MBS item scrutiny profile
MBS Item 55036 — PSR scrutiny profile
Subgroup 1 - General Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following: (i) prostate gland; (ii) bladder base; (iii) urethra; and (b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R) Bulk bill incentive
Appears in 1 published determination since 2026. No percentages are shown on a single-case denominator.
Scrutiny profile
Co-occurring issue categories
- Systemic inappropriate billing and reporting1
Specialties involved
- diagnostic radiology1
Repayment range
Calculated only across the 1 published case where a repayment amount is recorded.
Published cases mentioning item 55036
What survives review
Systemic inappropriate billing and reporting
Keep the source record clear enough for an external peer to connect the patient need, the service provided, and the item claimed.
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.