Allied Health Practitioners

Chiropractors, Physiotherapists and Osteopaths

Items Descriptions Limitations
57712 x-ray – hip joint
57715 x-ray – pelvic girdle
58100 x-ray – cervical spine
58103 x-ray – thoracic spine
58106 x-ray – lumbosacral spine
58109 x-ray – sacrococcygeal spine
58112 x-ray – spine; two examinations of the kind referred to in items 58100, 58103, 58106 and 58109
58120* x-ray – spine, four regions, cervical, thoracic, lumbosacral and sacrococcygeal *Items 58120 or 58121(not both) limitation is one per calendar year
58121* x-ray – spine, three examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 *Items 58120 or 58121(not both) limitation is one per calendar year
58500 x-ray – chest (limited rebate)
57706 x-ray – clavicle (limited rebate)
57518 x-ray – foot, ankle, leg, knee or femur (limited rebate)
57524 x-ray – foot and ankle, ankle and leg, leg and knee or knee and femur (limited rebate)
57506 x-ray – hand, wrist, forearm, elbow and humerus (limited rebate)
57512 x-ray – hand and wrist, hand wrist and forearm, forearm and elbow or elbow and humerus (limited rebate)
57700 x-ray – shoulder or scapula (limited rebate)

Podiatrists

Items Descriptions Limitations
55836 ultrasound – ankle or hind foot
55840 ultrasound – mid foot or fore foot
55844 ultrasound – assessment of a mass associated with the skin or subcutaneous structures; not being part of MSK system
57521 x-ray – foot, ankle, leg, knee or femur
57527 x-ray – foot and ankle, or ankle and leg, or leg and knee or knee and femur

 

Nurse Practitioners

Items Descriptors Limitations
57509 x-ray – hand, wrist, forearm, elbow or humerus
57515 x-ray – hand and wrist, hand wrist and forearm, forearm and elbow and elbow and humerus
57521 x-ray – foot, ankle, leg, knee or femur – cannot refer for combination lower extremity
58503 x-ray – chest
58506 x-ray – chest with fluoroscopic screening
58509 x-ray – thoracic inlet or trachea
58521 x-ray – left ribs, right ribs or sternum
58524 x-ray – left and right ribs, left ribs and sternum, or right ribs and sternum
58527 x-ray – left ribs, right ribs and sternum
55036 ultrasound – abdomen and urinary tract
55070 ultrasound – breast 1 side only
55076 ultrasound – breast both sides
55768 ultrasound – pregnancy over 22 weeks multiple pregnancy
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where:

  1. dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and
  2. the ultrasound confirms a multiple pregnancy; and
  3. the patient is referred by a medical practitioner; and
  4. the service is not performed in the same pregnancy as item 55770; and
  5. the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and
  6. the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and
  7. the service is not performed in conjunction with item 55718 or 55721 during the same pregnancy
 only 1 per pregnancy

Midwives

Items Descriptors Limitations
57509 x-ray – hand, wrist, forearm, elbow or humerus
57515 x-ray – hand and wrist, hand wrist and forearm, forearm and elbow and elbow and humerus
57521 x-ray – foot, ankle, leg, knee or femur – cannot refer for combination lower extremity
58503 x-ray – chest
58506 x-ray – chest with fluoroscopic screening
58509 x-ray – thoracic inlet or trachea
58521 x-ray – left ribs, right ribs or sternum
58524 x-ray – left and right ribs, left ribs and sternum, or right ribs and sternum
58527 x-ray – left ribs, right ribs and sternum
55036 ultrasound – abdomen and urinary tract
55070 ultrasound – breast 1 side only
55076 ultrasound – breast both sides
55768 ultrasound – pregnancy over 22 weeks multiple pregnancy
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where:

  1. dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and
  2. the ultrasound confirms a multiple pregnancy; and
  3. the patient is referred by a medical practitioner; and
  4. the service is not performed in the same pregnancy as item 55770; and
  5. the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and
  6. the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and
  7. the service is not performed in conjunction with item 55718 or 55721 during the same pregnancy
 only 1 per pregnancy

Dental Practitioners

Items Descriptors Limitations
57509 x-ray – hand, wrist, forearm, elbow or humerus
57515 x-ray – hand and wrist or hand, wrist and forearm or forearm and elbow or elbow and humerus
57521 x-ray – foot, ankle, leg, knee or femur
57527 x-ray – foot and ankle, or ankle and leg, or leg and knee or knee and femur
57901 x-ray – skull
57902 x-ray – cephalometry
57903 x-ray sinuses
57906 x-ray – mastoids
57909 x-ray – petrous temporal bones
57912 x-ray – facial bones
57915 x-ray – mandible
57918 x-ray – salivary calculus
57921 x-ray – nose
57924 x-ray – eye
57927 x-ray – temporomandibular joints
57930 x-ray – teeth single area
57933 x-ray – teeth full mouth
57939 x-ray – palatopharyngeal studies with fluoroscopic screening
57942 x-ray – palatopharyngeal studies without fluoroscopic screening
57945 x-ray – larynx, lateral airways and soft tissues of the neck
57960 orthopantomography for diagnosis and/or management of trauma, infection, tumours, congenital or surgical conditions of the teeth or maxillofacial region
57963 orthopantomography for diagnosis and/or management of impacted teeth, caries, periodontal or peripical pathology where signs or symptoms are evident
57966 orthopantomography for diagnosis and/or management of missing or crowded teeth, or developmental anomalies of the teeth or jaws
57969 orthopantomography for diagnosis and/or management of temporomandibular joint arthroses or dysfunction
58100 x-ray – cervical spine
58300 x-ray – bone age study
58503 x-ray – chest
58903 x-ray – plain abdomen only
59733 x-ray – sialography 1 side, with preparation and contrast injection
59739 x-ray – sinogram or fistulogram, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection
59751 x-ray – arthrography, joints, excluding spine , single or double contrast study, with or without plain films, with prep and contrast injection
60100 tomography of any region
60500 fluoroscopy, with general anaesthesia (not being a service associated with a radiographic examination)
60503 fluoroscopy, without general anaesthesia (not being a service associated with a radiographic examination