Billing Codes — Australian Health Schedule Tracker

Showing 4701–4750 of 6045 Pg 95/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	63328	MRI—scan of musculoskeletal system for derangement of knee or its supporting structures (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63328 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 musculoskeletal system for derangement of knee or its supporting structures (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63331	MRI—scan of musculoskeletal system for derangement of ankle or foot (or both) or its supporting structures (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63331 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 musculoskeletal system for derangement of ankle or foot (or both) or its supporting structures (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63334	MRI—scan of musculoskeletal system for derangement of one or both temporomandibular joints or their supporting structures (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$386.55	—	≠ CHANGED
Item Number 63334 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 musculoskeletal system for derangement of one or both temporomandibular joints or their supporting structures (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63337	MRI—scan of musculoskeletal system for derangement of wrist or hand (or both) or its supporting structures (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$515.30	—	≠ CHANGED
Item Number 63337 Schedule Fee $515.30 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 musculoskeletal system for derangement of wrist or hand (or both) or its supporting structures (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63340	MRI—scan of musculoskeletal system for derangement of elbow or its supporting structures (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63340 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 musculoskeletal system for derangement of elbow or its supporting structures (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63361	MRI—scan of musculoskeletal system for Gaucher disease (R) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63361 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 musculoskeletal system for Gaucher disease (R) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63385	MRI—scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$515.30	—	≠ CHANGED
Item Number 63385 Schedule Fee $515.30 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 cardiovascular system for congenital disease of the heart or a great vessel (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63388	MRI—scan of cardiovascular system for tumour of the heart or a great vessel (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$515.30	—	≠ CHANGED
Item Number 63388 Schedule Fee $515.30 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 cardiovascular system for tumour of the heart or a great vessel (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63390	MRI—scan of cardiovascular system for assessment of myocardial structure, function and characterisation, if the request for the scan indicates that the patient has: (a) acute onset (less than 3 months) heart failure caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (b) unexplained arrhythmia caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (c) suspected drug-induced myocarditis, if the results from all of the following examinations are inconclusive to form a diagnosis: (i) troponin; (ii) chest X-ray; (iii) transthoracic echocardiogram. (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$632.65	—	≠ CHANGED
Item Number 63390 Schedule Fee $632.65 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: 01.01.2025 Gov. Change Flags Fee ≠ Full Description MRI—scan of cardiovascular system for assessment of myocardial structure, function and characterisation, if the request for the scan indicates that the patient has: (a) acute onset (less than 3 months) heart failure caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (b) unexplained arrhythmia caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (c) suspected drug-induced myocarditis, if the results from all of the following examinations are inconclusive to form a diagnosis: (i) troponin; (ii) chest X-ray; (iii) transthoracic echocardiogram. (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63391	MRI—scan of cardiovascular system for abnormality of thoracic aorta (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63391 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 cardiovascular system for abnormality of thoracic aorta (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63395	MRI—scan of cardiovascular system for assessment of myocardial structure and function involving:(a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that:(d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or(e) investigative findings in relation to the patient are consistent with ARVC(R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$983.75	—	≠ CHANGED
Item Number 63395 Schedule Fee $983.75 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: 01.05.2018 Gov. Change Flags Fee ≠ Full Description MRI—scan of cardiovascular system for assessment of myocardial structure and function involving:(a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that:(d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or(e) investigative findings in relation to the patient are consistent with ARVC(R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63397	MRI—scan of cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that the patient:(d) is asymptomatic; and(e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC)(R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$983.75	—	≠ CHANGED
Item Number 63397 Schedule Fee $983.75 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: 01.05.2018 Gov. Change Flags Fee ≠ Full Description MRI—scan of cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that the patient:(d) is asymptomatic; and(e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC)(R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63401	MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63401 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 MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63404	MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63404 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 MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63416	MRA—scan of person under the age of 16 for the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63416 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 MRA—scan of person under the age of 16 for the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63425	MRI—scan of person under the age of 16 for post inflammatory or post traumatic physeal fusion (R) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63425 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 person under the age of 16 for post inflammatory or post traumatic physeal fusion (R) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63428	MRI—scan of person under the age of 16 for Gaucher disease (R) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63428 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 person under the age of 16 for Gaucher disease (R) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63440	MRI—scan of person under the age of 16 for pelvic or abdominal mass (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63440 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 person under the age of 16 for pelvic or abdominal mass (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63443	MRI—scan of person under the age of 16 for mediastinal mass (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63443 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 person under the age of 16 for mediastinal mass (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63446	MRI—scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63446 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 person under the age of 16 for congenital uterine or anorectal abnormality (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63454	MRI scan of the pelvis or abdomen, for a patient who is pregnant, if: (a) the pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$1380.40	—	≠ CHANGED
Item Number 63454 Schedule Fee $1380.40 Category Category 5 — Diagnostic Imaging Group / Subheading Group I5 Type Codes Item: D Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.05.2019 Gov. Change Flags Fee ≠ Full Description MRI scan of the pelvis or abdomen, for a patient who is pregnant, if: (a) the pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63461	MRI—scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$412.25	—	≠ CHANGED
Item Number 63461 Schedule Fee $412.25 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 the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63464	MRI—scan of both breasts for the detection of cancer in a patient, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and (c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following: (i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient; (ii) both: (A) one of the patient’s first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and (B) another first or second degree relative on the same side of the patient’s family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger; (iii) the patient has a personal history of breast cancer before the age of 50 years; (iv) the patient has a personal history of mantle radiation therapy; (v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$793.75	—	≠ CHANGED
Item Number 63464 Schedule Fee $793.75 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: 01.02.2009 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description MRI—scan of both breasts for the detection of cancer in a patient, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and (c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following: (i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient; (ii) both: (A) one of the patient’s first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and (B) another first or second degree relative on the same side of the patient’s family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger; (iii) the patient has a personal history of breast cancer before the age of 50 years; (iv) the patient has a personal history of mantle radiation therapy; (v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63467	MRI—scan of both breasts for the detection of cancer, if:(a) a dedicated breast coil is used; and(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$793.75	—	≠ CHANGED
Item Number 63467 Schedule Fee $793.75 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: 01.02.2009 Gov. Change Flags Fee ≠ Full Description MRI—scan of both breasts for the detection of cancer, if:(a) a dedicated breast coil is used; and(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63470	MRI—scan of the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63470 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 the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63473	MRI—scan of the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for the scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$721.50	—	≠ CHANGED
Item Number 63473 Schedule Fee $721.50 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 the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for the scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63476	MRI—scan of the pelvis for the initial staging, restaging or follow up of rectal cancer, if: (a) a high resolution T2 technique is used; and (b) the request for the scan identifies that the indication is for: (i) the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum); or (ii) the initial assessment of response to chemotherapy or chemoradiotherapy; or (iii) the assessment of possible recurrent tumour after complete response to neoadjuvant therapy, within an active surveillance program; or (iv) the assessment of recurrent disease prior to treatment planning (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63476 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: 01.07.2009 Gov. Change Flags Fee ≠ Full Description MRI—scan of the pelvis for the initial staging, restaging or follow up of rectal cancer, if: (a) a high resolution T2 technique is used; and (b) the request for the scan identifies that the indication is for: (i) the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum); or (ii) the initial assessment of response to chemotherapy or chemoradiotherapy; or (iii) the assessment of possible recurrent tumour after complete response to neoadjuvant therapy, within an active surveillance program; or (iv) the assessment of recurrent disease prior to treatment planning (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63482	MRI—scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63482 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: 01.01.2006 Gov. Change Flags Fee ≠ Full Description MRI—scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63487	MRI—scan of both breasts, if:(a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$793.75	—	≠ CHANGED
Item Number 63487 Schedule Fee $793.75 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: 01.11.2016 Gov. Change Flags Fee ≠ Full Description MRI—scan of both breasts, if:(a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63489	MRI—scan of one breast, performed in conjunction with a biopsy procedure on that breast and an ultrasound scan of that breast, if: (a) the request for the MRI scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and (b) the ultrasound scan is performed immediately before the MRI scan and confirms that the lesion is not amenable to biopsy guided by conventional imaging; and (c) a dedicated breast coil is used (R) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$1159.50	—	≠ CHANGED
Item Number 63489 Schedule Fee $1159.50 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: 01.11.2016 Gov. Change Flags Fee ≠ Full Description MRI—scan of one breast, performed in conjunction with a biopsy procedure on that breast and an ultrasound scan of that breast, if: (a) the request for the MRI scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and (b) the ultrasound scan is performed immediately before the MRI scan and confirms that the lesion is not amenable to biopsy guided by conventional imaging; and (c) a dedicated breast coil is used (R) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63491	NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the item for the service includes in its description ‘(Contrast)’; and(c) the service is performed using a contrast agent Group I5	Category 5 — Diagnostic Imaging	$51.55	—	≠ CHANGED
Item Number 63491 Schedule Fee $51.55 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 NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the item for the service includes in its description ‘(Contrast)’; and(c) the service is performed using a contrast agent Sign in to watch this code → Get an email alert when this item changes
	63494	MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed using intravenous or intra muscular sedation Group I5	Category 5 — Diagnostic Imaging	$51.55	—	≠ CHANGED
Item Number 63494 Schedule Fee $51.55 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 or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed using intravenous or intra muscular sedation Sign in to watch this code → Get an email alert when this item changes
	63496	NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI service to which item 63545 or 63546 applies if: (a) the service is performed on a person under the supervision of an eligible provider; and(b) the service is performed using an hepatobiliary specific contrast agent Group I5	Category 5 — Diagnostic Imaging	$287.55	—	≠ CHANGED
Item Number 63496 Schedule Fee $287.55 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: 01.05.2019 Gov. Change Flags Fee ≠ Full Description NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI service to which item 63545 or 63546 applies if: (a) the service is performed on a person under the supervision of an eligible provider; and(b) the service is performed using an hepatobiliary specific contrast agent Sign in to watch this code → Get an email alert when this item changes
	63497	MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic Group I5	Category 5 — Diagnostic Imaging	$180.35	—	≠ CHANGED
Item Number 63497 Schedule Fee $180.35 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 or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic Sign in to watch this code → Get an email alert when this item changes
	63498	MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person using intravenous or intra muscular sedation Group I5	Category 5 — Diagnostic Imaging	$51.55	—	≠ CHANGED
Item Number 63498 Schedule Fee $51.55 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: 12.03.2012 Gov. Change Flags Fee ≠ Full Description MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person using intravenous or intra muscular sedation Sign in to watch this code → Get an email alert when this item changes
	63499	MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic (H) Group I5	Category 5 — Diagnostic Imaging	$180.35	—	≠ CHANGED
Item Number 63499 Schedule Fee $180.35 Category Category 5 — Diagnostic Imaging Group / Subheading Group I5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 12.03.2012 Gov. Change Flags Fee ≠ Full Description MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic (H) Sign in to watch this code → Get an email alert when this item changes
	63501	MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan confirms a loss of integrity of the implant (R) Group I5	Category 5 — Diagnostic Imaging	$575.20	—	≠ CHANGED
Item Number 63501 Schedule Fee $575.20 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: 12.03.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan confirms a loss of integrity of the implant (R) Sign in to watch this code → Get an email alert when this item changes
	63502	MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R) Group I5	Category 5 — Diagnostic Imaging	$575.20	—	≠ CHANGED
Item Number 63502 Schedule Fee $575.20 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: 12.03.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R) Sign in to watch this code → Get an email alert when this item changes
	63504	MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan confirms a loss of integrity of the implant (R) Group I5	Category 5 — Diagnostic Imaging	$575.20	—	≠ CHANGED
Item Number 63504 Schedule Fee $575.20 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: 12.03.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan confirms a loss of integrity of the implant (R) Sign in to watch this code → Get an email alert when this item changes
	63505	MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan does not demonstrate a loss of integrity of the implant (R) Group I5	Category 5 — Diagnostic Imaging	$575.20	—	≠ CHANGED
Item Number 63505 Schedule Fee $575.20 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: 12.03.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan does not demonstrate a loss of integrity of the implant (R) Sign in to watch this code → Get an email alert when this item changes
	63507	MRI—scan of head for a patient under 16 years if the service is for:(a) an unexplained seizure; or(b) an unexplained headache if significant pathology is suspected; or(c) paranasal sinus pathology that has not responded to conservative therapy (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63507 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: 01.11.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of head for a patient under 16 years if the service is for:(a) an unexplained seizure; or(b) an unexplained headache if significant pathology is suspected; or(c) paranasal sinus pathology that has not responded to conservative therapy (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63510	MRI—scan of spine following radiographic examination for a patient under 16 years if the service is for: (a) significant trauma; or(b) unexplained neck or back pain with associated neurological signs; or(c) unexplained back pain if significant pathology is suspected (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$515.30	—	≠ CHANGED
Item Number 63510 Schedule Fee $515.30 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: 01.11.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of spine following radiographic examination for a patient under 16 years if the service is for: (a) significant trauma; or(b) unexplained neck or back pain with associated neurological signs; or(c) unexplained back pain if significant pathology is suspected (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63513	MRI—scan of knee for internal joint derangement for a patient under 16 years (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63513 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: 01.11.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of knee for internal joint derangement for a patient under 16 years (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63516	MRI—scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected: (a) septic arthritis;(b) slipped capital femoral epiphysis;(c) Perthes disease (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63516 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: 01.11.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected: (a) septic arthritis;(b) slipped capital femoral epiphysis;(c) Perthes disease (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63519	MRI—scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$463.80	—	≠ CHANGED
Item Number 63519 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: 01.11.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63522	MRI—scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$515.30	—	≠ CHANGED
Item Number 63522 Schedule Fee $515.30 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: 01.11.2012 Gov. Change Flags Fee ≠ Full Description MRI—scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63531	MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast lesion; and(ii) the results of conventional imaging are inconclusive for the presence of breast cancer; and(iii) biopsy has not been possible (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$793.75	—	≠ CHANGED
Item Number 63531 Schedule Fee $793.75 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: 01.11.2019 Gov. Change Flags Fee ≠ Full Description MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast lesion; and(ii) the results of conventional imaging are inconclusive for the presence of breast cancer; and(iii) biopsy has not been possible (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63533	MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with a breast cancer; and(ii) there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and(c) the results of breast MRI imaging may alter treatment planning (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$793.75	—	≠ CHANGED
Item Number 63533 Schedule Fee $793.75 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: 01.11.2019 Gov. Change Flags Fee ≠ Full Description MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with a breast cancer; and(ii) there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and(c) the results of breast MRI imaging may alter treatment planning (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63539	MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess the development or growth of renal tumours in a patient with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, other than a service to which item 63540 applies Applicable once in any 12 month period (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$721.50	—	≠ CHANGED
Item Number 63539 Schedule Fee $721.50 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: 01.07.2024 Gov. Change Flags Fee ≠ Full Description MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess the development or growth of renal tumours in a patient with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, other than a service to which item 63540 applies Applicable once in any 12 month period (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	63540	MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess a patient with one or more known renal tumours and with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, if the service is performed: (a) to evaluate changes in clinical condition or suspected complications of the known renal tumours; or (b) where a disease specific line of treatment has been initiated and an assessment of patient responsiveness to the treatment is required Applicable once in any 3 month period (R) (Contrast) (Anaes.) Group I5	Category 5 — Diagnostic Imaging	$721.50	—	≠ CHANGED
Item Number 63540 Schedule Fee $721.50 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: 01.07.2024 Gov. Change Flags Fee ≠ Full Description MRI—scan of the abdomen, requested by a specialist or consultant physician, to assess a patient with one or more known renal tumours and with a confirmed clinical or molecular diagnosis of a genetic disorder associated with an increased risk of developing renal tumours, if the service is performed: (a) to evaluate changes in clinical condition or suspected complications of the known renal tumours; or (b) where a disease specific line of treatment has been initiated and an assessment of patient responsiveness to the treatment is required Applicable once in any 3 month period (R) (Contrast) (Anaes.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category