MBS item scrutiny profile
MBS Item 18276 — PSR scrutiny profile
Appears in 1 published determination since 2025. No percentages are shown on a single-case denominator.
Scrutiny profile
Co-occurring issue categories
- Clinical appropriateness1
- Duplicate billing1
- Inadequate documentation1
- Incorrect item use1
- MBS requirement breach1
- Procedural consent1
- Referral / request requirement1
Specialties involved
- Radiology1
Repayment range
Calculated only across the 1 published case where a repayment amount is recorded.
Published cases mentioning item 18276
What survives review
Show the clinical input
For higher-value or repeated services, the record should make the practitioner contribution visible rather than just recording an administrative event.
Duplicate billing
Keep the source record clear enough for an external peer to connect the patient need, the service provided, and the item claimed.
Documentation has to stand alone
The note should show the presenting problem, assessment, clinical reasoning, time or complexity when relevant, and the plan without relying on memory.
Tie the note back to the descriptor
The record should show the facts that made the item available, including patient status, service content, timing and any required review cycle.
Educational disclaimer
This educational module is based on publicly available PSR case-outcome material. It is general educational information only and does not constitute legal advice, billing advice, or a substitute for reviewing the MBS, PSR material, or obtaining professional advice.