Medicare Items Criteria
Bulk Billed Examinations
We offer bulk-billed services, NO GAP payment by patients for any scan
Who Can Be Bulk Billed?
Bulk-billed Patients are required to have:
- We accept all referral forms, including those from other radiology practices.
- Medicare Card
Who Does Bulk Billing Not Cover?
- Medicare patients are not offered multiple services during a single visit, and
- WorkCover patients are required to offer a copy of the referral form, patient contact information, and insurance details.
Benefits of Bulk Billing Imaging?
- No Fee Service - The main benefit of bulk billing is that there are no out-of-pocket fees. Our specialists collect the cost of your treatment from Medicare, saving you money.
Medicare Item Numbers
The link provided offers Medicare Item Numbers (codes) with their related Service Descriptions: https://www.mbsonline.gov.au/
CTCA
Patients’ referrals must meet the following criteria for Delta Medical Imaging to Bulk Bill for CTCA examinations.
- Medicare eligible scan (57360) NO time restriction
- Stable or acute symptoms of coronary ischaemia, the patient is at low to intermediate risk of an acute coronary event and;
- Has no known obstructive coronary disease but meets MBS criteria for coronary angiography (invasive); or
- Has known obstructive coronary artery disease
2. Medicare eligible scan (57360) Once every 5 years
- Stable or acute symptoms of coronary ischaemia, the patient is at low to intermediate risk of an acute coronary event and no obstructive coronary artery disease detected on a previous CTCA
3. Medicare eligible scan (57364) NO time restriction
- Stable symptoms and newly recognised LV systolic dysfunction of unknown aetiology; or
- Requires exclusion of coronary artery anomaly or fistula; or
- Undergoing non-coronary cardiac surgery; or
- Meets MBS criteria for invasive angiography to assess patency of bypass grafts
4. CTCA Non - Medicare eligible scan:
