Fees: outpatient clinic and telehealth

Antenatal consultations, post-discharge follow-up, complex care plans, outpatient procedures and telehealth — at Suite 9, Level 2, Royal Women’s, Parkville.

Last reviewed v.2026.07.16

How outpatient billing works

Outpatient consultations attract the 85% Medicare benefit — the same rate that applies to newborn attendances on the postnatal ward.
A GP or obstetrician referral is required for the Medicare rebate to apply. GP referrals are valid for 12 months; obstetrician/specialist referrals for 3 months.
The EMSN safety net applies — once your family crosses the calendar-year threshold, Medicare covers a larger share of subsequent gaps.

Antenatal and clinic follow-up consultations

Antenatal paediatric consultations (held in clinic) and clinic follow-up visits (post-discharge reviews, the 6-week check, and any clinical issue needing a longer look).

Consultation	Billed	MBS item	Medicare rebate	Gap	Gap with Safety Net
Initial consultation — new clinical issue	$390	Item 110	$155.85	$234	$47
Follow-up review — typically first 3 months post-discharge	$340	Item 116	$77.95	$262	$52
Initial complex care plan (≥45 min, ≥2 morbidities)	$460	Item 132	$272.50	$188	$38
Review of complex care plan (≥20 min)	$340	Item 133	$136.45	$204	$41

Items 132 / 133 are the “comprehensive care plan” items. Item 132 applies when the assessment covers two or more clinical issues, takes 45 minutes or more, and includes a written management plan to your referring doctor — commonly the case for a review on a new GP referral at this age. Shorter or single-issue consultations are billed as item 110 / 116 instead. Item 133 is the follow-up of an established plan.

Outpatient procedures

Procedures performed in the consulting suite. Billed at the time of the appointment.

Procedure	Billed	MBS item	Medicare rebate	Gap	Gap with Safety Net
Tongue-tie division (frenotomy)	$275	Item 30278	$47.30	$228	$46

Telehealth follow-up consultations

Telehealth suits follow-up of an issue we’ve already assessed in person. It isn’t the preferred route for a new problem — an accurate physical assessment of a baby can’t be carried out over phone or video. Phone and video are charged at the same rate; only the MBS item billed differs.

Tier	Duration	Phone item	Video item	Total fee	Rebate	Gap
Brief	5–10 minutes	91836	91826	$90	$44.45	$46
Standard	10–20 minutes	92440	91825	$170	$77.95	$92
Long	20–30 minutes	92440	91825	$250	$77.95	$172
Extended	30+ minutes	92440	91825	$250 + $10/min over 30 min	$77.95	scales

Initial telehealth and complex care plans

A few telehealth items sit outside the duration-based tiers — billed at the time of the appointment rather than by duration.

Initial telehealth consultation

$390·rebate $155.85·gap $234

First telehealth consultation for a new clinical issue. Video only; phone is not eligible for initial attendances.

91824 (video)·F2F equivalent: 110

Initial complex care plan (≥45 min, ≥2 morbidities)

$460·rebate $272.50·gap $188

Longer initial consultation that includes a comprehensive plan sent to your GP or referring doctor. Once per 12 months. Video only.

92422 (video)·F2F equivalent: 132

Review of established complex care plan (≥20 min)

$340·rebate $136.45·gap $204

Follow-up of a previously established complex plan. Maximum twice per 12 months.

92443 (phone) · 92423 (video)·F2F equivalent: 133

In-hospital fees — paediatric attendance while you’re on the postnatal ward.
Special Care Nursery (SCN) billing — if your baby is admitted to SCN.
Paying your invoice.
Fees overview — clinical context.