Results 81 to 90 of 97 matches
Category 5 - DIAGNOSTIC IMAGING SERVICES
63489 - Additional Information
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)
(Anaes.)
Fee: $1,066.30 Benefit: 75% = $799.75 85% = $967.60
Category 5 - DIAGNOSTIC IMAGING SERVICES
63491 - Additional Information
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
Fee: $47.40 Benefit: 75% = $35.55 85% = $40.30
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63494 - Additional Information
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
Fee: $47.40 Benefit: 75% = $35.55 85% = $40.30
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63496 - Additional Information
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
Fee: $264.45 Benefit: 75% = $198.35 85% = $224.80
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63497 - Additional Information
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
Fee: $165.90 Benefit: 75% = $124.45 85% = $141.05
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63498 - Additional Information
MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person using intravenous or intra muscular sedation
Fee: $47.40 Benefit: 75% = $35.55 85% = $40.30
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63499 - Additional Information
MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic
Fee: $165.90 Benefit: 75% = $124.45 85% = $141.05
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63501 - Additional Information
MRI—scan of one or both breasts for the evaluation of implant integrity, if:
(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)
Fee: $528.95 Benefit: 75% = $396.75 85% = $449.65
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63502 - Additional Information
MRI—scan of one or both breasts for the evaluation of implant integrity, if:
(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)
Fee: $528.95 Benefit: 75% = $396.75 85% = $449.65
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63504 - Additional Information
MRI—scan of one or both breasts for the evaluation of implant integrity, if:
(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)
Fee: $528.95 Benefit: 75% = $396.75 85% = $449.65
(See para IN.0.19 of explanatory notes to this Category)
Results 81 to 90 of 97 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