Guidelines for the use of ultrasound in the management of obstetric conditions - September 2007

Indications for Ultrasound <12 Weeks Gestation

From Medicare Benefits Schedule 1 November 2006, p549.

Page last updated: September 2007

Ultrasound – Obstetric and Gynaecological


PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where:
  1. the patient is referred by a medical practitioner; and
  2. the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and
  3. the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and
  4. the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and
  5. one or more of the following conditions are present:
    1. hyperemesis gravidarum:
    2. diabetes mellitus;
    3. hypertension;
    4. toxaemia of pregnancy;
    5. liver or renal disease;
    6. autoimmune disease;
    7. cardiac disease;
    8. alloimmunisation;
    9. maternal infection;
    10. inflammatory bowel disease;
    11. bowel stoma;
    12. abdominal wall scarring;
    13. previous spinal or pelvic trauma or disease;
    14. drug dependency;
    15. thrombophilia
    16. significant maternal obesity;
    17. advanced maternal age;
    18. abdominal pain or mass;
    19. uncertain dates;
    20. high risk pregnancy;
    21. previous post dates delivery;
    22. previous caesarean section;
    23. poor obstetric history;
    24. suspicion of ectopic pregnancy;
    25. risk of miscarriage;
    26. diminished symptoms of pregnancy;
    27. suspected or known cervical incompetence;
    28. suspected or known uterine abnormality;
    29. pregnancy after assisted reproduction;
    30. risk of fetal abnormality (R)