Medicare Benefits Schedule - Item 61413

Cerebro spinal fluid shunt patency study (R)

Bulk bill incentive

Fee: $225.95 Benefit: 75% = $169.50 85% = $192.10

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

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Out-of-hospital services attract higher benefits when they are bulk billed by the provider.

For all diagnostic imaging items (except those in Group 6 – Management of Bulk Billed Services and items 61369, 61466, 61485) benefits for bulk billed services are payable at 95% of the schedule fee for the item.

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