Billing Codes
Medicare Benefits Schedule — Updated Quarterly

MBS Item Tracker

Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging

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Total Items
6045
MBS item numbers
Showing 4601–4650 of 6045 Pg 93/121
Item No. Description Schedule Fee Status
61453
Localised study using gallium, with single photon emission tomography (R)
Group I4
$1605.75 ≠ CHANGED
Item Number
61453
Schedule Fee
$1605.75
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, with single photon emission tomography (R)
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61454
Localised study using cells labelled with technetium (R)
Group I4
$378.55 ≠ CHANGED
Item Number
61454
Schedule Fee
$378.55
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
Localised study using cells labelled with technetium (R)
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61457
Localised study using cells labelled with technetium, with single photon emission tomography (R)
Group I4
$511.55 ≠ CHANGED
Item Number
61457
Schedule Fee
$511.55
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
Localised study using cells labelled with technetium, with single photon emission tomography (R)
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61461
Localised study using thallium (R)
Group I4
$2165.70 ≠ CHANGED
Item Number
61461
Schedule Fee
$2165.70
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
Localised study using thallium (R)
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61462
Repeat planar and single photon emission tomography imaging, or repeat planar imaging or single photon emission tomography imaging on an occasion subsequent to the performance of item 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469 or 61485, if there is no additional administration of radiopharmaceutical and if the previous radionuclide scan was abnormal or equivocal (R)
Group I4
$140.25 ≠ CHANGED
Item Number
61462
Schedule Fee
$140.25
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
Repeat planar and single photon emission tomography imaging, or repeat planar imaging or single photon emission tomography imaging on an occasion subsequent to the performance of item 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469 or 61485, if there is no additional administration of radiopharmaceutical and if the previous radionuclide scan was abnormal or equivocal (R)
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61466
Cerebro-spinal fluid transport study using indium-111, with imaging on 2 or more separate occasions (R)
Group I4
$5100.85 ≠ CHANGED
Item Number
61466
Schedule Fee
$5100.85
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: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Cerebro-spinal fluid transport study using indium-111, with imaging on 2 or more separate occasions (R)
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61469
Lymphoscintigraphy (R)
Group I4
$378.55 ≠ CHANGED
Item Number
61469
Schedule Fee
$378.55
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
Lymphoscintigraphy (R)
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61473
Thyroid study (R)
Group I4
$190.75 ≠ CHANGED
Item Number
61473
Schedule Fee
$190.75
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
Thyroid study (R)
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61480
Parathyroid study (R)
Group I4
$420.65 ≠ CHANGED
Item Number
61480
Schedule Fee
$420.65
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
Parathyroid study (R)
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61485
Adrenal study, with single photon emission tomography (R)
Group I4
$3658.00 ≠ CHANGED
Item Number
61485
Schedule Fee
$3658.00
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
Adrenal study, with single photon emission tomography (R)
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61495
Tear duct study (R)
Group I4
$242.60 ≠ CHANGED
Item Number
61495
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
Tear duct study (R)
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61499
Particle perfusion study (infra arterial) or Le Veen shunt study (R)
Group I4
$275.10 ≠ CHANGED
Item Number
61499
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
Particle perfusion study (infra arterial) or Le Veen shunt study (R)
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61505
CT scan performed at the same time and covering the same body area as single photon emission tomography or positron emission tomography for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued and performed in association with a service to which an item in Subgroup 1 or 2 of Group I4 applies (R)
Group I4
$100.00
Item Number
61505
Schedule Fee
$100.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.05.2007
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
CT scan performed at the same time and covering the same body area as single photon emission tomography or positron emission tomography for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued and performed in association with a service to which an item in Subgroup 1 or 2 of Group I4 applies (R)
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61523
Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodule where the lesion is considered unsuitable for transthoracic fine needle aspiration biopsy, or for which an attempt at pathological characterisation has failed.(R)
Group I4
$953.00
Item Number
61523
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodule where the lesion is considered unsuitable for transthoracic fine needle aspiration biopsy, or for which an attempt at pathological characterisation has failed.(R)
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61524
Whole body FDG PET study, performed for the staging of locally advanced (Stage III) breast cancer, for a patient who is considered suitable for active therapy (R) (Anaes.)
Group I4
$953.00
Item Number
61524
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2019
Item from: 01.11.2019
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, performed for the staging of locally advanced (Stage III) breast cancer, for a patient who is considered suitable for active therapy (R) (Anaes.)
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61525
Whole body FDG PET study, performed for the evaluation of suspected metastatic or suspected locally or regionally recurrent breast carcinoma, for a patient who is considered suitable for active therapy (R) (Anaes.)
Group I4
$953.00
Item Number
61525
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2019
Item from: 01.11.2019
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, performed for the evaluation of suspected metastatic or suspected locally or regionally recurrent breast carcinoma, for a patient who is considered suitable for active therapy (R) (Anaes.)
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61527
Whole body study using PET, if the service is performed because the services to which items 61429, 61430, 61442, 61450 or 61453 apply cannot be performed due to unavailability of gallium-67 (R)
Group I4
$752.35
Item Number
61527
Schedule Fee
$752.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.08.2022
Item from: 01.08.2022
Gov. Change Flags
No changes flagged
Full Description
Whole body study using PET, if the service is performed because the services to which items 61429, 61430, 61442, 61450 or 61453 apply cannot be performed due to unavailability of gallium-67 (R)
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61528
Whole body PSMA PET study, performed for the assessment of suitability for Lutetium 177 PSMA therapy in a patient with metastatic castrate resistant prostate cancer, after progressive disease has developed while undergoing prior treatment with at least one taxane chemotherapy and at least one androgen receptor signalling inhibitor. (R) (Anaes.)
Group I4
$1300.00
Item Number
61528
Schedule Fee
$1300.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2025
Item from: 01.07.2025
Gov. Change Flags
No changes flagged
Full Description
Whole body PSMA PET study, performed for the assessment of suitability for Lutetium 177 PSMA therapy in a patient with metastatic castrate resistant prostate cancer, after progressive disease has developed while undergoing prior treatment with at least one taxane chemotherapy and at least one androgen receptor signalling inhibitor. (R) (Anaes.)
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61529
Whole body FDG PET study, performed for the staging of proven non-small cell lung cancer, where curative surgery or radiotherapy is planned (R)
Group I4
$953.00
Item Number
61529
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, performed for the staging of proven non-small cell lung cancer, where curative surgery or radiotherapy is planned (R)
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61530
Whole body 68Ga-DOTA-somatostatin receptor agonist PET study for: a) staging of histologically confirmed neuroendocrine neoplasm (NEN) considered surgically incurable on conventional imaging, orb) evaluation of somatostatin receptor expression of histologically confirmed and inoperable NEN, either locally advanced or metastatic, under consideration for peptide receptor radionuclide therapy (PRRT); orc) evaluation of response to PRRT therapy; ord) evaluation of suspected recurrent or metastatic disease in known somatostatin receptor positive NEN. (R) (Anaes.)
Group I4
$953.00
Item Number
61530
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2025
Item from: 01.11.2025
Gov. Change Flags
No changes flagged
Full Description
Whole body 68Ga-DOTA-somatostatin receptor agonist PET study for: a) staging of histologically confirmed neuroendocrine neoplasm (NEN) considered surgically incurable on conventional imaging, orb) evaluation of somatostatin receptor expression of histologically confirmed and inoperable NEN, either locally advanced or metastatic, under consideration for peptide receptor radionuclide therapy (PRRT); orc) evaluation of response to PRRT therapy; ord) evaluation of suspected recurrent or metastatic disease in known somatostatin receptor positive NEN. (R) (Anaes.)
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61538
FDG PET study of the brain for evaluation of suspected residual or recurrent malignant brain tumour based on anatomical imaging findings, after definitive therapy (or during ongoing chemotherapy) in patients who are considered suitable for further active therapy. (R)
Group I4
$901.00
Item Number
61538
Schedule Fee
$901.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
FDG PET study of the brain for evaluation of suspected residual or recurrent malignant brain tumour based on anatomical imaging findings, after definitive therapy (or during ongoing chemotherapy) in patients who are considered suitable for further active therapy. (R)
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61541
Whole body FDG PET study, following initial therapy, for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in patients considered suitable for active therapy (R)
Group I4
$953.00
Item Number
61541
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, following initial therapy, for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in patients considered suitable for active therapy (R)
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61553
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in patients considered suitable for active therapy (R)
Group I4
$999.00
Item Number
61553
Schedule Fee
$999.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in patients considered suitable for active therapy (R)
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61559
FDG PET study of the brain, performed for the evaluation of refractory epilepsy which is being evaluated for surgery (R)
Group I4
$918.00
Item Number
61559
Schedule Fee
$918.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
FDG PET study of the brain, performed for the evaluation of refractory epilepsy which is being evaluated for surgery (R)
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61560
FDG PET study of the brain, performed for the diagnosis of Alzheimer’s disease, if: clinical evaluation of the patient by a specialist, or in consultation with a specialist, is equivocal; and the service includes a quantitative comparison of the results of the study with the results of an FDG PET study of a normal brain from a reference database; and a service to which this item applies has not been performed on the patient in the previous 12 months; and a service to which item 61402 applies has not been performed on the patient in the previous 12 months for the diagnosis or management of Alzheimer’s disease Applicable not more than 3 times per lifetime (R)
Group I4
$605.05
Item Number
61560
Schedule Fee
$605.05
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2021
Item from: 01.11.2021
Gov. Change Flags
No changes flagged
Full Description
FDG PET study of the brain, performed for the diagnosis of Alzheimer’s disease, if: clinical evaluation of the patient by a specialist, or in consultation with a specialist, is equivocal; and the service includes a quantitative comparison of the results of the study with the results of an FDG PET study of a normal brain from a reference database; and a service to which this item applies has not been performed on the patient in the previous 12 months; and a service to which item 61402 applies has not been performed on the patient in the previous 12 months for the diagnosis or management of Alzheimer’s disease Applicable not more than 3 times per lifetime (R)
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61563
Whole body prostate-specific membrane antigen PET study performed for the initial staging of intermediate to high-risk prostate adenocarcinoma, for a previously untreated patient who is considered suitable for locoregional therapy with curative intent Applicable once per lifetime (R)
Group I4
$1300.00
Item Number
61563
Schedule Fee
$1300.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2022
Item from: 01.07.2022
Gov. Change Flags
No changes flagged
Full Description
Whole body prostate-specific membrane antigen PET study performed for the initial staging of intermediate to high-risk prostate adenocarcinoma, for a previously untreated patient who is considered suitable for locoregional therapy with curative intent Applicable once per lifetime (R)
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61564
Whole body prostate-specific membrane antigen PET study performed for the restaging of recurrent prostate adenocarcinoma, for a patient who:(a) has undergone prior locoregional therapy; and(b) is considered suitable for further locoregional therapy to determine appropriate therapeutic pathways and timing of treatment initiation Applicable twice per lifetime (R)
Group I4
$1300.00
Item Number
61564
Schedule Fee
$1300.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2022
Item from: 01.07.2022
Gov. Change Flags
No changes flagged
Full Description
Whole body prostate-specific membrane antigen PET study performed for the restaging of recurrent prostate adenocarcinoma, for a patient who:(a) has undergone prior locoregional therapy; and(b) is considered suitable for further locoregional therapy to determine appropriate therapeutic pathways and timing of treatment initiation Applicable twice per lifetime (R)
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61565
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in patients considered suitable for active therapy. (R)
Group I4
$953.00
Item Number
61565
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in patients considered suitable for active therapy. (R)
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61571
Whole body FDG PET study, for the further primary staging of patients with histologically proven carcinoma of the uterine cervix, at FIGO stage IB2 or greater by conventional staging, prior to planned radical radiation therapy or combined modality therapy with curative intent. (R)
Group I4
$953.00
Item Number
61571
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, for the further primary staging of patients with histologically proven carcinoma of the uterine cervix, at FIGO stage IB2 or greater by conventional staging, prior to planned radical radiation therapy or combined modality therapy with curative intent. (R)
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61575
Whole body FDG PET study, for the further staging of patients with confirmed local recurrence of carcinoma of the uterine cervix considered suitable for salvage pelvic chemoradiotherapy or pelvic exenteration with curative intent. (R)
Group I4
$953.00
Item Number
61575
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2011
Item from: 01.07.2011
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, for the further staging of patients with confirmed local recurrence of carcinoma of the uterine cervix considered suitable for salvage pelvic chemoradiotherapy or pelvic exenteration with curative intent. (R)
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61577
Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ carcinoma, in patients considered suitable for active therapy (R).
Group I4
$953.00
Item Number
61577
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.10.2001
Item from: 01.10.2001
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ carcinoma, in patients considered suitable for active therapy (R).
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61598
Whole body FDG PET study performed for the staging of biopsy-proven newly diagnosed or recurrent head and neck cancer (R).
Group I4
$953.00
Item Number
61598
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 14.01.2002
Item from: 14.01.2002
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study performed for the staging of biopsy-proven newly diagnosed or recurrent head and neck cancer (R).
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61604
Whole body FDG PET study performed for the evaluation of patients with suspected residual head and neck cancer after definitive treatment, and who are suitable for active therapy (R).
Group I4
$953.00
Item Number
61604
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 14.01.2002
Item from: 14.01.2002
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study performed for the evaluation of patients with suspected residual head and neck cancer after definitive treatment, and who are suitable for active therapy (R).
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61610
Whole body FDG PET study performed for the evaluation of metastatic squamous cell carcinoma of unknown primary site involving cervical nodes (R).
Group I4
$953.00
Item Number
61610
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 14.01.2002
Item from: 14.01.2002
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study performed for the evaluation of metastatic squamous cell carcinoma of unknown primary site involving cervical nodes (R).
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61612
Whole body FDG PET study for the initial staging of cancer, for a patient who is considered suitable for active therapy, if:(a) the cancer is a typically FDG-avid cancer; and(b) there is at least 10% likelihood that a PET study result will inform a significant change in management for the patientApplicable once per cancer diagnosis (R)
Group I4
$953.00
Item Number
61612
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2022
Item from: 01.11.2022
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study for the initial staging of cancer, for a patient who is considered suitable for active therapy, if:(a) the cancer is a typically FDG-avid cancer; and(b) there is at least 10% likelihood that a PET study result will inform a significant change in management for the patientApplicable once per cancer diagnosis (R)
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61614
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent cancer in a patient who is undergoing, or is suitable for, active therapy, if the cancer is a typically FGD-avid cancer (R)
Group I4
$953.00
Item Number
61614
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2024
Item from: 01.11.2024
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent cancer in a patient who is undergoing, or is suitable for, active therapy, if the cancer is a typically FGD-avid cancer (R)
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61620
Whole body FDG PET study for the initial staging of newly diagnosed or previously untreated Hodgkin or non-Hodgkin lymphoma (R)
Group I4
$953.00
Item Number
61620
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2011
Item from: 01.07.2011
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study for the initial staging of newly diagnosed or previously untreated Hodgkin or non-Hodgkin lymphoma (R)
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61622
Whole body FDG PET study to assess response to first line therapy either during treatment or within three months of completing definitive first line treatment for Hodgkin or non-Hodgkin lymphoma (R)
Group I4
$953.00
Item Number
61622
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 14.01.2002
Item from: 14.01.2002
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study to assess response to first line therapy either during treatment or within three months of completing definitive first line treatment for Hodgkin or non-Hodgkin lymphoma (R)
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61628
Whole body FDG PET study for restaging following confirmation of recurrence of Hodgkin or non-Hodgkin lymphoma (R)
Group I4
$953.00
Item Number
61628
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 14.01.2002
Item from: 14.01.2002
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study for restaging following confirmation of recurrence of Hodgkin or non-Hodgkin lymphoma (R)
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61632
Whole body FDG PET study to assess response to second-line chemotherapy if haemopoietic stem cell transplantation is being considered for Hodgkin or non-Hodgkin lymphoma (R)
Group I4
$953.00
Item Number
61632
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2011
Item from: 01.07.2011
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study to assess response to second-line chemotherapy if haemopoietic stem cell transplantation is being considered for Hodgkin or non-Hodgkin lymphoma (R)
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61640
Whole body FDG PET study for initial staging of patients with biopsy-proven bone or soft tissue sarcoma (excluding gastrointestinal stromal tumour) considered by conventional staging to be potentially curable. (R)
Group I4
$999.00
Item Number
61640
Schedule Fee
$999.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 14.01.2002
Item from: 14.01.2002
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study for initial staging of patients with biopsy-proven bone or soft tissue sarcoma (excluding gastrointestinal stromal tumour) considered by conventional staging to be potentially curable. (R)
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61644
Single rest myocardial perfusion study for the assessment of the extent and severity of non‑viable myocardium, with PET, if: (a) the service is performed because the service to which item 61325 applies cannot be performed due to unavailability of thallous chloride 201 (Tl-201); and (b) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (c) the service is performed in conjunction with a rest myocardial perfusion study using technetium-99m; 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 or 11730 applies; and (f) this service and item 61325 are applicable only twice each 24 months (R)
Group I4
$329.00
Item Number
61644
Schedule Fee
$329.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.04.2022
Item from: 01.04.2022
Gov. Change Flags
No changes flagged
Full Description
Single rest myocardial perfusion study for the assessment of the extent and severity of non‑viable myocardium, with PET, if: (a) the service is performed because the service to which item 61325 applies cannot be performed due to unavailability of thallous chloride 201 (Tl-201); and (b) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (c) the service is performed in conjunction with a rest myocardial perfusion study using technetium-99m; 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 or 11730 applies; and (f) this service and item 61325 are applicable only twice each 24 months (R)
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61646
Whole body FDG PET study for the evaluation of patients with suspected residual or recurrent sarcoma (excluding gastrointestinal stromal tumour) after the initial course of definitive therapy to determine suitability for subsequent therapy with curative intent. (R)
Group I4
$999.00
Item Number
61646
Schedule Fee
$999.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 14.01.2002
Item from: 14.01.2002
Gov. Change Flags
No changes flagged
Full Description
Whole body FDG PET study for the evaluation of patients with suspected residual or recurrent sarcoma (excluding gastrointestinal stromal tumour) after the initial course of definitive therapy to determine suitability for subsequent therapy with curative intent. (R)
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61647
Whole body 68Ga DOTA peptide PET study, if:(a) a gastro entero pancreatic neuroendocrine 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 neuroendocrine tumour has been identified on the basis of conventional techniques; and(ii) the study is for excluding additional disease sites (R)
Group I4
$953.00
Item Number
61647
Schedule Fee
$953.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I4
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.05.2020
Item from: 01.05.2018
Gov. Change Flags
No changes flagged
Full Description
Whole body 68Ga DOTA peptide PET study, if:(a) a gastro entero pancreatic neuroendocrine 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 neuroendocrine tumour has been identified on the basis of conventional techniques; and(ii) the study is for excluding additional disease sites (R)
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61650
LeukoScan study of the long bones and feet for suspected osteomyelitis, if:(a) the patient does not have access to ex vivo white blood cell scanning; and(b) the patient is not being investigated for other sites of infection (R)
Group I4
$955.50 ≠ CHANGED
Item Number
61650
Schedule Fee
$955.50
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: 01.06.2004
Gov. Change Flags
Fee ≠
Full Description
LeukoScan study of the long bones and feet for suspected osteomyelitis, if:(a) the patient does not have access to ex vivo white blood cell scanning; and(b) the patient is not being investigated for other sites of infection (R)
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63001
MRI—scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (Contrast) (Anaes.)
Group I5
$463.80 ≠ CHANGED
Item Number
63001
Schedule Fee
$463.80
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.08.2004
Gov. Change Flags
Fee ≠
Full Description
MRI—scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (Contrast) (Anaes.)
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63004
MRI—scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (Contrast) (Anaes.)
Group I5
$463.80 ≠ CHANGED
Item Number
63004
Schedule Fee
$463.80
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.08.2004
Gov. Change Flags
Fee ≠
Full Description
MRI—scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (Contrast) (Anaes.)
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63007
MRI—scan of head (including MRA, if performed) for skull base or orbital tumour (R) (Contrast) (Anaes.)
Group I5
$463.80 ≠ CHANGED
Item Number
63007
Schedule Fee
$463.80
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.08.2004
Gov. Change Flags
Fee ≠
Full Description
MRI—scan of head (including MRA, if performed) for skull base or orbital tumour (R) (Contrast) (Anaes.)
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63010
MRI—scan of head (including MRA, if performed) for stereotactic scan of brain, with fiducials in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (Contrast) (Anaes.)
Group I5
$386.55 ≠ CHANGED
Item Number
63010
Schedule Fee
$386.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.08.2004
Gov. Change Flags
Fee ≠
Full Description
MRI—scan of head (including MRA, if performed) for stereotactic scan of brain, with fiducials in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (Contrast) (Anaes.)
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63019
MRI—scan of head (including MRA if performed) for the assessment of suitability for the treatment of medically refractory essential tremor with magnetic resonance imaging‑guided focused ultrasound Applicable once per patient per lifetime (R) (Contrast) (Anaes.)
Group I5
$463.80 ≠ CHANGED
Item Number
63019
Schedule Fee
$463.80
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
MRI—scan of head (including MRA if performed) for the assessment of suitability for the treatment of medically refractory essential tremor with magnetic resonance imaging‑guided focused ultrasound Applicable once per patient per lifetime (R) (Contrast) (Anaes.)
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Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Localised study using gallium, with single photon emission tomography (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Localised study using cells labelled with technetium (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Localised study using cells labelled with technetium, with single photon emission tomography (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Localised study using thallium (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Repeat planar and single photon emission tomography imaging, or repeat planar imaging or single photon emission tomography imaging on an occasion subsequent to the performance of item 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469 or 61485, if there is no additional administration of radiopharmaceutical and if the previous radionuclide scan was abnormal or equivocal (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Cerebro-spinal fluid transport study using indium-111, with imaging on 2 or more separate occasions (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Lymphoscintigraphy (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Thyroid study (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Parathyroid study (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Adrenal study, with single photon emission tomography (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Tear duct study (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
Particle perfusion study (infra arterial) or Le Veen shunt study (R)
Fee From
01.05.2007
Category
Category 5 — Diagnostic Imaging
Description
CT scan performed at the same time and covering the same body area as single photon emission tomography or positron emission tomography for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued and performed in association with a service to which an item in Subgroup 1 or 2 of Group I4 applies (R)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodule where the lesion is considered unsuitable for transthoracic fine needle aspiration biopsy, or for which an attempt at pathological characterisation has failed.(R)
Fee From
01.11.2019
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, performed for the staging of locally advanced (Stage III) breast cancer, for a patient who is considered suitable for active therapy (R) (Anaes.)
Fee From
01.11.2019
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, performed for the evaluation of suspected metastatic or suspected locally or regionally recurrent breast carcinoma, for a patient who is considered suitable for active therapy (R) (Anaes.)
Fee From
01.08.2022
Category
Category 5 — Diagnostic Imaging
Description
Whole body study using PET, if the service is performed because the services to which items 61429, 61430, 61442, 61450 or 61453 apply cannot be performed due to unavailability of gallium-67 (R)
Fee From
01.07.2025
Category
Category 5 — Diagnostic Imaging
Description
Whole body PSMA PET study, performed for the assessment of suitability for Lutetium 177 PSMA therapy in a patient with metastatic castrate resistant prostate cancer, after progressive disease has developed while undergoing prior treatment with at least one taxane chemotherapy and at least one androgen receptor signalling inhibitor. (R) (Anaes.)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, performed for the staging of proven non-small cell lung cancer, where curative surgery or radiotherapy is planned (R)
Fee From
01.11.2025
Category
Category 5 — Diagnostic Imaging
Description
Whole body 68Ga-DOTA-somatostatin receptor agonist PET study for: a) staging of histologically confirmed neuroendocrine neoplasm (NEN) considered surgically incurable on conventional imaging, orb) evaluation of somatostatin receptor expression of histologically confirmed and inoperable NEN, either locally advanced or metastatic, under consideration for peptide receptor radionuclide therapy (PRRT); orc) evaluation of response to PRRT therapy; ord) evaluation of suspected recurrent or metastatic disease in known somatostatin receptor positive NEN. (R) (Anaes.)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
FDG PET study of the brain for evaluation of suspected residual or recurrent malignant brain tumour based on anatomical imaging findings, after definitive therapy (or during ongoing chemotherapy) in patients who are considered suitable for further active therapy. (R)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, following initial therapy, for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in patients considered suitable for active therapy (R)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in patients considered suitable for active therapy (R)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
FDG PET study of the brain, performed for the evaluation of refractory epilepsy which is being evaluated for surgery (R)
Fee From
01.11.2021
Category
Category 5 — Diagnostic Imaging
Description
FDG PET study of the brain, performed for the diagnosis of Alzheimer’s disease, if: clinical evaluation of the patient by a specialist, or in consultation with a specialist, is equivocal; and the service includes a quantitative comparison of the results of the study with the results of an FDG PET study of a normal brain from a reference database; and a service to which this item applies has not been performed on the patient in the previous 12 months; and a service to which item 61402 applies has not been performed on the patient in the previous 12 months for the diagnosis or management of Alzheimer’s disease Applicable not more than 3 times per lifetime (R)
Fee From
01.07.2022
Category
Category 5 — Diagnostic Imaging
Description
Whole body prostate-specific membrane antigen PET study performed for the initial staging of intermediate to high-risk prostate adenocarcinoma, for a previously untreated patient who is considered suitable for locoregional therapy with curative intent Applicable once per lifetime (R)
Fee From
01.07.2022
Category
Category 5 — Diagnostic Imaging
Description
Whole body prostate-specific membrane antigen PET study performed for the restaging of recurrent prostate adenocarcinoma, for a patient who:(a) has undergone prior locoregional therapy; and(b) is considered suitable for further locoregional therapy to determine appropriate therapeutic pathways and timing of treatment initiation Applicable twice per lifetime (R)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in patients considered suitable for active therapy. (R)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, for the further primary staging of patients with histologically proven carcinoma of the uterine cervix, at FIGO stage IB2 or greater by conventional staging, prior to planned radical radiation therapy or combined modality therapy with curative intent. (R)
Fee From
01.07.2011
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, for the further staging of patients with confirmed local recurrence of carcinoma of the uterine cervix considered suitable for salvage pelvic chemoradiotherapy or pelvic exenteration with curative intent. (R)
Fee From
01.10.2001
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ carcinoma, in patients considered suitable for active therapy (R).
Fee From
14.01.2002
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study performed for the staging of biopsy-proven newly diagnosed or recurrent head and neck cancer (R).
Fee From
14.01.2002
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study performed for the evaluation of patients with suspected residual head and neck cancer after definitive treatment, and who are suitable for active therapy (R).
Fee From
14.01.2002
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study performed for the evaluation of metastatic squamous cell carcinoma of unknown primary site involving cervical nodes (R).
Fee From
01.11.2022
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study for the initial staging of cancer, for a patient who is considered suitable for active therapy, if:(a) the cancer is a typically FDG-avid cancer; and(b) there is at least 10% likelihood that a PET study result will inform a significant change in management for the patientApplicable once per cancer diagnosis (R)
Fee From
01.11.2024
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent cancer in a patient who is undergoing, or is suitable for, active therapy, if the cancer is a typically FGD-avid cancer (R)
Fee From
01.07.2011
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study for the initial staging of newly diagnosed or previously untreated Hodgkin or non-Hodgkin lymphoma (R)
Fee From
14.01.2002
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study to assess response to first line therapy either during treatment or within three months of completing definitive first line treatment for Hodgkin or non-Hodgkin lymphoma (R)
Fee From
14.01.2002
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study for restaging following confirmation of recurrence of Hodgkin or non-Hodgkin lymphoma (R)
Fee From
01.07.2011
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study to assess response to second-line chemotherapy if haemopoietic stem cell transplantation is being considered for Hodgkin or non-Hodgkin lymphoma (R)
Fee From
14.01.2002
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study for initial staging of patients with biopsy-proven bone or soft tissue sarcoma (excluding gastrointestinal stromal tumour) considered by conventional staging to be potentially curable. (R)
Fee From
01.04.2022
Category
Category 5 — Diagnostic Imaging
Description
Single rest myocardial perfusion study for the assessment of the extent and severity of non‑viable myocardium, with PET, if: (a) the service is performed because the service to which item 61325 applies cannot be performed due to unavailability of thallous chloride 201 (Tl-201); and (b) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (c) the service is performed in conjunction with a rest myocardial perfusion study using technetium-99m; 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 or 11730 applies; and (f) this service and item 61325 are applicable only twice each 24 months (R)
Fee From
14.01.2002
Category
Category 5 — Diagnostic Imaging
Description
Whole body FDG PET study for the evaluation of patients with suspected residual or recurrent sarcoma (excluding gastrointestinal stromal tumour) after the initial course of definitive therapy to determine suitability for subsequent therapy with curative intent. (R)
Fee From
01.05.2020
Category
Category 5 — Diagnostic Imaging
Description
Whole body 68Ga DOTA peptide PET study, if:(a) a gastro entero pancreatic neuroendocrine 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 neuroendocrine tumour has been identified on the basis of conventional techniques; and(ii) the study is for excluding additional disease sites (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
LeukoScan study of the long bones and feet for suspected osteomyelitis, if:(a) the patient does not have access to ex vivo white blood cell scanning; and(b) the patient is not being investigated for other sites of infection (R)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (Contrast) (Anaes.)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (Contrast) (Anaes.)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of head (including MRA, if performed) for skull base or orbital tumour (R) (Contrast) (Anaes.)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of head (including MRA, if performed) for stereotactic scan of brain, with fiducials in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (Contrast) (Anaes.)
Fee From
01.07.2026
Category
Category 5 — Diagnostic Imaging
Description
MRI—scan of head (including MRA if performed) for the assessment of suitability for the treatment of medically refractory essential tremor with magnetic resonance imaging‑guided focused ultrasound Applicable once per patient per lifetime (R) (Contrast) (Anaes.)
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