View Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
16404 - Additional Information
Professional attendance at consulting rooms or a hospital by a specialist in the practice of his or her specialty of obstetrics after referral of the patient to him or her - each attendance SUBSEQUENT to the first attendance in a single course of treatment.
Fee: $45.45 Benefit: 75% = $34.10 85% = $38.65
(See para AN.0.70, TN.4.2 of explanatory notes to this Category)
Associated Notes
Category 1 - PROFESSIONAL ATTENDANCES
AN.0.70
Limitation of items—certain attendances by specialists and consultant physicians
Medicare benefits are not payable for items 105, 116, 119, 386, 2806, 2814, 3010, 3014, 6009, 6011, 6013, 6015, 6019, 6052 and 16404 when claimed in association with an item in group T8 with a schedule fee of $317.15 or more.
The restriction applies when the procedure is performed by the same practitioner, on the same patient, on the same day.
Related Items: 105 116 119 386 2806 2814 3010 3014 6009 6011 6013 6015 6019 6052 16404
Category 3 - THERAPEUTIC PROCEDURES
TN.4.2
Items for Initial and Subsequent Obstetric Attendances (Items 16401 and 16404)
16401 and 16404 replace items 104 and 105 for any specialist obstetric attendance relating to pregnancy. This includes any initial and subsequent attendance with a specialist obstetrician for discussion of pregnancy or pregnancy related conditions or complications, or any postnatal care provided to the patient subsequent to the expiration of normal aftercare period. Item 16500 is still claimed for routine antenatal attendances. These items are subject to Extended Medicare Safety Net caps.
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