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?
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Radiology
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 >Should ultrasound scans reported by locums be billed under the locum’s provider number or the partner’s provider number?
15 December 24If we have regular locums in an ultrasound practice, reporting scans, should these be billed under the partner’s provider numbers or the locum’s provider numbers?
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read more >If a nurse practitioner and radiographer perform a PICC line insertion can a radiologist claim for the associated digital subtraction angiography?
13 November 24A PICC line insertion is performed by a nurse/nurse practitioner and radiographer, including imaging (Fluoroscopy + Digital Subtraction Angiography of thorax). Post examination, a …
read more >Can a radiologist sitting in an Australian consulate or embassy overseas bill Medicare for radiology interpretations in Australia?
4 November 24As a radiologist if I’m sitting in an Australian consulate or embassy situated in the United States can I bill Medicare for radiology interpretations?
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read more >Can an intensivist use a separate provider number for medical imaging services and their main provider number for usual ICU services to avoid rejected claims that should be paid?
30 September 24The context for this question involves co-claiming diagnostic ultrasound and vascular access items. After the last MBS review, vascular access items 13815, 13842 and the newly introduced E…
read more >Do items 60506 and 60509 refer to surgical procedure time or fluoroscopy time?
23 September 24How to navigate your Medicare statement and more informative free resources
How to navigate your Medicare statement and more informative free resources
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