Medicare Benefits Schedule - Item 16055

Search Results for Item 16055

Category 3 - THERAPEUTIC PROCEDURES

16055

16055 - Additional Information

Item Start Date:
01-Jul-2025
Description Updated:
01-Jul-2025
Schedule Fee Updated:
01-Jul-2025

Group
T3 - Therapeutic Nuclear Medicine
Subgroup
2 - Theranostics

Administration of Lutetium 177 PSMA, followed within 36 hours by whole body Lu-PSMA SPECT, for treatment of a patient with metastatic castrate resistant prostate cancer, if:
(a) a service to which item 16050 applies has been provided; and
(b) the patient has not developed disease progression while receiving Lutetium 177 PSMA for this condition.

Applicable once per cycle, up to a maximum of 4 cycles in the continuing treatment phase.

Fee: $8,000.00 Benefit: 75% = $6,000.00 85% = $7,897.60


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