Statutory Rules 1996 No. 233
_______________
Health Insurance (1996-97 Diagnostic Imaging Services Table) Regulations
TABLE OF PROVISIONS
Regulation Page
1. Citation 1
2. Commencement 1
3. Repeal of Health Insurance (1995-96 Diagnostic Imaging Services Table) Regulations 2
4. Diagnostic imaging services table 2
SCHEDULE
Table of Diagnostic Imaging Services
Part
1 Rules of Interpretation 3
2 Services and Fees 7
Group
Subgroup
I1
Ultrasound
7
1
General
7
2
Cardiac
17
3
Vascular
20
4
Urological
25
I2
Computerised Tomography—Examination and Report
27
I3
Diagnostic Radiology
33
1
Radiographic Examination of Extremities and Report
33
2
Radiographic Examination of Shoulder or Pelvis and Report
34
3
Radiographic Examination of Head and Report
34
4
Radiographic Examination of Spine and Report
35
5
Bone Age Study and Skeletal Surveys and Report
36
6
Radiographic Examination of Thoracic Region and Report
36
7
Radiographic Examination of Urinary Tract and Report
37
8
Radiographic Examination of Alimentary Tract and Biliary System and Report
37
9
Radiographic Examination for Localisation of Foreign Bodies and Report
39
10
Radiographic Examination of Breasts and Report
39
11
Radiographic Examination in connection with Pregnancy and Report
40
12
Radiographic Examination with Opaque or Contrast Media and Report
40
13
Angiography and Report
42
14
Tomography and Report
46
15
Fluoroscopic Examination and Report
46
16
Examination not otherwise covered and Report
47
17
Preparation for Radiological Procedure
47
18
Interventional Techniques
49
I4
Nuclear Medicine Imaging
49
Statutory Rules 1996 No. 2331
__________________
Health Insurance (1996-97 Diagnostic Imaging Services Table) Regulations
I, The Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 23 October 1996.
WILLIAM DEANE
Governor-General
By His Excellency’s Command,
michael wooldridge
Minister for Health and Family Services
____________
Citation
1. These Regulations may be cited as the Health Insurance (1996-97 Diagnostic Imaging Services Table) Regulations.
Commencement
2. These Regulations commence on 1 November 1996.
Repeal of Health Insurance (1995-96 Diagnostic Imaging Services Table) Regulations
3. Statutory Rules 1995 No. 299 and 1996 No. 128 are repealed.
Diagnostic imaging services table
4. The table of diagnostic imaging services set out in the Schedule is prescribed for the purposes of subsection 4AA (1) of the Health Insurance Act 1973.
––––––––––––––––
SCHEDULE Regulation 4
TABLE OF DIAGNOSTIC IMAGING SERVICES
PART 1—RULES OF INTERPRETATION
General
1. In this table, unless the contrary intention appears:
“the Act” means the Health Insurance Act 1973.
References to items in the general medical services table
2. A reference by number to an item in the series 11603 to 11612 (inclusive) is a reference to the item so numbered in the general medical services table.
Meaning of “(R)” and “(NR)”
3. (1) An item including the symbol “(R)” is an R-type diagnostic imaging service.
(2) An item including the symbol “(NR)” is an NR-type diagnostic imaging service.
Meaning of “(S)”
4. An item including the symbol “(S)” applies only to a service provided by a specialist in the practice of diagnostic radiology.
Who may provide a diagnostic imaging service
5. A diagnostic imaging service set out in this table is a diagnostic imaging service for the purposes of the Act, whether the service is provided by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who:
(i) is employed by a medical practitioner; or
(ii) provides the service under the supervision of a medical practitioner in accordance with accepted medical practice.
Meaning of “report” in certain items
6. In items 55028 to 61109 (inclusive), “report” means a report prepared by a medical practitioner.
Administration of anaesthetics in connection with certain services
7. If a general anaesthetic is administered in connection with a service specified in an item that includes the formula:
Anaes. n = n1 B + n2 T
in which:
(a) n is a number; and
(b) n1 and n2 are other numbers;
the service that is provided by the medical practitioner who administers the anaesthetic is the service described in item n in the general medical services table.
Meaning of “group of practitioners”
8. In this table, “group of practitioners” has the same meaning as in subsection 16A (10) of the Act.
Meaning of “medical practitioner” in certain items
9. (1) In items 55028 to 55033 (inclusive), “medical practitioner” in the phrase “referred by a medical practitioner” or “the referring medical practitioner” includes a dental practitioner who is approved by the Minister under paragraph (b) of the definition of “professional service” in subsection 3 (1) of the Health Insurance Act 1973.
(2) In items 55050 to 55053 (inclusive), “medical practitioner” in the phrase “referred by a medical practitioner” or “the referring medical practitioner” includes a dental practitioner who is:
(a) approved by the Minister under paragraph (b) of the definition of “professional service” in subsection 3 (1) of the Health Insurance Act 1973; or
(b) a prosthodontist.
Meaning of “Amount under rule 10” in certain items
10. In items 59103 and 59739, “Amount under rule 10” means an amount equal to the sum of:
(a) the fee set out in another item for the radiographic examination in conjunction with which a service referred to in item 59103 or 59739 is provided; and
(b) 1 of the following amounts:
(i) in the case of item 59103—$21.10;
(ii) in the case of item 59739—$22.40.
Preparation of patients for radiological procedures
11. Items 60903 to 60981 (inclusive) apply only to the preparation of a patient for a radiological procedure for a service to which an item in Group I3 applies by:
(a) injecting opaque or contrast media; or
(b) removing fluid and replacing it with air, oxygen or other contrast media; or
(c) a similar method.
Meaning of “angiography suite” in item 61109
12. In item 61109, “angiography suite” means a room that contains only equipment designed for angiography that is able to perform digital subtraction or rapid sequence film angiography.
Nuclear scanning services
13. Items 61302 to 61503 (inclusive) apply to a nuclear scanning service only if:
(a) the performance of the scan is undertaken:
(i) by a specialist or consultant physician; or
(ii) by a person acting on behalf of a specialist or consultant physician in the presence of the specialist or consultant physician; and
(b) the compilation of the final report is undertaken by the specialist or consultant physician who undertook the preliminary examination of the patient and the estimation and administration of the dosage.
Meaning of “Amount under rule 14” in item 61462
14. In item 61462, “Amount under rule 14” means an amount equal to the sum of:
(a) the fee set out in the item in group I4 in conjunction with which a service referred to in item 61462 is provided; and
(b) $110.00.
SCHEDULE—continued
PART 2—SERVICES AND FEES
Item
Diagnostic imaging service
Fee
GROUP I1—ULTRASOUND
Subgroup 1—General
55028
Head, ultrasound scan of, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55029
Head, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55030
Orbital contents, ultrasound scan of, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55031
Orbital contents, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55032
Neck, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55033
Neck, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55034
Breast, 1 or both, ultrasound scan of, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55035
Breast, 1 or both, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55036
Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55037
Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55038
Urinary tract, ultrasound scan of, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55039
Urinary tract, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55040
Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55041
Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner for ultrasonic examination—each ultrasonic examination, not exceeding 2 examinations in any 1 pregnancy, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55042
Pelvis, female, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55043
Pelvis, female, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55044
Pelvis, male, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55045
Pelvis, male, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55048
Scrotum, ultrasound scan of, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$99.15
55049
Scrotum, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55050
Musculo-skeletal, 1 or more regions, ultrasound scan of, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$99.15
55051
Musculo-skeletal, 1 or more regions, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55052
Joint, 1 or more, ultrasound scan of, performed by, or on behalf of, a medical practitioner where:
(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies; and
(b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)
$98.75
55053
Joint, 1 or more, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 55055, or an item in Subgroup 2 or 3 of this Group, applies (NR)
$34.25
55054
Ultrasonic cross‑sectional echography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R)
$98.75
55055
Orbital contents, ultrasonic echography of, unidimensional, not being a service associated with a service to which another item in this Group applies (NR)
$59.80
55056
Ultrasound scan not otherwise specified, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies (R)
$5.20
55057
Ultrasound scan not otherwise specified, not being a service associated with a service to which item 55055 or an item in Subgroup 2 or 3 of this Group applies (NR)
$5.20
55058
Measurement of umbilical blood flow using pulsed wave or continuous wave Doppler techniques after the 26th week of gestation where the patient is referred by a medical practitioner for this procedure and where there is reason to suspect intrauterine growth retardation or a significant risk of foetal death, not being a service associated with a service to which an item in this Group applies—examination and report (R)
$26.95
Subgroup 2—Cardiac
55102
M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, with recordings on video tape, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies (R)
$162.05
55105
M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of cardiac dimensions, with recordings on video tape, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies (R)
$91.70
55112
M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 thoracic windows, with recordings on video tape, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies (R)
$250.60
55118
Heart, 2 dimensional real time transoesophageal examination of, from at least 2 oesophageal windows performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous Doppler techniques, and real time colour flow mapping from at least 2 oesophageal windows, with recordings on video tape, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies (R) (Anaes. 17708 = 6B + 2T)
$250.10
55130
Intra-operative 2 dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape, performed during cardiac surgery, incorporating sequential assessment of cardiac function before and after the surgical procedure (R) (Anaes. 17710 = 6B + 4T)
$357.15
.;
Subgroup 3—Vascular
55201
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of:
(a) carotid vessels (with or without vertebral arteries); or
(b) peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis) (with or without intra-abdominal studies necessary for views of the lower aorta); or
(c) intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy related studies);
not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies—1 examination and report (R)
$170.60
55204
Two or more examinations of the kind referred to in item 55201 and report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies (R)
$293.20
55207
Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of the cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence, where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 4 of this Group applies—examination and report (R)
$170.60
55210
Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of:
(a) priapism; or
(b) fibrosis of any type; or
(c) fracture of the tunica; or
(d) arteriovenous malformations;
where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies—examination and report (R).
$170.60
55225
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies—examination and report (R)
$204.70
55231
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis) and carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies—examination and report (R)
$330.50
55234
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis), including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies—examination and report (R)
$198.30
55237
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels before measured exercise using treadmill or bicycle ergometer, and measurement of pressure:
(a) after exercise for 10 minutes; or
(b) until pressure is normal (unilateral or bilateral);
not being a service associated with a service to which an item in Subgroup 1 (with the exception of item 55054) or 4 of this Group applies—examination and report (R)
$218.55
Subgroup 4—Urological
55300
Prostate, bladder base and urethra, transrectal ultrasound scan of, where performed:
(a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in (c)) using a transducer probe or probes that:
(i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and
(ii) can obtain both axial and sagittal scans in 2 planes at right angles; and
(b) following a digital rectal examination of the prostate by that medical practitioner; and
(c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has:
(i) examined the patient in the 60 days prior to the scan; and
(ii) recommended the scan for the management of the patient's current prostatic disease (R)
$98.75
55303
Prostate, bladder base and urethra, transrectal ultrasound scan of, where performed:
(a) personally by a medical practitioner who undertook the assessment referred to in (c) using a transducer probe or probes that:
(i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and
(ii) can obtain both axial and sagittal scans in 2 planes at right angles; and
(b) following a digital rectal examination of the prostate by that medical practitioner; and
(c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has:
(i) examined the patient in the 60 days prior to the scan; and
(ii) recommended the scan for the management of the patient's current prostatic disease (R)
$98.75
GROUP I2—COMPUTERISED TOMOGRAPHY—EXAMINATION AND REPORT
56001
Computerised tomography—scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R)
$195.15
56007
Computerised tomography—scan of brain with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken, not being a service to which item 57007 applies (R)
$245.15
56010
Computerised tomography—scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when undertaken (R)
$275.50
56013
Computerised tomography—scan of orbits with or without intravenous contrast medium and with or without brain scan when undertaken (R)
$275.50
56016
Computerised tomography—scan of middle ear and temporal bone, unilateral or bilateral, with or without intravenous contrast medium and with or without brain scan when undertaken (R)
$324.85
56019
Computerised tomography—scan of temporal bones with air study (including reconstructions), with intrathecal injection but not including an associated brain scan (R)
$400.90
56022
Computerised tomography—scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R)
$221.80
56028
Computerised tomography—scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken (R)
$321.80
56101
Computerised tomography—scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56801 applies (R)
$227.60
56107
Computerised tomography—scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken, not being a service to which item 56807 applies (R)
$327.60
56210
Computerised tomography—scan of spine, 1 or more regions, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R)
$238.70
56216
Computerised tomography—scan of spine, 1 or more regions, with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken, payable once only, whether 1 or more attendances are required to complete the service (R)
$338.70
56219
Computerised tomography—scan of spine, 1 or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X-rays, not being a service to which item 59724, 59727 or 59730 applies and not in association with item 60957 (R)
$315.25
56301
Computerised tomography—scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies (R)
$287.60
56307
Computerised tomography—scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken, not being a service to which item 56807 or 57007 applies (R)
$387.60
56401
Computerised tomography—scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56301, 56501, 56801 or 57001 applies (R)
$246.55
56407
Computerised tomography—scan of upper abdomen only (diaphragm to iliac crest) with intravenous contrast medium, and with any scans prior to intravenous contrast injection, when undertaken, not being a service to which item 56307, 56507, 56807 or 57007 applies (R)
$346.55
56409
Computerised tomography—scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium, not being a service associated with a service to which item 56401 applies (R)
$246.55
56412
Computerised tomography—scan of pelvis only (iliac crest to pubic symphysis) with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken, not being a service associated with a service to which item 56407 applies (R)
$346.55
56501
Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium, not being a service to which item 56801 or 57001 applies (R)
$369.60
56507
Computerised tomography—scan of upper abdomen and pelvis with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies (R)
$469.60
56619
Computerised tomography—scan of extremities, 1 or more regions without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R)
$219.90
56625
Computerised tomography—scan of extremities, 1 or more regions with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken, payable once only, whether 1 or more attendances are required to complete the service (R)
$319.90
56801
Computerised tomography—scan of chest, abdomen and pelvis, with or without scans of soft tissues of neck, without intravenous contrast medium (R)
$448.95
56807
Computerised tomography—scan of chest, abdomen and pelvis, with or without scans of soft tissues of neck, with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken (R)
$548.95
57001
Computerised tomography—scan of brain and chest, with or without scans of upper abdomen, without intravenous contrast medium (R)
$449.05
57007
Computerised tomography—scan of brain and chest, with or without scans of upper abdomen, with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken (R)
$549.05
57201
Computerised tomograph-pelvimetry (R)
$153.45
57341
Computerised tomography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)
$466.25
57350
Computerised tomography—spiral angiography with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken—1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, including multiple projections, not being a service to which another item in this Group applies (R)
$510.00
GROUP I3—DIAGNOSTIC RADIOLOGY
Subgroup 1—Radiographic Examination of Extremities and Report
57506
Hand, wrist, forearm, elbow or humerus (NR)
$30.85
57509
Hand, wrist, forearm, elbow or humerus (R)
$41.15
57512
Hand, wrist and forearm, or forearm and elbow, or elbow and humerus (NR)
$41.90
57515
Hand, wrist and forearm, or forearm and elbow, or elbow and humerus (R)
$55.90
57518
Foot, ankle, leg, knee or femur (NR)
$33.70
57521
Foot, ankle, leg, knee or femur (R)
$44.95
57524
Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (NR)
$51.10
57527
Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (R)
$68.10
Subgroup 2—Radiographic Examination of Shoulder or Pelvis and Report
57700
Shoulder or scapula (NR)
$41.90
57703
Shoulder or scapula (R)
$55.90
57706
Clavicle (NR)
$33.70
57709
Clavicle (R)
$44.95
57712
Hip joint (R)
$48.80
57715
Pelvic girdle (R)
$63.15
57721
Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R)
$102.75
Subgroup 3—Radiographic Examination of Head and Report
57900
Skull or cephalometry (R)
$66.80
57903
Sinuses (R)
$48.80
57906
Mastoids (R)
$66.80
57909
Petrous temporal bones (R)
$66.80
57912
Facial bones—orbit, maxilla or malar, any or all (R)
$48.80
57915
Mandible, not by orthopantomography technique (R)
$48.80
57918
Salivary calculus (R)
$48.80
57921
Nose (R)
$48.80
57924
Eye (R)
$48.80
57927
Temporo‑mandibular joints (R)
$51.40
57930
Teeth—single area (R)
$34.05
57933
Teeth—full mouth (R)
$80.95
57936
Teeth—orthopantomography (R)
$49.00
57939
Palato‑pharyngeal studies with fluoroscopic screening (R)
$66.80
57942
Palato‑pharyngeal studies without fluoroscopic screening (R)
$51.40
57945
Larynx, lateral airways and soft tissues of the neck, not being a service associated with a service to which item 57939 or 57942 applies (R)
$44.95
Subgroup 4—Radiographic Examination of Spine and Report
58100
Spine—cervical (R)
$69.55
58103
Spine—thoracic (R)
$57.15
58106
Spine—lumbo‑sacral (R)
$79.70
58109
Spine—sacro‑coccygeal (R)
$48.60
58112
Spine—2 regions (R)
$100.70
58115
Spine—3 or more regions (R)
$137.65
Subgroup 5—Bone Age Study and Skeletal Surveys and Report
58300
Bone age study, wrist and knee (R)
$41.50
58306
Skeletal survey (R)
$92.55
Subgroup 6—Radiographic Examination of Thoracic Region and Report
58500
Chest (lung fields) by direct radiography (NR)
$36.60
58503
Chest (lung fields) by direct radiography (R)
$48.80
58506
Chest (lung fields) by direct radiography with fluoroscopic screening (R)
$62.95
58509
Thoracic inlet or trachea (R)
$41.15
58521
Left ribs, right ribs or sternum (R)
$44.95
58524
Left and right ribs, left ribs and sternum, or right ribs and sternum (R)
$58.45
58527
Left ribs, right ribs and sternum (R)
$71.95
Subgroup 7—Radiographic Examination of Urinary Tract and Report
58700
Plain renal only (R)
$48.80
58706
Intravenous pyelography, including preliminary plain film (R)
$128.25
58709
Intravenous pyelography, including preliminary plain film and limited tomography, involving up to 3 tomographic cuts (R)
$159.70
58715
Antegrade or retrograde pyelography including preliminary plain film (R)
$102.75
58718
Retrograde cystography or retrograde urethrography (R) (Anaes. 17705 = 3B + 2T)
$68.10
58721
Retrograde micturating cysto-urethrography (R) (Anaes. 17705 = 3B + 2T)
$80.95
Subgroup 8—Radiographic Examination of Alimentary Tract and Biliary System and Report
58900
Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (NR)
$36.60
58903
Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (R)
$48.80
58906
Oesophagus, with or without examination for foreign body or barium swallow (R)
$69.40
58909
Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest and with or without preliminary plain film (R)
$95.10
58912
Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest and with or without preliminary plain film (R)
$113.10
58915
Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R)
$80.95
58918
Opaque enema (R)
$95.10
58921
Opaque enema, including air contrast study (R)
$113.10
58924
Graham's test (cholecystography), including preliminary abdominal radiography (R)
$80.95
58927
Cholegraphy direct—operative or post‑operative (R)
$78.40
58933
Cholegraphy—percutaneous transhepatic (R)
$92.55
58936
Cholegraphy—drip infusion (R)
$154.20
58939
Defaecogram, paediatric (R)
$142.90
Subgroup 9—Radiographic Examination for Localisation of Foreign Bodies and Report
59103
Foreign body, localisation of and report, not being a service to which another item in this Group applies (R)
Amount under rule 10
Subgroup 10—Radiographic Examination of Breasts and Report
59300
Radiographic examination of both breasts, (with or without thermography) and report if:
(a) the patient is referred with a specific request for this procedure; and
(b) there is reason to suspect the presence of malignancy in the breasts because of:
(i) the past occurrence of breast malignancy in the patient or members of the patient's family; or
(ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) (S)
$80.95
59303
Radiographic examination of 1 breast, (with or without thermography) and report if:
(a) the patient is referred with a specific request for this procedure; and
(b) there is reason to suspect the presence of malignancy in the breasts because of:
(i) the past occurrence of breast malignancy in the patient or members of the patient's family; or
(ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) (S)
$48.80
59306
Mammary ductogram (galactography)—1 breast (R)
$93.35
59309
Mammary ductogram, (galactography)—2 breasts (R)
$186.75
Subgroup 11—Radiographic Examination in connection with Pregnancy and Report
59503
Pelvimetry, not being a service associated with a service to which item 57200 applies (R)
$92.55
Subgroup 12—Radiographic Examination with Opaque or Contrast Media and Report
59700
Discography—1 disc (R)
$71.95
59703
Dacryocystography—1 side (R)
$48.80
59712
Hysterosalpingography (R)
$69.40
59718
Phlebography—1 side (R)
$102.75
59724
Myelography—1 region, not being a service associated with a service to which item 56219 applies (R)
$123.35
59727
Myelography—2 regions, not being a service associated with a service to which item 56219 applies (R)
$205.60
59730
Myelography—3 regions, not being a service associated with a service to which item 56219 applies(R)
$276.25
59733
Sialography—1 side (R)
$69.40
59736
Vasoepididymography—1 side (R)
$69.40
59739
Sinuses and fistulae (R)
Amount under rule 10
59745
Pneumoarthrography (R)
$43.70
59748
Arthrography—contrast (R)
$51.40
59751
Arthrography—1 joint (R)
$89.95
59754
Lymphangiography, including initial and delayed radiography (R)
$68.10
59760
Peritoneogram (herniography) with or without contrast medium including preparation—performed on a person over 14 years of age (R)
$119.20
59763
Air insufflation during video-fluoroscopic imaging, including associated consultation (R)
$138.60
Subgroup 13—Angiography and Report
59900
Serial angiocardiography (rapid cassette changing)—each series (R) (Anaes. 17711 = 7B + 4T)
$86.60
59903
Serial angiocardiography (single plane)—each series (R) (Anaes. 17711 = 7B + 4T)
$119.20
59906
Serial angiocardiography (bi‑plane)—each series (R) (Anaes. 17711 = 7B + 4T)
$119.20
59912
Selective coronary arteriography (R)
$314.95
59915
Cerebral angiography—1 side (R)
$80.95
59918
Arteriography, peripheral—1 side (R)
$102.75
59921
Aortography (R)
$102.75
59924
Selective arteriography—per injection and film or data acquisition run (R)
$102.75
59970
Angiography with fluoroscopy and image acquisition using a mobile image intensifier, 1 or more regions including any preliminary plain films, preparation and contrast injection (R)
$156.85
60000
Digital subtraction angiography, examination of head and neck with or without arch aortography—1 to 3 data acquisition runs (R)
$522.50
60003
Digital subtraction angiography, examination of head and neck with or without arch aortography—4 to 6 data acquisition runs (R)
$767.65
60006
Digital subtraction angiography, examination of head and neck with or without arch aortography—7 to 9 data acquisition runs (R)
$1092.85
60009
Digital subtraction angiography, examination of head and neck with or without arch aortography—10 or more data acquisition runs (R)
$1279.45
60012
Digital subtraction angiography, examination of thorax—1 to 3 data acquisition runs (R)
$522.50
60015
Digital subtraction angiography, examination of thorax—4 to 6 data acquisition runs (R)
$767.65
60018
Digital subtraction angiography, examination of thorax—7 to 9 data acquisition runs (R)
$1092.85
60021
Digital subtraction angiography, examination of thorax—10 or more data acquisition runs (R)
$1279.45
60024
Digital subtraction angiography, examination of abdomen—1 to 3 data acquisition runs (R)
$522.50
60027
Digital subtraction angiography, examination of abdomen—4 to 6 data acquisition runs (R)
$767.65
60030
Digital subtraction angiography, examination of abdomen—7 to 9 data acquisition runs (R)
$1092.85
60033
Digital subtraction angiography, examination of abdomen—10 or more data acquisition runs (R)
$1279.45
60036
Digital subtraction angiography, examination of upper limb or limbs—1 to 3 data acquisition runs (R)
$522.50
60039
Digital subtraction angiography, examination of upper limb or limbs—4 to 6 data acquisition runs (R)
$767.65
60042
Digital subtraction angiography, examination of upper limb or limbs—7 to 9 data acquisition runs (R)
$1092.85
60045
Digital subtraction angiography, examination of upper limb or limbs—10 or more data acquisition runs (R)
$1279.45
60048
Digital subtraction angiography, examination of lower limb or limbs—1 to 3 data acquisition runs (R)
$522.50
60051
Digital subtraction angiography, examination of lower limb or limbs—4 to 6 data acquisition runs (R)
$767.65
60054
Digital subtraction angiography, examination of lower limb or limbs—7 to 9 data acquisition runs (R)
$1092.85
60057
Digital subtraction angiography, examination of lower limb or limbs—10 or more data acquisition runs (R)
$1279.45
60060
Digital subtraction angiography, examination of aorta and lower limb or limbs—1 to 3 data acquisition runs (R)
$522.50
60063
Digital subtraction angiography, examination of aorta and lower limb or limbs—4 to 6 data acquisition runs (R)
$767.65
60066
Digital subtraction angiography, examination of aorta and lower limb or limbs—7 to 9 data acquisition runs (R)
$1092.85
60069
Digital subtraction angiography, examination of aorta and lower limb or limbs—10 or more data acquisition runs (R)
$1279.45
60072
Selective arteriography or selective venography by digital subtraction angiography technique—1 vessel (NR)
$44.80
60075
Selective arteriography or selective venography by digital subtraction angiography technique—2 vessels (NR)
$89.60
60078
Selective arteriography or selective venography by digital subtraction angiography technique—3 or more vessels (NR)
$134.35
Subgroup 14—Tomography and Report
60100
Tomography of any region and report (R)
$62.95
Subgroup 15—Fluoroscopic Examination and Report
60500
Fluoroscopy, with general anaesthesia (R) (Anaes. 17707 = 5B + 2T)
$44.95
60503
Fluoroscopy, without general anaesthesia (R)
$30.85
60506
Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting less than 1 hour, not being a service associated with a service to which another item in this table applies (R)
$66.05
60509
Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting 1 hour or more, not being a service associated with a service to which another item in this table applies (R)
$102.35
Subgroup 16—Examination not otherwise covered and Report
60700
Radiographic examination of region and report, not being a service to which another item in this Group applies (R)
$5.20
Subgroup 17—Preparation for Radiological Procedure
60903
Cerebral angiography—1 side—percutaneous, catheter or open exposure (NR) (Anaes. 17710 = 5B + 5T)
$132.75
60909
Dacryocystography—1 side (NR)
$41.15
60915
Aortography (NR) (Anaes. 17709 = 5B + 4T)
$73.10
60918
Arteriography (peripheral) or phlebography—1 vessel (NR) (Anaes. 17708 = 5B + 3T)
$54.50
60927
Selective arteriogram or phlebogram (NR) (Anaes. 17708 = 5B + 3T)
$45.00
60930
Percutaneous injection of opaque contrast into renal cyst (including aspiration) or renal pelvis for antegrade pyelography (NR)
$62.95
60933
Pneumoarthrography or pneumoperitoneum (NR)
$50.10
60936
Single or double contrast arthrography, excluding arthrography of the joints between articular processes of the vertebrae (NR)
$50.20
60939
Drip‑infusion cholegraphy (NR)
$37.65
60942
Retrograde or percutaneous micturating cystourethrography or cystography or urethrography (NR)
$70.65
60945
Hysterosalpingography (NR) (Anaes. 17705 = 3B + 2T)
$62.95
60948
Discography—1 disc (NR) (Anaes. 17707 = 5B + 2T)
$41.15
60957
Myelography (NR) (Anaes. 17712 = 7B + 5T)
$123.35
60966
Sinus or fistula (NR)
$21.35
60969
Sialography (NR)
$56.10
60972
Lymphangiography—1 side (NR)
$123.35
60981
Percutaneous transhepatic cholangiogram (NR) (Anaes. 17709 = 4B + 5T)
$123.35
Subgroup 18—Interventional Techniques
61109
Fluoroscopy in an angiography suite with image intensification, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)
$266.55
GROUP I4—NUCLEAR MEDICINE IMAGING
61302
Single stress or rest myocardial perfusion study with thallium or sestamibi—planar imaging (R)
$369.20
61303
Single stress or rest myocardial perfusion study with thallium or sestamibi, with single photon emission tomography and with planar imaging when undertaken (R)
$479.20
61306
Combined stress and rest, stress and re-injection, or rest and redistribution, myocardial perfusion study with thallium or sestamibi, or both, including delayed imaging or re-injection protocol on a subsequent occasion—planar imaging (R)
$589.45
61307
Combined stress and rest, stress and re-injection, or rest and redistribution, myocardial perfusion study with thallium or sestamibi, or both, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography and with planar imaging when undertaken (R)
$719.45
61310
Myocardial infarct-avid study, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$302.65
61313
Gated cardiac blood pool study (equilibrium), with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$256.90
61314
Gated cardiac blood pool study, and first pass blood flow or cardiac shunt study, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$349.70
61316
Gated cardiac blood pool study, with intervention, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$318.00
61317
Gated cardiac blood pool study, with intervention and first pass blood flow study or cardiac shunt study, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$410.80
61320
Cardiac first pass blood flow study or cardiac shunt study, not being a service to which another item in this Group applies (R)
$193.30
61328
Lung perfusion study, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$183.50
61340
Lung ventilation study using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$212.80
61348
Lung perfusion study and lung ventilation study using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$367.00
61352
Liver and spleen study (colloid)—planar imaging (R)
$217.75
61353
Liver and spleen study (colloid), with single photon emission tomography and with planar imaging when undertaken (R)
$317.75
61356
Red blood cell spleen or liver study, including single photon emission tomography when undertaken (R)
$322.65
61360
Hepatobiliary study, including morphine administration or pre-treatment with cholecystokinin (CCK) when undertaken (R)
$334.70
61361
Hepatobiliary study with formal quantification following baseline imaging, using an infusion of cholecystokinin (CCK) (R)
$384.70
61364
Bowel haemorrhage study (R)
$409.80
61368
Meckel’s diverticulum study (R)
$188.40
61372
Salivary study (R)
$188.40
61373
Gastro-oesophageal reflux study, including delayed imaging on a separate occasion when undertaken (R)
$403.70
61376
Oesophageal clearance study (R)
$121.10
61381
Gastric emptying study, using single tracer (R)
$499.45
61383
Combined solid and liquid gastric emptying study using dual isotope technique or the same isotope on separate days (R)
$542.20
61384
Radionuclide colonic transit study (R)
$600.00
61386
Renal study, including perfusion and renogram images and computer analysis or cortical study with planar imaging (R)
$275.25
61387
Renal cortical study, with single photon emission tomography and planar quantification (R)
$375.25
61389
Single renal study with pre-procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R)
$305.25
61390
Renal study with diuretic administration following a baseline study (R)
$336.40
61393
Combined examination involving a renal study following angiotensin converting enzyme (ACE) inhibitor provocation and a baseline study, in either order and related to a single referral episode (R)
$511.20
61397
Cystoureterogram (R)
$207.95
61401
Testicular study (R)
$137.00
61402
Brain study using TC-exametazine, with single photon emission tomography and with planar imaging when undertaken (R)
$501.10
61405
Brain study with blood brain barrier agent, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)
$285.95
61409
Cerebro-spinal fluid transport study, with imaging on 2 or more separate occasions (R)
$727.80
61413
Cerebro-spinal fluid shunt patency study (R)
$190.80
61417
Dynamic blood flow study or regional blood volume quantitative study, not being a service associated with a service to which another item in this Group applies (R)
$100.30
61421
Bone study—whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)
$399.70
61425
Bone study—whole body and single photon emission tomography, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)
$503.70
61426
Whole body study using iodine (R)
$458.70
61429
Whole body study using gallium (R)
$448.70
61430
Whole body study using gallium, with single photon emission tomography (R)
$558.70
61433
Whole body study using cells labelled with Technetium (R)
$409.80
61434
Whole body study using cells labelled with Technetium, with single photon emission tomography (R)
$509.80
61437
Whole body study using thallium (R)
$448.50
61438
Whole body study using thallium, with single photon emission tomography (R)
$558.50
61441
Bone marrow study—whole body (R)
$403.70
61446
Localised bone or joint study, including when undertaken, blood flow, blood pool and repeat imaging on a separate occasion (R)
$279.30
61449
Localised bone or joint study and single photon emission tomography, including when undertaken, blood flow, blood pool and imaging on a separate occasion (R)
$381.30
61450
Localised study using gallium (R)
$326.40
61453
Localised study using gallium, with single photon emission tomography (R)
$436.40
61454
Localised study using cells labelled with Technetium (R)
$287.50
61457
Localised study using cells labelled with technetium, with single photon emission tomography (R)
$387.50
61458
Localised study using thallium (R)
$325.90
61461
Localised study using thallium, with single photon emission tomography (R)
$435.90
61462
Repeat planar and single photon emission tomography imaging, or repeat planar or single photon emission tomography imaging on a separate occasion using the same administration of radiopharmaceutical agent, not being a service associated with items 61373, 61409, 61421, 61425, 61446, 61449, 61484 or 61485 (R)
Amount under rule 14
61465
Venography (R)
$222.65
61469
Lymphoscintigraphy (R)
$287.50
61473
Thyroid study including uptake measurement when undertaken (R)
$150.00
61480
Parathyroid study, including planar imaging and single photon emission tomography when undertaken (R)
$318.00
61484
Adrenal study, with imaging on 2 or more separate occasions (R)
$734.00
61485
Adrenal study, with imaging on 2 or more occasions and renal localisation and single photon emission tomography when undertaken (R)
$834.00
61495
Tear duct study (R)
$188.40
61499
Particle perfusion study (intra-arterial) or Le Veen shunt study (R)
$212.80
61503
Study of region or organ, not being a service to which another item in this Group applies (R)
$5.20
____________________________________________________________
NOTE
1. Notified in the Commonwealth of Australia Gazette on 30 October 1996.
