As a GP, can I order a PET scan for suspected recurrence of breast cancer?
21 March 26Can I order a PET scan to determine a possible recurrence of breast cancer for one of my patients or does an oncologist have to order it? I am a GP.
…
read more >
Radiology
Can a public outpatient use a private pathology or imaging provider if a staff specialist has written a request? Or do they have to use the non-Medicare public service?
1 March 26Staff specialist physician in a public hospital with a Right of Private Practice (RoPP). This is a public outpatients question. Our department refers to these as “hospital patients” i.e…
read more >We have been told to tell public patients that without a named referral they won’t be able to access bulk billed private imaging and pathology outside of the hospital. Is this legal?
1 March 26Staff specialist physician in a NSW public hospital with a Right of Private Practice (RoPP). Our dept is under pressure to increase Medicare billings.I understand that Clause G17(b) of the NHR…
read more >Can item 57341 be billed twice on the same day for interventional injections in both the right and left knees?
21 September 25We would like clarification on whether billing item no. 57341 can be used on the same day for interventional injections in both the right and left knees to treat osteoarthritis. We received a …
read more >Is a claim for item 104 subject to any multiple service rules when co-claimed with an imaging service?
14 September 25Is a claim for item 104 subject to any multiple service rules when co-claimed with an imaging service?
…
read more >If a specialist refers a patient for a procedure is the specialist blocked from billing consultations during the aftercare period for that procedure?
14 September 25When a specialist refers a patient to another surgeon or an interventional radiologist to perform a procedure, is the original referrer disqualified from claiming further consultations during …
read more >If a radiologist receives an imaging request and needs to discuss the image with the patient beforehand, can they claim attendance item 104?
7 September 25There is a lot of confusion about when radiologists can claim attendance item 104. If you have an X-ray request in hand, but you need to chat to the patient about the test before you start, wh…
read more >Can diagnostic imaging for a public hospital outpatient be bulk billed if there is a named referral and patient consent, but the registrar completes the imaging request form – and is it true that the request does not have to be signed?
29 June 25Can a request for diagnostic imaging in a public hospital be Medicare billed if:
1) appropriate GP referral to a named obstetrician has occurred
2) the patient has elected to be a no fee pri…
As a surgeon working in the private sector, can I bill doppler ultrasounds if they are performed by another doctor who I supervise?
23 June 25I work in the private sector supporting a service run by GPs managing vein conditions. If they do the doppler ultrasounds (items 55244 and 55246) can I bill them under my provider number? I’ve…
read more >Can rehabilitation physicians bill for an ultrasound when using it to guide botox injections for spasticity?
10 March 25I am hoping for some clarification around using the item number 55848 for ultrasound. Rehabilitation medicine physicians require ultrasound guidance for botulinum toxin injections. Assuming th…
read more >RECOMMENDED RESOURCE
RECOMMENDED RESOURCE
HOW TO AVOID THE MEDICAL BILL RIP OFF
HOW TO AVOID THE MEDICAL BILL RIP OFF