View Associated Notes
Category 5 - DIAGNOSTIC IMAGING SERVICES
63399 - Additional Information
MRI–scan of cardiovascular system for the assessment of myocardial structure and function, if the service is requested by a consultant physician who has assessed the patient, and the request for the scan indicates:
- the patient has suspected myocarditis after receiving a mRNA COVID-19 vaccine; and
- the patient had symptom onset within 21 days of a mRNA COVID-19 vaccine administration; and
- the results from the following examinations are inconclusive to form a diagnosis of myocarditis:
(i) echocardiogram; and
(ii) troponin; and
(iii) chest X-ray.
Applicable not more than once in a patient’s lifetime (R) (Contrast)
(Anaes.)
Fee: $936.35 Benefit: 75% = $702.30 85% = $837.65
(See para IN.5.3 of explanatory notes to this Category)
Associated Notes
Category 5 - DIAGNOSTIC IMAGING SERVICES
IN.5.3
Item 63399 - temporary availability
Item 63399 has been introduced temporarily to diagnose myocarditis that may occur after vaccination with the mRNA COVID-19 vaccines Comirnaty (Pfizer) and Spikevax (Moderna).
The Medical Services Advisory Committee (MSAC) recommended a temporary item to allow time for a full health technology assessment on the use of cardiac MRI in diagnosing myocarditis more broadly to be considered.
Item 63399 is for use in patients where:
- the patient has suspected myocarditis after receiving a mRNA COVID-19 vaccine; and
- the patient had symptom onset within 21 days of a mRNA COVID-19 vaccine administration; and
- myocarditis cannot be definitively diagnosed using conventional imaging and other diagnostic tests.
The item can be used once in a patient's lifetime after the first vaccine dose, second vaccine dose or booster dose.
The item commenced on 1 January 2022 and will be available until 31 December 2024, pending a full assessment by the MSAC.
This service is able to be performed on both partially and fully Medicare-eligible MRIs.
Related Items: 63399
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