Specialist Guide To Medicare Rebates

Medicare rebates apply for MRI examinations only when the clinical indications below are present.

Concession card holders are eligible for bulk billing for eligible MRIs.

* To be eligible for a Medicare rebate the patient must have x-ray first.

Specialist Guide to Medicare

Head

63001 – tumour of the brain or meninges

63004 – inflammation of the brain or meaninges

63007 – skull base or orbital tumor

63010 – stereotactic scan of brain, with Fiducials in place, for planning for stereotactic neurosurgery

63040 – acoustic neuroma

63043 – pituitary tumour

63046 – toxic or metabolic or ischaemic encephalopathy

63049 – demyelinating disease of the brain

63052 – congenital malformation of the brain or meninges

63055 – venous sinus thrombosis

63058 – head trauma

63061 – epilepsy

63064 – stroke

63067 – carotid or vertebral artery dissection

63070 – intracranial aneurysm

63073 – intracranial arteriovenous malformation

Head and neck vessels

63101 – stroke

Head and cervical spine

63111 – tumour of the central nervous system or meninges

63114 – inflammation of the central nervous system or meninges

63125 – demyelinating disease of the central nervous system

63128 – congenital malformation of the central nervous system or meninges

63131 – syrinx (congenital or acquired)

Spine – one region or two contiguous regions

63151 – infection

63154 – tumour

63161 – demyelinating disease

63164 – congenital malformation of the spinal cord or the cauda equina or the meninges

63167 – myelopathy

63170 – syrinx (congenital or acquired)

63173 – cervical radiculopathy

63176 – sciatica

63179 – spinal canal stenosis

63182 – previous spinal surgery

63185 – trauma

Spine – three contiguous regions or two non-contiguous regions

63201 – infection

63204 – tumour

63219 – demyelinating disease

63222 – congenital malformation of the spinal cord or the cauda equina or the meninges

63225 – myelopathy

63228 -syrinx (congenital or acquired)

63231 – cervical radiculopathy

63234 – sciatica

63237 – spinal canal stenosis

63240 – previous spinal surgery

63243 – trauma

Cervical spine and brachial plexus