Medicare Benefits Schedule - Item 38472

Insertion, replacement or removal of implantable defibrillator generator, if the patient has one of the following:

(a) a history of haemodynamically significant ventricular arrhythmias in the presence of structural heart disease;

(b) documented high-risk genetic cardiac disease;

(c) ischaemic heart disease, with a left ventricular ejection fraction of less than 30% at least one month after experiencing a myocardial infarction and while on optimised medical therapy;

(d) chronic heart failure, classified as New York Heart Association class II or III, with a left ventricular ejection fraction of less than 35% (despite optimised medical therapy);

other than a service to which item 38212 applies (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $316.85 Benefit: 75% = $237.65

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