Shoulder & Knee Ultrasound

Items	Descriptions	Limitations
55864	where the service is provided, for the assessment of one or more of the following conditions or suspected conditions: evaluation of injury to tendon, muscle or muscle/tendon junction; or rotator cuff tear/calcification/tendinosis (biceps, subscapular, suspraspinatus, infraspinatus); or biceps subluxation; or capsulitis and bursitis; or evaluation of mass including ganglion; or occult fracture; or acromioclavicular joint pathology Benefits are not payable when referred for non-specific pain alone	Shoulder or upper arm 1 or both sides
55880	where the service is provided for the assessment of one or more of the following conditions or suspected conditions: abnormality of tendons or bursae about the knee; or meniscal cyst, popliteal fossa cyst, mass or pseudomass; or nerve entrapment, nerve or nerve sheath tumour; or injury of collateral ligaments Benefits are not payable when referred for non-specific pain alone and including meniscal or cruciate ligament tears and assessment of chondral surfaces	Knees 1 or both sides

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