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Prostate, bladder base and urethra, ultrasound scan of, if performed:
(a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and
(b) after a digital rectal examination of the prostate by that medical practitioner; and
(c) on a patient who has been assessed by:
(i) a specialist in urology, radiation oncology or medical oncology; or
(ii) a consultant physician in medical oncology;
who has:
(iii) examined the patient in the 60 days before the scan; and
(iv) recommended the scan for the management of the patient’s current prostatic disease
(R)

Bulk bill incentive

Fee: $118.25 Benefit: 75% = $88.70 85% = $100.55

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

• Previous - Item 55296
• Next - Item 55603

Prostate, bladder base and urethra, ultrasound scan of, if performed:
(a) personally by a medical practitioner who made the assessment mentioned in paragraph (c) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and
(b) after a digital rectal examination of the prostate by that medical practitioner; and
(c) on a patient who has been assessed by:
(i) a specialist in urology, radiation oncology or medical oncology; or
(ii) a consultant physician in medical oncology;
who has:
(iii) examined the patient in the 60 days before the scan; and
(iv) recommended the scan for the management of the patient’s current prostatic disease
(R)

Bulk bill incentive

Fee: $118.25 Benefit: 75% = $88.70 85% = $100.55

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

• Previous - Item 55600
• Next - Item 55700

Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the gestation, location, viability or number of fetuses, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is less than 12 weeks of gestation; and

(b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55704, 55705, 55707, 55708, 55740, 55741, 55742 or 55743 (R) 

Bulk bill incentive

Fee: $65.00 Benefit: 75% = $48.75 85% = $55.25

(See para IN.0.13, IN.0.19 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $38.50

• Previous - Item 55603
• Next - Item 55703

Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the gestation, location, viability or number of fetuses, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is less than 12 weeks of gestation; and

(b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55704, 55705, 55707, 55708, 55740, 55741, 55742 or 55743 (NR)

Bulk bill incentive

Fee: $37.85 Benefit: 75% = $28.40 85% = $32.20

(See para IN.0.13, IN.0.19 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $19.30

• Previous - Item 55700
• Next - Item 55704

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and

(b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R)

Bulk bill incentive

Fee: $75.85 Benefit: 75% = $56.90 85% = $64.50

(See para IN.0.13, IN.0.19 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $45.10

• Previous - Item 55703
• Next - Item 55705

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and

(b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR)

Bulk bill incentive

Fee: $37.85 Benefit: 75% = $28.40 85% = $32.20

(See para IN.0.13, IN.0.19 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $19.30

• Previous - Item 55704
• Next - Item 55706

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the dating for the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and

(b) the current ultrasound:

(i) is not performed in the same pregnancy as item 55709; and

(ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R)

Bulk bill incentive

Fee: $108.35 Benefit: 75% = $81.30 85% = $92.10

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

Extended Medicare Safety Net Cap: $64.30

• Previous - Item 55705
• Next - Item 55707

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if:

(a) the pregnancy (as confirmed by the current ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and

(b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and

(c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R)

Bulk bill incentive

Fee: $75.85 Benefit: 75% = $56.90 85% = $64.50

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

Extended Medicare Safety Net Cap: $45.10

• Previous - Item 55706
• Next - Item 55708

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if:

(a) the pregnancy (as confirmed by the current ultrasound) is dated by a crown rump length of 45 to 84 mm; and

(b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and

(c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR)

Bulk bill incentive

Fee: $37.85 Benefit: 75% = $28.40 85% = $32.20

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

Extended Medicare Safety Net Cap: $19.30

• Previous - Item 55707
• Next - Item 55709

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and

(b) the current ultrasound:

(i) is not performed in the same pregnancy as item 55706; and

(ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR)

Bulk bill incentive

Fee: $41.10 Benefit: 75% = $30.85 85% = $34.95

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

Extended Medicare Safety Net Cap: $25.70

• Previous - Item 55708
• Next - Item 55712