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GP Medicare Item Numbers

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Note: The referral must include the any of the following critera to be eligible for MBS rebates.

GP Referrals: Item Numbers for Medicare Benefits (Patients <16 from 1 Nov 2012; Patients ≥16 from 1 Nov 2013) - Referral by a Medical Practitioner excluding a specialist or consultant physician:

  

GP Referred Paediatric MRI (Patient under 16 years)

GP Referred Adult MRI (Patient older than 16 years)

MRI Head for the following:

- unexplained seizures

- unexplained headache

- paranasal sinus pathology

MRI Head for the following:

- unexplained seizures

- unexplained chronic headache with suspected intracranial pathology

 MRI Spine following an x-ray for:

- significant trauma

- neck or back pain with associated neurological signs

- back pain where significant pathology suspected

MRI Cervical spine for suspected:

- Trauma

- Cervical radiculopathy

 

MRI Knee following an x-ray for:

- internal joint derangement

 

 

 

 

MRI Knee following acute trauma with:

- inability to extend the knee suggesting the possibility of an acute meniscal tear;

or

- Clinical findings suggesting an acute anterior cruiate ligament tear.

MRI Hip following an x-ray for:

- suspected septic athritis

- suspected slipped femoral capital epiphysis

- suspected Perthe's disease

 

 

MRI Elbow following an x-ray for:

- significant fracture or avulsion injury is suspected that will change management

 

 

MRI Wrist following an x-ray for:

- suspected scaphoid fracture

 

 
 Please refer to MBS items 63507 - 63522  Please refer to MBS items 63551 - 63560

 

The referral must specify the relevant criteria to be eligible to claim MBS benefits.