Medicare Benefits Schedule - Note TN.8.298

Providers of the services associated with items 38209, 38212, 38287, 38290 and 38293 should meet the Electrophysiologist fellowship training requirements described in the Cardiac Society of Australia and New Zealand Expert Position Statement on Catheter and Surgical Ablation for Atrial Fibrillation or equivalent. https:/https://www.csanz.edu.au/resource?resource=48/www.csanz.edu.au/resource?resource=48

Related Items: 38209 38212 38287 38290 38293

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Multiple Operation Rule

Ablation of arrhythmia circuit or focus or isolation procedure involving one atrial chamber (H)

(Anaes.) (Assist.)

Fee: $2,448.10 Benefit: 75% = $1,836.10

(See para TN.8.298 of explanatory notes to this Category)

Multiple Operation Rule

ABLATION OF ARRHYTHMIA CIRCUITS OR FOCI, or isolation procedure involving both atrial chambers and including curative procedures for atrial fibrillation

(Anaes.) (Assist.)

Fee: $3,117.05 Benefit: 75% = $2,337.80

(See para TN.8.298 of explanatory notes to this Category)

Multiple Operation Rule

Ventricular arrhythmia with mapping and ablation, including all associated electrophysiological studies performed on the same day (H)

(Anaes.) (Assist.)

Fee: $3,345.75 Benefit: 75% = $2,509.35

(See para TN.8.298 of explanatory notes to this Category)

Multiple Operation Rule

Cardiac electrophysiological study—up to and including 3 catheter investigation of any one or more of—syncope, atrio‑ventricular conduction, sinus node function or simple ventricular tachycardia studies, other than a service associated with a service to which item 38212 or 38213 applies (H)

(Anaes.)

Fee: $962.60 Benefit: 75% = $721.95

(See para TN.8.60, TN.8.298 of explanatory notes to this Category)

Multiple Operation Rule

Cardiac electrophysiological study for:

(a) the investigation of supraventricular tachycardia involving 4 or more catheters; or

(b) complex tachycardia inductions; or

(c) multiple catheter mapping; or

(d) acute intravenous anti‑arrhythmic drug testing with pre and post drug inductions; or

(e) catheter ablation to intentionally induce complete atrioventricular block; or

(f) intraoperative mapping;

other than a service associated with a service to which item 38209 or 38213 applies (H)

(Anaes.)

Fee: $1,601.00 Benefit: 75% = $1,200.75

(See para TN.8.60, TN.8.298 of explanatory notes to this Category)