Statutory Rules 1992 No. 3371
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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
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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 Statutory Rules 1991 No. 352 and 1992 Nos. 120 and 240 are repealed.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.
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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 I1—ULTRASOUND
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 | Arthrography—double 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.