Medicare Benefits Schedule - Item 38618

Search Results for Item 38618

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

38618

38618 - Additional Information

Item Start Date:
31-Oct-1992
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
6 - Cardio-Thoracic
Subheading
12 - Circulatory Support Procedures

Insertion of a left and right ventricular assist device, for use as:

(a) a bridge to cardiac transplantation in patients with refractory heart failure who are:

    (i) currently on a heart transplant waiting list, or

    (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or

(b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or

(c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks;

other than a service associated with a service to which:

(d) item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies; or

(e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation

(H) 

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,986.95 Benefit: 75% = $1,490.25

(See para TN.8.67 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: 38477 38485 38487 38490 38493 38508 38509 38512 38515 38518 38550 38553 38556 38568 38571 38572 38600 38603 38609 38612 38615 38618 38621 38624 38627 38637 38643 38653 38656 38670 38673 38677 38700 38703 38706 38709 38715 38718 38721 38724 38727 38730 38733 38736 38739 38742 38745 38748 38751 38754 38757 38760 38766


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