Medicare Benefits Schedule - Item 38497

Search Results for Item 38497

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

38497

38497 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-2002
Schedule Fee Start Date:
01-Nov-2012

Group
T8 - Surgical Operations
Subgroup
6 - Cardio-Thoracic
Subheading
8 - Surgery For Ischaemic Heart Disease

CORONARY ARTERY BYPASS with cardiopulmonary bypass, using saphenous vein graft or grafts only, including harvesting of vein graft material where performed, not being a service asociated with a service to which items 38498, 38500, 38501, 38503 or 38504 apply

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $2,047.60 Benefit: 75% = $1,535.70

(See para TN.8.67, TN.8.68 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.67

Cardiac and Thoracic Surgical Items - (Items 38470 to 38766)

Items 38470 to 38766 must be performed using open exposure or minimally invasive surgery which excludes percutaneous and transcatheter techniques unless otherwise stated in the item.

Related Items: 38470 38473 38475 38477 38478 38480 38481 38483 38485 38487 38488 38489 38490 38493 38496 38497 38498 38500 38501 38503 38504 38505 38506 38507 38508 38509 38512 38515 38518 38550 38553 38556 38559 38562 38565 38568 38571 38572 38577 38588 38600 38603 38609 38612 38613 38615 38618 38621 38624 38627 38637 38640 38643 38647 38650 38653 38654 38656 38670 38673 38677 38700 38703 38706 38709 38712 38715 38718 38721 38724 38727 38733 38736 38739 38742 38745 38748 38751 38754 38757 38760 38763 38766

Category 3 - THERAPEUTIC PROCEDURES

TN.8.68

Coronary Artery Bypass - (Items 38497 to 38504)

The fees for Items 38497 and 38498 include the harvesting of vein graft material.  Harvesting of internal mammary artery and/or vein graft material is covered in the fees for Items 38500, 38501, 38503 and 38504.  Where harvesting of an artery other than the internal mammary artery is undertaken, benefits are payable under Item 38496 on the multiple operation basis.  The procedure of coronary artery bypass grafting using arterial graft is covered by Item 38500, 38501, 38503 or 38504 irrespective of the origin of the arterial graft. 

Items 38498, 38501 and 38504 require that either a clinical or medical perfusionist are present in the operating theatre throughout the procedure in case it is necessary to convert to an on-pump procedure and cardiopulmonary bypass is required. 

If it is necessary to provide cardiopulmonary bypass items 38498, 38501 and 38504 cannot be claimed.  The procedure should be claimed under items 38497, 38500 or 38503 as appropriate in conjunction with the relevant cardiopulmonary bypass procedures.

 

Related Items: 38497 38498 38500 38501 38503 38504


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change