Billing Codes
Department of Veterans' Affairs — Updated Annually

DVA Medical Fee Schedule

Compare DVA fees against MBS rates for 5,800+ items — essential for practices treating DVA card holders

Side-by-side MBS ↔ DVA comparison →

Total Items
5886
DVA fee schedule items
Showing 4701–4750 of 5886 Pg 95/118
Item No. Description MBS Fee DVA Fee
63385
MRI—scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Contrast) (Anaes.)
$515.30 $502.25 ▼
Item Number
63385
Fee Comparison
MBS
$515.30
→
DVA
$502.25
-$13.05 (-3%)
Additional DVA Rates
DI Fee
$502.25
Full Description
MRI—scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Contrast) (Anaes.)
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63388
MRI—scan of cardiovascular system for tumour of the heart or a great vessel (R) (Contrast) (Anaes.)
$515.30 $502.25 ▼
Item Number
63388
Fee Comparison
MBS
$515.30
→
DVA
$502.25
-$13.05 (-3%)
Additional DVA Rates
DI Fee
$502.25
Full Description
MRI—scan of cardiovascular system for tumour of the heart or a great vessel (R) (Contrast) (Anaes.)
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63390
MRI—scan of cardiovascular system for assessment of myocardial structure, function and characterisation, if the request for the scan indicates that the patient has: (a) 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 (b) unexplained arrhythmia caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (c) suspected drug-induced myocarditis, if the results from all of the following examinations are inconclusive to form a diagnosis: (i) troponin; (ii) chest X-ray; (iii) transthoracic echocardiogram. (R) (Contrast) (Anaes.)
$632.65 $616.60 ▼
Item Number
63390
Fee Comparison
MBS
$632.65
→
DVA
$616.60
-$16.05 (-3%)
Additional DVA Rates
DI Fee
$616.60
Full Description
MRI—scan of cardiovascular system for assessment of myocardial structure, function and characterisation, if the request for the scan indicates that the patient has: (a) 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 (b) unexplained arrhythmia caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (c) suspected drug-induced myocarditis, if the results from all of the following examinations are inconclusive to form a diagnosis: (i) troponin; (ii) chest X-ray; (iii) transthoracic echocardiogram. (R) (Contrast) (Anaes.)
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63391
MRI—scan of cardiovascular system for abnormality of thoracic aorta (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63391
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of cardiovascular system for abnormality of thoracic aorta (R) (Contrast) (Anaes.)
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63395
MRI—scan of cardiovascular system for assessment of myocardial structure and function involving:(a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that:(d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or(e) investigative findings in relation to the patient are consistent with ARVC(R) (Contrast) (Anaes.)
$983.75 $958.80 ▼
Item Number
63395
Fee Comparison
MBS
$983.75
→
DVA
$958.80
-$24.95 (-3%)
Additional DVA Rates
DI Fee
$958.80
Full Description
MRI—scan of cardiovascular system for assessment of myocardial structure and function involving:(a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that:(d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or(e) investigative findings in relation to the patient are consistent with ARVC(R) (Contrast) (Anaes.)
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63397
MRI—scan of cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that the patient:(d) is asymptomatic; and(e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC)(R) (Contrast) (Anaes.)
$983.75 $958.80 ▼
Item Number
63397
Fee Comparison
MBS
$983.75
→
DVA
$958.80
-$24.95 (-3%)
Additional DVA Rates
DI Fee
$958.80
Full Description
MRI—scan of cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that the patient:(d) is asymptomatic; and(e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC)(R) (Contrast) (Anaes.)
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63401
MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63401
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) (Anaes.)
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63404
MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63404
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) (Anaes.)
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63416
MRA—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) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63416
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRA—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) (Contrast) (Anaes.)
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63425
MRI—scan of person under the age of 16 for post inflammatory or post traumatic physeal fusion (R) (Anaes.)
$463.80 $452.05 ▼
Item Number
63425
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of person under the age of 16 for post inflammatory or post traumatic physeal fusion (R) (Anaes.)
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63428
MRI—scan of person under the age of 16 for Gaucher disease (R) (Anaes.)
$463.80 $452.05 ▼
Item Number
63428
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of person under the age of 16 for Gaucher disease (R) (Anaes.)
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63440
MRI—scan of person under the age of 16 for pelvic or abdominal mass (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63440
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of person under the age of 16 for pelvic or abdominal mass (R) (Contrast) (Anaes.)
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63443
MRI—scan of person under the age of 16 for mediastinal mass (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63443
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of person under the age of 16 for mediastinal mass (R) (Contrast) (Anaes.)
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63446
MRI—scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63446
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Contrast) (Anaes.)
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63454
MRI scan of the pelvis or abdomen, for a patient who is pregnant, if: (a) the pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.)
$1380.40 $1345.40 ▼
Item Number
63454
Fee Comparison
MBS
$1380.40
→
DVA
$1345.40
-$35.00 (-3%)
Additional DVA Rates
DI Fee
$1345.40
Full Description
MRI scan of the pelvis or abdomen, for a patient who is pregnant, if: (a) the pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.)
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63461
MRI—scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) (Anaes.)
$412.25 $401.80 ▼
Item Number
63461
Fee Comparison
MBS
$412.25
→
DVA
$401.80
-$10.45 (-3%)
Additional DVA Rates
DI Fee
$401.80
Full Description
MRI—scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) (Anaes.)
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63464
MRI—scan of both breasts for the detection of cancer in a patient, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and (c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following: (i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient; (ii) both: (A) one of the patient’s first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and (B) another first or second degree relative on the same side of the patient’s family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger; (iii) the patient has a personal history of breast cancer before the age of 50 years; (iv) the patient has a personal history of mantle radiation therapy; (v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
$793.75 $773.65 ▼
Item Number
63464
Fee Comparison
MBS
$793.75
→
DVA
$773.65
-$20.10 (-3%)
Additional DVA Rates
DI Fee
$773.65
Full Description
MRI—scan of both breasts for the detection of cancer in a patient, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and (c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following: (i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient; (ii) both: (A) one of the patient’s first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and (B) another first or second degree relative on the same side of the patient’s family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger; (iii) the patient has a personal history of breast cancer before the age of 50 years; (iv) the patient has a personal history of mantle radiation therapy; (v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
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63467
MRI—scan of both breasts for the detection of cancer, if:(a) a dedicated breast coil is used; and(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R) (Anaes.)
$793.75 $773.65 ▼
Item Number
63467
Fee Comparison
MBS
$793.75
→
DVA
$773.65
-$20.10 (-3%)
Additional DVA Rates
DI Fee
$773.65
Full Description
MRI—scan of both breasts for the detection of cancer, if:(a) a dedicated breast coil is used; and(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R) (Anaes.)
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63470
MRI—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: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63470
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—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: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.)
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63473
MRI—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 the scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.)
$721.50 $703.20 ▼
Item Number
63473
Fee Comparison
MBS
$721.50
→
DVA
$703.20
-$18.30 (-3%)
Additional DVA Rates
DI Fee
$703.20
Full Description
MRI—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 the scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.)
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63476
MRI—scan of the pelvis for the initial staging, restaging or follow up of rectal cancer, if: (a) a high resolution T2 technique is used; and (b) the request for the scan identifies that the indication is for: (i) the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum); or (ii) the initial assessment of response to chemotherapy or chemoradiotherapy; or (iii) the assessment of possible recurrent tumour after complete response to neoadjuvant therapy, within an active surveillance program; or (iv) the assessment of recurrent disease prior to treatment planning (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63476
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of the pelvis for the initial staging, restaging or follow up of rectal cancer, if: (a) a high resolution T2 technique is used; and (b) the request for the scan identifies that the indication is for: (i) the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum); or (ii) the initial assessment of response to chemotherapy or chemoradiotherapy; or (iii) the assessment of possible recurrent tumour after complete response to neoadjuvant therapy, within an active surveillance program; or (iv) the assessment of recurrent disease prior to treatment planning (R) (Contrast) (Anaes.)
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63482
MRI—scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) (Anaes.)
$463.80 $452.05 ▼
Item Number
63482
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) (Anaes.)
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63487
MRI—scan of both breasts, if:(a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.)
$793.75 $773.65 ▼
Item Number
63487
Fee Comparison
MBS
$793.75
→
DVA
$773.65
-$20.10 (-3%)
Additional DVA Rates
DI Fee
$773.65
Full Description
MRI—scan of both breasts, if:(a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.)
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63489
MRI—scan of one breast, performed in conjunction with a biopsy procedure on that breast and an ultrasound scan of that breast, if: (a) the request for the MRI scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and (b) the ultrasound scan is performed immediately before the MRI scan and confirms that the lesion is not amenable to biopsy guided by conventional imaging; and (c) a dedicated breast coil is used (R) (Anaes.)
$1159.50 $1130.10 ▼
Item Number
63489
Fee Comparison
MBS
$1159.50
→
DVA
$1130.10
-$29.40 (-3%)
Additional DVA Rates
DI Fee
$1130.10
Full Description
MRI—scan of one breast, performed in conjunction with a biopsy procedure on that breast and an ultrasound scan of that breast, if: (a) the request for the MRI scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and (b) the ultrasound scan is performed immediately before the MRI scan and confirms that the lesion is not amenable to biopsy guided by conventional imaging; and (c) a dedicated breast coil is used (R) (Anaes.)
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63491
NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the item for the service includes in its description ‘(Contrast)’; and(c) the service is performed using a contrast agent
$51.55 $50.25 ▼
Item Number
63491
Fee Comparison
MBS
$51.55
→
DVA
$50.25
-$1.30 (-3%)
Additional DVA Rates
DI Fee
$50.25
Full Description
NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the item for the service includes in its description ‘(Contrast)’; and(c) the service is performed using a contrast agent
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63494
MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed using intravenous or intra muscular sedation
$51.55 $50.25 ▼
Item Number
63494
Fee Comparison
MBS
$51.55
→
DVA
$50.25
-$1.30 (-3%)
Additional DVA Rates
DI Fee
$50.25
Full Description
MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed using intravenous or intra muscular sedation
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63496
NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI service to which item 63545 or 63546 applies if: (a) the service is performed on a person under the supervision of an eligible provider; and(b) the service is performed using an hepatobiliary specific contrast agent
$287.55 $280.25 ▼
Item Number
63496
Fee Comparison
MBS
$287.55
→
DVA
$280.25
-$7.30 (-3%)
Additional DVA Rates
DI Fee
$280.25
Full Description
NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI service to which item 63545 or 63546 applies if: (a) the service is performed on a person under the supervision of an eligible provider; and(b) the service is performed using an hepatobiliary specific contrast agent
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63497
MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic
$180.35 $175.80 ▼
Item Number
63497
Fee Comparison
MBS
$180.35
→
DVA
$175.80
-$4.55 (-3%)
Additional DVA Rates
DI Fee
$175.80
Full Description
MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic
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63498
MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person using intravenous or intra muscular sedation
$51.55 $50.25 ▼
Item Number
63498
Fee Comparison
MBS
$51.55
→
DVA
$50.25
-$1.30 (-3%)
Additional DVA Rates
DI Fee
$50.25
Full Description
MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person using intravenous or intra muscular sedation
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63499
MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic (H)
$180.35 $175.80 ▼
Item Number
63499
Fee Comparison
MBS
$180.35
→
DVA
$175.80
-$4.55 (-3%)
Additional DVA Rates
DI Fee
$175.80
Full Description
MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic (H)
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63501
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan confirms a loss of integrity of the implant (R)
$575.20 $560.60 ▼
Item Number
63501
Fee Comparison
MBS
$575.20
→
DVA
$560.60
-$14.60 (-3%)
Additional DVA Rates
DI Fee
$560.60
Full Description
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan confirms a loss of integrity of the implant (R)
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63502
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R)
$575.20 $560.60 ▼
Item Number
63502
Fee Comparison
MBS
$575.20
→
DVA
$560.60
-$14.60 (-3%)
Additional DVA Rates
DI Fee
$560.60
Full Description
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R)
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63504
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan confirms a loss of integrity of the implant (R)
$575.20 $560.60 ▼
Item Number
63504
Fee Comparison
MBS
$575.20
→
DVA
$560.60
-$14.60 (-3%)
Additional DVA Rates
DI Fee
$560.60
Full Description
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan confirms a loss of integrity of the implant (R)
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63505
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan does not demonstrate a loss of integrity of the implant (R)
$575.20 $560.60 ▼
Item Number
63505
Fee Comparison
MBS
$575.20
→
DVA
$560.60
-$14.60 (-3%)
Additional DVA Rates
DI Fee
$560.60
Full Description
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan does not demonstrate a loss of integrity of the implant (R)
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63507
MRI—scan of head for a patient under 16 years if the service is for:(a) an unexplained seizure; or(b) an unexplained headache if significant pathology is suspected; or(c) paranasal sinus pathology that has not responded to conservative therapy (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63507
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of head for a patient under 16 years if the service is for:(a) an unexplained seizure; or(b) an unexplained headache if significant pathology is suspected; or(c) paranasal sinus pathology that has not responded to conservative therapy (R) (Contrast) (Anaes.)
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63510
MRI—scan of spine following radiographic examination for a patient under 16 years if the service is for: (a) significant trauma; or(b) unexplained neck or back pain with associated neurological signs; or(c) unexplained back pain if significant pathology is suspected (R) (Contrast) (Anaes.)
$515.30 $502.25 ▼
Item Number
63510
Fee Comparison
MBS
$515.30
→
DVA
$502.25
-$13.05 (-3%)
Additional DVA Rates
DI Fee
$502.25
Full Description
MRI—scan of spine following radiographic examination for a patient under 16 years if the service is for: (a) significant trauma; or(b) unexplained neck or back pain with associated neurological signs; or(c) unexplained back pain if significant pathology is suspected (R) (Contrast) (Anaes.)
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63513
MRI—scan of knee for internal joint derangement for a patient under 16 years (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63513
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of knee for internal joint derangement for a patient under 16 years (R) (Contrast) (Anaes.)
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63516
MRI—scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected: (a) septic arthritis;(b) slipped capital femoral epiphysis;(c) Perthes disease (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63516
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected: (a) septic arthritis;(b) slipped capital femoral epiphysis;(c) Perthes disease (R) (Contrast) (Anaes.)
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63519
MRI—scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R) (Contrast) (Anaes.)
$463.80 $452.05 ▼
Item Number
63519
Fee Comparison
MBS
$463.80
→
DVA
$452.05
-$11.75 (-3%)
Additional DVA Rates
DI Fee
$452.05
Full Description
MRI—scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R) (Contrast) (Anaes.)
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63522
MRI—scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R) (Contrast) (Anaes.)
$515.30 $502.25 ▼
Item Number
63522
Fee Comparison
MBS
$515.30
→
DVA
$502.25
-$13.05 (-3%)
Additional DVA Rates
DI Fee
$502.25
Full Description
MRI—scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R) (Contrast) (Anaes.)
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63531
MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast lesion; and(ii) the results of conventional imaging are inconclusive for the presence of breast cancer; and(iii) biopsy has not been possible (R) (Contrast) (Anaes.)
$793.75 $773.65 ▼
Item Number
63531
Fee Comparison
MBS
$793.75
→
DVA
$773.65
-$20.10 (-3%)
Additional DVA Rates
DI Fee
$773.65
Full Description
MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast lesion; and(ii) the results of conventional imaging are inconclusive for the presence of breast cancer; and(iii) biopsy has not been possible (R) (Contrast) (Anaes.)
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63533
MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with a breast cancer; and(ii) there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and(c) the results of breast MRI imaging may alter treatment planning (R) (Contrast) (Anaes.)
$793.75 $773.65 ▼
Item Number
63533
Fee Comparison
MBS
$793.75
→
DVA
$773.65
-$20.10 (-3%)
Additional DVA Rates
DI Fee
$773.65
Full Description
MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with a breast cancer; and(ii) there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and(c) the results of breast MRI imaging may alter treatment planning (R) (Contrast) (Anaes.)
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63539
MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess the development or growth of renal tumours in a patient with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, other than a service to which item 63540 applies Applicable once in any 12 month period (R) (Contrast) (Anaes.)
$721.50 $703.20 ▼
Item Number
63539
Fee Comparison
MBS
$721.50
→
DVA
$703.20
-$18.30 (-3%)
Additional DVA Rates
DI Fee
$703.20
Full Description
MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess the development or growth of renal tumours in a patient with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, other than a service to which item 63540 applies Applicable once in any 12 month period (R) (Contrast) (Anaes.)
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63540
MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess a patient with one or more known renal tumours and with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, if the service is performed: (a) to evaluate changes in clinical condition or suspected complications of the known renal tumours; or (b) where a disease specific line of treatment has been initiated and an assessment of patient responsiveness to the treatment is required Applicable once in any 3 month period (R) (Contrast) (Anaes.)
$721.50 $703.20 ▼
Item Number
63540
Fee Comparison
MBS
$721.50
→
DVA
$703.20
-$18.30 (-3%)
Additional DVA Rates
DI Fee
$703.20
Full Description
MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess a patient with one or more known renal tumours and with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, if the service is performed: (a) to evaluate changes in clinical condition or suspected complications of the known renal tumours; or (b) where a disease specific line of treatment has been initiated and an assessment of patient responsiveness to the treatment is required Applicable once in any 3 month period (R) (Contrast) (Anaes.)
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63541
Multiparametric MRI—scan of the prostate for the detection of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient is suspected of developing prostate cancer: (i) on the basis of a digital rectal examination; or (ii) in the circumstances mentioned in clause 2.5.9A; and (b) using a standardised image acquisition protocol involving: (i) T2‑weighted imaging; and (ii) diffusion‑weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.1 for the meaning of Clause 2.5.9 in the descriptor for this item and the claiming limitations. (Anaes.)
$517.55 $504.45 ▼
Item Number
63541
Fee Comparison
MBS
$517.55
→
DVA
$504.45
-$13.10 (-3%)
Additional DVA Rates
DI Fee
$504.45
Full Description
Multiparametric MRI—scan of the prostate for the detection of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient is suspected of developing prostate cancer: (i) on the basis of a digital rectal examination; or (ii) in the circumstances mentioned in clause 2.5.9A; and (b) using a standardised image acquisition protocol involving: (i) T2‑weighted imaging; and (ii) diffusion‑weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.1 for the meaning of Clause 2.5.9 in the descriptor for this item and the claiming limitations. (Anaes.)
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63543
Multiparametric MRI—scan of the prostate for the assessment of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient: (i) is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) is not undergoing, or planning to undergo, treatment for prostate cancer; and (b) using a standardised image acquisition protocol involving: (i) T2‑weighted imaging; and (ii) diffusion‑weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.2 for claiming restrictions for this item. (Anaes.)
$517.55 $504.45 ▼
Item Number
63543
Fee Comparison
MBS
$517.55
→
DVA
$504.45
-$13.10 (-3%)
Additional DVA Rates
DI Fee
$504.45
Full Description
Multiparametric MRI—scan of the prostate for the assessment of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient: (i) is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) is not undergoing, or planning to undergo, treatment for prostate cancer; and (b) using a standardised image acquisition protocol involving: (i) T2‑weighted imaging; and (ii) diffusion‑weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.2 for claiming restrictions for this item. (Anaes.)
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63545
MRI - multiphase scans of liver (including delayed imaging, if performed) with a contrast agent, for characterisation, or staging where surgical resection or interventional techniques are under consideration, if: (a) the patient has a confirmed extra‑hepatic primary malignancy (other than hepatocellular carcinoma); and (b) computed tomography is negative or inconclusive for hepatic metastatic disease; and (c) the identification of liver metastases would change the patient’s treatment planning Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
$632.65 $616.60 ▼
Item Number
63545
Fee Comparison
MBS
$632.65
→
DVA
$616.60
-$16.05 (-3%)
Additional DVA Rates
DI Fee
$616.60
Full Description
MRI - multiphase scans of liver (including delayed imaging, if performed) with a contrast agent, for characterisation, or staging where surgical resection or interventional techniques are under consideration, if: (a) the patient has a confirmed extra‑hepatic primary malignancy (other than hepatocellular carcinoma); and (b) computed tomography is negative or inconclusive for hepatic metastatic disease; and (c) the identification of liver metastases would change the patient’s treatment planning Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
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63546
MRI – multiphase scans of the liver (including delayed imaging, if performed) with a contrast agent, for diagnosis or staging, if: (a) the patient has:(i) known or suspected hepatocellular carcinoma; and(ii) chronic liver disease that has been confirmed by a specialist or consultant physician; and(b) the patient’s liver function has been identified as Child Pugh class A or B; and(c) the patient has an identified hepatic lesion over 10 mm in diameter.For any particular patient—applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
$632.65 $616.60 ▼
Item Number
63546
Fee Comparison
MBS
$632.65
→
DVA
$616.60
-$16.05 (-3%)
Additional DVA Rates
DI Fee
$616.60
Full Description
MRI – multiphase scans of the liver (including delayed imaging, if performed) with a contrast agent, for diagnosis or staging, if: (a) the patient has:(i) known or suspected hepatocellular carcinoma; and(ii) chronic liver disease that has been confirmed by a specialist or consultant physician; and(b) the patient’s liver function has been identified as Child Pugh class A or B; and(c) the patient has an identified hepatic lesion over 10 mm in diameter.For any particular patient—applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
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63547
MRI—scan of both breasts for the detection of cancer, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast implant in situ; and(ii) anaplastic large cell lymphoma has been diagnosed(R) (Contrast) (Anaes.)
$793.75 $773.65 ▼
Item Number
63547
Fee Comparison
MBS
$793.75
→
DVA
$773.65
-$20.10 (-3%)
Additional DVA Rates
DI Fee
$773.65
Full Description
MRI—scan of both breasts for the detection of cancer, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast implant in situ; and(ii) anaplastic large cell lymphoma has been diagnosed(R) (Contrast) (Anaes.)
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63549
MRI scan of the pelvis or abdomen, for a patient with a multiple pregnancy, if: (a) the multiple pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.)
$2070.50 $2018.05 ▼
Item Number
63549
Fee Comparison
MBS
$2070.50
→
DVA
$2018.05
-$52.45 (-3%)
Additional DVA Rates
DI Fee
$2018.05
Full Description
MRI scan of the pelvis or abdomen, for a patient with a multiple pregnancy, if: (a) the multiple pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.)
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MBS Fee
$515.30
DVA Fee
$502.25
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Contrast) (Anaes.)
MBS Fee
$515.30
DVA Fee
$502.25
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of cardiovascular system for tumour of the heart or a great vessel (R) (Contrast) (Anaes.)
MBS Fee
$632.65
DVA Fee
$616.60
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of cardiovascular system for assessment of myocardial structure, function and characterisation, if the request for the scan indicates that the patient has: (a) 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 (b) unexplained arrhythmia caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (c) suspected drug-induced myocarditis, if the results from all of the following examinations are inconclusive to form a diagnosis: (i) troponin; (ii) chest X-ray; (iii) transthoracic echocardiogram. (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of cardiovascular system for abnormality of thoracic aorta (R) (Contrast) (Anaes.)
MBS Fee
$983.75
DVA Fee
$958.80
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of cardiovascular system for assessment of myocardial structure and function involving:(a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that:(d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or(e) investigative findings in relation to the patient are consistent with ARVC(R) (Contrast) (Anaes.)
MBS Fee
$983.75
DVA Fee
$958.80
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that the patient:(d) is asymptomatic; and(e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC)(R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRA—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) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of person under the age of 16 for post inflammatory or post traumatic physeal fusion (R) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of person under the age of 16 for Gaucher disease (R) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of person under the age of 16 for pelvic or abdominal mass (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of person under the age of 16 for mediastinal mass (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Contrast) (Anaes.)
MBS Fee
$1380.40
DVA Fee
$1345.40
Category
Category 5 — Diagnostic Imaging
Description
MRI scan of the pelvis or abdomen, for a patient who is pregnant, if: (a) the pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.)
MBS Fee
$412.25
DVA Fee
$401.80
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) (Anaes.)
MBS Fee
$793.75
DVA Fee
$773.65
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of both breasts for the detection of cancer in a patient, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and (c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following: (i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient; (ii) both: (A) one of the patient’s first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and (B) another first or second degree relative on the same side of the patient’s family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger; (iii) the patient has a personal history of breast cancer before the age of 50 years; (iv) the patient has a personal history of mantle radiation therapy; (v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
MBS Fee
$793.75
DVA Fee
$773.65
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of both breasts for the detection of cancer, if:(a) a dedicated breast coil is used; and(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—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: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.)
MBS Fee
$721.50
DVA Fee
$703.20
Category
Category 5 — Diagnostic Imaging
Description
MRI—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 the scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of the pelvis for the initial staging, restaging or follow up of rectal cancer, if: (a) a high resolution T2 technique is used; and (b) the request for the scan identifies that the indication is for: (i) the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum); or (ii) the initial assessment of response to chemotherapy or chemoradiotherapy; or (iii) the assessment of possible recurrent tumour after complete response to neoadjuvant therapy, within an active surveillance program; or (iv) the assessment of recurrent disease prior to treatment planning (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) (Anaes.)
MBS Fee
$793.75
DVA Fee
$773.65
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of both breasts, if:(a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.)
MBS Fee
$1159.50
DVA Fee
$1130.10
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of one breast, performed in conjunction with a biopsy procedure on that breast and an ultrasound scan of that breast, if: (a) the request for the MRI scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and (b) the ultrasound scan is performed immediately before the MRI scan and confirms that the lesion is not amenable to biopsy guided by conventional imaging; and (c) a dedicated breast coil is used (R) (Anaes.)
MBS Fee
$51.55
DVA Fee
$50.25
Category
Category 5 — Diagnostic Imaging
Description
NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the item for the service includes in its description ‘(Contrast)’; and(c) the service is performed using a contrast agent
MBS Fee
$51.55
DVA Fee
$50.25
Category
Category 5 — Diagnostic Imaging
Description
MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed using intravenous or intra muscular sedation
MBS Fee
$287.55
DVA Fee
$280.25
Category
Category 5 — Diagnostic Imaging
Description
NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI service to which item 63545 or 63546 applies if: (a) the service is performed on a person under the supervision of an eligible provider; and(b) the service is performed using an hepatobiliary specific contrast agent
MBS Fee
$180.35
DVA Fee
$175.80
Category
Category 5 — Diagnostic Imaging
Description
MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic
MBS Fee
$51.55
DVA Fee
$50.25
Category
Category 5 — Diagnostic Imaging
Description
MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person using intravenous or intra muscular sedation
MBS Fee
$180.35
DVA Fee
$175.80
Category
Category 5 — Diagnostic Imaging
Description
MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic (H)
MBS Fee
$575.20
DVA Fee
$560.60
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan confirms a loss of integrity of the implant (R)
MBS Fee
$575.20
DVA Fee
$560.60
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R)
MBS Fee
$575.20
DVA Fee
$560.60
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan confirms a loss of integrity of the implant (R)
MBS Fee
$575.20
DVA Fee
$560.60
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan does not demonstrate a loss of integrity of the implant (R)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of head for a patient under 16 years if the service is for:(a) an unexplained seizure; or(b) an unexplained headache if significant pathology is suspected; or(c) paranasal sinus pathology that has not responded to conservative therapy (R) (Contrast) (Anaes.)
MBS Fee
$515.30
DVA Fee
$502.25
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of spine following radiographic examination for a patient under 16 years if the service is for: (a) significant trauma; or(b) unexplained neck or back pain with associated neurological signs; or(c) unexplained back pain if significant pathology is suspected (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of knee for internal joint derangement for a patient under 16 years (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected: (a) septic arthritis;(b) slipped capital femoral epiphysis;(c) Perthes disease (R) (Contrast) (Anaes.)
MBS Fee
$463.80
DVA Fee
$452.05
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R) (Contrast) (Anaes.)
MBS Fee
$515.30
DVA Fee
$502.25
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R) (Contrast) (Anaes.)
MBS Fee
$793.75
DVA Fee
$773.65
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast lesion; and(ii) the results of conventional imaging are inconclusive for the presence of breast cancer; and(iii) biopsy has not been possible (R) (Contrast) (Anaes.)
MBS Fee
$793.75
DVA Fee
$773.65
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with a breast cancer; and(ii) there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and(c) the results of breast MRI imaging may alter treatment planning (R) (Contrast) (Anaes.)
MBS Fee
$721.50
DVA Fee
$703.20
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess the development or growth of renal tumours in a patient with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, other than a service to which item 63540 applies Applicable once in any 12 month period (R) (Contrast) (Anaes.)
MBS Fee
$721.50
DVA Fee
$703.20
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess a patient with one or more known renal tumours and with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, if the service is performed: (a) to evaluate changes in clinical condition or suspected complications of the known renal tumours; or (b) where a disease specific line of treatment has been initiated and an assessment of patient responsiveness to the treatment is required Applicable once in any 3 month period (R) (Contrast) (Anaes.)
MBS Fee
$517.55
DVA Fee
$504.45
Category
Category 5 — Diagnostic Imaging
Description
Multiparametric MRI—scan of the prostate for the detection of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient is suspected of developing prostate cancer: (i) on the basis of a digital rectal examination; or (ii) in the circumstances mentioned in clause 2.5.9A; and (b) using a standardised image acquisition protocol involving: (i) T2‑weighted imaging; and (ii) diffusion‑weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.1 for the meaning of Clause 2.5.9 in the descriptor for this item and the claiming limitations. (Anaes.)
MBS Fee
$517.55
DVA Fee
$504.45
Category
Category 5 — Diagnostic Imaging
Description
Multiparametric MRI—scan of the prostate for the assessment of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient: (i) is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) is not undergoing, or planning to undergo, treatment for prostate cancer; and (b) using a standardised image acquisition protocol involving: (i) T2‑weighted imaging; and (ii) diffusion‑weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.2 for claiming restrictions for this item. (Anaes.)
MBS Fee
$632.65
DVA Fee
$616.60
Category
Category 5 — Diagnostic Imaging
Description
MRI - multiphase scans of liver (including delayed imaging, if performed) with a contrast agent, for characterisation, or staging where surgical resection or interventional techniques are under consideration, if: (a) the patient has a confirmed extra‑hepatic primary malignancy (other than hepatocellular carcinoma); and (b) computed tomography is negative or inconclusive for hepatic metastatic disease; and (c) the identification of liver metastases would change the patient’s treatment planning Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
MBS Fee
$632.65
DVA Fee
$616.60
Category
Category 5 — Diagnostic Imaging
Description
MRI – multiphase scans of the liver (including delayed imaging, if performed) with a contrast agent, for diagnosis or staging, if: (a) the patient has:(i) known or suspected hepatocellular carcinoma; and(ii) chronic liver disease that has been confirmed by a specialist or consultant physician; and(b) the patient’s liver function has been identified as Child Pugh class A or B; and(c) the patient has an identified hepatic lesion over 10 mm in diameter.For any particular patient—applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
MBS Fee
$793.75
DVA Fee
$773.65
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of both breasts for the detection of cancer, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast implant in situ; and(ii) anaplastic large cell lymphoma has been diagnosed(R) (Contrast) (Anaes.)
MBS Fee
$2070.50
DVA Fee
$2018.05
Category
Category 5 — Diagnostic Imaging
Description
MRI scan of the pelvis or abdomen, for a patient with a multiple pregnancy, if: (a) the multiple pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.)
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