ItemsDescriptionsLimitations
63551 HeadReferral 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-SpineReferral 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-SpineReferral 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 KneeReferral 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
Persons age 16 - 49 years
63507 HeadReferral 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 under age 16 years
63510 Full SpineReferral 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 under age 16 years - must have x-ray first
63513 KneeReferral by a medical practitioner (excluding a specialist or consultant physician) for a scan of the knee for internal joint derangement.Person under age 16 years
63516 HipReferral 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 under age 16 years - must have x-ray first
63519 ElbowReferral 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 under age 16 years - must have x-ray first
63522 WristReferral 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 under age 16 years - must have x-ray first

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