Medicare Benefits Schedule - Note TN.4.2

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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.

Related Items: 16401 16404


Related Items

Category 3 - THERAPEUTIC PROCEDURES

16401

16401 - Additional Information

Item Start Date:
01-Jan-2010
Description Start Date:
01-Nov-2017
Schedule Fee Start Date:
01-Nov-2012

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, other than a second or subsequent attendance in a single course of treatment

Fee: $85.55 Benefit: 75% = $64.20 85% = $72.75

(See para TN.4.2 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16404

16404 - Additional Information

Item Start Date:
01-Jan-2010
Description Start Date:
01-Jan-2010
Schedule Fee Start Date:
01-Nov-2012

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: $43.00 Benefit: 75% = $32.25 85% = $36.55

(See para AN.0.70, TN.4.2 of explanatory notes to this Category)


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