Results 1 to 10 of 14 matches
Category 5 - DIAGNOSTIC IMAGING SERVICES
Category 5 - DIAGNOSTIC IMAGING SERVICES
63301 - Additional Information
MRI—scan of musculoskeletal system for tumour arising in bone or musculoskeletal system, excluding tumours arising in breast, prostate or rectum (R) (Anaes.) (Contrast)
(Anaes.)
Fee: $416.95 Benefit: 75% = $312.75 85% = $354.45
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63304 - Additional Information
MRI—scan of musculoskeletal system for infection arising in bone or musculoskeletal system, excluding infection arising in breast, prostate or rectum (R) (Anaes.) (Contrast)
(Anaes.)
Fee: $416.95 Benefit: 75% = $312.75 85% = $354.45
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63464 - Additional Information
MRI scan of both breasts for the detection of cancer in a patient, if:
(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and
(c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following:
(i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient;
(ii) both:
(A) one of the patient’s first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and
(B) another first or second degree relative on the same side of the patient’s family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger;
(iii) the patient has a personal history of breast cancer before the age of 50 years;
(iv) the patient has a personal history of mantle radiation therapy;
(v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm; and
(d) the service is not performed in conjunction with item 55076 or 55079
Applicable not more than once in a 12 month period (R) (Contrast)
(Anaes.)
Fee: $755.50 Benefit: 75% = $566.65 85% = $656.80
(See para IN.0.18, IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63467 - Additional Information
MRI—scan of both breasts for the detection of cancer, if:
(a) a dedicated breast coil is used; and
(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R)
(Anaes.)
Fee: $755.50 Benefit: 75% = $566.65 85% = $656.80
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63487 - Additional Information
MRI—scan of both breasts, if:
(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that:
(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and
(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.)
Fee: $755.50 Benefit: 75% = $566.65 85% = $656.80
Category 5 - DIAGNOSTIC IMAGING SERVICES
63489 - Additional Information
MRI—scan of one breast, performed in conjunction with a biopsy procedure on that breast and an ultrasound scan of that breast, if:
(a) the request for the MRI scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and
(b) the ultrasound scan is performed immediately before the MRI scan and confirms that the lesion is not amenable to biopsy guided by conventional imaging; and
(c) a dedicated breast coil is used (R)
(Anaes.)
Fee: $1,103.60 Benefit: 75% = $827.70 85% = $1,004.90
Category 5 - DIAGNOSTIC IMAGING SERVICES
63501 - Additional Information
MRI—scan of one or both breasts for the evaluation of implant integrity, if:
(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that the patient:
(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and
(ii) the result of the scan confirms a loss of integrity of the implant (R)
Fee: $547.45 Benefit: 75% = $410.60 85% = $465.35
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63502 - Additional Information
MRI—scan of one or both breasts for the evaluation of implant integrity, if:
(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that the patient:
(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and
(ii) the result of the scan does not demonstrate a loss of integrity of the implant (R)
Fee: $547.45 Benefit: 75% = $410.60 85% = $465.35
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
63504 - Additional Information
MRI—scan of one or both breasts for the evaluation of implant integrity, if:
(a) a dedicated breast coil is used; and
(b) the request for the scan identifies that the patient:
(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and
(ii) presents with symptoms where implant rupture is suspected; and
(iii) the result of the scan confirms a loss of integrity of the implant (R)
Fee: $547.45 Benefit: 75% = $410.60 85% = $465.35
(See para IN.0.19 of explanatory notes to this Category)
Results 1 to 10 of 14 matches
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