Results 1 to 5 of 5 matches
Category 5 - DIAGNOSTIC IMAGING SERVICES
63464 - Additional Information
MRI scan of both breasts for the detection of cancer in a patient, if:
(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and
(c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following:
(i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient;
(ii) both:
(A) one of the patient’s first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and
(B) another first or second degree relative on the same side of the patient’s family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger;
(iii) the patient has a personal history of breast cancer before the age of 50 years;
(iv) the patient has a personal history of mantle radiation therapy;
(v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm; and
(d) the service is not performed in conjunction with item 55076 or 55079
Applicable not more than once in a 12 month period (R) (Contrast)
(Anaes.)
Fee: $729.95 Benefit: 75% = $547.50 85% = $631.25
(See para IN.0.18, IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63467 - Additional Information
MRI—scan of both breasts for the detection of cancer, if:
(a) a dedicated breast coil is used; and
(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R)
(Anaes.)
Fee: $729.95 Benefit: 75% = $547.50 85% = $631.25
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63470 - Additional Information
MRI—scan of the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for scan identifies that:
(a) a histological diagnosis of carcinoma of the cervix has been made; and
(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast)
(Anaes.)
Fee: $426.50 Benefit: 75% = $319.90 85% = $362.55
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63473 - Additional Information
MRI—scan of the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for the scan identifies that:
(a) a histological diagnosis of carcinoma of the cervix has been made; and
(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast)
(Anaes.)
Fee: $663.50 Benefit: 75% = $497.65 85% = $564.80
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63476 - Additional Information
MRI—scan of the pelvis for the initial staging of rectal cancer, if:
(a) a phased array body coil is used; and
(b) the request for the scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum) (R) (Contrast)
(Anaes.)
Fee: $426.50 Benefit: 75% = $319.90 85% = $362.55
(See para IN.0.19 of explanatory notes to this Category)
Results 1 to 5 of 5 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