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Health Insurance (Section 3C Diagnostic Imaging Services – Cardiac MRI for Myocarditis) Determination 2024
7Application of contrast
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7 Application of contrast
(1) If a service to which an item in the Schedule applies is performed using a contrast agent, the fee specified in that item applies in addition to the schedule fee in item 63491 of the diagnostic imaging services table.
Schedule 1—Relevant services
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Group I5—Magnetic Resonance Imaging</span></p></td></tr><tr style="height:30.3pt"><td style="width:13.64%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Column 1</span></p><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Item</span></p></td><td style="width:70.82%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Column 2</span></p><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Description</span></p></td><td style="width:15.54%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Column 3</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Fee ($)</span></p></td></tr><tr style="height:16.8pt"><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Subgroup 14—scan of cardiovascular system – for specified conditions</span></p></td></tr></thead><tbody><tr><td style="width:13.64%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">63390</span></p></td><td style="width:70.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">MRI – scan of the cardiovascular system for the assessment of myocardial structure and function and characterisation, if the service is requested by a specialist or consultant physician who has assessed the patient, and the request for the scan indicates:</span></p><p style="margin-top:3pt; margin-left:36pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span style="font-size:10pt">(a)</span><span style="width:6.9pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">acute onset (less than 3 months) heart failure caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or</span></p><p style="margin-top:3pt; margin-left:36pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span style="font-size:10pt">(b)</span><span style="width:6.34pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">unexplained arrhythmia caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or</span></p><p style="margin-top:3pt; margin-left:36pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span style="font-size:10pt">(c)</span><span style="width:6.9pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">suspected drug-induced myocarditis, where the results from the following examinations are inconclusive to form a diagnosis:</span></p><p style="margin-top:3pt; margin-left:72pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span style="font-size:10pt">i.</span><span style="width:12.72pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">troponin; and</span></p><p style="margin-top:3pt; margin-left:72pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span style="font-size:10pt">ii.</span><span style="width:9.94pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">chest x-ray, and</span></p><p style="margin-top:3pt; margin-left:72pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span style="font-size:10pt">iii.</span><span style="width:7.17pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">transthoracic echocardiogram.</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">(R) (Anaes.) (Contrast)</span></p></td><td style="width:15.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">616.60</span></p></td></tr></tbody></table>