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Ultrasound

An ultrasound scan is a procedure that uses high frequency sound waves to generate images of internal body structures. Ultrasound does not use ionising radiation so is considered very safe.

 

To acquire the images water-based gel is applied to your skin and then a hand-held ultrasound transducer is moved over the area of interest.

 

The ultrasound examination is performed by our highly trained Sonographers who then forward the images to our specialist doctors. The Radiologist then prepares a report for your referring practitioner.

Diagnostic Ultrasound examinations often have specific preparation requirements. Please see below for general information about preparing for Ultrasound examinations. Your personal preparation requirements will be outlined at the time of booking.

 

Abdomen / Abdomen Doppler / Renal arteries

Do not eat, smoke or chew gum for 6 hours before appointment. Regular sips of water are recommended to stay hydrated.

 

Pelvis / Renal / 1st Trimester pregnancy

90 minutes prior to the appointment, empty your bladder and then drink one litre of water, finishing water 1 hour prior to exam. A FULL BLADDER is required.

 

2nd Trimester pregnancy

90 minutes prior to the appointment, empty your bladder and then drink one litre of water, finishing water 1 hour prior to exam. You may empty up to 30 minutes prior to exam.

 

3rd Trimester pregnancy

Drink 500mls of water 1 hour prior to scan. Empty bladder as required.

Your Sonographer will collect you from the reception area and escort you to the ultrasound room. Depending on your scan you may be required to change into a gown.

 

The Sonographer will use a transducer to obtain different views and record a series of images. This process is generally pain-free, however some pressure may need to be applied to improve the image. Your Sonographer may request that you also assist in certain scans, for example – holding your breath, or by turning or standing.

 

Your scan time will vary depending on the complexity of the requested examination. Most simple ultrasound scans take approximately 15-20 minutes, however more time is required for complex studies such as certain obstetric or vascular imaging.

 

When the scan is complete, it may be necessary for you to wait while our Radiologist reviews the obtained images. Occasionally further imaging may be required. Your Sonographer will advise you if this is the case.

The cost of the scan depends on a number of factors, including the type of scan that your doctor has requested and whether you have a Government issued concession card. Please advise our friendly Customer Service Team if you are a pension or health care card holder.

 

Our Customer Service Team will be able to advise you of all costs involved with your ultrasound including any out of pocket cost (if relevant).

 

Many Ultrasound examinations have specific Federal Government Pre-requisites in place to enable you to claim a medicare rebate for that examination.  When you book your appointment you will be advised if a rebate is applicable for your examination.

 

Some categories of examinations commonly asked about are explained on the next few tabs such as Pregnancy and Musculoskeletal (MSK)

 

When performed on the same day, Medicare will NOT rebate the second examination:

Ultrasound Doppler WITH Ultrasound Musculoskeletal or General or Pregnancy
Ultrasound Abdomen WITH Ultrasound Pelvis
Ultrasound Abdomen WITH Ultrasound Renal
Ultrasound Pelvis WITH Ultrasound Renal
Ultrasound Renal WITH Ultrasound Abdomen
Ultrasound Musculoskeletal Bilateral

Pregnancy Scans

Pregnancy Scans are subject to Medicare Eligibility Criteria to qualify for a Medicare rebate:

0 – 12 Weeks: Patients are eligible to receive a Medicare rebate for a ultrasound during this period if they meet the any of the clinical criteria listed below. This includes their dating scan.

12 – 16 Weeks: If a dating scan has already been completed, there needs to be a clinical reason from the criteria below for the patient to receive a Medicare Rebate.

17 – 22 Weeks: All patients are entitled to one Medicare rebatable Morphology Ultrasound. This is performed around 20 weeks to maximise visualisation of fetal anatomy. If more that one ultrasound is required between 17 and 22 weeks, the referral must be referred by an Obstetrics and Gynaecology specialist or a GP with a Diploma in Obstetrics and Gynaecology with a clinical reason from the criteria below to be Medicare rebatable.

22 Weeks plus: All patients are entitled to one Ultrasound if criteria listed below is met. If more than one scan is required after 22 weeks, the referral must be referred by an Obstetrics & Gynaecology specialist or a GP with a Diploma in Obstetrics & Gynaecology with a clinical reason from the criteria listed below to be Medicare rebatable.

 

CRITERIA

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.

Pregnancy Scans

Pregnancy Scans are subject to Medicare Eligibility Criteria to qualify for a Medicare rebate:

1. The patient is 11.5 to 13.5 weeks of gestation, and referred by a medical practitioner; and
2. For the patient to receive a MBS rebate, one or more of the following conditions are present:

• Abdominal pain or mass
• Abdominal wall scarring
• Advanced maternal age
• Alloimmunisation
• Autoimmune disease
• Bowel stoma
• Cardiac disease
• Diabetes Mellitus
• Diminished symptoms of pregnancy
• Drug dependency
• High risk pregnancy
• Hyperemesis gravidarum
• Hypertension
• Inflammatory bowel disease
• Liver or renal disease
• Maternal infection
• Poor obstetric history
• Pregnancy after assisted reproduction
• Previous caesarean section
• Previous post dates delivery
• Previous spinal or pelvic trauma or disease
• Risk of fetal abnormality
• Risk of miscarriage
• Significant maternal obesity
• Suspected or known cervical incompetence
• Suspected or known uterine abnormality
• Suspicion of ectopic pregnancy
• Thrombophilia
• Toxaemia of pregnancy
• Uncertain dates

 

To assess fetal risk the examination MUST be performed between 11.5 to 13.5 weeks of pregnancy. Due to this narrow time frame it is essential that patients make an appointment as soon as they receive the referral from their medical practitioner. The associated blood test may be completed any time after 10 weeks and preferably 3 days before the ultrasound.

Musculoskeletal Ultrasound

 

US SHOULDER / UPPER ARM

Rebatable Criteria:

• Evaluation of injury to tendon, muscle or muscle/tendon junction; or
• Rotator cuff tear/calcification/tendinosis (biceps, subscapular, supraspinatus, infraspinatus); or
• Biceps subluxation; or
• Capsulitis and bursitis; or
• Evaluation of mass including ganglion; or
• Occult fracture; or
• Acromioclavicular joint pathology

Benefits are NOT payable when referred for non-specific PAIN alone.

 

US KNEE

Rebatable Criteria:

• Abnormality of tendons or
• bursae about the knee; or
• Meniscal cyst, popliteal fossa cyst, mass or pseudomass; or
• Nerve entrapment, nerve or nerve sheath tumour; or
• Injury of collateral ligaments

Benefits are NOT payable when referred for non-specific knee PAIN alone or other knee condition including:

• Meniscal and cruciate ligament tears
• Assessment of chondral surfaces

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CT, Interventions, Locations, NCR, OPG, Ultrasound, X-Ray
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Chatswood
CRR, CT, Interventions, Mammo, MRI, OPG, Screening, Ultrasound, X-Ray
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Goonellabah, Locations, NCR, OPG, Ultrasound, X-Ray
Grafton
BMD, CT, CVI, DXA Body Composition, Interventions, Locations, Mammo, MRI, OPG, Screening, Ultrasound, X-Ray
Maclean
CVI, Locations, Ultrasound, X-Ray
Ryde
BMD, CRR, CT, Interventions, OPG, Ultrasound, X-Ray
Ultrasound
Ballina, Byron Bay, Casino, Chatswood, Goonellabah, Grafton, Maclean, Ryde, St Vincents, Ultrasound, Women’s Imaging