Medicare Benefits Schedule - Note IN.0.20

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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.


  • 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