Imaging Guidelines for Referrers
Allied Health Professionals
Referrals from Allied Health Professionals are welcome but there are some restrictions on Medicare rebates.
Medicare accepted referrals for x-ray of:
- Hip, Pelvis,
- Cervical Spine, Thoracic Spine, Lumbar spine, Sacrococcygeal spine,
- 2 Region Spine, 4 Region spine (1 per calendar year), 3 Region Spine (1 per calendar year).
- Ultrasound ankle or heel, mid or forefoot, soft tissue lump
- X-ray ankle/femur/foot/knee/lower leg/Ankle and lower leg/Foot and ankle/knee and femur/lower leg and knee.
- OPG (impaction-caries)
- Lateral Cephalometry
- OPG TMJ assessment
Please note: clinical details must be written on the form, OPG does not suffice.
Other services referred by general practitioners/specialists
For a patient to be eligible for a Medicare rebate they must fit one of the following criteria and the applicable condition should be stated on the request form.
- A person aged over 70 years – Unlimited
- 1 or more fractures have occurred after minimal trauma (this can only be used once for each fracture); or an x-ray which refers to 20% loss of height
- Monitoring of osteoporosis proven by previous bone densitometry 12 months prior;
- Scan at least two years prior with a Z score of -1.50 or lower, or T score of -2.50 or lower.
- Prolonged & current glucocorticoid therapy (as per dose limits outlined in MBS)
- Conditions associated with excess glucocorticoid secretion;
- Male hypogonadism; or
- Female hypogonadism lasting more 6 months before age 45
- Primary hyperparathyroidism
- Chronic liver disease;
- Chronic renal disease;
- Proven malabsorption disorders (eg. Coeliac or Crohns Disease)
- Rheumatoid arthritis; or
- Conditions associated with thyroxine excess
- Measurement of bone density after 12 months following a significant change in therapy
One of these MUST be stated on referral:
- Previous breast malignancy in the patient
- Family history of breast malignancy
- Symptoms or indications of malignancy found on examination of patient (these may include lump, dense breasts, underlying lump etc)