Key Features and Billing Opportunities for MBS Item 4001

MBS Item 4001 is designed to support GPs in providing non-directive counselling for pregnancy-related concerns. This item offers flexibility and comprehensive care by addressing a variety of issues during pregnancy and up to 12 months post-birth.

Key Features of MBS Item 4001

• Requires Specific Training: Only GPs with relevant training can bill this item.
• Equivalent Value to MBS 36: The item has the same value as a long consultation.
• Co-Billing Opportunities: It can be co-billed with other relevant MBS items to provide holistic care.
• Continuous Support: Applicable during pregnancy and up to 12 months post-birth, allowing for ongoing counselling and care.

When to Use MBS Item 4001

‍This item is ideal for consultations where non-directive counselling is needed. Common scenarios include:

• Discussing Genetic Screening: Providing guidance on available tests and what to expect.
• Family Planning: Offering non-directive advice on options, including discussions around termination if relevant.
• Birthing Options: Helping patients—especially in rural or remote areas—explore their choices for delivery.
• Post-Birth Support: Addressing concerns related to adjusting to parenting or expanding the family.

Example Billing Opportunities with MBS 4001

Scenario: First Presentation of PregnancyA patient presents for their first antenatal appointment. The consultation involves multiple aspects of care:

• 23 – Standard Consultation: Initial health review and general discussion.
• 73806 – CST or Related Test: Addressing cervical screening needs.
• 16500 – Antenatal Attendance: Supporting antenatal care.
• 4001 – Non-Directive Pregnancy Counselling: Providing in-depth counselling on genetic screening, family planning, and birthing options.

Conclusion

‍MBS Item 4001 plays a crucial role in providing non-directive pregnancy counselling, offering continuous support from pregnancy through the postpartum period. By understanding when and how to use this item, GPs can deliver holistic care while optimising their billing opportunities.