MRI
ARE YOUR PATIENTS ELIGIBLE FOR A MEDICARE REBATE?
For your patient to be eligible for a Medicare rebate they must have a specialist referral and not exceed the indications as listed below:
Number of scans per patient per year allowed
Brain and ENT
- tumour of the brain or meninges - Unlimited;
- skull base or orbital tumour - Unlimited;
- acoustic neuroma - 3;
- pituitary tumour - 3;
- inflammation of the brain or meninges - Unlimited;
- toxic, ischaemic or metabolic encephalopathy - 3;
- demyelinating disease - 3;
- congential malformation - 3;
- venous sinus thrombosis - 3;
- head trauma - 3;
- epilepsy - 3;
- stereotactic scan for neurosurgery planning - Unlimited;
- intracranial aneurysm - 3;
- intracranial arterio-venous malformation - 3.
MR investigation for Stroke
- MRI of brain only - 3;
- MRI of brain and MRA Intracranial vessels - 3;
- MRI of brain and MRA Extracranial vessels - 3;
- MRI of brain and MRA I/C and E/C vessels - 3.
MR Angiography
- vascular abnormality - previous anaphylactic reaction to iodinated contrast medium - 3;
- obstruction to vena cava or major pelvic vein - 3.
Paediatrics <16 years of age
- pelvic or abdominal mass - Unlimited;
- mediastinal mass - Unlimited;
- congenital uterine or anorectal abnormality - Unlimited;
- post-inflammatory or post-traumatic physeal fusion - 2.
Spine
- infection - Unlimited;
- tumour - Unlimited;
- demyelinating disease - 3;
- congenital malformation - 3;
- myelopathy - 3;
- syrinx (congenital or acquired) - 3;
- cervical radiculopathy - 3;
- sciatica - 3;
- spinal canal stenosis - 3;
- previous spinal surgery - 3;
- trauma - 3.
Musculoskeletal System
Internal derangement of the:
- shoulder - 3;
- elbow - 3;
- hand/Wrist - 3;
- hip - 3;
- knee - 3;
- foot/Ankle - 3;
- temporomandibular joint - 3;
- brachial Plexus - 3;
- tumour arising in MSK system - Unlimited;
- infection arising in MSK system - Unlimited;
- osteonecrosis - Unlimited.
Body
- adrenal mass in a patient with malignancy which is otherwise resectable - 1;
- MRCP - suspected biliary or pancreatic pathology - 3;
- liver (non-rebateable) - n/a;
- rectal cancer staging (non-rebateable) - n/a;
- prostate (non-rebateable) - n/a;
- breast (non-rebateable) - n/a;
- cervical cancer = Stage 1B - 1.
Cardiovascular System
- congenital disease of the heart or great vessel - 2
- tumour of the heart or great vessel - 2;
- abnormality of the thoracic aorta - 2;
- cardiac function (non-rebateable) - n/a;
- cardiac valvular (non-rebateable) - n/a;
- cardiac viability (non-rebateable) - n/a.
If you would like any further information, please contact your local Referrer Services Representative:
- North of the river - 0417 189 839
- South of the river - 0407 471 741