Radiology

Can item 57341 be billed twice on the same day for interventional injections in both the right and left knees?

21 September 25

We 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 …

Is a claim for item 104 subject to any multiple service rules when co-claimed with an imaging service?

14 September 25

Is a claim for item 104 subject to any multiple service rules when co-claimed with an imaging service?

…

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 25

When 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 …

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 25

There 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…

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 25

Can 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 25

I 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…

Can rehabilitation physicians bill for an ultrasound when using it to guide botox injections for spasticity?

10 March 25

I 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…

Should ultrasound scans reported by locums be billed under the locum’s provider number or the partner’s provider number?

15 December 24

If 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?

…

If a nurse practitioner and radiographer perform a PICC line insertion can a radiologist claim for the associated digital subtraction angiography?

13 November 24

A PICC line insertion is performed by a nurse/nurse practitioner and radiographer, including imaging (Fluoroscopy + Digital Subtraction Angiography of thorax). Post examination, a …

Can a radiologist sitting in an Australian consulate or embassy overseas bill Medicare for radiology interpretations in Australia?

4 November 24

As a radiologist if I’m sitting in an Australian consulate or embassy situated in the United States can I bill Medicare for radiology interpretations?

…

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 24

The 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…

Do items 60506 and 60509 refer to surgical procedure time or fluoroscopy time?

23 September 24

No context was provided.

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Topics

Specialities

Radiology

Can item 57341 be billed twice on the same day for interventional injections in both the right and left knees?

Is a claim for item 104 subject to any multiple service rules when co-claimed with an imaging service?

If a specialist refers a patient for a procedure is the specialist blocked from billing consultations during the aftercare period for that procedure?

If a radiologist receives an imaging request and needs to discuss the image with the patient beforehand, can they claim attendance item 104?

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?

As a surgeon working in the private sector, can I bill doppler ultrasounds if they are performed by another doctor who I supervise?

Can rehabilitation physicians bill for an ultrasound when using it to guide botox injections for spasticity?

Should ultrasound scans reported by locums be billed under the locum’s provider number or the partner’s provider number?

If a nurse practitioner and radiographer perform a PICC line insertion can a radiologist claim for the associated digital subtraction angiography?

Can a radiologist sitting in an Australian consulate or embassy overseas bill Medicare for radiology interpretations in Australia?

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?

Do items 60506 and 60509 refer to surgical procedure time or fluoroscopy time?

Topics

Specialities

Radiology

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