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Note: (stable coronary syndrome - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5

Selective coronary and graft angiography:

(a) for a patient who is eligible for the service under clause 5.10.17B; and

(b) as part of the management of the patient; and

(c) with placement of one or more catheters and injection of opaque material into native coronary arteries; and

(d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present—with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and

(e) with or without left heart catheterisation, left ventriculography or aortography; and

(f) including all associated imaging;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38251 or 38252 applies—applicable once each 3 months

Multiple Operation Rule

Fee: $1,559.20 Benefit: 75% = $1,169.40 85% = $1,460.50

(See para IN.2.1, TN.8.215, TN.8.216, TR.8.3, TR.8.5, TR.8.6 of explanatory notes to this Category)

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• Next - Item 38251

Note: (pre-operative assessment - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.5

Selective coronary and graft angiography:

(a) for a symptomatic patient with valvular or other non-coronary structural heart disease; and

(b) as part of the management of the patient for:

(i) pre-operative assessment for planning non-coronary cardiac surgery, including by transcatheter approaches; or

(ii) evaluation of valvular heart disease or other non-coronary structural heart disease where clinical impression is discordant with non-invasive assessment; and

(c) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and

(d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present—with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and

(e) with or without left heart catheterisation, left ventriculography or aortography; and

(f) including all associated imaging;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249 or 38251 applies—applicable once each 12 months

Multiple Operation Rule

Fee: $1,559.20 Benefit: 75% = $1,169.40 85% = $1,460.50

(See para IN.2.1, TN.8.215, TN.8.216, TR.8.5 of explanatory notes to this Category)

• Previous - Item 38251
• Next - Item 38254

DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent to confirm a diagnosis of vascular aetiology for impotence (R).

Note:  This item is only available for services rendered by Dr Christopher McMahon, provider number 045449 of Australian Centre for Sexual Health, Berry Road Medical Centre, St Leonards NSW 2065.

Bulk bill incentive

Fee: $183.65 Benefit: 75% = $137.75 85% = $156.15

• Previous - Item 55146
• Next - Item 55211

Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the gestation, location, viability or number of fetuses, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is less than 12 weeks of gestation; and

(b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55704, 55705, 55707, 55708, 55740, 55741, 55742 or 55743 (R) 

Bulk bill incentive

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

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

Extended Medicare Safety Net Cap: $38.50

• Previous - Item 55603
• Next - Item 55703

Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the gestation, location, viability or number of fetuses, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is less than 12 weeks of gestation; and

(b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55704, 55705, 55707, 55708, 55740, 55741, 55742 or 55743 (NR)

Bulk bill incentive

Fee: $37.85 Benefit: 75% = $28.40 85% = $32.20

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

Extended Medicare Safety Net Cap: $19.30

• Previous - Item 55700
• Next - Item 55704

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and

(b) 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: $75.85 Benefit: 75% = $56.90 85% = $64.50

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

Extended Medicare Safety Net Cap: $45.10

• Previous - Item 55703
• Next - Item 55705

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if:

(a) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and

(b) 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: $37.85 Benefit: 75% = $28.40 85% = $32.20

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

Extended Medicare Safety Net Cap: $19.30

• Previous - Item 55704
• Next - Item 55706

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, 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 12 to 16 weeks of 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: $112.75 Benefit: 75% = $84.60 85% = $95.85

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

Extended Medicare Safety Net Cap: $67.00

• Previous - Item 55739
• Next - Item 55741

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, 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 12 to 16 weeks of 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: $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

• Previous - Item 55740
• Next - Item 55742

Fee for a service rendered using first eligible x-ray procedure carried out during attendance at residential aged care facility, where the service has been requested by a medical practitioner who has attended the patient in person and the request identifies one or more of the following indications:

1. the patient has experienced a fall and one or more of the following items apply to the service 57509, 57515, 57521, 57527, 57703,  57709, 57712, 57715, 58521, 58524, 58527; or  
2. pneumonia or heart failure is suspected and item 58503 applies to the service; or
3. acute abdomen or bowel obstruction is suspected and item 58903 applies to the service.

This call-out fee can be claimed once only per visit at a residential aged care facility irrespective of the number of patients attended.

 NOTE: If the service is bulked billed 95% of the fee is payable. The multiple services rule does not apply to this item.

 (R)

Bulk bill incentive

Fee: $79.75 Benefit: 75% = $59.85 85% = $67.80

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

• Previous - Item 57527
• Next - Item 57700