North Coast Radiology group has recently released some resources to improve and streamline general practitioner ordering of radiological investigations.
The online forms for magnetic resonance imaging and bone densitometry specify the MBS item number for approved procedures. This is more efficient and makes it clear at the time of the request whether the investigation will be Medicare rebatable or not.
The MRI request form asks for a recent eGFR if the patient has renal impairment and also reminds the user of the absolute contraindications (cardiac pacemakers) and relative contraindications (Intracranial aneurysm clips, intraocular foreign bodies, metallic implants (including cochlear) & extreme claustrophobia) for the procedure.
The general radiology request lists patients instructions for the more specialised requests and all forms are available in hard copy for direct printing from the practitioner’s electronic health record. NCR can provide support to practices to enable this if required.
A fact sheet outlining when and how frequently obstetric ultrasounds may be ordered under Medicare eligibility criteria is available. The sheet also specifies the extensive list of conditions that qualify for a Medicare rebate for nuchal translucency testing between 11.5 and 13.5 weeks gestation. It notes that the associated bloods tests are preferably done 3 days before the ultrasound.
GPs frequently order abdominal ultrasound but often should be more specific in their request. NCR has produced a quick guide to the five different types of subdiaphragmatic ultrasound (upper abdominal, renal/KUB, appendix, pelvic and groin). Transvaginal ultrasound is an option in pelvic ultrasound if not contraindicated and the patient consents.