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Pregnancy Wheel & MBS Triggers

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.$40.10
5570917–22 weeksFetal morphology with dating measurements.$43.55
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.$434.85
16591≥28 weeksPregnancy planning & management — shared care (no maternity privileges). Same MH/DV/drug screen requirement. Once per pregnancy.$166.40

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 ($163.95) 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.