Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_55864
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 55864
Character Range: 115873–117067

55864                                  Shoulder or upper arm, or both, left or right, ultrasound scan of, if                                                                                                                                                                                                           110.75
                                       (a) 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 or infraspinatus);
                                       (iii) biceps subluxation;
                                       (iv) capsulitis and bursitis;
                                       (v) a mass, including a ganglion;
                                       (vi) an occult fracture;
                                       (vii) acromioclavicular joint pathology; and
                                       (b) the service is not performed in conjunction with a service mentioned in item 55866 (R)