Adult MRI – Medicare Rebate Items for GPs

MRI Scans Bulk-Billed

GP Referred MRI Items for Adults for Specified Conditions.
At Melbourne Radiology Clinic, the following adult (16 years and over*) MRI services referred by a GP are bulk billed as per the schedule shown below:

[*Note age restriction for MRI Knee Scans introduced 1 November 2018]

Magnetic Resonance Imaging MRI - Patient Guide for Adult MRI Scans

One of the key initiatives of the Diagnostic Imaging Reform Package is to expand patient access to MRI services across Australia. This includes increased access to MRI services for primary care patients 16 years and over* by extending requesting rights to GPs for a small set of clinically appropriate indications.

Adult MRI.

GP Referred MRI Items
for Adults for Specified Conditions.

MRI scan of the head
MRI Head / Brain

Clinical Indications

  • unexplained seizure(s) and;
  • unexplained chronic headache
  • suspected intracranial pathology
MRI of a cervical spine
MRI Cervical Spine
- Radiculopathy

Clinical Indications

  • for suspected cervical radiculopathy
MRI of a cervical spine trauma
MRI Cervical Spine
- Trauma

Clinical Indications

  • for suspected cervical spine trauma
MRI of a knee with ACL tear
MRI Knee

Clinical Indications

  • following acute trauma for patients* with inability to extend the knee suggesting the possibility of acute meniscal tear or;
  • clinical finding suggesting acute anterior cruciate ligament tear

[*patients aged 16-49 years only]

Medicare Rebate.
A Medicare rebate for these Adult MRI scans is ONLY CLAIMABLE if one of the clinical indications shown as above is specified in the ‘Clinical Details’ section of the radiology request referral form.

Adult Patients not meeting the criteria outlined above are unable to have their MRI expenses claimed from Medicare or any private health fund, so patients are liable for the entire expense of the MRI examination.

Patient Care & Comfort

Wide Bore MRI.

Melbourne Radiology Clinic's Wide-Bore MRI provides a comfortable spacious environment for patient scans while producing clear images.

Our experienced staff will ensure that the MRI scan is as comfortable as possible.

Adult MRI - Patient Guide
Medicare Update
Changes to Medicare Funded Knee Imaging Services – 1 Nov 2018.
GPs are not able to request more than three knee MRIs per patient per annum for patients aged 16-49 and are no longer able to refer patients aged 50 years and over for knee MRIs.

From 1 November 2018, new restrictions were introduced to limit the ability of general practitioners (GPs) to request knee MRIs for patients 50 years and over (MBS items 63560 & 63561). Specialists are still able to request knee MRIs for any patient, regardless of the patient’s age.

MRI of a knee with ACL tear
Related MRI MBS Items.
GPs are able to request 6 Magnetic Resonance Imaging (MRI) Medicare services for patients under 16 years of age.