1.  Sections 1 to 4 and anything in this instrument not elsewhere covered by this table

The day after this instrument is registered.

2.  Sections 5 and 6

1 November 2014.

3.  Schedules 1 and 2

1 November 2014.

4.  Schedule 3, Part 1

1 November 2014.

5.  Schedule 3, Parts 2 and 3

1 January 2015.

1

Ultrasound

Equipment used to perform a service to which an item in Group I1 in Division 2.1 applies

10

15

2

CT

Equipment used to perform a service to which an item in Group I2 in Division 2.2 applies

10

15

3

Mammography

Equipment used to perform a service to which an item in Group I3 (other than Subgroup 10) in Division 2.3 applies

10

15

4

Angiography

Equipment used to perform a service to which an item in Subgroup 13 of Group I3 in Division 2.3 applies

10

15

5

Rest of diagnostic radiology

Equipment used to perform a service to which an item in Subgroups 1 to 9, 11, 12, 14, 15 or 17 of Group I3 in Division 2.3 applies

15

20

6

Nuclear medicine (excluding PET)

Equipment used to perform a service to which an item in Group I4 in Division 2.4 applies

10

15

7

MRI

Equipment used to perform a service to which an item in Group I5 in Division 2.5 applies

10

20

Subgroup 1—General

55005

Head, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (NK)

54.55

55007

Head, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (NK)

18.95

55008

Orbital contents, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (NK)

54.55

55010

Orbital contents, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (NK)

18.95

55011

Neck, one or more structures of, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (NK)

54.55

55013

Neck, one or more structures of, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (NK)

18.95

55014

Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:

(a) the patient is referred by a medical practitioner or participating nurse practitioner; and

(b) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and

(f) within 24 hours of the service, a service mentioned in item 55017, 55038, 55065 or 55067 is not performed on the same patient by the providing practitioner (R) (NK)

55.65

55016

Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:

(a) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (NK)

18.95

55017

Urinary tract, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and

(e) within 24 hours of the service, a service mentioned in item 55014, 55038, 55065 or 55067 is not performed on the same patient by the providing practitioner (R) (NK)

54.55

55019

Urinary tract, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (NK)

18.95

55023

Scrotum, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (NK)

54.75

55025

Scrotum, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (NK)

18.95

55026

Ultrasonic cross‑sectional echography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this group applies (R) (NK)

54.55

55028

Head, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (K)

109.10

55029

Head, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (K)

37.85

55030

Orbital contents, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (K)

109.10

55031

Orbital contents, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (K)

37.85

55032

Neck, one or more structures of, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (K)

109.10

55033

Neck, one or more structures of, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (K)

37.85

55036

Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:

(a) the patient is referred by a medical practitioner or participating nurse practitioner for ultrasonic examination; and

(b) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

111.30

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and

(f) within 24 hours of the service, a service mentioned in item 55017, 55038, 55065 or 55067 is not performed on the same patient by the providing practitioner (R) (K)

55037

Abdomen, ultrasound scan of (including scan of urinary tract when performed), if:

(a) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (K)

37.85

55038

Urinary tract, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner for ultrasonic examination; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and

(e) within 24 hours of the service, a service mentioned in item 55017, 55036, 55065 or 55067 is not performed on the same patient by the providing practitioner (R) (K)

109.10

55039

Urinary tract, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (K)

37.85

55048

Scrotum, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (K)

109.50

55049

Scrotum, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (K)

37.85

55054

Ultrasonic cross‑sectional echography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this group applies (R) (K)

109.10

55059

Breast, one, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner or participating nurse practitioner; and

(b) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (NK)

49.15

55060

Breast, one, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (NK)

17.05

55061

Breasts, both, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner or participating nurse practitioner; and

(b) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (NK)

54.55

55062

Breasts, both, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (NK)

18.95

55063

Urinary bladder, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner for ultrasonic examination; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) within 24 hours of the service, a service mentioned in item 11917, 55014, 55017, 55036, 55038, 55065, 55067, 55600, 55601, 55603 or 55604 is not performed on the same patient by the providing practitioner (R) (NK)

49.15

55064

Urinary bladder, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) within 24 hours of the service, a service mentioned in item 11917, 55016, 55019, 55037, 55039, 55068, 55069, 55600, 55601, 55603 or 55604 is not performed on the same patient by the providing practitioner (NR) (NK)

17.05

55065

Pelvis, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner for ultrasonic examination; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and

(e) within 24 hours of the service, a service mentioned in item 55014, 55017, 55036 or 55038 is not performed on the same patient by the providing practitioner (R) (K)

98.25

55067

Pelvis, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner for ultrasonic examination; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and

(e) within 24 hours of the service, a service mentioned in item 55014, 55017, 55036 or 55038 is not performed on the same patient by the providing practitioner (R) (NK)

50.25

55068

Pelvis, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (K)

35.00

55069

Pelvis, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (NK)

17.85

55070

Breast, one, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner or participating nurse practitioner; and

(b) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (K)

98.25

55073

Breast, one, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (K)

34.05

55076

Breasts, both, ultrasound scan of, if:

(a) the patient is referred by a medical practitioner or participating nurse practitioner; and

(b) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (R) (K)

109.10

55079

Breasts, both, ultrasound scan of, if:

(a) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies (NR) (K)

37.85

55084

Urinary bladder, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) within 24 hours of the service, a service mentioned in item 11917, 55014, 55017, 55036, 55038, 55065, 55067, 55600, 55601, 55603 or 55604 is not performed on the same patient by the providing practitioner (R) (K)

98.25

55085

Urinary bladder, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) within 24 hours of the service, a service mentioned in item 11917, 55016, 55019, 55037, 55039, 55068, 55069, 55600, 55601, 55603 or 55604 is not performed on the same patient by the providing practitioner (NR) (K)

34.05

Subgroup 2—Cardiac

55113

M‑mode and two‑dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain:

(a) with:

(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

230.65

(ii) real time colour flow mapping from at least 2 acoustic windows; and

(iii) recordings on video tape or digital media; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (K)

55114

M‑mode and two‑dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic or embolic disease or heart tumour:

(a) with:

(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

(ii) real time colour flow mapping from at least 2 acoustic windows; and

(iii) recordings on video tape or digital media; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (K)

230.65

55115

M‑mode and two‑dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of congenital heart disease:

(a) with:

(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

(ii) real time colour flow mapping from at least 2 acoustic windows; and

(iii) recordings on video tape or digital media; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (K)

230.65

55116

Exercise stress echocardiography performed in conjunction with item 11712:

(a) with:

(i) two‑dimensional recordings before exercise (baseline) from at least 3 acoustic windows; and

(ii) matching recordings from the same windows at, or immediately after, peak exercise; and

(iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (K)

261.65

55117

Pharmacological stress echocardiography performed in conjunction with item 11712:

(a) with:

(i) two‑dimensional recordings before drug infusion (baseline) from at least 3 acoustic windows; and

(ii) matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose; and

(iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (K)

261.65

55118

Heart, two‑dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level:

(a) with:

(i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and

(ii) recordings on video tape or digital medium; and

275.50

(b) not being an intra‑operative service or a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3 applies (R) (K) (Anaes.)

55119

M‑mode and two‑dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain:

(a) with:

(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

(ii) real time colour flow mapping from at least 2 acoustic windows; and

(iii) recordings on video tape or digital media; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (NK)

115.35

55120

M‑mode and two‑dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic or embolic disease or heart tumour:

(a) with:

(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

(ii) real time colour flow mapping from at least 2 acoustic windows; and

(iii) recordings on video tape or digital media; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (NK)

115.35

55121

M‑mode and two‑dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of congenital heart disease:

(a) with:

(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

(ii) real time colour flow mapping from at least 2 acoustic windows; and

(iii) recordings on video tape or digital media; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (NK)

115.35

55122

Exercise stress echocardiography performed in conjunction with item 11712:

(a) with:

(i) two‑dimensional recordings before exercise (baseline) from at least 3 acoustic windows; and

(ii) matching recordings from the same windows at, or immediately after, peak exercise; and

(iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (NK)

130.85

55123

Pharmacological stress echocardiography performed in conjunction with item 11712:

(a) with:

(i) two‑dimensional recordings before drug infusion (baseline) from at least 3 acoustic windows; and

130.85

(ii) matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose; and

(iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and

(b) not being a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3, or another item in this Subgroup (except items 55118, 55125, 55130 and 55131), applies (R) (NK)

55125

Heart, two‑dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level:

(a) with:

(i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and

(ii) recordings on video tape or digital medium; and

(b) not being an intra‑operative service or a service associated with a service to which an item in Subgroup 1 (except items 55026 and 55054) or 3 applies (R) (NK) (Anaes.)

137.75

55130

Intra‑operative two‑dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure, not being a service associated with a service to which item 55135 or 55136 applies (R) (K) (Anaes.)

170.00

55131

Intra‑operative two‑dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure, not being a service associated with a service to which item 55135 or 55136 applies (R) (NK) (Anaes.)

85.00

55135

Intra‑operative two‑dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac valve surgery (replacement or repair) incorporating sequential assessment of cardiac function and valve competence before and after the surgical procedure, not being a service associated with a service to which item 55130 or 55131 applies (R) (K) (Anaes.)

353.60

55136

Intra‑operative two‑dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac valve surgery (replacement or repair) incorporating sequential assessment of cardiac function and valve competence before and after the surgical procedure, not being a service associated with a service to which item 55130 or 55131 applies (R) (NK) (Anaes.)

176.80

Subgroup 3—Vascular

55220

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb or of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55221

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55222

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55223

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb or of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55224

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55226

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra‑cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri‑orbital Doppler examination, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55227

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra‑abdominal, aorta and iliac arteries or inferior vena cava and iliac veins or of intra‑abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55228

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels or of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55229

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra‑cranial vessels, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55230

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:

(a) by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent; and

(b) performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence; and

(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub‑specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and

(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55232

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:

(a) by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis; and

(b) if indicated, assess the progress and management of:

(i) priapism; or

(ii) fibrosis of any type; or

(iii) fracture of the tunica; or

(iv) arteriovenous malformations; and

84.75

(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub‑specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and

(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

55233

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous access grafts in the upper or lower limbs, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK)

84.75

55235

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or veins, or both, including any associated skin marking, for mapping of bypass conduit before vascular surgery, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054), 3 or 4 applies (R) (NK)

84.75

55236

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow spectral analysis and marking of veins in the lower limbs below the inguinal ligament before varicose vein surgery, including any associated skin marking, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054), 3 or 4 applies (R) (NK)

55.55

55238

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb or of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55244

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55246

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55248

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb or of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55252

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55274

Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra‑cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri‑orbital Doppler examination, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55276

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra‑abdominal, aorta and iliac arteries or inferior vena cava and iliac veins or of intra‑abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55278

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels or of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55280

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra‑cranial vessels, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55282

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:

(a) by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent; and

(b) performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence; and

(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub‑specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and

169.50

(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

55284

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:

(a) by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis; and

(b) if indicated, assess the progress and management of:

(i) priapism; or

(ii) fibrosis of any type; or

(iii) fracture of the tunica; or

(iv) arteriovenous malformations; and

(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub‑specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and

(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55292

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous access grafts in the upper or lower limbs, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K)

169.50

55294

Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or veins, or both, including any associated skin marking, for mapping of bypass conduit before vascular surgery, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054), 3 or 4 applies (R) (K)

169.50

55296

Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow spectral analysis and marking of veins in the lower limbs below the inguinal ligament before varicose vein surgery, including any associated skin marking, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054), 3 or 4 applies (R) (K)

111.05

Subgroup 4—Urological

55600

Prostate, bladder base and urethra, l ultrasound scan of, if performed:

(a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using one or more transducer probes that:

(i) have a nominal frequency of 7 to 7.5 MHz or a nominal frequency range that includes frequencies of 7 to 7.5 MHz; and

(ii) can obtain both axial and sagittal scans in 2 planes at right angles; and

(b) after a digital rectal examination of the prostate by that medical practitioner; and

(c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology, a consultant physician in medical oncology, who has:

(i) examined the patient in the 60 days before the scan; and

(ii) recommended the scan for the management of the patient’s current prostatic disease (R) (K)

109.10

55601

Prostate, bladder base and urethra, l ultrasound scan of, if performed:

(a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using one or more transducer probes that:

(i) have a nominal frequency of 7 to 7.5 MHz or a nominal frequency range that includes frequencies of 7 to 7.5 MHz; and

54.55

(ii) can obtain both axial and sagittal scans in 2 planes at right angles; and

(b) after a digital rectal examination of the prostate by that medical practitioner; and

(c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology, a consultant physician in medical oncology, who has:

(i) examined the patient in the 60 days before the scan; and

(ii) recommended the scan for the management of the patient’s current prostatic disease (R) (NK)

55603

Prostate, bladder base and urethra, ultrasound scan of, if performed:

(a) personally by a medical practitioner who made the assessment mentioned in paragraph (c) using one or more transducer probes that:

(i) have a nominal frequency of 7 to 7.5 MHz or a nominal frequency range that includes frequencies of 7 to 7.5 MHz; and

(ii) can obtain both axial and sagittal scans in 2 planes at right angles; and

(b) after a digital rectal examination of the prostate by that medical practitioner; and

(c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has:

(i) examined the patient in the 60 days before the scan; and

(ii) recommended the scan for the management of the patient’s current prostatic disease (R) (K)

109.10

55604

Prostate, bladder base and urethra, ultrasound scan of, if performed:

(a) personally by a medical practitioner who made the assessment mentioned in paragraph (c) using one or more transducer probes that:

(i) have a nominal frequency of 7 to 7.5 MHz or a nominal frequency range that includes frequencies of 7 to 7.5 MHz; and

(ii) can obtain both axial and sagittal scans in 2 planes at right angles; and

(b) after a digital rectal examination of the prostate by that medical practitioner; and

(c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has:

(i) examined the patient in the 60 days before the scan; and

(ii) recommended the scan for the management of the patient’s current prostatic disease (R) (NK)

54.55

Subgroup 5—Obstetric and gynaecological

55700

Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) one or more of the conditions mentioned in subclause 2.1.6(1) are present (R) (K)

60.00

55701

Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) one or more of the conditions mentioned in subclause 2.1.6(1) are present (R) (NK)

30.00

55702

Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) one or more of the conditions mentioned in subclause 2.1.6(1) are present (NR) (NK)

17.50

55703

Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) one or more of the conditions mentioned in subclause 2.1.6(1) are present (NR) (K)

35.00

55704

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

70.00

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) one or more of the conditions mentioned in subclause 2.1.6(1) are present (R) (K)

55705

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) one or more of the conditions mentioned in subclause 2.1.6(1) are present (NR) (K)

35.00

55706

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) the service is not performed in the same pregnancy as item 55709 or 55717 (R) (K)

100.00

55707

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the pregnancy (as confirmed by ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and

(g) the service is not performed with item 55700, 55701, 55702, 55703, 55704, 55705, 55710 or 55711 on the same patient within 24 hours; and

(h) one or more of the conditions mentioned in subclause 2.1.6(1) are present (NR) (K)

70.00

55708

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner or participating midwife; and

(b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84 mm; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and

35.00

(e) the service is not performed with item 55700, 55701, 55702, 55703, 55704, 55705, 55710 or 55711 on the same patient within 24 hours; and

(f) one or more of the conditions mentioned in subclause 2.1.6(1) are present (NR) (K)

55709

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) the service is not performed in the same pregnancy as item 55706 or 55713 (NR) (K)

38.00

55710

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) one or more of the conditions mentioned in subclause 2.1.6(1) are present (R) (NK)

35.00

55711

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) one or more of the conditions mentioned in subclause 2.1.6(1) are present (NR) (NK)

17.50

55712

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is referred by a medical practitioner who:

(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706, 55709, 55713 or 55717 (R) (K)

115.00

55713

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) the service is not performed in the same pregnancy as item 55709 or 55717 (R) (NK)

50.00

55714

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the pregnancy (as confirmed by ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

35.00

(f) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and

(g) the service is not performed with item 55700, 55701, 55702, 55703, 55704, 55705, 55710 or 55711 on the same patient within 24 hours; and

(h) one or more of the conditions mentioned in subclause 2.1.6(1) are present (NR) (NK)

55715

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706, 55709, 55713 or 55717 (NR) (K)

40.00

55716

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner or participating midwife; and

(b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84 mm; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and

17.50

(e) the service is not performed with item 55700, 55701, 55702, 55703, 55704, 55705, 55710 or 55711on the same patient within 24 hours; and

(f) one or more of the conditions mentioned in subclause 2.1.6(1) are present (NR) (NK)

55717

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) the service is not performed in the same pregnancy as item 55706 or 55713 (NR) (NK)

19.00

55718

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) the service is not performed in the same pregnancy as item 55723 or 55726; and

(g) one or more of the conditions mentioned in subclause 2.1.6(2) are present (R) (K)

100.00

55719

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is referred by a medical practitioner who:

(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706, 55709, 55713 or 55717 (R) (NK)

57.50

55720

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

20.00

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706, 55709, 55713 or 55717 (NR) (NK)

55721

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner who:

(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726 applies (R) (K)

115.00

55722

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner or participating midwife; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

50.00

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(e) if the patient is referred by a participating midwife—the midwife does not have a business or financial arrangement with the providing practitioner; and

(f) the service is not performed in the same pregnancy as item 55723 or 55726; and

(g) one or more of the conditions mentioned in subclause 2.1.6(2) are present (R) (NK)

55723

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) the service is not performed in the same pregnancy as item 55718 or 55722; and

(e) one or more of the conditions mentioned in subclause 2.1.6(2) are present (NR) (K)

38.00

55724

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is referred by a medical practitioner who:

(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

57.50

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726 applies (R) (NK)

55725

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726 applies (NR) (K)

40.00

55726

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

19.00

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) the service is not performed in the same pregnancy as item 55718 or 55722; and

(e) one or more of the conditions mentioned in subclause 2.1.6(2) are present (NR) (NK)

55727

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) the patient is not referred by a medical practitioner; and

(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(d) further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726 applies (NR) (NK)

30.00

55729

Duplex scanning, if:

(a) the service involves:

(i) B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of the umbilical artery; and

(ii) measured assessment of amniotic fluid volume after the 24th week of gestation; and

(b) the patient is referred by a medical practitioner for this procedure; and

(c) there is reason to suspect intrauterine growth retardation or a significant risk of fetal death; and

(d) the service is not associated with a service to which an item in this group applies;

—examination and report (R) (K)

27.25

55730

Duplex scanning, if:

(a) the service involves:

(i) B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of the umbilical artery; and

(ii) measured assessment of amniotic fluid volume after the 24th week of gestation; and

(b) the patient is referred by a medical practitioner for this procedure; and

(c) there is reason to suspect intrauterine growth retardation or a significant risk of fetal death; and

(d) the service is not associated with a service to which an item in this group applies;

—examination and report (R) (NK)

13.65

55735

Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if:

(a) the patient is referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) the medical practitioner is not a member of a group of medical practitioners of which the providing practitioner is a member; and

(d) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R) (NK)

63.50

55736

Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if:

(a) the patient is referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) the medical practitioner is not a member of a group of medical practitioners of which the providing practitioner is a member; and

(d) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R) (K)

127.00

55737

Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR) (NK)

28.50

55739

Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if:

(a) the patient is not referred by a medical practitioner; and

(b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR) (K)

57.00

55759

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) ultrasound of the same pregnancy confirms a multiple pregnancy; and

(d) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) the service mentioned in item 55706, 55709, 55712, 55713, 55715, 55717, 55719, 55720, 55762 or 55763 is not performed in conjunction with the scan during the same pregnancy (R) (K)

150.00

55760

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is referred by a medical practitioner; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) ultrasound of the same pregnancy confirms a multiple pregnancy; and

(d) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) the service mentioned in item 55706, 55709, 55712, 55713, 55715, 55717, 55719, 55720, 55762 or 55763 is not performed in conjunction with the scan during the same pregnancy (R) (NK)

75.00

55762

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is not referred by a medical practitioner; and

(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and

(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) the service mentioned in item 55706, 55709, 55712, 55713, 55715, 55717, 55719, 55720, 55759 or 55760 is not performed in conjunction with the scan during the same pregnancy (NR) (K)

60.00

55763

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is not referred by a medical practitioner; and

(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and

(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) the service mentioned in item 55706, 55709, 55712, 55713, 55715, 55717, 55719, 55720, 55759 or 55760 is not performed in conjunction with the scan during the same pregnancy (NR) (NK)

30.00

55764

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is referred by a medical practitioner who:

(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) ultrasound of the same pregnancy confirms a multiple pregnancy; and

160.00

(d) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) further examination is clinically indicated in the same pregnancy in which item 55759, 55760, 55762 or 55763 has been performed; and

(g) the service mentioned in item 55706, 55709, 55712, 55713, 55715, 55717, 55719 or 55720 is not performed in conjunction with the scan during the same pregnancy (R) (K)

55765

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:

(a) the patient is referred by a medical practitioner who:

(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) ultrasound of the same pregnancy confirms a multiple pregnancy; and

(d) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

80.00

`

(f) further examination is clinically indicated in the same pregnancy in which item 55759, 55760, 55762 or 55763 has been performed; and

(g) the service mentioned in item 55706, 55709, 55712, 55713, 55715, 55717, 55719 or 55720 is not performed in conjunction with the scan during the same pregnancy (R) (NK)

55766

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) the patient is not referred by a medical practitioner; and

(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and

(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) further examination is clinically indicated in the same pregnancy in which item 55759, 55760, 55762 or 55763 has been performed; and

(f) the service mentioned in item 55706, 55709, 55712, 55713, 55715, 55717, 55719 or 55720 is not performed in conjunction with the scan during the same pregnancy (NR) (K)

65.00

55767

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) the patient is not referred by a medical practitioner; and

(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and

32.50

(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(e) further examination is clinically indicated in the same pregnancy in which item 55759, 55760, 55762 or 55763 has been performed; and

(f) the service mentioned in item 55706, 55709, 55712, 55713, 55715, 55717, 55719 or 55720 is not performed in conjunction with the scan during the same pregnancy (NR) (NK)

55768

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(b) the ultrasound confirms a multiple pregnancy; and

(c) the patient is referred by a medical practitioner; and

(d) the service is not performed in the same pregnancy as item 55770 or 55771; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(g) the service mentioned in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (R) (K)

150.00

55769

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(b) the ultrasound confirms a multiple pregnancy; and

75.00

(c) the patient is referred by a medical practitioner; and

(d) the service is not performed in the same pregnancy as item 55770 or 55771; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(g) the service mentioned in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (R) (NK)

55770

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(b) the ultrasound confirms a multiple pregnancy; and

(c) the patient is not referred by a medical practitioner; and

(d) the service is not performed in the same pregnancy as item 55768 or 55769; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) the service mentioned in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (NR) (K)

60.00

55771

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(b) the ultrasound confirms a multiple pregnancy; and

(c) the patient is not referred by a medical practitioner; and

(d) the service is not performed in the same pregnancy as item 55768 or 55769; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) the service mentioned in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (NR) (NK)

30.00

55772

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and

(b) the patient is referred by a medical practitioner who:

(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(c) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

160.00

(d) further examination is clinically indicated in the same pregnancy to which item 55768, 55769, 55770 or 55771 has been performed; and

(e) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and

(f) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(g) the service mentioned in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (R) (K)

55773

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:

(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and

(b) the patient is referred by a medical practitioner who:

(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or

(ii) has a Diploma of Obstetrics; or

(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or

(iv) has obstetric privileges at a non‑metropolitan hospital; and

(c) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) further examination is clinically indicated in the same pregnancy to which item 55768, 55769, 55770 or 55771 has been performed; and

(e) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and

80.00

(f) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(g) the service mentioned in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (R) (NK)

55774

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and

(b) the patient is not referred by a medical practitioner; and

(c) further examination is clinically indicated in the same pregnancy to which item 55768, 55769, 55770 or 55771 has been performed; and

(d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) the service mentioned in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (NR) (K)

65.00

55775

Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:

(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and

(b) the patient is not referred by a medical practitioner; and

(c) further examination is clinically indicated in the same pregnancy to which item 55768, 55769, 55770 or 55771 has been performed; and

32.50

(d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and

(e) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(f) the service mentioned in item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 is not performed in conjunction with the scan during the same pregnancy (NR) (NK)

Subgroup 6—Musculoskeletal ultrasound

55800

Hand or wrist, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55801

Hand or wrist, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55802

Hand or wrist, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55803

Hand or wrist, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55804

Forearm or elbow, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55805

Forearm or elbow, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55806

Forearm or elbow, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55807

Forearm or elbow, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55808

Shoulder or upper arm, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

(e) the service is used for the assessment of one or more of the following suspected or known conditions:

(i) an injury to a muscle, tendon or muscle/tendon junction;

(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus, infraspinatus);

(iii) biceps subluxation;

(iv) capsulitis and bursitis;

(v) a mass, including a ganglion;

(vi) an occult fracture;

(vii) acromioclavicular joint pathology (R) (K)

109.10

55809

Shoulder or upper arm, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

54.55

(e) the service is used for the assessment of one or more of the following suspected or known conditions:

(i) an injury to a muscle, tendon or muscle/tendon junction;

(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus, infraspinatus);

(iii) biceps subluxation;

(iv) capsulitis and bursitis;

(v) a mass, including a ganglion;

(vi) an occult fracture;

(vii) acromioclavicular joint pathology (R) (NK)

55810

Shoulder or upper arm, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(c) the service is used for the assessment of one or more of the following suspected or known conditions:

(i) an injury to a muscle, tendon or muscle/tendon junction;

(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus, infraspinatus);

(iii) biceps subluxation;

(iv) capsulitis and bursitis;

(v) a mass, including a ganglion;

(vi) an occult fracture;

(vii) acromioclavicular joint pathology (NR) (K)

37.85

55811

Shoulder or upper arm, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(c) the service is used for the assessment of one or more of the following suspected or known conditions:

(i) an injury to a muscle, tendon or muscle/tendon junction;

(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus, infraspinatus);

18.95

(iii) biceps subluxation;

(iv) capsulitis and bursitis;

(v) a mass, including a ganglion;

(vi) an occult fracture;

(vii) acromioclavicular joint pathology (NR) (NK)

55812

Chest or abdominal wall, one or more areas, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55813

Chest or abdominal wall, one or more areas, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55814

Chest or abdominal wall, one or more areas, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55815

Chest or abdominal wall, one or more areas, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55816

Hip or groin, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55817

Hip or groin, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55818

Hip or groin, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55819

Hip or groin, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55820

Paediatric hip examination for dysplasia, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55821

Paediatric hip examination for dysplasia, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55822

Paediatric hip examination for dysplasia one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55823

Paediatric hip examination for dysplasia one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55824

Buttock or thigh, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55825

Buttock or thigh, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55826

Buttock or thigh, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55827

Buttock or thigh, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55828

Knee, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

(e) the service is used for the assessment of one or more of the following suspected or known conditions:

(i) abnormality of tendons or bursae about the knee;

(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;

(iii) a nerve entrapment or a nerve or nerve sheath tumour;

(iv) an injury of collateral ligaments (R) (K)

109.10

55829

Knee, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and

(e) the service is used for the assessment of one or more of the following suspected or known conditions:

(i) abnormality of tendons or bursae about the knee;

(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;

(iii) a nerve entrapment or a nerve or nerve sheath tumour;

(iv) an injury of collateral ligaments (R) (NK)

54.55

55830

Knee, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(c) the service is used for the assessment of one or more of the following suspected or known conditions:

(i) abnormality of tendons or bursae about the knee;

(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;

(iii) a nerve entrapment or a nerve or nerve sheath tumour;

(iv) an injury of collateral ligaments (NR) (K)

37.85

55831

Knee, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner; and

(c) the service is used for the assessment of one or more of the following suspected or known conditions:

(i) abnormality of tendons or bursae about the knee;

(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;

(iii) a nerve entrapment or a nerve or nerve sheath tumour;

(iv) an injury of collateral ligaments (NR) (NK)

18.95

55832

Lower leg, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55833

Lower leg, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55834

Lower leg, one or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55835

Lower leg, one or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55836

Ankle or hind foot, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner, participating nurse practitioner or podiatrist; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55837

Ankle or hind foot, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner, participating nurse practitioner or podiatrist; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55838

Ankle or hind foot, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55839

Ankle or hind foot, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55840

Mid foot or fore foot, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner, participating nurse practitioner or podiatrist; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55841

Mid foot or fore foot, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner, participating nurse practitioner or podiatrist; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55842

Mid foot or fore foot, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55843

Mid foot or fore foot, one or both sides, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55844

Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner, participating nurse practitioner or podiatrist; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

87.35

55845

Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner, participating nurse practitioner or podiatrist; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

43.70

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

55846

Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55847

Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

55848

Musculoskeletal cross‑sectional echography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this group applies, and not performed in conjunction with item 55026 or 55054 (R) (K)

109.10

55849

Musculoskeletal cross‑sectional echography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this group applies, and not performed in conjunction with item 55026 or 55054 (R) (NK)

54.55

55850

Musculoskeletal cross‑sectional echography, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, if:

(a) the patient is referred by a medical practitioner or participating nurse practitioner; and

(b) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial relationship with the providing practitioner; and

(d) the medical practitioner or nurse practitioner has indicated on a referral for a musculoskeletal ultrasound that an ultrasound guided intervention be performed if clinically indicated; and

(e) the service is not performed in conjunction with item 55026, 55054 or 55800 to 55849 (R) (K)

152.85

55851

Musculoskeletal cross‑sectional echography, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, if:

(a) the patient is referred by a medical practitioner or participating nurse practitioner; and

(b) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(c) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial relationship with the providing practitioner; and

(d) the medical practitioner or nurse practitioner has indicated on a referral for a musculoskeletal ultrasound that an ultrasound guided intervention be performed if clinically indicated; and

(e) the service is not performed in conjunction with item 55026, 55054 or 55800 to 55849 (R) (NK)

76.45

55852

Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (K)

109.10

55853

Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is referred by a medical practitioner or participating nurse practitioner; and

(c) if the patient is referred by a medical practitioner—the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

(d) if the patient is referred by a participating nurse practitioner—the nurse practitioner does not have a business or financial arrangement with the providing practitioner (R) (NK)

54.55

55854

Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (K)

37.85

55855

Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of, if:

(a) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

(b) the patient is not referred by a medical practitioner or participating nurse practitioner (NR) (NK)

18.95

56001

Computed tomography—scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R) (K) (Anaes.)

195.05

56007

Computed tomography—scan of brain with intravenous contrast medium and with any scans of the brain before intravenous contrast injection, when performed, not being a service to which item 57007 applies (R) (K) (Anaes.)

250.00

56010

Computed tomography—scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when performed (R) (K) (Anaes.)

252.10

56013

Computed tomography—scan of orbits with or without intravenous contrast medium and with or without brain scan when performed (R) (K) (Anaes.)

250.00

56016

Computed tomography—scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (K) (Anaes.)

290.00

56022

Computed tomography—scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) (K) (Anaes.)

225.00

56028

Computed tomography—scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both before intravenous contrast injection, when performed (R) (K) (Anaes.)

336.80

56030

Computed tomography—scan of facial bones, para nasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (K) (Anaes.)

225.00

56036

Computed tomography—scan of facial bones, para nasal sinuses or both, with scan of brain, with intravenous contrast medium, if:

(a) a scan without intravenous contrast medium has been performed; and

(b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (K) (Anaes.)

336.80

56041

Computed tomography—scan of brain without intravenous contrast medium, not being a service to which item 57041 applies (R) (NK) (Anaes.)

98.75

56047

Computed tomography—scan of brain with intravenous contrast medium and with any scans of the brain before intravenous contrast injection, when performed, not being a service to which item 57047 applies (R) (NK) (Anaes.)

126.10

56050

Computed tomography—scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when performed (R) (NK) (Anaes.)

128.20

56053

Computed tomography—scan of orbits with or without intravenous contrast medium and with or without brain scan when performed (R) (NK) (Anaes.)

128.20

56056

Computed tomography—scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (NK) (Anaes.)

155.45

56062

Computed tomography—scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) (NK) (Anaes.)

113.15

56068

Computed tomography—scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both before intravenous contrast injection, when performed (R) (NK) (Anaes.)

168.40

56070

Computed tomography—scan of facial bones, para nasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (NK) (Anaes.)

113.15

56076

Computed tomography—scan of facial bones, para nasal sinuses or both, with scan of brain, with intravenous contrast medium, if:

(a) a scan without intravenous contrast medium has been performed; and

(b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (NK) (Anaes.)

168.40

56101

Computed tomography—scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56801 applies (R) (K) (Anaes.)

230.00

56107

Computed tomography—scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine)—with intravenous contrast medium and with any scans of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) before intravenous contrast injection, when undertaken, not being a service associated with a service to which item 56807 applies (R) (K) (Anaes.)

340.00

56141

Computed tomography—scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56841 applies (R) (NK) (Anaes.)

116.45

56147

Computed tomography—scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine)—with intravenous contrast medium and with any scans of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) before intravenous contrast injection, when performed, not being a service associated with a service to which item 56847 applies (R) (NK) (Anaes.)

171.60

56219

Computed tomography—scan of spine, one or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X‑rays, not being a service to which item 59724 or 59275 applies (R) (K) (Anaes.)

326.20

56220

Computed tomography—scan of spine, cervical region, without intravenous contrast medium (R) (K) (Anaes.)

240.00

56221

Computed tomography—scan of spine, thoracic region, without intravenous contrast medium (R) (K) (Anaes.)

240.00

56223

Computed tomography—scan of spine, lumbosacral region, without intravenous contrast medium (R) (K) (Anaes.)

240.00

56224

Computed tomography—scan of spine, cervical region, with intravenous contrast medium and with any scans of the cervical region of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.)

351.40

56225

Computed tomography—scan of spine, thoracic region, with intravenous contrast medium and with any scans of the thoracic region of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.)

351.40

56226

Computed tomography—scan of spine, lumbosacral region, with intravenous contrast medium and with any scans of the lumbosacral region of the spine prior to intravenous contrast injection when undertaken (R) (K) (Anaes.)

351.40

56227

Computed tomography—scan of spine, cervical region, without intravenous contrast medium (R) (NK) (Anaes.)

122.50

56228

Computed tomography—scan of spine, thoracic region, without intravenous contrast medium (R) (NK) (Anaes.)

122.50

56229

Computed tomography—scan of spine, lumbosacral region, without intravenous contrast medium (R) (NK) (Anaes.)

122.50

56230

Computed tomography—scan of spine, cervical region, with intravenous contrast medium and with any scans to the cervical region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)

177.45

56231

Computed tomography—scan of spine, thoracic region, with intravenous contrast medium and with any scans to the cervical region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)

177.45

56232

Computed tomography—scan of spine, lumbosacral region, with intravenous contrast medium and with any scans to the lumbosacral region of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)

177.45

56233

Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56220, 56221 and 56223, without intravenous contrast medium (R) (K) (Anaes.)

240.00

56234

Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56224, 56225 and 56226, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.)

351.40

56235

Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56227, 56228 and 56229, without intravenous contrast medium (R) (NK) (Anaes.)

122.45

56236

Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56230, 56231 and 56232, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)

177.45

56237

Computed tomography—scan of spine, 3 regions cervical, thoracic and lumbosacral, without intravenous contrast medium (R) (K) (Anaes.)

240.00

56238

Computed tomography—scan of spine, 3 regions, cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (K) (Anaes.)

351.40

56239

Computed tomography—scan of spine, 3 regions, cervical, thoracic and lumbosacral, without intravenous contrast medium (R) (NK) (Anaes.)

122.45

56240

Computed tomography—scan of spine, 3 regions, cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (NK) (Anaes.)

177.45

56259

Computed tomography—scan of spine, one or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X‑rays, not being a service to which item 59724 or 59275 applies (R) (NK) (Anaes.)

164.80

56301

Computed tomography—scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)

295.00

56307

Computed tomography—scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest, including lungs, mediastinum, chest wall or pleura and upper abdomen before intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)

400.00

56341

Computed tomography—scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56841 or 57041 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)

149.45

56347

Computed tomography—scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest, including lungs, mediastinum, chest wall or pleura and upper abdomen before intravenous contrast injection, when undertaken, not being a service to which item 56847 or 57047 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)

202.00

56401

Computed tomography—scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56301, 56501, 56801 or 57001 applies (R) (K) (Anaes.)

250.00

56407

Computed tomography—scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium, and with any scans of upper abdomen (diaphragm to iliac crest) before intravenous contrast injection, when undertaken, not being a service to which item 56307, 56507, 56807 or 57007 applies (R) (K) (Anaes.)

360.00

56409

Computed tomography—scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item 56401 applies (R) (K) (Anaes.)

250.00

56412

Computed tomography—scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) before intravenous contrast injection, when undertaken, not being a service to which item 56407 applies (R) (K) (Anaes.)

360.00

56441

Computed tomography—scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56341, 56541, 56841 or 57041 applies (R) (NK) (Anaes.)

126.80

56447

Computed tomography—scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium, and with any scans of upper abdomen (diaphragm to iliac crest) before intravenous contrast injection, when performed, not being a service to which item 56347, 56547, 56847 or 57047 applies (R) (NK) (Anaes.)

181.50

56449

Computed tomography—scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item 56441 applies (R) (NK) (Anaes.)

126.80

56452

Computed tomography—scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) before intravenous contrast injection, when undertaken, not being a service to which item 56447 applies (R) (NK) (Anaes.)

181.50

56501

Computed tomography—scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy and not being a service to which item 56801 or 57001 applies (R) (K) (Anaes.)

385.00

56507

Computed tomography—scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis before intravenous contrast injection, when performed, not for the purposes of virtual colonoscopy and not being a service to which item 56807 or 57007 applies (R) (K) (Anaes.)

480.05

56541

Computed tomography—scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy and not being a service to which item 56841 or 57041 applies (R) (NK) (Anaes.)

193.15

56547

Computed tomography—scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis before intravenous contrast injection, when performed, not for the purposes of virtual colonoscopy and not being a service to which item 56847 or 57047 applies (R) (NK) (Anaes.)

243.75

56552

Computed tomography—scan of colon for exclusion of colorectal neoplasia in symptomatic or high risk patients if:

(a) the patient has had an incomplete colonoscopy in the 3 months before the scan; and

(b) the date of incomplete colonoscopy is set out on the request for scan; and

(c) the service is not a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) (K) (Anaes.)

600.00

56554

Computed tomography—scan of colon for exclusion of colorectal neoplasia in symptomatic or high risk patients if:

(a) the request for scan states that one of the following contraindications to colonoscopy is present:

(i) suspected perforation of the colon;

(ii) complete or high‑grade obstruction that will not allow passage of the scope; and

(b) the service must not be a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) (K) (Anaes.)

600.00

56619

Computed tomography—scan of extremities, one or more regions without intravenous contrast medium (R) (K) (Anaes.)

220.00

56625

Computed tomography—scan of extremities, one or more regions with intravenous contrast medium and with any scans of extremities before intravenous contrast injection, when performed (R) (K) (Anaes.)

334.65

56659

Computed tomography—scan of extremities, one or more regions without intravenous contrast medium (R) (NK) (Anaes.)

112.10

56665

Computed tomography—scan of extremities, one or more regions with intravenous contrast medium and with any scans of extremities before intravenous contrast injection, when performed (R) (NK) (Anaes.)

167.40

56801

Computed tomography—scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)

466.55

56807

Computed tomography—scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)

560.00

56841

Computed tomography—scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)

233.35

56847

Computed tomography—scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)

283.85

57001

Computed tomography—scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)

466.65

57007

Computed tomography—scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.)

567.75

57041

Computed tomography—scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)

233.40

57047

Computed tomography—scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.)

283.90

57201

Computed tomography—pelvimetry (R) (K) (Anaes.)

155.20

57247

Computed tomography—pelvimetry (R) (NK) (Anaes.)

77.55

57341

Computed tomography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R) (K) (Anaes.)

470.00

57345

Computed tomography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R) (NK) (Anaes.)

241.60

57350

Computed tomography—spiral angiography with intravenous contrast medium including any scans performed before intravenous contrast injection—one or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, if:

(a) the service is not a service to which another item in this group applies; and

(b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and

(c) the service has not been performed on the same patient within the previous 12 months; and

(d) the service is not a study performed to image the coronary arteries (R) (K) (Anaes.)

510.00

57351

Computed tomography—spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection—one or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, if:

(a) the service is not a service to which another item in this group applies; and

(b) the service is performed for the exclusion of acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post‑operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and

(c) a service to which item 57350 or 57355 applies has been performed on the same patient within the previous 12 months; and

(d) the service is not a study performed to image the coronary arteries (R) (K) (Anaes.)

510.00

57355

Computed tomography—spiral angiography with intravenous contrast medium including any scans performed before intravenous contrast injection—one or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, if:

(a) the service is not a service to which another item in this group applies; and

(b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and

(c) the service has not been performed on the same patient within the previous 12 months; and

(d) the service is not a study performed to image the coronary arteries (R) (NK) (Anaes.)

264.15

57356

Computed tomography—spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection—one or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, if:

(a) the service is not a service to which another item in this group applies; and

(b) the service is performed for the exclusion of acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post‑operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and

(c) the service to which item 57350 or 57355 applies has been performed on the same patient within the previous 12 months; and

(d) the service is not a study performed to image the coronary arteries (R) (NK) (Anaes.)

264.15

57360