Part 1 – MRI obstetric services for suspected fetal central nervous system abnormality

<table cellspacing="0" cellpadding="0" style="width:438.65pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:427.95pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Group I5 – Magnetic Resonance Imaging</span></p></td></tr><tr><td colspan="3" style="width:427.95pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Subgroup 19 – Scan of Body – for specified conditions</span></p></td></tr><tr style="height:16.15pt"><td style="width:57.1pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Item</span></p></td><td style="width:274.45pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Service</span></p></td><td style="width:75pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold"></span><span style="font-size:10pt; font-weight:bold">Fee ($)</span></p></td></tr></thead><tbody><tr style="height:84.85pt"><td style="width:57.1pt; border-top:1.5pt 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:115%; font-size:10pt"><span>63454</span></p></td><td style="width:274.45pt; border-top:1.5pt 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:115%; font-size:10pt"><span>MRI – scan of the pelvis or abdomen, if:</span></p><div style="margin-left:18pt; background-color:#ffffff"><p style="margin-left:18pt; text-indent:-18pt; line-height:13pt"><span style="font-size:10pt"><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span style="font-size:10pt">the pregnancy is on, or after, 18 weeks gestation; and</span></p></div><div style="margin-left:18pt; background-color:#ffffff"><p style="margin-left:18pt; text-indent:-18pt; line-height:13pt"><span style="font-size:10pt"><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span style="font-size:10pt">fetal central nervous system abnormality is suspected; and</span></p></div><div style="margin-left:18pt; background-color:#ffffff"><p style="margin-left:18pt; text-indent:-18pt; line-height:13pt"><span style="font-size:10pt"><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span style="font-size:10pt">a</span><span style="font-size:10pt">n ultrasound has been performed and is</span><span style="font-size:10pt"> provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics</span><span style="font-size:10pt">,</span><span style="font-size:10pt"> and diagnosis is indeterminate or requires further examination;</span><span style="font-size:10pt"> and</span></p></div><div style="margin-left:18pt; background-color:#ffffff"><p style="margin-left:18pt; text-indent:-18pt; line-height:13pt"><span style="font-size:10pt"><span>(d)</span></span><span style="font:7pt 'Times New Roman'"> </span><span style="font-size:10pt">the service is requested by a specialist practising in the specialty of obstetrics.</span></p></div><p style="font-size:10pt; background-color:#ffffff"><span></span><span>(R) (K) (Anaes.) (Contrast)</span></p></td><td style="width:75pt; border-top:1.5pt 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-left:29.7pt; margin-bottom:3pt; page-break-after:avoid; line-height:115%; font-size:10pt"><span>1200.00</span></p></td></tr><tr style="height:84.25pt"><td style="width:57.1pt; border-top:0.75pt solid #000000; border-bottom:1.5pt 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:115%; font-size:10pt"><span>63460</span></p></td><td style="width:274.45pt; border-top:0.75pt solid #000000; border-bottom:1.5pt 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:115%; font-size:10pt"><span>MRI – scan of the pelvis or abdomen, if:</span></p><div style="margin-left:18pt; background-color:#ffffff"><p style="margin-left:18pt; text-indent:-18pt; line-height:13pt"><span style="font-size:10pt"><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span style="font-size:10pt">the pregnancy is on, or after, 18 weeks gestation; and</span></p></div><div style="margin-left:18pt; background-color:#ffffff"><p style="margin-left:18pt; text-indent:-18pt; line-height:13pt"><span style="font-size:10pt"><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span style="font-size:10pt">fetal central nervous system abnormality is suspected; and</span></p></div><div style="margin-left:18pt; background-color:#ffffff"><p style="margin-left:18pt; text-indent:-18pt; line-height:13pt"><span style="font-size:10pt"><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span style="font-size:10pt">a</span><span style="font-size:10pt">n </span><span style="font-size:10pt">ultrasound</span><span style="font-size:10pt"> has been performed and is provided </span><span style="font-size:10pt">by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics, and diagnosis is indeterminate or requires further examination</span><span style="font-size:10pt">;</span><span style="font-size:10pt"> and</span></p></div><div style="margin-left:18pt; background-color:#ffffff"><p style="margin-left:18pt; text-indent:-18pt; line-height:13pt"><span style="font-size:10pt"><span>(d)</span></span><span style="font:7pt 'Times New Roman'"> </span><span style="font-size:10pt">the service is requested by a specialist practising in the specialty of obstetrics.</span></p></div><p style="font-size:10pt; background-color:#ffffff"><span></span><span>(R) (NK) (Anaes.) (Contrast)</span></p></td><td style="width:75pt; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; margin-bottom:3pt; page-break-after:avoid; line-height:115%; font-size:10pt"><span>600.00</span></p></td></tr></tbody></table>