Medicare Benefits Schedule - Item 61527

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View Associated Notes

Category 5 - DIAGNOSTIC IMAGING SERVICES

61527

61527 - Additional Information

Item Start Date:
01-Aug-2022
Description Updated:
01-Aug-2022
Schedule Fee Updated:
01-Aug-2022

Group
I4 - Nuclear Medicine Imaging
Subgroup
2 - PET

Whole body study using PET, if the service is performed because the services to which items 61429, 61430, 61442, 61450 or 61453 apply cannot be performed due to the unavailability of gallium-67 (R)

Bulk bill incentive

Fee: $752.35 Benefit: 75% = $564.30 85% = $649.95

(See para IN.4.4 of explanatory notes to this Category)


Associated Notes

Category 5 - DIAGNOSTIC IMAGING SERVICES

IN.4.4

Substitute PET items for use in radiopharmaceutical supply disruptions

Substitute PET items are available for use in radiopharmaceutical supply disruptions. The following items are available:

Technetium-99m: items 61333, 61336 and 61341 can be used following a valid request for a service to which items 61348, 61402, 61421 or 61425 would apply.

Gallium-67: item 61527 can be used following a valid request for a service to which items 61429, 61430, 61442, 61450 or 61453 would apply.

Thallium-201: Item 61644 can be used following a valid request for a service to which item 61325 would apply.

For substitute PET items listed above, the following conditions must also be met:

  1. the requested service is not available due to a supply disruption of the relevant radioisotope; and
  2. the patient’s clinical condition requires the service to be performed before the resumption of normal radioisotope supply is anticipated by the practitioner who provides the service; and
  3. the report of the service performed includes a justification for the substitute service and the unavailability of the original item.

 

Related Items: 61333 61336 61341 61527


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