Schedule 42 - Health Insurance (Diagnostic Imaging Services Table) Regulations 2009 - Application of items 64990 and 64991

42 Application of items 64990 and 64991

(1) If the diagnostic imaging service described in item 64991 is provided to a person, either that item or item 64990, but not both those items, applies to the service.
(2) If item 64990 or 64991 applies to a diagnostic imaging service, the fee specified in that item applies in addition to the fee specified in any other item in this table that applies to the service.
(3) For items 64990 and 64991:

Commonwealth concession card holder means a person who is a concessional beneficiary within the meaning given by subsection 84 (1) of the National Health Act 1953.

unreferred service means a diagnostic imaging service that:

(a) is provided to a person by, or on behalf of, a medical practitioner, being a medical practitioner who is not a consultant physician, or specialist, in any speciality (other than a medical practitioner who is, for the Act, both a general practitioner and a consultant physician, or specialist, in a particular speciality); and

(b) has not been referred to the medical practitioner by another medical practitioner or person with referring rights.

(4) For item 64991:

ASGC means the document titled Australian Standard Geographical Classification (ASGC) 2002, published by the Australian Bureau of Statistics, as in force on 1 July 2002.

practice location, for the provision of a diagnostic imaging service, means the place of practice for which the medical practitioner by whom, or on whose behalf, the service is provided, has been allocated a provider number by the Medicare Australia CEO.

regional, rural or remote area means an area classified as RRMAs 3‑7 under the Rural, Remote and Metropolitan Areas Classification.

Rural, Remote and Metropolitan Areas Classification has the meaning given by subrule 3 (1) of Part 2 of Schedule 1 to the general medical services table.

SLA means a Statistical Local Area specified in the ASGC.

SSD means a Statistical Subdivision specified in the ASGC.

Part 3 Services and fees

<table cellspacing="0" cellpadding="0" style="width:356.85pt; border-collapse:collapse"><thead><tr><td colspan="2" style="width:42.4pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead"><span>Item</span></p></td><td colspan="2" style="width:260.25pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead"><span>Diagnostic imaging service</span></p></td><td style="width:44.9pt; border-bottom:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="5" style="width:353.75pt; border-top:0.75pt solid #000000; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead"><span>Group I1</span><span> </span><span>— Ultrasound</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2"><span>Subgroup 1</span><span> </span><span>— General</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55028</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Head, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55029</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55030</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Orbital contents, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55031</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55032</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Neck, 1 or more structures of, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55033</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 applies (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55036</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner for ultrasonic examination; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the practitioner is a member; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>111.30</span></p></td></tr><tr style="height:34.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:42.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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>55038, 55044 or 55731 is not performed on the same patient by the providing practitioner (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:52.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55037</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr style="height:69.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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 class="TableP1a"><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 transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55038</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Urinary tract, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner for ultrasonic examination; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and</span></p><p class="TableP1a"><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>55036, 55044 or 55731 is not performed on the same patient by the providing practitioner (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55039</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Urinary tract, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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 class="TableP1a"><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 transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr style="height:124.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55044</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis, male, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner for ultrasonic examination; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>111.30</span></p></td></tr><tr style="height:75.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and</span></p><p class="TableP1a"><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>55036 or 55038 is not performed on the same patient by the providing practitioner (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55045</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis, male, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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 class="TableP1a"><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 transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55048</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Scrotum, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroup 2</span><span> </span><span>or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55049</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55054</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55070</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Breast, one, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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 class="TableP1a"><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 practitioners of which the providing practitioner is a member</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>98.25</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55073</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Breast, one, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>34.05</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55076</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Breasts, both, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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 class="TableP1a"><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 practitioners of which the providing practitioner is a member (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55079</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Breasts, both, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr style="height:88.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55084</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Urinary bladder, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner for ultrasonic examination; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>98.25</span></p></td></tr><tr style="height:85.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP1a"><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 11917, 55036, 55038, 55044, 55600, 55603 or 55731 is not performed on the same patient by the providing practitioner (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:79.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55085</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Urinary bladder, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>34.05</span></p></td></tr><tr style="height:54.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 11917, 55037, 55039, 55045, 55600, 55603 or 55733 is not performed on the same patient by the providing practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt; widows:0; orphans:0"><span>Subgroup 2 — Cardiac</span></p></td></tr><tr style="height:69pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="widows:0; orphans:0"><span>55113</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; widows:0; orphans:0"><span>230.65</span></p></td></tr><tr style="height:144pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a" style="page-break-after:avoid"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>with:</span></p><p class="TableP2i" style="page-break-after:avoid"><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 class="TableP2i" style="page-break-after:avoid"><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 class="TableP2i" style="page-break-after:avoid"><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 class="TableP1a" style="page-break-after:avoid"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>not being a service associated with a service to which an item in Subgroup 1 (except item</span><span> </span><span>55054) or</span><span> </span><span>3, or another item in this Subgroup (except items</span><span> </span><span>55118 and 55130), applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-after:avoid"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55114</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>with:</span></p><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>230.65</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>not being a service associated with a service to which an item in Subgroup 1 (except item</span><span> </span><span>55054) or</span><span> </span><span>3, or another item in this Subgroup (except items</span><span> </span><span>55118 and 55130), applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:106.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55115</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>with:</span></p><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>230.65</span></p></td></tr><tr style="height:93.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>not being a service associated with a service to which an item in Subgroup 1 (except item</span><span> </span><span>55054) or</span><span> </span><span>3, or another item in this Subgroup (except items</span><span> </span><span>55118 and 55130), applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:70.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55116</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Exercise stress echocardiography performed in conjunction with item 11712:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>with:</span></p><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>261.65</span></p></td></tr><tr style="height:117.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>not being a service associated with a service to which an item in Subgroup 1 (except item</span><span> </span><span>55054) or</span><span> </span><span>3, or another item in this Subgroup (except items</span><span> </span><span>55118 and 55130), applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55117</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pharmacological stress echocardiography performed in conjunction with item 11712:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>with:</span></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>261.65</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>not being a service associated with a service to which an item in Subgroup 1 (except item</span><span> </span><span>55054) or</span><span> </span><span>3, or another item in this Subgroup (except items</span><span> </span><span>55118 and 55130), applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td></tr><tr style="height:97.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55118</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Heart, two</span><span>‑</span><span>dimensional real time transoesophageal examination of, from at least 2 levels, and in more than 1</span><span> </span><span>plane at each level:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>with:</span></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>275.50</span></p></td></tr><tr style="height:51.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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 item</span><span> </span><span>55054) or 3 applies (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55130</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Intra</span><span>‑</span><span>operative 2 dimensional real time transoesophageal 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 surgical procedure, not being a service associated with a service to which item 55135 applies (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>170.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55135</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Intra</span><span>‑</span><span>operative 2 dimensional real time transoesophageal 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 applies (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>353.60</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 3</span><span> </span><span>— Vascular</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55238</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item 55054) or 4 applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55244</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item 55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55246</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55248</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55252</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55274</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 subclavian and innominate vessels, with or without oculoplethysmography 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 item</span><span> </span><span>55054) or 4 applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55276</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55278</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item</span><span> </span><span>55054) or 4 applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55280</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55282</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Duplex scanning involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr style="height:88.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="widows:0; orphans:0"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a" style="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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; widows:0; orphans:0"><span></span></p></td></tr><tr style="height:60.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="widows:0; orphans:0"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a" style="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 item</span><span> </span><span>55054) or</span><span> </span><span>4</span><span> </span><span>applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; widows:0; orphans:0"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55284</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Duplex scanning involving B</span><span> </span><span>mode ultrasound imaging and integrated Doppler flow measurements:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr style="height:79.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>if indicated, assess the progress and management of:</span></p><p class="TableP2i"><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 class="TableP2i"><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><p class="TableP2i"><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>fracture of the tunica; or</span></p><p class="TableP2i"><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 malformations; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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</span><span> </span><span>(with the exception of item</span><span> </span><span>55054) or 4</span><span> </span><span>applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55292</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous 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 item 55054) or 4 applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55294</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item 55054), 3 or 4 applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>169.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55296</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 item 55054), 3 or 4 applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>111.05</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt; page-break-inside:avoid"><span>Subgroup 4</span><span> </span><span>— Urological</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55600</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Prostate, bladder base and urethra, transrectal ultrasound scan of, if performed:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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 class="TableP2i"><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 class="TableP2i"><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 class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>following a digital rectal examination of the prostate by that medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr style="height:90pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP2i"><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 class="TableP2i"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55603</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Prostate, bladder base and urethra, transrectal ultrasound scan of, if performed:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>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 class="TableP2i"><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 class="TableP2i"><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 class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>following a digital rectal examination of the prostate by that medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP2i"><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 class="TableP2i"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt; page-break-after:auto"><span>Subgroup 5 — Obstetric and gynaecological</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55700</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is less than 12</span><span> </span><span>weeks of gestation; and</span></p><p class="TableP1a"><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 class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>60.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP2i"><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 gravidarum;</span></p><p class="TableP2i"><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 class="TableP2i"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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></p><p class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 post dates delivery;</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 fetal abnormality</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:93pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55703</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is less than 12</span><span> </span><span>weeks of gestation; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>35.00</span></p></td></tr><tr style="height:179.25pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP1a"><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 class="TableP2i"><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 gravidarum;</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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></p><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 post dates delivery;</span></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 fetal abnormality</span><span> </span><span>(NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55704</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16</span><span> </span><span>weeks of gestation; and</span></p><p class="TableP1a"><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 class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>70.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP2i"><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 gravidarum;</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 post dates delivery;</span></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 fetal abnormality</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55705</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16</span><span> </span><span>weeks of gestation; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>35.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP2i"><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 gravidarum;</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:44.25pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span></span></p></td></tr><tr style="height:105pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 post dates delivery;</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 fetal abnormality</span><span> </span><span>(NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55706</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22</span><span> </span><span>weeks of gestation; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>100.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP1a"><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 the same pregnancy as item 55709 (R)</span></p><p class="TableP1a"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:86.25pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55707</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the pregnancy (as confirmed by ultrasound) is dated by a fetal crown rump length of 45 to 84</span><span> </span><span>mm; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>70.00</span></p></td></tr><tr style="height:90.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><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>at least 1 condition mentioned in paragraph</span><span> </span><span>(e) of item 55704 is present; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span></span></p></td></tr><tr style="height:25.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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>nuchal translucency measurement is performed to assess the risk of fetal abnormality; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:57.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 is not performed with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (R)</span></p><p class="TableText"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55708</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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 class="TableP1a"><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 class="TableP1a"><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>(e) of item</span><span> </span><span>55704 is present; and</span></p><p class="TableP1a"><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 fetal abnormality; and</span></p><p class="TableP1a"><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, 55703, 55704 or 55705 on the same patient within 24 hours (NR)</span></p><p class="TableP1a"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>35.00</span></p></td></tr><tr style="height:78.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55709</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>38.00</span></p></td></tr><tr style="height:98.25pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and</span></p><p class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><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 (NR)</span></p><p class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55712</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner who:</span></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>115.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 or 55709 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:87pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55715</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal 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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>40.00</span></p></td></tr><tr style="height:30pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22</span><span> </span><span>weeks of gestation; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 or 55709 (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55718</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is after 22</span><span> </span><span>weeks of gestation; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>100.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP1a"><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 the same pregnancy as item 55723; and</span></p><p class="TableP1a"><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 class="TableP2i"><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 fetal abnormality or fetal cardiac arrhythmia;</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 anatomy (late booking or incomplete mid</span><span>‑</span><span>trimester scan);</span></p><p class="TableP2i"><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></p><p class="TableP2i"><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 class="TableP2i"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 fetal death in utero or neonatal death;</span></p><p class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 macrosomia;</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 fetal movements;</span></p><p class="TableP2i"><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 fetal death;</span></p><p class="TableP2i"><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 cardiotocography;</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 infection;</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:43.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:30.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><span style="width:0pt; text-indent:0pt; display:inline-block"></span><span>(xxxviii)</span><span style="width:4.91pt; text-indent:0pt; display:inline-block"> </span><span>abdominal pain or mass (R)</span></p><p class="TableP2i"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>55721</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner who:</span></p><p class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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 class="TableP2i" style="page-break-inside:avoid; page-break-after:avoid"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span>115.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the dating of the pregnancy (as confirmed by ultrasound) is after 22</span><span> </span><span>weeks of gestation; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP1a"><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 or 55723</span><span> </span><span>applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:69.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55723</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>38.00</span></p></td></tr><tr style="height:18.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:61.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP1a"><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; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP2i"><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 fetal abnormality or fetal cardiac arrhythmia;</span></p><p class="TableP2i"><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 anatomy (late booking or incomplete mid</span><span>‑</span><span>trimester scan);</span></p><p class="TableP2i"><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></p><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 fetal death in utero or neonatal death;</span></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 macrosomia;</span></p><p class="TableP2i"><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 fetal movements;</span></p><p class="TableP2i"><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 fetal death;</span></p><p class="TableP2i"><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 cardiotocography;</span></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 infection;</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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 class="TableP2i"><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><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><span style="width:0pt; text-indent:0pt; display:inline-block"></span><span>(xxxviii)</span><span style="width:4.91pt; text-indent:0pt; display:inline-block"> </span><span>abdominal pain or mass (NR)</span></p><p class="TableP2i"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55725</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal 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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>40.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP1a"><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 or 55723</span><span> </span><span>applies (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55729</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 fetal 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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>27.25</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55731</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis, female, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>98.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 class="TableP1a"><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 55036 or 55038 on the same patient within 24</span><span> </span><span>hours (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55733</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis, female, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup</span><span> </span><span>2 or 3 applies (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>35.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55736</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>127.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55739</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the 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 class="TableP1a"><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 transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>57.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>55759</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>ultrasound of the same pregnancy confirms a multiple pregnancy; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>150.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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, 55715 or 55762 is not performed in conjunction with the scan during the same pregnancy (R)</span></p><p class="TableP1a"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55762</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>ultrasound of the same pregnancy confirms a multiple pregnancy; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableColHead" style="text-align:right"><span style="font-family:'Times New Roman', serif; font-size:11pt; font-weight:normal">60.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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, 55715 or 55759 is not performed in conjunction with the scan during the same pregnancy (NR)</span></p><p class="TableP1a"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="page-break-after:avoid"><span>55764</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal 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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>160.00</span></p></td></tr><tr style="height:120.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner who:</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP2i"><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 class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>ultrasound of the same pregnancy confirms a multiple pregnancy; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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 class="TableP1a"><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 or 55762 has been performed; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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</span><span> </span><span>or 55715 is not performed in conjunction with the scan during the same pregnancy (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55766</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal 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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>ultrasound of the same pregnancy confirms a multiple pregnancy; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>65.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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 or 55762 has been performed; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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</span><span> </span><span>or 55715 is not performed in conjunction with the scan during the same pregnancy (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55768</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the ultrasound confirms a multiple pregnancy; and</span></p><p class="TableP1a"><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; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>150.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 55770; and</span></p><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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, 55723</span><span> </span><span>or 55725 is not performed in conjunction with the scan during the same pregnancy (R)</span></p><p class="TableP1a"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:96pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55770</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>60.00</span></p></td></tr><tr style="height:12pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a" style="page-break-inside:avoid; page-break-after:avoid"><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; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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, 55723, or 55725 is not performed in conjunction with the scan during the same pregnancy (NR)</span></p><p class="TableP1a"><span>(Item is subject to subrule 11</span><span> </span><span>(2))</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55772</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner who:</span></p><p class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>160.00</span></p></td></tr><tr style="height:43.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:24.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP2i"><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 rowspan="2" style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 or 55770 has been performed; and</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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, 55723</span><span> </span><span>or 55725 is not performed in conjunction with the scan during the same pregnancy (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55774</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Pelvis or abdomen, pregnancy</span><span>‑</span><span>related or pregnancy complication, fetal 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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>65.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><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 or 55770 has been performed; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 class="TableP1a"><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 class="TableP1a"><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, 55723</span><span> </span><span>or 55725 is not performed in conjunction with the scan during the same pregnancy (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableColHead2"><span>Subgroup 6</span><span> </span><span>— Musculoskeletal Ultrasound</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55800</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Hand or wrist, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55802</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Hand or wrist, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55804</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Forearm or elbow, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55806</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Forearm or elbow, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td style="width:41.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55808</span></p></td><td colspan="3" style="width:261.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Shoulder or upper arm, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 class="TableP1a"><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 used for the assessment of 1 or more of the following suspected or known conditions:</span></p><p class="TableP2i"><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 class="TableP2i"><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 tendinosis (biceps, subscapular, supraspinatus, infraspinatus);</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr style="height:43.5pt"><td style="width:41.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="3" style="width:261.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:30.75pt"><td style="width:41.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="3" style="width:261.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP2i"><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 class="TableP2i"><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 joint pathology (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:133.5pt"><td style="width:41.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55810</span></p></td><td colspan="3" style="width:261.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Shoulder or upper arm, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><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 class="TableP2i"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr style="height:117.75pt"><td style="width:41.6pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="3" style="width:261.05pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP2i"><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 tendinosis (biceps, subscapular, supraspinatus, infraspinatus);</span></p><p class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 class="TableP2i"><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 joint pathology (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55812</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Chest or abdominal wall, 1 or more areas, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55814</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Chest or abdominal wall, 1 or more areas, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55816</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Hip or groin, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55818</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Hip or groin, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55820</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Paediatric hip examination for dysplasia, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55822</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Paediatric hip examination for dysplasia 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55824</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Buttock or thigh, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55826</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Buttock or thigh, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr style="height:97.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55828</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Knee, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 used for the assessment of 1 or more of the following suspected or known conditions:</span></p><p class="TableP2i"><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 bursae about the knee;</span></p><p class="TableP2i"><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 pseudomass;</span></p><p class="TableP2i"><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 class="TableP2i"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55830</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Knee, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner; and</span></p><p class="TableP1a"><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 class="TableP2i"><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 bursae about the knee;</span></p><p class="TableP2i"><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 pseudomass;</span></p><p class="TableP2i"><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 class="TableP2i"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55832</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Lower leg, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55834</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Lower leg, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55836</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Ankle or hind foot, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55838</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Ankle or hind foot, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55840</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Mid foot or fore foot, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55842</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Mid foot or fore foot, 1 or both sides, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55844</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>87.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55846</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55848</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><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> </span><span>55054 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr style="height:106.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55850</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the referring 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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>152.85</span></p></td></tr><tr style="height:78.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in conjunction with items 55054, or 55800 to 55848; and</span></p><p class="TableP1a"><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; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55852</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred by a medical practitioner; and</span></p><p class="TableP1a"><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 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>109.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>55854</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText"><span>Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not referred by a medical practitioner (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top; background-color:#ffffff"><p class="TableText" style="text-align:right"><span>37.85</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead"><span>Group I2</span><span> </span><span>— Computed tomography</span><span> </span><span>— Examination</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56001</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of brain without intravenous contrast medium, not being a service to which item</span><span> </span><span>57001 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>195.05</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56007</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of brain with intravenous contrast medium and with any scans of the brain before intravenous contrast injection, when performed, not being a service to which item</span><span> </span><span>57007 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>250.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56010</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when performed (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>252.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56013</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of orbits with or without intravenous contrast medium and with or without brain scan when performed (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>250.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56016</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R)</span><span> </span><span>(K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>290.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56022</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R)</span><span> </span><span>(K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>225.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56028</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both before intravenous contrast injection, when performed (R)</span><span> </span><span>(K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>336.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56030</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of facial bones, para nasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>225.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56036</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of facial bones, para nasal sinuses or both, with scan of brain, with intravenous contrast medium, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a scan without intravenous contrast medium has been performed; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>336.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56041</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of brain without intravenous contrast medium, not being a service to which item</span><span> </span><span>57041 applies</span><span> </span><span>(R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>98.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56047</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of brain with intravenous contrast medium and with any scans of the brain before intravenous contrast injection, when performed, not being a service to which item</span><span> </span><span>57047 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>126.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56050</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when performed (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>128.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56053</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of orbits with or without intravenous contrast medium and with or without brain scan when performed (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>128.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56056</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>155.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56062</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R)</span><span> </span><span>(NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>113.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56068</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both before intravenous contrast injection, when performed (R)</span><span> </span><span>(NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>168.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56070</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of facial bones, para nasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>113.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56076</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of facial bones, para nasal sinuses or both, with scan of brain, with intravenous contrast medium, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a scan without intravenous contrast medium has been performed; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>168.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56101</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item</span><span> </span><span>56801 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>230.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56107</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine)</span><span> </span><span>— with intravenous contrast medium and with any scans of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) before intravenous contrast injection, when undertaken, not being a service associated with a service to which item</span><span> </span><span>56807 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>340.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56141</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item</span><span> </span><span>56841 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>116.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56147</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine)</span><span> </span><span>— with intravenous contrast medium and with any scans of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) before intravenous contrast injection, when performed, not being a service associated with a service to which item 56847 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>171.60</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56219</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 1 or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain x</span><span>‑</span><span>rays, not being a service to which item</span><span> </span><span>59724 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>326.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56220</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, cervical region, without intravenous contrast medium (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>240.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56221</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, thoracic region, without intravenous contrast medium (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>240.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56223</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, lumbosacral region, without intravenous contrast medium (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>240.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56224</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, cervical region, with intravenous contrast medium and with any scans of the cervical region of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>351.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56225</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, thoracic region, with intravenous contrast medium and with any scans of the thoracic region of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>351.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56226</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, lumbosacral region, with intravenous contrast medium and with any scans of the lumbosacral region of the spine prior to intravenous contrast injection when undertaken (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>351.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56227</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, cervical region, without intravenous contrast medium (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>122.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56228</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, thoracic region, without intravenous contrast medium (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>122.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56229</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, lumbosacral region, without intravenous contrast medium (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>122.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56230</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, cervical region, with intravenous contrast medium and with any scans to the cervical region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>177.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56231</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, thoracic region, with intravenous contrast medium and with any scans to the cervical region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>177.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56232</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, lumbosacral region, with intravenous contrast medium and with any scans to the lumbosacral region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>177.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56233</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 2 examinations of the kind referred to in items 56220, 56221 and 56223, without intravenous contrast medium (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>240.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56234</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 2 examinations of the kind referred to in items 56224, 56225 and 56226, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>351.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56235</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 2 examinations of the kind referred to in items 56227, 56228 and 56229, without intravenous contrast medium (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>122.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56236</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 2 examinations of the kind referred to in items 56230, 56231 and 56232, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>177.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56237</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 3 regions cervical, thoracic and lumbosacral, without intravenous contrast medium (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>240.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span>56238</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span>Computed tomography</span><span> </span><span>— scan of spine, 3 regions, cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-after:avoid"><span>351.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56239</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 3 regions, cervical, thoracic and lumbosacral, without intravenous contrast medium (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>122.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56240</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 3 regions, cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>177.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56259</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of spine, 1 or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain x</span><span>‑</span><span>rays, not being a service to which item</span><span> </span><span>59724 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>164.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56301</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item</span><span> </span><span>56801 or 57001</span><span> </span><span>applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R)</span><span> </span><span>(K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>295.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56307</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest, including lungs, mediastinum, chest wall or pleura and upper abdomen before intravenous contrast injection, when undertaken, not being a service to which item</span><span> </span><span>56807 or 57007 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R)</span><span> </span><span>(K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>400.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56341</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item</span><span> </span><span>56841 or 57041</span><span> </span><span>applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R)</span><span> </span><span>(NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>149.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56347</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest, including lungs, mediastinum, chest wall or pleura and upper abdomen before intravenous contrast injection, when undertaken, not being a service to which item</span><span> </span><span>56847 or 57047 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>202.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56401</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item</span><span> </span><span>56301, 56501, 56801 or 57001 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>250.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56407</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium, and with any scans of upper abdomen (diaphragm to iliac crest) before intravenous contrast injection, when undertaken, not being a service to which item</span><span> </span><span>56307, 56507, 56807 or 57007 applies</span><span> </span><span>(R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>360.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56409</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item</span><span> </span><span>56401 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>250.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56412</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) before intravenous contrast injection, when undertaken, not being a service to which item</span><span> </span><span>56407</span><span> </span><span>applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>360.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56441</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item</span><span> </span><span>56341, 56541, 56841 or 57041 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>126.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56447</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium, and with any scans of upper abdomen (diaphragm to iliac crest) before intravenous contrast injection, when performed, not being a service to which item</span><span> </span><span>56347, 56547, 56847 or 57047 applies</span><span> </span><span>(R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>181.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56449</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item</span><span> </span><span>56441 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>126.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56452</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) before intravenous contrast injection, when undertaken, not being a service to which item</span><span> </span><span>56447</span><span> </span><span>applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>181.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56501</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy and not being a service to which item</span><span> </span><span>56801 or 57001 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>385.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56507</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis before intravenous contrast injection, when performed, not for the purposes of virtual colonoscopy and not being a service to which item</span><span> </span><span>56807 or 57007 applies</span><span> </span><span>(R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>480.05</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56541</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy and not being a service to which item</span><span> </span><span>56841 or 57041 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>193.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56547</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis before intravenous contrast injection, when performed, not for the purposes of virtual colonoscopy and not being a service to which item</span><span> </span><span>56847 or 57047 applies</span><span> </span><span>(R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>243.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56552</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography — scan of colon for exclusion of colorectal neoplasia in symptomatic or high risk patients if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient has had an incomplete colonoscopy in the 3 months before the scan; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the date of incomplete colonoscopy is set out on the request for scan; and</span></p><p class="TableP1a"><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 to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>600.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56554</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography — scan of colon for exclusion of colorectal neoplasia in symptomatic or high risk patients if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the request for scan states that 1 of the following contraindications to colonoscopy is present:</span></p><p class="TableP2i"><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>suspected perforation of the colon;</span></p><p class="TableP2i"><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>complete or high</span><span>‑</span><span>grade obstruction that will not allow passage of the scope; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service must not be a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>600.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56619</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of extremities, 1 or more regions without intravenous contrast medium (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>220.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56625</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of extremities, 1 or more regions with intravenous contrast medium and with any scans of extremities before intravenous contrast injection, when performed (R)</span><span> </span><span>(K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>334.65</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56659</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of extremities, 1 or more regions without intravenous contrast medium (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>112.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56665</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of extremities, 1 or more regions with intravenous contrast medium and with any scans of extremities before intravenous contrast injection, when performed (R)</span><span> </span><span>(NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>167.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56801</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>466.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56807</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>560.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56841</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R)</span><span> </span><span>(NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>233.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>56847</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>283.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57001</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>466.65</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57007</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R)</span><span> </span><span>(K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>567.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57041</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>233.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57047</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R)</span><span> </span><span>(NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>283.90</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57201</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— pelvimetry (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>155.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57247</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— pelvimetry (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>77.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57341</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography, 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) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>470.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57345</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography, 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) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>241.60</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57350</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— spiral angiography with intravenous contrast medium including any scans performed before intravenous contrast injection</span><span> </span><span>— 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3</span><span> </span><span>dimensional surface shaded display, with hardcopy recording of multiple projections, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not a service to which another item in this group applies; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>510.00</span></p></td></tr><tr style="height:27.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 has not been performed on the same patient within the previous 12 months; and</span></p><p class="TableP1a"><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 study performed to image the coronary arteries (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57351</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection</span><span> </span><span>— 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not a service to which another item in this group applies; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>510.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed for the exclusion of acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 service to which item 57350 or 57355 applies has been performed on the same patient within the previous 12 months; and</span></p><p class="TableP1a"><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 study performed to image the coronary arteries (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57355</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— spiral angiography with intravenous contrast medium including any scans performed before intravenous contrast injection</span><span> </span><span>— 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3</span><span> </span><span>dimensional surface shaded display, with hardcopy recording of multiple projections, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not a service to which another item in this group applies; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>264.15</span></p></td></tr><tr style="height:54.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 has not been performed on the same patient within the previous 12 months; and</span></p><p class="TableP1a"><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 study performed to image the coronary arteries (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:115.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57356</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Computed tomography</span><span> </span><span>— spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection</span><span> </span><span>— 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is not a service to which another item in this group applies; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>264.15</span></p></td></tr><tr style="height:69.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed for the exclusion of acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><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 to which item 57350 or 57355 applies has been performed on the same patient within the previous 12</span><span> </span><span>months; and</span></p><p class="TableP1a"><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 study performed to image the coronary arteries (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead"><span>Group I3</span><span> </span><span>— Diagnostic radiology</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 1</span><span> </span><span>— Radiographic examination of extremities</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57506</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Hand, wrist, forearm, elbow or humerus (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>29.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57509</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Hand, wrist, forearm, elbow or humerus (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>39.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57512</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Hand and wrist, or hand, wrist and forearm, or forearm and elbow, or elbow and humerus (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>40.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57515</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Hand and wrist, or hand, wrist and forearm, or forearm and elbow, or elbow and humerus (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>54.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57518</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Foot, ankle, leg, knee or femur (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>32.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57521</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Foot, ankle, leg, knee or femur (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>43.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid"><span>57524</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid"><span>Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid"><span>49.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57527</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>65.75</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 2</span><span> </span><span>— Radiographic examination of shoulder or pelvis</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57700</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Shoulder or scapula (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>40.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57703</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Shoulder or scapula (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>54.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57706</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Clavicle (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>32.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57709</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Clavicle (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>43.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57712</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Hip joint (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57715</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvic girdle (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>60.90</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57721</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>99.25</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 3</span><span> </span><span>— Radiographic examination of head</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57901</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Skull, not in association with item</span><span> </span><span>57902 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>64.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57902</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cephalometry, not in association with item</span><span> </span><span>57901 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>64.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57903</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Sinuses (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57906</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Mastoids (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>64.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57909</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Petrous temporal bones (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>64.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57912</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Facial bones</span><span> </span><span>— orbit, maxilla or malar, any or all (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57915</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Mandible, not by orthopantomography technique (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57918</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Salivary calculus (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57921</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Nose (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57924</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Eye (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57927</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Temporo</span><span>‑</span><span>mandibular joints (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>49.65</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57930</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Teeth</span><span> </span><span>— single area (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>32.90</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57933</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Teeth</span><span> </span><span>— full mouth (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>78.25</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57939</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Palato</span><span>‑</span><span>pharyngeal studies with fluoroscopic screening (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>64.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid"><span>57942</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid"><span>Palato</span><span>‑</span><span>pharyngeal studies without fluoroscopic screening</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid"><span>49.65</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57945</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 or 57942 applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>43.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57960</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Orthopantomography for diagnosis or management (or both) of trauma, infection, tumour or a congenital or surgical condition of the teeth or maxillofacial region (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57963</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Orthopantomography 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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>impacted teeth;</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>caries;</span></p><p class="TableP1a"><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 class="TableP1a"><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 pathology (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57966</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Orthopantomography for diagnosis or management (or both) of missing or crowded teeth, or developmental anomalies of the teeth or jaws (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>57969</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Orthopantomography for diagnosis or management (or both) of temporo</span><span>‑</span><span>mandibular joint arthroses or dysfunction (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.40</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 4</span><span> </span><span>— Radiographic examination of spine</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58100</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— cervical (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>67.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58103</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— thoracic (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>55.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58106</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— lumbo</span><span>‑</span><span>sacral (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>77.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58108</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— 4 regions, cervical, thoracic, lumbosacral and sacrococcygeal (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>110.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58109</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— sacro</span><span>‑</span><span>coccygeal (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58112</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— 2 examinations of the kind mentioned in items</span><span> </span><span>58100, 58103, 58106 and 58109 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>97.25</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58115</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— 3 examinations of the kind mentioned in items</span><span> </span><span>58100, 58103, 58106 and 58109 (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>110.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58120</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— 4 regions, cervical, thoracic, lumbosacral and sacrococcygeal (R), if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>110.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58121</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Spine</span><span> </span><span>— 3 examinations of the kind mentioned in items</span><span> </span><span>58100, 58103, 58106 and 58109 (R), if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>110.00</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt; page-break-inside:avoid"><span>Subgroup 5</span><span> </span><span>— Bone age study and skeletal survey</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>58300</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Bone age study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span>40.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58306</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Skeletal survey (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>89.40</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 6</span><span> </span><span>— Radiographic examination of thoracic region</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58500</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Chest (lung fields) by direct radiography (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>35.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58503</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Chest (lung fields) by direct radiography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58506</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Chest (lung fields) by direct radiography with fluoroscopic screening (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>60.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58509</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Thoracic inlet or trachea (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>39.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58521</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Left ribs, right ribs or sternum (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>43.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58524</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Left and right ribs, left ribs and sternum, or right ribs and sternum (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>56.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58527</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Left ribs, right ribs and sternum (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>69.40</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 7</span><span> </span><span>— Radiographic examination of urinary tract</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58700</span></p></td><td style="width:258.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Plain renal only (R)</span></p></td><td colspan="2" style="width:46.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>46.05</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58706</span></p></td><td style="width:258.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Intravenous pyelography, with or without preliminary plain films and with or without tomography (R)</span></p></td><td colspan="2" style="width:46.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>157.90</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58715</span></p></td><td style="width:258.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Antegrade or retrograde pyelography with or without preliminary plain films and with preparation and contrast injection, 1 side (R)</span></p></td><td colspan="2" style="width:46.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>151.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58718</span></p></td><td style="width:258.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Retrograde cystography or retrograde urethrography with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.)</span></p></td><td colspan="2" style="width:46.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>126.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58721</span></p></td><td style="width:258.8pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Retrograde micturating cysto</span><span>‑</span><span>urethrography, with preparation and contrast injection (R) (Anaes.)</span></p></td><td colspan="2" style="width:46.35pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>138.25</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 8</span><span> </span><span>— Radiographic examination of alimentary tract and biliary system</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58900</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Plain abdominal only, not being a service associated with a service to which item</span><span> </span><span>58909, 58912, 58915 or 58924</span><span> </span><span>applies (NR)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>35.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58903</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Plain abdominal only, not being a service associated with a service to which item</span><span> </span><span>58909, 58912, 58915 or 58924</span><span> </span><span>applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.60</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58909</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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</span><span> </span><span>57939, 57942 or 57945 applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>89.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58912</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>110.25</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58915</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>78.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58916</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>138.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58921</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Opaque enema, with or without air contrast study and with or without preliminary plain films (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>135.25</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58924</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Graham’s test (cholecystography), with preliminary plain films and with or without tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>84.05</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58927</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cholegraphy 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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>76.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58933</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cholegraphy, percutaneous transhepatic, with or without preliminary plain films and with preparation and contrast injection (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>205.60</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58936</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cholegraphy, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>195.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>58939</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Defaecogram (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>139.30</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 9</span><span> </span><span>— Radiographic examination for localisation of foreign bodies</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59103</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>21.30</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt; page-break-after:auto"><span>Subgroup 10</span><span> </span><span>— Radiographic examination of breasts</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59300</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Mammography of both breasts if there is reason to suspect the presence of malignancy because of:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the past occurrence of breast malignancy in the patient or members of the patient’s family; or</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>89.50</span></p></td></tr><tr style="height:38.45pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>symptoms or indications of malignancy found on examination of the patient by a medical practitioner</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:92.25pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59303</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Mammography of 1 breast if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient is referred with a specific request for a unilateral mammogram; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>there is reason to suspect the presence of malignancy because of:</span></p><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>53.95</span></p></td></tr><tr style="height:30.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59306</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Mammary ductogram (galactography)</span><span> </span><span>— 1</span><span> </span><span>breast (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>100.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59309</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Mammary ductogram (galactography)</span><span> </span><span>— 2</span><span> </span><span>breasts (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>200.60</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59312</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Radiographic examination of both breasts, in conjunction with a surgical procedure on each breast, using interventional techniques (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>87.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59314</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Radiographic examination of 1 breast, in conjunction with a surgical procedure using interventional techniques (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>52.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59318</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.05</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 11</span><span> </span><span>— Radiographic examination in connection with pregnancy</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59503</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Pelvimetry, not being a service associated with a service to which item</span><span> </span><span>57201 applies</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>89.40</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 12</span><span> </span><span>— Radiographic examination with opaque or contrast media</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59700</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Discography, each disc, with or without preliminary plain films and with preparation and contrast injection (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>96.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59703</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Dacryocystography, 1 side, with or without preliminary plain film and with preparation and contrast injection (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>75.90</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59712</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Hysterosalpingography, with or without preliminary plain films and with preparation and contrast injection (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>113.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59715</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Bronchography, 1 side, with or without preliminary plain films and with preparation and contrast injection (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>143.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59718</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Phlebography, 1 side, with or without preliminary plain films and with preparation and contrast injection (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>134.65</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59724</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Myelography, 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 applies (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>226.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59733</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Sialography, 1 side, with preparation and contrast injection, not being a service associated with a service to which item</span><span> </span><span>57918 applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>107.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59736</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Vasoepididymography, 1 side (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>62.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59739</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Sinogram or fistulogram, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>73.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59751</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Arthrography, each joint, excluding the facet (zygapophyseal) 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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>139.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59754</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>219.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59760</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Peritoneogram (herniography) 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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>115.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59763</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Air insufflation during video</span><span> </span><span>— fluoroscopic imaging including associated consultation (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>133.90</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 13</span><span> </span><span>— Angiography</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59903</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Angiocardiography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59912 or 59925 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>114.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59912</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Selective coronary arteriography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59903 or 59925 applies (R) (K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>305.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59925</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Selective coronary arteriography and angiocardiography, including a service described in item 59903, 59912, 59970, 59974 or 61109 (R) (K)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>362.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59970</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Angiography or digital subtraction angiography, or</span><span> </span><span>both, with fluoroscopy and image acquisition, using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection</span><span> </span><span>— 1 or more regions (R)</span><span> </span><span>(K) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>168.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59971</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Angiocardiography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59972 or 59973 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>57.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59972</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Selective coronary arteriography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59971 or 59973 applies (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>152.60</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59973</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Selective coronary arteriography and angiocardiography, including a service described in item 59970, 59971, 59972, 59974 or 61109 (R) (NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>181.25</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>59974</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Angiography or digital subtraction angiography, or both, with fluoroscopy and image acquisition using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection</span><span> </span><span>— 1 or more regions (R)</span><span> </span><span>(NK) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>84.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60000</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of head and neck with or without arch aortography</span><span> </span><span>— 1 to 3 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>564.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60003</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of head and neck with or without arch aortography</span><span> </span><span>— 4 to 6 data acquisition runs</span><span> </span><span>(R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>827.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60006</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of head and neck with or without arch aortography</span><span> </span><span>— 7 to 9 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>176.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60009</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of head and neck with or without arch aortography</span><span> </span><span>— 10 or more data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>376.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60012</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of thorax</span><span> </span><span>— 1 to 3 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>564.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60015</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of thorax</span><span> </span><span>— 4 to 6 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>827.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60018</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of thorax</span><span> </span><span>— 7 to 9 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>176.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60021</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of thorax</span><span> </span><span>— 10 or more data acquisition runs</span><span> </span><span>(R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>376.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60024</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of abdomen</span><span> </span><span>— 1 to 3 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>564.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60027</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of abdomen</span><span> </span><span>— 4 to 6 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>827.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60030</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of abdomen</span><span> </span><span>— 7 to 9 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>176.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>60033</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Digital subtraction angiography, examination of abdomen</span><span> </span><span>— 10 or more data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span>1</span><span> </span><span>376.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60036</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of upper limb or limbs</span><span> </span><span>— 1 to 3 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>564.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span>60039</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of upper limb or limbs</span><span> </span><span>— 4 to 6 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>827.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60042</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of upper limb or limbs</span><span> </span><span>— 7 to 9 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>176.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60045</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of upper limb or limbs</span><span> </span><span>— 10</span><span> </span><span>or more data acquisition runs (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>376.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60048</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of lower limb or limbs</span><span> </span><span>— 1 to 3 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>564.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60051</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of lower limb or limbs</span><span> </span><span>— 4 to 6 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>827.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60054</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of lower limb or limbs</span><span> </span><span>— 7 to 9 data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>176.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60057</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of lower limb or limbs</span><span> </span><span>— 10</span><span> </span><span>or more data acquisition runs (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>376.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60060</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of aorta and lower limb or limbs</span><span> </span><span>— 1 to 3 data acquisition runs (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>564.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60063</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of aorta and lower limb or limbs</span><span> </span><span>— 4 to 6 data acquisition runs (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>827.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60066</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of aorta and lower limb or limbs</span><span> </span><span>— 7 to 9 data acquisition runs (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>176.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60069</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Digital subtraction angiography, examination of aorta and lower limb or limbs</span><span> </span><span>— 10 or more data acquisition runs (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>376.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60072</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Selective arteriography or selective venography by digital subtraction angiography technique</span><span> </span><span>— 1 vessel (NR)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>48.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60075</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Selective arteriography or selective venography by digital subtraction angiography technique</span><span> </span><span>— 2 vessels (NR)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>96.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60078</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Selective arteriography or selective venography by digital subtraction angiography technique</span><span> </span><span>— 3 or more vessels</span><span> </span><span>(NR) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>144.25</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 14</span><span> </span><span>— Tomography</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60100</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Tomography of any region (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>60.75</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 15</span><span> </span><span>— Fluoroscopic examination</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60500</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Fluoroscopy, with general anaesthesia (not being a service associated with a radiographic examination) (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>43.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60503</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Fluoroscopy, without general anaesthesia (not being a service associated with a radiographic examination) (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>29.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60506</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>63.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60509</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>98.90</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 16</span><span> </span><span>— Preparation for radiological procedure</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60918</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid"><span>Arteriography (peripheral) or phlebography</span><span> </span><span>— 1</span><span> </span><span>vessel, when used in association with a service to</span><span> </span><span>which item</span><span> </span><span>59903, 59912, 59925, 59970, 59971, 59972, 59973 or 59974 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>47.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>60927</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Selective arteriogram or phlebogram, when used in</span><span> </span><span>association with a service to which item 59903, 59912, 59925, 59970, 59971, 59972, 59973 or</span><span> </span><span>59974 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>38.05</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 17</span><span> </span><span>— Interventional techniques</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61109</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>258.90</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead" style="page-break-inside:avoid"><span style="text-transform:uppercase">G</span><span>roup</span><span style="text-transform:uppercase"> I4</span><span style="text-transform:uppercase"> </span><span style="text-transform:uppercase">— N</span><span>uclear</span><span style="text-transform:uppercase"> </span><span>medicine</span><span style="text-transform:uppercase"> </span><span>imaging</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>61302</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Single stress or rest myocardial perfusion study</span><span> </span><span>— planar imaging (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span>448.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61303</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Single stress or rest myocardial perfusion study</span><span> </span><span>— with single photon emission tomography and with planar imaging when performed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>565.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61306</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>709.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61307</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>834.90</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61310</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>367.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61313</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Gated cardiac blood pool study, (equilibrium), with planar imaging and single photon emission tomography, or planar imaging or single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>303.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61314</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>420.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61316</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>381.15</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61317</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61320</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cardiac first pass blood flow study or cardiac shunt study, not being a service to which another item in this group applies (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>228.90</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61328</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Lung perfusion study, with planar imaging and single photon emission tomography or planar imaging, or single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>227.65</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61340</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Lung ventilation study using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography or planar imaging or single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>253.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61348</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Lung perfusion study and lung ventilation study using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography, or planar imaging, or single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>443.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61352</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Liver and spleen study (colloid)</span><span> </span><span>— planar imaging (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>259.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61353</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Liver and spleen study (colloid), with single photon emission tomography and with planar imaging when performed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>386.60</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61356</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Red blood cell spleen or liver study, including single photon emission tomography when performed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>392.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61360</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Hepatobiliary study, including morphine administration or pre</span><span>‑</span><span>treatment with cholecystokinin (CCK) when performed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61361</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Hepatobiliary study with formal quantification following baseline imaging, using an infusion of cholecystokinin (CCK) (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>461.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61364</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Bowel haemorrhage study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>496.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61368</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Meckel’s diverticulum study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>223.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61369</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Indium-labelled octreotide study, including single photon emission tomography when undertaken, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a gastro-entero-pancreatic endocrine tumour is suspected, based on biochemical evidence, with negative or equivocal conventional imaging; or</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a surgically amenable gastro-entero-pancreatic endocrine tumour has been identified based on conventional techniques, to exclude additional disease sites (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>2</span><span> </span><span>015.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61372</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Salivary study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>223.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61373</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Gastro</span><span>‑</span><span>oesophageal reflux study, including delayed imaging on a separate occasion when performed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>489.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>61376</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Oesophageal clearance study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span>143.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61381</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Gastric emptying study, using single tracer</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>574.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61383</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Combined solid and liquid gastric emptying study using dual isotope technique or the same isotope on separate days (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>624.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61384</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Radionuclide colonic transit study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>687.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61386</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Renal study, including perfusion and renogram images</span><br><span>and computer analysis or cortical study with planar imaging (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>332.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61387</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Renal cortical study, with single photon emission tomography and planar quantification (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>430.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61389</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Single renal study with pre</span><span>‑</span><span>procedural administration</span><br><span>of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>370.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61390</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Renal study with diuretic administration following a baseline study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>409.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61393</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>605.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61397</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cystoureterogram (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>246.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61401</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Testicular study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>162.30</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61402</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cerebral perfusion study, with single photon emission tomography and with planar imaging when performed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>605.05</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61405</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>346.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61409</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cerebro</span><span>‑</span><span>spinal fluid transport study, with imaging on 2</span><span> </span><span>or more separate occasions (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>873.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61413</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Cerebro</span><span>‑</span><span>spinal fluid shunt patency study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>225.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61417</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>118.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61421</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Bone study</span><span> </span><span>— whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>479.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61425</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>600.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61426</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body study using iodine (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>554.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61429</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body study using gallium (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>543.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61430</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body study using gallium, with single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>659.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61433</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body study using cells labelled with technetium (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>496.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61434</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body study using cells labelled with technetium, with single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>615.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61437</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body study using thallium (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>542.75</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61438</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body study using thallium, with single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>672.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61441</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Bone marrow study</span><span> </span><span>— whole body using technetium labelled bone marrow agents (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>489.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61442</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body study, using gallium</span><span> </span><span>— with single photon emission tomography of 2 or more body regions acquired separately (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>752.35</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61445</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Bone marrow study</span><span> </span><span>— localised using technetium labelled agent (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>286.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61446</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Localised bone or joint study, including when undertaken, blood flow, blood pool and repeat imaging on a separate occasion (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>333.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61449</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>456.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61450</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Localised study using gallium (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>397.55</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61453</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Localised study using gallium, with single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>514.70</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>61454</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Localised study using cells labelled with technetium (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span>348.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61457</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Localised study using cells labelled with technetium, with single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>470.45</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61458</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Localised study using thallium (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>396.95</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61461</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Localised study using thallium, with single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>527.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-after:avoid"><span>61462</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 or 61485, if there is no additional administration of radiopharmaceutical and if the previous radionuclide scan was abnormal or equivocal (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>129.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61465</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Venography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>265.50</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61469</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Lymphoscintigraphy (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>348.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61473</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Thyroid study including uptake measurement when performed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>175.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61480</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Parathyroid study, planar imaging and single photon emission tomography when performed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>386.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61484</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Adrenal study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>880.85</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61485</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Adrenal study, with single photon emission tomography (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>999.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61495</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Tear duct study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>223.10</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61499</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Particle perfusion study (infra</span><span>‑</span><span>arterial) or Le</span><span> </span><span>Veen shunt study (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>253.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61505</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><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 61650</span><span> </span><span>(R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>100.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61523</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodule, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the nodule is considered unsuitable for transthoracic fine needle aspiration biopsy; or</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>an attempt at pathological characterisation has failed (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>953.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61529</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, performed for the staging of proven non-small cell lung cancer, if curative surgery or radiotherapy is planned (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>953.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61541</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in a patient considered suitable for active therapy (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>953.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61544</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in a patient considered suitable for active therapy, with catheterisation of the bladder (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>975.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61553</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in a patient considered suitable for active therapy (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>999.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61556</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in a patient considered suitable for active therapy, with catheterisation of the bladder (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>1</span><span> </span><span>021.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61559</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>FDG PET study of the brain, performed for the evaluation of refractory epilepsy, that is being evaluated for surgery (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>918.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61565</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in a patient considered suitable for active therapy (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>953.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61568</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in a patient considered suitable for active therapy, with catheterisation of the bladder (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>975.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61577</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ carcinoma, in a patient considered suitable for active therapy (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>953.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61580</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ carcinoma, in a patient considered suitable for active therapy, with catheterisation of the bladder (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>975.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61598</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study performed for the staging of biopsy-proven, newly-diagnosed or recurrent head and neck cancer (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>953.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61604</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study performed for the evaluation of a patient with suspected residual head and neck cancer after definitive treatment, and who is suitable for active therapy (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>953.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61610</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>Whole body FDG PET study performed for the evaluation of metastatic squamous cell carcinoma of unknown primary site involving cervical nodes (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>953.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61613</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>Whole body FDG PET study performed for the evaluation of metastatic squamous cell carcinoma from an unknown primary site involving cervical nodes, with catheterisation of the bladder (R)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>975.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>61650</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="page-break-inside:avoid; page-break-after:avoid"><span>LeukoScan study of the long bones and feet for suspected osteomyelitis, if patient does not have access to ex-vivo white blood cell scanning</span><span> </span><span>(R)</span></p><p class="TableTextpa" style="margin-left:0pt; text-indent:0pt"><span style="font-style:italic">Note</span><span style="font-style:italic"> </span><span style="font-style:italic"></span><span></span><span>LeukoScan 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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>878.70</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead"><span>Group I5</span><span> </span><span>— Magnetic resonance imaging</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt; page-break-inside:avoid"><span>Subgroup 1</span><span> </span><span>— Scan of head</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63001</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63004</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63007</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for skull base or orbital tumour (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63010</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for stereotactic scan of brain, with fiducials in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>336.00</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 2</span><span> </span><span>— Scan of head — for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63040</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for acoustic neuroma (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>336.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63043</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for pituitary tumour (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63046</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for toxic or metabolic or ischaemic encephalopathy (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63049</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for demyelinating disease of the brain (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63052</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for congenital malformation of the brain or meninges (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63055</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for venous sinus thrombosis (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63058</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for head trauma (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63061</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for epilepsy (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63064</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for stroke (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63067</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for carotid or vertebral artery dissection (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63070</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for intracranial aneurysm (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63073</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head (including MRA, if performed) for intracranial arteriovenous malformation (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 3</span><span> </span><span>— Scan of head and neck vessels</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63101</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>and MRA of extracranial or intracranial circulation (or both) — scan of head and neck vessels for stroke (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 4</span><span> </span><span>— Scan of head and cervical spine</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63111</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63114</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 5</span><span> </span><span>— Scan of head and cervical spine</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63125</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63128</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63131</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of head and cervical spine (including MRA, if performed) for syrinx (congenital or acquired) (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 6</span><span> </span><span>— Scan of spine</span><span> </span><span>— 1 region or 2 contiguous regions — for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63151</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for infection (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63154</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for tumour (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 7</span><span> </span><span>— Scan of spine</span><span> </span><span>— 1 region or 2 contiguous regions</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63161</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for demyelinating disease (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63164</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 cauda equina or the meninges (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63167</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for myelopathy (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63170</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for syrinx (congenital or acquired) (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63173</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for cervical radiculopathy (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63176</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for sciatica (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63179</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for spinal canal stenosis (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63182</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for previous spinal surgery (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63185</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of 1 region or 2 contiguous regions of the spine for trauma (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 8</span><span> </span><span>— Scan of spine</span><span> </span><span>— 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63201</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63204</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 9</span><span> </span><span>— Scan of spine</span><span> </span><span>— 3 contiguous or 2 non</span><span>‑</span><span>contiguous regions</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63219</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63222</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 cauda equina or the meninges (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63225</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63228</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63231</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63234</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63237</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63240</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63243</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 10</span><span> </span><span>— Scan of cervical spine and brachial plexus</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63271</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— Scan of cervical spine and brachial plexus for tumour (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63274</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— Scan of cervical spine and brachial plexus for trauma (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63277</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— Scan of cervical spine and brachial plexus for cervical radiculopathy (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63280</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— Scan of cervical spine and brachial plexus for previous surgery (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>492.80</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 11</span><span> </span><span>— Scan of musculoskeletal system</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63301</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>380.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63304</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>380.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63307</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for osteonecrosis (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>380.80</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 12</span><span> </span><span>— Scan of musculoskeletal system</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63322</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of hip or its supporting structures (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63325</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of shoulder or its supporting structures (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63328</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of knee or its supporting structures (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63331</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of ankle or foot (or both) or its supporting structures (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63334</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of 1 or both temporomandibular joints or their supporting structures (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>336.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63337</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of wrist or hand (or both) or its supporting structures (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63340</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for derangement of elbow or its supporting structures (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 13</span><span> </span><span>— Scan of musculoskeletal system</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63361</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of musculoskeletal system for Gaucher disease (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 14</span><span> </span><span>— Scan of cardiovascular system</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63385</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63388</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of cardiovascular system for tumour of the heart or a great vessel (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>448.00</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63391</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of cardiovascular system for abnormality of thoracic aorta (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 15</span><span> </span><span>— Magnetic resonance angiography</span><span> </span><span>— scan of cardiovascular system</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63401</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63404</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 16</span><span> </span><span>— Magnetic resonance angiography</span><span> </span><span>— for specified conditions</span><span> </span><span>— person under the age of 16 years</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63416</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 17</span><span> </span><span>— Magnetic resonance imaging</span><span> </span><span>— for specified conditions</span><span> </span><span>— person under the age of 16 years</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63425</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 physeal fusion (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63428</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for Gaucher disease (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 18</span><span> </span><span>— Magnetic resonance imaging</span><span> </span><span>— for specified conditions</span><span> </span><span>— person under the age of 16 years</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63440</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for pelvic or abdominal mass (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63443</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for mediastinal mass (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63446</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 19</span><span> </span><span>— Scan of body</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63461</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>358.40</span></p></td></tr><tr style="height:115.15pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63464</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>that the patient is at high risk of developing breast cancer, due to 1 of the following:</span></p><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>690.00</span></p></td></tr><tr style="height:60.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i" style="margin-top:3pt"><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 class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt; text-align:left; line-height:12pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(A)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">has been diagnosed with bilateral breast cancer;</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt; text-align:left; line-height:12pt"><span style="width:45.99pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(B)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">had onset of breast cancer before the age of 40</span><span style="font-size:11pt"> </span><span style="font-size:11pt">years;</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt; text-align:left; line-height:12pt"><span style="width:45.99pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(C)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">had onset of ovarian cancer before the age of 50 years;</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt; text-align:left; line-height:12pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(D)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">has been diagnosed with breast and ovarian cancer, at the same time or at different times;</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt; text-align:left; line-height:12pt"><span style="width:46.6pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(E)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">has Ashkenazi Jewish ancestry;</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt; text-align:left; line-height:12pt"><span style="width:47.21pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(F)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">is a male relative who has been diagnosed with breast cancer;</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:60.75pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP2i"><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:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:28.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>that genetic testing has identified the presence of a high risk breast cancer gene mutation (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63467</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of both breasts for the detection of cancer, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a dedicated breast coil is used; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the woman has had an abnormality detected as a result of a service described in item 63464 performed in the previous 12 months (R) (Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>690.00</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 20</span><span> </span><span>— Scan of pelvis and upper abdomen</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63470</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a histological diagnosis of carcinoma of the cervix has been made; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63473</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><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 class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a histological diagnosis of carcinoma of the cervix has been made; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>627.20</span></p><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63476</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of the pelvis for the initial staging of rectal cancer, if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>a phased array body coil is used; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the request for scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum) (R) (Anaes.) (Contrast)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span>Subgroup 21</span><span> </span><span>— Scan of body</span><span> </span><span>— for specified conditions</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63482</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI</span><span> </span><span>— scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R)</span><span> </span><span>(Anaes.)</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>403.20</span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt; page-break-inside:avoid"><span>Subgroup 22</span><span> </span><span>— Modifying items</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63491</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed in accordance with rule 31; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the item for the service includes in its description ‘(Contrast)’; and</span></p><p class="TableP1a"><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 performed using a contrast agent</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>44.80</span></p></td></tr><tr><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63494</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed in accordance with rule 31; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed on a person using intravenous or intra muscular sedation</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>44.80</span></p></td></tr><tr style="height:58.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>63497</span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span>MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed in accordance with rule 31; and</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>156.80</span></p></td></tr><tr style="height:10.5pt"><td colspan="2" style="width:42.4pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:260.25pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic</span></p></td><td style="width:44.9pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="5" style="width:353.75pt; padding-right:1.55pt; padding-left:1.55pt; vertical-align:top"><p class="TableColHead2" style="margin-right:5.65pt"><span style="font-weight:bold; font-style:normal">Group I6</span><span style="font-weight:bold; font-style:normal"> </span><span style="font-weight:bold; font-style:normal">— Management of bulk</span><span style="font-weight:bold; font-style:normal">‑</span><span style="font-weight:bold; font-style:normal">billed services</span></p></td></tr><tr style="height:105pt"><td colspan="2" style="width:34.8pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText"><span>64990</span></p></td><td colspan="2" style="width:252.65pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText"><span>A diagnostic imaging service to which an item in this table (other than this item or item 64991) applies if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is an unreferred service; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and</span></p><p class="TableP1a"><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 person is not an admitted patient of a hospital; and</span></p></td><td style="width:37.3pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>6.50</span></p></td></tr><tr style="height:52.35pt"><td colspan="2" style="width:34.8pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:252.65pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableP1a"><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 bulk</span><span>‑</span><span>billed for the fees for:</span></p><p class="TableP2i"><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>this item; and</span></p><p class="TableP2i"><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>the other item in this table applying to the service</span></p></td><td style="width:37.3pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:34.8pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText"><span>64991</span></p></td><td colspan="2" style="width:252.65pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText"><span>A diagnostic imaging service to which an item in this table (other than this item or item 64990) applies if:</span></p><p class="TableP1a"><span style="width:8.19pt; text-indent:0pt; display:inline-block"></span><span>(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is an unreferred service; and</span></p><p class="TableP1a"><span style="width:7.57pt; text-indent:0pt; display:inline-block"></span><span>(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and</span></p><p class="TableP1a"><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 person is not an admitted patient of a hospital; and</span></p><p class="TableP1a"><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 bulk</span><span>‑</span><span>billed for the fees for:</span></p><p class="TableP2i"><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>this item; and</span></p></td><td style="width:37.3pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText" style="text-align:right"><span>9.80</span></p></td></tr><tr><td colspan="2" style="width:34.8pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:252.65pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableP2i"><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>the other item in this table applying to the service; and</span></p><p class="TableP1a"><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 provided at, or from, a practice location in:</span></p><p class="TableP2i"><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>a regional, rural or remote area; or</span></p><p class="TableP2i"><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>Tasmania; or</span></p></td><td style="width:37.3pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:34.8pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:252.65pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableP2i"><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 geographical area included in any of the following SSD spatial units:</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt; line-height:12pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(A)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Beaudesert Shire Part A</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.99pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(B)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Belconnen</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.99pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(C)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Darwin City</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(D)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Eastern Outer Melbourne</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:46.6pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(E)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">East Metropolitan</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:47.21pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(F)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Frankston City</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(G)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Gosford</span><span style="font-size:11pt">‑</span><span style="font-size:11pt">Wyong</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(H)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Greater Geelong City Part A</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:49.66pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(I)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Gungahlin</span><span style="font-size:11pt">‑</span><span style="font-size:11pt">Hall</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:49.04pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(J)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Ipswich City (Part in BSD)</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(K)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Litchfield Shire</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:46.6pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(L)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Melton</span><span style="font-size:11pt">‑</span><span style="font-size:11pt">Wyndham</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:43.54pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(M)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Mornington Peninsula Shire</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(N)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Newcastle</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(O)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">North Canberra</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:47.21pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(P)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Palmerston</span><span style="font-size:11pt">‑</span><span style="font-size:11pt">East Arm</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(Q)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Pine Rivers Shire</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.99pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(R)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Queanbeyan</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:47.21pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(S)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">South Canberra</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:46.6pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(T)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">South Eastern Outer Melbourne</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(U)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Southern Adelaide</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(V)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">South West Metropolitan</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:42.94pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(W)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Thuringowa City Part A</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(X)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Townsville City Part A</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:45.38pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(Y)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Tuggeranong</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:46.6pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(Z)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Weston Creek</span><span style="font-size:11pt">‑</span><span style="font-size:11pt">Stromlo</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:38.66pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(ZA)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Woden Valley</span></p><p class="P3" style="margin-top:0pt; margin-left:72.6pt; text-indent:-72.6pt"><span style="width:39.27pt; text-indent:0pt; font-size:11pt; display:inline-block"></span><span style="font-size:11pt">(ZB)</span><span style="width:11.95pt; text-indent:0pt; font-size:11pt; display:inline-block"> </span><span style="font-size:11pt">Yarra Ranges Shire Part A; or</span></p></td><td style="width:37.3pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr><td colspan="2" style="width:34.8pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText"><span></span></p></td><td colspan="2" style="width:252.65pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableP2i"><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>the geographical area included in the SLA spatial unit of Palm Island (AC)</span></p></td><td style="width:37.3pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableText" style="text-align:right"><span></span></p></td></tr><tr style="height:0pt"><td style="width:44.7pt"></td><td style="width:0.8pt"></td><td style="width:261.9pt"></td><td style="width:1.45pt"></td><td style="width:48pt"></td></tr></tbody></table>

42Application of items 64990 and 64991

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42 Application of items 64990 and 64991