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Category 5 - DIAGNOSTIC IMAGING SERVICES

55700

55700 - Additional Information

Item Start Date:
01-Feb-2000
Description Updated:
01-Nov-2007
Schedule Fee Updated:
01-Feb-2000

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, if:

(a)    the patient is referred by a medical practitioner or participating midwife; and

(b)    the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c)    the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) if the patient is referred by a medical practitioner -- the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife - the referring midwife does not have a business or financial arrangement with the providing practitioner; and

(f)    1 or more of the following conditions are present:

    (i)    hyperemesis gravidarum;

    (ii)    diabetes mellitus;

    (iii)    hypertension;

    (iv)    toxaemia of pregnancy;

    (v)    liver or renal disease;

    (vi)    autoimmune disease;

    (vii)    cardiac disease;

    (viii)    alloimmunisation;

    (ix)    maternal infection;

    (x)    inflammatory bowel disease;

    (xi)    bowel stoma;

    (xii)    abdominal wall scarring;

    (xiii)    previous spinal or pelvic trauma or disease;

    (xiv)    drug dependency;

    (xv)    thrombophilia;

    (xvi)    significant maternal obesity;

    (xvii)    advanced maternal age;

    (xviii)    abdominal pain or mass;

    (xix)    uncertain dates;

    (xx)    high risk pregnancy;

    (xxi)    previous post dates delivery;

    (xxii)    previous caesarean section;

    (xxiii)    poor obstetric history;

    (xxiv)    suspicion of ectopic pregnancy;

    (xxv)    risk of miscarriage;

    (xxvi)    diminished symptoms of pregnancy;

    (xxvii)    suspected or known cervical incompetence;

    (xxviii)    suspected or known uterine abnormality;

    (xxix)    pregnancy after assisted reproduction;

    (xxx)    risk of fetal abnormality (R)


Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55707 (R). Fee is payable only for item 55700 or item 55707, not both items.

Bulk bill incentive



Fee: $60.00 Benefit: 75% = $45.00 85% = $51.00

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


Extended Medicare Safety Net Cap: $32.95

Category 5 - DIAGNOSTIC IMAGING SERVICES

55701

55701 - Additional Information

Item Start Date:
01-Jul-2011
Description Updated:
01-Jul-2011
Schedule Fee Updated:
01-Jul-2011

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where:

(a)    the patient is referred by a medical practitioner; and

(b)    the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c)    the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)    the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e)    one or more of the following conditions are present:

    (i)    hyperemesis gravidarum;

    (ii)    diabetes mellitus;

    (iii)    hypertension;

    (iv)    toxaemia of pregnancy;

    (v)    liver or renal disease;

    (vi)    autoimmune disease;

    (vii)    cardiac disease;

    (viii)    alloimmunisation;

    (ix)    maternal infection;

    (x)    inflammatory bowel disease;

    (xi)    bowel stoma;

    (xii)    abdominal wall scarring;

    (xiii)    previous spinal or pelvic trauma or disease;

    (xiv)    drug dependency;

    (xv)    thrombophilia;

    (xvi)    significant maternal obesity;

    (xvii)    advanced maternal age;

    (xviii)    abdominal pain or mass;

    (xix)    uncertain dates;

    (xx)    high risk pregnancy;

    (xxi)    previous post dates delivery;

    (xxii)    previous caesarean section;

    (xxiii)    poor obstetric history;

    (xxiv)    suspicion of ectopic pregnancy;

    (xxv)    risk of miscarriage;

    (xxvi)    diminished symptoms of pregnancy;

    (xxvii)    suspected or known cervical incompetence;

    (xxviii)    suspected or known uterine abnormality;

    (xxix)    pregnancy after assisted reproduction;

    (xxx)    risk of fetal abnormality (R)


Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55707 or 55714 (R) (NK). Fee is payable only for item 55700 or 55701, or, or item 55707 or 55714, not both items

Bulk bill incentive



Fee: $30.00 Benefit: 75% = $22.50 85% = $25.50

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


Extended Medicare Safety Net Cap: $16.50

Category 5 - DIAGNOSTIC IMAGING SERVICES

55702

55702 - Additional Information

Item Start Date:
01-Jul-2011
Description Updated:
01-Jul-2011
Schedule Fee Updated:
01-Jul-2011

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where:

(a)    the patient is not referred by a medical practitioner; and

(b)    the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c)    the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)    one or more of the following conditions are present:

    (i)    hyperemesis gravidarum;

    (ii)    diabetes mellitus;

    (iii)    hypertension;

    (iv)    toxaemia of pregnancy;

    (v)    liver or renal disease;

    (vi)    autoimmune disease;

    (vii)    cardiac disease;

    (viii)    alloimmunisation;

    (ix)    maternal infection;

    (x)    inflammatory bowel disease;

    (xi)    bowel stoma;

    (xii)    abdominal wall scarring;

    (xiii)    previous spinal or pelvic trauma or disease;

    (xiv)    drug dependency;

    (xv)    thrombophilia;

    (xvi)    significant maternal obesity;

    (xvii)    advanced maternal age;

    (xviii)    abdominal pain or mass;

    (xix)    uncertain dates;

    (xx)    high risk pregnancy;

    (xxi)    previous post dates delivery;

    (xxii)    previous caesarean section;

    (xxiii)    poor obstetric history;

    (xxiv)    suspicion of ectopic pregnancy;

    (xxv)    risk of miscarriage;

    (xxvi)    diminished symptoms of pregnancy;

    (xxvii)    suspected or known cervical incompetence;

    (xxviii)    suspected or known uterine abnormality;

    (xxix)    pregnancy after assisted reproduction;

    (xxx)    risk of fetal abnormality (NR)


Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55708 or 55716 (R) (NK). Fee is payable only for item 55702 or 55703, or, item 55707 or 55714, not both items

Bulk bill incentive



Fee: $17.50 Benefit: 75% = $13.15 85% = $14.90

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


Extended Medicare Safety Net Cap: $8.30

Category 5 - DIAGNOSTIC IMAGING SERVICES

55703

55703 - Additional Information

Item Start Date:
01-Feb-2000
Description Updated:
01-Nov-2007
Schedule Fee Updated:
01-Feb-2000

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where:

(a)    the patient is not referred by a medical practitioner; and

(b)    the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c)    the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)    one or more of the following conditions are present:

    (i)    hyperemesis gravidarum;

    (ii)    diabetes mellitus;

    (iii)    hypertension;

    (iv)    toxaemia of pregnancy;

    (v)    liver or renal disease;

    (vi)    autoimmune disease;

    (vii)    cardiac disease;

    (viii)    alloimmunisation;

    (ix)    maternal infection;

    (x)    inflammatory bowel disease;

    (xi)    bowel stoma;

    (xii)    abdominal wall scarring;

    (xiii)    previous spinal or pelvic trauma or disease;

    (xiv)    drug dependency;

    (xv)    thrombophilia;

    (xvi)    significant maternal obesity;

    (xvii)    advanced maternal age;

    (xviii)    abdominal pain or mass;

    (xix)    uncertain dates;

    (xx)    high risk pregnancy;

    (xxi)    previous post dates delivery;

    (xxii)    previous caesarean section;

    (xxiii)    poor obstetric history;

    (xxiv)    suspicion of ectopic pregnancy;

    (xxv)    risk of miscarriage;

    (xxvi)    diminished symptoms of pregnancy;

    (xxvii)    suspected or known cervical incompetence;

    (xxviii)    suspected or known uterine abnormality;

    (xxix)    pregnancy after assisted reproduction;

    (xxx)    risk of fetal abnormality (NR)


Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55708 (R). Fee is payable only for item 55703 or item 55707, not both items.

Bulk bill incentive



Fee: $35.00 Benefit: 75% = $26.25 85% = $29.75

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


Extended Medicare Safety Net Cap: $16.55

Category 5 - DIAGNOSTIC IMAGING SERVICES

55704

55704 - Additional Information

Item Start Date:
01-Feb-2000
Description Updated:
01-Nov-2007
Schedule Fee Updated:
01-Feb-2000

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if: (a)the patient is referred by a medical practitioner or participating midwife; and (b)the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c)the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) if the patient is referred by a medical practitioner -- the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) if the patient is referred by a participating midwife -- the referring midwife does not have a business or financial arrangement with the providing practitioner; and (f) one or more of the following conditions are present: (i)hyperemesis gravidarum; (ii)diabetes mellitus; (iii)hypertension; (iv)toxaemia of pregnancy; (v)liver or renal disease; (vi)autoimmune disease; (vii)cardiac disease; (viii)alloimmunisation; (ix)maternal infection; (x)inflammatory bowel disease; (xi)bowel stoma; (xii)abdominal wall scarring; (xiii)previous spinal or pelvic trauma or disease; (xiv)drug dependency; (xv)thrombophilia; (xvi)significant maternal obesity; (xvii)advanced maternal age; (xviii)abdominal pain or mass; (xix)uncertain dates; (xx)high risk pregnancy; (xxi)previous post dates delivery; (xxii)previous caesarean section; (xxiii)poor obstetric history; (xxiv)suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality

Footnote: for nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55707 (r). fee is payable only for item 55704 or item 55707, not both items.

Bulk bill incentive



Fee: $70.00 Benefit: 75% = $52.50 85% = $59.50

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


Extended Medicare Safety Net Cap: $38.50

Category 5 - DIAGNOSTIC IMAGING SERVICES

55705

55705 - Additional Information

Item Start Date:
01-Feb-2000
Description Updated:
01-Nov-2007
Schedule Fee Updated:
01-Feb-2000

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner;and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum;(ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR)

Bulk bill incentive



Fee: $35.00 Benefit: 75% = $26.25 85% = $29.75

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


Extended Medicare Safety Net Cap: $16.55

Category 5 - DIAGNOSTIC IMAGING SERVICES

55706

55706 - Additional Information

Item Start Date:
01-Feb-2000
Description Updated:
01-Nov-2001
Schedule Fee Updated:
01-Feb-2000

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a)    the patient is referred by a medical practitioner or participating midwife; and

(b)    the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c)    the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) if the patient is referred by a medical practitioner - the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife - the referring midwife does not have a business or financial arrangement with the providing practitioner; and

(f)    the service is not performed in the same pregnancy as item 55709 (R)

Bulk bill incentive



Fee: $100.00 Benefit: 75% = $75.00 85% = $85.00

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


Extended Medicare Safety Net Cap: $54.90

Category 5 - DIAGNOSTIC IMAGING SERVICES

55707

55707 - Additional Information

Item Start Date:
01-Nov-2005
Description Updated:
01-Nov-2007
Schedule Fee Updated:
01-Nov-2005

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, if;

(a)    the patient is referred by a medical practitioner or participating midwife; and

(b)    the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84mm; and

(c)    the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d) if the patient is referred by a medical practitioner - the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife - the referring midwife does not have a business or financial arrangement with the providing practitioner; and

(f)    at least 1 condition mentioned in paragraph (f) of item 55704 is present; and

(g)    nuchal translucency measurement is performed to assess the risk of fetal abnormality; and     

(h)    the service is not performed with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (R)

Bulk bill incentive



Fee: $70.00 Benefit: 75% = $52.50 85% = $59.50

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


Extended Medicare Safety Net Cap: $38.50

Category 5 - DIAGNOSTIC IMAGING SERVICES

55708

55708 - Additional Information

Item Start Date:
01-Nov-2005
Description Updated:
01-Nov-2007
Schedule Fee Updated:
01-Nov-2005

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84 mm; and (c) the service is not associated with a service to which an item in subgroup 2 or 3 applies; and (d) at least 1 condition mentioned in paragraph (e) of item 55704 is present; and (e) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (f) the service is not performed with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (nr) (item is subject to subrule 11 (2))

Bulk bill incentive



Fee: $35.00 Benefit: 75% = $26.25 85% = $29.75

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


Extended Medicare Safety Net Cap: $16.55

Category 5 - DIAGNOSTIC IMAGING SERVICES

55709

55709 - Additional Information

Item Start Date:
01-Feb-2000
Description Updated:
01-Feb-2000
Schedule Fee Updated:
01-Feb-2000

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a)the patient is not referred by a medical practitioner; and (b)the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c)the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d)the service is not performed in the same pregnancy as item 55706 or 55713 (NR)

Bulk bill incentive



Fee: $38.00 Benefit: 75% = $28.50 85% = $32.30

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


Extended Medicare Safety Net Cap: $22.00

Results 1 to 10 of 30 matches


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