Nurse Practitioners

Items DescriptorsLimitations
57509x-ray - hand, wrist, forearm, elbow or humerus
57515x-ray - hand and wrist, hand wrist and forearm, forearm and elbow and elbow and humerus
57521x-ray - foot, ankle, leg, knee or femur - cannot refer for combination lower extremity
58503x-ray - chest
58506x-ray - chest with fluoroscopic screening
58509x-ray - thoracic inlet or trachea
58521x-ray - left ribs, right ribs or sternum
58524x-ray - left and right ribs, left ribs and sternum, or right ribs and sternum
58527x-ray - left ribs, right ribs and sternum
55036ultrasound - abdomen and urinary tract
55070ultrasound - breast 1 side only
55076ultrasound - breast both sides
55768ultrasound – pregnancy over 22 weeks multiple pregnancy
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where:
  1. dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and
  2. the ultrasound confirms a multiple pregnancy; and
  3. the patient is referred by a medical practitioner; and
  4. the service is not performed in the same pregnancy as item 55770; and
  5. the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and
  6. the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and
  7. the service is not performed in conjunction with item 55718 or 55721 during the same pregnancy
only 1 per pregnancy