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Initial antenatal professional attendance by a participating midwife, lasting at least 40 minutes, including all of the following:

   (a)  taking a detailed patient history;

  (b)  performing a comprehensive examination;

   (c)  performing a risk assessment;

  (d)  based on the risk assessment — arranging referral or transfer of the patient’s care to an obstetrician;

   (e)  requesting pathology and diagnostic imaging services, when necessary;

   (f)  discussing with the patient the collaborative arrangements for her maternity care and recording the arrangements in the midwife’s written records in accordance with section 6 of the Health Insurance Regulations 2018

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: $25.80

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• Next - Item 82105

Short antenatal professional attendance by a participating midwife, lasting up to 40 minutes

Fee: $35.60 Benefit: 75% = $26.70 85% = $30.30

(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

• Previous - Item 82100
• Next - Item 82110

Long antenatal professional attendance by a participating midwife, lasting at least 40 minutes

Fee: $58.80 Benefit: 75% = $44.10 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: $25.80

• Previous - Item 82105
• Next - Item 82115

Professional attendance by a participating midwife, lasting at least 90 minutes, for assessment and preparation of a maternity care plan for a patient whose pregnancy has progressed beyond 28 weeks, where the participating midwife has had at least 2 antenatal attendances with the patient in the preceding 6 months, if:

(a)  the patient is not an admitted patient of a hospital; and

(b)  the participating midwife undertakes a comprehensive assessment of the patient; and

(c)  the participating midwife develops a written maternity care plan that contains:

     (i)  outcomes of the assessment; and

     (ii)  details of agreed expectations for care during pregnancy, labour and birth; and

     (iii)  details of any health problems or care needs; and

     (iv)  details of collaborative arrangements that apply to the patient; and

     (v)  details of any medication taken by the patient during the pregnancy, and any additional medication that may be required by the patient; and

     (vi)  details of any referrals or requests for pathology services or diagnostic imaging services for the patient during the pregnancy, and any additional referrals or requests that may be required for the patient; and

(d)  the maternity care plan is explained and agreed with the patient; and

(e)  the fee does not include any amount for the management of labour and birth;

(Includes any antenatal attendance provided on the same occasion)

Payable only once for any pregnancy;

This item cannot be claimed if items 16590 or 16591 have previously been claimed during a single pregnancy, except in exceptional circumstances

Fee: $351.10 Benefit: 85% = $298.45

(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: $64.30

• Previous - Item 82110
• Next - Item 82116

Management of labour for up to 6 hours, not including birth, at a place other than a hospital if:

(a) the attendance is by the participating midwife who:

    (i) provided the patient's antenatal care or

    (ii) is a member of a practice that has provided the patient's antenatal care; and

(b) the total attendance time is documented in the patient notes;

This item does not apply if birth is performed during the attendance;

Only claimable once per pregnancy

Fee: $829.20 Benefit: 85% = $730.50

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

• Previous - Item 82115
• Next - Item 82118

Management of labour for up to 6 hours total attendance, including birth where performed or attendance and immediate post-birth care at an elective caesarean section if:

(a) the patient is an admitted patient of a hospital; and

(b) the attendance is by the first participating midwife who:

      (i) assisted or provided the patient's antenatal care; or

     (ii) is a member of a practice that has provided the patient's antenatal care; and

(c) the total attendance time is documented in the patient notes.

(Includes all hospital attendances related to the labour by the first participating midwife)

Only claimable once per pregnancy;

Not being a service associated with a service to which item 82120 applies (H)

Fee: $829.20 Benefit: 75% = $621.90

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

• Previous - Item 82116
• Next - Item 82120

Management of labour between 6 and 12 hours total attendance, including birth where performed, if:

   (a)  the patient is an admitted patient of a hospital; and

  (b)  the attendance is by the first participating midwife who:

         (i)  assisted or provided the patient’s antenatal care; or

        (ii)  is a member of a practice that provided the patient’s antenatal care; and

(c) the total attendance time is documented in the patient notes;

(Includes all hospital attendances related to the labour by the first participating midwife)

Only claimable once per pregnancy;

Not being a service associated with a service to which item 82118 applies (H)

Fee: $1,658.40 Benefit: 75% = $1,243.80

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

• Previous - Item 82118
• Next - Item 82123

Management of labour for up to 6 hours total attendance, including birth where performed if:

(a) the patient is an admitted patient of a hospital; and

(b) the attendance is by the second participating midwife who either:

     (i) assisted or provided the patient's antenatal care; or

     (ii) is a member of a practice that has provided the patient's antenatal care; and

(c) the total attendance time is documented in the patient notes;

(Includes all hospital attendances related to the labour by the second participating midwife)

Only claimable once per pregnancy;

Not being a service associated with a service to which item 82125 applies (H)

Fee: $829.20 Benefit: 75% = $621.90

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

• Previous - Item 82120
• Next - Item 82125

Management of labour between 6 and 12 hours total attendance, including birth where performed, if:

 (a)  the patient is an admitted patient of a hospital; and

 (b)  the attendance is by the second participating midwife who either:

      (i)  assisted or provided the patient’s antenatal care; or

      (ii)  is a member of a practice that provided the patient’s antenatal care; and

(c)  the total attendance time is documented in the patient notes;

(Includes all hospital attendances related to the labour by the second participating midwife)

Only claimable once per pregnancy;

Not being a service associated with a service to which item 82123 or 82127 applies (H)

Fee: $1,658.40 Benefit: 75% = $1,243.80

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

• Previous - Item 82123
• Next - Item 82127