Statutory Rules 1991 No. 861
__________________
Health Insurance (1991 Diagnostic Imaging
Services Table) Regulations 2
I, THE GOVERNOR-GENERAL of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 29 April 1991.
BILL HAYDEN
Governor-General
By His Excellency’s Command,
B.HOWE
Minister of State for Community Services
and Health
____________
Citation
1. These Regulations may be cited as the Health Insurance (1991 Diagnostic Imaging Services Table) Regulations.
Commencement
2. These Regulations commence on 1 May 1991.
Diagnostic imaging services table
3. The table of diagnostic imaging services in the Schedule is prescribed for the purposes of subsection 4aa (1) of the Health Insurance Act 1973.
SCHEDULE Regulation 3
TABLE OF DIAGNOSTIC IMAGING SERVICES
RULES OF INTERPRETATION
1. (1) In this table:
“Division” means a Division of a Part of the list of services and fees in this table;
“item” means an item in that list;
“Part” means a Part of that list.
(2) A reference in this table by number to an item in the series 795 to 798 (both inclusive) is a reference to the item so numbered in the general medical services table.
2. In Parts 1 and 3, “report” means a report prepared by a medical practitioner.
3. In item 793, “group of practitioners” has the same meaning as in subsection 16a (10).
4. A service specified in this table is a diagnostic imaging service for the purposes of the Act, whether the diagnostic imaging service is rendered by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
5. If an item includes the symbol “(NR)”, the item relates to an NR-type diagnostic imaging service.
6. If an item includes the symbol “(R)”, the item relates to an R-type diagnostic imaging service.
SCHEDULE—continued
7. If an item includes the symbol “(S)”, the item relates to the service specified in the item when rendered by a specialist in the practice of the specialty of diagnostic radiology.
8. If an item includes the symbol “(HR)”, the item relates to the service specified in the item when rendered with the use of magnetic resonance imaging equipment of a recognised hospital or a radiology unit included in a prescribed class of radiology units.
9. For the purposes of rule 8, each of the following classes of radiology units is a prescribed class of radiology units:
(a) radiology units operated by the Commonwealth;
(b) radiology units operated by a State or an authority of a State;
(c) radiology units operated by the Northern Territory;
(d) radiology units operated by the Australian Capital Territory;
(e) radiology units operated by Australian tertiary education institutions.
10. If an item includes a symbol in parentheses consisting of the letters “AU” followed by a number, that symbol refers to an item in Part 3 of the general medical services table in respect of the administration of an anaesthetic in connection with the diagnostic imaging service to which the firstmentioned item relates, being:
(a) if the anaesthetic is administered by a medical practitioner other than a specialist anaesthetist—the relevant item in Division 1 of Part 3 of that table; or
(b) if the anaesthetic is administered by a specialist anaesthetist—the relevant item in Division 2 of Part 3 of that table.
11. If an item includes the symbol “(C)”, the item relates to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit that has computerised processing facilities capable of being used in the rendering of the service.
12. If an item includes the symbol “(NC)”, the item relates to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit other than a nuclear medicine unit that has computerised processing facilities capable of being used in the rendering of the service.
13. A reference in item 2455 to an amount under this rule is a reference to an amount equal to the sum of:
SCHEDULE—continued
(a) the fee set out in the item relating to the service (being a service in Part 2) in conjunction with which the service referred to in item 2455 is performed; and
(b) $108.00.
14. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to a radiographic examination of the kind referred to in the firstmentioned item and:
(a) in the case of item 2732—$19.80; or
(b) in the case of item 2782—$21.00; or
(c) in the case of item 2798—$12.60.
15. A nuclear scanning service to which an item in Part 5 relates is a medical service for the purposes of the Act only if the preliminary examination of the patient, the estimation and administration of the dosage and performance of the scan are undertaken by a medical practitioner, or on behalf of a medical practitioner in the practitioner’s presence, and the compilation of the final report is undertaken by the medical practioner.
16. A reference in item 8748 or 8749 to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item relating to the service (being a service in Part 5), in conjunction with which the service referred to in item 8748 or 8749 is performed and:
(a) in the case of item 8748—$84.00; and
(b) in the case of item 8749—$63.00.
17. A reference in item 8868 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the service (being a service in Part 5) in conjunction with which the service referred to in item 8868 is performed; and
(b) $168.00.
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
| PART 1 |
| Division 1 |
| | | $ | |
| 791 | Ultrasonic cross-sectional echography, not associated with item 793, 794 or 913, where the patient is not referred by a medical practitioner for ultrasonic examination, each ultrasonic examination not exceeding two examinations in any one pregnancy (NR) | 32.00 | |
| 793 | Ultrasonic cross-sectional echography performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not associated with item 791, 794 or 913 and where the referring medical practitioner is not a member of a group of practitioners of which the firstmentioned practitioner is a member (R) | 93.00 | |
| 794 | Ultrasonic echography, unidimensional not associated with item 791, 793 or 913 (NR) | 56.00 | |
| | | | |
| | Division 2 | | |
| | | | |
| 913 | Echocardiography, not covered by item 791 or 793 (R) | 80.00 | |
| | | | |
| | Division 3 | | |
| | | | |
| 990 | Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries), peripheral vessels, or intra-thoracic or intra-abdominal vascular vessels (excluding cardiac and pregnancy related studies and not associated with item 793)—one examination and report (R) | 160.00 | |
| 991 | Two or more examinations of the kind referred to in item 990 and report (not associated with item 793) (R) | 275.00 | |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 992 | Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography (not associated with item 793)—examination and report (R) | 192.00 |
| 993 | Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels and carotid vessels, with oculoplethysmography (not associated with item 793)—examination and report (R) | 310.00 |
| 995 | Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels, including any of the investigations covered by item 795, 796 or 797 (not associated with item 793)—examination and report (R) | 186.00 |
| 999 | Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels, including any of the investigations covered by item 798 (not associated with item 793)—examination and report (R) | 205.00 |
| | | |
| | PART 2—COMPUTERISED TOMOGRAPHY (EXCLUDING MAGNETIC RESONANCE IMAGING) | |
| | Division 1—Computerised tomography on a body scanner | |
| | | |
| 2400 | Computerised tomography—scan of brain with or without scan of internal auditory meatus and without intravenous contrast medium (not covered by item 2447 or 2450) (R) | 138.00 |
| 2401 | Computerised tomography—scan of brain with or without scan of internal auditory meatus and with intravenous contrast medium (not covered by item 2448 or 2451) (R) | 192.00 |
| 2402 | Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2449 or 2452) (R) | 225.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2403 | Computerised tomography—scan of pituitary fossa by multiple thin slices (including reconstructions) with or without intravenous contrast medium and with or without brain scan (R) | 460.00 |
| 2404 | Computerised tomography—scan of orbits by multiple thin slices (including reconstructions) with or without intravenous contrast medium and with or without brain scan (R) | 455.00 |
| 2405 | Computerised tomography—scan of middle ear and temporal bone, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) with or without intravenous contrast medium and with or without brain scan (R) | 445.00 |
| 2406 | Computerised tomography—scan of temporal bones with air study (including reconstructions) and including intrathecal injection, not including an associated brain scan (R) | 355.00 |
| 2407 | Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions without intravenous contrast medium (R) | 250.00 |
| 2408 | Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions with intravenous contrast medium (R) | 265.00 |
| 2409 | Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions without and with intravenous contrast medium (R) | 375.00 |
| 2410 | Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions without intravenous contrast medium (not covered by item 2444) (R) | 355.00 |
| 2411 | Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions with intravenous contrast medium (not covered by item 2445) (R) | 385.00 |
| 2412 | Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions without and with intravenous contrast medium (not covered by item 2446) (R) | 420.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2413 | Computerised tomography—scan of spine, one or more regions—25 slices or less without intravenous contrast medium (R) | 176.00 |
| 2414 | Computerised tomography—scan of spine, one or more regions—25 slices or less with intravenous contrast medium (R) | 205.00 |
| 2415 | Computerised tomography—scan of spine, one or more regions—25 slices or less without and with intravenous contrast medium (R) | 275.00 |
| 2416 | Computerised tomography—scan of spine, one or more regions—26 or more slices without intravenous contrast medium (R) | 250.00 |
| 2417 | Computerised tomography—scan of spine, one or more regions—26 or more slices with intravenous contrast medium (R) | 275.00 |
| 2418 | Computerised tomography—scan of spine, one or more regions—26 or more slices without and with intravenous contrast medium (R) | 385.00 |
| 2419 | Computerised tomography—scan of spine, one or more regions with intrathecal contrast medium (not including the preparation by intrathecal injection of contrast medium) (R) | 250.00 |
| 2420 | Computerised tomography—scan of chest (including lungs, mediastinum and pleura) without intravenous contrast medium (not covered by item 2438, 2441, 2444, 2447 or 2450) (R) | 250.00 |
| 2421 | Computerised tomography—scan of chest (including lungs, mediastinum and pleura) with intravenous contrast medium (not covered by item 2439, 2442, 2445, 2448 or 2451) (R) | 285.00 |
| 2422 | Computerised tomography—scan of chest (including lungs, mediastinum and pleura) without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446, 2449 or 2452) (R) | 360.00 |
| 2423 | Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450) (R) | 138.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2424 | Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451) (R) | 168.00 |
| 2425 | Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452) (R) | 275.00 |
| 2426 | Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450) (R) | 210.00 |
| 2427 | Computerised tomography—scan of upper abdomen and pelvis with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451) (R) | 255.00 |
| 2428 | Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452) (R) | 360.00 |
| 2429 | Computerised tomography—scan of extremities, one or more regions involving up to 20 slices without intravenous contrast medium (R) | 138.00 |
| 2430 | Computerised tomography—scan of extremities, one or more regions involving up to 20 slices with intravenous contrast medium (R) | 168.00 |
| 2431 | Computerised tomography—scan of extremities, one or more regions involving up to 20 slices without and with intravenous contrast medium (R) | 205.00 |
| 2432 | Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices without intravenous contrast medium (R) | 176.00 |
| 2433 | Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices with intravenous contrast medium (R) | 205.00 |
| 2434 | Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices without or with intravenous contrast medium (R) | 275.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2435 | Computerised tomography—scan of extremities, one or more regions involving more than 40 slices without intravenous contrast medium (R) | 250.00 |
| 2436 | Computerised tomography—scan of extremities, one or more regions involving more than 40 slices with intravenous contrast medium (R) | 275.00 |
| 2437 | Computerised tomography—scan of extremities, one or more regions involving more than 40 slices without and with intravenous contrast medium (R) | 350.00 |
| 2438 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without intravenous contrast medium (not covered by item 2441, 2444 or 2450) (R) | 250.00 |
| 2439 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) with intravenous contrast medium (not covered by item 2442, 2445 or 2451) (R) | 290.00 |
| 2440 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) with or without intravenous contrast medium (not covered by item 2443, 2446 or 2452) (R) | 365.00 |
| 2441 | Computerised tomography—scan of chest, abdomen and pelvis without intravenous contrast medium (not covered by item 2444) (R) | 325.00 |
| 2442 | Computerised tomography—scan of chest, abdomen and pelvis with intravenous contrast medium (not covered by item 2445) (R) | 365.00 |
| 2443 | Computerised tomography—scan of chest, abdomen and pelvis with or without intravenous contrast medium (not covered by item 2446) (R) | 510.00 |
| 2444 | Computerised tomography—scan of neck, chest, abdomen and pelvis without intravenous contrast medium (R) | 465.00 |
| 2445 | Computerised tomography—scan of neck, chest, abdomen and pelvis with intravenous contrast medium (R) | 510.00 |
| 2446 | Computerised tomography—scan of neck, chest, abdomen and pelvis with or without intravenous contrast medium (R) | 615.00 |
| 2447 | Computerised tomography—scan of brain and chest without intravenous contrast medium (R) | 250.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2448 | Computerised tomography—scan of brain and chest with intravenous contrast medium (R) | 290.00 | |
| 2449 | Computerised tomography—scan of brain and chest with or without intravenous contrast medium (R) | 400.00 | |
| 2450 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium (R) | 355.00 | |
| 2451 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium (R) | 400.00 | |
| 2452 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with or without intravenous contrast medium (R) | 510.00 | |
| 2453 | Computerised tomography—pelvimetry (R) | 138.00 | |
| 2454 | Computerised tomography—dynamic scan of region not associated with any other item in this part (R) | 168.00 | |
| 2455 | Computerised tomography—dynamic scan of region when associated with another item in this Part (R) | Amount under rule 13 | |
| | | | |
| Division 2—Computerised tomography on a brain scanner |
| | | $ | |
| 2458 | Computerised tomography—scan of brain without intravenous contrast medium (R) | 70.00 | |
| 2459 | Computerised tomography—scan of brain with intravenous contrast medium (R) | 85.00 | |
| 2460 | Computerised tomography—scan of brain with or without intravenous contrast medium (R) | 132.00 | |
| PART 3—DIAGNOSTIC RADIOLOGY |
| Division 1—Radiographic examination of extremities and report (with or without fluoroscopy) |
| 2502 | Digits or phalanges—all or any of either hand or either foot (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 29.00 | |
| 2505 | Digits or phalanges—all or any of either hand or either foot (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 38.50 | |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2508 | Hand, wrist, forearm, elbow (to shoulder) or arm (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 29.00 | |
| 2512 | Hand, wrist, forearm, elbow (to shoulder) or arm (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 38.50 | |
| 2516 | Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 39.50 | |
| 2520 | Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 52.00 | |
| 2524 | Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 31.50 | |
| 2528 | Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 42.00 | |
| 2532 | Foot, ankle and lower leg; or upper leg and knee (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 48.00 | |
| 2537 | Foot, ankle and lower leg; or upper leg and knee (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 64.00 | |
| Division 2—Radiographic examination of shoulder or hip joint and report |
| 2539 | Shoulder or scapula (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 39.50 | |
| 2541 | Shoulder or scapula (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 52.00 | |
| 2543 | Clavicle (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 31.50 | |
| 2545 | Clavicle (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 42.00 | |
| 2548 | Hip joint (R) | 46.00 | |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2551 | Pelvic girdle (R) | 59.00 | |
| 2554 | Sacro-iliac joints (R) | 59.00 | |
| 2557 | Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R) | 96.00 | |
| Division 3—Radiographic examination of head and report |
| 2560 | Skull (calvarium) (R) | 63.00 | |
| 2563 | Sinuses (R) | 46.00 | |
| 2566 | Mastoids (R) | 63.00 | |
| 2569 | Petrous temporal bones (R) | 63.00 | |
| 2573 | Facial bones—orbit, maxilla or malar—any or all (R) | 46.00 | |
| 2576 | Mandible (R) | 46.00 | |
| 2579 | Salivary calculus (R) | 46.00 | |
| 2581 | Nose (R) | 46.00 | |
| 2583 | Eye (R) | 46.00 | |
| 2585 | Temporo-mandibular joints (R) | 48.00 | |
| 2587 | Teeth—single area (R) | 32.00 | |
| 2589 | Teeth—full mouth (R) | 76.00 | |
| 2590 | Teeth—orthopantomography (R) | 46.00 | |
| 2591 | Palato-pharyngeal studies with fluoroscopic screening (R) | 63.00 | |
| 2593 | Palato-pharyngeal studies without fluoroscopic screening (R) | 48.00 | |
| 2595 | Larynx (R) | 42.00 | |
| Division 4—Radiographic examination of spine and report |
| 2597 | Spine—cervical (R) | 63.00 | |
| 2599 | Spine—thoracic (R) | 54.00 | |
| 2601 | Spine—lumbo-sacral (R) | 74.00 | |
| 2604 | Spine—sacro-coccygeal (R) | 45.00 | |
| 2607 | Spine—2 regions (R) | 93.00 | |
| 2609 | Spine—3 or more regions (R) | 128.00 | |
| 2611 | Spine—functional views of one area (R) | 20.00 | |
| Division 5—Bone age study and skeletal surveys |
| 2614 | Bone age study, wrist and knee (R) | 46.00 | |
| 2617 | Bone age study, wrist (R) | 38.50 | |
| 2621 | Skeletal survey involving 4 or more regions (R) | 87.00 | |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| Division 6—Radiographic examination of thoracic region and report |
| 2625 | Chest (lung fields) by direct radiography (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 34.50 | |
| 2627 | Chest (lung fields) by direct radiography (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 46.00 | |
| 2630 | Chest (lung fields) by direct radiography with fluoroscopic screening (R) | 59.00 | |
| 2634 | Thoracic inlet or trachea (R) | 38.50 | |
| 2638 | Chest by miniature radiography (R) | 21.00 | |
| 2642 | Cardiac examination (including barium swallow) (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) (NR) | 44.50 | |
| 2646 | Cardiac examination (including barium swallow) (when the service is rendered by a specialist in the practice of his or her specialty) (R) | 59.00 | |
| 2655 | Sternum or ribs on one side (R) | 42.00 | |
| 2656 | Sternum and ribs on one side, or ribs on both sides (R) | 55.00 | |
| 2657 | Sternum and ribs on both sides (R) | 67.00 | |
| Division 7—Radiographic examination of urinary tract and report |
| 2665 | Plain renal only (R) | 46.00 | |
| 2672 | Drip-infusion pyelography (R) | 128.00 | |
| 2676 | Intravenous pyelography, including preliminary plain film (R) | 120.00 | |
| 2678 | Intravenous pyelography, including preliminary plain film and limited tomography involving up to 3 tomographic cuts (R) | 150.00 | |
| 2681 | Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflex (R) | 152.00 | |
| 2687 | Antegrade or retrograde pyelography including preliminary plain film (R) | 96.00 | |
| 2690 | Retrograde cystography or retrograde urethrography (R) | 64.00 | |
| 2694 | Retrograde micturating cysto-urethrography (R) | 76.00 | |
| 2697 | Retro-peritoneal pneumogram (R) | 48.00 | |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
Division 8—Radiographic examination of alimentary tract and
biliary system (with or without fluoroscopy) and report
| 2699 | Plain abdominal only (when the service is rendered otherwise than by a specialist in the practice of his or her specialty) not associated with item 2709, 2711, 2714 or 2720 (NR) | 34.50 |
| 2703 | Plain abdominal only (when the service is rendered by a specialist in the practice of his or her specialty) not associated with item 2709, 2711, 2714 or 2720 (R) | 46.00 |
| 2706 | Oesophagus, with or without examination for foreign body or barium swallow (R) | 65.00 |
| 2709 | Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest and with or without preliminary plain film (R) | 89.00 |
| 2711 | 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) | 106.00 |
| 2714 | Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R) | 76.00 |
| 2716 | Opaque enema (R) | 89.00 |
| 2718 | Opaque enema, including air contrast study (R) | 106.00 |
| 2720 | Graham’s test (cholecystography), with or without preliminary abdominal radiograph (R) | 76.00 |
| 2722 | Cholegraphy direct—operative or post-operative (R) | 74.00 |
| 2724 | Cholegraphy—intravenous (R) | 106.00 |
| 2726 | Cholegraphy—percutaneous transhepatic (R) | 87.00 |
| 2728 | Cholegraphy—drip infusion (R) | 144.00 |
Division 9—Radiographic examination for localization of foreign bodies and report
| 2730 | Foreign body in eye (special method, Sweet’s or other) (R) | 64.00 |
| 2732 | Foreign body, localization of and report, not covered by any other item in this Part (R) | Amount under rule 14 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
Division 10—Radiographic examination of breasts and report
| 2734 | Radiographic examination of both breasts (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breasts because of the past occurrence of breast malignancy in the patient or members of the patient’s family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (S) (R) | 76.00 |
| 2736 | Radiographic examination of one breast (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breast because of the past occurrence of breast malignancy in the patient or members of the patient’s family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (S) (R) | 46.00 |
Division 11—Radiographic examination in connection with pregnancy and report
| 2738 | Pregnant uterus (R) | 47.00 |
| 2740 | Pelvimetry or placentography (R) | 87.00 |
| 2742 | Control X-rays associated with intrauterine foetal blood transfusion (R) | 64.00 |
Division 12—Radiographic examination with opaque or contrast media and report
| 2744 | Serial angiocardiography (rapid cassette changing)—each series (AU8) (R) | 81.00 |
| 2746 | Serial angiocardiography (single plane—direct roll-film method)—each series (AU 8) (R) | 112.00 |
| 2748 | Serial angiocardiography (bi-plane—direct roll-film method)—each series (AU 8) (R) | 112.00 |
| 2750 | Serial angiocardiography (indirect roll-film method)—each series (AU 8) (R) | 112.00 |
| 2751 | Selective coronary arteriography (R) | 295.00 |
| 2752 | Discography—one disc (R) | 67.00 |
| 2754 | Dacryocystography—one side (R) | 46.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2756 | Encephalography (R) | 100.00 |
| 2758 | Cerebral angiography—one side (R) | 76.00 |
| 2760 | Cerebral ventriculography (R) | 87.00 |
| 2762 | Hysterosalpingography (R) | 65.00 |
| 2764 | Bronchography—one side (R) | 96.00 |
| 2766 | Arteriography, peripheral—one side (R) | 96.00 |
| 2768 | Phlebography—one side (R) | 96.00 |
| 2770 | Aortography (R) | 96.00 |
| 2772 | Splenography (R) | 96.00 |
| 2773 | Myelography, one region (R) | 116.00 |
| 2774 | Myelography, 2 regions (R) | 192.00 |
| 2775 | Myelography, 3 regions (R) | 260.00 |
| 2776 | Selective arteriography per injection and film run (R) | 96.00 |
| 2778 | Sialography—one side (R) | 65.00 |
| 2780 | Vasoepididymography—one side (R) | 65.00 |
| 2782 | Sinuses and fistulae (R) | Amount under rule 14 |
| 2784 | Laryngography with contrast media (R) | $ 48.00 |
| 2786 | Pneumoarthrography (R) | 41.00 |
| 2788 | Arthrography—contrast (R) | 48.00 |
| 2790 | Arthrography—double contrast (R) | 84.00 |
| 2792 | Lymphangiography, including follow up radiography (R) | 64.00 |
| 2794 | Pneumomediastinum (R) | 59.00 |
Division 13—Tomography and report
| 2796 | Tomography, any part and report (R) | 59.00 |
Division 14—Stereoscopic examination and report
| 2798 | Stereoscopic examination of any area and report (R) | Amount under rule 14 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
Division 15—Fluoroscopic examination and report
| 2800 | Examination with general anaesthesia (not associated with a radiographic examination) (AU 7) (R) | 42.00 |
| 2802 | Examination without general anaesthesia (not associated with a radiographic examination) (R) | 29.00 |
Division 16—Examination not otherwise covered
| 2804 | Radiographic examination of any part and report not covered by any other item in this Part (R) | 20.00 |
Division 17—Preparation for radiological procedure, being the injection of opaque or contrast media or the removal of fluid and its replacement by air, oxygen or other contrast media or other similar preparation
| 2805 | Encephalography (AU 10) (NR) | 176.00 |
| 2807 | Cerebral angiography, one side—percutaneous, catheter or open exposure (AU 10) (NR) | 124.00 |
| 2811 | Cerebral ventriculography (AU 10) (NR) | 168.00 |
| 2813 | Dacryocystography—one side (NR) | 38.50 |
| 2815 | Bronchography—one or both sides (AU 8) (NR) | 59.00 |
| 2817 | Aortography (AU 8) (NR) | 69.00 |
| 2819 | Arteriography (peripheral) or phlebography—one vessel (AU 6) (NR) | 51.00 |
| 2823 | Splenography (AU 6) (NR) | 42.00 |
| 2825 | Retroperitoneal pneumogram (NR) | 46.00 |
| 2827 | Selective arteriogram or phlebogram (AU 6) (NR) | 42.00 |
| 2831 | Percutaneous injection of radio-opaque material into renal pelvis or into a renal cyst (including aspiration of the cyst) for antegrade pyelography (NR) | 59.00 |
| 2833 | Pneumoarthrography or pneumoperitoneum (NR) | 47.00 |
| 2834 | Preparation for contrast arthrography or double contrast arthrography excluding arthrography of the joints between articular processes of the vertebrae (NR) | 47.00 |
| 2837 | Drip-infusion pyelography or drip-infusion cholegraphy (NR) | 35.50 |
| 2839 | Retrograde micturating cystourethrography (NR) | 66.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 2841 | Hysterosalpingography (AU 6) (NR) | 59.00 |
| 2843 | Discography—one disc (AU 5) (NR) | 38.50 |
| 2844 | Preparation for discography using Metrizamide contrast medium (NR) | 59.00 |
| 2845 | Intraosseous venography (NR) | 44.00 |
| 2847 | Myelography, not covered by item 2848 (AU 11) (NR) | 116.00 |
| 2848 | Myelography, using Metrizamide (Amipaque) contrast medium (AU 11) (NR) | 162.00 |
| 2849 | Cisternal puncture (NR) | 76.00 |
| 2851 | Sinus or fistula injection into (NR) | 20.00 |
| 2852 | Preparation for sialography (NR) | 53.00 |
| 2853 | Lymphangiography—one side (NR) | 116.00 |
| 2855 | Laryngography (NR) | 59.00 |
| 2857 | Pneumomediastinum (NR) | 76.00 |
| 2859 | Cholegram, percutaneous transhepatic (AU 11) (NR) | 116.00 |
PART 4—MAGNETIC RESONANCE IMAGING
| 2980 | Magnetic resonance imaging—examination of any part or parts of body (HR) (R) | 315.00 |
PART 5—NUCLEAR MEDICINE IMAGING
| 8727 | Myocardial perfusion study using thallium—single study for stress OR reperfusion (C) (R) | 345.00 |
| 8728 | Myocardial perfusion study using thallium—single study for stress OR reperfusion (NC) (R) | 255.00 |
| 8732 | Myocardial perfusion study using thallium—combined study for stress AND reperfusion (C) (R) | 545.00 |
| 8733 | Myocardial perfusion study using thallium—combined study for stress AND reperfusion (NC) (R) | 405.00 |
| 8734 | Myocardial infarct-avid imaging study (C) (NR) | 200.00 |
| 8735 | Myocardial infarct-avid imaging study (NC) (R) | 150.00 |
| 8740 | Gated cardiac blood pool (equilibrium) study (C) (R) | 235.00 |
| 8741 | Gated cardiac blood pool study with intervention (C) (R) | 290.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 8744 | Cardiac first pass blood flow study, cardiac shunt study or cardiac output study (not part of other investigation) (C) (R) | 176.00 |
| 8745 | Cardiac first pass blood flow study, cardiac shunt study or cardiac output study (not part of other investigation) (NC) (R) | 130.00 |
| 8748 | Cardiac first pass blood flow study, cardiac shunt study or cardiac output study when associated with another item in this Part (C) (R) | Amount under rule 16 |
| 8749 | Cardiac first pass blood flow study, cardiac shunt study or cardiac output study when associated with another item in this Part (NC) (R) | Amount under rule 16 |
| 8751 | Lung perfusion study (C) (R) | $ 166.00 |
| 8752 | Lung perfusion study (NC) (R) | 124.00 |
| 8753 | Lung ventilation study using Xe127 gas (C) (R) | 275.00 |
| 8754 | Lung ventilation study using Xe127 gas (NC) (R) | 210.00 |
| 8757 | Lung ventilation study using Xe133 gas (C) (R) | 156.00 |
| 8758 | Lung ventilation study using Xe133 gas (NC) (R) | 116.00 |
| 8761 | Lung ventilation study using aerosol (C) (R) | 192.00 |
| 8762 | Lung ventilation study using aerosol (NC) (R) | 144.00 |
| 8765 | Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (C) (R) | 300.00 |
| 8766 | Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (NC) (R) | 220.00 |
| 8767 | Lung perfusion study and lung ventilation study using aerosol (C) (R) | 330.00 |
| 8768 | Lung perfusion study and lung ventilation study using aerosol (NC) (R) | 250.00 |
| 8771 | Liver and spleen study (colloid) (C) (R) | 198.00 |
| 8772 | Liver and spleen study (colloid) (NC) (R) | 148.00 |
| 8775 | Red blood cell spleen or liver study (C) (R) | 200.00 |
| 8776 | Red blood cell spleen or liver study (NC) (R) | 150.00 |
| 8777 | Hepatobiliary study (C) (R) | 320.00 |
| 8778 | Hepatobiliary study (NC) (R) | 240.00 |
| 8781 | Bowel haemorrhage study (C) (R) | 370.00 |
| 8782 | Bowel haemorrhage study (NC) (R) | 275.00 |
| 8785 | Meckel’s diverticulum study (C) (R) | 170.00 |
| 8786 | Meckel’s diverticulum study (NC) (R) | 128.00 |
| 8789 | Salivary study (C) (R) | 170.00 |
| 8790 | Salivary study (NC) (R) | 128.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 8791 | Gastro-oesophageal reflux study (C) (R) | 365.00 |
| 8792 | Gastro-oesophageal reflux study (NC) (R) | 270.00 |
| 8795 | Oesophageal clearance study (C) (R) | 110.00 |
| 8796 | Oesophageal clearance study (NC) (R) | 82.00 |
| 8801 | Gastric emptying study using single tracer (C) (R) | 545.00 |
| 8802 | Gastric emptying study using dual tracer (C) (R) | 580.00 |
| 8805 | Renal study with or without dynamic flow study and with or without computer extraction of functional parameters (C) (R) | 250.00 |
| 8809 | Renal study with intervention (C) (R) | 305.00 |
| 8810 | Renal study with intervention (NC) (R) | 225.00 |
| 8811 | Cystoureterogram (C) (R) | 188.00 |
| 8812 | Cystoureterogram (NC) (R) | 142.00 |
| 8815 | Testicular study (C) (R) | 124.00 |
| 8816 | Testicular study (NC) (R) | 93.00 |
| 8819 | Brain study with blood brain barrier agent (C) (R) | 168.00 |
| 8820 | Brain study with blood brain barrier agent (NC) (R) | 126.00 |
| 8822 | Cerebro-spinal fluid transport study (C) (R) | 660.00 |
| 8823 | Cerebro-spinal fluid transport study (NC) (R) | 495.00 |
| 8826 | Cerebro-spinal fluid shunt patency study (C) (R) | 172.00 |
| 8827 | Cerebro-spinal fluid shunt patency study (NC) (R) | 128.00 |
| 8830 | Dynamic blood flow study or regional blood volume quantitative study (not associated with any other item in this Part) (C) (R) | 91.00 |
| 8831 | Dynamic blood flow study or regional blood volume quantitative study (not associated with any other item in this Part) (NC) (R) | 68.00 |
| 8832 | Bone study—whole body (C) (R) | 365.00 |
| 8833 | Bone study—whole body (NC) (R) | 270.00 |
| 8834 | Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (C) (R) | 455.00 |
| 8835 | Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (NC) (R) | 345.00 |
| 8836 | Whole body study using iodine (C) (R) | 415.00 |
| 8837 | Whole body study using iodine (NC) (R) | 310.00 |
| 8838 | Whole body study using gallium (C) (R) | 415.00 |
| 8839 | Whole body study using gallium (NC) (R) | 310.00 |
| 8840 | Whole body study using cells labelled with technetium (C) (R) | 370.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 8841 | Whole body study using cells labelled with technetium (NC) (R) | 275.00 |
| 8842 | Bone marrow study—whole body (C) (R) | 365.00 |
| 8843 | Bone marrow study—whole body (NC) (R) | 270.00 |
| 8844 | Repeat whole body study on different occasion using same administration of radiopharmaceutical (C) (R) | 168.00 |
| 8845 | Repeat whole body study on different occasion using same administration of radiopharmaceutical (NC) (R) | 126.00 |
| 8846 | Localised bone or joint study including flow and blood pool studies (C) (R) | 255.00 |
| 8847 | Localised bone or joint study including flow and blood pool studies (NC) (R) | 190.00 |
| 8848 | Localised bone, joint, tumour, infection or inflammation seeking study using gallium (C) (R) | 305.00 |
| 8849 | Localised bone, joint, tumour, infection or inflammation seeking study using gallium (NC) (R) | 225.00 |
| 8851 | Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (C) (R) | 260.00 |
| 8852 | Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (NC) (R) | 194.00 |
| 8853 | Repeat localised bone, joint, tumour, infection or inflammation seeking study on different occasion using same administration of radiopharmaceutical (C) (R) | 112.00 |
| 8854 | Repeat localised bone, joint, tumour, infection or inflammation seeking study on different occasion using same administration of radiopharmaceutical (NC) (R) | 84.00 |
| 8855 | Venography (including blood pool study, active uptake study or dynamic blood flow study) (C) (R) | 200.00 |
| 8856 | Venography (including blood pool study, active uptake study or dynamic blood flow study) (NC) (R) | 150.00 |
| 8857 | Lymphoscintigraphy (C) (R) | 260.00 |
| 8858 | Lymphoscintigraphy (NC) (R) | 194.00 |
| 8859 | Thyroid study (C) (R) | 116.00 |
| 8860 | Thyroid study (NC) (R) | 86.00 |
| 8861 | Thyroid uptake study performed on gamma camera (C) (R) | 56.00 |
| 8862 | Thyroid uptake study performed on gamma camera (NC) (R) | 42.00 |
| 8863 | Parathyroid (C) (R) | 290.00 |
| 8864 | Adrenal study using Selenocholesterol (C) (R) | 665.00 |
| 8865 | Adrenal study using Selenocholesterol (NC) (R) | 500.00 |
| 8866 | Adrenal study (not covered by item 8864 or 8865) (C) (R) | 340.00 |
SCHEDULE—continued
SERVICES AND FEES
| Item | Diagnostic imaging service | Fee |
$
| 8867 | Adrenal study (not covered by item 8864 or 8865) (NC) (R) | 255.00 |
| 8868 | Single photon emission tomography when associated with another item in this Part (C) (R) | Amount under rule 17 |
| 8869 | Tear duct study (C) (R) | $ 170.00 |
| 8870 | Tear duct study (NC) (R) | 128.00 |
| 8871 | Particle perfusion study (intra-arterial) or Le Veen Shunt study (C) (R) | 192.00 |
| 8872 | Particle perfusion study (intra-arterial) or Le Veen Shunt study (NC) (R) | 144.00 |
| 8873 | Study of region or organ not covered by any other item in this Part (C) (R) | 11.00 |
| 8874 | Study of region or organ not covered by any other item in this Part (NC) (R) | 8.30 |
____________________________________________________________
NOTE
1. Notified in the Commonwealth of Australia Gazette on 1991.