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New Procedures or Technologies The approval of Medicare rebates for new procedures or technologies, or for new applications of existing procedures or technologies, requires assessment of the available evidence in terms of safety, effectiveness and cost-effectiveness by the Medical Services Advisory Committee (MSAC). The MoUs provide for adjustment to available funding where MSAC recommends the provision of Medicare rebates in such circumstances. MSAC may also recommend cessation or restriction of particular items in the Diagnostic Imaging Services Table. (DIST). Medicare rebates are not payable for procedures provided by radiologists using MBS items that were not intended for those procedures and where those procedures have not been assessed by MSAC. The College has a role in ensuring that the most appropriate diagnostic imaging technology is available to Australian patients. The College has recently submitted applications to MSAC for assessment of CT Coronary Angiogram and MRI Staging of Rectal Cancer. A process is being developed for identifying potential new procedures requiring MSAC approval, for assessing their merit based on some supporting evidence and for facilitating the preparation of MSAC applications including the outsourcing of appropriate literature reviews. If you would like more information, contact us mentioning MSAC applications. For more information about the MSAC process, guidelines for submissions, application forms, information about current applications and copies of assessment reports, the Useful Links has a link to the MSAC Secretariat website. Completed MSAC Radiology and Radiation Oncology Assessments 1028 - Gamma knife radiosurgery 1030 - Low intensity ultrasound treatment for the acceleration of bone fracture healing - Exogen™ bone growth stimulator Accepted 5 Feb 02 1032 - Intravascular ultrasound (IVUS) Accepted 17 May 02 1038 - Conformal radiotherapy Accepted 5 Aug 02 1052 - Radiofrequency ablation of liver tumours Accepted 8 Aug 03 1056 - LeukoScan®: for the use in diagnostic imaging of the long bones and feet in patients with suspected osteomyelitis, including those with diabetic foot ulcers Accepted 8 August 03 1093 - Endovascular neurointerventional procedures Accepted 30 Aug 06 1098 - Breast magnetic resonance imaging (MRI) Accepted 5 Feb 07 1104 - Endoscopic ultrasound and fine needle aspiration for lung cancer Accepted 29 August 07 Ref 04 - Nuchal translucency measurement in the first trimester of pregnancy for screening of trisomy 21 and other autosomal trisomies Accepted 16 Oct 04 Ref 07b - Magnetic resonance imaging for staging cervical and endometrial cancer Accepted 5 Jan 02 Ref 10 part 2 (ii) - Positron emission tomography (PET) - additional indications Accepted 18 Sept 01 1095 - Computed tomography colonography Accepted 24 August 06 1081 - Uterine artery embolisation Accepted 26 March 06 1072 - Endoscopic ultrasound for staging pancreatic, gastric, oesophageal and hepato-biliary neoplasms - (Includes 1069 and 1075) Accepted 5 Jan 07 Ref 20 - Carotid Stenting Accepted 4 July 05 Ref 25 - Magnetic resonance cholangiopancreatography (MRCP) Accepted 4 July 05 Ref 27 - Vertebroplasty Accepted 27 September 05 Ref 33 - Endovascular Treatments for intracranial aneurysms Accepted 6 June 06 Ref 34 - Gamma Knife Radiosurgery Accepted 3 Nov 06
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