Prostate MRI Medicare Rebate

A Medicare Benefits Schedule update was released on 1 July 2018 with the addition of two new MRI Prostate item numbers.

Suspected Prostate Cancer (63541)

  • Digital Rectal Examination (DRE) suspicious for prostate cancer
  • Under 70 years with two PSA over 3 and free/total is less than 25%
  • Under 70 years with two PSA over 3 and second over 5
  • Under 70 years and family history (risk x2) with two PSA over 2 and free/total is less than 25%
  • Over 70 years with two PSA over 5.5 and free/total is less than 25%

(Note: Two PSA must be within 1-3 month interval)

Surveillance of Prostate Cancer (63543)

  • Under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and the patient is not planning or undergoing treatment for prostate cancer
  • Clinical concern the prostate cancer has progressed based on PSA progression

This specialised procedure is available at Dr Jones & Partners St Andrew’s Hospital clinic and Kurralta Park.

For more information contact Administration on (08) 8309 2202.