Medicare Benefits Schedule - Item 16627

Search Results for Item 16627

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

16627

16627 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

Group
T4 - Obstetrics

FETO-AMNIOTIC SHUNT, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis

Fee: $608.95 Benefit: 75% = $456.75 85% = $525.55

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $307.25


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.4.3

Antenatal Care - (Item 16500)

In addition to routine antenatal attendances covered by Item 16500 the following services, where rendered during the antenatal period, attract benefits:‑

(a) Items 16501, 16502, 16505, 16508, 16509 (but not normally before the 24th week of pregnancy), 16511, 16512, 16514, 16533, 16534 and 16600 to 16627.

(b) The initial consultation at which pregnancy is diagnosed.

(c) The first referred consultation by a specialist obstetrician when called in to advise on the pregnancy.

(d) All other services, excluding those in Category 1 and Group T4 of Category 3 not mentioned above.

(e) Treatment of an intercurrent condition not directly related to the pregnancy.

Item 16514 relates to antenatal cardiotocography in the management of high risk pregnancy.  Benefits for this service are not attracted when performed during the course of the labour and birth.

 

Related Items: 16500 16501 16502 16505 16508 16509 16511 16512 16514 16533 16534 16600 16603 16606 16609 16612 16615 16618 16621 16624 16627

Category 3 - THERAPEUTIC PROCEDURES

TN.4.11

Interventional Techniques - (Items 16600 to 16627, 35518 and 35674)

For Items 16600 to 16627, 35518 and 35674 there is no component in the Schedule fee for the associated ultrasound.  Benefits are attracted for the ultrasound under the appropriate items in Group I1 of the Diagnostic Imaging Services Table.  If diagnostic ultrasound is performed on a separate occasion to the procedure, benefits would be payable under the appropriate ultrasound item.

Item 51312 provides a benefit for assistance by a medical practitioner at interventional techniques covered by Items 16606, 16609, 16612, 16615, and 16627. 

Related Items: 16600 16603 16606 16609 16612 16615 16618 16621 16624 16627 35518 35674 51312


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change