Results 1 to 10 of 34 matches
Category 5 - DIAGNOSTIC IMAGING SERVICES
58103 - Additional Information
Spine—thoracic (R)
Fee: $55.10 Benefit: 75% = $41.35 85% = $46.85
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
58106 - Additional Information
Spine—lumbosacral (R)
Fee: $77.00 Benefit: 75% = $57.75 85% = $65.45
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
58108 - Additional Information
Spine—4 regions, cervical, thoracic, lumbosacral and sacrococcygeal (R)
Fee: $110.00 Benefit: 75% = $82.50 85% = $93.50
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
58109 - Additional Information
Spine—sacrococcygeal (R)
Fee: $47.00 Benefit: 75% = $35.25 85% = $39.95
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
58112 - Additional Information
NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item
Spine—2 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R)
Fee: $97.25 Benefit: 75% = $72.95 85% = $82.70
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
58115 - Additional Information
NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item
Spine—3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R)
Fee: $110.00 Benefit: 75% = $82.50 85% = $93.50
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
58120 - Additional Information
Spine—4 regions, cervical, thoracic, lumbosacral and sacrococcygeal, if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year (R)
Fee: $110.00 Benefit: 75% = $82.50 85% = $93.50
Category 5 - DIAGNOSTIC IMAGING SERVICES
58121 - Additional Information
NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item
Spine—3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109, if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year (R)
Fee: $110.00 Benefit: 75% = $82.50 85% = $93.50
Category 5 - DIAGNOSTIC IMAGING SERVICES
58300 - Additional Information
Bone age study (R)
Fee: $40.10 Benefit: 75% = $30.10 85% = $34.10
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
58306 - Additional Information
Skeletal survey (R)
Fee: $89.40 Benefit: 75% = $67.05 85% = $76.00
(See para IN.0.19 of explanatory notes to this Category)
Results 1 to 10 of 34 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