Magnetic Resonance Imaging – General Practitioners

Introduction

From 1 November 2013 General Practitioners are able to refer patients over 16 years of age for a small range of Medicare eligible indications, in addition to the indications awarded in 2012 for children under 16 years of age.

ItemsDescriptionsLimitations
63551
Head
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the head for any of the following:
  • Unexplained seizure(s)
  • Unexplained chronic headache with suspected intracranial pathology
Person over age 16 years
63554
C-Spine
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the spine for suspected:
  • Cervical radiculopathy
Person over age 16 years
63557
C-Spine
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the spine for suspected:
  • Cervical spine trauma
Person over age 16 years
63560
Knee
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the knee following acute knee trauma with:
  • Inability to extend the knee suggesting the possibility of acute meniscal tear or;
  • Clinical findings suggesting acute anterior cruciate ligament tear
Person over age 16 years
63508
Head
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the head for any of the following:
  • Unexplained seizure
  • Unexplained headache where significant pathology is suspected
  • Paranasal sinus pathology which has not responded to conservative therapy.
Person underage 16 years
63511
Full Spine
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the spine following radiographic examination for any of the following:
  • Significant trauma
  • Unexplained neck or back pain with associated neurological signs
  • Unexplained back pain where significant pathology is suspected
Person underage 16 years - must have x-ray first
63514
Knee
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the knee following radiographic examination for internal joint derangement.Person underage 16 years - must have x-ray first
63517
Hip
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the hip following radiographic examination for any of the following:
  • Suspected septic arthritis
  • Suspected slipped capital femoral epiphysis
  • Suspected perthes disease
Person underage 16 years - must have x-ray first
63520
Elbow
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the elbow following radiographic examination where a significant fracture or avulsion injury is suspected.Person underage 16 years - must have x-ray first
63523
Wrist
Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the wrist following radiographic examination where a scaphoid fracture is suspected.Person underage 16 years - must have x-ray first