Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011
as amended
made under subsection 3C(1) of the
Health Insurance Act 1973
Compilation start date: 1 November 2013
Includes amendments up to: Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013
About this compilation
This compilation
This is a compilation of the Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011 as in force on 1 November 2013. It includes any commenced amendment affecting the legislation to that date.
This compilation was prepared on 3 December 2013.
The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of each amended provision.
Uncommenced amendments
The effect of uncommenced amendments is not reflected in the text of the compiled law but the text of the amendments is included in the endnotes.
Application, saving and transitional provisions for provisions and amendments
If the operation of a provision or amendment is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.
Modifications
If a provision of the compiled law is affected by a modification that is in force, details are included in the endnotes.
Provisions ceasing to have effect
If a provision of the compiled law has expired or otherwise ceased to have effect in accordance with a provision of the law, details are included in the endnotes.
Section 1 - Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011 - Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011 | Zoe
Name of Determination
This Determination is the Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011.
Commencement
This Determination commences on 1 July 2011.
Interpretation
Definitions
(1) In this Determination, unless the contrary intention appears:
Act means the Health Insurance Act 1973.
ASGC means the Australian Standard Geographical Classification, July 2010, published by the Australian Bureau of Statistics.
DIST service means a service to which an item in the diagnostic imaging services table relates.
maximum extended life age has the meaning given in subsection (5).
new effective life age has the meaning given in subsection (4).
relevant proprietor, for diagnostic imaging equipment, means:
(a) if the diagnostic imaging equipment is ordinarily located at diagnostic imaging premises, the proprietor of the diagnostic imaging premises; or
(b) if the diagnostic imaging equipment is ordinarily located at a base for mobile diagnostic imaging equipment when not in use and is not ordinarily located at diagnostic imaging premises, the proprietor of the base for mobile diagnostic imaging equipment.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in Schedule 1.
Rural, Remote and Metropolitan Areas Classification has the meaning given by the general medical services table.
Schedule means a Schedule to this Determination.
Note Unless the contrary intention appears, expressions used in this Determination have the same meanings as in the Act—see section 13 of the Legislative Instruments Act 2003.
References to legislation
(2) Unless the contrary intention appears, in this Determination a reference to a provision of the Act or regulations made under the Act or the National Health Act 1953 or regulations made under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
Age of equipment
(3) The date from which the age of equipment is worked out for this Determination is:
(a) the date that the equipment was first installed in Australia; or
(b) if the equipment was imported as used equipment — the date of manufacture of the oldest component of the equipment.
(4) The new effective life age for diagnostic imaging equipment is the period set out in the following table for that type of diagnostic imaging equipment:
Modality
New effective life age
Ultrasounddiagnostic imaging equipment used to perform a service to which an item in Group I1 in Division 2.1 in Schedule 1 applies
10 years
Mammographydiagnostic imaging equipment used to perform a service to which an item in Subgroup 10 of Group I3 in Division 2.3 in Schedule 1 applies
10 years
Rest of diagnostic radiologydiagnostic imaging equipment used to perform a service to which an item in Subgroups 1 to 9, 11, 12, 14, 15 or 17 of Group I3 in Division 2.3 in Schedule 1 applies
15 years
Nuclear medicine (excluding PET)diagnostic imaging equipment used to perform a service to which an item in Group I4 in Division 2.4 in Schedule 1 applies
10 years
MRIdiagnostic imaging equipment used to perform a service to which an item in Group I5 in Division 2.5 in Schedule 1 applies
10 years
(5) The maximum extended life age for diagnostic imaging equipment is the period set out in the following table for that type of diagnostic imaging equipment:
Modality
Maximum extended life age
Ultrasounddiagnostic imaging equipment used to perform a service to which an item in Group I1 in Division 2.1 in Schedule 1 applies
15 years
Mammographydiagnostic imaging equipment used to perform a service to which an item in Subgroup 10 of Group I3 in Division 2.3 in Schedule 1 applies
15 years
Rest of diagnostic radiologydiagnostic imaging equipment used to perform a service to which an item in Subgroups 1 to 9, 11, 12, 14, 15 or 17 of Group I3 in Division 2.3 in Schedule 1 applies
20 years
Nuclear medicine (excluding PET)diagnostic imaging equipment used to perform a service to which an item in Group I4 in Division 2.4 in Schedule 1 applies
15 years
MRIdiagnostic imaging equipment used to perform a service to which an item in Group I5 in Division 2.5 in Schedule 1 applies
15 years
Upgrades
(6) For this Determination, diagnostic imaging equipment has been upgraded if:
(a) an additional reasonable investment has been made within the new effective life age for the diagnostic imaging equipment that improves the overall performance of the imaging system so that it is equivalent to new diagnostic imaging equipment supplied in Australia at the time of the improvement; or
(b) the diagnostic imaging equipment is currently accredited under The Royal Australian and New Zealand College of Radiologists' Mammography Quality Assurance Program.
Note Proprietors can obtain further information on what constitutes an upgrade from the Department's website: www.health.gov.au/capitalsensitivity
Treatment of certain diagnostic imaging services
A relevant service shall in the circumstances specified in this Determination be treated for the purposes of the provisions of the Act and of regulations made under the Act and the provisions of the National Health Act 1953 and of regulations made under the National Health Act 1953 that make provision in respect of professional services or medical services as if:
(a) it was both a professional service and a medical service; and
(b) there was an item in the diagnostic imaging services table that:
(i) related to the relevant service; and
(ii) specified in respect of the relevant service a fee in relation to a State, being the fee specified in Schedule 1 in relation to the State specified.
Items in the diagnostic imaging services table
This Determination does not apply to a relevant service if a medicare benefit was paid in respect of a DIST service (other than item 63491, 63494, 63497, 64990 or 64991) rendered using the same diagnostic imaging procedure.
NK items
Application of NK items
(1) Despite clause 1.2.4 of Schedule 1 to the diagnostic imaging services table, subject to subsections (2) to (8), an item in Schedule 1 that includes the symbol (NK) at the end of the item applies where:
(a) the age of the diagnostic imaging equipment used to perform the service exceeds the new effective life age for the diagnostic imaging equipment and the diagnostic imaging equipment has not been upgraded; or
(b) the age of upgraded diagnostic imaging equipment used to perform the service exceeds the maximum extended life age for the diagnostic imaging equipment.
Exemption – outer regional, remote and very remote areas
(2) An item in Schedule 1 that includes the symbol (NK) at the end of the item does not apply where:
(a) the diagnostic imaging equipment used to perform the service is ordinarily located at diagnostic imaging premises; and
(b) the diagnostic imaging premises are located in any of the following Remoteness Areas as defined in the ASGC:
(i) Outer Regional Australia (Remoteness Area 2);
(ii) Remote Australia (Remoteness Area 3);
(iii) Very Remote Australia (Remoteness Area 4).
Note Proprietors can identify what Remoteness Area they fall under at the Department's DoctorConnect website: www.doctorconnect.gov.au Proprietors should refer to the category names, rather than category numbers as the website uses different category numbers from those specified in this Determination.
(3) An item in Schedule 1 that includes the symbol (NK) at the end of the item does not apply where:
(a) the diagnostic imaging equipment used to perform the service is ordinarily located at a base for mobile diagnostic imaging equipment when not in use;
(b) the diagnostic imaging equipment used to perform the service is not ordinarily located at diagnostic imaging premises; and
(c) the base for mobile diagnostic imaging equipment is located in any of the following Remoteness Areas as defined in the ASGC:
(i) Outer Regional Australia (Remoteness Area 2);
(ii) Remote Australia (Remoteness Area 3);
(iii) Very Remote Australia (Remoteness Area 4).
Note Proprietors can identify what Remoteness Area they fall under at the Department's DoctorConnect website: www.doctorconnect.gov.au Proprietors should refer to the category names, rather than category numbers as the website uses different category numbers from those specified in this Determination.
Exemption – inner regional areas
(4) An item in Schedule 1 that includes the symbol (NK) at the end of the item does not apply where:
(a) the Department has notified the relevant proprietor of the receipt of a valid application under subsection (6) in respect of the diagnostic imaging equipment used to perform the service and a decision has not been made by the Secretary under subsection (5); or
(b) the Secretary has granted an exemption in respect of the diagnostic imaging equipment used to perform the service under subsection (5); or
(c) the Secretary has notified the relevant proprietor that he or she has refused to grant an exemption under subsection (5) and either:
(i) if the proprietor has not yet applied for reconsideration under section 8, the period to apply for reconsideration has not yet expired; or
(ii) if the proprietor has applied for reconsideration under section 8, the Secretary has not yet notified the proprietor of his or her reconsideration decision.
(5) The Secretary may grant an exemption in writing in respect of diagnostic imaging equipment where the Secretary is satisfied that the diagnostic imaging equipment is operated on a rare and sporadic basis and provides crucial patient access to diagnostic imaging services.
(6) The Secretary must make a decision under subsection (5) within 28 days of the day on which the relevant proprietor was notified of the receipt of a valid application by the Department referred to in paragraph 4(a).
(7) A relevant proprietor may only apply for an exemption under
subsection (5) if:
(a) the age of the diagnostic imaging equipment exceeds the maximum extended life age for the diagnostic imaging equipment by less than three years; and
(b) either:
(i) all of the following apply:
(A) the diagnostic imaging equipment is ordinarily located at diagnostic imaging premises;
(B) the diagnostic imaging premises are located in Inner Regional Australia (Remoteness 1) as defined in the ASGC; and
(C) the diagnostic imaging premises are located in an area classified as RRMA 4 or 5 (small rural centres and other rural areas) under the Rural, Remote and Metropolitan Areas Classification; or
(ii) all of the following apply:
(A) the diagnostic imaging equipment is ordinarily located at a base for mobile diagnostic imaging equipment when not in use;
(B) the diagnostic imaging equipment is not ordinarily located at diagnostic imaging premises;
(C) the base for mobile diagnostic imaging equipment is located in Inner Regional Australia (Remoteness 1) as defined in the ASGC; and
(D) the base for mobile diagnostic imaging equipment is located in an area classified as RRMA 4 or 5 (small rural centres and other rural areas) under the Rural, Remote and Metropolitan Areas Classification.
Note Proprietors can identify what Remoteness Area they fall under at the Department's DoctorConnect website: www.doctorconnect.gov.au Proprietors should refer to the category names, rather than category numbers as the website uses different category numbers from those specified in this Determination.
(8) An application under subsection (6) must be made in writing to the Department.
References in Regulations
(1) Each provision of the regulations or any instrument made under or given pursuant to the Act which refers to a Division, Subdivision, Group or Subgroup in the diagnostic imaging services table shall have effect as if the reference to the Division, Subdivision, Group or Subgroup also specified the items in the corresponding Division, Subdivision, Group or Subgroup in Schedule 1, or the relevant services to which those items are related by virtue of paragraph 4(b), as the case requires.
Note Paragraph 3C(1)(b) of the Act allows the Minister to determine that provisions of the regulations or instruments made under the Act which specify a professional service, medical service or item have effect as if they also specified a health service or item created by this Determination. Under subsection 7(1), a reference in regulations or an instrument to a Division, Subdivision, Group or Subgroup of the diagnostic imaging services table will be taken to include a reference to the items in the corresponding Division, Subdivision, Group or Subgroup in Schedule 1.
(2) For the avoidance of doubt, a reference in Schedule 1 to a Group or Subgroup has effect as if it also referred to the corresponding Group or Subgroup in the diagnostic imaging services table.
Note Subsection 7(2) is an interpretation provision which complements subsection 7(1).
(3) Each of the provisions of Schedule 1 to the diagnostic imaging services table in column 1 of the table in item 1 of Schedule 2 shall have effect as if the corresponding existing item reference in column 2 of the table in item 1 of Schedule 2 also specified the corresponding additional item reference in column 3 of the table in item 1 of Schedule 2, or the relevant service to which that item is related by virtue of paragraph 4(b), as the case requires.
(4) Each of the items in Schedule 1 to the diagnostic imaging services table in column 1 of the table in item 2 of Schedule 2
shall have effect as if the corresponding existing item reference in column 2 of the table in item 2 of Schedule 2 also specified the corresponding additional item reference in column 3 of the table in item 2 of Schedule 2, or the relevant service to which that item is related by virtue of paragraph 4(b), as the case requires.
(5) Each of the definitions in the Dictionary in the diagnostic imaging services table in column 1 of the table in item 3 of Schedule 2 shall have effect as if the corresponding existing item reference in column 2 of the table in item 3 of Schedule 2 also specified the corresponding additional item reference in column 3 of the table in item 3 of Schedule 2, or the relevant service to which that item is related by virtue of paragraph 4(b), as the case requires.
(6) Each of the provisions of the Health Insurance Regulations 1975 in column 1 of the table in item 4 of Schedule 2 shall have effect as if the corresponding existing item reference in column 2 of the table in item 4 of Schedule 2 also specified the corresponding additional item reference in column 3 of the table in item 4 of Schedule 2, or the relevant service to which that item is related by virtue of paragraph 4(b), as the case requires.
(7) Each of the provisions of Schedule 1 to the general medical services table in column 1 of the table in item 5 of Schedule 2 shall have effect as if the corresponding existing item reference in column 2 of the table in item 5 of Schedule 2 also specified the corresponding additional item reference in column 3 of the table item 5 of Schedule 2, or the relevant service to which that item is related by virtue of paragraph 4(b), as the case requires.
Note Paragraph 3C(1)(b) of the Act allows the Minister to determine that provisions of regulations which specify an item have effect as if they also specified an item created by this Determination. Subsections 7(3) to (7) and the tables in Schedule 2 provide that provisions of the diagnostic imaging services table, Health Insurance Regulations 1975 and general medical services table which specify items have effect as if they also specified the relevant NK items created by Schedule 1.
Reconsideration of decisions
(1) If the Secretary refuses to grant an exemption under subsection 6(5) the proprietor who applied for the exemption may apply to the Secretary for reconsideration of the decision within 28 days after the date of issue of the notice of the decision to the proprietor (or, if the Secretary is satisfied that special circumstances exist, within such further period (if any) as the Secretary allows).
(2) In the application for reconsideration, the proprietor:
(a) must identify the decision for reconsideration and set out the reasons for the application; and
(b) may provide new material for the Secretary to consider.
(3) The Secretary must, within 28 days after receipt of an application, reconsider the decision and:
(a) affirm the decision;
(b) vary the decision; or
(c) set aside the decision and make a decision in substitution for it.
(4) The Secretary must notify the proprietor of a reconsideration decision under subsection (3).
Delegation
(1) The Secretary may, either generally or as otherwise provided by the instrument of delegation, by writing signed by him or her, delegate to an officer of the Department any of his or her powers under this Determination, other than this power of delegation.
(2) A power so delegated, when exercised by the delegate, shall, for the purposes of this Determination, be deemed to have been exercised by the Secretary.
(3) A delegation under this section does not prevent the exercise of a power by the Secretary.
SCHEDULE 1 – Specified health services
Division 2.1 Group I1 — Ultrasound
Subdivision A Not used
Subdivision B Subgroup 1 to 4 of Group I1
<table cellspacing="0" cellpadding="0" style="width:375.15pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I1</span><span style="font-family:Arial, sans-serif; font-weight:bold"> </span><span style="font-family:Arial, sans-serif; font-weight:bold">— Ultrasound</span></p></td></tr><tr><td style="width:34.45pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:295.25pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:36.15pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 1</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— General</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55005</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Head, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 providing practitioner is a member (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55007</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><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 an item in Subgroup</span><span> </span><span>2 or 3 applies (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55008</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Orbital contents, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 providing practitioner is a member (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55010</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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 an item in Subgroup</span><span> </span><span>2</span><span> </span><span>or 3 applies (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55011</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Neck, 1 or more structures of, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 providing practitioner is a member (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55013</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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 an item in Subgroup 2</span><span> </span><span>or 3</span><span> </span><span>applies (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr style="height:36.65pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55014</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating nurse practitioner for ultrasonic examination; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>55.65</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not solely a </span><span>transrectal</span><span> ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>within 24</span><span> </span><span>hours of the service, a service described in item</span><span> </span><span>55017, 55020, 55038, 55044, 55731 or 55732 is not performed on the same patient by the providing practitioner (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:52.5pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55016</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner or participating nurse practitioner; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:45.2pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not solely a </span><span>transrectal</span><span> ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55017</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Urinary tract, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 providing practitioner is a member; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not solely a </span><span>transrectal</span><span> ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>within 24</span><span> </span><span>hours of the service, a service described in item</span><span> </span><span>55014, 55020, 55036, 55044, 55731 or 55732 is not performed on the same patient by the providing practitioner (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55019</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Urinary tract, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not solely a </span><span>transrectal</span><span> ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:82.55pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55020</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis, male, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>55.65</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:75.75pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not solely a </span><span>transrectal</span><span> ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>within 24</span><span> </span><span>hours of the service, a service described in item</span><span> </span><span>55014, 55017, 55036 or 55038 is not performed on the same patient by the providing practitioner (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55022</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis, male, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not solely a </span><span>transrectal</span><span> ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:72.65pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55023</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Scrotum, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 providing practitioner is a member (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.75</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55025</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Scrotum, ultrasound scan of, if the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>2</span><span> </span><span>or 3 applies (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55026</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Ultrasonic cross</span><span>‑</span><span>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) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55059</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Breast, one, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>49.15</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55060</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Breast, one, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>17.05</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55061</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Breasts, both, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55062</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Breasts, both, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:69.05pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55063</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Urinary bladder, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 providing practitioner is a member; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>49.15</span></p></td></tr><tr style="height:52.85pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>within 24 hours of the service, a service described in item</span><span> </span><span>11917, 55014, 55017, 55020, 55036, 55038, 55044, 55600, 55601, 55603, 55604, 55731 or 55732 is not performed on the same patient by the providing practitioner (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:4pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55064</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Urinary bladder, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>17.05</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:54.75pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>within 24 hours of the service, a service described in item</span><span> </span><span>11917, 55016, 55019, 55022, 55037, 55039, 55045, 55600, 55601, 55603, 55604, 55733 or 55734 is not performed on the same patient by the providing practitioner (NR) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td colspan="3" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt; widows:0; orphans:0"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 2 — Cardiac</span></p></td></tr><tr style="height:37.55pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt; widows:0; orphans:0"><span>55119</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt; widows:0; orphans:0"><span>M</span><span>‑</span><span>mode and two</span><span>‑</span><span>dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain:</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>115.35</span></p></td></tr><tr style="height:144pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-after:avoid; line-height:12pt"><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>with:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-after:avoid; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-after:avoid; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>real time colour flow mapping from at least 2</span><span> </span><span>acoustic windows; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-after:avoid; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>recordings on video tape or digital media; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-after:avoid; line-height:12pt"><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>not being a service associated with a service to which an item in Subgroup 1 (except items</span><span> </span><span>55026 and 55054) or</span><span> </span><span>3, or another item in this Subgroup (except items</span><span> </span><span>55118, 55125, 55130 and 55131), applies (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55120</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>M</span><span>‑</span><span>mode and two</span><span>‑</span><span>dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic or embolic disease or heart tumour:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>with:</span></p><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>real time colour flow mapping from at least 2</span><span> </span><span>acoustic windows; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>recordings on video tape or digital media; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>115.35</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>not being a service associated with a service to which an item in Subgroup 1 (except items</span><span> </span><span>55026 and 55054) or</span><span> </span><span>3, or another item in this Subgroup (except items 55118, </span><span></span><span>55125, 55130 and 55131), applies (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55121</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; line-height:12pt"><span>M</span><span>‑</span><span>mode and two</span><span>‑</span><span>dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of congenital heart disease:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>with:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>115.35</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:93.75pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>real time colour flow mapping from at least 2</span><span> </span><span>acoustic windows; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>recordings on video tape or digital media; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or</span><span> </span><span>3, or another item in this Subgroup (except items</span><span> </span><span>55118, 55125, 55130 and 55131), applies (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:70.5pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55122</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Exercise stress echocardiography performed in conjunction with item 11712:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>with:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>two</span><span>‑</span><span>dimensional recordings before exercise (baseline) from at least 3</span><span> </span><span>acoustic windows; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>130.85</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:117.75pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>matching recordings from the same windows at, or immediately after, peak exercise; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or</span><span> </span><span>3, or another item in this Subgroup (except items</span><span> </span><span>55118, 55125, 55130 and 55131), applies (R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55123</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pharmacological stress echocardiography performed in conjunction with item 11712:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>with:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>two</span><span>‑</span><span>dimensional recordings before drug</span><span> </span><span>infusion (baseline) from at least 3</span><span> </span><span>acoustic windows; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>130.85</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>not being a service associated with a service to which an item in Subgroup 1 (except items </span><span>55026 and </span><span>55054) or</span><span> </span><span>3</span><span>, or another item in this Subgroup (except items</span><span> </span><span>55118, 55125, 55130 and 55131), </span><span>applies </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:51.05pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55125</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Heart, two</span><span>‑</span><span>dimensional real time </span><span>transoesophageal</span><span> examination of, from at least 2 levels, and in more than 1</span><span> </span><span>plane at each level:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>with:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>recordings on video tape or digital medium; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>137.75</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:9.2pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>not being an intra</span><span>‑</span><span>operative service or a service associated with a service to which an item in Subgroup 1 (except items 55026 and</span><span> </span><span>55054) or 3 applies (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55131</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Intra</span><span>‑</span><span>operative 2 dimensional real time </span><span>transoesophageal</span><span> echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the </span><span>surgical procedure, not being a service associated with a service to which item 55135 or 55136 applies</span><span> (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>85.00</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55136</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Intra</span><span>‑</span><span>operative 2 dimensional real time </span><span>transoesophageal</span><span> echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac valve surgery (replacement or repair) incorporating sequential assessment of cardiac function and valve competence before and after the surgical procedure, not being a service associated with a service to which item 55130 or 55131 applies (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>176.80</span></p></td></tr><tr><td colspan="3" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 3</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Vascular</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55220</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning, unilateral, involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb or of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55221</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning, unilateral, involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in</span><span> </span><span>Subgroup</span><span> </span><span>1 (with the exception of items 55026 and 55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55222</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning, unilateral, involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>1 (with the exception of items 55026 and</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55223</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning, unilateral, involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb or of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>1 (with the exception of items 55026 and</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55224</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning, unilateral, involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>1 (with the exception of items 55026 and</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr style="height:87.05pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55226</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning, bilateral, involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra</span><span>‑</span><span>cranial bilateral carotid and vertebral vessels, with or without </span><span>subclavian</span><span> and innominate vessels, with or without </span><span>oculoplethysmography</span><span> or peri</span><span>‑</span><span>orbital Doppler examination, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>1 (with the exception of items 55026 and</span><span> </span><span>55054) or 4 applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55227</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra</span><span>‑</span><span>abdominal, aorta and iliac arteries or inferior vena cava and iliac veins or of intra</span><span>‑</span><span>abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>1 (with the exception of items 55026 and</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55228</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels or of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>1 (with the exception of items 55026 and</span><span> </span><span>55054) or 4 applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55229</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra</span><span>‑</span><span>cranial vessels, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>1</span><span> </span><span>(with the exception of items 55026 and</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55230</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>by spectral analysis of </span><span>cavernosal</span><span> artery of the penis following </span><span>intracavernosal</span><span> administration of a vasoactive agent; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr style="height:54.2pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt; widows:0; orphans:0"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt; widows:0; orphans:0"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub</span><span>‑</span><span>specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:15.05pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt; widows:0; orphans:0"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt; widows:0; orphans:0"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup</span><span> </span><span>1 (with the exception of items 55026 and</span><span> </span><span>55054) or</span><span> </span><span>4</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55232</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>by spectral analysis of </span><span>cavernosal</span><span> tissue of the penis to confirm a diagnosis; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>if indicated, assess the progress and management of:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>priapism; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>fibrosis of any type; or</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>fracture of the tunica; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>arteriovenous</span><span> malformations; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub</span><span>‑</span><span>specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the specialist or consultant physician 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 items 55026 and</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55233</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created </span><span>arteriovenous</span><span> fistula or surgically created </span><span>arteriovenous</span><span> access grafts in the upper or lower limbs, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55235</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or veins, or both, including any associated skin marking, for mapping of bypass conduit before vascular surgery, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054), 3 or 4 applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>84.75</span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55236</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow spectral analysis and marking of veins in the lower limbs below the inguinal ligament before varicose vein surgery, including any associated skin marking, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054), 3 or 4 applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>55.55</span></p></td></tr><tr><td colspan="3" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 4</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Urological</span></p></td></tr><tr style="height:134.75pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55601</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Prostate, bladder base and urethra, </span><span>transrectal</span><span> ultrasound scan of, if performed:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using a transducer probe that:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a nominal frequency of 7 to 7.5</span><span> </span><span>MHz or a nominal frequency range that includes frequencies of 7 to 7.5</span><span> </span><span>MHz; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>can obtain both axial and sagittal scans in 2</span><span> </span><span>planes at right angles; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>following a digital rectal examination of the prostate by that medical practitioner; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:90pt"><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology, a consultant physician in medical oncology, or a participating nurse practitioner, who has:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>examined the patient in the 60</span><span> </span><span>days before the scan; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>recommended the scan for the management of the patient’s current prostatic disease</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55604</span></p></td><td style="width:295.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Prostate, bladder base and urethra, </span><span>transrectal</span><span> ultrasound scan of, if performed:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>personally by a medical practitioner who made the assessment mentioned in paragraph</span><span> </span><span>(c) using a transducer probe that:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a nominal frequency of 7</span><span> </span><span>to 7.5</span><span> </span><span>MHz or a nominal frequency range that includes frequencies of 7 to 7.5</span><span> </span><span>MHz; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>can obtain both axial and sagittal scans in 2</span><span> </span><span>planes at right angles; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>following a digital rectal examination of the prostate by that medical practitioner; and</span></p></td><td style="width:36.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.45pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:295.25pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>examined the patient in the 60</span><span> </span><span>days before the scan; and</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>recommended the scan for the management of the patient’s current prostatic disease</span><span> </span><span>(R) (NK)</span></p></td><td style="width:36.15pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr></tbody></table>
Subdivision C Subgroup 5 of Group I1 — Obstetric and gynaecological
<table cellspacing="0" cellpadding="0" style="width:377.95pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I1</span><span style="font-family:Arial, sans-serif; font-weight:bold"> </span><span style="font-family:Arial, sans-serif; font-weight:bold">— Ultrasound</span></p></td></tr><tr><td style="width:33.3pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; margin-left:1.15pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:299.95pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:35.4pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr style="height:3.5pt"><td colspan="3" style="width:374.85pt; border-top:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 5</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Obstetric and gynaecological</span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55701</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating midwife; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is less than 12</span><span> </span><span>weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating midwife</span><span> </span><span>— the referring midwife does not have a business or financial arrangement with the providing practitioner; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>30.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>1 or more of the following conditions are present:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hyperemesis </span><span>gravidarum</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diabetes mellitus;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hypertension;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>toxaemia of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(v)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>liver or renal disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(vi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>autoimmune disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(vii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>cardiac disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(viii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>alloimmunisation</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(ix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>maternal infection;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(x)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>inflammatory bowel disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(xi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>bowel stoma;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:252.65pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(xii)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>abdominal wall scarring;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(xiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous spinal or pelvic trauma or disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>drug dependency;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>thrombophilia;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>significant maternal obesity;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>advanced maternal age;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal pain or mass;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>uncertain dates;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>high risk pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xxi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous </span><span>post dates</span><span> delivery;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xxii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous caesarean section;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xxiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>poor obstetric history;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspicion of ectopic pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>risk of miscarriage;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diminished symptoms of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.36pt; text-indent:0pt; display:inline-block"></span><span>(xxvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected or known cervical incompetence;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.31pt; text-indent:0pt; display:inline-block"></span><span>(xxviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected or known uterine abnormality;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>pregnancy after assisted reproduction;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>risk of </span><span>fetal</span><span> abnormality</span><span> </span><span>(R) (NK)</span></p><p style="margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:45.65pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55702</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner or participating midwife; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is less than 12</span><span> </span><span>weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>1 or more of the following conditions are present:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hyperemesis </span><span>gravidarum</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diabetes mellitus;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hypertension;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>toxaemia of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(v)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>liver or renal disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(vi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>autoimmune disease;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>17.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(vii)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>cardiac disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(viii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>alloimmunisation</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(ix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>maternal infection;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(x)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>inflammatory bowel disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(xi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>bowel stoma;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(xii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal wall scarring;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(xiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous spinal or pelvic trauma or disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>drug dependency;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>thrombophilia;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>significant maternal obesity;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>advanced maternal age;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal pain or mass;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>uncertain dates;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>high risk pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xxi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous </span><span>post dates</span><span> delivery;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xxii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous caesarean section;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xxiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>poor obstetric history;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspicion of ectopic pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>risk of miscarriage;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diminished symptoms of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.36pt; text-indent:0pt; display:inline-block"></span><span>(xxvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected or known cervical incompetence;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.31pt; text-indent:0pt; display:inline-block"></span><span>(xxviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected or known uterine abnormality;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>pregnancy after assisted reproduction;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>risk of </span><span>fetal</span><span> abnormality</span><span> </span><span>(NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55710</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating midwife; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is 12 to 16</span><span> </span><span>weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>35.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating midwife</span><span> </span><span>— the referring midwife does not have a business or financial arrangement with the providing practitioner; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>1 or more of the following conditions are present:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hyperemesis </span><span>gravidarum</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diabetes mellitus;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hypertension;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>toxaemia of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(v)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>liver or renal disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(vi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>autoimmune disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(vii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>cardiac disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(viii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>alloimmunisation</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(ix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>maternal infection;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(x)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>inflammatory bowel disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(xi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>bowel stoma;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(xii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal wall scarring;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(xiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous spinal or pelvic trauma or disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>drug dependency;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>thrombophilia;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>significant maternal obesity;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>advanced maternal age;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal pain or mass;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>uncertain dates;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>high risk pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xxi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous </span><span>post dates</span><span> delivery;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xxii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous caesarean section;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xxiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>poor obstetric history;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspicion of ectopic pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>risk of miscarriage;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diminished symptoms of pregnancy;</span></p><p style="margin-top:3pt; margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.36pt; text-indent:0pt; display:inline-block"></span><span>(xxvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected or known cervical incompetence;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.31pt; text-indent:0pt; display:inline-block"></span><span>(xxviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected or known uterine abnormality;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>pregnancy after assisted reproduction;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>risk of </span><span>fetal</span><span> abnormality</span><span> </span><span>(R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55711</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner or participating midwife; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is 12 to 16</span><span> </span><span>weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>17.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>1 or more of the following conditions are present:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hyperemesis </span><span>gravidarum</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diabetes mellitus;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hypertension;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>toxaemia of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(v)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>liver or renal disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(vi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>autoimmune disease;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(vii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>cardiac disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(viii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>alloimmunisation</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(ix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>maternal infection;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(x)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>inflammatory bowel disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(xi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>bowel stoma;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(xii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal wall scarring;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(xiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous spinal or pelvic trauma or disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>drug dependency;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>thrombophilia;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>significant maternal obesity;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>advanced maternal age;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal pain or mass;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>uncertain dates;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>high risk pregnancy;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:36.65pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xxi)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>previous </span><span>post dates</span><span> delivery;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xxii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous caesarean section;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xxiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>poor obstetric history;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspicion of ectopic pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>risk of miscarriage;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diminished symptoms of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.36pt; text-indent:0pt; display:inline-block"></span><span>(xxvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected or known cervical incompetence;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.31pt; text-indent:0pt; display:inline-block"></span><span>(xxviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected or known uterine abnormality;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>pregnancy after assisted reproduction;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>risk of </span><span>fetal</span><span> abnormality</span><span> </span><span>(NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55713</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating midwife; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating for the pregnancy (as confirmed by ultrasound) is 17 to 22</span><span> </span><span>weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>50.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating midwife</span><span> </span><span>— the referring midwife does not have a business or financial arrangement with the providing practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in the same pregnancy as item</span><span> </span><span>55709 or 55717 (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:86.25pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55714</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating midwife; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 pregnancy (as confirmed by ultrasound) is dated by a </span><span>fetal</span><span> crown rump length of 45 to 84</span><span> </span><span>mm; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>35.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:90.75pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating midwife</span><span> </span><span>— the referring midwife does not have a business or financial arrangement with the providing practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>at least 1 condition mentioned in paragraph</span><span> </span><span>(f) of item 55704 or 55710 is present; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr><tr style="height:25.5pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(g)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>nuchal translucency measurement is performed to assess the risk of </span><span>fetal</span><span> abnormality; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(h)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed with item 55700, 55701, 55702, 55703, 55704, 55705, 55710 or 55711 on the same patient within 24 hours (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55716</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner or participating midwife; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84</span><span> </span><span>mm; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>at least 1 condition mentioned in paragraph</span><span> </span><span>(f) of item 55704 or</span><span> </span><span>55710 is present; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>nuchal translucency measurement is performed to assess the risk of </span><span>fetal</span><span> abnormality; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed with item 55700, 55701, 55702, 55703, 55704, 55705, 55710 or 55711on the same patient within 24 hours (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>17.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:37.1pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55717</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all </span><span>approaches, with measurement of all parameters for dating purposes, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>19.00</span></p><p style="text-align:right; line-height:normal"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in the same pregnancy as item 55706 or 55713 (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55719</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 who:</span></p><p style="margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a Diploma of Obstetrics; or</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>57.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has obstetric privileges at a non</span><span>‑</span><span>metropolitan hospital; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is 17 to 22</span><span> </span><span>weeks of gestation; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706, 55709, 55713 or 55717 (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:28.1pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55720</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>20.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is 17 to 22</span><span> </span><span>weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706, 55709, 55713 or 55717 (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55722</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating midwife; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is after 22</span><span> </span><span>weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>50.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating midwife</span><span> </span><span>— the referring midwife does not have a business or financial arrangement with the providing practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in the same pregnancy as item 55723 or 55726; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(g)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>1 or more of the following conditions are present:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>known or suspected </span><span>fetal</span><span> abnormality or </span><span>fetal</span><span> cardiac arrhythmia;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>fetal</span><span> anatomy (late booking or incomplete mid</span><span>‑</span><span>trimester scan);</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>malpresentation</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>cervical assessment;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(v)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>clinical suspicion of amniotic fluid abnormality;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(vi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>clinical suspicion of placental or umbilical cord abnormality;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(vii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous complicated delivery;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(viii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>uterine scar assessment;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(ix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>uterine fibroid;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(x)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous </span><span>fetal</span><span> death in utero or neonatal death;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(xi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>antepartum haemorrhage;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(xii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>clinical suspicion of intrauterine growth retardation;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(xiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>clinical suspicion of </span><span>macrosomia</span><span>;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>reduced </span><span>fetal</span><span> movements;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected </span><span>fetal</span><span> death;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abnormal </span><span>cardiotocography</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>prolonged pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>premature labour;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>fetal</span><span> infection;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>pregnancy after assisted reproduction;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xxi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>trauma;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xxii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diabetes mellitus;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xxiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hypertension;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>toxaemia of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>liver or renal disease;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>autoimmune disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.36pt; text-indent:0pt; display:inline-block"></span><span>(xxvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>cardiac disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.31pt; text-indent:0pt; display:inline-block"></span><span>(xxviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>alloimmunisation</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>maternal infection;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>inflammatory bowel disease;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxxi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>bowel stoma;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.36pt; text-indent:0pt; display:inline-block"></span><span>(xxxii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal wall scarring;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.31pt; text-indent:0pt; display:inline-block"></span><span>(xxxiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous spinal or pelvic trauma or disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.92pt; text-indent:0pt; display:inline-block"></span><span>(xxxiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>drug dependency;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:43.5pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.97pt; text-indent:0pt; display:inline-block"></span><span>(xxxv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>thrombophilia;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.92pt; text-indent:0pt; display:inline-block"></span><span>(xxxvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>gross maternal obesity;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:0.86pt; text-indent:0pt; display:inline-block"></span><span>(xxxvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>advanced maternal age;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:30.75pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span>(xxxviii)</span><span style="width:4.91pt; text-indent:0pt; display:inline-block"> </span><span>abdominal pain or mass (R) (NK)</span></p><p style="margin-bottom:3pt; line-height:12pt"><span>(Item is subject to subclause 2.1.5(2) of the diagnostic imaging services table)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>55724</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><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 who:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a Diploma of Obstetrics; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>57.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has obstetric privileges at a non</span><span>‑</span><span>metropolitan hospital; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is after 22</span><span> </span><span>weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726 applies (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:33.5pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55726</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>19.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:18.75pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is after 22</span><span> </span><span>weeks of gestation; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:31.25pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in the same pregnancy as item 55718 or 55722; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>1 or more of the following conditions are present:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>known or suspected </span><span>fetal</span><span> abnormality or </span><span>fetal</span><span> cardiac arrhythmia;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>fetal</span><span> anatomy (late booking or incomplete mid</span><span>‑</span><span>trimester scan);</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>malpresentation</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>cervical assessment;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(v)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>clinical suspicion of amniotic fluid abnormality;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(vi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>clinical suspicion of placental or umbilical cord abnormality;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(vii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous complicated delivery;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(viii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>uterine scar assessment;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(ix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>uterine fibroid;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(x)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous </span><span>fetal</span><span> death in utero or neonatal death;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(xi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>antepartum haemorrhage;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(xii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>clinical suspicion of intrauterine growth retardation;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.31pt; text-indent:0pt; display:inline-block"></span><span>(xiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>clinical suspicion of </span><span>macrosomia</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>reduced </span><span>fetal</span><span> movements;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>suspected </span><span>fetal</span><span> death;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abnormal </span><span>cardiotocography</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>prolonged pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>premature labour;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>fetal</span><span> infection;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.97pt; text-indent:0pt; display:inline-block"></span><span>(xx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>pregnancy after assisted reproduction;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:14.92pt; text-indent:0pt; display:inline-block"></span><span>(xxi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>trauma;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:11.86pt; text-indent:0pt; display:inline-block"></span><span>(xxii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>diabetes mellitus;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:8.81pt; text-indent:0pt; display:inline-block"></span><span>(xxiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>hypertension;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxiv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>toxaemia of pregnancy;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>liver or renal disease;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>autoimmune disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.36pt; text-indent:0pt; display:inline-block"></span><span>(xxvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>cardiac disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.31pt; text-indent:0pt; display:inline-block"></span><span>(xxviii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>alloimmunisation</span><span>;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxix)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>maternal infection;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:12.47pt; text-indent:0pt; display:inline-block"></span><span>(xxx)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>inflammatory bowel disease;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:9.42pt; text-indent:0pt; display:inline-block"></span><span>(xxxi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>bowel stoma;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.36pt; text-indent:0pt; display:inline-block"></span><span>(xxxii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abdominal wall scarring;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.31pt; text-indent:0pt; display:inline-block"></span><span>(xxxiii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>previous spinal or pelvic trauma or disease;</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:3.92pt; text-indent:0pt; display:inline-block"></span><span>(xxxiv)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>drug dependency;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:6.97pt; text-indent:0pt; display:inline-block"></span><span>(xxxv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>thrombophilia;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:3.92pt; text-indent:0pt; display:inline-block"></span><span>(xxxvi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>gross maternal obesity;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:0.86pt; text-indent:0pt; display:inline-block"></span><span>(xxxvii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>advanced maternal age;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span>(xxxviii)</span><span style="width:4.91pt; text-indent:0pt; display:inline-block"> </span><span>abdominal pain or mass (NR) (NK)</span></p><p style="margin-bottom:3pt; line-height:12pt"><span>(Item is subject to subclause 2.1.5(2) of the diagnostic imaging services table)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55727</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 dating of the pregnancy (as confirmed by ultrasound) is after 22</span><span> </span><span>weeks of gestation; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>20.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726</span><span> </span><span>applies (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55730</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of the umbilical artery, and measured assessment of amniotic fluid volume after the 24th week of gestation, if the patient is referred by a medical practitioner for this procedure and if there is reason to suspect intrauterine growth retardation or a significant risk of </span><span>fetal</span><span> death, not being a service associated with a service to which an item in this group applies</span><span> </span><span>— examination and report (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>13.65</span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55732</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis, female, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>49.00</span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed with item 55014, 55017, 55036 or 55038 on the same patient within 24</span><span> </span><span>hours (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:12pt"><span>55734</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:12pt"><span>Pelvis, female, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-after:avoid; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-after:avoid; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>17.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55735</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>63.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</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 medical practitioners of which the providing practitioner is a member; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a previous </span><span>transvaginal</span><span> ultrasound has revealed an abnormality of the uterus or fallopian tube (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55737</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a previous </span><span>transvaginal</span><span> ultrasound has revealed an abnormality of the uterus or fallopian tube (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>28.50</span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55760</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>ultrasound of the same pregnancy confirms a multiple pregnancy; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>75.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service described in item 55706, 55709, 55712, 55713, 55715, 55717, 55719, 55720, 55762 or 55763 is not performed in conjunction with the scan during the same pregnancy (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55763</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>ultrasound of the same pregnancy confirms a multiple pregnancy; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>30.00</span></p><p style="margin-top:9pt; text-align:right; line-height:normal"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service described in item 55706, 55709, 55712, 55713, 55715, 55717, 55719, 55720, 55759 or 55760 is not performed in conjunction with the scan during the same pregnancy (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:12pt"><span>55765</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>80.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:58.25pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 who:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a Diploma of Obstetrics; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has obstetric privileges at a non</span><span>‑</span><span>metropolitan hospital; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>ultrasound of the same pregnancy confirms a multiple pregnancy; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>further examination is clinically indicated in the same pregnancy in which item 55759, 55760, 55762 or 55763 has been performed; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(g)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service described in item 55706, 55709, 55712, 55713, 55715, 55717, 55719 or 55720 is not performed in conjunction with the scan during the same pregnancy (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55767</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 not referred by a medical practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>ultrasound of the same pregnancy confirms a multiple pregnancy; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>32.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>further examination is clinically indicated in the same pregnancy in which item</span><span> </span><span>55759, 55760, 55762 or 55763 has been performed; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service described in item 55706, 55709, 55712, 55713, 55715, 55717, 55719 or 55720 is not performed in conjunction with the scan during the same pregnancy (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55769</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 ultrasound confirms a multiple pregnancy; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner or participating nurse practitioner; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>75.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in the same pregnancy as item</span><span> </span><span>55770 or 55771; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(g)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(h)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service described in item 55718, 55721, 55722, 55723, 55724, 55725, 55726</span><span> </span><span>or 55727 is not performed in conjunction with the scan during the same pregnancy (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:96pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55771</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner</span><span>; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>30.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:12pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in the same pregnancy as item 55768 or 55769; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the pregnancy as confirmed by ultrasound is a multiple pregnancy; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service described in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55773</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>80.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner who:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a Diploma of Obstetrics; or</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:43.5pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:24.75pt"><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>has obstetric privileges at a non</span><span>‑</span><span>metropolitan hospital; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>further examination is clinically indicated in the same pregnancy to which item 55768, 55769, 55770 or 55771 has been performed; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the pregnancy as confirmed by ultrasound is a multiple pregnancy; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(g)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service described in item 55718, 55721, 55722, 55723, 55724, 55725, 55726</span><span> </span><span>or 55727 is not performed in conjunction with the scan during the same pregnancy (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55775</span></p></td><td style="width:299.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, </span><span>fetal</span><span> development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner</span><span>; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>further examination is clinically indicated in the same pregnancy to which item 55768, 55769, 55770 or 55771 has been performed; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the pregnancy as confirmed by ultrasound is a multiple pregnancy; and</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>32.50</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:33.3pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:299.95pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.41pt; text-indent:0pt; display:inline-block"></span><span>(f)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service described in item 55718, 55721, 55722, 55723, 55724, 55725, 55726</span><span> </span><span>or 55727 is not performed in conjunction with the scan during the same pregnancy (NR) (NK)</span></p></td><td style="width:35.4pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr></tbody></table>
Subdivision D Subgroup 6 of Group I1 — Musculoskeletal ultrasound
<table cellspacing="0" cellpadding="0" style="width:378.55pt; border-collapse:collapse"><thead><tr><td colspan="4" style="width:375.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I1</span><span style="font-family:Arial, sans-serif; font-weight:bold"> </span><span style="font-family:Arial, sans-serif; font-weight:bold">— Ultrasound</span></p></td></tr><tr><td style="width:32.6pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:297.15pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td colspan="2" style="width:39.5pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td colspan="4" style="width:375.45pt; border-top:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 6</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Musculoskeletal ultrasound</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55801</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hand or wrist, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies;</span><span> and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— </span><span>the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner</span><span> (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55803</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hand or wrist, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55805</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Forearm or elbow, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies;</span><span> and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>t</span><span>he patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55807</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Forearm or elbow, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55809</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Shoulder or upper arm, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is used for the assessment of 1 or more of the following suspected or known conditions:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>an injury to a muscle, tendon or muscle/tendon junction;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>rotator cuff tear, calcification or </span><span>tendinosis</span><span> (biceps, subscapular, supraspinatus, </span><span>infraspinatus</span><span>);</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>54.55</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:43.5pt"><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>biceps subluxation;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>capsulitis and bursitis;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(v)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>a mass, including a ganglion;</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:30.75pt"><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(vi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>an occult fracture;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(vii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>acromioclavicular</span><span> joint pathology (R) (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:72.65pt"><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55811</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Shoulder or upper arm, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is used for the assessment of 1 or more of the following suspected or known conditions:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>an injury to a muscle, tendon or muscle/tendon junction;</span></p><p style="margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>rotator cuff tear, calcification or </span><span>tendinosis</span><span> (biceps, subscapular, supraspinatus, </span><span>infraspinatus</span><span>);</span></p><p style="margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>biceps subluxation;</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>18.95</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:45.65pt"><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.2pt; margin-bottom:3pt; text-indent:-43.2pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:6.9pt; text-indent:0pt; display:inline-block"> </span><span>capsulitis and bursitis;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:23.47pt; text-indent:0pt; display:inline-block"></span><span>(v)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>a mass, including a ganglion;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(vi)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>an occult fracture;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:17.36pt; text-indent:0pt; display:inline-block"></span><span>(vii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>acromioclavicular</span><span> joint pathology (NR) (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55813</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Chest or abdominal wall, 1 or more areas, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55815</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Chest or abdominal wall, 1 or more areas, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55817</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hip or groin, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55819</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hip or groin, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55821</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Paediatric hip examination for dysplasia, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55823</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Paediatric hip examination for dysplasia 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55825</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Buttock or thigh, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55827</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Buttock or thigh, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr style="height:97.5pt"><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55829</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Knee, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner; and</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is used for the assessment of 1 or more of the following suspected or known conditions:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abnormality of tendons or </span><span>bursae</span><span> about the knee;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>a meniscal cyst, popliteal fossa cyst, mass or </span><span>pseudomass</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>a nerve entrapment or a nerve or nerve sheath tumour;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>an injury of collateral ligaments (R) (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55831</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Knee, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner; and</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>18.95</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; page-break-after:avoid; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is used for the assessment of 1 or more of the following suspected or known conditions:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>abnormality of tendons or </span><span>bursae</span><span> about the knee;</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>a meniscal cyst, popliteal fossa cyst, mass or </span><span>pseudomass</span><span>;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>a nerve entrapment or a nerve or nerve sheath tumour;</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:20.42pt; text-indent:0pt; display:inline-block"></span><span>(iv)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>an injury of collateral ligaments (NR) (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55833</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Lower leg, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55835</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Lower leg, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55837</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Ankle or hind foot, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55839</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Ankle or hind foot, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55841</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Mid foot or fore foot, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55843</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Mid foot or fore foot, 1 or both sides, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55845</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, 1 or more areas, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies;</span><span> and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>43.70</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55847</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, 1 or more areas, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; </span><span>and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55849</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Musculoskeletal cross</span><span>‑</span><span>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, and not performed in conjunction with item </span><span>55026</span><span> or</span><span> </span><span>55054 (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr style="height:106.5pt"><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55851</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Musculoskeletal cross</span><span>‑</span><span>sectional echography, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial relationship with the providing practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner or nurse practitioner has indicated on a referral for a musculoskeletal ultrasound that an ultrasound guided intervention be performed if clinically indicated; and</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>76.45</span></p></td></tr><tr style="height:3.7pt"><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(e)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in conjunction with items </span><span>55026</span><span>, 55054, or 55800 to 55849 (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:32.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55853</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is referred by a medical practitioner or participating nurse practitioner; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a medical practitioner</span><span> </span><span>— the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if the patient is referred by a participating nurse practitioner</span><span> </span><span>— the referring nurse practitioner does not have a business or financial arrangement with the providing practitioner (R)</span><span> (NK)</span></p></td><td style="width:39.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>54.55</span></p></td></tr><tr><td style="width:32.6pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>55855</span></p></td><td colspan="2" style="width:297.5pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)</span></p></td><td style="width:39.15pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>18.95</span></p></td></tr></tbody><tbody><tr style="height:0pt"><td style="width:35.7pt"></td><td style="width:300.25pt"></td><td style="width:0.35pt"></td><td style="width:42.25pt"></td></tr></tbody></table>
Division 2.2 Not used
Division 2.3 Group I3 — Diagnostic radiology
Subdivision A Subgroups 1 to 9 of Group I3
<table cellspacing="0" cellpadding="0" style="width:375.15pt; border-collapse:collapse"><thead><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I3 — Diagnostic radiology</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td colspan="2" style="width:296.1pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:35.4pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 1</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination of extremities</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57529</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hand, wrist, forearm, elbow or </span><span>humerus</span><span> (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>14.90</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57530</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hand, wrist, forearm, elbow or </span><span>humerus</span><span> (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>19.90</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57532</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hand and wrist, or hand, wrist and forearm, or forearm and elbow, or elbow and </span><span>humerus</span><span> (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>20.25</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57533</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hand and wrist, or hand, wrist and forearm, or forearm and elbow, or elbow and </span><span>humerus</span><span> (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>27.00</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57535</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Foot, ankle, leg, knee or femur (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>16.25</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57536</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Foot, ankle, leg, knee or femur (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>21.70</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; line-height:12pt"><span>57538</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; line-height:12pt"><span>Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; line-height:12pt"><span>24.70</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57539</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>32.90</span></p></td></tr><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 2</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination of shoulder or pelvis</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57702</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Shoulder or scapula (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>20.25</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57705</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Shoulder or scapula (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>27.00</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57708</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Clavicle (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>16.25</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57711</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Clavicle (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>21.70</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57714</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hip joint (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.60</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57717</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvic girdle (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>30.45</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57723</span></p></td><td colspan="2" style="width:296.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Femur, internal fixation of neck or intertrochanteric (</span><span>pertrochanteric</span><span>) fracture (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>49.65</span></p></td></tr><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 3</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination of head</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57911</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Skull, not in association with item 57902 or</span><span> </span><span>57914 (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>32.25</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57914</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cephalometry</span><span>, not in association with item</span><span> </span><span>57901 or 57911 (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>32.25</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57917</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Sinuses (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.65</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57920</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Mastoids (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>32.25</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57923</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Petrous temporal bones (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>32.25</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57926</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Facial bones</span><span> </span><span>— orbit, maxilla or malar, any or all (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.60</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57929</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Mandible, not by </span><span>orthopantomography</span><span> technique (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.60</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57932</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Salivary calculus (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.60</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57935</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Nose (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.60</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57938</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Eye (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.60</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57941</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Temporo</span><span>‑</span><span>mandibular joints (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>24.85</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57944</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Teeth</span><span> </span><span>— single area (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>16.45</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57947</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Teeth</span><span> </span><span>— full mouth (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>39.15</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57950</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Palato</span><span>‑</span><span>pharyngeal studies with fluoroscopic screening (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>32.25</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; line-height:12pt"><span>57953</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; line-height:12pt"><span>Palato</span><span>‑</span><span>pharyngeal studies without fluoroscopic screening</span><span> </span><span>(R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; line-height:12pt"><span>24.85</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57956</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Larynx, lateral airways and soft tissues of the neck, not being a service associated with a service to which item</span><span> </span><span>57939,</span><span> </span><span>57942, 57950 or 57953 applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>21.70</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57959</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Orthopantomography</span><span> for diagnosis or management (or both) of trauma, infection, tumour or a congenital or surgical condition of the teeth or maxillofacial region (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.70</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57962</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Orthopantomography</span><span> for diagnosis or management (or both) of any of the following conditions, if the signs and symptoms of the condition is present:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>impacted teeth;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>caries;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(c)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>periodontal pathology;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(d)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>periapical</span><span> pathology (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.70</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57965</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Orthopantomography</span><span> for diagnosis or management (or both) of missing or crowded teeth, or developmental anomalies of the teeth or jaws (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.70</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>57968</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Orthopantomography</span><span> for diagnosis or management (or both) of </span><span>temporo</span><span>‑</span><span>mandibular joint </span><span>arthroses</span><span> or dysfunction (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.70</span></p></td></tr><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 4</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination of spine</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58102</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— cervical (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>33.60</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58105</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— thoracic (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>27.55</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58111</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— </span><span>lumbo</span><span>‑</span><span>sacral (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>38.50</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58114</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— 4 regions, cervical, thoracic, lumbosacral and </span><span>sacrococcygeal</span><span> (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>55.00</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58117</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— </span><span>sacro</span><span>‑</span><span>coccygeal (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.50</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58123</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— 2 examinations of the kind mentioned in items</span><span> </span><span>58100, 58102, 58103, 58105, 58106, 58109, 58111 and 58117 (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>48.65</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58124</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— 3 examinations of the kind mentioned in items</span><span> </span><span>58100, 58102, 58103, 58105, 58106, 58109, 58111 and 58117 (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>55.00</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58126</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— 4 regions, cervical, thoracic, lumbosacral and </span><span>sacrococcygeal</span><span> (R) (NK), if the service to which item 58120, 58121, 58126 or 58127 applies has not been performed on the same patient within the same calendar year</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>55.00</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58127</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Spine</span><span> </span><span>— 3 examinations of the kind mentioned in items</span><span> </span><span>58100, 58102, 58103, 58105, 58106, 58109, 58111 and 58117 (R) (NK), if the service to which item 58120, 58121, 58126 or 58127 applies has not been performed on the same patient within the same calendar year</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>55.00</span></p></td></tr><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 5</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Bone age study and skeletal survey</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>58302</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>Bone age study (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>20.05</span></p></td></tr><tr><td style="width:33.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58308</span></p></td><td colspan="3" style="width:296.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Skeletal survey (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>44.70</span></p></td></tr><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 6</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination of thoracic region</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58502</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Chest (lung fields) by direct radiography (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>17.70</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58505</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Chest (lung fields) by direct radiography (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.60</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58508</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Chest (lung fields) by direct radiography with fluoroscopic screening (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>30.40</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58511</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Thoracic inlet or trachea (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>19.90</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58523</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Left ribs, right ribs or sternum (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>21.70</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58526</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Left and right ribs, left ribs and sternum, or right ribs and sternum (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>28.25</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58529</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Left ribs, right ribs and sternum (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>34.70</span></p></td></tr><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 7</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination of urinary tract</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58702</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Plain renal only (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.05</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58708</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Intravenous pyelography, with or without preliminary plain films and with or without tomography (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>78.95</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58717</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Antegrade</span><span> or retrograde pyelography with or without preliminary plain films and with preparation and contrast injection, 1 side (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>75.80</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58720</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Retrograde cystography or retrograde </span><span>urethrography</span><span> with or without preliminary plain films and with preparation and contrast injection (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>63.05</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58723</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Retrograde </span><span>micturating</span><span> </span><span>cysto</span><span>‑</span><span>urethrography</span><span>, with preparation and contrast injection (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>69.15</span></p></td></tr><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 8</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination of alimentary tract and biliary system</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58902</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-right:1.95pt; margin-bottom:3pt; line-height:12pt"><span>Plain abdominal only, not being a service associated with a service to which item</span><span> </span><span>58909, 58911, 58912, 58914, 58915, 58917, 58924 or 58926</span><span> </span><span>applies (NR) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>17.85</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58905</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Plain abdominal only, not being a service associated with a service to which item</span><span> </span><span>58909, 58911,58912, 58914, 58915, 58917, 58924 or 58926</span><span> </span><span>applies (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.80</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58911</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Barium or other opaque meal of 1 or more of pharynx, oesophagus, stomach or duodenum, with or without preliminary plain films of pharynx, chest or duodenum, not being a service associated with a service to which item 57939, 57942, 57945,</span><span> </span><span>57950, 57953 or 57956 applies (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>45.00</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58914</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>55.15</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58917</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>39.50</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58920</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Small bowel enema, barium or other opaque study of the small bowel, including duodenal intubation, with or without preliminary plain films, not being a service associated with a service to which item</span><span> </span><span>30488 applies (R) (NK)</span><span> </span><span>(</span><span>Anaes</span><span>.)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>69.25</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58923</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Opaque enema, with or without air contrast study and with or without preliminary plain films (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>67.65</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58926</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Graham’s test (cholecystography), with preliminary plain films and with or without tomography (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>42.05</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58929</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cholegraphy</span><span> direct, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item</span><span> </span><span>30439 applies (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>38.25</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58935</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cholegraphy</span><span>, percutaneous </span><span>transhepatic</span><span>, with or without preliminary plain films and with preparation and contrast injection (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>102.80</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58938</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cholegraphy</span><span>, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>98.00</span></p></td></tr><tr><td colspan="3" style="width:35.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>58941</span></p></td><td style="width:295.2pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Defaecogram</span><span> (R) (NK)</span></p></td><td style="width:35.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>69.65</span></p></td></tr><tr><td colspan="5" style="width:372.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 9</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination for localisation of foreign bodies</span></p></td></tr><tr><td colspan="2" style="width:34.35pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59104</span></p></td><td colspan="2" style="width:296.1pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Localisation of foreign body, if provided in conjunction with a service described in Subgroups 1 to 12 of Group</span><span> </span><span>I3</span><span> </span><span>(R) (NK)</span></p></td><td style="width:35.4pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>10.65</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr></tbody><tbody><tr style="height:0pt"><td style="width:37pt"></td><td style="width:0.45pt"></td><td style="width:0.9pt"></td><td style="width:298.3pt"></td><td style="width:38.5pt"></td></tr></tbody></table>
Subdivision B Subgroup 10 of Group I3 — Radiographic examination of breasts
<table cellspacing="0" cellpadding="0" style="width:375.85pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:372.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I3 — Diagnostic radiology</span></p></td></tr><tr><td style="width:33.75pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:298.1pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:34.7pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="width:372.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 10</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination of breasts</span></p></td></tr><tr><td style="width:33.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59301</span></p></td><td style="width:298.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Mammography of both breasts if there is reason to suspect the presence of malignancy because of:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 past occurrence of breast malignancy in the patient or members of the patient’s family; or</span></p></td><td style="width:34.7pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>44.75</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:33.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:298.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>symptoms or indications of malignancy found on examination of the patient by a medical practitioner</span><span> </span><span>(R) (NK)</span></p></td><td style="width:34.7pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:71.75pt"><td style="width:33.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59304</span></p></td><td style="width:298.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Mammography of 1 breast if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 with a specific request for a unilateral mammogram; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>there is reason to suspect the presence of malignancy because of:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>the past occurrence of breast malignancy in the patient or members of the patient’s family; or</span></p></td><td style="width:34.7pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>27.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:33.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td style="width:298.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>symptoms or indications of malignancy found on examination of the patient by a medical practitioner (R) (NK)</span></p></td><td style="width:34.7pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:3.7pt"><td style="width:33.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59307</span></p></td><td style="width:298.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Mammary </span><span>ductogram</span><span> (</span><span>galactography</span><span>)</span><span> </span><span>— 1</span><span> </span><span>breast (R) (NK)</span></p></td><td style="width:34.7pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>50.15</span></p></td></tr><tr><td style="width:33.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59310</span></p></td><td style="width:298.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Mammary </span><span>ductogram</span><span> (</span><span>galactography</span><span>)</span><span> </span><span>— 2</span><span> </span><span>breasts (R) (NK)</span></p></td><td style="width:34.7pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>100.30</span></p></td></tr><tr><td style="width:33.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59313</span></p></td><td style="width:298.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Radiographic examination of both breasts, in conjunction with a surgical procedure on each breast, using interventional techniques (R) (NK)</span></p></td><td style="width:34.7pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>43.50</span></p></td></tr><tr><td style="width:33.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59315</span></p></td><td style="width:298.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Radiographic examination of 1 breast, in conjunction with a surgical procedure using interventional techniques (R) (NK)</span></p></td><td style="width:34.7pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>26.25</span></p></td></tr><tr><td style="width:33.75pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59319</span></p></td><td style="width:298.1pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Radiographic examination of excised breast tissue to confirm satisfactory excision of 1 or more lesions in 1</span><span> </span><span>breast or both following pre</span><span>‑</span><span>operative localisation in conjunction with a service under item</span><span> </span><span>31536 (R) (NK)</span></p></td><td style="width:34.7pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>23.55</span></p></td></tr></tbody></table>
Subdivision C Subgroups 11 to 13 of Group I3
<table cellspacing="0" cellpadding="0" style="width:375.85pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:372.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I3 — Diagnostic radiology</span></p></td></tr><tr><td style="width:35.1pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:292.55pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:38.9pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="width:372.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 11</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination in connection with pregnancy</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59504</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Pelvimetry</span><span>, not being a service associated with a service to which item</span><span> </span><span>57201 or 57247</span><span> </span><span>applies</span><span> </span><span>(R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>44.70</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td colspan="3" style="width:372.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 12</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Radiographic examination with opaque or contrast media</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59701</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Discography, each disc, with or without preliminary plain films and with preparation and contrast injection (R) (NK)</span><span> </span><span>(</span><span>Anaes</span><span>.)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>48.30</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59704</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Dacryocystography</span><span>, 1 side, with or without preliminary plain film and with preparation and contrast injection (R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>37.95</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59713</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hysterosalpingography</span><span>, with or without preliminary plain films and with preparation and contrast injection (R) (NK)</span><span> </span><span>(</span><span>Anaes</span><span>.)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>56.85</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59716</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Bronchography</span><span>, 1 side, with or without preliminary plain films and with preparation and contrast injection (R) (NK)</span><span> </span><span>(</span><span>Anaes</span><span>.)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>71.80</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59719</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Phlebography, 1 side, with or without preliminary plain films and with preparation and contrast injection (R) (NK)</span><span> </span><span>(</span><span>Anaes</span><span>.)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>67.35</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59725</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Myelography</span><span>, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item</span><span> </span><span>56219 or 56259</span><span> </span><span>applies (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>113.25</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59734</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Sialography</span><span>, 1 side, with preparation and contrast injection, not being a service associated with a service to which item</span><span> </span><span>57918 or 57932 applies (R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>53.85</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59737</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Vasoepididymography</span><span>, 1 side (R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>31.00</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59740</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Sinogram</span><span> or </span><span>fistulogram</span><span>, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection</span><span> </span><span>(R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>36.90</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59752</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Arthrography, each joint, excluding the facet (</span><span>zygapophyseal</span><span>) joints of the spine, single or double contrast study, with or without preliminary plain films and with preparation and contrast injection</span><span> </span><span>(R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>69.60</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59755</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Lymphangiography, 1 or both sides, with preliminary plain films and follow</span><span>‑</span><span>up radiography and with preparation and contrast injection</span><span> </span><span>(R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>109.70</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59761</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Peritoneogram</span><span> (</span><span>herniography</span><span>) with or without contrast medium including preparation</span><span> </span><span>— performed on a person over 14 years of age</span><span> </span><span>(R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>57.60</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>59764</span></p></td><td style="width:292.55pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Air insufflation during video</span><span> </span><span>— fluoroscopic imaging including associated consultation (R) (NK)</span></p></td><td style="width:38.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>66.95</span></p></td></tr><tr><td colspan="3" style="width:372.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 14</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Tomography</span></p></td></tr><tr><td style="width:35.1pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>60101</span></p></td><td style="width:292.55pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Tomography of any region (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:38.9pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>30.40</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr></tbody></table>
Subdivision D Subgroup 15 of Group I3 — Fluoroscopic examination
<table cellspacing="0" cellpadding="0" style="width:375.85pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:372.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I3</span><span style="font-family:Arial, sans-serif; font-weight:bold"> </span><span style="font-family:Arial, sans-serif; font-weight:bold">— Diagnostic radiology</span></p></td></tr><tr><td style="width:35.1pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:291.85pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:39.6pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr><tr><td colspan="3" style="width:372.75pt; border-top:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-style:italic">Subgroup 15</span><span style="font-family:Arial, sans-serif; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-style:italic">— Fluoroscopic examination</span></p></td></tr></thead><tbody><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>60501</span></p></td><td style="width:291.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Fluoroscopy, with general anaesthesia (not being a service associated with a radiographic examination) (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:39.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>21.70</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>60504</span></p></td><td style="width:291.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Fluoroscopy, without general anaesthesia (not being a service associated with a radiographic examination) (R) (NK)</span></p></td><td style="width:39.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>14.90</span></p></td></tr><tr><td style="width:35.1pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>60507</span></p></td><td style="width:291.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting less than 1</span><span> </span><span>hour, not being a service associated with a service to which another item in this table applies (R) (NK)</span></p></td><td style="width:39.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>31.90</span></p></td></tr><tr><td style="width:35.1pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>60510</span></p></td><td style="width:291.85pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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) (NK)</span></p></td><td style="width:39.6pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>49.45</span></p></td></tr></tbody></table>
Subdivision E Not used
Subdivision F Subgroup 17 of Group I3 — Interventional techniques
<table cellspacing="0" cellpadding="0" style="width:373.05pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:369.95pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I3</span><span style="font-family:Arial, sans-serif; font-weight:bold"> </span><span style="font-family:Arial, sans-serif; font-weight:bold">— Diagnostic radiology</span></p></td></tr><tr><td style="width:35.7pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:292.55pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:35.5pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr><tr><td colspan="3" style="width:369.95pt; border-top:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-style:italic">Subgroup 17 — Interventional techniques</span></p></td></tr></thead><tbody><tr><td style="width:35.7pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61110</span></p></td><td style="width:292.55pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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) (NK)</span></p></td><td style="width:35.5pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>129.45</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr></tbody></table>
Division 2.4 Group I4 — Nuclear medicine imaging
<table cellspacing="0" cellpadding="0" style="width:373.75pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:370.65pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I4 — Nuclear medicine imaging</span></p></td></tr><tr><td style="width:35.05pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:287.6pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:41.8pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>61651</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>Single stress or rest myocardial perfusion study</span><span> </span><span>— planar imaging (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>224.45</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61652</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Single stress or rest myocardial perfusion study</span><span> </span><span>— with single photon emission tomography and with planar imaging when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>282.65</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61653</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Combined stress and rest, stress and re</span><span>‑</span><span>injection or rest and redistribution myocardial perfusion study, including delayed imaging or re</span><span>‑</span><span>injection protocol on a subsequent occasion</span><span> </span><span>— planar imaging (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>354.85</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61654</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Combined stress and rest, stress and re</span><span>‑</span><span>injection or rest and redistribution myocardial perfusion study, including delayed imaging or re</span><span>‑</span><span>injection protocol on a subsequent occasion</span><span> </span><span>— with single photon emission tomography and with planar imaging when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>417.45</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61655</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Myocardial infarct</span><span>‑</span><span>avid</span><span>‑</span><span>study, with planar imaging and single photon emission tomography, or planar imaging or single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>183.65</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61656</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Gated cardiac blood pool study, (equilibrium), with planar imaging and single photon emission tomography, or planar imaging or single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>151.70</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61657</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>210.00</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61658</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Gated cardiac blood pool study, with intervention, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>190.60</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61659</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.20</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61660</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cardiac first pass blood flow study or cardiac shunt study, not being a service to which another item in this group applies (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>114.45</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61661</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Lung perfusion study, with planar imaging and single photon emission tomography or planar imaging, or single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>113.85</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61662</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Lung ventilation study using aerosol, </span><span>technegas</span><span> or xenon gas, with planar imaging and single photon emission tomography or planar imaging or single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>126.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61663</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Lung perfusion study and lung ventilation study using aerosol, </span><span>technegas</span><span> or xenon gas, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>221.70</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61664</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Liver and spleen study (colloid)</span><span> </span><span>— planar imaging (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>129.70</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61665</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Liver and spleen study (colloid), with single photon emission tomography and with planar imaging when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>193.30</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61666</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Red blood cell spleen or liver study, including single photon emission tomography when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>196.40</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61667</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hepatobiliary</span><span> study, including morphine administration or pre</span><span>‑</span><span>treatment with cholecystokinin (CCK) when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.70</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61668</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Hepatobiliary</span><span> study with formal quantification following baseline imaging, using an infusion of cholecystokinin (CCK) (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>230.70</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61669</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Bowel haemorrhage study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>248.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61670</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Meckel’s</span><span> diverticulum study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>111.55</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61671</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Indium</span><span>‑</span><span>labelled </span><span>octreotide</span><span> study, including single photon emission tomography when undertaken, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>a gastro</span><span>‑</span><span>entero</span><span>‑</span><span>pancreatic endocrine tumour is suspected, based on biochemical evidence, with negative or equivocal conventional imaging; or</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>a surgically amenable gastro</span><span>‑</span><span>entero</span><span>‑</span><span>pancreatic endocrine tumour has been identified based on conventional techniques, to exclude additional disease sites (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>1,007.90</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61672</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Salivary study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>111.55</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61673</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Gastro</span><span>‑</span><span>oesophageal reflux study, including delayed imaging on a separate occasion when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>244.85</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>61674</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>Oesophageal clearance study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>71.70</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61675</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Gastric emptying study, using single tracer</span><span> </span><span>(R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>287.20</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61676</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Combined solid and liquid gastric emptying study using dual isotope technique or the same isotope on separate days (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>312.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61677</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Radionuclide colonic transit study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>343.85</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61678</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Renal study, including perfusion and </span><span>renogram</span><span> images and computer analysis or cortical study with planar imaging (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>166.25</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61679</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Renal cortical study, with single photon emission tomography and planar quantification (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>215.40</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61680</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Single renal study with pre</span><span>‑</span><span>procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>185.30</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61681</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Renal study with diuretic administration following a baseline study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>205.00</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61682</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>302.75</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61683</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cystoureterogram</span><span> (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>123.45</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61684</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Testicular study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>81.15</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61685</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cerebral perfusion study, with single photon emission tomography and with planar imaging when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>302.55</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61686</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Brain study with blood brain barrier agent, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>173.00</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61687</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cerebro</span><span>‑</span><span>spinal fluid transport study, with imaging on 2</span><span> </span><span>or more separate occasions (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>436.75</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61688</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Cerebro</span><span>‑</span><span>spinal fluid shunt patency study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>113.00</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61689</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>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) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>59.45</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61690</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Bone study</span><span> </span><span>— whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>239.90</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61691</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Bone study</span><span> </span><span>— whole body and single photon emission tomography, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>300.35</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61692</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Whole body study using iodine (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>277.40</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61693</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Whole body study using gallium (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>271.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61694</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Whole body study using gallium, with single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>329.75</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61695</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Whole body study using cells labelled with technetium (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>248.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61696</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Whole body study using cells labelled with technetium, with single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>307.70</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61697</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Whole body study using thallium (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>271.40</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61698</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Whole body study using thallium, with single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>336.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61699</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Bone marrow study</span><span> </span><span>— whole body using technetium labelled bone marrow agents (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>244.85</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61700</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Whole body study, using gallium</span><span> </span><span>— with single photon emission tomography of 2 or more body regions acquired separately (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>376.20</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61701</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Bone marrow study</span><span> </span><span>— localised using technetium labelled agent (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>143.40</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61702</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Localised bone or joint study, including when undertaken, blood flow, blood pool and repeat imaging on a separate occasion (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>166.80</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61703</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Localised bone or joint study and single photon emission tomography, including when undertaken, blood flow, blood pool and imaging on a separate occasion (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>228.10</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61704</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Localised study using gallium (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>198.80</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61705</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Localised study using gallium, with single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>257.35</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>61706</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>Localised study using cells labelled with technetium (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>174.05</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61707</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Localised study using cells labelled with technetium, with single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>235.25</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61708</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Localised study using thallium (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>198.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61709</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Localised study using thallium, with single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>263.95</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:12pt"><span>61710</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Repeat planar and single photon emission tomography imaging, or repeat planar imaging or single photon emission tomography imaging on an occasion subsequent to the performance of item 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469, 61484, 61485, 61669, 61692, 61693, 61694, 61700, 61704, 61705, 61712, 61715 or 61716, if there is no additional administration of radiopharmaceutical and if the previous radionuclide scan was abnormal or equivocal (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>64.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61711</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Venography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>132.75</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61712</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Lymphoscintigraphy</span><span> (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>174.05</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61713</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Thyroid study including uptake measurement when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>87.70</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61714</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Parathyroid study, planar imaging and single photon emission tomography when performed (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>193.45</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61715</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Adrenal study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>440.45</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61716</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Adrenal study, with single photon emission tomography (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>499.60</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61717</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Tear duct study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>111.55</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61718</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Particle perfusion study (infra</span><span>‑</span><span>arterial) or Le</span><span> </span><span>Veen</span><span> shunt study (R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>126.50</span></p></td></tr><tr><td style="width:35.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61719</span></p></td><td style="width:287.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>CT scan performed at the same time and covering the same body area as single photon emission tomography for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued and only in association with items 61302 to 61729</span><span style="font-weight:bold; font-style:italic"> </span><span>(R) (NK)</span></p></td><td style="width:41.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>50.00</span></p></td></tr><tr><td style="width:35.05pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>61729</span></p></td><td style="width:287.6pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:12pt"><span>LeukoScan</span><span> study of the long bones and feet for suspected osteomyelitis, if patient does not have access to ex</span><span>‑</span><span>vivo white blood cell scanning</span><span> </span><span>(R) (NK)</span></p><p style="margin-bottom:3pt; line-height:12pt"><span style="font-size:9pt; font-style:italic">Note</span><span style="font-size:9pt; font-style:italic"> </span><span style="font-size:9pt; font-style:italic"></span><span style="font-size:9pt"></span><span style="font-size:9pt">LeukoScan</span><span style="font-size:9pt"> is only indicated for diagnostic imaging in a patient suspected of infection of the long bones and feet, including those with diabetic ulcers. The descriptor does not cover a patient who is being investigated for other sites of infection.</span></p></td><td style="width:41.8pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>439.35</span></p></td></tr></tbody></table>
Division 2.5 Group I5 — Magnetic resonance imaging
Subdivision A Not used
Subdivision B Subgroups 1 to 19 of Group I5
<table cellspacing="0" cellpadding="0" style="width:377.95pt; border-collapse:collapse"><thead><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I5 — Magnetic resonance imaging</span></p></td></tr><tr><td style="width:34.85pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td colspan="2" style="width:297.5pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:36.3pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 1</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of head</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63013</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63014</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63016</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for skull base or orbital tumour (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63017</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for stereotactic scan of brain, with </span><span>fiducials</span><span> in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>168.00</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 2</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of head — for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63074</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for acoustic neuroma (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>168.00</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63075</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for pituitary tumour (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63076</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for toxic or metabolic or ischaemic encephalopathy (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63077</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for demyelinating disease of the brain (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63078</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for congenital malformation of the brain or meninges (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63079</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for venous sinus thrombosis (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63080</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for head trauma (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63081</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for epilepsy (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63082</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for stroke (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63083</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for carotid or vertebral artery dissection (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63084</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for intracranial aneurysm (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63085</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for intracranial </span><span>arteriovenous</span><span> malformation (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 3</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of head and neck vessels</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63104</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>and MRA of </span><span>extracranial</span><span> or intracranial circulation (or both) — scan of head and neck vessels for stroke (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>246.40</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 4</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of head and cervical spine</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63117</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head and cervical spine (including MRA, if performed) for tumour of the central nervous system or meninges (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63119</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head and cervical spine (including MRA, if performed) for inflammation of the central nervous system or meninges (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 5</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of head and cervical spine</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63134</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head and cervical spine (including MRA, if performed) for demyelinating disease of the central nervous system (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63135</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head and cervical spine (including MRA, if performed) for congenital malformation of the central nervous system or meninges (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63136</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of head and cervical spine (including MRA, if performed) for syrinx (congenital or acquired) (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 6</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of spine</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— 1 region or 2 contiguous regions — for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63157</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for infection (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63158</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for tumour (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 7</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of spine</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— 1 region or 2 contiguous regions</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63186</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for demyelinating disease (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63187</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for congenital malformation of the spinal cord or the </span><span>cauda</span><span> </span><span>equina</span><span> or the meninges (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63188</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for myelopathy (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63189</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for syrinx (congenital or acquired) (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63190</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for cervical radiculopathy (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63191</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for sciatica (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63192</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for spinal canal stenosis (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63193</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for previous spinal surgery (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63194</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for trauma (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 8</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of spine</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— 3 contiguous or 2 non</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">‑</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">contiguous regions</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63207</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for infection (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63208</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for tumour (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 9</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of spine</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— 3 contiguous or 2 non</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">‑</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">contiguous regions</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63257</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for demyelinating disease (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63258</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for congenital malformation of the spinal cord or the </span><span>cauda</span><span> </span><span>equina</span><span> or the meninges (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63259</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for myelopathy (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63260</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for syrinx (congenital or acquired) (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63261</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for cervical radiculopathy (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63262</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for sciatica (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63263</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for spinal canal stenosis (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63264</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for previous spinal surgery (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="2" style="width:35.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63265</span></p></td><td style="width:296.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions of the spine for trauma (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 10</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of cervical spine and brachial plexus</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63282</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— Scan of cervical spine and brachial plexus for tumour (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63283</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— Scan of cervical spine and brachial plexus for trauma (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63284</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— Scan of cervical spine and brachial plexus for cervical radiculopathy (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63285</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— Scan of cervical spine and brachial plexus for previous surgery (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>246.40</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 11</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of musculoskeletal system</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63310</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for tumour arising in bone or musculoskeletal system, excluding tumours arising in breast, prostate or rectum (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>190.40</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63311</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for infection arising in bone or musculoskeletal system, excluding infection arising in breast, prostate or rectum (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>190.40</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63313</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for osteonecrosis (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>190.40</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 12</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of musculoskeletal system</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63341</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of hip or its supporting structures (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63342</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of shoulder or its supporting structures (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63343</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of knee or its supporting structures (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63345</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of ankle or foot (or both) or its supporting structures (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63346</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of 1 or both </span><span>temporomandibular</span><span> joints or their supporting structures (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>168.00</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63347</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of wrist or hand (or both) or its supporting structures (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63348</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of elbow or its supporting structures (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 13</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of musculoskeletal system</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63364</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for </span><span>Gaucher</span><span> disease (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>201.60</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 14</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of cardiovascular system</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63392</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63393</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of cardiovascular system for tumour of the heart or a great vessel (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>224.00</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63394</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of cardiovascular system for abnormality of thoracic aorta (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 15</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Magnetic resonance angiography</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— scan of cardiovascular system</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63407</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRA</span><span> </span><span>— if the request for the scan specifically identifies the clinical indication for the scan</span><span> </span><span>— scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63408</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRA</span><span> </span><span>— if the request for the scan specifically identifies the clinical indication for the scan</span><span> </span><span>— scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 16</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Magnetic resonance angiography</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— person under the age of 16 years</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63419</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRA</span><span> </span><span>— scan of person under the age of 16 for the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>201.60</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 17</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Magnetic resonance imaging</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— person under the age of 16 years</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63432</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for post</span><span>‑</span><span>inflammatory or post</span><span>‑</span><span>traumatic </span><span>physeal</span><span> fusion (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63433</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for </span><span>Gaucher</span><span> disease (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 18</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Magnetic resonance imaging</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— person under the age of 16 years</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63447</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for pelvic or abdominal mass (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63448</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for </span><span>mediastinal</span><span> mass (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63449</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for congenital uterine or </span><span>anorectal</span><span> abnormality (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td colspan="4" style="width:374.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-inside:avoid; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 19</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scan of body</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— for specified conditions</span></p></td></tr><tr><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63455</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of the body for adrenal mass in a patient with a malignancy that is otherwise </span><span>resectable</span><span> (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>179.20</span></p></td></tr><tr style="height:115.15pt"><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63457</span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of both breasts for the detection of cancer, if a dedicated breast coil is used, the request for scan identifies that the woman is asymptomatic and is less than 50 years of age, and the request for the scan identifies:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>that the patient is at high risk of developing breast cancer, due to 1 of the following:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:25.92pt; text-indent:0pt; display:inline-block"></span><span>(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer;</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>345.00</span></p></td></tr><tr style="height:60.75pt"><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:22.86pt; text-indent:0pt; display:inline-block"></span><span>(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the following applies to at least 1 of the relatives:</span></p><p style="margin-left:72.6pt; text-indent:-72.6pt; line-height:12pt"><span style="width:45.38pt; text-indent:0pt; display:inline-block"></span><span>(A)</span><span style="width:11.95pt; text-indent:0pt; display:inline-block"> </span><span>has been diagnosed with bilateral breast cancer;</span></p><p style="margin-left:72.6pt; text-indent:-72.6pt; line-height:12pt"><span style="width:45.99pt; text-indent:0pt; display:inline-block"></span><span>(B)</span><span style="width:11.95pt; text-indent:0pt; display:inline-block"> </span><span>had onset of breast cancer before the age of 40</span><span> </span><span>years;</span></p><p style="margin-left:72.6pt; text-indent:-72.6pt; line-height:12pt"><span style="width:45.99pt; text-indent:0pt; display:inline-block"></span><span>(C)</span><span style="width:11.95pt; text-indent:0pt; display:inline-block"> </span><span>had onset of ovarian cancer before the age of 50 years;</span></p><p style="margin-left:72.6pt; text-indent:-72.6pt; line-height:12pt"><span style="width:45.38pt; text-indent:0pt; display:inline-block"></span><span>(D)</span><span style="width:11.95pt; text-indent:0pt; display:inline-block"> </span><span>has been diagnosed with breast and ovarian cancer, at the same time or at different times;</span></p><p style="margin-left:72.6pt; text-indent:-72.6pt; line-height:12pt"><span style="width:46.6pt; text-indent:0pt; display:inline-block"></span><span>(E)</span><span style="width:11.95pt; text-indent:0pt; display:inline-block"> </span><span>has Ashkenazi Jewish ancestry;</span></p><p style="margin-left:72.6pt; text-indent:-72.6pt; line-height:12pt"><span style="width:47.21pt; text-indent:0pt; display:inline-block"></span><span>(F)</span><span style="width:11.95pt; text-indent:0pt; display:inline-block"> </span><span>is a male relative who has been diagnosed with breast cancer;</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:60.75pt"><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:19.81pt; text-indent:0pt; display:inline-block"></span><span>(iii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span>1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr style="height:28.5pt"><td style="width:34.85pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p></td><td colspan="2" style="width:297.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>that genetic testing has identified the presence of a high risk breast cancer gene mutation (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.3pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr><tr><td style="width:34.85pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63458</span></p></td><td colspan="2" style="width:297.5pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of both breasts for the detection of cancer, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>a dedicated breast coil is used; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 woman has had an abnormality detected as a result of a service described in item 63464 or 63457 performed in the previous 12 months (R) (NK) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:36.3pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>345.00</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span></span></p></td></tr></tbody><tbody><tr style="height:0pt"><td style="width:37.95pt"></td><td style="width:0.9pt"></td><td style="width:299.7pt"></td><td style="width:39.4pt"></td></tr></tbody></table>
Subdivision C Subgroup 20 of Group I5 — Scans of pelvis and upper abdomen — for specified conditions
<table cellspacing="0" cellpadding="0" style="width:375.85pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:372.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I5 — Magnetic resonance imaging</span></p></td></tr><tr><td style="width:36.45pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:291.65pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td style="width:38.45pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="width:372.75pt; border-top:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:6pt; margin-right:5.65pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">Subgroup 20</span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic"> </span><span style="font-family:Arial, sans-serif; font-size:9pt; font-style:italic">— Scans of pelvis and upper abdomen — for specified conditions</span></p></td></tr><tr><td style="width:36.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63479</span></p></td><td style="width:291.65pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for scan identifies that:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>a histological diagnosis of carcinoma of the cervix has been made; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:38.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr><tr><td style="width:36.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63481</span></p></td><td style="width:291.65pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for scan identifies that:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>a histological diagnosis of carcinoma of the cervix has been made; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:38.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>313.60</span></p></td></tr><tr><td style="width:36.45pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>63484</span></p></td><td style="width:291.65pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>MRI</span><span> </span><span>— scan of the pelvis for the initial staging of rectal cancer, if:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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>a phased array body coil is used; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><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 request for scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the </span><span>rectosigmoid</span><span> and </span><span>anorectum</span><span>) (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td style="width:38.45pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>201.60</span></p></td></tr></tbody></table>
<table cellspacing="0" cellpadding="0" style="width:411.1pt; border-collapse:collapse"><tbody><tr style="height:4.2pt"><td colspan="5" style="width:330.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold"></span></p><p style="margin-top:9pt; page-break-after:avoid; line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Group I5—Magnetic resonance imaging</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr style="height:4.2pt"><td colspan="2" style="width:38.85pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold"></span></p><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Item</span></p></td><td style="width:158pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold"></span></p><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Health service</span></p></td><td colspan="2" style="width:111.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif"></span></p></td><td colspan="2" style="width:30.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold"></span></p><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">Fee ($)</span></p><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-weight:bold">(for each state)</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr style="height:4.2pt"><td colspan="9" style="width:400.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-style:italic">___________________________________________________________________________</span></p><p style="line-height:normal; font-size:9pt"><span style="font-family:Arial, sans-serif; font-style:italic">Subgroup 33 —Scan of body—for specified conditions</span></p></td></tr><tr style="height:45.5pt"><td style="width:31.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>63508</span></p></td><td colspan="3" style="width:277.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>MRI—scan of head for a patient under 16 years if the service is for:</span></p><p style="line-height:normal"><span>(a) an unexplained seizure (R) (NK) (</span><span>Anaes</span><span>.) (Contrast); or</span></p><p style="line-height:normal"><span>(b) an unexplained headache if significant pathology is suspected (R) (NK) (</span><span>Anaes</span><span>.) (Contrast); or</span></p><p style="line-height:normal"><span>(c) </span><span>paranasal</span><span> sinus pathology that has not responded to conservative therapy (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td colspan="2" style="width:1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p></td><td colspan="2" style="width:36.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>201.60</span></p></td><td style="vertical-align:top"></td></tr><tr style="height:45.5pt"><td style="width:31.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>63511</span></p></td><td colspan="3" style="width:277.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>MRI—scan of spine following radiographic examination for a patient under 16 years if the service is for:</span></p><p style="line-height:normal"><span>(a) significant trauma (R) (NK) (</span><span>Anaes</span><span>.) (Contrast); or</span></p><p style="line-height:normal"><span>(b) unexplained neck or back pain with associated neurological signs (R) (NK)</span><span> </span><span>(</span><span>Anaes</span><span>.) (Contrast); or</span></p><p style="line-height:normal"><span>(c) unexplained back pain if significant pathology is suspected (R) (NK)</span><span> </span><span>(</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td colspan="2" style="width:1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p></td><td colspan="2" style="width:36.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>224.00</span></p></td><td style="vertical-align:top"></td></tr><tr style="height:11pt"><td style="width:31.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>63514</span></p></td><td colspan="3" style="width:277.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p><span>MRI—scan of knee following radiographic examination for </span><span>internal joint derangement for a patient under 16 years (NK)</span><span> </span><span>(R) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td colspan="2" style="width:1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p></td><td colspan="2" style="width:36.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>201.60</span></p></td><td style="vertical-align:top"></td></tr><tr style="height:33.5pt"><td style="width:31.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>63517</span></p></td><td colspan="3" style="width:277.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>MRI—scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected:</span></p><p style="line-height:normal"><span>(a) septic arthritis (R) (NK) (</span><span>Anaes</span><span>.) (Contrast);</span></p><p style="line-height:normal"><span>(b) slipped capital femoral epiphysis (R) (NK) (</span><span>Anaes</span><span>.) (Contrast);</span></p><p style="line-height:normal"><span>(c) </span><span>Perthes</span><span> disease (R) (NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td colspan="2" style="width:1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p></td><td colspan="2" style="width:36.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>201.60</span></p></td><td style="vertical-align:top"></td></tr><tr style="height:23pt"><td style="width:31.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>63520</span></p></td><td colspan="3" style="width:277.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>MRI—scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R)(NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td colspan="2" style="width:1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p></td><td colspan="2" style="width:36.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>201.60</span></p></td><td style="vertical-align:top"></td></tr><tr style="height:17pt"><td style="width:31.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>63523</span></p></td><td colspan="3" style="width:277.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>MRI—scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R)(NK) (</span><span>Anaes</span><span>.) (Contrast)</span></p></td><td colspan="2" style="width:1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p></td><td colspan="2" style="width:36.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>224.00</span></p></td><td style="vertical-align:top"></td></tr><tr style="height:0pt"><td style="width:42.55pt"></td><td style="width:7.1pt"></td><td style="width:168.8pt"></td><td style="width:112.05pt"></td><td style="width:10.5pt"></td><td style="width:1.3pt"></td><td style="width:40.45pt"></td><td style="width:7.1pt"></td><td style="width:21.25pt"></td></tr></tbody></table>
Subdivision F Subgroup 34 of Group I5
<table cellspacing="0" cellpadding="0" style="width:389.85pt; border-collapse:collapse"><thead><tr><td colspan="2" style="width:337.15pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p><span style="font-family:Arial, sans-serif; font-size:9pt; font-weight:bold">Group I5—Magnetic resonance imaging</span></p></td><td style="width:46.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead" style="page-break-after:avoid"><span></span></p></td></tr><tr><td style="width:39.45pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead" style="page-break-after:avoid"><span>Item</span></p></td><td style="width:294.6pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead" style="page-break-after:avoid"><span>Health service</span></p></td><td style="width:46.5pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead" style="page-break-after:avoid"><span>Fee ($) (for each State)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="width:386.75pt; border-top:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 34</span><span> </span><span>— Scan of body</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td style="width:39.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0"><span>63552</span></p></td><td style="width:294.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Scan of head for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for any of the following:</span></p><p class="Tablea" style="font-size:11pt"><span>(a) unexplained seizure(s);</span></p><p class="TableText0"><span>(b) </span><span>unexplained</span><span> chronic headache with suspected intracranial pathology (R) (NK) (Contrast) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:46.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0" style="text-align:center"><span>201.60</span></p></td></tr><tr><td style="width:39.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0"><span>63555</span></p></td><td style="width:294.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0"><span>Scan of </span><span>spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected </span><span>cervical radiculopathy (R) (NK) (Contrast) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:46.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0" style="text-align:center"><span>179.20</span></p></td></tr><tr><td style="width:39.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0"><span>63558</span></p></td><td style="width:294.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span>Scan of </span><span>spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected </span><span>cervical spinal trauma (R) (NK)</span><span> (Contrast) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:46.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0" style="text-align:center"><span>246.40</span></p></td></tr><tr><td style="width:39.45pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0"><span>63561</span></p></td><td style="width:294.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0"><span>Scan</span><span> of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient 16 years or older with:</span></p><p class="TableText0"><span>(a) inability to extend the knee suggesting the possibility of acute meniscal tear; or</span></p><p class="TableText0"><span>(b) </span><span>clinical</span><span> findings suggesting acute anterior cruciate ligament tear</span><span> </span><span>(R) (NK) (Contrast) (</span><span>Anaes</span><span>.)</span></p></td><td style="width:46.5pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText0" style="text-align:center"><span>201.60</span></p></td></tr></tbody></table>
Note All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au
Note: Endnotes
Note: Endnote 1—About the endnotes
The endnotes provide details of the history of this legislation and its provisions. The following endnotes are included in each compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
Endnote 5—Uncommenced amendments
Endnote 6—Modifications
Endnote 7—Misdescribed amendments
Endnote 8—Miscellaneous
If there is no information under a particular endnote, the word “none” will appear in square brackets after the endnote heading.
Abbreviation key—Endnote 2
The abbreviation key in this endnote sets out abbreviations that may be used in the endnotes.
Legislation history and amendment history—Endnotes 3 and 4
Amending laws are annotated in the legislation history and amendment history.
The legislation history in endnote 3 provides information about each law that has amended the compiled law. The information includes commencement information for amending laws and details of application, saving or transitional provisions that are not included in this compilation.
The amendment history in endnote 4 provides information about amendments at the provision level. It also includes information about any provisions that have expired or otherwise ceased to have effect in accordance with a provision of the compiled law.
Uncommenced amendments—Endnote 5
The effect of uncommenced amendments is not reflected in the text of the compiled law, but the text of the amendments is included in endnote 5.
Modifications—Endnote 6
If the compiled law is affected by a modification that is in force, details of the modification are included in endnote 6.
Misdescribed amendments—Endnote 7
An amendment is a misdescribed amendment if the effect of the amendment cannot be incorporated into the text of the compilation. Any misdescribed amendment is included in endnote 7.
Miscellaneous—Endnote 8
Endnote 8 includes any additional information that may be helpful for a reader of the compilation.
Note: Endnote 2—Abbreviation key
ad = added or inserted
pres = present
am = amended
prev = previous
c = clause(s)
(prev) = previously
Ch = Chapter(s)
Pt = Part(s)
def = definition(s)
r = regulation(s)/rule(s)
Dict = Dictionary
Reg = Regulation/Regulations
disallowed = disallowed by Parliament
reloc = relocated
Div = Division(s)
renum = renumbered
exp = expired or ceased to have effect
rep = repealed
hdg = heading(s)
rs = repealed and substituted
LI = legislative instrument
s = section(s)
LIA = Legislative Instruments Act 2003
Sch = Schedule(s)
mod = modified/modification
Sdiv = Subdivision(s)
No = Number(s)
SLI = Select Legislative Instrument
o = order(s)
SR = Statutory Rules
Ord = Ordinance
Sub-Ch = Sub-Chapter(s)
orig = original
SubPt = Subpart(s)
par = paragraph(s)/subparagraph(s)
/sub-subparagraph(s)
Note: Endnote 3—Legislation history
Name
FRLI registration or gazettal
Commencement
Application, saving and transitional provisions
Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011
9 May 2011 (see F2011L00724)
1 July 2011
—
Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment Determination 2012
13 June 2012 (see F2012L01185)
1 July 2012
s 4
Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment Determination 2012 (No. 2)
29 Oct 2012 (see F2012L02097)
1 November 2012
―
Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment Determination 2012 (No. 3)
18 Dec 2012 (see F2012L02510)
1 January 2013
―
Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013
31 October 2013 (see F2013L01862)
Schedule 1: 1 November 2013[see endnote 5]
―
Note: Endnote 4—Amendment history
Provision affected
How affected
s 3……………………….
am F2012L01185
s 5……………………….
am F2012L01185
s 6……………………….
rs F2012L01185
s 7……………………….
am F2012L01185
s 8……………………….
rs F2012L01185
Sch 1
Sdiv E of Div 2.5………
ad F2012L02097
am F2012L02510
Sdiv F of Div 2.5……….
ad F2013L01862
Sch 2
Item 1…………………...
am F2012L01185; F2012L02097; F2013L01862
Item 2…………………...
am F2012L02097
Item 3…………………...
am F2012L02097; F2013L01862
Note: Endnote 5—Uncommenced amendments
Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013
Schedule 2 - Repeals
Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011