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Results 81 to 90 of 98 matches

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-2016

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: $690.00 Benefit: 75% = $517.50 85% = $602.10

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-2021

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: $1,008.00 Benefit: 75% = $756.00 85% = $920.10

Category 5 - DIAGNOSTIC IMAGING SERVICES

63491

63491 - Additional Information

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

Group
I5 - Magnetic Resonance Imaging
Subgroup
22 - Modifying Items

NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service.

 

MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if:


(a) the service is performed on a person in accordance with clause 2.5.1; and
(b) the item for the service includes in its description ‘(Contrast)’; and
(c) the service is performed using a contrast agent

Bulk bill incentive



Fee: $44.80 Benefit: 75% = $33.60 85% = $38.10

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63494

63494 - Additional Information

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

Group
I5 - Magnetic Resonance Imaging
Subgroup
22 - Modifying Items

MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if:


(a) the service is performed on a person in accordance with clause 2.5.1; and
(b) the service is performed using intravenous or intra muscular sedation

Bulk bill incentive



Fee: $44.80 Benefit: 75% = $33.60 85% = $38.10

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63496

63496 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
01-May-2019

Group
I5 - Magnetic Resonance Imaging
Subgroup
22 - Modifying Items

NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. 

MRI service to which item 63545 or 63546 applies if:


(a) the service is performed on a person under the supervision of an eligible provider; and
(b) the service is performed using an hepatobiliary specific contrast agent

Bulk bill incentive



Fee: $250.00 Benefit: 75% = $187.50 85% = $212.50

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63497

63497 - Additional Information

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

Group
I5 - Magnetic Resonance Imaging
Subgroup
22 - Modifying Items

MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if:


(a) the service is performed on a person in accordance with clause 2.5.1; and
(b) the service is performed under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic

Bulk bill incentive



Fee: $156.80 Benefit: 75% = $117.60 85% = $133.30

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63498

63498 - Additional Information

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

Group
I5 - Magnetic Resonance Imaging
Subgroup
22 - Modifying Items

MRI service to which item 63501, 63502, 63504 or 63505 applies if:

(a) the service is performed in accordance with the determination; and

(b) the service is performed on a person using intravenous or intra muscular sedation

Bulk bill incentive



Fee: $44.80 Benefit: 75% = $33.60 85% = $38.10

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63499

63499 - Additional Information

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

Group
I5 - Magnetic Resonance Imaging
Subgroup
22 - Modifying Items

MRI service to which item 63501, 63502, 63504 or 63505 applies if:

(a) the service is performed in accordance with the determination; and

(b) the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic.

Bulk bill incentive



Fee: $156.80 Benefit: 75% = $117.60 85% = $133.30

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

Category 5 - DIAGNOSTIC IMAGING SERVICES

63501

63501 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
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 24 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:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
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 24 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)

Results 81 to 90 of 98 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