Health Insurance (Section 3C Diagnostic Imaging Services – Whole Body Magnetic Resonance Imaging Scan) Determination 2022

law://au/li/2022/f2022l01472@2026-11-13

Contents

1. Name #

This instrument is the Health Insurance (Section 3C Diagnostic Imaging Services – Whole Body Magnetic Resonance Imaging Scan) Determination 2022.

3.Authority#

This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.

4. Definitions #

(1) In this instrument:

Act means the Health Insurance Act 1973.

MRI means magnetic resonance imaging.

(R) has the meaning given by clause 1.2.15(1) of the diagnostic imaging services table.

relevant provisions mean all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.

relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.

Schedule means a Schedule to this instrument.

Note: The following terms are defined in subsection 3(1) of the Act:

 clinically relevant service;

 diagnostic imaging services table;

 item;

 professional service.

(2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.

5. Treatment of relevant services #

For subsection 3C(1) of the Act, a relevant service, provided in accordance with this instrument and as a clinically relevant service, is to be treated, for the relevant provisions, as if:

(a) it were both a professional service and a diagnostic imaging service; and

(b) there were an item in the diagnostic imaging services table that:

i. related to the service; and

ii. specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.

6. Application of provisions of the diagnostic imaging services table #

(1)Clause 1.2.17 of the diagnostic imaging services table shall have effect as if the items in Schedule 1 of this instrument were specified for the purpose of that clause.

7. Limitation of items #

(1)A service described under item 63564 applies only if the same patient has not received a service to which the same item applies within the preceding 12 months.

8Indexation#

(1) At the start of 1 July 2026 (the indexation time), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:

Note: The indexed fees could in 2026 be viewed on the Department of Health, Disability and Ageing’s MBS Online website (www.mbsonline.gov.au).

(2) The amounts covered by this subsection are the fee for each item in Schedule 1 of this Determination.

(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

Group I5 – Magnetic Resonance Imaging
Column 1Item	Column 2Description	Column 3Fee ($)
Subgroup 19 – Scan of Body – For Specified Conditions
63564	MRI – whole body scan for the early detection of cancer:a) requested by a specialist or consultant physician in consultation with a clinical geneticist in a familial cancer or genetic clinic; andb) the request identifies that the patient has a high risk of developing cancer malignancydue to heritable TP53 - related cancer (hTP53rc) syndrome(R) (Anaes.)	1,655.20

Sourced from the Federal Register of Legislation at legislation.gov.au, © Commonwealth of Australia, licensed under CC BY 4.0. Compilations may have been reformatted.

Health Insurance (Section 3C Diagnostic Imaging Services – Whole Body Magnetic Resonance Imaging Scan) Determination 2022

Health Insurance (Section 3C Diagnostic Imaging Services – Whole Body Magnetic Resonance Imaging Scan) Determination 2022

1. Name #

3.Authority#

4. Definitions #

5. Treatment of relevant services #

6. Application of provisions of the diagnostic imaging services table #

7. Limitation of items #

8Indexation#

Connections

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Key facts

1. Name #

3.Authority#

4. Definitions #

5. Treatment of relevant services #

6. Application of provisions of the diagnostic imaging services table #

7. Limitation of items #

8Indexation#