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Category 5 - DIAGNOSTIC IMAGING SERVICES

Group I5 - Magnetic Resonance Imaging

Category 5 - DIAGNOSTIC IMAGING SERVICES

63301

63301 - Additional Information

Item Start Date:
01-Aug-2004
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Nov-2023

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: $402.85 Benefit: 75% = $302.15 85% = $342.45

(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-Nov-2023

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: $402.85 Benefit: 75% = $302.15 85% = $342.45

(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-Nov-2022
Schedule Fee Updated:
01-Nov-2023

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

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)

Bulk bill incentive


(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

63467 - Additional Information

Item Start Date:
01-Feb-2009
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Nov-2023

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: $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

63487

63487 - Additional Information

Item Start Date:
01-Nov-2016
Description Updated:
01-May-2020
Schedule Fee Updated:
01-Nov-2023

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: $729.95 Benefit: 75% = $547.50 85% = $631.25

Category 5 - DIAGNOSTIC IMAGING SERVICES

63489

63489 - Additional Information

Item Start Date:
01-Nov-2021
Description Updated:
01-Nov-2021
Schedule Fee Updated:
01-Nov-2023

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

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


(Anaes.)

Fee: $1,066.30 Benefit: 75% = $799.75 85% = $967.60

Category 5 - DIAGNOSTIC IMAGING SERVICES

63501

63501 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

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, if:

(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)

 

Bulk bill incentive



Fee: $528.95 Benefit: 75% = $396.75 85% = $449.65

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63502

63502 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

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, if:

(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)

Bulk bill incentive



Fee: $528.95 Benefit: 75% = $396.75 85% = $449.65

(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:
01-Jul-2023
Schedule Fee Updated:
01-Nov-2023

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, if:

(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: $528.95 Benefit: 75% = $396.75 85% = $449.65

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

Results 1 to 10 of 14 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