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Results 21 to 30 of 31 matches

Category 5 - DIAGNOSTIC IMAGING SERVICES

55743

55743 - Additional Information

Item Start Date:
01-Nov-2022
Description Updated:
01-Nov-2022
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

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) an ultrasound of the same pregnancy confirms a multiple pregnancy; and

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

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

(d) 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: $56.35 Benefit: 75% = $42.30 85% = $47.90

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


Extended Medicare Safety Net Cap: $28.80

Category 5 - DIAGNOSTIC IMAGING SERVICES

55757

55757 - Additional Information

Item Start Date:
01-Nov-2022
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

Pelvis or abdomen, ultrasound (the current ultrasound) scan of, for cervical length assessment for risk of preterm labour, by any or all approaches, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is between 14 and 30 weeks of gestation; and

(b) any of the following apply:

(i) the patient has a history indicating high risk of preterm labour or birth or second trimester fetal loss;

(ii) the patient has symptoms suggestive of threatened preterm labour or second trimester fetal loss;

(iii) the patient’s cervical length is less than 25 mm on an ultrasound before 28 weeks gestation; 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: $53.65 Benefit: 75% = $40.25 85% = $45.65

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


Extended Medicare Safety Net Cap: $31.90

Category 5 - DIAGNOSTIC IMAGING SERVICES

55758

55758 - Additional Information

Item Start Date:
01-Nov-2022
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

Pelvis or abdomen, ultrasound (the current ultrasound) scan of, for cervical length assessment for risk of preterm labour, by any or all approaches, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is between 14 and 30 weeks of gestation; and

(b) any of the following apply:

(i) the patient has a history indicating high risk of preterm labour or birth or second trimester fetal loss;

(ii) the patient has symptoms suggestive of threatened preterm labour or second trimester fetal loss;

(iii) the patient’s cervical length is less than 25 mm on an ultrasound before 28 weeks gestation; 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: $20.40 Benefit: 75% = $15.30 85% = $17.35

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


Extended Medicare Safety Net Cap: $10.40

Category 5 - DIAGNOSTIC IMAGING SERVICES

55759

55759 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Nov-2022
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

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) an ultrasound of the same pregnancy confirms a multiple pregnancy; and

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

(c) the service mentioned in item 55706, 55709, 55712, 55715 or 55762 is not performed in conjunction with the current ultrasound during the same pregnancy; and

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

Bulk bill incentive



Fee: $162.45 Benefit: 75% = $121.85 85% = $138.10

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

55762

55762 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Nov-2022
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

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) an ultrasound of the same pregnancy confirms a multiple pregnancy; and

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

(c) the service mentioned in item 55706, 55709, 55712, 55715 or 55759 is not performed in conjunction with the current ultrasound during the same pregnancy; and

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

Bulk bill incentive



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

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


Extended Medicare Safety Net Cap: $38.50

Category 5 - DIAGNOSTIC IMAGING SERVICES

55764

55764 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

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 service is requested by a medical practitioner who:

(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(b) an ultrasound of the same pregnancy confirms a multiple pregnancy; and

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

(d) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and

(e) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the current ultrasound during the same pregnancy; and

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

Bulk bill incentive



Fee: $173.30 Benefit: 75% = $130.00 85% = $147.35

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


Extended Medicare Safety Net Cap: $102.90

Category 5 - DIAGNOSTIC IMAGING SERVICES

55766

55766 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

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, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and

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

(c) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and

(d) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the current ultrasound during the same pregnancy; and

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

Bulk bill incentive



Fee: $70.40 Benefit: 75% = $52.80 85% = $59.85

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


Extended Medicare Safety Net Cap: $38.50

Category 5 - DIAGNOSTIC IMAGING SERVICES

55768

55768 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

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

(b) an ultrasound confirms a multiple pregnancy; and

(c) the service is not performed in the same pregnancy as item 55770; and

(d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and

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

Bulk bill incentive



Fee: $162.45 Benefit: 75% = $121.85 85% = $138.10

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


Extended Medicare Safety Net Cap: $96.60

Category 5 - DIAGNOSTIC IMAGING SERVICES

55770

55770 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

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

(b) an ultrasound confirms a multiple pregnancy; and

(c) the service is not performed in the same pregnancy as item 55768; and

(d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and

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

Bulk bill incentive



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

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


Extended Medicare Safety Net Cap: $38.50

Category 5 - DIAGNOSTIC IMAGING SERVICES

55772

55772 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
I1 - Ultrasound
Subgroup
5 - Obstetric And Gynaecological

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) dating of the pregnancy as confirmed by the current ultrasound is after 22 weeks of gestation; and

(b) the service is requested by a medical practitioner who:

(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and

(d) the pregnancy as confirmed by an ultrasound is a multiple pregnancy; and

(e) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and

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

Bulk bill incentive



Fee: $173.30 Benefit: 75% = $130.00 85% = $147.35

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


Extended Medicare Safety Net Cap: $102.90

Results 21 to 30 of 31 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