Radiology

Under the diagnostic imaging remote area exemption, can an off-site radiologist claim MBS items 55850 and 55848 when an accredited sonographer provides real-time ultrasound guidance/diagnostic images, a GP administers the injection, and the radiologist subsequently reviews the images and provides a diagnostic report?

23 October 26

Under the diagnostic imaging remote area exemption, can an off-site Radiologist claim MBS items 55850 and 55848 when an accredited sonographer provides real-time ultrasound guidance/diagnostic…

If a specialist refers a patient to a radiation oncologist and the treatment guidelines indicate the relevant course of treatment should last longer than 3 months, can the referral still be used for billing after 3 months from the first attendance?

28 August 26

I have a named referral to radiation oncology from another specialist. Due to treatment guidelines, it takes longer than 3 months from the initial consult to complete the course of radiation o…

As a GP, can I order a PET scan for suspected recurrence of breast cancer?

21 March 26

Can 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.

…

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 26

Staff 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…

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 26

Staff 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…

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…

« Older Entries

MBS ANSWERS

Quick links

Topics

Specialities

Radiology

If a specialist refers a patient to a radiation oncologist and the treatment guidelines indicate the relevant course of treatment should last longer than 3 months, can the referral still be used for billing after 3 months from the first attendance?

As a GP, can I order a PET scan for suspected recurrence of breast cancer?

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?

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?

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?

MBS ANSWERS

Quick links

Topics

Specialities

Radiology

SUBSCRIBE TO MBS ANSWERS

FREE TRIAL