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MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where:  

(a)     a dedicated breast coil is used; and

(b)     the request for scan identifies that the person is asymptomatic and is less than 50 years of age; and

(c)     the request for scan identifies either:

    (i)     that the patient is at high risk of developing breast cancer, due to 1 of the following:

    (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer;

    (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer,  if any of the following applies to at least 1 of the relatives:                                                              

        - has been diagnosed with bilateral breast cancer;

        - had onset of breast cancer before the age of 40 years;

        - had onset of ovarian cancer before the age of 50 years;

        - has been diagnosed with breast and ovarian cancer, at the same time or at different times;

        - has Ashkenazi Jewish ancestry;

        - is a male relative who has been diagnosed with breast cancer;

    (C) 1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or

    (ii)    that genetic testing has identified the presence of a high risk breast cancer gene mutation.

Scan of both breasts for:

- detection of cancer (R)

NOTE: Benefits are payable on one occasion only in any 12 month period

Bulk bill incentive

(Anaes.)

Fee: $690.00 Benefit: 75% = $517.50 85% = $606.60

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

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• Next - Item 63467

MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where:

(a)     a dedicated breast coil is used; and

(b)   the person has had an abnormality detected as a result of a service described in item 63464 performed in the previous 12 months

Scan of both breasts for:

- detection of cancer (R)

NOTE 1:    Benefits are payable on one occasion only in any 12 month period

NOTE 2:    This item is intended for follow-up imaging of abnormalities diagnosed on a scan described by item     63464

Bulk bill incentive

(Anaes.)

Fee: $690.00 Benefit: 75% = $517.50 85% = $606.60

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

• Previous - Item 63464
• Next - Item 63470

NOTE: Benefits are payable for a service under items 63470 and 63473 on one occasion only.

MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where:

(a)    the patient is referred by a specialist or by a consultant physician and

(b)    the request for scan identifies that (i) a histological diagnosis of carcinoma of the cervix has been made and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater

Scan of:

- Pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Contrast)

Bulk bill incentive

(Anaes.)

Fee: $403.20 Benefit: 75% = $302.40 85% = $342.75

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

• Previous - Item 63467
• Next - Item 63473

- Pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Contrast)

Bulk bill incentive

(Anaes.)

Fee: $627.20 Benefit: 75% = $470.40 85% = $543.80

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

• Previous - Item 63470
• Next - Item 63476

NOTE: benefits are payable for a service under item 63476 on one occasion only.

MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where:  

(a)     a phased array body coil is used, and

(b)     the request for scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum).

Scan of:

- Pelvis for the initial staging of rectal cancer (R) (contrast)

Bulk bill incentive

(Anaes.)

Fee: $403.20 Benefit: 75% = $302.40 85% = $342.75

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

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• Next - Item 63479