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MRI Medicare Rebate

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MRI Medicare Rebate available at North Shore Radiology & Nuclear Medicine at the North Shore Private Hospital.

North Shore Radiology has two Medicare eligible Magnetic Resonance Imaging (MRI) machines

  1. Specialist referred MRI is performed on our fully licenced 3T MRI
  2. Specialist referred breast and pelvic MRI, and GP requests are performed on our partial licence 1.5T MRI

GP Eligible MRI Medicare services for patients 16 years of age and over

MRI Medicare Item No. Clinical History
Head 63551
  • Unexplained seizure(s)
  • Unexplained chronic headache with suspected intracranial pathology
Cervical Spine 63554
  • Cervical radiculopathy
Cervical Spine 63557
  • Cervical spine trauma
Knee 63560
  • Inability to extend the knee suggesting the possibility of acute meniscal tear; or
  • Clinical findings suggesting acute anterior cruciate ligament tear.

GP MRI requesting items for children under the age of 16 years.

MRI Medicare Item No. Clinical History
Head 63507
  • Unexplained seizure(s)
  • Unexplained headache where significant pathology is suspected
  • Paranasal sinua pathology not responsive to conservative therapy

Spine (after an X-Ray has been performed)

 63510
  • Unexplained back pain where significant pathology is suspected
  • Unexplained neck or back pain with associated neurological signs
  • Signficant trauma

Knee (after an X-Ray has been performed)

 63513
  • Internal joint derangement

Hip (after an X-Ray has been performed)

 63516
  • Suspected septic arthritis
  • Suspected slipped femoral capital epiphysis
  • Suspected Perthese disease

Elbow (after an X-Ray has been performed)

 63519
  • Suspected significant fracture or avulsion injury, that will change management

Wrist (after an X-Ray has been performed)

 63522
  • Suspected scaphoid fracture
Item Number Clinical Indicator

63501

63502

63504

63505

Has or is suspected or having a PIP breast implant

  • the result of the scan confirms a loss of integrity of the implant
  • the result of the scan does not demonstrate a loss of integrity of the implant
  • presents with symptoms where implant rupture is suspected and the result of the scan confirms a loss of integrity of the implant
  • presents with symptoms where implant rupture is suspected and the result of the scan does not demonstrate a loss of integrity of the implant

See MBS schedule for detailed explanation on indicators
63464

High Risk Breast. Only to be performed once in 12 months (See MBS schedule)
63467

Breast to follow up on abnormalities diagnosed on 63464. Only to be performed once in 12 months

(See MBS Schedule)
Item Number Clinical Indicator
63470 & 63473 Pelvis and upper abdomen for the staging of histologically diagnosed cervical cancer
63476 Pelvis for the initial staging of rectal cancer (See MBS Schedule)
Item Number Clinical Indicator
63740 small bowel Crohn’s disease (See MBS Schedule)
63743 anal fistulas and pelvic sepsis in established or suspected Crohn’s disease (See MBS Schedule)

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