Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_63547
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 63547
Character Range: 382664–385906

63547                                                                                                          MRI—scan of both breasts for the detection of cancer, if:                                                                                                                                                                                                       690.00
                                                                                                               (a) a dedicated breast coil is used; and
                                                                                                               (b) the request for the scan identifies that:
                                                                                                               (i) the patient has a breast implant in situ; and
                                                                                                               (ii) anaplastic large cell lymphoma has been diagnosed
                                                                                                               (R) (Anaes.) (Contrast)

Subdivision C—Subgroup 20 of Group I5: scans of pelvis and upper abdomen for specified conditions

2.5.11  Restriction on items 63470, 63473, 63740 and 63743
 (1) Item 63470 does not apply to the service mentioned in that item if the person to whom the service is provided has previously been provided with that service or a service mentioned in item 63473.
 (2) Item 63473 does not apply to the service mentioned in that item if the person to whom the service is provided has previously been provided with that service or a service mentioned in item 63470.
 (3) For any patient, if the service mentioned in item 63740 is provided for assessment of change to therapy in a patient with small bowel Crohn's disease, the item applies to that service only once in a 12 month period.
 (4) For any patient, if the service mentioned in item 63743 is provided for assessment of change to therapy of pelvis sepsis and fistulas from Crohn's disease, the item applies to that service only once in a 12 month period.

2.5.13  Items in Subgroup 20 of Group I5
  This clause sets out items in Subgroup 20 of Group I5.
Note: The fees in Group I5 are indexed in accordance with clause 2.7.1.

Group I5—Magnetic resonance imaging
Column 1                                                               Column 2                                                                                                                                                                                                                                                                                                                              Column 3

Item                                                                   Description                                                                                                                                                                                                                                                                                                                           Fee ($)
Subgroup 20—Scan of pelvis and upper abdomen—for specified conditions