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Category 3 - THERAPEUTIC PROCEDURES

16400

16400 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Antenatal service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, applicable 10 times for a pregnancy, if:

(a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and

(b) the service is provided at, or from, a practice location in a regional, rural or remote area; and

(c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and

(d) the service is not provided for an admitted patient of a hospital or approved day facility



Fee: $31.80 Benefit: 85% = $27.05

(See para TN.4.1, TN.4.15 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $13.80

Category 3 - THERAPEUTIC PROCEDURES

16401

16401 - Additional Information

Item Start Date:
01-Jan-2010
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Professional attendance at consulting rooms or a hospital by a specialist in the practice of the specialist’s specialty of obstetrics after referral of the patient to the specialist—initial attendance in a single course of treatment



Fee: $99.75 Benefit: 75% = $74.85 85% = $84.80

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


Extended Medicare Safety Net Cap: $69.30

Category 3 - THERAPEUTIC PROCEDURES

16404

16404 - Additional Information

Item Start Date:
01-Jan-2010
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Professional attendance at consulting rooms or a hospital by a specialist in the practice of the specialist’s specialty of obstetrics after referral of the patient to the specialist—an attendance after the initial attendance in a single course of treatment



Fee: $50.20 Benefit: 75% = $37.65 85% = $42.70

(See para AN.0.70, AN.3.1, TN.4.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $41.40

Category 3 - THERAPEUTIC PROCEDURES

16406

16406 - Additional Information

Item Start Date:
01-Nov-2010
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Antenatal professional attendance by an obstetrician or general practitioner, as part of a single course of treatment when the patient is referred by a participating midwife

Applicable once for a pregnancy



Fee: $156.30 Benefit: 75% = $117.25 85% = $132.90


Extended Medicare Safety Net Cap: $136.50

Category 3 - THERAPEUTIC PROCEDURES

16407

16407 - Additional Information

Item Start Date:
01-Nov-2017
Description Updated:
01-Nov-2017
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Postnatal professional attendance (other than a service to which any other item applies) if the attendance:

(a) is by an obstetrician or general practitioner; and

(b) is in hospital or at consulting rooms; and

(c) is between 4 and 8 weeks after the birth; and

(d) lasts at least 20 minutes; and

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

(f) is for a pregnancy in relation to which a service to which item 82140 applies is not provided
Payable once only for a pregnancy



Fee: $83.65 Benefit: 75% = $62.75 85% = $71.15

(See para TN.4.13, TN.4.15 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $54.40

Category 3 - THERAPEUTIC PROCEDURES

16408

16408 - Additional Information

Item Start Date:
01-Nov-2017
Description Updated:
01-Nov-2017
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Postnatal attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if the attendance:

(a) is by:

(i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or

(ii) an obstetrician; or

(iii) a general practitioner; and

(b) is between 1 week and 4 weeks after the birth; and

(c) lasts at least 20 minutes; and

(d) is for a patient who was privately admitted for the birth; and

(e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided
Payable once only for a pregnancy



Fee: $62.30 Benefit: 85% = $53.00

(See para TN.4.15 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $40.50

Category 3 - THERAPEUTIC PROCEDURES

16500

16500 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Antenatal attendance



Fee: $55.00 Benefit: 75% = $41.25 85% = $46.75

(See para TN.4.3, TN.4.15 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $41.40

Category 3 - THERAPEUTIC PROCEDURES

16501

16501 - Additional Information

Item Start Date:
01-Nov-2000
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

External cephalic version for breech presentation, after 36 weeks, if no contraindication exists, in a unit with facilities for caesarean section, including pre and post version CTG, with or without tocolysis, other than a service to which items 55718 to 55728 and 55768 to 55774 apply—chargeable whether or not the version is successful and limited to a maximum of 2 ECVs per pregnancy



Fee: $163.95 Benefit: 75% = $123.00 85% = $139.40

(See para TN.4.3, TN.4.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $83.00

Category 3 - THERAPEUTIC PROCEDURES

16502

16502 - Additional Information

Item Start Date:
01-Nov-1995
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital—a professional attendance that is not a routine antenatal attendance, applicable once per day



Fee: $55.00 Benefit: 75% = $41.25 85% = $46.75

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


Extended Medicare Safety Net Cap: $27.60

Category 3 - THERAPEUTIC PROCEDURES

16505

16505 - Additional Information

Item Start Date:
01-Nov-1995
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Jul-2025

Group
T4 - Obstetrics

Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—an attendance that is not a routine antenatal attendance



Fee: $55.00 Benefit: 75% = $41.25 85% = $46.75

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


Extended Medicare Safety Net Cap: $27.60

Results 1 to 10 of 32 matches


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