Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_55146:p1
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 55146 (pt 1/2)
Character Range: 157515–160872

55146                                                Pharmacological stress echocardiography if:                                                                                                                                                                                                                                                                                              483.85
                                                     (a) a service to which item 55141 applies has been performed on the patient in the previous 4 weeks, and the test has failed due to an inadequate heart rate response; and
                                                     (b) the service is not associated with a service to which:
                                                     (i) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or
                                                     (ii) an item in Subgroup 3 applies
                                                     Applicable not more than once in a 24 month period (R)

Division 2.2—Group I2: computed tomography (examination)

Subdivision A—General

2.2.1  CT services—eligible services
 (1) Items in this Division (other than items 57360 and 57364) apply to a CT service that is:
 (a) performed under the supervision of a specialist in the specialty of diagnostic radiology who is available:
 (i) to monitor and influence the conduct and diagnostic quality of the examination; and
 (ii) if necessary, to attend on the patient personally; and
 (b) reported by a specialist in the specialty of diagnostic radiology.
 (2) Items 57360 and 57364 apply to a CT service that is:
 (a) performed under the supervision of a specialist or consultant physician who is recognised by the Conjoint Committee for the Recognition of Training in CT Coronary Angiography and available:
 (i) to monitor and influence the conduct and diagnostic quality of the examination; and
 (ii) if necessary, to attend on the patient personally; and
 (b) reported by a specialist or consultant physician who is recognised by the Conjoint Committee for the Recognition of Training in CT Coronary Angiography.
 (3) However, items in this Division apply to a CT service that does not comply with the requirements mentioned in subclause (1) or (2) if the service is performed:
 (a) in an emergency; or
 (b) because of medical necessity, in a remote location.

2.2.2  Restriction on items—attenuation correction and anatomical correlation
  Items in this Division do not apply to a CT service that is performed for the purpose of attenuation correction or anatomical correlation of another diagnostic imaging procedure.

2.2.3  Application of items 56001 and 56007 if axial scan performed for exclusion of acoustic neuroma
  If an axial scan is performed for the exclusion of acoustic neuroma, item 56001 or 56007 applies instead of any other item in this Schedule that might be taken to apply to the service.

2.2.4  CT services—assessment of headache
 (1) If the service mentioned in item 56007 or 56036 is used for the assessment of a headache of a patient to whom this clause applies, the fee mentioned in the item applies only if:
 (a) a scan without intravenous contrast medium has been performed on the patient; and
 (b) the service is required because the result of the scan is abnormal.
 (2) This clause applies to