Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_55603
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 55603
Character Range: 70091–73748

55603                  Prostate, bladder base and urethra, ultrasound scan of, if performed:                                                                                                                                                                                                                                                                                                                                                       110.75
                       (a) personally by a medical practitioner who made the assessment mentioned in paragraph (c) using one or more transducer probes that 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:
                       (i) a specialist in urology, radiation oncology or medical oncology; or
                       (ii) a consultant physician in medical oncology;
                        who has:
                       (iii) examined the patient in the 60 days before the scan; and
                       (iv) recommended the scan for the management of the patient's current prostatic disease (R)

Subdivision C—Subgroup 5 of Group I1: obstetric and gynaecological

2.1.4  Obstetric and gynaecological ultrasound services—limits
 (1) For NR‑type diagnostic imaging services mentioned in an item in this Subdivision (other than item 55758), the specified fee for no more than 3 services provided to the same patient in any one pregnancy applies.
 (2) For any patient, items 55706, 55707, 55708, 55709, 55718, 55723, 55742, 55743, 55759, 55762, 55768 and 55770 are applicable only once in a pregnancy.

2.1.5  Obstetric and gynaecological services—referrals and clinical notes
 (1) A referral for a service mentioned in item 55700, 55704, 55707, 55712, 55718, 55721, 55740, 55742, 55757, 55759, 55764, 55768 and 55772 must state the relevant condition or clinical indication for the service.
 (2) If a referral for a service mentioned in item 55712, 55721, 55764 or 55772 is given by a medical practitioner who has obstetric privileges at a non‑metropolitan hospital, the referral must also state the words 'non‑metropolitan obstetric privileges'.
 (3) A medical practitioner's clinical notes for a service mentioned in item 55703, 55705, 55708, 55715, 55723, 55725, 55741, 55743, 55758, 55762, 55766, 55770 or 55774 must state the relevant condition or clinical indication for the service.

2.1.6  Items in Subgroup 5 of Group I1
  This clause sets out items in Subgroup 5 of Group I1.
Note: The fees in Group I1 are indexed in accordance with clause 2.7.1.

Group I1—Ultrasound
Column 1                                 Column 2                                                                                                                                                                                                                                                                                                                                                                                                Column 3

Item                                     Diagnostic imaging service                                                                                                                                                                                                                                                                                                                                                                              Fee ($)
Subgroup 5—Obstetric and gynaecological