MBS item

63390
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Cardiac MRI to assess myocardial structure and function in suspected myocarditis with acute heart failure, unexplained arrhythmia, or drug-induced cases when standard tests (troponin, chest X-ray, echocardiogram) are inconclusive.

Category 5 · Diagnostic imaging services[Group I5 · subgroup 14](/groups/I5)

Schedule fee$632.65

100% benefitGP, out of hospital—

85% benefitOut of hospital$537.80

75% benefitIn hospital$474.50

The schedule fee for MBS item 63390 is $632.65. Medicare pays $537.80 (85%) out of hospital, or $474.50 (75%) for a privately admitted patient in hospital. Fee effective 1 July 2026.

Gap for what you charge
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Your fee$

Out of hospitalIn hospital (private)

Medicare pays$537.80

Patient gap$94.85

Bulk billing means accepting $537.80 as full payment, with no gap and no extra charges. [Add incentives](/bulk-billing?item=63390)

Item descriptor
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MRI—scan of cardiovascular system for assessment of myocardial structure, function and characterisation, if the request for the scan indicates that the patient has: (a) acute onset (less than 3 months) heart failure caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (b) unexplained arrhythmia caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or (c) suspected drug-induced myocarditis, if the results from all of the following examinations are inconclusive to form a diagnosis: (i) troponin; (ii) chest X-ray; (iii) transthoracic echocardiogram. (R) (Contrast) (Anaes.)

[Explanatory notes and rules on MBS Online ↗](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=63390)

Health fund and DVA rates
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Total fee each scheme recognises for this item in hospital.

StateNSWVICQLDSAWATASACTNT

Guides
------

- [How Medicare benefits work: schedule fees, 75%, 85% and 100%](/guides/how-medicare-benefits-work)
- [Medicare safety nets explained: original and extended (EMSN) thresholds for 2026](/guides/medicare-safety-nets)
- [In-hospital billing: the 75% benefit, the 25% fund benefit, and no-gap and known-gap schemes](/guides/in-hospital-billing-and-gap-cover)
- [Bulk billing incentives and BBPIP explained: 2026 amounts by MM area](/guides/bulk-billing-incentives)
- [The MBS multiple operation rule and surgical assistant fees](/guides/multiple-operation-rule)
- [Assignment of benefit for bulk billing: the changes from 1 July 2026](/guides/assignment-of-benefit-2026)
- [MBS telehealth rules: the eligible telehealth practitioner and phone items](/guides/mbs-telehealth-rules)
- [GP chronic condition management plans: items 965 and 967 explained](/guides/chronic-condition-management-plans)
- [Medicare billing compliance: claim time limits, records and the 80/20 rule](/guides/medicare-billing-compliance)

Data source: [Australian Government Medicare Benefits Schedule](https://www.mbsonline.gov.au/) · Record updated 1 September 2026. Health fund rates come from each fund's published schedule. Verify item descriptors, rules and fees on [MBS Online](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=63390) before billing. This is a reference tool, not billing or financial advice.
