Imaging Guidelines for Referrers
Obstetric Scans
We offer the following scans:
- Dating Scan < than 12 weeks
- Nuchal Scan 12 weeks
- Morphology Scan 20weeks
- Morphology Scan over 22 weeks
The patient must be referred by a medical practitioner. One or more of the following conditions are present for:
- Hyperemesis
- Risk of foetal abnormality
- Previous post dates delivery
- Abdominal wall scarring
- Inflammatory bowel disease
- Advanced maternal age
- Toxaemia of pregnancy
- Significant maternal obesity
- Previous caesarean section
- Suspicion of ectopic pregnancy
- Diminished symptoms of pregnancy
- Previous pelvis or spinal trauma or disease
- Pregnancy after assisted reproduction
- Suspected or known uterine disease
- Suspected or known cervical incompetence
- Diabetes mellitus
- Hypertension
- Autoimmune disease
- Alloimmunisation
- Maternal infection
- Bowel stoma
- Drug dependency
- Thrombophilia
- Abdominal pain or mass
- Liver or renal disease
- Poor obstetric history
- Risk of miscarriage
- High risk pregnancy
- Uncertain dates
- Cardiac disease
Pregnancy Ultrasounds that are over 12 weeks, only one examination per trimester can be bulk billed unless referred by an obstetrician or GP Obstetrician.
Nuchal Translucency Scans
- The patient is 11w2d-13w6d gestation, fetal development (not exceeding 1 service in any 1 pregnancy)
- The patient is referred by a medical practitioner
- The pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84mm
- At least 1 condition mentioned above is present
- Nuchal translucency measurement is performed to assess the risk of fetal abnormality
- The service is not performed with item 55704
2nd Trimester Morphology Scan (17 to 22 weeks)
- The patient is referred by a medical practitioner
- The pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation
3rd Trimester Scan (over 22 weeks)
- The patient is referred by a medical practitioner
- The dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks gestation
One or more of the following conditions are present:
- Known or suspected fetal abnormality or fetal cardiac arrhythmia
- Fetal anatomy (late booking or incomplete mid-trimester scan)
- Malpresentation
- Cervical assessment
- Clinical suspicion of amniotic fluid abnormality
- Previous complicated delivery
- Uterine scar assessment
- Uterine fibroid
- Previous fetal death in utero or neonatal death
- Antepartum haemorrhage
- Clinical suspicion of intrauterine growth retardation
- Reduced fetal movements
- Suspected fetal death
- Abnormal cardiotocography
- Prolonged pregnancy
- Premature labour
- Fetal infection
- Pregnancy after assisted reproduction
- Trauma
- Diabetes mellitus
- Hypertension
- Toxaemia of pregnancy
- Liver or renal disease
- Autoimmune disease
- Cardiac disease
- Alloimmunisation
- Maternal infection
- Inflammatory bowel disease
- Bowel stoma
- Abdominal wall scarring
- Previous pelvis or spinal trauma or disease
- Drug dependency
- Thrombophilia
- Significant maternal obesity
- Advanced maternal age
- Abdominal pain or mass