Medicare Benefits Schedule - Item 16590

Search Results for Item 16590

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

16590

16590 - Additional Information

Item Start Date:
01-Nov-2005
Description Updated:
01-Nov-2017
Schedule Fee Updated:
01-Jul-2019

Group
T4 - Obstetrics

Planning and management, by a practitioner, of a pregnancy if:

(a) the practitioner intends to take primary responsibility for management of the pregnancy and any complications, and to be available for the birth; and

(b) the patient intends to be privately admitted for the birth; and

(c) the pregnancy has progressed beyond 28 weeks gestation; and

(d) the practitioner has maternity privileges at a hospital or birth centre; and

(e) the service includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and

(f) a service to which item 16591 applies is not provided in relation to the same pregnancy


Payable once only for a pregnancy

Fee: $378.70 Benefit: 75% = $284.05 85% = $321.90

(See para TN.4.9, TN.4.13 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $222.95


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.4.9

Items for Planning and Management of a Pregnancy (Item 16590 and 16591)

Item 16590 is intended to provide for the planning and management of pregnancy that has progressed beyond 28 weeks, where the medical practitioner is intending to undertake the birth for a privately admitted patient. 

Item 16591 is for the planning and management of a pregnancy that has progressed beyond 28 weeks and the medical practitioner is providing shared antenatal care and is not intending to undertake the birth. 

Items 16590 and 16591 are to include the provision of a mental health assessment of the patient.  Both items are subject to Extended Medicare Safety Net caps and should only be claimed by a patient once per pregnancy. 

Related Items: 16590 16591

Category 3 - THERAPEUTIC PROCEDURES

TN.4.13

Mental Health Assessments for Obstetric Patients (Items 16590, 16591, 16407)

Items for the planning and management of pregnancy (16590 and 16591) and for a postnatal attendance between 4 and 8 weeks after birth (16407), include a mental health assessment of the patient, including screening for drug and alcohol use and domestic violence, to be performed by the clinician or another suitably qualified health professional on behalf of the clinician.  A mental health assessment must be offered to each patient, however, if the patient chooses not to undertake the assessment, this does not preclude a rebate being payable for these items. 

It is recommended that mental health assessments associated with items 16590, 16591, and 16407 be conducted in accordance with the National Health and Medical Research Council (NHMRC) endorsed guideline: Mental Health Care in the Perinatal Period: Australian Clinical Practice Guideline – October 2017, Centre for Perinatal Excellence.

Results of the mental health assessment must be recorded in the patient’s medical record.  A record of a patient’s decision not to undergo a mental health assessment must be recorded in the patient’s clinical notes.

Related Items: 16407 16590 16591


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