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General Explanatory Notes

Provider eligibility for Medicare

Category 8 - MISCELLANEOUS SERVICES

Category 8 - MISCELLANEOUS SERVICES

Category 8 - MISCELLANEOUS SERVICES

Category 3 - THERAPEUTIC PROCEDURES

16407

16407 - Additional Information

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

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: $78.95 Benefit: 75% = $59.25 85% = $67.15

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


Extended Medicare Safety Net Cap: $51.35

Category 3 - THERAPEUTIC PROCEDURES

16408

16408 - Additional Information

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

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: $58.80 Benefit: 85% = $50.00

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


Extended Medicare Safety Net Cap: $38.25

Category 8 - MISCELLANEOUS SERVICES

82140

82140 - Additional Information

Item Start Date:
01-Nov-2010
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
M13 - Midwifery Services
Subgroup
1 - MBS Items For Participating Midwives

Postnatal professional attendance by a participating midwife on a patient, not less than 6 weeks but not more than 7 weeks after birth of a baby, including:

   (a)  a comprehensive examination of the patient and baby to ensure normal postnatal recovery; and

  (b)  referral of the patient to a general practitioner for the ongoing care of the patient and baby

Payable only once for any pregnancy



Fee: $58.80 Benefit: 85% = $50.00

(See para MN.13.15, MN.13.16, MN.13.17, MN.13.18 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $19.30

Category 3 - THERAPEUTIC PROCEDURES

91851

91851 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Nov-2023

Group
T4 - Obstetrics
Subgroup
1 - Obstetric telehealth services

Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if:

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

(b)    lasts at least 20 minutes in duration; and

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

(d)    is for a pregnancy in relation to which a service to which item 82140 applies is not provided.

Applicable once for a pregnancy

 

 



Fee: $78.95 Benefit: 85% = $67.15


Extended Medicare Safety Net Cap: $51.35

Category 3 - THERAPEUTIC PROCEDURES

91852

91852 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Group
T4 - Obstetrics
Subgroup
1 - Obstetric telehealth services

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

(a)   the attendance is rendered by:

(i)    a practice 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 of the Health Insurance (Midwife and Nurse Practitioner) Determination 2015 or item 91214, 91215, 91221 or 91222 is not provided.

Applicable once for a pregnancy

 



Fee: $58.80 Benefit: 85% = $50.00


Extended Medicare Safety Net Cap: $38.25

Category 3 - THERAPEUTIC PROCEDURES

91856

91856 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Nov-2023

Group
T4 - Obstetrics
Subgroup
2 - Obstetric phone services

Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if:

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

(b)    lasts at least 20 minutes in duration; and

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

(d)    is for a pregnancy in relation to which a service to which item 82140 applies is not provided.

Applicable once for a pregnancy

 

 



Fee: $78.95 Benefit: 85% = $67.15


Extended Medicare Safety Net Cap: $51.35

Results 1 to 10 of 11 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