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• Next - Note MN.13.17

Related Items: 82100 82102 82103 82104 82105 82110 82115 82116 82118 82120 82123 82125 82127 82130 82135 82140 91211 91212 91214 91215 91218 91219 91221 91222

• Previous - Note MN.13.16
• Next - Note MN.13.18

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

• Previous - Item 16406
• Next - Item 16408

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

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• Next - Item 16500

Postnatal professional attendance by a participating midwife on a patient, not less than 4 weeks but not more than 8 weeks after birth of a baby, lasting at least 60 minutes, including all of the following:

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

   (b)  a labour and birth debrief;

   (c)  a mental health assessment or where the patient declines a mental health assessment, the participating midwife records the patient’s decision in the clinical notes;

   (d)  referral of the patient to a primary carer for the ongoing care of the patient and baby or where the patient declines a referral to a primary carer, the participating midwife records the patient’s decision in the clinical notes

Payable only once per pregnancy

Fee: $62.30 Benefit: 85% = $53.00

(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: $19.80

• Previous - Item 82135
• Next - Item 82200

Postnatal video 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: $83.65 Benefit: 85% = $71.15

Extended Medicare Safety Net Cap: $54.40

• Previous - Item 91850
• Next - Item 91852

Postnatal video 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: $62.30 Benefit: 85% = $53.00

Extended Medicare Safety Net Cap: $40.50

• Previous - Item 91851
• Next - Item 91853

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: $83.65 Benefit: 85% = $71.15

Extended Medicare Safety Net Cap: $54.40

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• Next - Item 91857