Group T4: Obstetrics
51 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 16400Antenatal care by practice midwife, nurse or Aboriginal health practitioner in regional/rural/remote areas under medical supervision, up to 10 times per pregnancy, not with other antenatal items same day. | $32.65 | — | $27.80 (85%) |
| 16401Initial specialist obstetric consultation at consulting rooms or hospital following referral to an obstetrician. | $102.35 | $76.80 | $87.00 (85%) |
| 16404Specialist obstetric consultation at rooms or hospital for an established patient (follow-up attendance in a single course of treatment). | $51.50 | $38.65 | $43.80 (85%) |
| 16406Obstetrician or GP antenatal attendance for a referred pregnant patient, payable once per pregnancy when referred by a participating midwife. | $160.35 | $120.30 | $136.30 (85%) |
| 16407Postnatal visit by an obstetrician or GP at 4-8 weeks after birth, lasting at least 20 minutes, including mental health assessment and screening for substance use and domestic violence; payable once per pregnancy. | $85.80 | $64.35 | $72.95 (85%) |
| 16408Postnatal visit by midwife, obstetrician, or GP at home or community setting between 1–4 weeks after birth (minimum 20 minutes) for privately admitted patients; payable once per pregnancy. | $63.90 | — | $54.35 (85%) |
| 16500Attendance by a midwife or nurse at an antenatal visit for a pregnant woman, typically as part of routine antenatal care during pregnancy. | $56.45 | $42.35 | $48.00 (85%) |
| 16501External cephalic version for breech presentation after 36 weeks in a facility with caesarean capability, including pre and post-version cardiotocography, limited to 2 attempts per pregnancy. | $168.20 | $126.15 | $143.00 (85%) |
| 16502Hospital admission for a pregnant patient with polyhydramnios, unstable lie, multiple pregnancy, diabetes, anaemia, or threatened premature labour managed conservatively; once daily professional attendance. | $56.45 | $42.35 | $48.00 (85%) |
| 16505Management of threatened abortion, threatened miscarriage, or hyperemesis gravidarum requiring hospital admission, excluding routine antenatal care visits. | $56.45 | $42.35 | $48.00 (85%) |
| 16508Professional attendance for hospitalized pregnant patients with complications including acute infection, fetal growth restriction, or threatened premature labour, limited to once per day. | $56.45 | $42.35 | $48.00 (85%) |
| 16509Professional attendance for treatment of pre-eclampsia, eclampsia or antepartum haemorrhage during pregnancy, excluding routine antenatal visits and services covered by item 16534. | $56.45 | $42.35 | $48.00 (85%) |
| 16511Purse string ligation of the cervix under anaesthesia, typically performed to manage cervical incompetence during pregnancy or prevent preterm delivery. | $263.15 | $197.40 | $223.70 (85%) |
| 16512Removal of a purse string ligature from the cervix under anaesthesia. | $76.00 | $57.00 | $64.60 (85%) |
| 16514Continuous fetal heart rate and uterine contraction monitoring for pregnant women at high risk of complications, performed outside of labour/delivery. | $43.85 | $32.90 | $37.30 (85%) |
| 16515Management of vaginal birth by a medical practitioner who takes over care from another practitioner for the birth itself, without having provided antenatal care. | $755.05 | $566.30 | $650.55 (85%) |
| 16518Anaesthetic management of incomplete labour when patient care is transferred to another practitioner for completion of the birth. | $539.30 | $404.50 | $458.45 (85%) |
| 16519Anaesthetist-provided management of labour and delivery by any method including caesarean section, with post-partum care for up to 5 days. | $830.60 | $622.95 | $726.10 (85%) |
| 16520Caesarean section with 7 days post-operative care when another medical practitioner transferred the patient's care for confinement and the attending practitioner provided no antenatal care. | $755.05 | $566.30 | — |
| 16522Obstetric management including labour, birth or caesarean section (from 23 weeks) with 7 days postnatal care, when complications such as fetal loss, multiple pregnancy, placenta praevia, low birth weight, fetal compromise, preeclampsia, gestational d… | $1,950.10 | $1,462.60 | — |
| 16527Management of vaginal birth when care is transferred from a participating midwife, including all birth-related attendances; payable once per pregnancy. | $755.05 | $566.30 | $650.55 (85%) |
| 16528Caesarean section with 7 days post-operative care when a participating midwife transfers care for birth management; payable once per pregnancy. | $755.05 | $566.30 | — |
| 16530Management of pregnancy loss between 14-15 weeks 6 days gestation by anaesthetist, excluding ultrasound guidance or foetal reduction services. | $460.00 | $345.00 | $391.00 (85%) |
| 16531Anaesthetist-provided management of pregnancy loss between 16 and 22 weeks 6 days gestation, excluding cases covered by items 16530, 35640 or 35643. | $920.00 | $690.00 | — |
| 16533Obstetric attendance of at least 40 minutes for a pregnant patient admitted to hospital with acute infection, fetal growth restriction, or threatened premature labour (with or without ruptured membranes), limited to 3 services per pregnancy. | $126.35 | $94.80 | — |
| 16534Management of pre-eclampsia, eclampsia or antepartum haemorrhage by a doctor during dedicated attendances of at least 40 minutes, limited to 3 services per pregnancy. | $126.35 | $94.80 | — |
| 16564Removal of retained placenta, membranes or molar tissue following delivery, with or without uterine curettage, performed as a separate procedure under anaesthesia. | $260.90 | $195.70 | — |
| 16567Emergency surgical management of postpartum haemorrhage using uterine packing or similar measures, performed as a standalone procedure under anaesthesia. | $381.55 | $286.20 | — |
| 16570Vaginal correction of acute uterine inversion performed as a standalone procedure under anaesthesia. | $498.05 | $373.55 | — |
| 16571Surgical repair of extensive cervical laceration(s) requiring general anaesthesia. | $381.55 | $286.20 | $324.35 (85%) |
| 16573Surgical repair of a third degree perineal tear that has damaged the anal sphincter muscles and rectal lining, performed as a standalone procedure under anaesthesia. | $310.90 | $233.20 | — |
| 16590Planning and management of pregnancy beyond 28 weeks by a practitioner taking primary responsibility, available for birth at a hospital or birth centre where they have maternity privileges, including mental health assessment. | $446.15 | $334.65 | $379.25 (85%) |
| 16591Mental health assessment and pregnancy management planning after 28 weeks gestation, including screening for substance use and domestic violence; once per pregnancy only. | $170.75 | $128.10 | $145.15 (85%) |
| 16600Needle insertion into amniotic sac to extract fluid for fetal abnormality or genetic testing during pregnancy. | $76.00 | $57.00 | $64.60 (85%) |
| 16603Prenatal genetic testing performed by sampling placental tissue via transabdominal or transcervical approach to detect chromosomal abnormalities or genetic disorders in pregnancy. | $145.90 | $109.45 | $124.05 (85%) |
| 16606Fetal blood sampling via umbilical cord or fetus using interventional techniques, including fetal neuromuscular blockade and amniocentesis, with anaesthetic support. | $291.15 | $218.40 | $247.50 (85%) |
| 16609Intrauterine blood transfusion for a fetus using previously collected blood, including anesthesia, neuromuscular blockade, amniocentesis and fetal blood sampling. | $593.65 | $445.25 | — |
| 16612Intrauterine blood transfusion for the foetus via intraperitoneal injection, including neuromuscular blockade, amniocentesis and blood sampling, when blood has been pre-collected. | $467.10 | $350.35 | $397.05 (85%) |
| 16615Intraperitoneal blood transfusion to a fetus using pre-collected blood, including neuromuscular blockade, amniocentesis and fetal blood sampling, performed with anaesthetic support. | $248.80 | $186.60 | — |
| 16618Therapeutic drainage of excess amniotic fluid (at least 500 ml) in cases of polyhydramnios. | $248.80 | $186.60 | — |
| 16621Infusion of fluid into the amniotic sac to diagnose or treat severe low amniotic fluid levels during pregnancy. | $248.80 | $186.60 | — |
| 16624Drainage of a fetal fluid-filled cavity under ultrasound guidance; performed during pregnancy to manage complications such as hydrocephalus or other fluid collections. | $358.15 | $268.65 | — |
| 16627Insertion of a shunt into a fetal fluid-filled cavity to drain excess fluid, including neuromuscular blockade and amniocentesis. | $728.90 | $546.70 | — |
| 91850Antenatal video service by practice midwife, nurse or Aboriginal and Torres Strait Islander health practitioner under medical practitioner supervision, maximum 10 per pregnancy, not on same day as another Group T4 antenatal item. | $32.65 | — | $27.80 (85%) |
| 91851Postnatal video consultation with an obstetrician or GP between 4–8 weeks after birth, lasting at least 20 minutes, including mental health assessment and screening for substance use and domestic violence; applicable once per pregnancy when item 8214… | $85.80 | — | $72.95 (85%) |
| 91852Video postnatal consultation between 1-4 weeks after birth by a GP, obstetrician, or supervised practice midwife, lasting at least 20 minutes, for privately admitted patients not receiving concurrent midwife or nurse practitioner services; once per p… | $63.90 | — | $54.35 (85%) |
| 91853Antenatal care consultation provided via video link for pregnant women unable to attend in person, subject to specific clinical appropriateness criteria. | $56.45 | — | $48.00 (85%) |
| 91855Antenatal phone service by practice midwife, nurse or Aboriginal and Torres Strait Islander health practitioner under medical practitioner supervision, maximum 10 per pregnancy, not on same day as other antenatal attendance. | $32.65 | — | $27.80 (85%) |
| 91856Postnatal phone consultation by obstetrician or GP at 4–8 weeks after birth, lasting ≥20 minutes, including mental health assessment and screening for substance use and domestic violence; once per pregnancy. | $85.80 | — | $72.95 (85%) |
| 91857Phone consultation by midwife, obstetrician, or GP within 1–4 weeks after private birth, at least 20 minutes, for postnatal care; once per pregnancy. | $63.90 | — | $54.35 (85%) |
| 91858Antenatal consultation conducted via telephone for pregnant women when in-person attendance is not practicable or appropriate. | $56.45 | — | $48.00 (85%) |