Group I2: Computed Tomography
54 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 56001Brain CT scan without IV contrast, performed under anaesthesia, excluding services covered by item 57001. | $225.20 | $168.90 | $191.45 (85%) |
| 56007Brain CT scan with intravenous contrast, including non-contrast scans if performed, excluding cases covered by item 57007. | $288.65 | $216.50 | $245.40 (85%) |
| 56010CT scan of the pituitary fossa with optional IV contrast and brain imaging, performed under anaesthesia. | $291.10 | $218.35 | $247.45 (85%) |
| 56013CT scan of the eye sockets, with or without contrast and optionally including the brain, when clinically indicated. | $288.65 | $216.50 | $245.40 (85%) |
| 56016CT scan of petrous bones in axial and coronal 1–2 mm sections, with or without IV contrast and optional brain imaging. | $334.80 | $251.10 | $284.60 (85%) |
| 56022CT scan of facial bones and/or paranasal sinuses without IV contrast. | $259.80 | $194.85 | $220.85 (85%) |
| 56028CT scan of facial bones and/or paranasal sinuses with IV contrast, including pre-contrast images if performed. | $388.80 | $291.60 | $330.50 (85%) |
| 56030CT scan of facial bones and/or paranasal sinuses combined with brain imaging, without IV contrast. | $259.80 | $194.85 | $220.85 (85%) |
| 56036CT scan of facial bones, paranasal sinuses, or brain with IV contrast, only if a prior non-contrast scan was abnormal. | $388.80 | $291.60 | $330.50 (85%) |
| 56101CT scan of neck soft tissues (larynx, pharynx, upper oesophagus, salivary glands) without IV contrast, excluding cervical spine imaging. | $265.50 | $199.15 | $225.70 (85%) |
| 56107CT scan of neck soft tissues including larynx, pharynx, upper oesophagus and salivary glands with IV contrast, with pre-contrast scans when undertaken, excluding cervical spine cases. | $392.50 | $294.40 | $333.65 (85%) |
| 56219CT scan of spine with intrathecal contrast medium, including preparation for injection and associated X-rays, excluding cases covered by item 59724. | $376.60 | $282.45 | $320.15 (85%) |
| 56220CT scan of the cervical spine without IV contrast, performed under anaesthesia. | $277.10 | $207.85 | $235.55 (85%) |
| 56221Computed tomography scan of the thoracic spine without IV contrast, performed under anaesthesia. | $277.10 | $207.85 | $235.55 (85%) |
| 56223CT scan of the lower spine and lumbosacral region without contrast medium. | $277.10 | $207.85 | $235.55 (85%) |
| 56224CT scan of the cervical spine with intravenous contrast, including pre-contrast images if performed. | $405.60 | $304.20 | $344.80 (85%) |
| 56225CT scan of thoracic spine with intravenous contrast, including pre-contrast images if performed. | $405.60 | $304.20 | $344.80 (85%) |
| 56226CT scan of the lumbosacral spine with intravenous contrast, including pre-contrast imaging if performed. | $405.60 | $304.20 | $344.80 (85%) |
| 56233CT spine scan (2 examinations) without IV contrast for diagnostic imaging of spinal pathology. | $277.10 | $207.85 | $235.55 (85%) |
| 56234CT spine with IV contrast, up to 2 separate examinations including pre-contrast scans if done, performed under anaesthesia. | $405.60 | $304.20 | $344.80 (85%) |
| 56237CT scan of the entire spine (cervical, thoracic, and lumbosacral regions) without contrast, typically for trauma, degenerative disease, or structural assessment. | $277.10 | $207.85 | $235.55 (85%) |
| 56238CT scan of all three spine regions (cervical, thoracic, lumbosacral) with IV contrast, including pre-contrast images where performed. | $405.60 | $304.20 | $344.80 (85%) |
| 56301CT chest scan including lungs, mediastinum, chest wall and pleura, with optional upper abdomen imaging, without IV contrast, excluding coronary studies. | $340.65 | $255.50 | $289.60 (85%) |
| 56307CT scan of chest, lungs, mediastinum, chest wall and pleura, with or without upper abdomen, using intravenous contrast; excludes coronary artery imaging. | $461.80 | $346.35 | $392.55 (85%) |
| 56401CT scan of upper abdomen from diaphragm to iliac crest without IV contrast, excluding specific trauma, oncology, and other designated scan types. | $288.65 | $216.50 | $245.40 (85%) |
| 56407CT scan of upper abdomen with intravenous contrast, including pre-contrast scans if performed, excluding specific oncology and emergency presentations. | $415.70 | $311.80 | $353.35 (85%) |
| 56409CT scan of the pelvis without IV contrast, not associated with item 56401 (anaesthesia). | $288.65 | $216.50 | $245.40 (85%) |
| 56412CT scan of the pelvis with intravenous contrast, including pre-contrast images if performed, excluding cases covered by item 56407. | $415.70 | $311.80 | $353.35 (85%) |
| 56501CT scan of upper abdomen and pelvis without IV contrast, excluding virtual colonoscopy and specific excluded services. | $444.35 | $333.30 | $377.70 (85%) |
| 56507CT scan of upper abdomen and pelvis with IV contrast, including pre-contrast scans if done, excluding virtual colonoscopy cases. | $554.25 | $415.70 | $471.15 (85%) |
| 56553CT scan of the colon to diagnose or exclude colorectal cancer in symptomatic or high-risk patients with incomplete colonoscopy in past 3 months, high-grade obstruction, or specialist request. | $600.30 | $450.25 | $510.30 (85%) |
| 56620CT scan of the knee without IV contrast, excluding post-operative or trauma follow-up imaging covered elsewhere. | $254.00 | $190.50 | $215.90 (85%) |
| 56622CT scan of lower limb (excluding knee-only scans) without IV contrast, covering one or more regions on one or both sides. | $254.00 | $190.50 | $215.90 (85%) |
| 56623CT scan of lower limb(s) with intravenous contrast, including pre-contrast scans if performed, for one region excluding knee or multiple regions including knee. | $386.40 | $289.80 | $328.45 (85%) |
| 56626CT scan of the knee with intravenous contrast, including any pre-contrast images, excluding routine trauma or post-operative assessments. | $386.40 | $289.80 | $328.45 (85%) |
| 56627Computed tomography scan of one or more regions of the upper limb(s) without intravenous contrast, performed under anaesthesia. | $254.00 | $190.50 | $215.90 (85%) |
| 56628CT scan of upper limb (one or more regions) with IV contrast, including pre-contrast scans if performed. | $386.40 | $289.80 | $328.45 (85%) |
| 56629CT scan of upper and/or lower limb(s) (excluding knee-only scans) without IV contrast, not covered by item 56620. | $254.00 | $190.50 | $215.90 (85%) |
| 56630CT scan of upper and/or lower limb(s) with intravenous contrast, including pre-contrast scans if needed, excluding knee-only scans. | $386.40 | $289.80 | $328.45 (85%) |
| 56801CT scan of chest, abdomen, pelvis, and optionally neck soft tissues without IV contrast, excluding coronary imaging. | $538.65 | $404.00 | $457.90 (85%) |
| 56807CT scan of chest, abdomen and pelvis with optional neck soft tissue imaging, using intravenous contrast with or without pre-contrast scans, excluding coronary artery studies. | $646.55 | $484.95 | $549.60 (85%) |
| 57001CT scan of brain and chest, with optional upper abdomen imaging, without intravenous contrast; excludes coronary artery studies. | $538.75 | $404.10 | $457.95 (85%) |
| 57007CT scan of brain and chest, with optional upper abdomen imaging, using intravenous contrast and pre-contrast scans as needed, excluding coronary artery assessment. | $655.40 | $491.55 | $557.10 (85%) |
| 57201CT scan of the pelvis to measure pelvic dimensions in pregnant women to assess suitability for vaginal delivery. | $179.20 | $134.40 | $152.35 (85%) |
| 57341CT imaging performed during an interventional surgical procedure under anaesthesia to guide real-time intervention. | $542.60 | $406.95 | $461.25 (85%) |
| 57352CTA of head and neck arteries (aortic arch, carotid, vertebral) with IV contrast for stenosis, occlusion, aneurysm or embolism; requires specialist request or GP request discussed with specialist. | $588.75 | $441.60 | $500.45 (85%) |
| 57353CT angiography of aorta and iliac/abdominal branches with IV contrast, requested by specialist or GP with specialist discussion, to evaluate for stenosis, occlusion, aneurysm or embolism. | $588.75 | $441.60 | $500.45 (85%) |
| 57354CT angiography of the descending aorta and/or pelvic/lower limb vessels with IV contrast to exclude stenosis, occlusion, aneurysm or embolism, requiring specialist request or GP request with specialist discussion. | $588.75 | $441.60 | $500.45 (85%) |
| 57357CT angiography of pulmonary arteries with IV contrast to exclude stenosis, occlusion, aneurysm, or embolism; requires specialist referral for stenosis/occlusion/aneurysm, or any doctor's referral for embolism. | $588.75 | $441.60 | $500.45 (85%) |
| 57360Coronary artery CT scan on 64-slice or equivalent scanner for patients with stable or acute coronary symptoms at low-intermediate risk, referred by specialist, with no biomarker elevation or acute ECG changes. | $808.10 | $606.10 | $703.60 (85%) |
| 57362Cone beam CT imaging of the jaw, teeth, or temporomandibular joint for fractures, implant planning, orthodontics, endodontics, periodontics, or joint conditions; once per patient per day. | $130.65 | $98.00 | $111.10 (85%) |
| 57364CT coronary angiography on 64+ slice scanner for stable symptoms with new left ventricular dysfunction, coronary anomaly exclusion, pre-cardiac surgery assessment, or bypass graft patency evaluation; specialist-requested only. | $808.10 | $606.10 | $703.60 (85%) |
| 57410Low-dose chest CT scan for eligible participants in the National Lung Cancer Screening Program, using standardised nodule management protocol and bulk-billed. | $347.55 | $260.70 | $295.45 (85%) |
| 57413Low-dose chest CT scan for follow-up of lung nodules identified in National Lung Cancer Screening Program, within 2 years of initial screening or previous interval scan, using standardised nodule management protocol. | $347.55 | $260.70 | $295.45 (85%) |