Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 59715 | Group I3 | $169.10 | ≠ CHANGED | ||||
|
Item Number
59715
Schedule Fee
$169.10
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Bronchography, one side, with or without preliminary plain films and with preparation and contrast injection, on a person under 16 years of age (R) (Anaes.)
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| 59718 | Group I3 | $158.60 | ≠ CHANGED | ||||
|
Item Number
59718
Schedule Fee
$158.60
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Phlebography, one side, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.)
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|||||||
| 59724 | Group I3 | $266.75 | ≠ CHANGED | ||||
|
Item Number
59724
Schedule Fee
$266.75
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Myelography, one or more regions, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 56219 applies (R) (Anaes.)
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| 59733 | Group I3 | $126.90 | ≠ CHANGED | ||||
|
Item Number
59733
Schedule Fee
$126.90
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Sialography, one side, with preparation and contrast injection, not being a service associated with a service to which item 57918 applies (R)
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|||||||
| 59739 | Group I3 | $86.85 | ≠ CHANGED | ||||
|
Item Number
59739
Schedule Fee
$86.85
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Sinogram or fistulogram, one or more regions, with or without preliminary plain films and with preparation and contrast injection (R)
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|||||||
| 59751 | Group I3 | $163.95 | ≠ CHANGED | ||||
|
Item Number
59751
Schedule Fee
$163.95
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Arthrography, each joint, excluding the facet (zygapophyseal) joints of the spine, single or double contrast study, with or without preliminary plain films and with preparation and contrast injection (R)
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| 59754 | Group I3 | $258.40 | ≠ CHANGED | ||||
|
Item Number
59754
Schedule Fee
$258.40
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Lymphangiography, one or both sides, with preliminary plain films and follow-up radiography and with preparation and contrast injection (R)
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| 59763 | Group I3 | $157.65 | ≠ CHANGED | ||||
|
Item Number
59763
Schedule Fee
$157.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Air insufflation during video—fluoroscopic imaging including associated consultation (R)
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|||||||
| 59970 | Group I3 | $198.25 | ≠ CHANGED | ||||
|
Item Number
59970
Schedule Fee
$198.25
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Angiography or digital subtraction angiography, or both, with fluoroscopy and image acquisition, using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection—one or more regions (R) (H) (Anaes.)
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|
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| 60000 | Group I3 | $664.50 | ≠ CHANGED | ||||
|
Item Number
60000
Schedule Fee
$664.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of head and neck with or without arch aortography—1 to 3 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60003 | Group I3 | $974.35 | ≠ CHANGED | ||||
|
Item Number
60003
Schedule Fee
$974.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of head and neck with or without arch aortography—4 to 6 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60006 | Group I3 | $1385.50 | ≠ CHANGED | ||||
|
Item Number
60006
Schedule Fee
$1385.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of head and neck with or without arch aortography—7 to 9 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60009 | Group I3 | $1621.35 | ≠ CHANGED | ||||
|
Item Number
60009
Schedule Fee
$1621.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of head and neck with or without arch aortography—10 or more data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60012 | Group I3 | $664.50 | ≠ CHANGED | ||||
|
Item Number
60012
Schedule Fee
$664.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of thorax—1 to 3 data acquisition runs (R) (H) (Anaes.)
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|
|||||||
| 60015 | Group I3 | $974.35 | ≠ CHANGED | ||||
|
Item Number
60015
Schedule Fee
$974.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of thorax—4 to 6 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60018 | Group I3 | $1385.50 | ≠ CHANGED | ||||
|
Item Number
60018
Schedule Fee
$1385.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of thorax—7 to 9 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60021 | Group I3 | $1621.35 | ≠ CHANGED | ||||
|
Item Number
60021
Schedule Fee
$1621.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of thorax—10 or more data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60024 | Group I3 | $664.50 | ≠ CHANGED | ||||
|
Item Number
60024
Schedule Fee
$664.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of abdomen—1 to 3 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60027 | Group I3 | $974.35 | ≠ CHANGED | ||||
|
Item Number
60027
Schedule Fee
$974.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of abdomen—4 to 6 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60030 | Group I3 | $1385.50 | ≠ CHANGED | ||||
|
Item Number
60030
Schedule Fee
$1385.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of abdomen—7 to 9 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60033 | Group I3 | $1621.35 | ≠ CHANGED | ||||
|
Item Number
60033
Schedule Fee
$1621.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of abdomen—10 or more data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60036 | Group I3 | $664.50 | ≠ CHANGED | ||||
|
Item Number
60036
Schedule Fee
$664.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of upper limb or limbs—1 to 3 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60039 | Group I3 | $974.35 | ≠ CHANGED | ||||
|
Item Number
60039
Schedule Fee
$974.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of upper limb or limbs—4 to 6 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60042 | Group I3 | $1385.50 | ≠ CHANGED | ||||
|
Item Number
60042
Schedule Fee
$1385.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of upper limb or limbs—7 to 9 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60045 | Group I3 | $1621.35 | ≠ CHANGED | ||||
|
Item Number
60045
Schedule Fee
$1621.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of upper limb or limbs—10 or more data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60048 | Group I3 | $664.50 | ≠ CHANGED | ||||
|
Item Number
60048
Schedule Fee
$664.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of lower limb or limbs—1 to 3 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60051 | Group I3 | $974.35 | ≠ CHANGED | ||||
|
Item Number
60051
Schedule Fee
$974.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of lower limb or limbs—4 to 6 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60054 | Group I3 | $1385.50 | ≠ CHANGED | ||||
|
Item Number
60054
Schedule Fee
$1385.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of lower limb or limbs—7 to 9 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60057 | Group I3 | $1621.35 | ≠ CHANGED | ||||
|
Item Number
60057
Schedule Fee
$1621.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of lower limb or limbs—10 or more data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60060 | Group I3 | $664.50 | ≠ CHANGED | ||||
|
Item Number
60060
Schedule Fee
$664.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of aorta and lower limb or limbs—1 to 3 data acquisition runs (R) (H) (Anaes.)
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| 60063 | Group I3 | $974.35 | ≠ CHANGED | ||||
|
Item Number
60063
Schedule Fee
$974.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of aorta and lower limb or limbs—4 to 6 data acquisition runs (R) (H) (Anaes.)
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| 60066 | Group I3 | $1385.50 | ≠ CHANGED | ||||
|
Item Number
60066
Schedule Fee
$1385.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of aorta and lower limb or limbs—7 to 9 data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60069 | Group I3 | $1621.35 | ≠ CHANGED | ||||
|
Item Number
60069
Schedule Fee
$1621.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Digital subtraction angiography, examination of aorta and lower limb or limbs—10 or more data acquisition runs (R) (H) (Anaes.)
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|||||||
| 60072 | Group I3 | $56.65 | ≠ CHANGED | ||||
|
Item Number
60072
Schedule Fee
$56.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Selective arteriography or selective venography by digital subtraction angiography technique—one vessel (NR) (H) (Anaes.)
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|||||||
| 60075 | Group I3 | $113.25 | ≠ CHANGED | ||||
|
Item Number
60075
Schedule Fee
$113.25
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Selective arteriography or selective venography by digital subtraction angiography technique—2 vessels (NR) (H) (Anaes.)
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|||||||
| 60078 | Group I3 | $169.90 | ≠ CHANGED | ||||
|
Item Number
60078
Schedule Fee
$169.90
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Selective arteriography or selective venography by digital subtraction angiography technique—3 or more vessels (NR) (H) (Anaes.)
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|||||||
| 60500 | Group I3 | $51.15 | ≠ CHANGED | ||||
|
Item Number
60500
Schedule Fee
$51.15
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Fluoroscopy, with general anaesthesia (not being a service associated with a radiographic examination) (R) (H) (Anaes.)
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|||||||
| 60503 | Group I3 | $35.05 | ≠ CHANGED | ||||
|
Item Number
60503
Schedule Fee
$35.05
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Fluoroscopy, without general anaesthesia (not being a service associated with a radiographic examination) (R)
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|||||||
| 60506 | Group I3 | $75.10 | ≠ CHANGED | ||||
|
Item Number
60506
Schedule Fee
$75.10
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Fluoroscopy, using a mobile image intensifier, that: (a) lasts less than 1 hour; and (b) is in conjunction with a surgical procedure; not being a service associated with a service to which another item in this Group applies (R) (H)
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|||||||
| 60509 | Group I3 | $116.50 | ≠ CHANGED | ||||
|
Item Number
60509
Schedule Fee
$116.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Fluoroscopy, using a mobile image intensifier, that: (a) lasts 1 hour or more; and (b) is in conjunction with a surgical procedure; not being a service associated with a service to which another item in this Group applies (R) (H)
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|||||||
| 60918 | Group I3 | $55.50 | ≠ CHANGED | ||||
|
Item Number
60918
Schedule Fee
$55.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Arteriography (peripheral) or phlebography—one vessel, when used in association with a service to which item 59970 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) (Anaes.)
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| 60927 | Group I3 | $44.75 | ≠ CHANGED | ||||
|
Item Number
60927
Schedule Fee
$44.75
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Selective arteriogram or phlebogram, when used in association with a service to which item 59970 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) (Anaes.)
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| 61109 | Group I3 | $305.00 | ≠ CHANGED | ||||
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Item Number
61109
Schedule Fee
$305.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Fluoroscopy in an angiography suite with image intensification, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this Group applies (R) (H)
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| 61310 | Group I4 | $399.35 | ≠ CHANGED | ||||
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Item Number
61310
Schedule Fee
$399.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Myocardial infarct avid study (R)
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| 61313 | Group I4 | $329.85 | ≠ CHANGED | ||||
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Item Number
61313
Schedule Fee
$329.85
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Gated cardiac blood pool study, (equilibrium) (R)
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| 61314 | Group I4 | $456.70 | ≠ CHANGED | ||||
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Item Number
61314
Schedule Fee
$456.70
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Gated cardiac blood pool study, with or without intervention, and first pass blood flow or cardiac shunt study (R)
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| 61321 | Group I4 | $357.70 | ≠ CHANGED | ||||
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Item Number
61321
Schedule Fee
$357.70
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.08.2020
Gov. Change Flags
Fee ≠
Full Description
Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non‑viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses a single rest technetium‑99m (Tc‑99m) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61325, 61329, 61345, 61398 or 61406 applies; and (e) if the patient is 17 years or older—a service to which this item, or item 61325, 61329, 61345, 61398 or 61406 applies has not been provided to the patient in the previous 24 months (R)
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| 61324 | Group I4 | $710.10 | ≠ CHANGED | ||||
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Item Number
61324
Schedule Fee
$710.10
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.08.2020
Gov. Change Flags
Fee ≠
Full Description
Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies; and (f) if the patient is 17 years or older—a service to which this item, or item 61329, 61345, 61357, 61394, 61398, 61406, 61410 or 61414, applies has not been provided to the patient in the previous 24 months (R)
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| 61325 | Group I4 | $1949.45 | ≠ CHANGED | ||||
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Item Number
61325
Schedule Fee
$1949.45
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.08.2020
Gov. Change Flags
Fee ≠
Full Description
Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non‑viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses: (i) an initial rest study followed by a redistribution study on the same day; and (ii) a thallous chloride‑201 (Tl‑201) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61329, 61345, 61398 or 61406 applies; and (e) if the patient is 17 years or older: (i) a service to which item 61321, 61329, 61345, 61398 or 61406 applies has not been provided to the patient in the previous 24 months; and (ii) the service is applicable only twice each 24 months (R)
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| 61328 | Group I4 | $247.50 | ≠ CHANGED | ||||
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Item Number
61328
Schedule Fee
$247.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Lung perfusion study (R)
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