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MRI scan of both breasts for the detection of cancer in a patient, if:

(a) a dedicated breast coil is used; and

(b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and

(c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following:

(i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient;

(ii) both:

(A) one of the patient’s first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and

(B) another first or second degree relative on the same side of the patient’s family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger;

(iii) the patient has a personal history of breast cancer before the age of 50 years;

(iv) the patient has a personal history of mantle radiation therapy;

(v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm; and

(d) the service is not performed in conjunction with item 55076 or 55079

Applicable not more than once in a 12 month period (R) (Contrast)

Bulk bill incentive

Fee: $729.95 Benefit: 75% = $547.50 85% = $631.25

(See para IN.0.18, IN.0.19 of explanatory notes to this Category)

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• Next - Item 63467

MRI—scan of both breasts for the detection of cancer, if:
(a) a dedicated breast coil is used; and
(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R) 

Bulk bill incentive

Fee: $729.95 Benefit: 75% = $547.50 85% = $631.25

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

• Previous - Item 63464
• Next - Item 63470

MRI—scan of the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for scan identifies that:

(a) a histological diagnosis of carcinoma of the cervix has been made; and
(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast)

Bulk bill incentive

Fee: $426.50 Benefit: 75% = $319.90 85% = $362.55

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

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• Next - Item 63473

MRI—scan of the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for the scan identifies that:

(a) a histological diagnosis of carcinoma of the cervix has been made; and
(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast)

Bulk bill incentive

Fee: $663.50 Benefit: 75% = $497.65 85% = $564.80

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

• Previous - Item 63470
• Next - Item 63476

MRI—scan of the pelvis for the initial staging of rectal cancer, if:

(a) a phased array body coil is used; and
(b) the request for the scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum) (R) (Contrast)

Bulk bill incentive

Fee: $426.50 Benefit: 75% = $319.90 85% = $362.55

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

• Previous - Item 63473
• Next - Item 63482