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MRI-performed under the professional supervision of an eligible provider at an eligible location, if:

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

(b)     a dedicated breast coil is used; and

(c)     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) (K) (Anaes)

Bulk bill incentive

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

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• Next - Item 63488

MRI-performed under the professional supervision of an eligible provider at an eligible location, if:

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

(b)     a dedicated breast coil is used; and

(c)     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) (NK) (Anaes)

Bulk bill incentive

Fee: $345.00 Benefit: 75% = $258.75 85% = $293.25

• Previous - Item 63487
• Next - Item 63489

MRI-guided biopsy, performed under the professional supervision of an eligible provider at an eligible location, if:

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

(b)    a dedicated breast coil is used; and

(c)     the request for the scan identifies that:

    (i)     the patient has a suspicious lesion seen on MRI but not on conventional imaging; and

    (ii)     the lesion is not amenable to biopsy guided by conventional imaging; and

(d)     a repeat ultrasound scan of the affected breast is performed:

    (i)     before the guided biopsy is performed; and

    (ii)     as part of the service under this item (R) (K) (Anaes.)

Bulk bill incentive

Fee: $1,440.00 Benefit: 75% = $1,080.00 85% = $1,356.60

• Previous - Item 63488
• Next - Item 63490

MRI-guided biopsy performed under the professional supervision of an eligible provider at an eligible location, if:

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

(b)     a dedicated breast coil is used; and

(c)     the request for the scan identifies that:

    (i)     the patient has a suspicious lesion seen on MRI but not on conventional imaging; and

    (ii)     the lesion is not amenable to biopsy guided by conventional imaging; and

(d)     a repeat ultrasound scan of the affected breast is performed:

    (i)     before the guided biopsy is performed; and

    (ii)     as part of the service under this item (R) (NK) (Anaes.)

Bulk bill incentive

Fee: $720.00 Benefit: 75% = $540.00 85% = $636.60

• Previous - Item 63489
• Next - Item 63491

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 12 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)

• Previous - Item 63499
• Next - Item 63502

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 12 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)

• Previous - Item 63501
• Next - Item 63504

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)

• Previous - Item 63502
• Next - Item 63505

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)

• Previous - Item 63504
• Next - Item 63507

MRI scan of both breasts for the detection of cancer, if

(a) a dedicated breast coil is used; and

(b) the request for the scan identifies that:    

 (i) the patient has a breast implant in situ; and    

 (ii) anaplastic large cell lymphoma has been diagnosed 

NOTE: benefits are payable once in a patient's lifetime

(R) (K) (Contrast)

Bulk bill incentive

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

(See para IN.0.18, IN.0.19 of explanatory notes to this Category)

• Previous - Item 63546
• Next - Item 63548

MRI scan of both breasts for the detection of cancer, if

(a) a dedicated breast coil is used; and

(b) the request for the scan identifies that:    

 (i) the patient has a breast implant in situ; and    

 (ii) anaplastic large cell lymphoma has been diagnosed 

NOTE: benefits are payable once in a patient's lifetime

(R) (NK) (Contrast)

Bulk bill incentive

Fee: $345.00 Benefit: 75% = $258.75 85% = $293.25

(See para IN.0.18, IN.0.19 of explanatory notes to this Category)

• Previous - Item 63547
• Next - Item 63551