GP eligible - Adult 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 eligible - Paediatric MRI

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)

MRI Medicare Rebate

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

Specialist referred MRI is performed on our fully licenced 3T MRI
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)

MRI Medicare Rebate

Need some assistance? We are here to help.
Call us on (02) 9170 4500

North Shore Health Hub

North Shore Private Hospital

Lane Cove

© 2023 North Shore Radiology & Nuclear Medicine. All Rights Reserved. Managed by Wolf IQ

MRI Medicare Rebate

Need some assistance? We are here to help. Call us on (02) 9170 4500

North Shore Health Hub

North Shore Private Hospital

Lane Cove

© 2023 North Shore Radiology & Nuclear Medicine. All Rights Reserved. Managed by Wolf IQ

Need some assistance? We are here to help.
Call us on (02) 9170 4500