Medicare Benefits Schedule - Note IN.0.14

Search Results for Note IN.0.14

View Related Items

Category 5 - DIAGNOSTIC IMAGING SERVICES

IN.0.14

Management of bulk-billed services

Additional bulk billing payment for diagnostic imaging services (item 64990 and 64991)

Item 64990 operates in the same way as item 10990 and item 64991 operates in the same way as item 10991, apart from the following differences:

· Item 64990 and 64991 can only be used in conjunction with items in the Diagnostic Imaging Services Table of the MBS;

· Item 64990 and 64991 applies to diagnostic imaging services self determined by general practitioners and specialists with dual qualifications acting in their capacity as general practitioners;

· Specialists and consultant physicians who provide diagnostic imaging services are not able to claim item 64990 or 64991 unless, for the purposes of the Health Insurance Act 1973, the medical practitioner is also a general practitioner and the service provided by the medical practitioner has not been referred to that practitioner by another medical practitioner or person with referring rights.

Related Items: 64990 64991


Related Items

Category 5 - DIAGNOSTIC IMAGING SERVICES

64990

64990 - Additional Information

Item Start Date:
01-Feb-2004
Description Start Date:
01-Feb-2004
Schedule Fee Start Date:
01-Nov-2012

A diagnostic imaging service to which an item in this table (other than this item or item 64991) applies if:

(a)    the service is an unreferred service; and

(b)    the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder;         and

(c)    the person is not an admitted patient of a hospital; and

(d)    the service is bulk-billed in respect of the fees for:

    (i)    this item; and

    (ii)    the other item in this table applying to the service

Fee: $7.05 Benefit: 85% = $6.00

(See para IN.0.14, IN.0.19 of explanatory notes to this Category)

Category 5 - DIAGNOSTIC IMAGING SERVICES

64991

64991 - Additional Information

Item Start Date:
01-May-2004
Description Start Date:
01-Sep-2004
Schedule Fee Start Date:
01-Nov-2012

A diagnostic imaging service to which an item in this table (other than this item or item 64990) applies if:

(a)    the service is an unreferred service; and

(b)    the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder;         and

(c)    the person is not an admitted patient of a hospital; and

(d)    the service is bulk-billed in respect of the fees for:

    (i)    this item; and

    (ii)    the other item in this table applying to the service; and

(e)    the service is provided at, or from, a practice location in:

    (i)    a regional, rural or remote area; or

    (ii)    Tasmania; or

    (iii)    A geographical area included in any of the following SSD spatial units:

    (A)    Beaudesert Shire Part A

    (B)    Belconnen

    (C)    Darwin City

    (D)    Eastern Outer Melbourne

    (E)    East Metropolitan, Perth

    (F)    Frankston City

    (G)    Gosford-Wyong

    (H)    Greater Geelong City Part A

    (I)    Gungahlin-Hall

    (J)    Ipswich City (part in BSD)

    (K)    Litchfield Shire

    (L)    Melton-Wyndham

    (M)    Mornington Peninsula Shire

    (N)    Newcastle

    (O)    North Canberra

    (P)    Palmerston-East Arm

    (Q)    Pine Rivers Shire

    (R)    Queanbeyan

    (S)    South Canberra

    (T)    South Eastern Outer Melbourne

    (U)    Southern Adelaide

    (V)    South West Metropolitan, Perth

    (W)    Thuringowa City Part A

    (X)    Townsville City Part A

    (Y)    Tuggeranong

    (Z)    Weston Creek-Stromlo

    (ZA)    Woden Valley

    (ZB)    Yarra Ranges Shire Part A; or

    (iv)    the geographical area included in the SLA spatial unit of Palm Island (AC)

Fee: $10.65 Benefit: 85% = $9.10

(See para IN.0.14, IN.0.19 of explanatory notes to this Category)


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change