Medicare Benefits Schedule - Item 56553

Computed tomography—scan of colon for exclusion or diagnosis of colorectal neoplasia in a symptomatic or high risk patient if:
(a) one or more of the following applies:
(i) the patient has had an incomplete colonoscopy in the 3 months before the scan;
(ii) there is a high grade colonic obstruction;
(iii) the service is requested by a specialist or consultant physician who performs colonoscopies in the practice of the specialist’s or consultant physician’s speciality; and
(b) the service is not a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) 

Bulk bill incentive

(Anaes.)

Fee: $541.05 Benefit: 75% = $405.80 85% = $459.90

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