Medicare Benefits Schedule - Item 16534

Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each professional attendance lasting at least 40 minutes that is not a routine antenatal attendance, to a maximum of 3 services per pregnancy

Fee: $116.20 Benefit: 75% = $87.15

(See para TN.4.3, TN.4.14 of explanatory notes to this Category)

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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

The Extended Medicare Safety Net (EMSN) benefit is capped at 65% of the schedule fee for obstetric items 16531, 16533, and 16534. However, as these items are for in-hospital services only, the EMSN does not apply

Related Items: 16531 16533 16534