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Results 1 to 8 of 8 matches

Category 5 - DIAGNOSTIC IMAGING SERVICES

63487

63487 - Additional Information

Item Start Date:
01-Nov-2016
Description Start Date:
01-Nov-2016
Schedule Fee Start Date:
01-Nov-2016

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

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% = $608.30

Category 5 - DIAGNOSTIC IMAGING SERVICES

63488

63488 - Additional Information

Item Start Date:
01-Nov-2016
Description Start Date:
01-Nov-2016
Schedule Fee Start Date:
01-Nov-2016

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

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63489

63489 - Additional Information

Item Start Date:
01-Nov-2016
Description Start Date:
01-Nov-2016
Schedule Fee Start Date:
01-Nov-2016

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

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% = $1,358.30

Category 5 - DIAGNOSTIC IMAGING SERVICES

63490

63490 - Additional Information

Item Start Date:
01-Nov-2016
Description Start Date:
01-Nov-2016
Schedule Fee Start Date:
01-Nov-2016

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

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% = $638.30

Category 5 - DIAGNOSTIC IMAGING SERVICES

63501

63501 - Additional Information

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63502

63502 - Additional Information

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63504

63504 - Additional Information

Item Start Date:
12-Mar-2012
Description Start Date:
12-Mar-2012
Schedule Fee Start Date:
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 Start Date:
12-Mar-2012
Schedule Fee Start Date:
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 8 of 8 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