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Zoe is a legal information platform. Always consult the Federal Register of Legislation for authoritative text.
Commonwealth legislation
This Act has been repealed and is no longer in force. It is retained for historical reference.
This is the 1995–96 Medicare fee schedule for diagnostic imaging: a complete list of scans and X‑rays the Australian government subsidised that year, with the exact rebate paid for each service. It’s relied on by patients, referring doctors, imaging specialists and clinics.
It matters because the listed fees, referral requirements and technical conditions govern whether Medicare will pay a rebate and thus how much patients and providers are out‑of‑pocket.
Want the full deep dive?
Zoe can write the in-depth analysis on top of the summary above: how it works, who it affects and what each part actually does.
Direct links to the current provisions in Health Insurance (1995-96 Diagnostic Imaging Services Table) Regulations.
Sourced from the Federal Register of Legislation (legislation.gov.au), CC BY 4.0.
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><thead><tr><td style="width:37.15pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableColHead"><span>Item</span></p></td><td colspan="3" style="width:251.45pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableColHead"><span>Diagnostic imaging service</span></p></td><td colspan="3" style="width:45.9pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableColHead"><span>Fee</span></p></td></tr></thead><tbody><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span>55028</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; font-size:11pt"><span>Head, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:</span></p><p class="TableP1a" style="margin-bottom:3pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; font-size:11pt"><span>$98.75</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55029</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>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)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$34.25</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55030</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; margin-bottom:3pt; font-size:11pt"><span>Orbital contents, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:</span></p><p class="TableP1a" style="margin-bottom:3pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$98.75</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55031</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>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)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$34.25</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; page-break-after:avoid; font-size:11pt"><span>55032</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; margin-bottom:3pt; page-break-after:avoid; font-size:11pt"><span>Neck, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:</span></p><p class="TableP1a" style="margin-bottom:3pt; page-break-after:avoid"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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</span></p><p class="TableP1a" style="page-break-after:avoid"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; page-break-after:avoid; font-size:11pt"><span>$98.75</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55033</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>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)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$34.25</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55034</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; margin-bottom:3pt; font-size:11pt"><span>Breast, 1 or both, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:</span></p><p class="TableP1a" style="margin-bottom:3pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$98.75</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55035</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>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)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$34.25</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55036</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; margin-bottom:3pt; font-size:11pt"><span>Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner, if:</span></p><p class="TableP1a" style="margin-bottom:3pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$98.75</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55037</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableText" style="margin-top:12pt"><span>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)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span></span><span>$34.25</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55038</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; margin-bottom:3pt; font-size:11pt"><span>Urinary tract, ultrasound scan of, performed by, or on behalf of, a medical practitioner, if:</span></p><p class="TableP1a" style="margin-bottom:3pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$98.75</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55039</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>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)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$34.25</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55040</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; margin-bottom:3pt; font-size:11pt"><span>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, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>$98.75</span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; page-break-after:avoid; font-size:11pt"><span></span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableP1a" style="page-break-after:avoid"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)</span></p></td><td colspan="3" style="width:45.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; page-break-after:avoid; font-size:11pt"><span></span></p></td></tr><tr><td style="width:37.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>55041</span></p></td><td colspan="3" style="width:251.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; font-size:11pt"><span>Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, if the patient is not referred by a medical practitioner for ultrasonic examinatio
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