Cindy Mackenzie Breast Cancer Foundation

Medicare Restrictions and guidelines

BMD Medicare Requirements

Item 12306 - One service every 12 months

  • Fractures after minimal trauma
  • Monitoring of osteoperosis proven by bone density

Item 12312 - One service every 12 months

  • Prolonged glucocorticoid therapy
  • Excess glucocortoid secretion
  • Ovarian hypofunction (amenorrhoea >6 months before 45 yrs)
  • Male hypogonadism

Item 12315 - One service every 24 months

  • Primary hyperparathyroidism
  • Proven melabsorption
  • Excess thyroxine
  • Chronic liver disease
  • Chronic renal disease
  • Rheumatoid arthritis

Item 12321 - One service every 12 months

  • Significant change in therapy for osteoperosis

Item 12323

  • Patients over 70

Nuchal Translucency requirements for partial rebate

To qualify for a rebate from from Medicare($59.50): one or more of the following prerequisites must appear on the referral:

  • Hyperemesis gravidarum
  • 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 spinal or pelvic trauma or disease
  • Drug dependency
  • Thrombophilia
  • Significant maternal obesity
  • Advanced maternal age
  • Abdominal pain or mass
  • Uncertain dates
  • High risk pregnancy
  • Previous post dates delivery
  • Previous caesarean section
  • Poor obstetric history
  • Suspicion of ectopic pregnancy
  • Risk of miscarriage
  • Diminished symptoms of pregnancy
  • Suspected or known cervical incompetence
  • Suspected or known uterine abnormality
  • Pregnancy after assisted reproduction
  • Risk of foetal abnormality
 
 

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