 231.55 |
56619 | Computed tomography — scan of extremities, 1 or more regions without intravenous contrast medium (R) (K) (Anaes.) | 209.00 |
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 (R) (K) (Anaes.) | 317.90 |
56659 | Computed tomography — scan of extremities, 1 or more regions without intravenous contrast medium (R) (NK) (Anaes.) | 106.50 |
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 (R) (NK) (Anaes.) | 159.00 |
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) (Anaes.) | 443.20 |
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) (Anaes.) | 532.00 |
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) (Anaes.) | 221.65 |
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) (Anaes.) | 269.65 |
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) (Anaes.) | 443.30 |
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) (Anaes.) | 539.35 |
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) (Anaes.) | 221.70 |
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) (Anaes.) | 269.70 |
57201 | Computed tomography — pelvimetry (R) (K) (Anaes.) | 147.45 |
57247 | Computed tomography — pelvimetry (R) (NK) (Anaes.) | 73.70 |
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) (Anaes.) | 446.50 |
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) (Anaes.) | 229.90 |
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 | 484.50 |
| (c) the service has not been performed on the same patient within the previous 12 months (R) (K) (Anaes.) | |
57351 | 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, if: (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 acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and (c) a service to which item 57350 or 57355 applies has been performed on the same patient within the previous 12 months (R) (K) (Anaes.) | 484.50 |
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) (Anaes.) | 250.95 |
57356 | 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 acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and (c) the service to which item 57350 or 57355 applies has been performed on the same patient within the previous 12 months (R) (NK) (Anaes.) | 250.95 |
Group I3 — Diagnostic radiology |
Subgroup 1 — Radiographic examination of extremities |
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 |
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 |
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 |
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 |
57960 | Orthopantomography for diagnosis or management (or both) of trauma, infection, tumour or a congenital or surgical condition of the teeth or maxillofacial region (R) | 44.65 |
57963 | Orthopantomography for diagnosis or management (or both) of any of the following conditions, if the signs and symptoms of the condition is present: (a) impacted teeth; (b) caries; (c) periodontal pathology; (d) periapical pathology (R) | 44.65 |
57966 | Orthopantomography for diagnosis or management (or both) of missing or crowded teeth, or developmental anomalies of the teeth or jaws (R) | 44.65 |
57969 | Orthopantomography for diagnosis or management (or both) of temporo-mandibular joint arthroses or dysfunction (R) | 44.65 |
Subgroup 4 — Radiographic examination of spine |
58100 | Spine — cervical (R) | 63.30 |
58103 | Spine — thoracic (R) | 51.95 |
58106 | Spine — lumbo-sacral (R) | 72.55 |
58108 | Spine — 4 regions, cervical, thoracic, lumbosacral and sacrococcygeal (R) | 125.30 |
58109 | Spine — sacro-coccygeal (R) | 44.30 |
58112 | Spine — 2 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R) | 91.65 |
58115 | Spine — 3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R) | 125.30 |
Subgroup 5 — Bone age study and skeletal survey |
58300 | Bone age study (R) | 37.80 |
58306 | Skeletal survey (R) | 84.25 |
Subgroup 6 — Radiographic examination of thoracic region |
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 |
58700 | Plain renal only (R) | 43.40 |
58706 | Intravenous pyelography, with or without preliminary plain films and with or without tomography (R) | 148.85 |
58715 | Antegrade or retrograde pyelography with or without preliminary plain films and with preparation and contrast injection, 1 side (R) | 142.85 |
58718 | Retrograde cystography or retrograde urethrography with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) | 118.90 |
58721 | Retrograde micturating cysto-urethrography, with preparation and contrast injection (R) (Anaes.) | 130.30 |
Subgroup 8 — Radiographic examination of alimentary tract and biliary system |
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 (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 (R) (Anaes.) | 130.55 |
58921 | Opaque enema, with or without air contrast study and with or without preliminary plain films (R) | 127.50 |
58924 | Graham’s test (cholecystography), with preliminary plain films and with or without tomography (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 (R) | 72.05 |
58933 | Cholegraphy, percutaneous transhepatic, with or without preliminary plain films and with preparation and contrast injection (R) | 193.80 |
58936 | Cholegraphy, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography (R) | 184.70 |
58939 | Defaecogram (R) | 131.30 |
Subgroup 9 — Radiographic examination for localisation of foreign bodies |
59103 | Foreign body, localisation of, not being a service to which another item in this group applies (R) | Amount under rule 7 |
Subgroup 10 — Radiographic examination of breasts |
59300 | Radiographic examination of both breasts 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) | 82.00 |
59303 | Radiographic examination of 1 breast 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) | 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 (R) | 82.00 |
59314 | Radiographic examination of 1 breast, in conjunction with a surgical procedure using interventional techniques (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 31536 (R) | 44.35 |
Subgroup 11 — Radiographic examination in connection with pregnancy |
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 |
59700 | Discography, each disc, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) | 91.00 |
59703 | Dacryocystography, 1 side, with or without preliminary plain film and with preparation and contrast injection (R) | 71.55 |
59712 | Hysterosalpingography, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) | 107.20 |
59715 | Bronchography, 1 side, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) | 135.30 |
59718 | Phlebography, 1 side, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) | 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 (R) (Anaes.) | 213.45 |
59733 | Sialography, 1 side, with preparation and contrast injection, not being a service associated with a service to which item 57918 applies (R) | 101.50 |
59736 | Vasoepididymography, 1 side, for other than an investigation for reversal of previous sterilisation (R) | 58.45 |
59739 | Sinogram or fistulogram, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection (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 (R) | 131.15 |
59754 | Lymphangiography, one or both sides, with preliminary plain films and follow-up radiography and with preparation and contrast injection (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 |
59903 | Angiocardiography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59912 or 59925 applies (R) (K) (Anaes.) | 114.55 |
59912 | Selective coronary arteriography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59903 or 59925 applies (R) (K) (Anaes.) | 305.20 |
59925 | Selective coronary arteriography and angiocardiography, including a service described in item 59903, 59912, 59970, 59974 or 61109 (R) (K) (Anaes.) | 362.45 |
59970 | Angiography or digital subtraction angiography, or both, with fluoroscopy and image acquisition, using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection — 1 or more regions (R) (K) (Anaes.) | 158.65 |
59971 | Angiocardiography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59972 or 59973 applies (R) (NK) (Anaes.) | 57.30 |
59972 | Selective coronary arteriography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59971 or 59973 applies (R) (NK) (Anaes.) | 152.60 |
59973 | Selective coronary arteriography and angiocardiography, including a service described in item 59970, 59971, 59972, 59974 or 61109 (R) (NK) (Anaes.) | 181.25 |
59974 | Angiography or digital subtraction angiography, or both, with fluoroscopy and image acquisition using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection — 1 or more regions (R) (NK) (Anaes.) | 79.35 |
60000 | Digital subtraction angiography, examination of head and neck with or without arch aortography — 1 to 3 data acquisition runs (R) (Anaes.) | 531.60 |
60003 | Digital subtraction angiography, examination of head and neck with or without arch aortography — 4 to 6 data acquisition runs (R) (Anaes.) | 779.60 |
60006 | Digital subtraction angiography, examination of head and neck with or without arch aortography — 7 to 9 data acquisition runs (R) (Anaes.) | 1 108.60 |
60009 | Digital subtraction angiography, examination of head and neck with or without arch aortography — 10 or more data acquisition runs (R) (Anaes.) | 1 297.30 |
60012 | Digital subtraction angiography, examination of thorax — 1 to 3 data acquisition runs (R) (Anaes.) | 531.60 |
60015 | Digital subtraction angiography, examination of thorax — 4 to 6 data acquisition runs (R) (Anaes.) | 779.60 |
60018 | Digital subtraction angiography, examination of thorax — 7 to 9 data acquisition runs (R) (Anaes.) | 1 108.60 |
60021 | Digital subtraction angiography, examination of thorax — 10 or more data acquisition runs (R) (Anaes.) | 1 297.30 |
60024 | Digital subtraction angiography, examination of abdomen — 1 to 3 data acquisition runs (R) (Anaes.) | 531.60 |
60027 | Digital subtraction angiography, examination of abdomen — 4 to 6 data acquisition runs (R) (Anaes.) | 779.60 |
60030 | Digital subtraction angiography, examination of abdomen — 7 to 9 data acquisition runs (R) (Anaes.) | 1 108.60 |
60033 | Digital subtraction angiography, examination of abdomen — 10 or more data acquisition runs (R) (Anaes.) | 1 297.30 |
60036 | Digital subtraction angiography, examination of upper limb or limbs — 1 to 3 data acquisition runs (R) (Anaes.) | 531.60 |
60039 | Digital subtraction angiography, examination of upper limb or limbs — 4 to 6 data acquisition runs (R) (Anaes.) | 779.60 |
60042 | Digital subtraction angiography, examination of upper limb or limbs — 7 to 9 data acquisition runs (R) (Anaes.) | 1 108.60 |
60045 | Digital subtraction angiography, examination of upper limb or limbs — 10 or more data acquisition runs (R) (Anaes.) | 1 297.30 |
60048 | Digital subtraction angiography, examination of lower limb or limbs — 1 to 3 data acquisition runs (R) (Anaes.) | 531.60 |
60051 | Digital subtraction angiography, examination of lower limb or limbs — 4 to 6 data acquisition runs (R) (Anaes.) | 779.60 |
60054 | Digital subtraction angiography, examination of lower limb or limbs — 7 to 9 data acquisition runs (R) (Anaes.) | 1 108.60 |
60057 | Digital subtraction angiography, examination of lower limb or limbs — 10 or more data acquisition runs (R) (Anaes.) | 1 297.30 |
60060 | Digital subtraction angiography, examination of aorta and lower limb or limbs — 1 to 3 data acquisition runs (R) (Anaes.) | 531.60 |
60063 | Digital subtraction angiography, examination of aorta and lower limb or limbs — 4 to 6 data acquisition runs (R) (Anaes.) | 779.60 |
60066 | Digital subtraction angiography, examination of aorta and lower limb or limbs — 7 to 9 data acquisition runs (R) (Anaes.) | 1 108.60 |
60069 | Digital subtraction angiography, examination of aorta and lower limb or limbs — 10 or more data acquisition runs (R) (Anaes.) | 1 297.30 |
60072 | Selective arteriography or selective venography by digital subtraction angiography technique — 1 vessel (NR) (Anaes.) | 45.35 |
60075 | Selective arteriography or selective venography by digital subtraction angiography technique — 2 vessels (NR) (Anaes.) | 90.60 |
60078 | Selective arteriography or selective venography by digital subtraction angiography technique — 3 or more vessels (NR) (Anaes.) | 135.95 |
Subgroup 14 — Tomography |
60100 | Tomography of any region (R) (Anaes.) | 57.30 |
Subgroup 15 — Fluoroscopic examination |
60500 | Fluoroscopy, with general anaesthesia (not being a service associated with a radiographic examination) (R) (Anaes.) | 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 |
60918 | Arteriography (peripheral) or phlebography —1 vessel, when used in association with a service to which item 59903, 59912, 59925, 59970, 59971, 59972, 59973 or 59974 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) (Anaes.) | 47.15 |
60927 | Selective arteriogram or phlebogram, when used in association with a service to which item 59903, 59912, 59925, 59970, 59971, 59972, 59973 or 59974 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) (Anaes.) | 38.05 |
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 (R) | 407.05 |
61303 | Single stress or rest myocardial perfusion study — with single photon emission tomography and with planar imaging when performed (R) | 512.65 |
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) | 643.60 |
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) | 757.10 |
61310 | Myocardial infarct-avid-study, with planar imaging and single photon emission tomography, or planar imaging or single photon emission tomography (R) | 333.05 |
61313 | Gated cardiac blood pool study, (equilibrium), with planar imaging and single photon emission tomography, or planar imaging or single photon emission tomography (R) | 275.10 |
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) | 380.90 |
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) | 345.65 |
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) | 446.50 |
61320 | Cardiac first pass blood flow study or cardiac shunt study, not being a service to which another item in this group applies (R) | 207.60 |
61328 | Lung perfusion study, with planar imaging and single photon emission tomography or planar imaging, or single photon emission tomography (R) | 206.45 |
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) | 229.45 |
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) | 402.05 |
61352 | Liver and spleen study (colloid) — planar imaging (R) | 235.20 |
61353 | Liver and spleen study (colloid), with single photon emission tomography and with planar imaging when performed (R) | 350.55 |
61356 | Red blood cell spleen or liver study, including single photon emission tomography when performed (R) | 356.20 |
61360 | Hepatobiliary study, including morphine administration or pre-treatment with cholecystokinin (CCK) when performed (R) | 365.75 |
61361 | Hepatobiliary study with formal quantification following baseline imaging, using an infusion of cholecystokinin (CCK) (R) | 418.45 |
61364 | Bowel haemorrhage study (R) | 450.65 |
61368 | Meckel’s diverticulum study (R) | 202.30 |
61372 | Salivary study (R) | 202.30 |
61373 | Gastro-oesophageal reflux study, including delayed imaging on a separate occasion when performed (R) | 444.10 |
61376 | Oesophageal clearance study (R) | 130.00 |
61381 | Gastric emptying study, using single tracer (R) | 520.85 |
61383 | Combined solid and liquid gastric emptying study using dual isotope technique or the same isotope on separate days (R) | 566.75 |
61384 | Radionuclide colonic transit study (R) | 623.65 |
61386 | Renal study, including perfusion and renogram images and computer analysis or cortical study with planar imaging (R) | 301.50 |
61387 | Renal cortical study, with single photon emission tomography and planar quantification (R) | 390.65 |
61389 | Single renal study with pre-procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R) | 336.05 |
61390 | Renal study with diuretic administration following a baseline study (R) | 371.80 |
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) | 549.10 |
61397 | Cystoureterogram (R) | 223.85 |
61401 | Testicular study (R) | 147.15 |
61402 | Cerebral perfusion study, with single photon emission tomography and with planar imaging when performed (R) | 548.70 |
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) | 313.75 |
61409 | Cerebro-spinal fluid transport study, with imaging on 2 or more separate occasions (R) | 792.10 |
61413 | Cerebro-spinal fluid shunt patency study (R) | 204.90 |
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) | 107.75 |
61421 | Bone study — whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) | 435.10 |
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) | 544.75 |
61426 | Whole body study using iodine (R) | 503.10 |
61429 | Whole body study using gallium (R) | 492.40 |
61430 | Whole body study using gallium, with single photon emission tomography (R) | 598.00 |
61433 | Whole body study using cells labelled with technetium (R) | 450.65 |
61434 | Whole body study using cells labelled with technetium, with single photon emission tomography (R) | 558.05 |
61437 | Whole body study using thallium (R) | 492.20 |
61438 | Whole body study using thallium, with single photon emission tomography (R) | 610.30 |
61441 | Bone marrow study — whole body using technetium labelled bone marrow agents (R) | 444.10 |
61442 | Whole body study, using gallium — with single photon emission tomography of 2 or more body regions acquired separately (R) | 682.25 |
61445 | Bone marrow study — localised using technetium labelled agent (R) | 260.10 |
61446 | Localised bone or joint study, including when undertaken, blood flow, blood pool and repeat imaging on a separate occasion (R) | 302.50 |
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) | 413.75 |
61450 | Localised study using gallium (R) | 360.50 |
61453 | Localised study using gallium, with single photon emission tomography (R) | 466.75 |
61454 | Localised study using cells labelled with technetium (R) | 315.65 |
61457 | Localised study using cells labelled with technetium, with single photon emission tomography (R) | 426.65 |
61458 | Localised study using thallium (R) | 359.95 |
61461 | Localised study using thallium, with single photon emission tomography (R) | 478.70 |
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 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 28 |
61465 | Venography (R) | 240.75 |
61469 | Lymphoscintigraphy (R) | 315.65 |
61473 | Thyroid study including uptake measurement when performed (R) | 159.05 |
61480 | Parathyroid study, planar imaging and single photon emission tomography when performed (R) | 350.80 |
61484 | Adrenal study, with imaging on 2 or more separate occasions (R) | 798.80 |
61485 | Adrenal study, with imaging on 2 or more occasions and renal localisation and single photon emission tomography when performed (R) | 906.15 |
61495 | Tear duct study (R) | 202.30 |
61499 | Particle perfusion study (infra-arterial) or Le Veen shunt study (R) | 229.45 |
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) (Anaes.) | 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) (Anaes.) | 475.00 |
63006 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of acoustic neuroma (R) (Anaes.) | 475.00 |
63009 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for the exclusion of pituitary tumour (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63106 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of acoustic neuroma (R) (Anaes.) | 475.00 |
63109 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of pituitary tumour (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63124 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of head trauma (R) (Anaes.) | 475.00 |
63127 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of epilepsy (R) (Anaes.) | 475.00 |
63130 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for further investigation of stroke (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63203 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of pituitary tumour (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63212 | MRI — scan of head (with or without intravenous contrast, and including MRA, if performed) for monitoring of head trauma (R) (Anaes.) | 475.00 |
63215 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of epilepsy (R) (Anaes.) | 475.00 |
63218 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of stroke (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63279 | MRI — scan of head (with or without intravenous contrast and including MRA, if performed) for monitoring of venous sinus thrombosis (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63606 | MRI — scan of musculoskeletal system (with or without intravenous contrast) for the exclusion of osteonecrosis (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63656 | MRI — scan of musculoskeletal system (with or without intravenous contrast) for further investigation of osteonecrosis (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63703 | MRI — scan of musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of shoulder or its supporting structures (R) (Anaes.) | 475.00 |
63706 | MRI — scan of musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of knee or its supporting structures (R) (Anaes.) | 475.00 |
63709 | MRI — scan of musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of ankle or its supporting structures (R) (Anaes.) | 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) (Anaes.) | 475.00 |
63715 | MRI — scan of musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of wrist or its supporting structures (R) (Anaes.) | 475.00 |
63718 | MRI — scan of musculoskeletal system (with or without intravenous contrast) for monitoring of derangement of elbow or its supporting structures (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63856 | MRA — scan of the cardiovascular system (with or without intravenous contrast) for exclusion, or further investigation of intracranial aneurysm (R) (Anaes.) | 475.00 |
63859 | MRA — scan of the cardiovascular system (with or without intravenous contrast) for exclusion, or further investigation of intracranial arteriovenous malformation (R) (Anaes.) | 475.00 |
63862 | MRA — scan of the cardiovascular system (with or without intravenous contrast) for exclusion, or further investigation of venous sinus thrombosis (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
63883 | MRA — scan of the cardiovascular system (with or without intravenous contrast) for monitoring of venous sinus thrombosis (R) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 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) (Anaes.) | 475.00 |
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