Health Insurance (1992-1993 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 20 October 1992.
BILL HAYDEN
Governor-General
By His Excellency’s Command,
B. HOWE
Minister of State for Health, Housing and Community Services
____________
Citation
These Regulations may be cited as the Health Insurance (1992-1993 Diagnostic Imaging Services Table) Regulations.
Commencement
These Regulations commence on 1 November 1992.
Repeal
Statutory Rules 1991 No. 352 and 1992 Nos. 120 and 240 are repealed.
Diagnostic imaging services table
The table of diagnostic imaging services 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
RULES OF INTERPRETATION
General
(1) In this table, unless the contrary intention appears, “the Act” means the Health Insurance Act 1973.
(2) In this table, a reference by number to an item in the series 11603 to 11612 (both inclusive) is a reference to the item so numbered in the table of general medical services.
Meaning of “(AU n)”
The symbol “(AU n)” (where n is a number) is explained in the general medical services table in items 17901 to 17959 (inclusive).
Meaning of “(C)” and (“NC)”
(1) An item including the symbol “(C)” applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that has computerised processing facilities capable of being used for the service.
(2) An item including the symbol “(NC)” applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that does not have computerised processing facilities capable of being used for the service.
SCHEDULE—continued
Meaning of “(R)” and “(NR)”
(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)”
An item including the symbol “(S)” applies only to a service given by a specialist in the practice of diagnostic radiology.
Who may give a diagnostic imaging service
A diagnostic imaging service set out in this table is a diagnostic imaging service for the purposes of the Act, whether the service is given by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who:
(i) is employed by a medical practitioner; or
(ii) gives the service under the supervision of a medical practitioner in accordance with accepted medical practice.
Meaning of “report” in certain items
In items 55000 to 61109 (inclusive), “report” means a report prepared by a medical practitioner.
Meaning of “group of practitioners” in item 55003
In item 55003, “group of practitioners” has the same meaning as in subsection 16A (10) of the Act.
Meaning of “amount under rule 9” in item 57303
In item 57303, “amount under rule 9” means an amount equal to the sum of:
(a) the fee set out in the item in items 56000 to 57406 (inclusive) in conjunction with which a service referred to in item 57303 is given; and
(b) $110.00.
SCHEDULE—continued
Meaning of “amount under rule 10” in certain items
In items 59103, 59739 and 60300, “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, 59739 or 60300 is given; and
(b) 1 of the following amounts:
(i) in the case of item 59103—$20.50;
(ii) in the case of item 59739—$21.50;
(iii) in the case of item 60300—$12.80.
Preparation of patients for radiological procedures
Items 60900 to 60981 (inclusive) apply only to the preparation of a patient for a radiological procedure by:
(a) injecting opaque or contrast media; or
(b) removing fluid and replacing it by air, oxygen or other contrast media; or
(c) a similar method.
Meaning of “angiography suite” in item 61109
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
Items 61300 to 61502 (inclusive) apply to a nuclear scanning service only if:
(a) the performance of the scan is undertaken:
(i) by a medical practitioner; or
(ii) by a person acting on behalf of a medical practitioner in the presence of the practitioner; and
(b) the compilation of the final report is undertaken by the medical practitioner who undertook the preliminary examination of the patient and the estimation and administration of the dosage.
SCHEDULE— continued
Meaning of “amount under rule 14” in certain items
In items 61322 and 61323, “amount under rule 14” means an amount equal to the sum of:
(a) the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which a service referred to in item 61322 or 61323 is given and:
(b) 1 of the following amounts:
(i) in the case of item 61322—$89.00;
(ii) in the case of item 61323—$67.00.
Meaning of “amount under rule 15” in item 61490
In item 61490, “amount under rule 15” means an amount equal to the sum of:
(a) the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which a service referred to in item 61490 is given; and
(b) $178.00.
SERVICES AND FEES
Item
Diagnostic imaging service
Fee
$
GROUP I1—ULTRASOUND
Subgroup 1—General
55000
Ultrasonic cross-sectional echography, not being a service associated with a service to which item 55003, 55004, 55006, 55102, 55105, 55112, 55118, 55124, 55130, 55201, 55204, 55225, 55231, 55234 or 55237 applies, if the patient is not referred by a medical practitioner for ultrasonic examination—each ultrasonic examination not exceeding 2 examinations in 1 pregnancy (NR)
33.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
55003
Ultrasonic cross-sectional echography, performed by, or on behalf of, a medical practitioner, if:(a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55004, 55006, 55102, 55105, 55112, 55118, 55124, 55130, 55201, 55204, 55225, 55231, 55234 or 55237 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)
95.00
55004
Ultrasonic cross-sectional echography, in association with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)
95.00
55006
Ultrasonic echography, unidimensional, not being a service associated with a service to which item 55003, 55004, 55102, 55105, 55112, 55201, 55204, 55225, 55231, 55234 or 55237 applies (NR)
57.00
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 item 55000, 55003 or 55006 applies (R)
156.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
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 item 55000, 55003 or 55006 applies (R)
88.00
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, together with 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 item 55000, 55003 or 55006 applies (R)
240.00
55118
2 dimensional real time transoesophageal echocardiographic examination of the heart, not associated with another echocardiographic examination (R)
190.00
55124
2 dimensional real time transoesophageal echocardiographic examination of the heart, associated with another echocardiographic examination (R)
95.00
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)
345.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
Subgroup 3—Vascular
55201
Duplex scanning (unilaterial or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries) or peripheral vessels or intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy-related studies), not being a service associated with a service to which item 55000, 55003 or 55006 applies—1 examination and report (R)
164.00
55204
2 or more examinations of the kind referred to in item 55201 and report, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R)
280.00
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 item 55000, 55003 or 55006 applies—examination and report (R)
196.00
55231
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels and carotid vessels, with oculoplethysmography, not being a service associated with a service to which item 55000, 55003 or 55006 applies—examination and report (R)
315.00
55234
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which item 55000, 55003 or 55006 applies—examination and report (R)
190.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
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 after exercise for 10 minutes or until pressure is normal (unilateral or bilateral), not being a service associated with a service to which item 55000, 55003 or 55006 applies—examination and report (R)
210.00
GROUP I2—COMPUTERISED TOMOGRAPHY(EXCLUDING MAGNETIC RESONANCE IMAGING)
Subgroup 1—Computerised Tomography on a Body Scanner and Report
56000
Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium, not being a service associated with a service to which item 57000 or 57100 applies (R)
142.00
56003
Computerised tomography—scan of brain with or without scan of internal auditory meatus with intravenous contrast medium, not being a service associated with a service to which item 57003 or 57103 applies (R)
196.00
56006
Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) with intravenous contrast medium, not being a service associated with a service to which item 57006 or 57106 applies (R)
230.00
56009
Computerised tomography—scan of pituitary fossa by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)
470.00
56012
Computerised tomography—scan of orbits by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)
465.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
56015
Computerised tomography—scan of middle ear and temporal bone, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R)
455.00
56018
Computerised tomography—scan of temporal bones with air study (including reconstructions), including intrathecal injection but not including an associated brain scan (R)
365.00
56021
Computerised tomography—scan of facial bones, sinuses and salivary glands of 1 or more regions without intravenous contrast medium (R)
255.00
56024
Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of 1 or more regions with intravenous contrast medium (R)
270.00
56027
Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of 1 or more regions without and with intravenous contrast medium (R)
385.00
56100
Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of 1 or more regions without intravenous contrast medium, not being a service to which item 56900 applies (R)
365.00
56103
Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of 1 or more regions with intravenous contrast medium, not being a service to which item 56903 applies (R)
395.00
56106
Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of 1 or more regions without and with intravenous contrast medium, not being a service to which item 56906 applies (R)
430.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
56200
Computerised tomography—scan of spine, 1or more regions, 25 slices or less without intravenous contrast medium (R)
180.00
56203
Computerised tomography—scan of spine, 1 or more regions, 25 slices or less with intravenous contrast medium (R)
210.00
56206
Computerised tomography—scan of spine, 1 or more regions, 25 slices or less without and with intravenous contrast medium (R)
280.00
56209
Computerised tomography—scan of spine, 1 or more regions, 26 or more slices without intravenous contrast medium (R)
255.00
56212
Computerised tomography—scan of spine, 1 or more regions, 26 or more slices with intravenous contrast medium (R)
280.00
56215
Computerised tomography—scan of spine, 1 or more regions, 26 or more slices without and with intravenous contrast medium (R)
395.00
56218
Computerised tomography—scan of spine, 1 or more regions with intrathecal contrast medium, not including the preparation by intrathecal injection of contrast medium (R)
255.00
56300
Computerised tomography—scan of chest, including lungs, mediastinum and pleura, without intravenous contrast medium, not being a service associated with a service to which item 56700, 56800, 56900, 57000 or 57100 applies (R)
255.00
56303
Computerised tomography—scan of chest, including lungs, mediastinum and pleura, with intravenous contrast medium, not being a service associated with a service to which item 56703, 56803, 56903, 57003 or 57103 applies (R)
290.00
56306
Computerised tomography—scan of chest, including lungs, mediastinum and pleura, without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service associated with a service to which item 56706, 56806, 56906, 57006 or 57106 applies (R)
365.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
56400
Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium, not being a service associated with a service to which item 56700, 56800, 56900 or 57100 applies (R)
142.00
56403
Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis with intravenous contrast medium, not being a service associated with a service to which item 56703, 56803, 56903 or 57103 applies (R)
172.00
56406
Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service associated with a service to which item 56706, 56806, 56906 or 57106 applies (R)
280.00
56500
Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium, not being a service associated with a service to which item 56700, 56800, 56900 or 57100 applies (R)
215.00
56503
Computerised tomography—scan of upper abdomen and pelvis with intravenous contrast medium, not being a service associated with a service to which item 56703, 56803, 56903 or 57103 applies (R)
260.00
56506
Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium, not being a service associated with a service to which item 56706, 56806, 56906 or 57106 applies (R)
365.00
56600
Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices without intravenous contrast medium (R)
142.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
56603
Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices with intravenous contrast medium (R)
172.00
56606
Computerised tomography—scan of extremities, 1 or more regions involving up to 20 slices without and with intravenous contrast medium (R)
210.00
56609
Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices without intravenous contrast medium (R)
180.00
56612
Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices with intravenous contrast medium (R)
210.00
56615
Computerised tomography—scan of extremities, 1 or more regions involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium (R)
280.00
56618
Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices without intravenous contrast medium (R)
255.00
56621
Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices with intravenous contrast medium (R)
280.00
56624
Computerised tomography—scan of extremities, 1 or more regions involving more than 40 slices without and with intravenous contrast medium (R)
355.00
56700
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without intravenous contrast medium, not being a service associated with a service to which item 56800, 56900 or 57100 applies (R)
255.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
56703
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) with intravenous contrast medium, not being a service associated with a service to which item 56803, 56903 or 57103 applies (R)
295.00
56706
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without and with intravenous contrast medium, not being a service associated with a service to which item 56806, 56906 or 57106 applies (R)
370.00
56800
Computerised tomography—scan of chest, abdomen and pelvis without intravenous contrast medium, not being a service associated with a service to which item 56900 applies (R)
330.00
56803
Computerised tomography—scan of chest, abdomen and pelvis with intravenous contrast medium, not being a service associated with a service to which item 56903 applies (R)
370.00
56806
Computerised tomography—scan of chest, abdomen and pelvis without and with intravenous contrast medium, not being a service associated with a service to which item 56906 applies (R)
525.00
56900
Computerised tomography—scan of neck, chest, abdomen and pelvis without intravenous contrast medium (R)
475.00
56903
Computerised tomography—scan of neck, chest, abdomen and pelvis with intravenous contrast medium (R)
525.00
56906
Computerised tomography—scan of neck, chest, abdomen and pelvis without and with intravenous contrast medium (R)
630.00
57000
Computerised tomography scan of brain and chest without intravenous contrast medium (R)
255.00
57003
Computerised tomography—scan of brain and chest with intravenous contrast medium (R)
295.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
57006
Computerised tomography—scan of brain and chest without and with intravenous contrast medium (R)
410.00
57100
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium (R)
365.00
57103
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium (R)
410.00
57106
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without and with intravenous contrast medium (R)
525.00
57200
Computerised tomography—pelvimetry (R)
142.00
57300
Computerised tomography—dynamic scan of region, not being a service associated with a service to which another item in this Group applies (R)
172.00
57303
Computerised tomography—dynamic scan of region, when associated with another item in this Group (R)
Amount under rule 9
57340
Computerised tomography, in association with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R)
255.00
Subgroup 2—Computerised Tomography on a Brain Scanner
57400
Computerised tomography—scan of brain without intravenous contrast medium (R)
72.00
57403
Computerised tomography—scan of brain with intravenous contrast medium (R)
87.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
57406
Computerised tomography—scan of brain without and with intravenous contrast medium (R)
136.00
GROUP I3—DIAGNOSTIC RADIOLOGY
Subgroup 1—Radiographic Examination of Extremities and Report
57500
Digits or phalanges—all or any of either hand or either foot (NR)
29.50
57503
Digits or phalanges—all or any of either hand or either foot (R)
39.50
57506
Hand, wrist, forearm, elbow or arm (elbow to shoulder) (NR)
29.50
57509
Hand, wrist, forearm, elbow or arm (elbow to shoulder) (R)
39.50
57512
Hand, wrist and lower forearm, upper forearm and elbow or elbow and arm (elbow to shoulder) (NR)
40.00
57515
Hand, wrist and lower forearm, upper forearm and elbow or elbow and arm (elbow to shoulder) (R)
Sternum and ribs on 1 side or ribs on both sides (R)
56.00
58527
Sternum and ribs on both sides (R)
69.00
Subgroup 7—Radiographic Examination of Urinary Tract and Report
58700
Plain renal only (R)
47.00
58703
Drip-infusion pyelography (R)
130.00
58706
Intravenous pyelography, including preliminary plain film (R)
124.00
58709
Intravenous pyelography, including preliminary plain film and limited tomography, involving up to 3 tomographic cuts (R)
154.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
58712
Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflex (R)
156.00
58715
Antegrade or retrograde pyelography including preliminary plain film (R)
99.00
58718
Retrograde cystography or retrograde urethrography (R)
65.00
58721
Retrograde micturating cysto-urethrography (R)
78.00
58724
Retro-peritoneal pneumogram (R)
49.50
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)
35.00
58903
Plain abdominal only, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (R)
47.00
58906
Oesophagus, with or without examination for foreign body or barium swallow (R)
67.00
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)
91.00
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)
108.00
58915
Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R)
78.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
58918
Opaque enema (R)
91.00
58921
Opaque enema, including air contrast study (R)
108.00
58924
Graham's test (cholecystography), including preliminary abdominal radiography (R)
78.00
58927
Cholegraphy direct—operative or post-operative (R)
75.00
58930
Cholegraphy—intravenous (R)
108.00
58933
Cholegraphy—percutaneous transhepatic (R)
89.00
58936
Cholegraphy—drip infusion (R)
148.00
Subgroup 9—Radiographic Examination for Localisation of Foreign Bodies and Report
59100
Foreign body in eye (special method, Sweet's or other) (R)
65.00
59103
Foreign body, localization of and report, not being a service associated with a service to which another item in this Group applies (R)
Amount under rule 10
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
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)
78.00
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 breast 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)
47.00
59306
Mammary ductogram (galactography)—1 breast (R)
90.00
59309
Mammary ductogram (galactography)—2 breasts (R)
180.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
Subgroup 11—Radiographic Examination in connection with Pregnancy and Report
59500
Pregnant uterus (R)
48.00
59503
Pelvimetry or placentography (R)
89.00
59506
Control X-rays associated with intrauterine foetal blood transfusion (R)
65.00
Subgroup 12—Radiographic Examination with Opaque or Contrast Media and Report
59700
Discography—1 disc (R)
69.00
59703
Dacryocystography—1 side (R)
47.00
59706
Encephalography (R)
102.00
59709
Cerebral ventriculography (R)
89.00
59712
Hysterosalpingography (R)
67.00
59715
Bronchography—1 side (R)
99.00
59718
Phlebography—1 side (R)
99.00
59721
Splenography (R)
99.00
59724
Myelography, 1 region (R)
118.00
59727
Myelography, 2 regions (R)
198.00
59730
Myelography, 3 regions (R)
265.00
59733
Sialography—1 side (R)
67.00
59736
Vasoepididymography—1 side (R)
67.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
59739
Sinuses and fistulae (R)
Amount under rule 10
59742
Laryngography with contrast media (R)
49.50
59745
Pneumoarthrography (R)
42.00
59748
Arthrography—contrast (R)
49.50
59751
Arthrography—double contrast (R)
86.00
59754
Lymphangiography, including follow up radiography (R)
65.00
59757
Pneumomediastinum (R)
60.00
Subgroup 13—Angiography and report
59900
Serial angiocardiography (rapid cassette changing)—each series (R) (AU 8)
83.00
59903
Serial angiocardiography (single plane, direct roll-film method)—each series (R) (AU 8)
114.00
59906
Serial angiocardiography (bi-plane, direct roll-film method)—each series (R) (AU 8)
114.00
59909
Serial angiocardiography (indirect roll-film method)—each series (R) (AU 8)
114.00
59912
Selective coronary arteriography (R)
300.00
59915
Cerebral angiography—1 side (R)
78.00
59918
Arteriography, peripheral—1 side (R)
99.00
59921
Aortography (R)
99.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
59924
Selective arteriography, each injection and film run (R)
99.00
60000
Digital subtraction angiography, examination of head and neck with or without arch aortography, 1 to 3 data acquisition runs (R)
500.00
60003
Digital subtraction angiography, examination of head and neck with or without arch aortography, 4 to 6 data acquisition runs (R)
735.00
60006
Digital subtraction angiography, examination of head and neck with or without arch aortography, 7 to 9 data acquisition runs (R)
1,050.00
60009
Digital subtraction angiography, examination of head and neck with or without arch aortography, 10 or more data acquisition runs (R)
1,230.00
60012
Digital subtraction angiography, examination of thorax, 1 to 3 data acquisition runs (R)
500.00
60015
Digital subtraction angiography, examination of thorax, 4 to 6 data acquisition runs (R)
735.00
60018
Digital subtraction angiography, examination of thorax, 7 to 9 data acquisition runs (R)
1,050.00
60021
Digital subtraction angiography, examination of thorax, 10 or more data acquisition runs (R)
1,230.00
60024
Digital subtraction angiography, examination of abdomen, 1 to 3 data acquisition runs (R)
500.00
60027
Digital subtraction angiography, examination of abdomen, 4 to 6 data acquisition runs (R)
735.00
60030
Digital subtraction angiography, examination of abdomen, 7 to 9 data acquisition runs (R)
1,050.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
60033
Digital subtraction angiography, examination of abdomen, 10 or more data acquisition runs (R)
1,230.00
60036
Digital subtraction angiography, examination of upper limb or limbs, 1 to 3 data acquisition runs (R)
500.00
60039
Digital subtraction angiography, examination of upper limb or limbs, 4 to 6 data acquisition runs (R)
735.00
60042
Digital subtraction angiography, examination of upper limb or limbs, 7 to 9 data acquisition runs (R)
1,050.00
60045
Digital subtraction angiography, examination of upper limb or limbs, 10 or more data acquisition runs (R)
1,230.00
60048
Digital subtraction angiography, examination of lower limb or limbs, 1 to 3 data acquisition runs (R)
500.00
60051
Digital subtraction angiography, examination of lower limb or limbs, 4 to 6 data acquisition runs (R)
735.00
60054
Digital subtraction angiography, examination of lower limb or limbs, 7 to 9 data acquisition runs (R)
1,050.00
60057
Digital subtraction angiography, examination of lower limb or limbs, 10 or more data acquisition runs (R)
1,230.00
60060
Digital subtraction angiography, examination of aorta and lower limb or limbs, 1 to 3 data acquisition runs (R)
500.00
60063
Digital subtraction angiography, examination of aorta and lower limb or limbs, 4 to 6 data acquisition runs (R)
735.00
60066
Digital subtraction angiography, examination of aorta and lower limb or limbs, 7 to 9 acquisition runs (R)
1,050.00
60069
Digital subtraction angiography, examination of aorta and lower limb or limbs, 10 or more acquisition runs (R)
1,230.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
60072
Selective arteriography or selective venography by digital subtraction angiography technique, 1 vessel (NR)
43.00
60075
Selective arteriography or selective venography by digital subtraction angiography, 2 vessels (NR)
86.00
60078
Selective angiography or selective venography by digital subtraction angiography technique, 3 or more vessels (NR)
128.00
Subgroup 14—Tomography and Report
60100
Tomography of any region and report (R)
60.00
Subgroup 15—Stereoscopic Examination and Report
60300
Stereoscopic examination of any region and report (R)
Amount under rule 10
Subgroup 16—Fluoroscopic examination and report
60500
Fluoroscopy, with general anaesthesia, not being a service associated with a radiographic examination) (R) (AU 7)
43.00
60503
Fluoroscopy without general anaesthesia, not being a service associated with a radiographic examination (R)
29.50
60506
Fluoroscopy, using a mobile image intensifier, in association 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)
63.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
60509
Fluoroscopy, using a mobile image intensifier, in association with a surgical procedure lasting 1 hour or longer, not being a service associated with a service to which another in this table applies (R)
98.00
Subgroup 17—Examination not otherwise covered and Report
60700
Radiographic examination of any region and report, not being a service associated with a service to which another item in this Group applies (R)
20.50
Subgroup 18—Preparation for Radiological Procedure
60900
Encephalography (NR) (AU 10)
180.00
60903
Cerebral angiography, 1 side—percutaneous, catheter or open exposure (NR) (AU 10)
128.00
60906
Cerebral ventriculography (NR) (AU 10)
172.00
60909
Dacryocystography—1 side (NR)
39.50
60912
Bronchography—1 or both sides (NR) (AU 8)
60.00
60915
Aortography (NR) (AU 8)
70.00
60918
Arteriography (peripheral) or phlebography—1 vessel (NR) (AU 6)
52.00
60921
Splenography (NR) (AU 6)
43.00
60924
Retroperitoneal pneumogram (NR)
47.00
60927
Selective arteriogram or phlebogram (NR) (AU 6)
43.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
60930
Percutaneous injection of radio-opaque material into renal pelvis or into a renal cyst (including aspiration of the cyst) for antegrade pyelography (NR)
60.00
60933
Pneumoarthrography or pneumoperitoneum (NR)
48.00
60936
A single or double contrast arthrography excluding arthrography of the joints between articular processes of the vertebrae (NR)
48.00
60939
Drip-infusion pyelography or drip-infusion cholegraphy (NR)
36.00
60942
Retrograde micturating cystourethrography (NR)
68.00
60945
Hysterosalpingography (NR) (AU 6)
60.00
60948
Discography—1 disc (NR) (AU 5)
39.50
60951
Discography using Metrizamide contrast medium (NR)
60.00
60954
Intra-osseous venography (NR)
45.00
60957
Myelography, not being a service to which item 60960 applies (NR) (AU 11)
118.00
60960
Myelography, using Metrizamide (Amipaque) contrast medium (NR) (AU 11)
166.00
60963
Cisternal puncture (NR)
78.00
60966
Sinus or fistula injection into (NR)
20.50
60969
Sialography (NR)
54.00
60972
Lymphangiography—1 side (NR)
118.00
60975
Laryngography (NR)
60.00
60978
Pneumomediastinum (NR)
78.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
60981
Cholegram, percutaneous transhepatic (NR) (AU 11)
118.00
Subgroup 19—Interventional Techniques
61109
Fluoroscopy in an angiography suite with image intensification, in association with a surgical procedure, using interventional techniques, not being a service associated with a service to which another item in this table applies (R)
255.00
GROUP I5—NUCLEAR MEDICINE IMAGING
61300
Myocardial perfusion study using thallium—single study for stress or reperfusion (R) (C)
365.00
61301
Myocardial perfusion study using thallium—single study for stress or reperfusion (R) (NC)
270.00
61304
Myocardial perfusion study using thallium—combined study for stress and reperfusion (R) (C)
575.00
61305
Myocardial perfusion study using thallium—combined study for stress and reperfusion (R) (NC)
430.00
61308
Myocardial infarct-avid imaging study (R) (C)
215.00
61309
Myocardial infarct-avid imaging study (R) (NC)
160.00
61312
Gated cardiac blood pool (equilibrium) study (R) (C)
245.00
61315
Gated cardiac blood pool study with intervention (R) (C)
305.00
61318
Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, not being a service associated with a service to which another item in this Group applies (R) (C)
186.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
61319
Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, not being a service associated with a service to which another item in this Group applies (R) (NC)
138.00
61322
Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, when associated with a service to which another item in this Group applies (R) (C)
Amount under rule 14
61323
Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, when associated with a service to which another item in this Group applies (R) (NC)
Amount under rule 14
61326
Lung perfusion study (R) (C)
176.00
61327
Lung perfusion study (R) (NC)
132.00
61330
Lung ventilation study using Xe127 gas (R) (C)
295.00
61331
Lung ventilation study using Xe127 gas (R) (NC)
220.00
61334
Lung ventilation study using Xe133 gas (R) (C)
164.00
61335
Lung ventilation study using Xe133 gas (R) (NC)
122.00
61338
Lung ventilation study using aerosol (R) (C)
205.00
61339
Lung ventilation study using aerosol (R) (NC)
152.00
61342
Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (R) (C)
315.00
61343
Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (R) (NC)
235.00
61346
Lung perfusion study and lung ventilation study using aerosol (R) (C)
350.00
61347
Lung perfusion study and lung ventilation study using aerosol (R) (NC)
265.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
61350
Liver and spleen study (colloid) (R) (C)
210.00
61351
Liver and spleen study (colloid) (R) (NC)
158.00
61354
Red blood cell spleen or liver study (R) (C)
215.00
61355
Red blood cell spleen or liver study (R) (NC)
160.00
61358
Hepatobiliary study (R) (C)
340.00
61359
Hepatobiliary study (R) (NC)
250.00
61362
Bowel haemorrhage study (R) (C)
395.00
61363
Bowel haemorrhage study (R) (NC)
295.00
61366
Meckel's diverticulum study (R) (C)
180.00
61367
Meckel's diverticulum study (R) (NC)
136.00
61370
Salivary study (R) (C)
180.00
61371
Salivary study (R) (NC)
136.00
61374
Gastro-oesophageal reflux study (R) (C)
385.00
61375
Gastro-oesophageal reflux study (R) (NC)
290.00
61378
Oesophageal clearance study (R) (C)
116.00
61379
Oesophageal clearance study (R) (NC)
87.00
61382
Gastric emptying study using single tracer (R) (C)
575.00
61385
Gastric emptying study using dual tracer (R) (C)
615.00
61388
Renal study with or without dynamic flow study and with or without computer extraction of functional parameters (R) (C)
265.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
61391
Renal study with intervention (R) (C)
325.00
61392
Renal study with intervention (R) (NC)
240.00
61395
Cystoureterogram (R) (C)
200.00
61396
Cystoureterogram (R) (NC)
150.00
61399
Testicular study (R) (C)
132.00
61400
Testicular study (R) (NC)
99.00
61403
Brain study with blood brain barrier agent (R) (C)
178.00
61404
Brain study with blood brain barrier agent (R) (NC)
134.00
61407
Cerebro-spinal fluid transport study (R) (C)
700.00
61408
Cerebro-spinal fluid transport study (R) (NC)
520.00
61411
Cerebro-spinal fluid shunt patency study (R) (C)
184.00
61412
Cerebro-spinal fluid shunt patency study (R) (NC)
136.00
61415
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) (C)
96.00
61416
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) (NC)
72.00
61419
Bone study—whole body (R) (C)
385.00
61420
Bone study—whole body (R) (NC)
290.00
61423
Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (R) (C)
480.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
61424
Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (R) (NC)
365.00
61427
Whole body study using iodine (R) (C)
440.00
61428
Whole body study using iodine (R) (NC)
330.00
61431
Whole body study using gallium (R) (C)
440.00
61432
Whole body study using gallium (R) (NC)
330.00
61435
Whole body study using cells labelled with technetium (R) (C)
395.00
61436
Whole body study using cells labelled with technetium (R) (NC)
295.00
61439
Bone marrow study—whole body (R) (C)
385.00
61440
Bone marrow study—whole body (R) (NC)
290.00
61443
Repeat of a whole body study on a different occasion using the same administration of radiopharmaceutical (R) (C)
178.00
61444
Repeat of a whole body study on a different occasion using the same administration of radiopharmaceutical (R) (NC)
134.00
61447
Localised bone or joint study including flow and blood pool studies (R) (C)
270.00
61448
Localised bone or joint study including flow and blood pool studies (R) (NC)
200.00
61451
Localised bone, joint, tumour, infection or inflammation seeking study using gallium (R) (C)
325.00
61452
Localised bone, joint, tumour, infection or inflammation seeking study using gallium (R) (NC)
240.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
61455
Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (R) (C)
275.00
61456
Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (R) (NC)
205.00
61459
Repeat of a localised bone, joint, tumour, infection or inflammation seeking study on a different occasion using the same administration of radiopharmaceutical (R) (C)
120.00
61460
Repeat of a localised bone, joint, tumour, infection or inflammation seeking study on a different occasion using the same administration of radiopharmaceutical (R) (NC)
89.00
61463
Venography (including blood pool study, active uptake study or dynamic blood flow study) (R) (C)
215.00
61464
Venography (including blood pool study, active uptake study or dynamic blood flow study) (R) (NC)
160.00
61467
Lymphoscintigraphy (R) (C)
275.00
61468
Lymphoscintigraphy (R) (NC)
205.00
61471
Thyroid study (R) (C)
122.00
61472
Thyroid study (R) (NC)
92.00
61475
Thyroid uptake study performed on gamma camera (R) (C)
60.00
61476
Thyroid uptake study performed on gamma camera (R) (NC)
44.50
61479
Parathyroid (R) (C)
305.00
61482
Adrenal study using selenocholesterol (R) (C)
705.00
61483
Adrenal study using selenocholesterol (R) (NC)
530.00
SCHEDULE—continued
Item
Diagnostic imaging service
Fee
61486
Adrenal study, not being a service associated with a service to which item 61482 or 61483 applies (R) (C)
360.00
61487
Adrenal study, not being a service associated with a service to which item 61482 or 61483 applies (R) (NC)
270.00
61490
Single photon emission tomography, when associated with a service to which another item in this Group applies (R) (C)
Amount under rule 15
61493
Tear duct study (R) (C)
180.00
61494
Tear duct study (R) (NC)
136.00
61497
Particle perfusion study (intra-arterial) or Le Veen Shunt study (R) (C)
205.00
61498
Particle perfusion study (intra-arterial) or Le Veen Shunt study (R) (NC)
152.00
61501
Study of region or organ, not being a service to which another item in this Group applies (R) (C)
11.80
61502
Study of region or organ, not being a service to which another item in this Group applies (R) (NC)