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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: $508.00 Benefit: 75% = $381.00 85% = $431.80

(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: $508.00 Benefit: 75% = $381.00 85% = $431.80

(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: $508.00 Benefit: 75% = $381.00 85% = $431.80

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

• Previous - Item 63504
• Next - Item 63507

MRI—scan of head for a patient under 16 years if the service is for:
(a) an unexplained seizure; or
(b) an unexplained headache if significant pathology is suspected; or
(c) paranasal sinus pathology that has not responded to conservative therapy (R) (Contrast)

Bulk bill incentive

Fee: $409.65 Benefit: 75% = $307.25 85% = $348.25

• Previous - Item 63505
• Next - Item 63510

MRI—scan of spine following radiographic examination for a patient under 16 years if the service is for:

(a) significant trauma; or
(b) unexplained neck or back pain with associated neurological signs; or
(c) unexplained back pain if significant pathology is suspected (R) (Contrast)

Bulk bill incentive

Fee: $455.15 Benefit: 75% = $341.40 85% = $386.90

• Previous - Item 63507
• Next - Item 63513

MRI—scan of knee for internal joint derangement for a patient under 16 years (R) (Contrast)

Bulk bill incentive

Fee: $409.65 Benefit: 75% = $307.25 85% = $348.25

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

• Previous - Item 63510
• Next - Item 63516

MRI—scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected:

(a) septic arthritis;
(b) slipped capital femoral epiphysis;
(c) Perthes disease (R) (Contrast)

Bulk bill incentive

Fee: $409.65 Benefit: 75% = $307.25 85% = $348.25

• Previous - Item 63513
• Next - Item 63519

MRI—scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R) (Contrast)

Bulk bill incentive

Fee: $409.65 Benefit: 75% = $307.25 85% = $348.25

• Previous - Item 63516
• Next - Item 63522

MRI—scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R) (Contrast)

Bulk bill incentive

Fee: $455.15 Benefit: 75% = $341.40 85% = $386.90

• Previous - Item 63519
• Next - Item 63531