Referral guidelines

Mammography

Item Description
59302

Bilateral breast

If there is reason to suspect the presence of malignancy because of:

  • the past occurrence of breast malignancy in the patient; or
  • significant histroy of breast or ovarian malignancy in the patients family; or
  • symptoms or idications of breast disease found on ecamination of the patient by a medical practitioner

Symptoms or indications of malignancy include: localised mass, localised lumps, localised pain, localised tenderness.

For previous history of malignancy in patient or family member please provide relevant history.

The following criteria will NOT attract a Medicare rebate: screening, previous benign lump, non-specific follow up, or no clinical indication.

It is helpful to include any relevant clinical information such as past history of breast surgery, breast reduction or augmentation and specific information relating to the area of interest, including the side, size and location within the breast.

59305

Unilateral breast

If there is reason to suspect the presence of malignancy because of:

  • the past occurrence of breast malignancy in the patient; or
  • significant histroy of breast or ovarian malignancy in the patients family; or
  • symptoms or idications of breast disease found on ecamination of the patient by a medical practitioner

Symptoms or indications of malignancy include: localised mass, localised lumps, localised pain, localised tenderness.

For previous history of malignancy in patient or family member please provide relevant history.

The following criteria will NOT attract a Medicare rebate: screening, previous benign lump, non-specific follow up, or no clinical indication.

It is helpful to include any relevant clinical information such as past history of breast surgery, breast reduction or augmentation and specific information relating to the area of interest, including the side, size and location within the breast.

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