Medicare Benefits Schedule - Note TN.4.6

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Category 3 - THERAPEUTIC PROCEDURES

TN.4.6

Caesarean Section - (Item 16520)

Benefits under this item are attracted only where the patient has been specifically referred to another medical practitioner for the management of the birth by Caesarean section and the practitioner carrying out the procedure has not rendered any antenatal care. Caesarean sections performed in any other circumstances attract benefits under Item 16519.

 

Related Items: 16519 16520

Related Items

Category 3 - THERAPEUTIC PROCEDURES

16519

16519 - Additional Information

Item Start Date:
01-Nov-1995
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Management of labour and birth by any means (including Caesarean section) including post‑partum care for 5 days

(Anaes.)

Fee: $763.85 Benefit: 75% = $572.90 85% = $665.15

(See para TN.4.5, TN.4.6, TN.4.10 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16520

16520 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2017
Schedule Fee Updated:
01-Nov-2023

Caesarean section and post‑operative care for 7 days, if the patient’s care has been transferred by another medical practitioner for management of the confinement and the attending medical practitioner has not provided any of the antenatal care

(Anaes.)

Fee: $694.35 Benefit: 75% = $520.80 85% = $595.65

(See para TN.4.6, TN.4.10 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