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Results 1 to 10 of 13 matches

Category 5 - DIAGNOSTIC IMAGING SERVICES

63301

63301 - Additional Information

Item Start Date:
01-Aug-2004
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Aug-2004

Group
I5 - Magnetic Resonance Imaging
Subgroup
11 - Scan Of Musculoskeletal System - For Tumour, Infection or Osteonecrosis

MRI—scan of musculoskeletal system for tumour arising in bone or musculoskeletal system, excluding tumours arising in breast, prostate or rectum (R) (Anaes.) (Contrast)

Bulk bill incentive


(Anaes.)

Fee: $380.80 Benefit: 75% = $285.60 85% = $323.70

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63304

63304 - Additional Information

Item Start Date:
01-Aug-2004
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Aug-2004

Group
I5 - Magnetic Resonance Imaging
Subgroup
11 - Scan Of Musculoskeletal System - For Tumour, Infection or Osteonecrosis

MRI—scan of musculoskeletal system for infection arising in bone or musculoskeletal system, excluding infection arising in breast, prostate or rectum (R) (Anaes.) (Contrast)

Bulk bill incentive


(Anaes.)

Fee: $380.80 Benefit: 75% = $285.60 85% = $323.70

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63464

63464 - Additional Information

Item Start Date:
01-Feb-2009
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Feb-2009

Group
I5 - Magnetic Resonance Imaging
Subgroup
19 - Scan Of Body - For Specified Conditions

MRI—scan of both breasts for the detection of cancer, if a dedicated breast coil is used, the request for the scan identifies that the person is asymptomatic and is younger than 50 years of age, and the request for the scan identifies:


(a) that the patient is at high risk of developing breast cancer, due to one of the following:
(i) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer;
(ii) 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 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 or is a male relative who has been diagnosed with breast cancer;
(iii) one first or second degree relative diagnosed with breast cancer at age 45 years or younger, and 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
(b) that genetic testing has identified the presence of a high risk breast cancer gene mutation (R) 

Bulk bill incentive


(Anaes.)

Fee: $690.00 Benefit: 75% = $517.50 85% = $605.30

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63467

63467 - Additional Information

Item Start Date:
01-Feb-2009
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Feb-2009

Group
I5 - Magnetic Resonance Imaging
Subgroup
19 - Scan Of Body - For Specified Conditions

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) 

Bulk bill incentive


(Anaes.)

Fee: $690.00 Benefit: 75% = $517.50 85% = $605.30

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63487

63487 - Additional Information

Item Start Date:
01-Nov-2016
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Nov-2016

Group
I5 - Magnetic Resonance Imaging
Subgroup
19 - Scan Of Body - For Specified Conditions

MRI—scan of both breasts, if:
(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that:
(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and
(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.)

Bulk bill incentive



Fee: $690.00 Benefit: 75% = $517.50 85% = $605.30

Category 5 - DIAGNOSTIC IMAGING SERVICES

63489

63489 - Additional Information

Item Start Date:
01-Nov-2016
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Nov-2016

Group
I5 - Magnetic Resonance Imaging
Subgroup
19 - Scan Of Body - For Specified Conditions

MRI—guided biopsy, if:
(a) the request for the scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and
(b) an ultrasound scan of the affected breast, performed immediately before the biopsy, confirms that the lesion is not amenable to biopsy guided by conventional imaging; and
(c) a dedicated breast coil is used (R) (Anaes.)

Bulk bill incentive



Fee: $1,440.00 Benefit: 75% = $1,080.00 85% = $1,355.30

Category 5 - DIAGNOSTIC IMAGING SERVICES

63501

63501 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
12-Mar-2012

Group
I5 - Magnetic Resonance Imaging
Subgroup
32 - Magnetic Resonance Imaging - Pip Breast Implant

MRI – scan of one or both breasts for the evaluation of implant integrity where:

(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that the patient:

(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and
(ii) the result of the scan confirms a loss of integrity of the implant. (R) 

Note: Benefits are payable on one occasion only in any 24 Month Period

Bulk bill incentive



Fee: $500.00 Benefit: 75% = $375.00 85% = $425.00

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63502

63502 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
12-Mar-2012

Group
I5 - Magnetic Resonance Imaging
Subgroup
32 - Magnetic Resonance Imaging - Pip Breast Implant

MRI - scan of one or both breasts for the evaluation of implant integrity where:

(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that the patient:

(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and
(ii) the result of the scan does not demonstrate a loss of integrity of the implant (R)

 Note: Benefits are payable on one occasion only in any 24 Month Period 

Bulk bill incentive



Fee: $500.00 Benefit: 75% = $375.00 85% = $425.00

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63504

63504 - Additional Information

Item Start Date:
12-Mar-2012
Description Updated:
12-Mar-2012
Schedule Fee Updated:
12-Mar-2012

Group
I5 - Magnetic Resonance Imaging
Subgroup
32 - Magnetic Resonance Imaging - Pip Breast Implant

MRI - scan of one or both breasts for the evaluation of implant integrity where:

(a) a dedicated breast coil is used; and

(b) the request for the scan identifies that the patient:

(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and

(ii) presents with symptoms where implant rupture is suspected; and

(iii) the result of the scan confirms a loss of integrity of the implant (R)

Bulk bill incentive



Fee: $500.00 Benefit: 75% = $375.00 85% = $425.00

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63505

63505 - Additional Information

Item Start Date:
12-Mar-2012
Description Updated:
12-Mar-2012
Schedule Fee Updated:
12-Mar-2012

Group
I5 - Magnetic Resonance Imaging
Subgroup
32 - Magnetic Resonance Imaging - Pip Breast Implant

MRI - scan of one or both breasts for the evaluation of implant integrity where:

(a) a dedicated breast coil is used; and

(b) the request for the scan identifies that the patient:

(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and

(ii) presents with symptoms where implant rupture is suspected; and

(iii) the result of the scan does not demonstrate a loss of integrity of the implant (R)

Bulk bill incentive



Fee: $500.00 Benefit: 75% = $375.00 85% = $425.00

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

Results 1 to 10 of 13 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