MBS item 73406 ===== Prenatal genetic testing for monogenic kidney disease variants in fetuses when a parent or partner carries a known pathogenic variant causing heritable kidney disease, requested by a clinical geneticist or nephrologist. Category 6 · Pathology services[Group P7](/groups/P7) Schedule fee$400.00 100% benefitGP, out of hospital— 85% benefitOut of hospital$340.00 75% benefitIn hospital$300.00 The schedule fee for MBS item 73406 is $400.00. Medicare pays $340.00 (85%) out of hospital, or $300.00 (75%) for a privately admitted patient in hospital. Fee effective 1 July 2022. Gap for what you charge ----------------------- Your fee$ Out of hospitalIn hospital (private) Medicare pays$340.00 Patient gap$60.00 Bulk billing means accepting $340.00 as full payment, with no gap and no extra charges. [Add incentives](/bulk-billing?item=73406) Item descriptor --------------- Testing of a pregnant patient, for the purpose of determining whether monogenic variants are present in the fetus, if: (a) the service is requested by a consultant physician practising as: (i) a clinical geneticist; or (ii) a specialist nephrologist; and (b) the patient or the patient’s reproductive partner (or both) are known to be affected by, or are carriers of, a known pathogenic variant that causes heritable kidney disease; and (c) the fetus is at risk, of at least 25%, of inheriting a monogenic variant known to cause kidney disease [Explanatory notes and rules on MBS Online ↗](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=73406) Health fund and DVA rates ------------------------- Total fee each scheme recognises for this item in hospital. StateNSWVICQLDSAWATASACTNT Guides ------ - [How Medicare benefits work: schedule fees, 75%, 85% and 100%](/guides/how-medicare-benefits-work) - [Medicare safety nets explained: original and extended (EMSN) thresholds for 2026](/guides/medicare-safety-nets) - [In-hospital billing: the 75% benefit, the 25% fund benefit, and no-gap and known-gap schemes](/guides/in-hospital-billing-and-gap-cover) - [Bulk billing incentives and BBPIP explained: 2026 amounts by MM area](/guides/bulk-billing-incentives) - [The MBS multiple operation rule and surgical assistant fees](/guides/multiple-operation-rule) - [Assignment of benefit for bulk billing: the changes from 1 July 2026](/guides/assignment-of-benefit-2026) - [MBS telehealth rules: the eligible telehealth practitioner and phone items](/guides/mbs-telehealth-rules) - [GP chronic condition management plans: items 965 and 967 explained](/guides/chronic-condition-management-plans) - [Medicare billing compliance: claim time limits, records and the 80/20 rule](/guides/medicare-billing-compliance) Data source: [Australian Government Medicare Benefits Schedule](https://www.mbsonline.gov.au/) · Record updated 1 September 2026. Health fund rates come from each fund's published schedule. Verify item descriptors, rules and fees on [MBS Online](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=73406) before billing. This is a reference tool, not billing or financial advice.