MBS item 91851 ===== Postnatal 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… Category 3 · Therapeutic procedures[Group T4 · subgroup 1](/groups/T4) Schedule fee$85.80 100% benefitGP, out of hospital— 85% benefitOut of hospital$72.95 75% benefitIn hospital— The schedule fee for MBS item 91851 is $85.80. Medicare pays $72.95 (85%) out of hospital. Fee effective 1 July 2026. Gap for what you charge ----------------------- Your fee$ Out of hospital Medicare pays$72.95 Patient gap$12.85 Bulk billing means accepting $72.95 as full payment, with no gap and no extra charges. [Add incentives](/bulk-billing?item=91851) Extended Medicare Safety Net cap: $55.77 (65% of the schedule fee). Once a patient reaches the EMSN threshold, the extra benefit for this item is 80% of their out-of-pocket cost, but no more than this cap. [How safety nets work](/guides/medicare-safety-nets) Item descriptor --------------- 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 [Explanatory notes and rules on MBS Online ↗](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=91851) 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=91851) before billing. This is a reference tool, not billing or financial advice.