Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 55729 | Group I1 | $32.10 | ≠ CHANGED | ||||
|
Item Number
55729
Schedule Fee
$32.10
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Duplex scanning, if:(a) the service involves:(i) B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of the umbilical artery; and(ii) measured assessment of amniotic fluid volume after the 24th week of gestation; and(b) there is reason to suspect intrauterine growth retardation or a significant risk of fetal death;—examination and report (R)
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| 55736 | Group I1 | $149.60 | ≠ CHANGED | ||||
|
Item Number
55736
Schedule Fee
$149.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.02.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R)
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| 55739 | Group I1 | $67.15 | ≠ CHANGED | ||||
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Item Number
55739
Schedule Fee
$67.15
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.02.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR)
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| 55740 | Group I1 | $122.60 | ≠ CHANGED | ||||
|
Item Number
55740
Schedule Fee
$122.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2022
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R)
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| 55741 | Group I1 | $61.25 | ≠ CHANGED | ||||
|
Item Number
55741
Schedule Fee
$61.25
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2022
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR)
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| 55742 | Group I1 | $122.60 | ≠ CHANGED | ||||
|
Item Number
55742
Schedule Fee
$122.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2022
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the pregnancy (as confirmed by the current ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and (c) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R)
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| 55743 | Group I1 | $61.25 | ≠ CHANGED | ||||
|
Item Number
55743
Schedule Fee
$61.25
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2022
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the pregnancy (as confirmed by the current ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and (c) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR)
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| 55757 | Group I1 | $58.40 | ≠ CHANGED | ||||
|
Item Number
55757
Schedule Fee
$58.40
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2022
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, ultrasound (the current ultrasound) scan of, for cervical length assessment for risk of preterm labour, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is between 14 and 30 weeks of gestation; and (b) any of the following apply: (i) the patient has a history indicating high risk of preterm labour or birth or second trimester fetal loss; (ii) the patient has symptoms suggestive of threatened preterm labour or second trimester fetal loss; (iii) the patient’s cervical length is less than 25 mm on an ultrasound before 28 weeks gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R)
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| 55758 | Group I1 | $22.15 | ≠ CHANGED | ||||
|
Item Number
55758
Schedule Fee
$22.15
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2022
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, ultrasound (the current ultrasound) scan of, for cervical length assessment for risk of preterm labour, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is between 14 and 30 weeks of gestation; and (b) any of the following apply: (i) the patient has a history indicating high risk of preterm labour or birth or second trimester fetal loss; (ii) the patient has symptoms suggestive of threatened preterm labour or second trimester fetal loss; (iii) the patient’s cervical length is less than 25 mm on an ultrasound before 28 weeks gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR)
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| 55759 | Group I1 | $176.70 | ≠ CHANGED | ||||
|
Item Number
55759
Schedule Fee
$176.70
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks gestation; and (c) the service mentioned in item 55706, 55709, 55712, 55715 or 55762 is not performed in conjunction with the current ultrasound during the same pregnancy; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R)
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| 55762 | Group I1 | $70.65 | ≠ CHANGED | ||||
|
Item Number
55762
Schedule Fee
$70.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks gestation; and (c) the service mentioned in item 55706, 55709, 55712, 55715 or 55759 is not performed in conjunction with the current ultrasound during the same pregnancy; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR)
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| 55764 | Group I1 | $188.40 | ≠ CHANGED | ||||
|
Item Number
55764
Schedule Fee
$188.40
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the service is requested by a medical practitioner who: (i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or (ii) has a Diploma of Obstetrics; or (iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or (iv) has obstetric privileges at a non‑metropolitan hospital; and (b) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks gestation; and (d) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and (e) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the current ultrasound during the same pregnancy; and (f) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R)
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| 55766 | Group I1 | $76.55 | ≠ CHANGED | ||||
|
Item Number
55766
Schedule Fee
$76.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current 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: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (c) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and (d) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR)
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| 55768 | Group I1 | $176.70 | ≠ CHANGED | ||||
|
Item Number
55768
Schedule Fee
$176.70
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) an ultrasound confirms a multiple pregnancy; and (c) the service is not performed in the same pregnancy as item 55770; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R)
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| 55770 | Group I1 | $70.65 | ≠ CHANGED | ||||
|
Item Number
55770
Schedule Fee
$70.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) an ultrasound confirms a multiple pregnancy; and (c) the service is not performed in the same pregnancy as item 55768; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR)
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| 55772 | Group I1 | $188.40 | ≠ CHANGED | ||||
|
Item Number
55772
Schedule Fee
$188.40
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy as confirmed by the current ultrasound is after 22 weeks of gestation; and (b) the service is requested by a medical practitioner who: (i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or (ii) has a Diploma of Obstetrics; or (iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or (iv) has obstetric privileges at a non‑metropolitan hospital; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (d) the pregnancy as confirmed by an ultrasound is a multiple pregnancy; and (e) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (f) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R)
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| 55774 | Group I1 | $76.55 | ≠ CHANGED | ||||
|
Item Number
55774
Schedule Fee
$76.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current 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: (a) dating of the pregnancy as confirmed by the current ultrasound is after 22 weeks of gestation; and (b) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (c) the pregnancy as confirmed by an ultrasound is a multiple pregnancy; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR)
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| 55812 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55812
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Descriptor ≠
Full Description
Chest or abdominal wall, one or more areas, ultrasound scan of (R)
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| 55814 | Group I1 | $44.55 | ≠ CHANGED | ||||
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Item Number
55814
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Chest or abdominal wall, one or more areas, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55070, 55073, 55076 or 55079 (NR)
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| 55844 | Group I1 | $102.85 | ≠ CHANGED | ||||
|
Item Number
55844
Schedule Fee
$102.85
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of (R)
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| 55846 | Group I1 | $44.55 | ≠ CHANGED | ||||
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Item Number
55846
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of (NR)
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| 55848 | Group I1 | $161.00 | ≠ CHANGED | ||||
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Item Number
55848
Schedule Fee
$161.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Musculoskeletal ultrasound, 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 a service mentioned in item 55054 (R)
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| 55850 | Group I1 | $212.45 | ≠ CHANGED | ||||
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Item Number
55850
Schedule Fee
$212.45
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Musculoskeletal ultrasound, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, if:(a) the medical practitioner or nurse practitioner has indicated on a request for a musculoskeletal ultrasound that an ultrasound guided intervention be performed if clinically indicated; and(b) the service is not performed in conjunction with a service mentioned in item 55054 or any other item in this Subgroup (R)
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| 55852 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55852
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2001
Gov. Change Flags
Fee ≠
Full Description
Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of (R)
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| 55854 | Group I1 | $44.55 | ≠ CHANGED | ||||
|
Item Number
55854
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2001
Gov. Change Flags
Fee ≠
Full Description
Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of (NR)
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| 55856 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55856
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Hand or wrist or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55858 (R)
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| 55857 | Group I1 | $44.55 | ≠ CHANGED | ||||
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Item Number
55857
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Hand or wrist, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55859 (NR)
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| 55858 | Group I1 | $142.65 | ≠ CHANGED | ||||
|
Item Number
55858
Schedule Fee
$142.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Hand or wrist, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55856 (R)
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| 55859 | Group I1 | $49.55 | ≠ CHANGED | ||||
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Item Number
55859
Schedule Fee
$49.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Hand or wrist, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55857 (NR)
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| 55860 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55860
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Forearm or elbow, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55862 (R)
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| 55861 | Group I1 | $44.55 | ≠ CHANGED | ||||
|
Item Number
55861
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Forearm or elbow, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55863 (NR)
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|
|||||||
| 55862 | Group I1 | $142.65 | ≠ CHANGED | ||||
|
Item Number
55862
Schedule Fee
$142.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Forearm or elbow, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55860 (R)
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|
|||||||
| 55863 | Group I1 | $49.55 | ≠ CHANGED | ||||
|
Item Number
55863
Schedule Fee
$49.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Forearm or elbow, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55861 (NR)
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|
|||||||
| 55864 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55864
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Shoulder or upper arm, or both, left or right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55866 (R)
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|
|||||||
| 55865 | Group I1 | $44.55 | ≠ CHANGED | ||||
|
Item Number
55865
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Shoulder or upper arm, or both, left or right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55867 (NR)
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|
|||||||
| 55866 | Group I1 | $142.65 | ≠ CHANGED | ||||
|
Item Number
55866
Schedule Fee
$142.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Shoulder or upper arm, or both, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55864 (R)
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|
|||||||
| 55867 | Group I1 | $49.55 | ≠ CHANGED | ||||
|
Item Number
55867
Schedule Fee
$49.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Shoulder or upper arm, or both, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55865 (NR)
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|
|||||||
| 55868 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55868
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Hip or groin, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55870 (R)
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|
|||||||
| 55869 | Group I1 | $44.55 | ≠ CHANGED | ||||
|
Item Number
55869
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Hip or groin, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55871 (NR)
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|
|||||||
| 55870 | Group I1 | $142.65 | ≠ CHANGED | ||||
|
Item Number
55870
Schedule Fee
$142.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Hip or groin, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55868 (R)
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|
|||||||
| 55871 | Group I1 | $49.55 | ≠ CHANGED | ||||
|
Item Number
55871
Schedule Fee
$49.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Hip or groin, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55869 (NR)
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|
|||||||
| 55872 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55872
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Paediatric hip examination for dysplasia, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55874 (R)
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|
|||||||
| 55873 | Group I1 | $44.55 | ≠ CHANGED | ||||
|
Item Number
55873
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Paediatric hip examination for dysplasia, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55875 (NR)
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|
|||||||
| 55874 | Group I1 | $142.65 | ≠ CHANGED | ||||
|
Item Number
55874
Schedule Fee
$142.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Paediatric hip examination for dysplasia, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55872 (R)
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|
|||||||
| 55875 | Group I1 | $49.55 | ≠ CHANGED | ||||
|
Item Number
55875
Schedule Fee
$49.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Paediatric hip examination for dysplasia, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55873 (NR)
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|
|||||||
| 55876 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55876
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Buttock or thigh, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55878 (R)
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|
|||||||
| 55877 | Group I1 | $44.55 | ≠ CHANGED | ||||
|
Item Number
55877
Schedule Fee
$44.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Buttock or thigh or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55879 (NR)
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|
|||||||
| 55878 | Group I1 | $142.65 | ≠ CHANGED | ||||
|
Item Number
55878
Schedule Fee
$142.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Buttock or thigh, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55876 (R)
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|
|||||||
| 55879 | Group I1 | $49.55 | ≠ CHANGED | ||||
|
Item Number
55879
Schedule Fee
$49.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Buttock or thigh, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55877 (NR)
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|
|||||||
| 55880 | Group I1 | $128.60 | ≠ CHANGED | ||||
|
Item Number
55880
Schedule Fee
$128.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2020
Gov. Change Flags
Fee ≠
Full Description
Knee, left or right, ultrasound scan of, if: (a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and (b) the service is not performed in conjunction with item 55882 (R)
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|||||||