Claims for Location Specific Practice Number (LSPN) for Medicare 012-41040050

To be eligible for Medicare benefits for diagnostic imaging or radiation oncology services, individual providers must include the following on a patient's account:

• receipts or bulk bill claims (including electronic claims)
• the LSPN of the practice site or base for mobile equipment where the service was provided

The Health Insurance Act 1973 states a proprietor of an unregistered diagnostic imaging or radiation oncology premises, including mobile bases, must notify the patient, either in writing, or by a written notification which is predominantly displayed that no Medicare benefit is payable. The References page contains the relevant section and a link to the Act.

If, at the time of the service, the patient or claimant is not notified that a Medicare benefit is not payable, they can apply to the delegate for approval to receive a Medicare benefit.

Before Medicare benefits are paid, check:

• claims for the inclusion of an LSPN
• the item claimed has the appropriate equipment recorded at the LSPN to perform the service