Clinical guidance for MRI referral


Summary of MBS item descriptions
☰ Table of contents


Magnetic resonance imaging – Group 15

Item

Subgroup 34 – Magnetic resonance imaging – for specified conditions

63551

Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for a patient 16 years or older for any of the following:

  • unexplained seizure(s) (R) (K)* (Contrast) (Anaes.)
  • unexplained chronic headache with suspected intracranial pathology (R) (K)* (Contrast) (Anaes.)

Fee: $403.20 | Benefit: 75% = $302.40, 85% = $342.75

63552

Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for a patient 16 years or older for any of the following:

  • unexplained seizure(s) (R) (NK)* (Contrast) (Anaes.)
  • unexplained chronic headache with suspected intracranial pathology (R) (NK)* (Contrast) (Anaes.)

Fee: $201.60 | Benefit: 75% = $151.20, 85% = $171.40

63554

Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected:

  • cervical radiculopathy (R) (K)* (Contrast) (Anaes.)

Fee: $358.40 | Benefit: 75% = $268.80, 85% = $304.65

63555

Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected:

  • cervical radiculopathy (R) (NK)* (Contrast) (Anaes.)

Fee: $179.20 | Benefit: 75% = $134.40, 85% = $152.35

63557

Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected:

  • cervical spine trauma (R) (K)*

Fee: $492.80 | Benefit: 75% = $369.60, 85% = $418.90

63558

Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected:

  • cervical spine trauma (R) (NK)*

Fee: $246.40 | Benefit: 75% = $184.80, 85% = $209.45

63560

Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee following acute knee trauma for a patient 16 years or older with: 

  • inability to extend the knee suggesting the possibility of acute meniscal tear (R) (K)* (Contrast) (Anaes.); or
  • clinical findings suggesting acute anterior cruciate ligament tear. (R) (K)* (Contrast) (Anaes.)

Fee: $403.20 | Benefit: 75% = $302.40, 85% = $342.75

63561

Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee following acute knee trauma for a patient 16 years or older with: 

  • inability to extend the knee suggesting the possibility of acute meniscal tear (R) (NK)* (Contrast) (Anaes.); or
  • clinical findings suggesting acute anterior cruciate ligament tear. (R) (NK)* (Contrast) (Anaes.)

Fee: $201.60 | Benefit: 75% = $151.20, 85% = $171.40