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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% = $605.30

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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% = $1,355.30

• 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% = $635.30

• 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, performed under the supervision of a specialist in diagnostic radiology who is a participant of the Royal Australian and New Zealand College of Radiologists' (RANZCR) Quality and Accreditation Program at an eligible location, if:

1. a dedicated breast coil is used; and
2. the service has been requested by a specialist or consultant physician; and
3. the request for the scan identifies that:
   1. the patient has a breast lesion; and
   2. the results of conventional imaging are inconclusive for the presence of breast cancer; and
   3. biopsy has not been possible.

NOTE: This service can be provided on both full and partial MRI eligible equipment. There are no frequency restrictions for this item.

(R) (K) (Anaes.) (Contrast)

Bulk bill incentive

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

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

• Previous - Item 63523
• Next - Item 63532

MRI – scan of both breasts, performed under the supervision of a specialist in diagnostic radiology who is a participant of the Royal Australian and New Zealand College of Radiologists' (RANZCR) Quality and Accreditation Program at an eligible location, if:

1. a dedicated breast coil is used; and
2. the service has been requested by a specialist or consultant physician; and
3. the request for the scan identifies that:
   1. the patient has a breast lesion; and
   2. the results of conventional imaging are inconclusive for the presence of breast cancer; and
   3. biopsy has not been possible.

NOTE: This service can be provided on both full and partial MRI eligible equipment. There are no frequency restrictions for this item.

(R) (NK) (Anaes.) (Contrast)

Bulk bill incentive

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

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

• Previous - Item 63531
• Next - Item 63533