Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 61329 | Group I4 | $1067.85 | ≠ CHANGED | ||||
|
Item Number
61329
Schedule Fee
$1067.85
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: 01.08.2020
Gov. Change Flags
Fee ≠
Full Description
Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, 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 electrocardiograph, continuous electrocardiograph 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 medical practitioner (other than 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, 61324, 61325, 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 61321, 61324, 61325, 61345, 61357, 61394, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R)
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| 61333 | Group I4 | $443.35 | |||||
|
Item Number
61333
Schedule Fee
$443.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 14.09.2019
Item from: 14.09.2019
Gov. Change Flags
No changes flagged
Full Description
Lung ventilation study using Galligas and lung perfusion study using gallium-68 macro aggregated albumin (68Ga-MAA), with PET, if the service is performed because the service to which item 61348 applies cannot be performed due to unavailability of technetium-99m (R)
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| 61336 | Group I4 | $605.05 | |||||
|
Item Number
61336
Schedule Fee
$605.05
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 14.09.2019
Item from: 14.09.2019
Gov. Change Flags
No changes flagged
Full Description
Cerebral study, with PET, if the service is performed because the service to which item 61402 applies cannot be performed due to unavailability of technetium-99m (R)
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| 61340 | Group I4 | $275.10 | ≠ CHANGED | ||||
|
Item Number
61340
Schedule Fee
$275.10
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: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Lung ventilation study using aerosol, technegas or xenon gas (R)
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|||||||
| 61341 | Group I4 | $600.70 | |||||
|
Item Number
61341
Schedule Fee
$600.70
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 14.09.2019
Item from: 14.09.2019
Gov. Change Flags
No changes flagged
Full Description
Bone study – whole body with PET, with delayed imaging when undertaken, if the service is performed because the services to which item 61421 or 61425 apply cannot be performed due to unavailability of technetium-99m (R)
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| 61345 | Group I4 | $1067.85 | ≠ CHANGED | ||||
|
Item Number
61345
Schedule Fee
$1067.85
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: 01.08.2020
Gov. Change Flags
Fee ≠
Full Description
Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, 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 electrocardiograph, continuous electrocardiograph 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, 61324, 61325, 61329, 61357, 61394, 61398, 61406 or 61414 applies (R); and (f) if the patient is 17 years or older—a service to which this item, or item 61321, 61324, 61325, 61329, 61357, 61394, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R)
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|||||||
| 61348 | Group I4 | $482.05 | ≠ CHANGED | ||||
|
Item Number
61348
Schedule Fee
$482.05
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 and lung ventilation study using aerosol, technegas or xenon gas (R)
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|||||||
| 61349 | Group I4 | $1067.85 | ≠ CHANGED | ||||
|
Item Number
61349
Schedule Fee
$1067.85
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: 01.08.2020
Gov. Change Flags
Fee ≠
Full Description
Repeat combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) both: (i) a service has been provided to the patient in the previous 24 months to which this item, or item 61324, 61329, 61345, 61357, 61394, 61398, 61406, 61410 or 61414 applies; and (ii) the patient has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) 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 (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730 or 61410 applies; and (f) if the patient is 17 years or older—a service to which this item, or item 61410, applies has not been provided to the patient in the previous 12 months (R)
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| 61353 | Group I4 | $420.40 | ≠ CHANGED | ||||
|
Item Number
61353
Schedule Fee
$420.40
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
Liver and spleen study (colloid) (R)
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| 61356 | Group I4 | $427.10 | ≠ CHANGED | ||||
|
Item Number
61356
Schedule Fee
$427.10
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: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Red blood cell spleen or liver study (R)
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|||||||
| 61357 | Group I4 | $710.10 | ≠ CHANGED | ||||
|
Item Number
61357
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 items 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph 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 medical practitioner (other than 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, 61324, 61325, 61329, 61345, 61394, 61398, 61406 or 61414 applies; and (f) if the patient is 17 years or older—a service to which this item, or item 61324, 61329, 61345, 61394, 61398, 61406, or 61414, applies has not been provided to the patient in the previous 24 months (R)
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|||||||
| 61360 | Group I4 | $438.55 | ≠ CHANGED | ||||
|
Item Number
61360
Schedule Fee
$438.55
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
Hepatobiliary study, including morphine administration or pre-treatment with a cholagogue when performed (R)
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|||||||
| 61361 | Group I4 | $501.70 | ≠ CHANGED | ||||
|
Item Number
61361
Schedule Fee
$501.70
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
Hepatobiliary study with formal quantification following baseline imaging, using a cholagogue (R)
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|||||||
| 61364 | Group I4 | $540.40 | ≠ CHANGED | ||||
|
Item Number
61364
Schedule Fee
$540.40
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
Bowel haemorrhage study (R)
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|||||||
| 61368 | Group I4 | $242.60 | ≠ CHANGED | ||||
|
Item Number
61368
Schedule Fee
$242.60
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
Meckel’s diverticulum study (R)
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|||||||
| 61369 | Group I4 | $2191.90 | ≠ CHANGED | ||||
|
Item Number
61369
Schedule Fee
$2191.90
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: 01.11.1999
Gov. Change Flags
Fee ≠
Full Description
Indium-labelled octreotide study (including single photon emission tomography when undertaken), if:(a) a gastro-entero-pancreatic endocrine tumour is suspected on the basis of biochemical evidence with negative or equivocal conventional imaging; or(b) both:(i) a surgically amenable gastro-entero-pancreatic endocrine tumour has been identified on the basis of conventional techniques; and(ii) the study is to exclude additional disease sites (R)
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|||||||
| 61372 | Group I4 | $242.60 | ≠ CHANGED | ||||
|
Item Number
61372
Schedule Fee
$242.60
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
Salivary study (R)
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|||||||
| 61373 | Group I4 | $532.50 | ≠ CHANGED | ||||
|
Item Number
61373
Schedule Fee
$532.50
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
Gastro-oesophageal reflux study, including delayed imaging on a separate occasion when performed (R)
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|||||||
| 61376 | Group I4 | $155.85 | ≠ CHANGED | ||||
|
Item Number
61376
Schedule Fee
$155.85
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
Oesophageal clearance study (R)
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|||||||
| 61381 | Group I4 | $624.55 | ≠ CHANGED | ||||
|
Item Number
61381
Schedule Fee
$624.55
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
Gastric emptying study, using single tracer (R)
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|||||||
| 61383 | Group I4 | $679.50 | ≠ CHANGED | ||||
|
Item Number
61383
Schedule Fee
$679.50
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
Combined solid and liquid gastric emptying study using dual isotope technique or the same isotope on separate days (R)
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|||||||
| 61384 | Group I4 | $747.80 | ≠ CHANGED | ||||
|
Item Number
61384
Schedule Fee
$747.80
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
Radionuclide colonic transit study (R)
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|||||||
| 61386 | Group I4 | $361.55 | ≠ CHANGED | ||||
|
Item Number
61386
Schedule Fee
$361.55
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
Renal study, including perfusion and renogram images and computer analysis or cortical study with planar imaging (R)
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|||||||
| 61387 | Group I4 | $468.40 | ≠ CHANGED | ||||
|
Item Number
61387
Schedule Fee
$468.40
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
Renal cortical study, with single photon emission tomography and planar quantification (R)
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|||||||
| 61389 | Group I4 | $402.90 | ≠ CHANGED | ||||
|
Item Number
61389
Schedule Fee
$402.90
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
Single renal study with pre-procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R)
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|||||||
| 61390 | Group I4 | $445.80 | ≠ CHANGED | ||||
|
Item Number
61390
Schedule Fee
$445.80
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
Renal study with diuretic administration after a baseline study (R)
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|||||||
| 61393 | Group I4 | $658.45 | ≠ CHANGED | ||||
|
Item Number
61393
Schedule Fee
$658.45
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: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Combined examination involving a renal study following angiotensin converting enzyme (ACE) inhibitor provocation and a baseline study, in either order and related to a single referral episode (R)
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|||||||
| 61394 | Group I4 | $710.10 | ≠ CHANGED | ||||
|
Item Number
61394
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: 15.09.2020
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) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61398, 61406 or 61414 applies; and (g) if the patient is 17 years or older—a service to which this item, or item 61324, 61329, 61345, 61357, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R)
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|||||||
| 61397 | Group I4 | $268.45 | ≠ CHANGED | ||||
|
Item Number
61397
Schedule Fee
$268.45
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: 01.11.1996
Gov. Change Flags
Fee ≠
Full Description
Cystoureterogram (R)
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|||||||
| 61398 | Group I4 | $1067.85 | ≠ CHANGED | ||||
|
Item Number
61398
Schedule Fee
$1067.85
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: 15.09.2020
Gov. Change Flags
Fee ≠
Full Description
Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the services is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61406 or 61414 applies; and (g) if the patient is 17 years or older—a service to which this item, or item 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R)
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|||||||
| 61402 | Group I4 | $657.95 | ≠ CHANGED | ||||
|
Item Number
61402
Schedule Fee
$657.95
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
Cerebral perfusion study, with single photon emission tomography and with planar imaging when performed (R)
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|||||||
| 61406 | Group I4 | $1067.85 | ≠ CHANGED | ||||
|
Item Number
61406
Schedule Fee
$1067.85
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: 15.09.2020
Gov. Change Flags
Fee ≠
Full Description
Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61414 applies; and (g) if the patient is 17 years or older—a service to which this item, or item 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61414, applies has not been provided to the patient in the previous 24 months (R)
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|||||||
| 61409 | Group I4 | $949.80 | ≠ CHANGED | ||||
|
Item Number
61409
Schedule Fee
$949.80
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
Cerebro-spinal fluid transport study using technetium 99m, with imaging on 2 or more separate occasions (R)
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|||||||
| 61410 | Group I4 | $1067.85 | ≠ CHANGED | ||||
|
Item Number
61410
Schedule Fee
$1067.85
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: 15.09.2020
Gov. Change Flags
Fee ≠
Full Description
Repeat combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) both: (i) a service has been provided to the patient in the previous 24 months to which this item, or item 61324, 61329, 61345, 61349, 61357, 61394, 61398, 61406 or 61414 applies; and (ii) the patient has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (d) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and (f) if the patient is 17 years or older—a service to which item 61349 applies has not been provided to the patient in the previous 12 months
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|||||||
| 61413 | Group I4 | $245.70 | ≠ CHANGED | ||||
|
Item Number
61413
Schedule Fee
$245.70
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
Cerebro spinal fluid shunt patency study (R)
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|||||||
| 61414 | Group I4 | $710.10 | ≠ CHANGED | ||||
|
Item Number
61414
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: 15.09.2020
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) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61406 applies; and (g) if the patient is 17 years or older—a service to which this item, or item 61324, 61329, 61345, 61357, 61398 or 61406, applies has not been provided to the patient in the previous 24 months (R)
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|||||||
| 61421 | Group I4 | $521.70 | ≠ CHANGED | ||||
|
Item Number
61421
Schedule Fee
$521.70
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
Bone study—whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)
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|||||||
| 61425 | Group I4 | $653.15 | ≠ CHANGED | ||||
|
Item Number
61425
Schedule Fee
$653.15
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
Bone study—whole body and single photon emission tomography, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)
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|||||||
| 61426 | Group I4 | $603.30 | ≠ CHANGED | ||||
|
Item Number
61426
Schedule Fee
$603.30
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
Whole body study using iodine (R)
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|||||||
| 61429 | Group I4 | $1636.50 | ≠ CHANGED | ||||
|
Item Number
61429
Schedule Fee
$1636.50
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
Whole body study using gallium (R)
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|||||||
| 61430 | Group I4 | $1763.20 | ≠ CHANGED | ||||
|
Item Number
61430
Schedule Fee
$1763.20
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
Whole body study using gallium, with single photon emission tomography (R)
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|||||||
| 61433 | Group I4 | $540.40 | ≠ CHANGED | ||||
|
Item Number
61433
Schedule Fee
$540.40
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
Whole body study using cells labelled with technetium (R)
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|||||||
| 61434 | Group I4 | $669.20 | ≠ CHANGED | ||||
|
Item Number
61434
Schedule Fee
$669.20
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
Whole body study using cells labelled with technetium, with single photon emission tomography (R)
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|||||||
| 61438 | Group I4 | $2323.50 | ≠ CHANGED | ||||
|
Item Number
61438
Schedule Fee
$2323.50
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
Whole body study using thallium (R)
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|||||||
| 61441 | Group I4 | $532.50 | ≠ CHANGED | ||||
|
Item Number
61441
Schedule Fee
$532.50
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
Bone marrow study—whole body using technetium labelled bone marrow agents (R)
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|||||||
| 61442 | Group I4 | $1864.20 | ≠ CHANGED | ||||
|
Item Number
61442
Schedule Fee
$1864.20
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: 01.11.1997
Gov. Change Flags
Fee ≠
Full Description
Whole body study, using gallium—with single photon emission tomography of 2 or more body regions acquired separately (R)
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|||||||
| 61445 | Group I4 | $311.85 | ≠ CHANGED | ||||
|
Item Number
61445
Schedule Fee
$311.85
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: 01.11.1999
Gov. Change Flags
Fee ≠
Full Description
Bone marrow study—localised using technetium labelled agent (R)
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|||||||
| 61446 | Group I4 | $362.70 | ≠ CHANGED | ||||
|
Item Number
61446
Schedule Fee
$362.70
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
Regional scintigraphic study, using an approved bone scanning agent, including when undertaken, blood flow imaging, blood pool imaging and repeat imaging on a separate occasion (R)
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|||||||
| 61449 | Group I4 | $496.05 | ≠ CHANGED | ||||
|
Item Number
61449
Schedule Fee
$496.05
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
Regional scintigraphic study, using an approved bone scanning agent and single photon emission tomography, including when undertaken, blood flow imaging, blood pool imaging and repeat imaging on a separate occasion (R)
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|||||||
| 61450 | Group I4 | $1478.30 | ≠ CHANGED | ||||
|
Item Number
61450
Schedule Fee
$1478.30
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
Localised study using gallium (R)
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|||||||