Magnetic Resonance Imaging

Items

Descriptions

Limitations

Head

63001

tumour of the brain or meninges

unlimited

63004

Inflammation of the brain or meninges

unlimited

63007

skull base or orbital tumour

unlimited

63010

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

unlimited

63040

acoustic neuroma

3 per year

63043

pituitary tumour

3 per year

63046

toxic or metabolic or ischaemic encephalopathy

3 per year

63049

demyelinating disease of the brain

3 per year

63052

congenital malformation of the brain or meninges

3 per year

63055

venous sinus thrombosis

3 per year

63058

head trauma

3 per year

63061

epilepsy

3 per year

63064

stroke

3 per year

63067

carotid or vertebral artery dissection

3 per year

63070

intracranial aneurysm

3 per year

63073

intracranial arteriovenous malformation

3 per year

Head and neck vessels

63101

stroke

3 per year

Head and cervical spine

63111

tumour of the central nervous system or meninges

3 per year

63114

inflammation of the central nervous system or meninges

3 per year

63125

demyelinating disease of the central nervous system

3 per year

63128

congenital malformation of the central nervous system or meninges

3 per year

63131

syrinx (congenital or aquired)

3 per year

Spine - one region or two contiguous regions

63151

infection

unlimited

63154

tumour

unlimited

63161

demyelinating disease

3 per year

63164

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

3 per year

63167

myelopathy

3 per year

63170

syrinx (congenital or aquired)

3 per year

63173

cervical radiculopathy

3 per year

63176

sciatica

3 per year

63179

spinal canal stenosis

3 per year

63182

previous spinal surgery 

3 per year

63185

trauma

3 per year

Spine - three contiguous regions or two non-contiguous regions

63201

infection

unlimited

63204

tumour

unlimited

63219

demyelinating disease

3 per year

63222

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

3 per year

63225

myelopathy

3 per year

63228

syrinx (congenital or aquired)

3 per year

63231

cervical radiculopathy

3 per year

63234

sciatica

3 per year

63237

spinal canal stenosis

3 per year

63240

previous spinal surgery 

3 per year

63243

trauma

3 per year

Cervical spine and brachial plexus

63271

tumour

3 per year

63274

trauma

3 per year

63277

cervical radiculopathy

3 per year

63280

previous surgery

3 per year

Musculoskeletal (MSK) System

63301

tumour arising in bone or MSK system excludes tumour arising in breast, prostate or rectum

unlimited

63304

infection arising in bone or MSK system excludes tumour arising in breast, prostate or rectum

unlimited

63307

osteonecrosis

unlimited

63322

derangement of hip or its supporting structures*

3 per year

63325

derangement of shoulder or its supporting structures*

3 per year

63328

derangement of knee or its supporting structures*

3 per year

63331

derangement of ankle and/or foot or its supporting structures*

3 per year

63334

derangement of one or both temporomandibular joints or their supporting structures

3 per year

63337

derangement of wrist and/or hand or its supporting structures*

3 per year

63340

derangement of elbow or its supporting structures*

3 per year

63361

Gaucher disease

3 per year

*Limitation is 3 for each side in 12 months

Cardiovascular System 

63385

congenital disease of the heart or a great vessel

2 per year

63388

tumour of the heart or a great vessel

2 per year

63391

abnormality of thoracic aorta

2 per year

Cardiovascular System MRA

63401

vascular abnormality with a previous anaphylactic reaction to an iodinated contrast medium

3 per year

63404

obstruction of the superior vena cava, inferior vena cava or a major pelvic vein

3 per year

Paediatric (<16yrs) MRA

63416

the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome

1 per year

Paediatric (<16)

63425

post-inflammatory or post-traumatic physeal fusion

2 per year

63428

Gaucher disease

2 per year

63440

pelvic or abdominal mass

unlimited

63444

mediastinal mass

unlimited

63447

congenital uterine or anorectal abnormality

unlimited

Body Scan

63461

adrenal mass in a patient with malignancy which is otherwise resecetable

1 per year

Body Scan - both breasts

63464

scan of both breast for the detection of cancer where;
(a) a dedicated breast coil is used; and
(b) the request for scan identifies that the woman is asymptomatic and < 50 years of age; and
(c) the request for scan identifies either:
(i) that the patient is at high risk of developing breast cancer, due to 1 of the following:
(A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer;
(B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the following applies to at least 1 of the relatives:
- has been diagnosed with bilateral breast cancer;
- had onset of breast cancer before the age of 40 years;
- had onset of ovarian cancer before the age of 50 years;
- has been diagnosed with breast and ovarian cancer, at the same time or at different times;
- has Ashkenazi Jewish ancestry;
- is a male relative who has been diagnosed with breast cancer;
(C) 1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft
tissue sarcoma at age 45 years or younger; or
(ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation.

1 per year

Body Scan - both breasts

63467

scan of both breast for the detection of cancer - where;
a) a dedicated breast coil is used; and
(b) the woman has had an abnormality detected as a result of a service described in item 63464 performed in the previous 12 months

1 per year

Body Scan – one or both breasts

63501

MRI – scan of one or both breasts for the evaluation of implant integrity where:
(a) a dedicated breast coil is used; and 
(b) the request for the scan identifies that the patient: 
(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and 
(ii) the result of the scan confirms a loss of integrity of the implant (R)

1 per year

63502

MRI – scan of one or both breasts for the evaluation of implant integrity where: 
(a) a dedicated breast coil is used; and 
(b) the request for the scan identifies that the patient: 
(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and 
(ii) the result of the scan does not demonstrate a loss of integrity of the implant (R) 

1 per year

63504

MRI – scan of one or both breasts for the evaluation of implant integrity where: 
(a) a dedicated breast coil is used; and 
(b) the request for the scan identifies that the patient: 
(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and 
(ii) presents with symptoms where implant rupture is suspected; and 
(iii) the result of the scan confirms a loss of integrity of the implant (R) 

63505

MRI – scan of one or both breasts for the evaluation of implant integrity where: 
(a) a dedicated breast coil is used; and 
(b) the request for the scan identifies that the patient: 
(i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and 
(ii) presents with symptoms where implant rupture is suspected; and 
(iii) the result of the scan does not demonstrate a loss of integrity of the implant (R) 

Pelvis and Upper Abdomen

63470

Pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater when the request for scan identifies that
 (i) a histological diagnosis of carcinoma of the cervix has been made and
(ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater

1 in a lifetime

63473

Pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater

1 in a lifetime

63476

Pelvis for the initial staging of rectal cancer where
a) a phased array body coil is used, and
(b) the request for scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum).

1 in a lifetime

Body - pancreas and biliary tree MRCP

63482

suspected biliary or pancreatic pathology

3 per year