Medicare-Eligible MRI service for Poly Implant Protheses (PIP) breast implants

This website contains information for patients, treating doctors and diagnostic imaging providers regarding the introduction of these new items.

Page last updated: 19 November 2013

Medicare-Eligible MRI service for PIP breast implants

From 12 March 2012, new MRI items will be available for the evaluation of the integrity of breast implants known or suspected to have been manufactured by Poly Implant Protheses (PIP), a French company.

Information for Patients

Do you have a PIP breast implant?

If you have a PIP implant or are unsure about the brand of your implant you are strongly encouraged to seek advice from your medical practitioner to seek a clinical assessment. This assessment may include a referral for an MRI scan.

Yes, I have (or think I have) a PIP breast implant, what next?

As of Monday, 12 March 2012 you will have access to one Medicare rebated MRI scan within the next 12 months, to evaluate the integrity of your implant. If you develop symptoms of implant rupture you will also be able to receive a Medicare rebate for MRI, regardless of whether or not you have previously had a normal MRI.

If you are referred for an MRI, you will require a referral from your specialist or GP, that states you have or are suspected of having a PIP branded implant. If you have symptoms of a rupture, your GP or Specialist must also note this on your referral.

Where can I have my MRI scan?

You can have your MRI scan on any MRI machine that has a dedicated breast coil and is accredited to provide Diagnostic Imaging Services. A list of Diagnostic Imaging Practices that provide breast MRI services is available below. This list will be updated regularly as other DI practices/locations are identified.
Australian Capital Territory
National Capital Diagnostic Imaging161 Strickland Crescent
Deakin ACT 2600
02 6285 2699
New South Wales
North Shore Radiology and Nuclear Medicine1 Westbourne Street
St Leonards NSW 2065
02 8425 3666
Hunter Imaging Group Pty Ltd48 Thomas Street
Cardiff NSW 2285
132336
San Radiology185 Fox Valley Road
Wahroonga NSW 2076
02 9487 9839
Concord Repatriation General HospitalRadiology Department
Level 1 Building 3
Hospital Road
Concord NSW 2139
02 9767 7852
South East Radiology33 Berry Street
Nowra NSW 2 541
02 4422 1500
Occam Medical ImagingMRI Suite Radiology
Level 2 Westmead Hospital (Public)
cnr Darcy and Hawkesbury Rd
Westmead NSW 2145
02 9845 7200
Royal North Shore HospitalPacific Highway
St Leonards NSW 2065
02 9926 8505 or
02 9926 8773
Penrith ImagingSpecialist Medical Centre
Ground Floor Suite 4
68 Derby Street
Penrith NSW 2750
02 4737 3300
Ultrascan Radiology Park CentralGround Floor
Cnr Hyde Parade &Parkside Crescent
Campbelltown NSW 2560
02 4626 1940
Regional Imaging Riverina36 Hardy Avenue
Wagga Wagga NSW 2650
02 6932 1300
Nepean Public HospitalMedical Imaging Department Level 2 West Block
Derby Street
Penrith NSW 2750
02 4734 1482
Sydney XRay3 Waverley Street
Bondi Junction NSW 2022
02 9386 1066
Southern Radiology MirandaSuite 1 & 2
32-36 Urunga Parade
Miranda NSW 1490
02 9531 8801
Prince of Wales Private HospitalSE27 Level 7
Barker Street
Randwick NSW 2031
02 9339 1200
Gosford Private HospitalJarrett Street
North Gosford NSW 2250
02 4324 0006
Norwest Hospital11 Norbrik Drive
Bella Vista NSW 2153
02 8882 8822
PRP Diagnostic Imaging Gordon741 Pacific Highway
Gordon NSW 2072
02 9498 2500
City XRayGround Floor
139 Macquarie Street
Sydney NSW 2000
02 9251 5233
Specialist Magnetic Resonance Imaging RPAHSuite G4
100 Carillon Avenue
Newton NSW 2042
02 9557 1464
Illawarra Medical ImagingLower Level Piccadilly Building
341 Crown Street
Wollongong NSW 2500
02 4222 0022
Highlands XRayShop 4
380 Bong Bong Street
Bowral NSW 2576
02 4862 2355
Regional Imaging LtdRamsay Place
3 Ramsay Place
Albury NSW 2640
02 6022 5200
Mater HospitalMater Imaging Radiology
Rocklands Road
North Sydney NSW 2060
02 9955 4466
Ultrascan Radiology151-155 Hawkesbury Road
Westmead NSW 2145
02 9635 3900
CScan Charlestown95 Pacific Highway
Charlestown NSW 2290
02 4920 8555
Macquarie Medical ImagingMacquarie University Hospital
3 Technology Place
Macquarie University NSW 2109
02 9430 1100
Royal Prince Alfred Hospital Radiology DepartmentMissenden Road
Camperdown NSW 2050
02 9515 8093
Queensland
Greenslopes Private Hospital121 Newdegate Street
Greenslopes QLD 4120
07 3421 0444
Rockhampton Mater31 Ward Street
Rockhampton QLD 4700
07 4931 0400
Gladstone Mater Hospital50 Rosella Street
West Gladstone QLD 4680
07 4972 6544
Caboolture Hospital Southern X-Ray Clinic
Ground Floor McKean Street
Caboolture QLD 4510
07 5498 3055
Mater Townsville21-37 15 Fulham Road
Pimlico QLD 4812
07 4759 2800
Wesley Medical Imaging 451 Coronation Drive
Auchenflower QLD 4066
07 3371 9588
Cairns Private Hospital144 Lake St
Cairns QLD 4870
07 4046 7800
Mater Health Services 39 Annerley Road
South Brisbane QLD 4101
07 3163 8495
Cairns Base Hospital Medical Imaging Department
Lake Street
Cairns QLD 4870
07 4226 6241
Bundaberg RadiologyMater Hospital
313 Bourbong Street
Bundaberg QLD 4670
07 4150 0200
Queensland XRay Coorparoo342 Old Cleveland Road
Coorparoo QLD 4151
07 3456 3100
Sunnybank Private Hospital249 McCullough Street
Sunnybank QLD 4109
07 3347 2700
Queensland XRay BaysideMedical Hub
16 Weippin Street
Cleveland QLD 4163
07 3488 5600
St Vincent’s Private Hospital22-36 Scott Street
Toowoomba QLD 4350
07 4659 4500
Mater Private Hospital Mackay76 Willetts Road
Mackay QLD 4740
07 4965 6200
QDI BuderimQueensland Diagnostic Imaging
Lyrebird Street Specialist Centre
Buderim QLD 4556
07 5444 5877
Noosa RadiologySuite 301/90 Goodchap Street
Noosaville QLD 4566
07 5440 9700
Wesley Breast ClinicThe Wesley Hospital
Chasley Street
Auchenflower QLD 4066
07 3232 7202
Gold Coast Surgery Centre103-113 Nerang Street
Southport QLD 4226
07 5591 8366
Pacific Radiology Pty Ltd49 Baden Powell Street
Maroochydore QLD 4558
07 5409 2800
Qscan Windsor142 Newmarket Road
Windsor QLD 4030
07 3357 0333
Qscan Annerley319 Ipswich Road
Annerely QLD 4103
07 3357 0388
Qscan Redcliffe6 Silvyn Road
Redcliffe QLD 4020
07 3357 0922
Qscan SouthportPacific Private Clinic
G/123Nerang Street
Southport QLD 4215
07 5591 5422
Robina Hospital2 Bayberry Lane
Robina QLD 4226
07 5668 6799
Gold Coast Hospital108 Nerang Street
Southport QLD 4226
07 5519 8800
Sunshine Coast Radiology60 Wises Road
Maroochydore QLD 4558
07 5430 3900
Rockhampton Base HospitalCanning Street
Rockhampton QLD 4700
07 4920 6430
Townsville Hospital100 Angus Smith Drive
Douglas QLD 4814
07 4433 4600
Nambour General HospitalHospital Road
Nambour QLD 4560
07 5470 6410
South Australia
Radiology SA Memorial HospitalThe Memorial Hospital
Sir Edwin Smith Avenue
North Adelaide SA 5006
08 8402 0282
Benson Radiology MRI Suite Ground Floor
Ashford Specialist Centre
57-59 Anzac Highway
Ashford SA 5035
08 8297 0588
St Andrews HospitalSt Andrews Hospital
350 South Terrace
Adelaide SA 5000
08 8402 4424
Benson Radiology115 Main South Rd
Morphett Vale SA 5162
08 8383 8000
Benson Radiology North Adelaide229 Melbourne Street
North Adelaide SA 5006
08 8281 2066
Benson Radiology Salisbury37-39 Park Terrace
Salisbury SA 5108
08 8281 2066
Tasmania
Calvary HospitalCalvary Hospital Radiology Dept, Floor G
Augusta Rd
Lenah Valley TAS 7008
03 6242 8000
Victoria
Western Health Medical ImagingSunshine Hospital
176 Furlong Road
St Albans VIC 3021
03 9345 1664
St Vincent's Hospital Melbourne41 Victoria Street
Fitzroy VIC 3065
03 9288 3056
Goulburn Valley HealthGraham Street
Shepparton VIC 3630
03 5832 2380
Ballarat MRI1 Drummond Street
North Ballarat VIC 3350
03 5320 4311
Mercy Private HospitalLevel 1
141 Grey Street
East Melbourne VIC 3002
03 9417 5788
Richmond Diagnostic ImagingLevel 2
89 Bridge Road
Richmond VIC 3121
03 9242 4800 or
03 9242 4888
Geelong Hospital Ryrie St
Geelong VIC 3220
03 5226 7559
St John of God Hospital Ground Floor
80 Myers Street
Geelong VIC 3220
03 5273 1300
Frankston Private Hospital24-28 Frankston-Flinders Rd
Frankston VIC 3199
03 8781 5200
Frankston Public HospitalLevel 3
2 Hastings Road
Frankston VIC 3199
03 9784 7501
St John of God HospitalGround Floor
Drummond Street North
Ballarat VIC 3350
03 5304 9000
Future Medical Imaging Group109 Burwood Road
Hawthorn VIC 3122
03 9818 7833
Future Medical Imaging Group347 Ascot Vale Road
Moonee Ponds VIC 3039
03 9375 3400
Monash RadiologyUnit 1 212 Clayton Road
East Melbourne VIC 3168
03 8540 3400
Warringal Medical CentreLevel 2 214 Burgundy Street
Heidelberg VIC 3084
03 9459 8633
Moorabbin Radiology758-760 Centre Road
East Bentleigh VIC 3165
03 9242 8000
Warrnambool RadiologySouth West Healthcare
Ryot Street
Warrnambool VIC 3280
03 5563 1504
Austin Hospital145 Studley Road
Heidelberg VIC 3084
03 9496 3463
Western Australia
St John of God Subiaco12 Salvado Rd
Subiaco WA 6008
08 9320 1288 or 08 9320 1200
Royal Perth HospitalRadiology Department
North Block Level 3
Wellington Street
Perth WA 6001
08 9224 2881
Saint John of God Murdoch100 Murdoch Drive
Murdoch WA 6150
08 9320 1288 or 9320 1200
Sir Charles Gairdner HospitalHospital Avenue
Nedlands WA 6009
08 9346 7900
Perth Radiological ClinicLevel 2
40 Mounts Bay Road
Perth WA 6000
08 9424 4600
InSight Clinical Imaging – MidlandUnit 2
3-7 The Crescent
Midland WA 6056
08 9274 4500
InSight Clinical Imaging – JoondalupUnit 3
7 Wise Street
Joondalup WA 6027
08 9301 5700
South West Health CampusBussell Highway
Bunbury WA 6230
08 9726 6999
Northern Territory
Royal Darwin Hospital*Rocklands Drive
Tiwi NT 0811
08 8922 8888
*Services available from 5 June 2012

When making an appointment to have your MRI scan you should check if the provider has a dedicated breast coil, as not all MRI providers have dedicated breast coils. Your MRI scan must also be provided by a specialist radiologist.

MRI providers will be able to provide you with detailed information regarding the scan and what the use of a breast coil involves.

It is important to note that you can currently take a request form for a diagnostic imaging service to any accredited diagnostic imaging provider. Patients are not compelled to take the request for the service to the provider stated on the referral form and both private imaging practices and many public hospitals provide diagnostic imaging Medicare services. You may also wish to discuss your concerns with your Specialist or GP at the time the diagnostic imaging request is made.

Can my MRI scan be bulk billed or do I have to pay?

Medicare rebates apply to the new PIP MRI items. The schedule fee for the PIP MRI services has been set at $500 per item.

The Government encourages bulk billing, but it is at the provider’s discretion whether or not to bulk bill. There are bulk billing incentives for diagnostic imaging services, including these new MRI services. Medical practitioners, including radiologists, are free to set their own value on the services they provide. While the Government is responsible for setting the schedule fee on which Medicare benefits are based, there is nothing to prevent radiologists or any other medical practitioner setting fees that exceed those in the schedule. In these circumstances, you may be required to pay the gap between the fee charged and the Medicare rebate.

Breast Implant Information Line - 1800 217 257

The Australian Government has set up a free-call help line for individuals concerned about breast implants. The help line can be called 24 hours a day.

If you are a diagnostic imaging provider and have questions regarding the new items, please contact the Department of Health MRI Section by email.

Information for Diagnostic Imaging Providers

The item numbers, item descriptors and schedule fee for the Medicare rebateable PIP MRI items are available on the MBS Online website.

There are some important differences between the requirements for these new items, compared to existing Medicare rebated MRI items.

Referral to PIP MRI services

These items will be accessed by referral from a specialist or consultant physician, as is the case for other MRI services. However, these items will also be able to be accessed by referral from a GP.

For a number of reasons patients may not have access to a specialist therefore GP referral will help to ensure that affected patients have timely access to MRI services, and allow patients with normal results to be managed in the primary care setting.

Both Specialists and General Practitioners will need to identify that their patient is known or suspected of having a PIP branded implant when referring their patients for these Medicare rebated MRI services, and if the patient has presented with symptoms of an implant rupture.

Access to MRI Services

The requirements for these items are different from existing MRI services.
Items 63501, 63502, 63504 and 63505 may be provided on Medicare-eligible and Medicare-ineligible MRI units (providing they use a dedicated breast coil), as long as the service is provided within an imaging practice which is accredited under the Diagnostic Imaging Accreditation Scheme.
Items 63501, 63502, 63504 and 63505 must be provided by a specialist radiologist.

Item number selection and scan results

To assist in gathering data about the rate of actual ruptures of PIP implants, radiologists and imaging practices are asked to claim an item number that indicates whether or not the MRI scan shows loss of integrity of the implant. This will provide data to assist in appropriate future support and management of these patients.

New modifying Items

Two new modifying items have been created for use (where applicable) with the new MRI items.

These items can only be claimed in association with items 63501, 63502, 63504 or 63505.

Items 63498 and 63499 must be provided in the presence of a medical practitioner who is qualified to perform an anaesthetic.

In this section