Medicare Benefits Schedule - Item 38654

Search Results for Item 38654

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

38654

38654 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-Jul-2014
Schedule Fee Start Date:
01-Nov-2012

Group
T8 - Surgical Operations
Subgroup
6 - Cardio-Thoracic
Subheading
14 - Miscellaneous Cardiothoracic Surgical Procedures

Permanent left ventricular electrode, insertion, removal or replacement of via open thoracotomy, for the purpose of cardiac resynchronisation therapy, for a patient who:

(a)    has:

(i)    moderate to severe chronic heart failure (New York Heart Association (NYHA) class III or IV) despite optimised medical therapy; and

(ii)    sinus rhythm; and

(iii)    a left ventricular ejection fraction of less than or equal to 35%; and

(iv)    a QRS duration greater than or equal to 120 ms; or

(b)    has:

(i)    mild chronic heart failure (New York Heart Association (NYHA) class II) despite optimised medical therapy; and

(ii)    sinus rhythm; and

(iii)    a left ventricular ejection fraction of less than or equal to 35%; and

(iv)    a QRS duration greater than or equal to 150 ms; or

(c)    satisfied the requirements mentioned in paragraph (a) or (b) immediately before the insertion of a cardiac resynchronisation therapy device and transvenous left ventricle electrode

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,224.60 Benefit: 75% = $918.45

(See para TN.8.63, TN.8.67 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.63

Permanent Cardiac Synchronisation Device (Items 38365, 38368 and 38654)

Items 38365, 38368 and 38654 apply only to patients who meet the criteria listed in the item descriptor, and to patients who do not meet the criteria listed in the descriptor but have previously had a CRT device and transvenous left ventricular electrode inserted and who prior to its insertion met the criteria and now need the device replaced.

Related Items: 38365 38368 38654

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


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