Medicare Benefits Schedule - Item 63564

Note: the requirements for services provided under item 63564 are detailed under note IN.5.4

MRI – whole body scan for the early detection of cancer:

a)       requested by a specialist or consultant physician in consultation with a clinical geneticist in a familial cancer or genetic clinic; and

b)       the request identifies that the patient has a high risk of developing cancer malignancy

due to heritable TP53 - related cancer (hTP53rc) syndrome

(R)

Bulk bill incentive

(Anaes.)

Fee: $1,616.40 Benefit: 75% = $1,212.30 85% = $1,517.70

(See para IN.5.4 of explanatory notes to this Category)

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A service described under item 63564 applies only if the same patient has not received a service to which the same item applies within the preceding 12 months.

The use of this item is limited to individuals carrying a heritable germline or mosaic pathogenic or likely pathogenic mutation in the TP53 gene, ascertained by a clinical report from an accredited pathology laboratory.

Related Items: 63564