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SR 1992 No. 337 Regulations as made
Principal Regulations; Repeals the Health Insurance (1991-1992 Diagnostic Imaging Services Table) Regulations.
Tabling HistoryDate
Tabled HR05-Nov-1992
Gazetted 27 Oct 1992
Date of repeal 01 Nov 1993
Repealed by Health Insurance (1993-1994 Diagnostic Imaging Services Table) Regulations

 

 

 

 

 

 

Statutory Rules 1992   No. 3371

__________________

Health Insurance (1992-1993 Diagnostic Imaging Services Table) Regulations

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 20 October 1992.

 

                                                                                     BILL HAYDEN

                                                                                    Governor-General

         By His Excellency’s Command,

 

 

B. HOWE

Minister of State for Health, Housing and Community Services

____________

Citation

               1.   These Regulations may be cited as the Health Insurance (1992-1993 Diagnostic Imaging Services Table) Regulations.

Commencement

               2.   These Regulations commence on 1 November 1992.

Repeal

               3.   Statutory Rules 1991 No. 352 and 1992 Nos. 120 and 240 are repealed.

Diagnostic imaging services table

               4.   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 4

 

TABLE OF DIAGNOSTIC IMAGING SERVICES

 

RULES OF INTERPRETATION

 

General

                     1.    (1)       In this table, unless the contrary intention appears, “the Act” means the Health Insurance Act 1973.

                   (2)    In this table, a reference by number to an item in the series 11603 to 11612 (both inclusive) is a reference to the item so numbered in the table of general medical services.

Meaning of “(AU n)”

                     2.    The symbol “(AU n)” (where n is a number) is explained in the general medical services table in items 17901 to 17959 (inclusive).

Meaning of “(C)” and (“NC)”

                     3.    (1)       An item including the symbol “(C)” applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that has computerised processing facilities capable of being used for the service.

                   (2)    An item including the symbol “(NC)” applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that does not have computerised processing facilities capable of being used for the service.

 

SCHEDULE—continued

Meaning of “(R)” and “(NR)”

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

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

Meaning of “(S)”

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

Who may give a diagnostic imaging service

                     6.    A diagnostic imaging service set out in this table is a diagnostic imaging service for the purposes of the Act, whether the service is given by:

                   (a)    a medical practitioner; or

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

                                    (i)    is employed by a medical practitioner; or

                                   (ii)    gives the service under the supervision of a medical practitioner in accordance with accepted medical practice.

Meaning of “report” in certain  items

                     7.    In items 55000 to 61109 (inclusive), “report” means a report prepared by a medical practitioner.

Meaning of “group of practitioners” in item 55003

                     8.    In item 55003, “group of practitioners” has the same meaning as in subsection 16A (10) of the Act.

Meaning of “amount under rule 9” in item 57303

                     9.    In item 57303, “amount under rule 9” means an amount equal to the sum of:

                   (a)    the fee set out in the item in items 56000 to 57406 (inclusive) in conjunction with which a service referred to in item 57303 is given; and

                   (b)    $110.00.

 


 

SCHEDULE—continued

 

Meaning of “amount under rule 10” in certain  items

                  10.    In items 59103, 59739 and 60300, “amount under rule 10” means an amount equal to the sum of:

                   (a)    the fee set out in another item for the radiographic examination in conjunction with which a service referred to in item 59103, 59739 or 60300 is given; and

                   (b)    1 of the following amounts:

                                    (i)    in the case of item 59103—$20.50;

                                   (ii)    in the case of item 59739—$21.50;

                                  (iii)    in the case of item 60300—$12.80.

Preparation of patients for radiological procedures

                  11.    Items 60900 to 60981 (inclusive) apply only to the preparation of a patient for a radiological procedure by:

                   (a)    injecting opaque or contrast media; or

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

                   (c)    a similar method.

Meaning of “angiography suite” in item 61109

                  12.    In item 61109, “angiography suite” means a room that contains only equipment designed for angiography that is able to perform digital subtraction or rapid sequence film angiography.

Nuclear scanning services

                  13.    Items 61300 to 61502 (inclusive) apply to a nuclear scanning service only if:

                   (a)    the performance of the scan is undertaken:

                                    (i)    by a medical practitioner; or

                                   (ii)    by a person acting on behalf of a medical practitioner in the presence of the practitioner; and

                   (b)    the compilation of the final report is undertaken by the medical practitioner who undertook the preliminary examination of the patient and the estimation and administration of the dosage.

 


SCHEDULE— continued

Meaning of “amount under rule 14” in certain  items

                  14.    In items 61322 and 61323, “amount under rule 14” means an amount equal to the sum of:

                   (a)    the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which a service referred to in item 61322 or 61323 is given and:

                   (b)    1 of the following amounts:

                                    (i)    in the case of item 61322—$89.00;

                                   (ii)    in the case of item 61323—$67.00.

Meaning of “amount under rule 15” in item 61490

                  15.    In item 61490, “amount under rule 15” means an amount equal to the sum of:

                   (a)    the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which a service referred to in item 61490 is given; and

                   (b)    $178.00.

 

 

SERVICES AND FEES

 

Item

Diagnostic imaging service

Fee

 

                                                                                                                                                             $

GROUP I1ULTRASOUND

Subgroup 1—General

 

 

55000

Ultrasonic cross-sectional echography, not being a service associated with a service to which item 55003, 55004, 55006, 55102, 55105, 55112, 55118, 55124, 55130, 55201, 55204, 55225, 55231, 55234 or 55237 applies, if the patient is not referred by a medical practitioner for ultrasonic examination—each ultrasonic examination not exceeding 2 examinations in 1 pregnancy (NR)

33.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

55003

Ultrasonic cross-sectional echography, performed by, or on behalf of, a medical practitioner, if:

                   (a)    the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55004, 55006, 55102, 55105, 55112, 55118, 55124, 55130, 55201, 55204, 55225, 55231, 55234 or 55237 applies; and

                   (b)    the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)

95.00

55004

Ultrasonic cross-sectional echography, in association with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)

95.00

55006

Ultrasonic echography, unidimensional, not being a service associated with a service to which item 55003, 55004, 55102, 55105, 55112, 55201, 55204, 55225, 55231, 55234 or 55237 applies (NR)

57.00

Subgroup 2—Cardiac

 

 

55102

M-Mode and 2 dimensional real time           echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed           wave and continuous wave Doppler techniques, with recordings on video tape, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R)

156.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

55105

M-Mode and 2 dimensional real time           echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of cardiac dimensions, with recordings on video tape, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R)

88.00

55112

M-Mode and 2 dimensional real time           echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed           wave and continuous wave Doppler techniques, together with real time colour flow mapping from at least 2 thoracic windows, with recordings on video tape, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R)

240.00

55118

2 dimensional real time transoesophageal           echocardiographic examination of the heart, not associated with another echocardiographic examination (R)

190.00

55124

2 dimensional real time transoesophageal           echocardiographic examination of the heart, associated with another echocardiographic  examination (R)

95.00

55130

Intra-operative 2 dimensional real time           transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure (R)

345.00


 

SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

Subgroup 3—Vascular

 

55201

Duplex scanning (unilaterial or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries) or peripheral vessels or intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy-related studies), not being a service associated with a service to which item 55000, 55003 or 55006 applies—1 examination and report (R)

164.00

55204

2 or more examinations of the kind referred to in item 55201 and report, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R)

280.00

55225

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography, not being a service associated with a service to which item 55000, 55003 or 55006 applies—examination and report (R)

196.00

55231

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 being a service associated with a service to which item 55000, 55003 or 55006 applies—examination and report (R)

315.00

55234

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which item 55000, 55003 or 55006 applies—examination and report (R)

190.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

55237

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels before measured exercise using treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral), not being a service associated with a service to which item 55000, 55003 or 55006 applies—examination and report (R)

210.00

GROUP I2—COMPUTERISED TOMOGRAPHY(EXCLUDING MAGNETIC RESONANCE IMAGING)

Subgroup 1—Computerised Tomography on a Body Scanner and Report

 

56000

Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium, not being a service associated with a service to which item 57000 or 57100 applies (R)

142.00

56003

Computerised tomography—scan of brain with or without scan of internal auditory meatus with intravenous contrast medium, not being a service associated with a service to which item 57003 or 57103 applies (R)

196.00

56006

Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) with intravenous contrast medium, not being a service associated with a service to which item 57006 or 57106 applies (R)

230.00

56009

Computerised tomography—scan of pituitary fossa by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)

470.00

56012

Computerised tomography—scan of orbits by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)

465.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

56015

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 or brain scan (R)

455.00

56018

Computerised tomography—scan of temporal bones with air study (including reconstructions), including intrathecal injection but not including an associated brain scan (R)

365.00

56021

Computerised tomography—scan of facial bones, sinuses and salivary glands of 1 or more regions without intravenous contrast medium (R)

255.00

56024

Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of 1 or more regions with intravenous contrast medium (R)

270.00

56027

Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of 1 or more regions without and with intravenous contrast medium (R)

385.00

56100

Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of 1 or more regions without intravenous contrast medium, not being a service to which item 56900 applies (R)

365.00

56103

Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of 1 or more regions with intravenous contrast medium, not being a service to which item 56903 applies (R)

395.00

56106

Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of 1 or more regions without and with intravenous contrast medium, not being a service to which item 56906 applies (R)

430.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

56200

Computerised tomography—scan of spine, 1or more regions, 25 slices or less without intravenous contrast medium (R)

180.00

56203

Computerised tomography—scan of spine, 1 or more regions, 25 slices or less with intravenous contrast medium (R)

210.00

56206

Computerised tomography—scan of spine, 1 or more regions, 25 slices or less without and with intravenous contrast medium (R)

280.00

56209

Computerised tomography—scan of spine, 1 or more regions, 26 or more slices without intravenous contrast medium (R)

255.00

56212

Computerised tomography—scan of spine, 1 or more regions, 26 or more slices with intravenous contrast medium (R)

280.00

56215

Computerised tomography—scan of spine, 1 or more regions, 26 or more slices without and with intravenous contrast medium (R)

395.00

56218

Computerised tomography—scan of spine, 1 or more regions with intrathecal contrast medium, not including the preparation by intrathecal injection of contrast medium (R)

255.00

56300

Computerised tomography—scan of chest, including lungs, mediastinum and pleura, without intravenous contrast medium, not being a service associated with a service to which item 56700, 56800, 56900, 57000 or 57100 applies (R)

255.00

56303

Computerised tomography—scan of chest, including lungs, mediastinum and pleura, with intravenous contrast medium, not being a service associated with a service to which item 56703, 56803, 56903, 57003 or 57103 applies (R)

290.00

56306

Computerised tomography—scan of chest, including lungs, mediastinum and pleura, without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service associated with a service to which item 56706, 56806, 56906, 57006 or 57106 applies (R)

365.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

56400

Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium, not being a service associated with a service to which item 56700, 56800, 56900 or 57100 applies (R)

142.00

56403

Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis with intravenous contrast medium, not being a service associated with a service to which item 56703, 56803, 56903 or 57103 applies (R)

172.00

56406

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 being a service associated with a service to which item 56706, 56806, 56906 or 57106 applies (R)

280.00

56500

Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium, not being a service associated with a service to which item 56700, 56800, 56900 or 57100 applies (R)

215.00

56503

Computerised tomography—scan of upper abdomen and pelvis with intravenous contrast medium, not being a service associated with a service to which item 56703, 56803, 56903 or 57103 applies (R)

260.00

56506

Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service associated with a service to which item 56706, 56806, 56906 or 57106 applies (R)

365.00

56600

Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices without intravenous contrast medium (R)

142.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

56603

Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices with intravenous contrast medium (R)

172.00

56606

Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices without and with intravenous contrast medium (R)

210.00

56609

Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices without intravenous contrast medium (R)

180.00

56612

Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices with intravenous contrast medium (R)

210.00

56615

Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium (R)

280.00

56618

Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices without intravenous contrast medium (R)

255.00

56621

Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices with intravenous contrast medium (R)

280.00

56624

Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices without and with intravenous contrast medium (R)

355.00

56700

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without intravenous contrast medium, not being a service associated with a service to which item 56800, 56900 or 57100 applies (R)

255.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

56703

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) with intravenous contrast medium, not being a service associated with a service to which item 56803, 56903 or 57103 applies (R)

295.00

56706

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without and with intravenous contrast medium, not being a service associated with a service to which item 56806, 56906 or 57106 applies  (R)

370.00

56800

Computerised tomography—scan of chest, abdomen and pelvis without intravenous contrast medium, not being a service associated with a service to which item 56900 applies (R)

330.00

56803

Computerised tomography—scan of chest, abdomen and pelvis with intravenous contrast medium, not being a service associated with a service to which item 56903 applies (R)

370.00

56806

Computerised tomography—scan of chest, abdomen and pelvis without and with intravenous contrast medium, not being a service associated with a service to which item 56906 applies (R)

525.00

56900

Computerised tomography—scan of neck, chest, abdomen and pelvis without intravenous contrast medium (R)

475.00

56903

Computerised tomography—scan of neck, chest, abdomen and pelvis with intravenous contrast medium (R)

525.00

56906

Computerised tomography—scan of neck, chest, abdomen and pelvis without and with intravenous contrast medium (R)

630.00

57000

Computerised tomography scan of brain and chest without intravenous contrast medium (R)

255.00

57003

Computerised tomography—scan of brain and chest with intravenous contrast medium (R)

295.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

57006

Computerised tomography—scan of brain and chest without and with intravenous contrast medium (R)

410.00

57100

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium (R)

365.00

57103

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium (R)

410.00

57106

Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without and with intravenous contrast medium (R)

525.00

57200

Computerised tomography—pelvimetry (R)

142.00

57300

Computerised tomography—dynamic scan of region, not being a service associated with a service to which another item in this Group applies (R)

172.00

57303

Computerised tomography—dynamic scan of region, when associated with another item in this Group (R)

Amount                   under      rule 9

57340

Computerised tomography, in association with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)

255.00

Subgroup 2—Computerised Tomography on a Brain Scanner

 

57400

Computerised tomography—scan of brain without intravenous contrast medium (R)

72.00

57403

Computerised tomography—scan of brain with intravenous contrast medium (R)

87.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

57406

Computerised tomography—scan of brain without and with intravenous contrast medium (R)

136.00

GROUP I3—DIAGNOSTIC RADIOLOGY

 

Subgroup 1—Radiographic Examination of Extremities and Report

 

57500

Digits or phalanges—all or any of either hand or either foot (NR)

29.50

57503

Digits or phalanges—all or any of either hand or either foot (R)

39.50

57506

Hand, wrist, forearm, elbow or arm (elbow to shoulder) (NR)

29.50

57509

Hand, wrist, forearm, elbow or arm (elbow to shoulder) (R)

39.50

57512

Hand, wrist and lower forearm, upper forearm and elbow or elbow and arm (elbow to shoulder) (NR)

40.00

57515

Hand, wrist and lower forearm, upper forearm and elbow or elbow and arm (elbow to shoulder) (R)

54.00

57518

Foot, ankle, lower leg, upper leg, knee or thigh (femur) (NR)

32.50

57521

Foot, ankle, lower leg, upper leg, knee or thigh (femur) (R)

43.00

57524

Foot, ankle and lower leg or upper leg and knee (NR)

49.00

57527

Foot, ankle and lower leg or upper leg and knee (R)

65.00

Subgroup 2—Radiographic Examination of Shoulder or Pelvis and Report

 

57700

Shoulder or scapula (NR)

40.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

57703

Shoulder or scapula (R)

54.00

57706

Clavicle (NR)

32.50

57709

Clavicle (R)

43.00

57712

Hip joint (R)

47.00

57715

Pelvic girdle (R)

60.00

57718

Sacro-iliac joints (R)

60.00

57721

Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R)

99.00

Subgroup 3—Radiographic Examination of Head and Report

 

57900

Skull (calvarium) (R)

64.00

57903

Sinuses (R)

47.00

57906

Mastoids (R)

64.00

57909

Petrous temporal bones (R)

64.00

57912

Facial bones—orbit, maxilla or malar, any or all (R)

47.00

57915

Mandible (R)

47.00

57918

Salivary calculus (R)

47.00

57921

Nose (R)

47.00

57924

Eye (R)

47.00

57927

Temporo-mandibular joints (R)

49.50

57930

Teeth—single area (R)

32.50


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

57933

Teeth —full mouth (R)

78.00

57936

Teeth—orthopantomography (R)

47.00

57939

Palato-pharyngeal studies with fluoroscopic screening (R)

64.00

57942

Palato-pharyngeal studies without fluoroscopic screening (R)

49.50

57945

Larynx (R)

43.00

Subgroup 4—Radiographic Examination of Spine and Report

 

58100

Spine—cervical (R)

64.00

58103

Spine—thoracic (R)

55.00

58106

Spine—lumbo-sacral (R)

75.00

58109

Spine—sacro-coccygeal (R)

46.00

58112

Spine—2 regions (R)

95.00

58115

Spine—3 or more regions (R)

130.00

58118

Spine—functional views of 1 area (R)

20.50

Subgroup 5—Bone Age Study and Skeletal Surveys and Report

 

58300

Bone age study, wrist and knee (R)

47.00

58303

Bone age study, wrist (R)

39.50

58306

Skeletal survey involving 4 or more regions (R)

89.00

 

 

SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

Subgroup 6—Radiographic Examination of Thoracic Region and Report

 

58500

Chest (lung fields) by direct radiography (NR)

35.00

58503

Chest (lung fields) by direct radiography (R)

47.00

58506

Chest (lung fields) by direct radiography with fluoroscopic screening (R)

60.00

58509

Thoracic inlet or trachea (R)

39.50

58512

Chest by miniature radiography (R)

21.50

58515

Cardiac examination (including barium swallow) (NR)

45.50

58518

Cardiac examination (including barium swallow) (R)

60.00

58521

Sternum or ribs on 1 side (R)

43.00

58524

Sternum and ribs on 1 side or ribs on both sides (R)

56.00

58527

Sternum and ribs on both sides (R)

69.00

Subgroup 7—Radiographic Examination of Urinary Tract and Report

 

58700

Plain renal only (R)

47.00

58703

Drip-infusion pyelography (R)

130.00

58706

Intravenous pyelography, including preliminary plain film (R)

124.00

58709

Intravenous pyelography, including preliminary plain film and limited tomography, involving up to 3 tomographic cuts (R)

154.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

58712

Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflex (R)

156.00

58715

Antegrade or retrograde pyelography including preliminary plain film (R)

99.00

58718

Retrograde cystography or retrograde urethrography (R)

65.00

58721

Retrograde micturating cysto-urethrography (R)

78.00

58724

Retro-peritoneal pneumogram (R)

49.50

Subgroup 8—Radiographic Examination of Alimentary Tract and Biliary System and Report

 

58900

Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (NR)

35.00

58903

Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (R)

47.00

58906

Oesophagus, with or without examination for foreign body or barium swallow (R)

67.00

58909

Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest and with or without preliminary plain film (R)

91.00

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)

108.00

58915

Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R)

78.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

58918

Opaque enema (R)

91.00

58921

Opaque enema, including air contrast study (R)

108.00

58924

Graham's test (cholecystography), including           preliminary abdominal radiography (R)

78.00

58927

Cholegraphy direct—operative or post-operative (R)

75.00

58930

Cholegraphy—intravenous (R)

108.00

58933

Cholegraphy—percutaneous transhepatic (R)

89.00

58936

Cholegraphy—drip infusion (R)

148.00

Subgroup 9—Radiographic Examination for Localisation of Foreign Bodies and Report

 

59100

Foreign body in eye (special method, Sweet's or other) (R)

65.00

59103

Foreign body, localization of and report, not being a service associated with a service to which another item in this Group applies (R)

Amount under rule 10


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

Subgroup 10—Radiographic Examination of Breasts and Report

 

59300

Radiographic examination of both breasts (with or without thermography) and report, if:

                   (a)    the patient is referred with a specific request for this procedure; and

                   (b)    there is reason to suspect the presence of malignancy in the breasts because of:

                                    (i)    the past occurrence of breast malignancy in the patient or members of the patient's family; or

                                   (ii)    symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) (S)

78.00

59303

Radiographic examination of 1 breast (with or without thermography) and report, if:

                   (a)    the patient is referred with a specific request for this procedure; and

                   (b)    there is reason to suspect the presence of malignancy in the breast because of:

                                    (i)    the past occurrence of breast malignancy in the patient or members of the patient's family; or

                                   (ii)    symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) (S)

47.00

59306

Mammary ductogram (galactography)—1 breast (R)

90.00

59309

Mammary ductogram (galactography)—2 breasts (R)

180.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

Subgroup 11—Radiographic Examination in connection with Pregnancy and Report

 

59500

Pregnant uterus (R)

48.00

59503

Pelvimetry or placentography (R)

89.00

59506

Control X-rays associated with intrauterine foetal blood transfusion (R)

65.00

Subgroup 12—Radiographic Examination with Opaque or Contrast Media and Report

 

59700

Discography—1 disc (R)

69.00

59703

Dacryocystography—1 side (R)

47.00

59706

Encephalography (R)

102.00

59709

Cerebral ventriculography (R)

89.00

59712

Hysterosalpingography (R)

67.00

59715

Bronchography—1 side (R)

99.00

59718

Phlebography—1 side (R)

99.00

59721

Splenography (R)

99.00

59724

Myelography, 1 region (R)

118.00

59727

Myelography, 2 regions (R)

198.00

59730

Myelography, 3 regions (R)

265.00

59733

Sialography—1 side (R)

67.00

59736

Vasoepididymography—1 side (R)

67.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

59739

Sinuses and fistulae (R)

Amount under rule 10

59742

Laryngography with contrast media (R)

49.50

59745

Pneumoarthrography (R)

42.00

59748

Arthrography—contrast (R)

49.50

59751

Arthrographydouble contrast (R)

86.00

59754

Lymphangiography, including follow up radiography (R)

65.00

59757

Pneumomediastinum (R)

60.00

Subgroup 13—Angiography and report

 

59900

Serial angiocardiography (rapid cassette changing)—each series (R) (AU 8)

83.00

59903

Serial angiocardiography (single plane, direct roll-film method)—each series (R) (AU 8)

114.00

59906

Serial angiocardiography (bi-plane, direct roll-film method)—each series (R) (AU 8)

114.00

59909

Serial angiocardiography (indirect roll-film method)—each series (R) (AU 8)

114.00

59912

Selective coronary arteriography (R)

300.00

59915

Cerebral angiography—1 side (R)

78.00

59918

Arteriography, peripheral—1 side (R)

99.00

59921

Aortography (R)

99.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

59924

Selective arteriography, each injection and film run (R)

99.00

60000

Digital subtraction angiography, examination of head and neck with or without arch aortography, 1 to 3 data acquisition runs (R)

500.00

60003

Digital subtraction angiography, examination of head and neck with or without arch aortography, 4 to 6 data acquisition runs (R)

735.00

60006

Digital subtraction angiography, examination of head and neck with or without arch aortography, 7 to 9 data acquisition runs (R)

1,050.00

60009

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

1,230.00

60012

Digital subtraction angiography, examination of thorax, 1 to 3 data acquisition runs (R)

500.00

60015

Digital subtraction angiography, examination of thorax, 4 to 6 data acquisition runs (R)

735.00

60018

Digital subtraction angiography, examination of thorax, 7 to 9 data acquisition runs (R)

1,050.00

60021

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

1,230.00

60024

Digital subtraction angiography, examination of abdomen, 1 to 3 data acquisition runs (R)

500.00

60027

Digital subtraction angiography, examination of abdomen, 4 to 6 data acquisition runs (R)

735.00

60030

Digital subtraction angiography, examination of abdomen, 7 to 9 data acquisition runs (R)

1,050.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

60033

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

1,230.00

60036

Digital subtraction angiography, examination of upper limb or limbs, 1 to 3 data acquisition runs (R)

500.00

60039

Digital subtraction angiography, examination of upper limb or limbs, 4 to 6 data acquisition runs (R)

735.00

60042

Digital subtraction angiography, examination of upper limb or limbs, 7 to 9 data acquisition runs (R)

1,050.00

60045

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

1,230.00

60048

Digital subtraction angiography, examination of lower limb or limbs, 1 to 3 data acquisition runs (R)

500.00

60051

Digital subtraction angiography, examination of lower limb or limbs, 4 to 6 data acquisition runs (R)

735.00

60054

Digital subtraction angiography, examination of lower limb or limbs, 7 to 9 data acquisition runs (R)

1,050.00

60057

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

1,230.00

60060

Digital subtraction angiography, examination of aorta and lower limb or limbs, 1 to 3 data acquisition runs (R)

500.00

60063

Digital subtraction angiography, examination of aorta and lower limb or limbs, 4 to 6 data acquisition runs (R)

735.00

60066

Digital subtraction angiography, examination of aorta and lower limb or limbs, 7 to 9 acquisition runs (R)

1,050.00

60069

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

1,230.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

60072

Selective arteriography or selective venography by digital subtraction angiography technique, 1 vessel (NR)

43.00

60075

Selective arteriography or selective venography by digital subtraction angiography, 2 vessels (NR)

86.00

60078

Selective angiography or selective venography by digital subtraction angiography technique, 3 or more vessels (NR)

128.00

Subgroup 14—Tomography and Report

 

60100

Tomography of any region and report (R)

60.00

Subgroup 15—Stereoscopic Examination and Report

 

60300

Stereoscopic examination of any region and report (R)

Amount under rule 10

Subgroup 16—Fluoroscopic examination and report

 

60500

Fluoroscopy, with general anaesthesia, not being a service associated with a radiographic examination) (R) (AU 7)

43.00

60503

Fluoroscopy without general anaesthesia, not being a service associated with a radiographic examination (R)

29.50

60506

Fluoroscopy, using a mobile image intensifier, in association 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)

63.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

60509

Fluoroscopy, using a mobile image intensifier, in association with a surgical procedure lasting 1 hour or longer, not being a service associated with a service to which another in this table applies (R)

98.00

Subgroup 17—Examination not otherwise covered and Report

 

60700

Radiographic examination of any region and report, not being a service associated with a service to which another item in this Group applies (R)

20.50

Subgroup 18—Preparation for Radiological Procedure

 

60900

Encephalography (NR) (AU 10)

180.00

60903

Cerebral angiography, 1 side—percutaneous, catheter or open exposure (NR) (AU 10)

128.00

60906

Cerebral ventriculography (NR) (AU 10)

172.00

60909

Dacryocystography—1 side (NR)

39.50

60912

Bronchography—1 or both sides (NR) (AU 8)

60.00

60915

Aortography (NR) (AU 8)

70.00

60918

Arteriography (peripheral) or phlebography—1 vessel (NR) (AU 6)

52.00

60921

Splenography (NR) (AU 6)

43.00

60924

Retroperitoneal pneumogram (NR)

47.00

60927

Selective arteriogram or phlebogram (NR) (AU 6)

43.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

60930

Percutaneous injection of radio-opaque material into renal pelvis or into a renal cyst (including aspiration of the cyst) for antegrade pyelography (NR)

60.00

60933

Pneumoarthrography or pneumoperitoneum (NR)

48.00

60936

A single or double contrast arthrography excluding arthrography of the joints between articular processes of the vertebrae (NR)

48.00

60939

Drip-infusion pyelography or drip-infusion cholegraphy (NR)

36.00

60942

Retrograde micturating cystourethrography (NR)

68.00

60945

Hysterosalpingography (NR) (AU 6)

60.00

60948

Discography—1 disc (NR)  (AU 5)

39.50

60951

Discography using Metrizamide contrast medium (NR)

60.00

60954

Intra-osseous venography (NR)

45.00

60957

Myelography, not being a service to which item 60960 applies (NR) (AU 11)

118.00

60960

Myelography, using Metrizamide (Amipaque) contrast medium (NR) (AU 11)

166.00

60963

Cisternal puncture (NR)

78.00

60966

Sinus or fistula injection into (NR)

20.50

  60969

Sialography (NR)

54.00

60972

Lymphangiography—1 side (NR)

118.00

60975

Laryngography (NR)

60.00

60978

Pneumomediastinum (NR)

78.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

60981

Cholegram, percutaneous transhepatic (NR) (AU 11)

118.00

Subgroup 19—Interventional Techniques

 

61109

Fluoroscopy in an angiography suite with image intensification, in association with a surgical procedure, using interventional techniques, not being a service associated with a service to which another item in this table applies (R)

255.00

GROUP I5—NUCLEAR MEDICINE IMAGING

 

61300

Myocardial perfusion study using thallium—single study for stress or reperfusion (R) (C)

365.00

61301

Myocardial perfusion study using thallium—single study for stress or reperfusion (R) (NC)

270.00

61304

Myocardial perfusion study using thallium—combined study for stress and reperfusion (R) (C)

575.00

61305

Myocardial perfusion study using thallium—combined study for stress and reperfusion (R) (NC)

430.00

61308

Myocardial infarct-avid imaging study (R) (C)

215.00

61309

Myocardial infarct-avid imaging study (R) (NC)

160.00

61312

Gated cardiac blood pool (equilibrium) study (R) (C)

245.00

61315

Gated cardiac blood pool study with intervention (R) (C)

305.00

61318

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, not being a service associated with a service to which another item in this Group applies (R) (C)

186.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

61319

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, not being a service associated with a service to which another item in this Group applies (R) (NC)

138.00

61322

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, when associated with a service to which another item in this Group applies (R) (C)

Amount under rule 14

61323

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, when associated with a service to which another item in this Group applies (R) (NC)

Amount under rule 14

61326

Lung perfusion study (R) (C)

176.00

61327

Lung perfusion study (R) (NC)

132.00

61330

Lung ventilation study using Xe127 gas (R) (C)

295.00

61331

Lung ventilation study using Xe127 gas (R) (NC)

220.00

61334

Lung ventilation study using Xe133 gas (R) (C)

164.00

61335

Lung ventilation study using Xe133 gas (R) (NC)

122.00

61338

Lung ventilation study using aerosol (R) (C)

205.00

61339

Lung ventilation study using aerosol (R) (NC)

152.00

61342

Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (R) (C)

315.00

61343

Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (R) (NC)

235.00

61346

Lung perfusion study and lung ventilation study using aerosol (R) (C)

350.00

61347

Lung perfusion study and lung ventilation study using aerosol (R) (NC)

265.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

61350

Liver and spleen study (colloid) (R) (C)

210.00

61351

Liver and spleen study (colloid) (R) (NC)

158.00

61354

Red blood cell spleen or liver study (R) (C)

215.00

61355

Red blood cell spleen or liver study (R) (NC)

160.00

61358

Hepatobiliary study (R) (C)

340.00

61359

Hepatobiliary study (R) (NC)

250.00

61362

Bowel haemorrhage study (R) (C)

395.00

61363

Bowel haemorrhage study (R) (NC)

295.00

61366

Meckel's diverticulum study (R) (C)

180.00

61367

Meckel's diverticulum study (R) (NC)

136.00

61370

Salivary study (R) (C)

180.00

61371

Salivary study (R) (NC)

136.00

61374

Gastro-oesophageal reflux study (R) (C)

385.00

61375

Gastro-oesophageal reflux study (R) (NC)

290.00

61378

Oesophageal clearance study (R) (C)

116.00

61379

Oesophageal clearance study (R) (NC)

87.00

61382

Gastric emptying study using single tracer (R) (C)

575.00

61385

Gastric emptying study using dual tracer (R) (C)

615.00

61388

Renal study with or without dynamic flow study and with or without computer extraction of functional parameters (R) (C)

265.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

61391

Renal study with intervention (R) (C)

325.00

61392

Renal study with intervention (R) (NC)

240.00

61395

Cystoureterogram (R) (C)

200.00

61396

Cystoureterogram (R) (NC)

150.00

61399

Testicular study (R) (C)

132.00

61400

Testicular study (R) (NC)

99.00

61403

Brain study with blood brain barrier agent (R) (C)

178.00

61404

Brain study with blood brain barrier agent (R) (NC)

134.00

61407

Cerebro-spinal fluid transport study (R) (C)

700.00

61408

Cerebro-spinal fluid transport study (R) (NC)

520.00

61411

Cerebro-spinal fluid shunt patency study (R) (C)

184.00

61412

Cerebro-spinal fluid shunt patency study (R) (NC)

136.00

61415

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) (C)

96.00

61416

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) (NC)

72.00

61419

Bone study—whole body (R) (C)

385.00

61420

Bone study—whole body (R) (NC)

290.00

61423

Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (R) (C)

480.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

61424

Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (R) (NC)

365.00

61427

Whole body study using iodine (R) (C)

440.00

61428

Whole body study using iodine (R) (NC)

330.00

61431

Whole body study using gallium (R) (C)

440.00

61432

Whole body study using gallium (R) (NC)

330.00

61435

Whole body study using cells labelled with technetium (R) (C)

395.00

61436

Whole body study using cells labelled with technetium (R) (NC)

295.00

61439

Bone marrow study—whole body (R) (C)

385.00

61440

Bone marrow study—whole body (R) (NC)

290.00

61443

Repeat of a whole body study on a different occasion using the same administration of radiopharmaceutical (R) (C)

178.00

61444

Repeat of a whole body study on a different occasion using the same administration of radiopharmaceutical (R) (NC)

134.00

61447

Localised bone or joint study including flow and blood pool studies (R) (C)

270.00

61448

Localised bone or joint study including flow and blood pool studies (R) (NC)

200.00

61451

Localised bone, joint, tumour, infection or inflammation seeking study using gallium (R) (C)

325.00

61452

Localised bone, joint, tumour, infection or inflammation seeking study using gallium (R) (NC)

240.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

61455

Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (R) (C)

275.00

61456

Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (R) (NC)

205.00

61459

Repeat of a localised bone, joint, tumour, infection or inflammation seeking study on a different occasion using the same administration of radiopharmaceutical (R) (C)

120.00

61460

Repeat of a localised bone, joint, tumour, infection or inflammation seeking study on a different occasion using the same administration of radiopharmaceutical (R) (NC)

89.00

61463

Venography (including blood pool study, active uptake study or dynamic blood flow study) (R) (C)

215.00

61464

Venography (including blood pool study, active uptake study or dynamic blood flow study) (R) (NC)

160.00

61467

Lymphoscintigraphy (R) (C)

275.00

61468

Lymphoscintigraphy (R) (NC)

205.00

61471

Thyroid study (R) (C)

122.00

61472

Thyroid study (R) (NC)

92.00

61475

Thyroid uptake study performed on gamma camera (R) (C)

60.00

61476

Thyroid uptake study performed on gamma camera (R) (NC)

44.50

61479

Parathyroid (R) (C)

305.00

61482

Adrenal study using selenocholesterol (R) (C)

705.00

61483

Adrenal study using selenocholesterol (R) (NC)

530.00


SCHEDULE—continued

 

Item

Diagnostic imaging service

Fee

 

61486

Adrenal study, not being a service associated with a service to which item 61482 or 61483 applies (R) (C)

360.00

61487

Adrenal study, not being a service associated with a service to which item 61482 or 61483 applies (R) (NC)

270.00

61490

Single photon emission tomography, when associated with a service to which another item in this Group applies (R) (C)

Amount under rule 15

61493

Tear duct study (R) (C)

180.00

61494

Tear duct study (R) (NC)

136.00

61497

Particle perfusion study (intra-arterial) or Le Veen Shunt study (R) (C)

205.00

61498

Particle perfusion study (intra-arterial) or Le Veen Shunt study (R) (NC)

152.00

61501

Study of region or organ, not being a service to which another item in this Group applies (R) (C)

11.80

61502

Study of region or organ, not being a service to which another item in this Group applies (R) (NC)

8.80

___________________________________________________________

NOTE

1.         Notified in the Commonwealth of Australia Gazette on 27 October 1992.