Medicare changes for specified MRI of the pelvis and upper abdomen

MRI to evaluate small bowel Crohn’s disease. Medicare benefits are only payable for this item if the service is provided to patients:

(a) Evaluation of disease extent at time of initial diagnosis of Crohn’s disease
(b) Evaluation of exacerbation/​suspected complications of known Crohn’s disease
© Evaluation of known or suspected Crohn’s disease in pregnancy
(d) Assessment of change to therapy in patients with small bowel Crohn’s disease

Assessment of change to therapy can only be claimed once in a 12 month period.

MRI for fistulising perianal Crohn’s disease. Medicare benefits are only payable for this item if the service is provided to patients for:

• Evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn’s disease
• Assessment of change to therapy of pelvis sepsis and fistulas from Crohn’s disease

Assessment of change to therapy can only be claimed once in a 12 month period.