31MRI and MRA services — eligible services

31 MRI and MRA services — eligible services

(1) Subject to subrules (2), (2A) and (2B), items 63001 to 63482 apply only to an MRI or MRA service performed:

(a) at the request of a specialist or consultant physician, made in accordance with rule 32; and

(b) in a permissible circumstance, in accordance with rule 31; and

(c) with eligible equipment, in accordance with rule 33 or 35.

(2) If a service described in an item mentioned in subrule (1) is performed with eligible equipment described in paragraph 36 (1) (c) or (d), the item for the service applies only if the service is bulk‑billed for the fee for the service.
(2A) If a service described in an item mentioned in subrule (1) is performed with eligible equipment described in paragraph 36 (1) (e), the item for the service applies only if:

(a) for a service performed on a concessional beneficiary — the service is bulk‑billed; or

(b) for a service performed on a person who is not a concessional beneficiary — the medical expenses incurred by the person for the service are not more than the fee specified for the item.

(2B) If a service described in an item mentioned in subrule (1) is performed with eligible equipment described in paragraph 36 (1) (f), the item for the service applies only if:

(a) for a service performed on a concessional beneficiary or a child under 16 — the maximum charge is the sum of the medicare benefit and any private health insurance benefit payable for the service; and

(b) all the conditions of the agreement, mentioned in the following table, that applies to the eligible equipment are met.