Part Part 2 - Health Insurance (1994-1995 Diagnostic Imaging Services Table) Regulations - SERVICES AND FEES

PART 2—SERVICES AND FEES

GROUP I1—ULTRASOUND

Subgroup 1—General

Item	Diagnostic imaging service	Fee
55028	Head, ultrasound scan of, 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 55055 or an item in Subgroup 2 or 3 of this Group applies; and	$97.00
	(b) the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R)
55029	Head, ultrasound scan of, if 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)	$33.65
55030	Orbital contents, ultrasound scan of, 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 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)	$97.00
55031	Orbital contents, ultrasound scan of, if 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)	$33.65
55032	Neck, 1 or more structures of, ultrasound scan of, 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 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)	$97.00
55033	Neck, 1 or more structures of, ultrasound scan of, if 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)	$33.65
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	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 a member of the patient's family; or(ii) symptoms or indications of malignancy found by a medical practitioner in an examination of the patient (R) (S)	$79.50
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:	$47.95
	(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 by a medical practitioner in an examination of the patient (R) (S)
59306	Mammary ductogram (galactography)—1 breast (R)	$91.70
59309	Mammary ductogram (galactography)—2 breasts (R)	$183.45

	Subgroup 11—Radiographic Examination in connection with Pregnancy and Report
59500	Pregnant uterus (R)	$49.20
59503	Pelvimetry or placentography (R)	$90.90
59506	Control X-rays in conjunction with intrauterine foetal blood transfusion (R)	$66.90

	Subgroup 12—Radiographic Examination with Opaque or Contrast Media and Report
59700	Discography—1 disc (R)	$70.70
59703	Dacryocystography—1 side (R)	$47.95
59706	Encephalography (R)	$104.75
59709	Cerebral ventriculography (R)	$90.90
59712	Hysterosalpingography (R)	$68.15
59715	Bronchography—1 side (R)	$100.95
59718	Phlebography—1 side (R)	$100.95
59721	Splenography (R)	$100.95
59724	Myelography—1 region (R)	$121.15
59727	Myelography—2 regions (R)	$201.95
59730	Myelography—3 regions (R)	$271.35
59733	Sialography—1 side (R)	$68.15
59736	Vasoepididymography—1 side (R)	$68.15
59739	Sinuses and fistulae (R)	Amount under rule 11
59742	Laryngography with contrast media (R)	$50.50
59745	Pneumoarthrography (R)	$42.95
59748	Arthrography—contrast (R)	$50.50
59751	Arthrography—double contrast (R)	$88.35
59754	Lymphangiography, including follow up radiography (R)	$66.90
59757	Pneumomediastinum (R)	$61.85

	Subgroup 13—Angiography and Report
59900	Serial angiocardiography (rapid cassette changing)—each series (R) (Anaes. 17711 = 7B + 4T)	$85.05
59903	Serial angiocardiography (single plane)—each series (R) (Anaes. 17711 = 7B + 4T)	$117.10
59906	Serial angiocardiography (bi-plane)—each series (R) (Anaes. 17711 = 7B + 4T)	$117.10
59912	Selective coronary arteriography (R)	$309.40
59915	Cerebral angiography—1 side (R)	$79.50
59918	Arteriography, peripheral—1 side (R)	$100.95
59921	Aortography (R)	$100.95
59924	Selective arteriography—per injection and film or data acquisition run (R)	$100.95
60000	Digital subtraction angiography, examination of head and neck with or without arch aortography, 1 to 3 data acquisition runs (R)	$513.25
60003	Digital subtraction angiography, examination of head and neck with or without arch aortography, 4 to 6 data acquisition runs (R)	$754.10
60006	Digital subtraction angiography, examination of head and neck with or without arch aortography, 7 to 9 data acquisition runs (R)	$1,073.55
60009	Digital subtraction angiography, examination of head and neck with or without arch aortography, 10 or more data acquisition runs (R)	$1,256.85
60012	Digital subtraction angiography, examination of thorax, 1 to 3 data acquisition runs (R)	$513.25
60015	Digital subtraction angiography, examination of thorax, 4 to 6 data acquisition runs (R)	$754.10
60018	Digital subtraction angiography, examination of thorax, 7 to 9 data acquisition runs (R)	$1,073.55
60021	Digital subtraction angiography, examination of thorax, 10 or more data acquisition runs (R)	$1,256.85
60024	Digital subtraction angiography, examination of abdomen, 1 to 3 data acquisition runs (R)	$513.25
60027	Digital subtraction angiography, examination of abdomen, 4 to 6 data acquisition runs (R)	$754.10
60030	Digital subtraction angiography, examination of abdomen, 7 to 9 data acquisition runs (R)	$1,073.55
60033	Digital subtraction angiography, examination of abdomen, 10 or more data acquisition runs (R)	$1,256.85
60036	Digital subtraction angiography, examination of upper limb or limbs, 1 to 3 data acquisition runs (R)	$513.25
60039	Digital subtraction angiography, examination of upper limb or limbs, 4 to 6 data acquisition runs (R)	$754.10
60042	Digital subtraction angiography, examination of upper limb or limbs, 7 to 9 data acquisition runs (R)	$1,073.55
60045	Digital subtraction angiography, examination of upper limb or limbs, 10 or more data acquisition runs (R)	$1,256.85
60048	Digital subtraction angiography, examination of lower limb or limbs, 1 to 3 data acquisition runs (R)	$513.25
60051	Digital subtraction angiography, examination of lower limb or limbs, 4 to 6 data acquisition runs (R)	$754.10
60054	Digital subtraction angiography, examination of lower limb or limbs, 7 to 9 data acquisition runs (R)	$1,073.55
60057	Digital subtraction angiography, examination of lower limb or limbs, 10 or more data acquisition runs (R)	$1,256.85
60060	Digital subtraction angiography, examination of aorta and lower limb or limbs, 1 to 3 data acquisition runs (R)	$513.25
60063	Digital subtraction angiography, examination of aorta and lower limb or limbs, 4 to 6 data acquisition runs (R)	$754.10
60066	Digital subtraction angiography, examination of aorta and lower limb or limbs, 7 to 9 data acquisition runs (R)	$1,073.55
60069	Digital subtraction angiography, examination of aorta and lower limb or limbs, 10 or more data acquisition runs (R)	$1,256.85
60072	Selective arteriography or selective venography by digital subtraction angiography technique, 1 vessel (NR)	$44.00
60075	Selective arteriography or selective venography by digital subtraction angiography technique, 2 vessels (NR)	$88.00
60078	Selective arteriography or selective venography by digital subtraction angiography technique, 3 or more vessels (NR)	$131.95


	Subgroup 14—Tomography and Report
60100	Tomography of any region and report (R)	$61.85

	Subgroup 15—Stereoscopic Examination and Report

60300	Stereoscopic examination of any region and report (R)	Amount under rule 11

	Subgroup 16—Fluoroscopic Examination and Report
60500	Fluoroscopy, with general anaesthesia, not being a service associated with a radiographic examination (R) (Anaes. 17707 = 5B + 2T)	$44.15
60503	Fluoroscopy without general anaesthesia, not being a service associated with a radiographic examination (R)	$30.30
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)	$64.90
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)	$100.55

	Subgroup 17—Examination and Report to which no other Item applies

60700	Radiographic examination of region and report, not being a service to which another item in this Group applies (R)	$20.95

	Subgroup 18—Preparation for Radiological Procedure

60900	Encephalography (NR) (Anaes. 17711 = 7B + 4T)	$184.25
60903	Cerebral angiography, 1 side—percutaneous, catheter or open exposure (NR) (Anaes. 17710 = 5B + 5T)	$130.40
60906	Cerebral ventriculography (NR) (Anaes. 17710 = 5B + 5T)	$176.80
60909	Dacryocystography—1 side (NR)	$40.40
60912	Bronchography—1 or both sides (NR) (Anaes. 17709 = 6B + 3T)	$61.85
60915	Aortography (NR) (Anaes. 17709 = 5B + 4T)	$71.80
60918	Arteriography (peripheral) or phlebography—1 vessel (NR) (Anaes. 17708 = 5B + 3T)	$53.55
60921	Splenography (NR) (Anaes. 17708 = 5B + 3T)	$44.20
60924	Retroperitoneal pneumogram (NR)	$47.95
60927	Selective arteriogram or phlebogram (NR) (Anaes. 17708 = 5B + 3T)	$44.20
60930	Percutaneous injection of radio-opaque material into renal pelvis or into a renal cyst (including aspiration of the cyst) for antegrade pyelography (NR)	$61.85
60933	Pneumoarthrography or pneumoperitoneum (NR)	$49.20
60936	Single or double contrast arthrography, excluding arthography of the joints between articular processes of the vertebrae (NR)	$49.30
60939	Drip-infusion pyelography or drip-infusion cholegraphy (NR)	$37.00
60942	Retrograde micturating cystourethrography (NR)	$69.40
60945	Hysterosalpingography (NR) (Anaes. 17705 = 3B + 2T)	$61.85
60948	Discography—1 disc (NR) (Anaes. 17707 = 5B + 2T)	$40.40
60951	Discography using Metrizamide contrast medium (NR)	$61.45
60954	Intra-osseous venography (NR)	$45.90
60957	Myelography, not being a service to which item 60960 applies (NR) (Anaes. 17712 = 7B + 5T)	$121.15
60960	Myelography, using Metrizamide contrast medium (NR) (Anaes. 17712 = 7B + 5T)	$169.10
60963	Cisternal puncture (NR)	$79.50
60966	Sinus or fistula injection into (NR)	$20.95
60969	Sialography (NR)	$55.10
60972	Lymphangiography ‑ 1 side (NR)	$121.15
60975	Laryngography (NR)	$61.85
60978	Pneumomediastinum (NR)	$79.50
60981	Cholegram, percutaneous transhepatic (NR) (Anaes. 17709 = 4B + 5T)	$121.15
	Subgroup 19—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)	$261.85

	GROUP I4—NUCLEAR MEDICINE IMAGING

61300	Myocardial perfusion study using thallium—single study for stress or reperfusion (R) (C)	$372.50
61301	Myocardial perfusion study using thallium—single study for stress or reperfusion (R) (NC)	$276.35
61304	Myocardial perfusion study using thallium—combined study for stress and reperfusion (R) (C)	$588.85
61305	Myocardial perfusion study using thallium—combined study for stress and reperfusion (R) (NC)	$438.60
61308	Myocardial infarct—avid imaging study (R) (C)	$218.70
61309	Myocardial infarct—avid imaging study (R) (NC)	$163.45
61312	Gated cardiac blood pool (equilibrium) study (R) (C)	$252.35
61315	Gated cardiac blood pool study with intervention (R) (C)	$312.40
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)	$189.90
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)	$141.80
61322	Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, being a service associated with a service to which another item in this Group applies (R) (C)	Amount under rule 15
61323	Cardiac first pass blood flow study, cardiac shunt study or cardiac output study, being a service associated with a service to which another item in this Group applies (R) (NC)	Amount under rule 15
61326	Lung perfusion study (R) (C)	$180.25
61327	Lung perfusion study (R) (NC)	$134.60
61330	Lung ventilation study using Xe127 gas (R) (C)	$300.40
61331	Lung ventilation study using Xe127 gas (R) (NC)	$225.95
61334	Lung ventilation study using Xe133 gas (R) (C)	$168.20
61335	Lung ventilation study using Xe133 gas (R) (NC)	$124.95
61338	Lung ventilation study using aerosol (R) (C)	$209.05
61339	Lung ventilation study using aerosol (R) (NC)	$156.20
61342	Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (R) (C)	$324.45
61343	Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (R) (NC)	$240.30
61346	Lung perfusion study and lung ventilation study using aerosol (R) (C)	$360.50
61347	Lung perfusion study and lung ventilation study using aerosol (R) (NC)	$270.40
61350	Liver and spleen study (colloid) (R) (C)	$213.90
61351	Liver and spleen study (colloid) (R) (NC)	$161.00
61354	Red blood cell spleen or liver study (R) (C)	$218.70
61355	Red blood cell spleen or liver study (R) (NC)	$163.45
61358	Hepatobiliary study (R) (C)	$348.45
61359	Hepatobiliary study (R) (NC)	$258.35
61362	Bowel haemorrhage study (R) (C)	$402.55
61363	Bowel haemorrhage study (R) (NC)	$300.40
61366	Meckel’s diverticulum study (R) (C)	$185.05
61367	Meckel’s diverticulum study (R) (NC)	$139.40
61370	Salivary study (R) (C)	$185.05
61371	Salivary study (R) (NC)	$139.40
61374	Gastro‑oesophageal reflux study (R) (C)	$396.55
61375	Gastro‑oesophageal reflux study (R) (NC)	$294.40
61378	Oesophageal clearance study (R) (C)	$118.95
61379	Oesophageal clearance study (R) (NC)	$88.90
61382	Gastric emptying study using single tracer (R) (C)	$588.85
61385	Gastric emptying study using dual tracer (R) (C)	$630.85
61388	Renal study with or without dynamic flow study and with or without computer extraction of functional parameters (R) (C)	$270.40
61391	Renal study with intervention (R) (C)	$330.45
61392	Renal study with intervention (R) (NC)	$246.35
61395	Cystoureterogram (R) (C)	$204.25
61396	Cystoureterogram (R) (NC)	$153.85
61399	Testicular study (R) (C)	$134.60
61400	Testicular study (R) (NC)	$100.90
61403	Brain study with blood brain barrier agent (R) (C)	$182.65
61404	Brain study with blood brain barrier agent (R) (NC)	$136.95
61407	Cerebro-spinal fluid transport study (R) (C)	$714.95
61408	Cerebro-spinal fluid transport study (R) (NC)	$534.75
61411	Cerebro-spinal fluid shunt patency study (R) (C)	$187.45
61412	Cerebro-spinal fluid shunt patency study (R) (NC)	$139.40
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)	$98.55
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)	$73.30
61419	Bone study—whole body (R) (C)	$396.55
61420	Bone study—whole body (R) (NC)	$294.40
61423	Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (R) (C)	$492.70
61424	Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (R) (NC)	$372.50
61427	Whole body study using iodine (R) (C)	$450.60
61428	Whole body study using iodine (R) (NC)	$336.45
61431	Whole body study using gallium (R) (C)	$450.60
61432	Whole body study using gallium (R) (NC)	$336.45
61435	Whole body study using cells labelled with technetium (R) (C)	$402.55
61436	Whole body study using cells labelled with technetium (R) (NC)	$300.40
61439	Bone marrow study—whole body (R) (C)	$396.55
61440	Bone marrow study—whole body (R) (NC)	$294.40
61443	Repeat of a whole body study on a different occasion using the same administration of radiopharmaceutical (R) (C)	$182.65
61444	Repeat of a whole body study on a different occasion using the same administration of radiopharmaceutical (R) (NC)	$136.95
61447	Localised bone or joint study including flow and blood pool studies (R) (C)	$276.35
61448	Localised bone or joint study including flow and blood pool studies (R) (NC)	$206.70
61451	Localised bone, joint, tumour, infection or inflammation seeking study using gallium (R) (C)	$330.45
61452	Localised bone, joint, tumour, infection or inflammation seeking study using gallium (R) (NC)	$246.35
61455	Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (R) (C)	$282.40
61456	Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (R) (NC)	$211.50
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)	$122.60
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)	$91.35
61463	Venography (including blood pool study, active uptake study or dynamic blood flow study) (R) (C)	$218.70
61464	Venography (including blood pool study, active uptake study or dynamic blood flow study) (R) (NC)	$163.45
61467	Lymphoscintigraphy (R) (C)	$282.40
61468	Lymphoscintigraphy (R) (NC)	$211.50
61471	Thyroid study (R) (C)	$124.95
61472	Thyroid study (R) (NC)	$93.75
61475	Thyroid uptake study performed on gamma camera (R) (C)	$61.25
61476	Thyroid uptake study performed on gamma camera (R) (NC)	$45.65
61479	Parathyroid (R) (C)	$312.40
61482	Adrenal study using selenocholesterol (R) (C)	$721.00
61483	Adrenal study using selenocholesterol (R) (NC)	$540.75
61486	Adrenal study, not being a service to which item 61482 or 61483 applies (R) (C)	$366.50
61487	Adrenal study, not being a service to which item 61482 or 61483 applies (R) (NC)	$276.35
61490	Single photon emission tomography being a service associated with a service to which another item in this Group applies (R) (C)	Amount under rule 16
61493	Tear duct study (R) (C)	$185.05
61494	Tear duct study (R) (NC)	$139.40
61497	Particle perfusion study (intra-arterial) or Le Veen Shunt study (R) (C)	$209.05
61498	Particle perfusion study (intra-arterial) or Le Veen Shunt study (R) (NC)	$156.20
61501	Study of region or organ, not being a service to which another item in this Group applies (R) (C)	$12.00
61502	Study of region or organ, not being a service to which another item in this Group applies (R) (NC)	$9.00