Billing Information

Medicare funding criteria for radiology examinations

The majority of radiology examinations performed at South Coast Radiology fall under the Medicare Benefits Schedule (MBS). For a patient to be eligible for a Medicare rebate the doctor’s referral must display:

  • Referrer name, provider number and contact details
  • Examination requested
  • All relevant clinical history

South Coast Radiology provides referrers with customised referral pads, at no charge, to assist with the provision of correct documentation. You can order our referral pads online. 

The Australian Government has strict criteria for Medicare rebates for a number of radiology procedures. Please use the information below to determine whether Medicare will cover your patient’s radiology test.

  • Bone Densitometry – DEXA

    Bone densitometry items (MBS items 12306 to 12323) are outlined in a ministerial determination and published in the General Medical Services Table, one of several tables of medical services that collectively comprise the Medicare Benefits Schedule....

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  • Shoulder and knee ultrasound

    In 2003, the Health Commission amended benefits payable for ultrasound of the knee and shoulder. A rebate will only be provided if the doctor's referral specifically includes particular suspected pathologies. Benefits are not payable when the patient is...

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  • Breast MRI- Magnetic Resonance Imaging

    Currently Medicare funds Breast MRI for any patient who has known or suspected PIP implants for assessment of implant integrity. Only 1 scan is permitted for the lifetime of the implant and this is available until March 2015. Additionally for high risk,...

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  • New GP Access to MRI

    As of 1st November 2013, General Practitioners have access to bulk-billed MRI services for patients 16 years an over for a small range of clinically appropriate indications. This is in addition to the GP access to paediatric MRI introduced in November...

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