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Pregnancy Wheel & MBS Triggers

Amounts other than Medicare schedule fees (for example out-of-pocket costs, price ranges and worked examples) are indicative and vary by provider and circumstances. Confirm current figures with the provider or the official source.

Enter LMP or ultrasound dating to see current gestational age, EDD, and the MBS antenatal items triggered by gestational age. RANZCOG-aligned reference, not advice.

🇦🇺 Australia RANZCOG · MBS Mar 2026
📋 Sources: RANZCOG — Statements and Guidelines (routine antenatal care; ultrasound dating; GDM testing; GBS; anti-D); MBS Book July 2026 (items 55700, 55707, 55708, 55709, 55718, 16501, 16590, 16591); Australian Immunisation Handbook (vaccines in pregnancy); National Blood Authority (anti-D guidelines). Naegele’s rule for EDD: LMP + 280 days, assuming a 28-day cycle. Ultrasound-based dating preferred when LMP-discordant.
⚠️ Ultrasound dating supersedes LMP when discordance is >5 days in the first trimester or >10 days in the second. Use ultrasound-based EDD as the reference once available (RANZCOG).

Date the pregnancy

Assumes 28-day cycles (Naegele’s rule). For irregular cycles, prefer ultrasound dating.

Enter the GA from the ultrasound report. EDD will be back-calculated from this dating.

Timeline — tests & MBS triggers

Generated for the dating above. YOU ARE HERE marks the current GA. Past milestones are green; upcoming are grey.

MBS items (July 2026)

Item When Description Fee
55700<12 weeksDating scan — gestation, location, viability, number of fetuses.$70.65
55707CRL 45–84mmNT scan with nuchal translucency measurement (referred). ~11+2 to 13+6 weeks.$82.50
55708CRL 45–84mmNT scan, non-referred. Same window as 55707.$41.15
5570917–22 weeksFetal morphology with dating measurements.$44.70
55718>22 weeksFetal anatomy ultrasound (referred). For follow-up/late anatomy.$117.85
16590≥28 weeksPregnancy planning & management — GP with maternity privileges (private admission planned). Includes MH screen + DV + drug/alcohol screening. Once per pregnancy.$446.15
16591≥28 weeksPregnancy planning & management — shared care (no maternity privileges). Same MH/DV/drug screen requirement. Once per pregnancy.$170.75

Routine GP antenatal visits bill under standard attendance items (23 / 36 / 44) per visit. 16590 and 16591 are the one-off "planning" items billed once after 28 weeks. They are mutually exclusive — pick the right one based on the patient’s care model.

Other timing-sensitive antenatal items (not MBS)

Maternal serum screening & NIPT (10+ weeks)

First-trimester combined screening (PAPP-A + free βhCG + NT) typically 11–13+6 weeks. NIPT (cell-free DNA) from 10 weeks. NIPT is not currently MBS-rebated — patients pay privately (~$400–500). PAPP-A bloods are MBS-funded.

OGTT for gestational diabetes (24–28 weeks)

Universal 75g 2-hour OGTT at 24–28 weeks per RANZCOG/ADIPS. Earlier OGTT (12–14 weeks) if high risk (BMI ≥35, prior GDM, prior macrosomia, PCOS, family history).

Anti-D for Rh-negative patients (28 & 34 weeks)

Routine anti-D prophylaxis at 28 and 34 weeks if Rh(D)-negative and no anti-D antibodies. Plus after sensitising events (CVS, amniocentesis, ECV, abdominal trauma, antepartum bleeding). Provided through the National Blood Authority — not an MBS-billable consumable.

GBS screening (35–37 weeks)

Universal vagino-rectal swab for Group B Streptococcus at 35–37 weeks per RANZCOG/RCH. Positive result → intrapartum antibiotic prophylaxis.

Vaccinations in pregnancy

Influenza — any trimester. dTpa (pertussis) — 20–32 weeks (NIP-funded). RSV (Abrysvo) — 28+ weeks each pregnancy (NIP from Feb 2025). COVID-19 per current ATAGI advice. Live vaccines (MMR, varicella) contraindicated.

External cephalic version (after 36 weeks)

MBS item 16501 ($168.20) covers ECV for breech presentation after 36 weeks in a facility with caesarean capability. Maximum 2 ECVs per pregnancy.

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Reference information for healthcare professionals. Calculator outputs are based on standard formulas (Naegele’s rule / CRL-based dating). Always reconcile with documented obstetric dating and current clinical context. Not a substitute for clinical judgement or the treating obstetric team’s plan.