| Items | Descriptions | Limitations |
|---|---|---|
| 57712 | x-ray - hip joint | |
| 57715 | x-ray - pelvic girdle | |
| 58100 | x-ray - cervical spine | |
| 58103 | x-ray - thoracic spine | |
| 58106 | x-ray - lumbosacral spine | |
| 58109 | x-ray - sacrococcygeal spine | |
| 58112 | x-ray - spine; two examinations of the kind referred to in items 58100, 58103, 58106 and 58109 | |
| 58120* | x-ray - spine, four regions, cervical, thoracic, lumbosacral and sacrococcygeal | *Items 58120 or 58121(not both) limitation is one per calendar year |
| 58121* | x-ray - spine, three examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 | *Items 58120 or 58121(not both) limitation is one per calendar year |
| 58500 | x-ray - chest (limited rebate) | |
| 57706 | x-ray - clavicle (limited rebate) | |
| 57518 | x-ray - foot, ankle, leg, knee or femur (limited rebate) | |
| 57524 | x-ray - foot and ankle, ankle and leg, leg and knee or knee and femur (limited rebate) | |
| 57506 | x-ray - hand, wrist, forearm, elbow and humerus (limited rebate) | |
| 57512 | x-ray - hand and wrist, hand wrist and forearm, forearm and elbow or elbow and humerus (limited rebate) | |
| 57700 | x-ray - shoulder or scapula (limited rebate) |
