Group M13: Midwifery Services
16 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 82100Initial antenatal visit by a participating midwife lasting at least 60 minutes, including detailed history, comprehensive examination, risk assessment, and arranging referrals or diagnostic services as needed; payable once per pregnancy. | $89.00 | — | $75.65 (85%) |
| 82102Comprehensive antenatal appointment by a participating midwife lasting at least 90 minutes for pregnant women. | $133.45 | $100.10 | $113.45 (85%) |
| 82103Midwife antenatal care involving complex clinical issues, hospital admission, and at least 3 hours of attendance; maximum 3 services per pregnancy. | $246.05 | $184.55 | — |
| 82104Participating midwife provides extended postnatal care for at least 90 minutes within 6 weeks after birth. | $196.20 | $147.15 | $166.80 (85%) |
| 82105Antenatal visit by a participating midwife lasting at least 10 minutes. | $38.75 | $29.10 | $32.95 (85%) |
| 82110Routine antenatal visit by a participating midwife lasting at least 40 minutes for pregnancy care and monitoring. | $89.00 | $66.75 | $75.65 (85%) |
| 82115Participating midwife conducts a 90+ minute comprehensive antenatal assessment and develops a written maternity care plan for pregnancies beyond 28 weeks, with at least 2 prior antenatal visits, payable once per pregnancy only. | $381.75 | — | $324.50 (85%) |
| 82116Midwife management of labour for up to 6 hours at a non-hospital location, provided the midwife or their practice delivered the patient's antenatal care; not including actual birth; once per pregnancy only. | $901.65 | — | $797.15 (85%) |
| 82118Midwife management of labour and birth for an admitted hospital patient (up to 6 hours total) when the midwife provided or is from the practice that provided antenatal care; claimable once per pregnancy. | $901.65 | $676.25 | — |
| 82120Midwife management of labour and birth at hospital for 6–12 hours total attendance, claimable once per pregnancy if the midwife provided or assisted with antenatal care. | $1,803.35 | $1,352.55 | — |
| 82123Management of labour and delivery by a second participating midwife (up to 6 hours total) for an admitted hospital patient who received antenatal care from that midwife or their practice; claimed once per pregnancy. | $901.65 | $676.25 | — |
| 82125Management of labour and birth by a second participating midwife for 6–12 hours total attendance, where the midwife provided or assisted with antenatal care; claimable once per pregnancy for hospital admitted patients only. | $1,803.35 | $1,352.55 | — |
| 82127Intrapartum care by a third midwife (up to 6 hours total) for admitted hospital patients, claimable once per pregnancy if antenatal care was provided by a practice group and a second midwife has already attended labour. | $901.65 | $676.25 | — |
| 82130Participating midwife postnatal visit of at least 20 minutes within 6 weeks after birth. | $63.90 | $47.95 | $54.35 (85%) |
| 82135Routine postnatal visit by a participating midwife lasting at least 40 minutes, provided within 6 weeks after birth. | $130.80 | $98.10 | $111.20 (85%) |
| 82140Midwife-led comprehensive postnatal visit 4–8 weeks after birth, including examination of mother and baby, birth debrief, mental health assessment, and referral to primary care; one per pregnancy. | $63.90 | — | $54.35 (85%) |