Health Insurance (Diagnostic Imaging Services Table) Regulations 2001
39MRI or MRA services — related services that can be claimed in a 12 month period
Start here
Get a plain-English read of 39
Turn the raw legal text into a practical explanation grounded in Health Insurance (Diagnostic Imaging Services Table) Regulations 2001.
39 MRI or MRA services — related services that can be claimed in a 12 month period
(1) An item mentioned in subrule (2) does not apply to the service mentioned in the item if the service is provided to a person who, in the 12 months before the service, has been provided with the maximum number of those services mentioned in subrule (2) for that item.
(2) For subrule (1), the items and maximum number of services are:
(a) for items 63000 to 63024, 63050 to 63062, 63100 to 63133, 63150 to 63162, 63300 to 63315, 63350 to 63365, 63400 to 63430, 63450 to 63480, 63500 to 63524, 63550 to 63574, 63750 to 63756, 63870, 63900 to 63909, 63920 and 63930 — 1 service; and
(b) for items 63200 to 63221, 63250 to 63256, 63800 to 63806 and 63850 to 63868 — 2 services; and
(c) for items 63600 to 63721 — 1 service for a specific anatomical site; and
(d) for item 63745 — 2 services for a specific anatomical site.
(3) In addition, if 2 or more services of the kind described in an item mentioned in paragraph (2) (c) or (d) are provided to a person on a single occasion, only 1 service applies.