Medicare Benefits Schedule - Note TN.4.14

The Extended Medicare Safety Net (EMSN) benefit is capped at 65% of the schedule fee for obstetric items 16531, 16533, and 16534. However, as these items are for in-hospital services only, the EMSN does not apply

Related Items: 16531 16533 16534

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Management of pregnancy loss, from 16 weeks to 22 weeks and 6 days gestation, other than a service to which item 16530, 35640 or 35643 applies

(Anaes.)

Fee: $875.70 Benefit: 75% = $656.80

(See para TN.4.5, TN.4.14 of explanatory notes to this Category)

Pregnancy complicated by acute intercurrent infection, fetal growth restriction, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital—each professional attendance lasting at least 40 minutes that is not a routine antenatal attendance, to a maximum of 3 services per pregnancy

Fee: $120.25 Benefit: 75% = $90.20

(See para TN.4.3, TN.4.14 of explanatory notes to this Category)

Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each professional attendance lasting at least 40 minutes that is not a routine antenatal attendance, to a maximum of 3 services per pregnancy

Fee: $120.25 Benefit: 75% = $90.20

(See para TN.4.3, TN.4.14 of explanatory notes to this Category)