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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

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

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

• Previous - Item 63280
• Next - Item 63304

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

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

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

• Previous - Item 63301
• Next - Item 63307

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

Fee: $690.00 Benefit: 75% = $517.50 85% = $602.10

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

• Previous - Item 63461
• Next - Item 63467

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

Fee: $690.00 Benefit: 75% = $517.50 85% = $602.10

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

• Previous - Item 63464
• Next - Item 63470

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% = $602.10

• Previous - Item 63482
• Next - Item 63489

MRI—scan of one breast, performed in conjunction with a biopsy procedure on that breast and an ultrasound scan of that breast, if:

(a) the request for the MRI scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and

(b) the ultrasound scan is performed immediately before the MRI scan and confirms that the lesion is not amenable to biopsy guided by conventional imaging; and

(c) a dedicated breast coil is used (R)

Bulk bill incentive

Fee: $1,008.00 Benefit: 75% = $756.00 85% = $920.10

• Previous - Item 63487
• 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 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)

• 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 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)

• 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