Group I1: Ultrasound
134 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 55028Ultrasound examination of the head for diagnostic assessment of structures including brain, ventricular system, and surrounding tissues. | $128.60 | $96.45 | $109.35 (85%) |
| 55029Ultrasound imaging of the head, excluding routine scans; typically for investigation of specific clinical concerns such as suspected abnormalities, trauma, or mass lesions. | $44.55 | $33.45 | $37.90 (85%) |
| 55030Ultrasound examination of the contents within the eye socket to assess structures behind the eyeball, including muscles, nerves, and blood vessels. | $128.60 | $96.45 | $109.35 (85%) |
| 55031Ultrasound examination of the structures within the orbit (eye socket), including the eyeball, muscles, nerves, and blood vessels, to investigate abnormalities or disease. | $44.55 | $33.45 | $37.90 (85%) |
| 55032Ultrasound examination of one or more neck structures including thyroid, parathyroid, lymph nodes, or other neck tissues. | $128.60 | $96.45 | $109.35 (85%) |
| 55033Ultrasound examination of one or more neck structures to assess soft tissue, lymph nodes, thyroid, or vascular anatomy. | $44.55 | $33.45 | $37.90 (85%) |
| 55036Abdominal ultrasound scan for morphological assessment, including urinary tract when performed, excluding transrectal prostate/bladder/urethral exams, provided no MBS item 55038 service is performed by the same practitioner within 24 hours. | $131.00 | $98.25 | $111.35 (85%) |
| 55037Ultrasound scan of the abdomen and urinary tract for structural assessment, excluding transrectal prostate, bladder base or urethra examinations. | $44.55 | $33.45 | $37.90 (85%) |
| 55038Ultrasound scan of the urinary tract, excluding transrectal examinations of the prostate, bladder base, or urethra, and not performed within 24 hours of a urodynamic study by the same practitioner. | $128.60 | $96.45 | $109.35 (85%) |
| 55039Ultrasound examination of the urinary tract (kidneys, ureters, bladder, urethra) excluding transrectal prostate, bladder base or urethral imaging performed solely for those structures. | $44.55 | $33.45 | $37.90 (85%) |
| 55048Ultrasound examination of the scrotum to assess testicular and scrotal pathology, including blood flow assessment. | $129.00 | $96.75 | $109.65 (85%) |
| 55049Ultrasound examination of the scrotum to evaluate testicular and scrotal structures for clinical assessment of pain, swelling, masses or other abnormalities. | $44.55 | $33.45 | $37.90 (85%) |
| 55054Intraoperative ultrasound guidance during surgery using interventional techniques, excluding specific procedures covered elsewhere. | $128.60 | $96.45 | $109.35 (85%) |
| 55065Pelvic ultrasound by any approach, excluding sole transrectal prostate/bladder/urethral imaging, when not performed within 24 hours of a concurrent pelvic MRI by the same practitioner. | $115.80 | $86.85 | $98.45 (85%) |
| 55066Bilateral breast ultrasound scan performed during an ultrasound-guided surgical intervention procedure, provided no other breast intervention items apply. | $257.00 | $192.75 | $218.45 (85%) |
| 55068Ultrasound scan of the pelvis by any approach, excluding transrectal prostate, bladder base or urethral examinations unless those are the sole services provided. | $41.15 | $30.90 | $35.00 (85%) |
| 55070Ultrasound scan of one breast, includes assessment of breast tissue and any abnormalities detected. | $115.80 | $86.85 | $98.45 (85%) |
| 55071Ultrasound scan of one breast performed during an interventional surgical procedure, when ultrasound guidance is required and no other related breast intervention items apply on the same day. | $244.25 | $183.20 | $207.65 (85%) |
| 55073Ultrasound examination of one breast, typically used to evaluate palpable lumps, implants, or other abnormalities. | $40.05 | $30.05 | $34.05 (85%) |
| 55076Ultrasound examination of both breasts, including follow-up surveillance after mastectomy. | $128.60 | $96.45 | $109.35 (85%) |
| 55079Bilateral breast ultrasound scan, including post-mastectomy surveillance. | $44.55 | $33.45 | $37.90 (85%) |
| 55080Pelvic ultrasound (any approach including transvaginal) for complex gynaecological conditions requiring minimum 30 minutes scanning, not performed within 24 hours of specified procedures. | $261.65 | $196.25 | $222.45 (85%) |
| 55084Ultrasound scan of the urinary bladder by any approach, performed within 24 hours of specified urological procedures, provided no duplicate service is performed by the same practitioner on the same patient. | $115.80 | $86.85 | $98.45 (85%) |
| 55085Ultrasound scan of the urinary bladder by any approach, not performed on the same patient within 24 hours of items 11917, 55037, 55039, 55068, 55600 or 55603 by the same practitioner. | $40.05 | $30.05 | $34.05 (85%) |
| 55118Transoesophageal echocardiography with colour flow mapping and Doppler assessment from multiple planes, with digital recording, performed outside the operating theatre. | $324.50 | $243.40 | — |
| 55126Real-time transthoracic echocardiography with color flow mapping from 3+ acoustic windows for cardiac failure, ventricular dysfunction/hypertrophy, pulmonary hypertension, valvular/aortic/pericardial/thrombotic disease, heart tumor, or congenital hea… | $271.80 | $203.85 | $231.05 (85%) |
| 55127Repeat transthoracic echocardiography with colour flow mapping from at least 3 windows for investigation of known valvular dysfunction, when requested by a specialist, not with other cardiac ultrasound items. | $271.80 | $203.85 | $231.05 (85%) |
| 55128Repeat transthoracic echocardiography with colour flow mapping from at least 3 views for known valvular dysfunction, requested by non-specialist doctors in remote/rural areas (MM3-7), with digital recordings. | $271.80 | $203.85 | $231.05 (85%) |
| 55129Repeat transthoracic echocardiogram with colour flow mapping from 3+ windows to investigate cardiac failure, ventricular dysfunction, pulmonary hypertension, aortic/thrombotic/embolic/pericardial disease, heart tumour, or structural heart disease (no… | $271.80 | $203.85 | $231.05 (85%) |
| 55130Intraoperative transoesophageal echocardiography with Doppler and colour flow mapping during cardiac surgery, including pre- and post-surgical cardiac function assessment. | $200.20 | $150.15 | — |
| 55132Serial real-time transthoracic echocardiography with colour flow mapping from 4+ windows for patients under 17 or with complex congenital heart disease, performed by a cardiology specialist. | $271.80 | $203.85 | $231.05 (85%) |
| 55133Serial transthoracic echocardiography with colour flow mapping from multiple windows for investigating pericardial effusion/pericarditis or monitoring cardiotoxic medication effects, not concurrent with other cardiac imaging. | $244.60 | $183.45 | $207.95 (85%) |
| 55134Repeat real-time transthoracic echocardiography with colour flow mapping from at least 3 acoustic windows for investigation of rare cardiac pathologies, requested by a specialist or consultant physician, not bundled with other specified echo items. | $271.80 | $203.85 | $231.05 (85%) |
| 55135Intraoperative transoesophageal echocardiography (2D or 3D) with Doppler and colour flow mapping during cardiac valve surgery, assessing valve function and cardiac performance before and after repair or replacement. | $416.55 | $312.45 | — |
| 55137Fetal echocardiography with colour flow mapping from 4+ acoustic windows for suspected/confirmed complex congenital heart disease, functional disease, arrhythmia, or structural abnormality, performed by a cardiologist with fetal cardiac imaging exper… | $271.80 | $203.85 | $231.05 (85%) |
| 55141Exercise stress echocardiography focused study to assess cardiac function during exercise, not more than once per 24 months and not if related cardiac imaging was done in the previous 24 months. | $484.50 | $363.40 | $411.85 (85%) |
| 55143Repeat pharmacological or exercise stress echocardiography for patients with evolved ischaemic symptoms inadequately controlled on optimal medical therapy, requested by a specialist or consultant physician, if prior stress echo performed within 24 mo… | $484.50 | $363.40 | $411.85 (85%) |
| 55145Pharmacological stress echocardiography for cardiac assessment, not more than once per 24 months, excluding patients who had a related cardiac imaging service in the previous 24 months. | $561.55 | $421.20 | $477.35 (85%) |
| 55146Pharmacological stress echocardiography for patients whose prior exercise stress echo (within 4 weeks) failed due to inadequate heart rate response, not bundled with certain cardiac services, limited to once per 24 months. | $561.55 | $421.20 | $477.35 (85%) |
| 55238Duplex ultrasound of lower limb arteries or bypass grafts below the groin on one side, using B-mode imaging and Doppler flow analysis. | $199.70 | $149.80 | $169.75 (85%) |
| 55244Unilateral duplex ultrasound scan of lower leg veins below the groin to detect acute blood clots using B-mode imaging and Doppler flow analysis. | $199.70 | $149.80 | $169.75 (85%) |
| 55246Duplex ultrasound scan of one lower leg's veins below the groin to assess chronic venous disease using B-mode imaging and Doppler flow analysis. | $199.70 | $149.80 | $169.75 (85%) |
| 55248Duplex ultrasound scan of one arm's arteries or bypass grafts, combining B-mode imaging with Doppler flow analysis. | $199.70 | $149.80 | $169.75 (85%) |
| 55252Ultrasound examination of veins in one upper limb using B-mode imaging and Doppler flow analysis, not associated with a Subgroup 4 service. | $199.70 | $149.80 | $169.75 (85%) |
| 55274Bilateral duplex ultrasound scan of neck vessels (carotid, vertebral, and optionally subclavian/innominate) with Doppler flow analysis, with or without eye blood pressure or orbital Doppler testing. | $199.70 | $149.80 | $169.75 (85%) |
| 55276Duplex ultrasound scan of abdominal aorta, iliac arteries and/or iliac veins and inferior vena cava, combining B-mode imaging with Doppler flow analysis, excluding pregnancy-related studies. | $199.70 | $149.80 | $169.75 (85%) |
| 55278Duplex scanning of renal, visceral, aortic, iliac or inferior vena cava vessels using B-mode ultrasound and Doppler flow analysis, excluding pregnancy-related studies. | $199.70 | $149.80 | $169.75 (85%) |
| 55280Duplex ultrasound scanning of brain blood vessels using B-mode imaging and Doppler flow analysis, not associated with other specified cranial vascular services. | $199.70 | $149.80 | $169.75 (85%) |
| 55282Duplex ultrasound with Doppler of penile cavernosal artery after vasoactive injection to diagnose vascular impotence, performed and interpreted by specified specialists attending in person. | $199.70 | $149.80 | $169.75 (85%) |
| 55284Duplex ultrasound scanning of penile cavernosal tissue with Doppler flow analysis to diagnose or assess priapism, fibrosis, tunica fracture, or arteriovenous malformations, performed and reported by an attending specialist in radiology, urology, vasc… | $199.70 | $149.80 | $169.75 (85%) |
| 55292Ultrasound scan with Doppler flow analysis of one surgically created arteriovenous fistula or graft in an arm or leg, excluding services bundled with other specified procedures. | $199.70 | $149.80 | $169.75 (85%) |
| 55294Duplex ultrasound with Doppler imaging of arteries and veins to map bypass conduit before vascular surgery, excluding other specified vascular studies. | $199.70 | $149.80 | $169.75 (85%) |
| 55296Unilateral duplex ultrasound scanning of lower leg veins below the groin with Doppler analysis and vein marking to prepare for varicose vein surgery. | $130.75 | $98.10 | $111.15 (85%) |
| 55600Ultrasound scan of prostate, bladder base and urethra performed by a medical practitioner (not the assessing specialist) after digital rectal examination, on patients assessed by a urology, radiation oncology or medical oncology specialist within 60… | $128.60 | $96.45 | $109.35 (85%) |
| 55603Transrectal ultrasound of prostate, bladder base and urethra performed by the examining medical practitioner following digital rectal examination, on patients assessed by a relevant specialist within 60 days who recommended the scan for prostatic dis… | $128.60 | $96.45 | $109.35 (85%) |
| 55700Ultrasound of pelvis or abdomen in pregnancy under 12 weeks gestation to determine dating, location, viability or fetal number, not within 24 hours of another specified ultrasound. | $70.65 | $53.00 | $60.10 (85%) |
| 55703Ultrasound of pelvis or abdomen in pregnancy under 12 weeks gestation to determine dating, location, viability or number of fetuses, not within 24 hours of another specified ultrasound. | $41.15 | $30.90 | $35.00 (85%) |
| 55704Ultrasound scan of pelvis or abdomen at 12-16 weeks gestation to determine fetal structure, gestation, location, viability or number, not performed within 24 hours of another obstetric ultrasound. | $82.50 | $61.90 | $70.15 (85%) |
| 55705Ultrasound scan of pelvis or abdomen for pregnancy dating, fetal viability and anatomy at 12-16 weeks gestation, not within 24 hours of another pregnancy ultrasound. | $41.15 | $30.90 | $35.00 (85%) |
| 55706Ultrasound of pelvis or abdomen for pregnancy dating and fetal anatomy assessment between 17–22 weeks gestation, not performed within 24 hours of other specified ultrasounds or in same pregnancy as item 55709. | $117.85 | $88.40 | $100.20 (85%) |
| 55707First trimester pregnancy ultrasound with nuchal translucency measurement for fetal abnormality risk assessment in pregnancies dated 45-84 mm crown-rump length, not within 24 hours of another similar scan. | $82.50 | $61.90 | $70.15 (85%) |
| 55708First trimester pregnancy ultrasound (11-14 weeks by crown-rump length 45-84mm) with nuchal translucency measurement to assess fetal abnormality risk, not within 24 hours of another pregnancy ultrasound. | $41.15 | $30.90 | $35.00 (85%) |
| 55709Ultrasound scan of pelvis or abdomen for pregnancy dating and fetal anatomy assessment between 17-22 weeks gestation, with full parameter measurements, not done same day as other specified scans. | $44.70 | $33.55 | $38.00 (85%) |
| 55712Ultrasound scan of pelvis or abdomen for pregnancy dating at 17–22 weeks gestation, performed by qualified obstetrician or authorised practitioner, when clinically indicated after prior dating scan and not within 24 hours of another specified ultraso… | $135.45 | $101.60 | $115.15 (85%) |
| 55715Obstetric ultrasound scan of pelvis/abdomen for pregnancy dating and fetal anatomy assessment at 17–22 weeks gestation, performed by RANZCOG member/fellow when clinically indicated after initial scan, not within 24 hours of another specified ultrasou… | $47.10 | $35.35 | $40.05 (85%) |
| 55718Ultrasound scan of pelvis or abdomen for pregnancy complications or fetal anatomy after 22 weeks gestation, not performed within 24 hours of other specified ultrasound services or in same pregnancy as item 55723. | $117.85 | $88.40 | $100.20 (85%) |
| 55721Ultrasound of pelvis or abdomen for pregnancy complications or fetal development after 22 weeks, requested by qualified obstetrician or equivalent, when further examination is clinically indicated and not within 24 hours of another specified scan. | $135.45 | $101.60 | $115.15 (85%) |
| 55723Ultrasound of pelvis or abdomen for pregnancy complications or fetal anatomy after 22 weeks gestation, not performed within 24 hours of related ultrasound services or in same pregnancy as item 55718. | $44.70 | $33.55 | $38.00 (85%) |
| 55725Ultrasound of pelvis or abdomen for pregnancy-related conditions after 22 weeks gestation when further examination is clinically indicated, performed by an RANZCOG member or fellow. | $47.10 | $35.35 | $40.05 (85%) |
| 55729Duplex ultrasound scan of umbilical artery with Doppler flow analysis and amniotic fluid volume assessment after 24 weeks gestation when intrauterine growth retardation or fetal death risk is suspected. | $32.10 | $24.10 | $27.30 (85%) |
| 55736Pelvic ultrasound with saline infusion into the uterus to evaluate abnormalities of the uterus or fallopian tubes detected on previous transvaginal ultrasound. | $149.60 | $112.20 | $127.20 (85%) |
| 55739Pelvic ultrasound with saline infusion into the uterus to further evaluate uterine or fallopian tube abnormalities found on prior transvaginal ultrasound. | $67.15 | $50.40 | $57.10 (85%) |
| 55740Ultrasound of pelvis or abdomen for multiple pregnancy assessment at 12–16 weeks gestation, following confirmation of multiple pregnancy and not within 24 hours of another ultrasound in this subgroup. | $122.60 | $91.95 | $104.25 (85%) |
| 55741Ultrasound scan of pelvis or abdomen at 12–16 weeks gestation to assess fetal structure, number, location and viability in confirmed multiple pregnancies, not within 24 hours of another antenatal ultrasound. | $61.25 | $45.95 | $52.10 (85%) |
| 55742Ultrasound of pelvis or abdomen to assess nuchal translucency and fetal development in a multiple pregnancy dated 45–84 mm crown–rump length, not within 24 hours of another similar scan. | $122.60 | $91.95 | $104.25 (85%) |
| 55743Ultrasound scan of pelvis or abdomen in multiple pregnancy between 45–84 mm crown–rump length with nuchal translucency measurement to assess fetal abnormality risk, not within 24 hours of another related ultrasound. | $61.25 | $45.95 | $52.10 (85%) |
| 55757Ultrasound scan of pelvis or abdomen to assess cervical length for preterm labour risk between 14–30 weeks gestation in pregnant patients with high-risk history, symptoms of threatened preterm labour, or cervical length <25 mm before 28 weeks; not wi… | $58.40 | $43.80 | $49.65 (85%) |
| 55758Ultrasound scan of pelvis or abdomen to assess cervical length for preterm labour risk between 14–30 weeks gestation in pregnant patients with high-risk history, symptoms of threatened preterm labour, or previous cervical length <25mm before 28 weeks… | $22.15 | $16.65 | $18.85 (85%) |
| 55759Ultrasound of pelvis or abdomen in multiple pregnancy at 17-22 weeks gestation for dating purposes, not performed with other specified ultrasound services or within 24 hours of related scans. | $176.70 | $132.55 | $150.20 (85%) |
| 55762Ultrasound scan of pelvis or abdomen in multiple pregnancy at 17–22 weeks gestation for dating purposes, with measurement of all parameters. | $70.65 | $53.00 | $60.10 (85%) |
| 55764Ultrasound scan of pelvis or abdomen to measure fetal parameters for dating purposes in multiple pregnancies at 17-22 weeks gestation, requested by qualified obstetrician, when further examination is clinically indicated. | $188.40 | $141.30 | $160.15 (85%) |
| 55766Detailed ultrasound of pelvis/abdomen at 17-22 weeks gestation in confirmed multiple pregnancy, performed by RANZCOG member/fellow when further examination is clinically indicated and no conflicting scans performed within 24 hours. | $76.55 | $57.45 | $65.10 (85%) |
| 55768Ultrasound scan of pelvis or abdomen after 22 weeks gestation to confirm multiple pregnancy, not performed with other specified pregnancy ultrasound items or within 24 hours of related scans. | $176.70 | $132.55 | $150.20 (85%) |
| 55770Ultrasound scan of pelvis or abdomen after 22 weeks gestation to confirm multiple pregnancy, not performed with other specified pregnancy ultrasounds or within 24 hours of certain prior scans. | $70.65 | $53.00 | $60.10 (85%) |
| 55772Ultrasound of pelvis or abdomen for pregnancy complications or fetal anatomy after 22 weeks gestation in multiple pregnancies, requested by qualified obstetrician, when further examination is clinically indicated following prior scan. | $188.40 | $141.30 | $160.15 (85%) |
| 55774Obstetric ultrasound of pelvis/abdomen after 22 weeks gestation for multiple pregnancy, when clinically indicated following a prior scan, performed by RANZCOG member/fellow, excluding concurrent high-complexity scans or scans within 24 hours of fetal… | $76.55 | $57.45 | $65.10 (85%) |
| 55812Ultrasound scan of chest or abdominal wall covering one or more areas. | $128.60 | $96.45 | $109.35 (85%) |
| 55814Ultrasound scan of the chest or abdominal wall in one or more areas, not performed with other specified ultrasound services. | $44.55 | $33.45 | $37.90 (85%) |
| 55844Ultrasound assessment of one or more skin or subcutaneous masses, excluding musculoskeletal structures. | $102.85 | $77.15 | $87.45 (85%) |
| 55846Ultrasound examination of a skin or subcutaneous mass (one or more areas), excluding musculoskeletal structures. | $44.55 | $33.45 | $37.90 (85%) |
| 55848Musculoskeletal ultrasound performed during or as part of a surgical procedure using interventional techniques, excluding services covered by other ultrasound items or item 55054. | $161.00 | $120.75 | $136.85 (85%) |
| 55850Musculoskeletal ultrasound performed during an interventional surgical procedure, where the practitioner indicated ultrasound-guided intervention may be needed if clinically indicated. | $212.45 | $159.35 | $180.60 (85%) |
| 55852Ultrasound scan of a child's spine, spinal cord and surrounding soft tissues. | $128.60 | $96.45 | $109.35 (85%) |
| 55854Ultrasound scan of a child's spine, spinal cord, and surrounding soft tissues. | $44.55 | $33.45 | $37.90 (85%) |
| 55856Ultrasound scan of hand, wrist, or both (unilateral), not performed with item 55858. | $128.60 | $96.45 | $109.35 (85%) |
| 55857Ultrasound scan of hand or wrist (left or right) when not performed with item 55859. | $44.55 | $33.45 | $37.90 (85%) |
| 55858Ultrasound scan of hand or wrist (left, right, or both) when not performed together with item 55856. | $142.65 | $107.00 | $121.30 (85%) |
| 55859Ultrasound scan of hand or wrist (one or both sides) when performed as a standalone service, not combined with item 55857. | $49.55 | $37.20 | $42.15 (85%) |
| 55860Ultrasound scan of forearm or elbow (unilateral), not performed with item 55862. | $128.60 | $96.45 | $109.35 (85%) |
| 55861Ultrasound scan of the forearm, elbow, or both (unilateral), not performed together with item 55863. | $44.55 | $33.45 | $37.90 (85%) |
| 55862Ultrasound scan of forearm and/or elbow (bilateral), not performed with item 55860. | $142.65 | $107.00 | $121.30 (85%) |
| 55863Ultrasound imaging of one or both forearms and/or elbows, not performed together with item 55861. | $49.55 | $37.20 | $42.15 (85%) |
| 55864Ultrasound scan of shoulder or upper arm to assess suspected muscle, tendon, rotator cuff, biceps, joint or bursa pathology, or masses and occult fractures, not performed with another specified shoulder ultrasound item. | $128.60 | $96.45 | $109.35 (85%) |
| 55865Ultrasound scan of shoulder or upper arm to assess suspected or known muscle, tendon, rotator cuff, biceps, joint or mass pathology, not performed with item 55867. | $44.55 | $33.45 | $37.90 (85%) |
| 55866Ultrasound scan of shoulder or upper arm to assess suspected or known muscle, tendon, rotator cuff, biceps, bursitis, mass, fracture or acromioclavicular joint conditions. | $142.65 | $107.00 | $121.30 (85%) |
| 55867Ultrasound scan of shoulder or upper arm to assess muscle, tendon, rotator cuff, biceps, joint or mass pathology, excluding scans done with certain other shoulder imaging services. | $49.55 | $37.20 | $42.15 (85%) |
| 55868Ultrasound scan of hip or groin (unilateral), not performed at the same time as a full hip ultrasound scan. | $128.60 | $96.45 | $109.35 (85%) |
| 55869Ultrasound scan of hip and/or groin, left or right side, performed as a standalone service (not with item 55871). | $44.55 | $33.45 | $37.90 (85%) |
| 55870Ultrasound scan of hip and/or groin (bilateral) when not performed with item 55868. | $142.65 | $107.00 | $121.30 (85%) |
| 55871Ultrasound scan of hip or groin (one or both sides), not performed with item 55869. | $49.55 | $37.20 | $42.15 (85%) |
| 55872Ultrasound examination of left or right hip for dysplasia screening in infants, performed independently (not with the bilateral scan item 55874). | $128.60 | $96.45 | $109.35 (85%) |
| 55873Ultrasound scan of one hip to screen for dysplasia in infants, not performed at the same time as a bilateral hip scan. | $44.55 | $33.45 | $37.90 (85%) |
| 55874Ultrasound scan of both hips to check for dysplasia in infants, when not done together with item 55872. | $142.65 | $107.00 | $121.30 (85%) |
| 55875Ultrasound scanning of both hips in children to check for developmental dysplasia, when not performed alongside item 55873. | $49.55 | $37.20 | $42.15 (85%) |
| 55876Ultrasound scan of buttock, thigh, or both (unilateral), not performed concurrently with item 55878. | $128.60 | $96.45 | $109.35 (85%) |
| 55877Ultrasound scan of buttock, thigh or both (unilateral), not performed with item 55879. | $44.55 | $33.45 | $37.90 (85%) |
| 55878Ultrasound scan of buttock and/or thigh (left and/or right), not performed with item 55876. | $142.65 | $107.00 | $121.30 (85%) |
| 55879Ultrasound scan of buttock or thigh (unilateral or bilateral) when not performed with item 55877. | $49.55 | $37.20 | $42.15 (85%) |
| 55880Ultrasound scan of knee for suspected or known tendon/bursa abnormality, meniscal/popliteal cyst, nerve entrapment, or collateral ligament injury. | $128.60 | $96.45 | $109.35 (85%) |
| 55881Ultrasound scan of knee to assess suspected or known tendon/bursa abnormality, meniscal or popliteal cyst, nerve issues, or collateral ligament injury; not performed with item 55883. | $44.55 | $33.45 | $37.90 (85%) |
| 55882Ultrasound of one or both knees to assess tendons, bursae, meniscal or popliteal cysts, nerve issues, or collateral ligament injuries; not performed with item 55880. | $142.65 | $107.00 | $121.30 (85%) |
| 55883Bilateral knee ultrasound to assess suspected or confirmed tendon/bursa abnormalities, meniscal or popliteal cysts, masses, nerve entrapment, or collateral ligament injuries, not performed with item 55881. | $49.55 | $37.20 | $42.15 (85%) |
| 55884Ultrasound scan of lower leg (left or right) when not performed together with item 55886. | $128.60 | $96.45 | $109.35 (85%) |
| 55885Ultrasound scan of the lower leg (left or right), when performed as a standalone service and not combined with a comprehensive lower limb ultrasound. | $44.55 | $33.45 | $37.90 (85%) |
| 55886Bilateral lower leg ultrasound scan, not performed with item 55884. | $142.65 | $107.00 | $121.30 (85%) |
| 55887Ultrasound scan of both lower legs, not performed at the same time as a venous duplex scan. | $49.55 | $37.20 | $42.15 (85%) |
| 55888Ultrasound scan of ankle and/or hind foot (left or right), not performed with item 55890. | $128.60 | $96.45 | $109.35 (85%) |
| 55889Ultrasound scan of the ankle or hind foot (one or both sides), not performed with item 55891. | $44.55 | $33.45 | $37.90 (85%) |
| 55890Ultrasound scan of one or both ankles and/or hind feet, not performed together with item 55888. | $142.65 | $107.00 | $121.30 (85%) |
| 55891Ultrasound scan of ankle or hind foot (unilateral or bilateral) when not performed with item 55889. | $49.55 | $37.20 | $42.15 (85%) |
| 55892Ultrasound scan of the mid-foot or fore-foot (one or both sides), not performed together with item 55894. | $128.60 | $96.45 | $109.35 (85%) |
| 55893Ultrasound scan of the mid or forefoot (one or both feet) when not performed with item 55895. | $44.55 | $33.45 | $37.90 (85%) |
| 55894Ultrasound scan of the mid-foot or fore-foot (or both, left and right) when not performed with item 55892. | $142.65 | $107.00 | $121.30 (85%) |
| 55895Ultrasound scan of the mid foot or fore foot (one or both sides) when not performed with item 55893. | $49.55 | $37.20 | $42.15 (85%) |