Medicare Benefits Schedule - Note TN.8.67

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.67

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


Related Items

Category 3 - THERAPEUTIC PROCEDURES

38475

38475 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

VALVE ANNULOPLASTY without insertion of ring, not being a service associated with a service to which item 38480 or 38481 applies

(Anaes.) (Assist.)

Fee: $831.75 Benefit: 75% = $623.85

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

Category 3 - THERAPEUTIC PROCEDURES

38477

38477 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

VALVE ANNULOPLASTY with insertion of ring not being a service to which item 38478 applies

(Anaes.) (Assist.)

Fee: $2,003.35 Benefit: 75% = $1,502.55

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

Category 3 - THERAPEUTIC PROCEDURES

38478

38478 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

VALVE ANNULOPLASTY with insertion of ring performed in conjunction with item 38480 or 38481

(Anaes.) (Assist.)

Fee: $970.40 Benefit: 75% = $727.80

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

Category 3 - THERAPEUTIC PROCEDURES

38480

38480 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

VALVE REPAIR, 1 leaflet

(Anaes.) (Assist.)

Fee: $2,003.35 Benefit: 75% = $1,502.55

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

Category 3 - THERAPEUTIC PROCEDURES

38481

38481 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

VALVE REPAIR, 2 or more leaflets

(Anaes.) (Assist.)

Fee: $2,280.65 Benefit: 75% = $1,710.50

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

Category 3 - THERAPEUTIC PROCEDURES

38483

38483 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

AORTIC VALVE LEAFLET OR LEAFLETS, decalcification of, not being a service to which item 38475, 38477, 38480, 38481, 38488 or 38489 applies

(Anaes.) (Assist.)

Fee: $1,720.90 Benefit: 75% = $1,290.70

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

Category 3 - THERAPEUTIC PROCEDURES

38485

38485 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

MITRAL ANNULUS, reconstruction of, after decalcification, when performed in association with valve surgery

(Anaes.) (Assist.)

Fee: $817.10 Benefit: 75% = $612.85

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

Category 3 - THERAPEUTIC PROCEDURES

38487

38487 - Additional Information

Item Start Date:
01-Jul-1993
Description Start Date:
01-Jul-1993
Schedule Fee Start Date:
01-Nov-2012

MITRAL VALVE, open valvotomy of

(Anaes.) (Assist.)

Fee: $1,720.90 Benefit: 75% = $1,290.70

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

Category 3 - THERAPEUTIC PROCEDURES

38488

38488 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

VALVE REPLACEMENT with BIOPROSTHESIS OR MECHANICAL PROSTHESIS

(Anaes.) (Assist.)

Fee: $1,909.60 Benefit: 75% = $1,432.20

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

Category 3 - THERAPEUTIC PROCEDURES

38489

38489 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

VALVE REPLACEMENT with allograft (subcoronary or cylindrical implant), or unstented xenograft

(Anaes.) (Assist.)

Fee: $2,271.05 Benefit: 75% = $1,703.30

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

Category 3 - THERAPEUTIC PROCEDURES

38490

38490 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

SUB-VALVULAR STRUCTURES, reconstruction and re-implantation of, associated with mitral and tricuspid valve replacement

(Anaes.) (Assist.)

Fee: $554.55 Benefit: 75% = $415.95

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

Category 3 - THERAPEUTIC PROCEDURES

38493

38493 - Additional Information

Item Start Date:
01-Nov-1998
Description Start Date:
01-Nov-1998
Schedule Fee Start Date:
01-Nov-2012

OPERATIVE MANAGEMENT of acute infective endocarditis, in association with heart valve surgery

(Anaes.) (Assist.)

Fee: $1,957.60 Benefit: 75% = $1,468.20

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

Category 3 - THERAPEUTIC PROCEDURES

38600

38600 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Jul-1993
Schedule Fee Start Date:
01-Nov-2012

CENTRAL CANNULATION for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies

(Anaes.) (Assist.)

Fee: $1,532.00 Benefit: 75% = $1,149.00

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

Category 3 - THERAPEUTIC PROCEDURES

38603

38603 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Jul-1993
Schedule Fee Start Date:
01-Nov-2012

PERIPHERAL CANNULATION for cardiopulmonary bypass excluding post-operative management

(Anaes.) (Assist.)

Fee: $958.40 Benefit: 75% = $718.80

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

Category 3 - THERAPEUTIC PROCEDURES

38609

38609 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Jul-1993
Schedule Fee Start Date:
01-Nov-2012

INTRA-AORTIC BALLOON PUMP, insertion of, by arteriotomy

(Anaes.) (Assist.)

Fee: $479.15 Benefit: 75% = $359.40

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

Category 3 - THERAPEUTIC PROCEDURES

38612

38612 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Jul-1993
Schedule Fee Start Date:
01-Nov-2012

INTRA-AORTIC BALLOON PUMP, removal of, with closure of artery by direct suture

(Anaes.) (Assist.)

Fee: $537.10 Benefit: 75% = $402.85 85% = $456.90

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

Category 3 - THERAPEUTIC PROCEDURES

38613

38613 - Additional Information

Item Start Date:
01-Jul-1993
Description Start Date:
01-Jul-1993
Schedule Fee Start Date:
01-Nov-2012

INTRA-AORTIC BALLOON PUMP, removal of, with closure of artery by patch graft

(Anaes.) (Assist.)

Fee: $674.05 Benefit: 75% = $505.55

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

Category 3 - THERAPEUTIC PROCEDURES

38615

38615 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-2015
Schedule Fee Start Date:
01-Nov-2012

Insertion of a left or 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;

not being a service associated with the use of a ventricular assist device as destination therapy in the management of patients with heart failure who are not expected to be suitable candidates for cardiac transplantation

(Anaes.) (Assist.)

Fee: $1,532.00 Benefit: 75% = $1,149.00

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

Category 3 - THERAPEUTIC PROCEDURES

38618

38618 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-2015
Schedule Fee Start Date:
01-Nov-2012

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;

not being a service associated with the use of a ventricular assist device as destination therapy in the management of patients with heart failure who are not expected to be suitable candidates for cardiac transplantation

(Anaes.) (Assist.)

Fee: $1,909.60 Benefit: 75% = $1,432.20

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

Category 3 - THERAPEUTIC PROCEDURES

38621

38621 - Additional Information

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

LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure

(Anaes.) (Assist.)

Fee: $762.35 Benefit: 75% = $571.80

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

Category 3 - THERAPEUTIC PROCEDURES

38624

38624 - Additional Information

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

LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure

(Anaes.) (Assist.)

Fee: $856.65 Benefit: 75% = $642.50

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

Category 3 - THERAPEUTIC PROCEDURES

38627

38627 - Additional Information

Item Start Date:
01-Jul-1998
Description Start Date:
01-Jul-1998
Schedule Fee Start Date:
01-Nov-2012

EXTRA-CORPOREAL MEMBRANE OXYGENATION, BYPASS OR VENTRICULAR ASSIST DEVICE CANNULAE, adjustment and re-positioning of, by open operation, in patients supported by these devices

(Anaes.) (Assist.)

Fee: $669.60 Benefit: 75% = $502.20

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

Category 3 - THERAPEUTIC PROCEDURES

38643

38643 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

THORACOTOMY OR STERNOTOMY involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes

(Anaes.) (Assist.)

Fee: $1,067.40 Benefit: 75% = $800.55

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

Category 3 - THERAPEUTIC PROCEDURES

38647

38647 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

THORACOTOMY OR STERNOTOMY involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38650

38650 - Additional Information

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

MYOMECTOMY or MYOTOMY for hypertrophic obstructive cardiomyopathy

(Anaes.) (Assist.)

Fee: $1,909.60 Benefit: 75% = $1,432.20

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

Category 3 - THERAPEUTIC PROCEDURES

38653

38653 - Additional Information

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

OPEN HEART SURGERY, not being a service to which another item in this Group applies

(Anaes.) (Assist.)

Fee: $1,909.60 Benefit: 75% = $1,432.20

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

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

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

(Anaes.) (Assist.)

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

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

Category 3 - THERAPEUTIC PROCEDURES

38656

38656 - Additional Information

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

THORACOTOMY or median sternotomy for post-operative bleeding

(Anaes.) (Assist.)

Fee: $958.40 Benefit: 75% = $718.80

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

Category 3 - THERAPEUTIC PROCEDURES

38588

38588 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

CANNULATION of the coronary sinus for, and supervision of, the retrograde administration of blood or crystalloid for cardioplegia, including pressure monitoring

(Assist.)

Fee: $416.05 Benefit: 75% = $312.05

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

Category 3 - THERAPEUTIC PROCEDURES

38512

38512 - Additional Information

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

DIVISION OF ACCESSORY PATHWAY, isolation procedure, procedure on atrioventricular node or perinodal tissues involving 1 atrial chamber only

(Anaes.) (Assist.)

Fee: $2,098.45 Benefit: 75% = $1,573.85

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

Category 3 - THERAPEUTIC PROCEDURES

38515

38515 - Additional Information

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

DIVISION OF ACCESSORY PATHWAY, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation

(Anaes.) (Assist.)

Fee: $2,671.95 Benefit: 75% = $2,004.00

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

Category 3 - THERAPEUTIC PROCEDURES

38518

38518 - Additional Information

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

VENTRICULAR ARRHYTHMIA with mapping and muscle ablation, with or without aneurysmeotomy

(Anaes.) (Assist.)

Fee: $2,868.05 Benefit: 75% = $2,151.05

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

Category 3 - THERAPEUTIC PROCEDURES

38550

38550 - Additional Information

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

ASCENDING THORACIC AORTA, repair or replacement of, not involving valve replacement or repair or coronary artery implantation

(Anaes.) (Assist.)

Fee: $2,146.15 Benefit: 75% = $1,609.65

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

Category 3 - THERAPEUTIC PROCEDURES

38553

38553 - Additional Information

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

ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries

(Anaes.) (Assist.)

Fee: $2,719.75 Benefit: 75% = $2,039.85

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

Category 3 - THERAPEUTIC PROCEDURES

38556

38556 - Additional Information

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

ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries

(Anaes.) (Assist.)

Fee: $3,104.70 Benefit: 75% = $2,328.55

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

Category 3 - THERAPEUTIC PROCEDURES

38559

38559 - Additional Information

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

AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, not involving valve replacement or repair or coronary artery implantation

(Anaes.) (Assist.)

Fee: $2,531.00 Benefit: 75% = $1,898.25

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

Category 3 - THERAPEUTIC PROCEDURES

38562

38562 - Additional Information

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

AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries

(Anaes.) (Assist.)

Fee: $3,104.70 Benefit: 75% = $2,328.55

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

Category 3 - THERAPEUTIC PROCEDURES

38565

38565 - Additional Information

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

AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries

(Anaes.) (Assist.)

Fee: $3,482.25 Benefit: 75% = $2,611.70

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

Category 3 - THERAPEUTIC PROCEDURES

38568

38568 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-2006
Schedule Fee Start Date:
01-Nov-2012

DESCENDING THORACIC AORTA, repair or replacement of, without shunt or cardiopulmonary bypass, by open exposure, percutaneous or endovascular means

(Anaes.) (Assist.)

Fee: $1,862.95 Benefit: 75% = $1,397.25

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

Category 3 - THERAPEUTIC PROCEDURES

38571

38571 - Additional Information

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

DESCENDING THORACIC AORTA, repair or replacement of, using shunt or cardiopulmonary bypass

(Anaes.) (Assist.)

Fee: $2,051.75 Benefit: 75% = $1,538.85

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

Category 3 - THERAPEUTIC PROCEDURES

38572

38572 - Additional Information

Item Start Date:
01-Jul-1993
Description Start Date:
01-Jul-1993
Schedule Fee Start Date:
01-Nov-2012

OPERATIVE MANAGEMENT OF ACUTE RUPTURE OR DISSECTION, in conjunction with procedures on the thoracic aorta

(Anaes.) (Assist.)

Fee: $1,987.05 Benefit: 75% = $1,490.30

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

Category 3 - THERAPEUTIC PROCEDURES

38577

38577 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

CANNULATION FOR, and supervision and monitoring of, the administration of retrograde cerebral perfusion during deep hypothermic arrest

(Assist.)

Fee: $554.55 Benefit: 75% = $415.95

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

Category 3 - THERAPEUTIC PROCEDURES

38470

38470 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-May-1997
Schedule Fee Start Date:
01-Nov-2012

PERMANENT MYOCARDIAL ELECTRODE, insertion of, by thoracotomy or sternotomy

(Anaes.) (Assist.)

Fee: $958.40 Benefit: 75% = $718.80

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

Category 3 - THERAPEUTIC PROCEDURES

38473

38473 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-2005
Schedule Fee Start Date:
01-Nov-2012

PERMANENT PACEMAKER ELECTRODE, insertion by open surgical approach

(Anaes.) (Assist.)

Fee: $573.70 Benefit: 75% = $430.30

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

Category 3 - THERAPEUTIC PROCEDURES

38496

38496 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

ARTERY HARVESTING (other than internal mammary), for coronary artery bypass

(Anaes.) (Assist.)

Fee: $623.95 Benefit: 75% = $468.00

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

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

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

(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)

Category 3 - THERAPEUTIC PROCEDURES

38498

38498 - Additional Information

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

CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using saphenous vein graft or grafts only, including harvesting of vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38500, 38501, 38503, 38504 or 38600 apply

(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)

Category 3 - THERAPEUTIC PROCEDURES

38500

38500 - Additional Information

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

CORONARY ARTERY BYPASS with cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, not being a service associated with a service to which items 38497, 38498, 38501, 38503 or 38504 apply

(Anaes.) (Assist.)

Fee: $2,200.00 Benefit: 75% = $1,650.00

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

Category 3 - THERAPEUTIC PROCEDURES

38501

38501 - Additional Information

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

CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38498, 38500, 38503,  38504 or 38600 apply

(Anaes.) (Assist.)

Fee: $2,200.00 Benefit: 75% = $1,650.00

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

Category 3 - THERAPEUTIC PROCEDURES

38503

38503 - Additional Information

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

CORONARY ARTERY BYPASS with cardiopulmonary bypass, using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, not being a service associated with a service to which items 38497, 38498, 38500, 38501 or 38504 apply

(Anaes.) (Assist.)

Fee: $2,388.70 Benefit: 75% = $1,791.55

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

Category 3 - THERAPEUTIC PROCEDURES

38504

38504 - Additional Information

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

CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38498, 38500, 38501, 38503 or 38600 apply

(Anaes.) (Assist.)

Fee: $2,388.70 Benefit: 75% = $1,791.55

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

Category 3 - THERAPEUTIC PROCEDURES

38505

38505 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

CORONARY ENDARTERECTOMY, by open operation, including repair with 1 or more patch grafts, each vessel

(Anaes.) (Assist.)

Fee: $277.25 Benefit: 75% = $207.95

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

Category 3 - THERAPEUTIC PROCEDURES

38506

38506 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

LEFT VENTRICULAR ANEURYSM, plication of

(Anaes.) (Assist.)

Fee: $1,626.25 Benefit: 75% = $1,219.70

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

Category 3 - THERAPEUTIC PROCEDURES

38507

38507 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

LEFT VENTRICULAR ANEURYSM resection with primary repair

(Anaes.) (Assist.)

Fee: $1,909.20 Benefit: 75% = $1,431.90

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

Category 3 - THERAPEUTIC PROCEDURES

38508

38508 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

LEFT VENTRICULAR ANEURYSM resection with patch reconstruction of the left ventricle

(Anaes.) (Assist.)

Fee: $2,388.70 Benefit: 75% = $1,791.55

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

Category 3 - THERAPEUTIC PROCEDURES

38509

38509 - Additional Information

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

ISCHAEMIC VENTRICULAR SEPTAL RUPTURE, repair of

(Anaes.) (Assist.)

Fee: $2,388.70 Benefit: 75% = $1,791.55

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

Category 3 - THERAPEUTIC PROCEDURES

38700

38700 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,067.40 Benefit: 75% = $800.55

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

Category 3 - THERAPEUTIC PROCEDURES

38703

38703 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,924.10 Benefit: 75% = $1,443.10

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

Category 3 - THERAPEUTIC PROCEDURES

38706

38706 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

AORTA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,822.40 Benefit: 75% = $1,366.80

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

Category 3 - THERAPEUTIC PROCEDURES

38709

38709 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

AORTA, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38712

38712 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

AORTIC INTERRUPTION, repair of, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,563.15 Benefit: 75% = $1,922.40

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

Category 3 - THERAPEUTIC PROCEDURES

38715

38715 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

MAIN PULMONARY ARTERY, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,706.30 Benefit: 75% = $1,279.75

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

Category 3 - THERAPEUTIC PROCEDURES

38718

38718 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

MAIN PULMONARY ARTERY, banding, debanding or repair of, with cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38721

38721 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

VENA CAVA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,495.80 Benefit: 75% = $1,121.85

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

Category 3 - THERAPEUTIC PROCEDURES

38724

38724 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

VENA CAVA, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38727

38727 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

INTRATHORACIC VESSELS, anastomosis or repair of, without cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,495.80 Benefit: 75% = $1,121.85

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

Category 3 - THERAPEUTIC PROCEDURES

38733

38733 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, without cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,495.80 Benefit: 75% = $1,121.85

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

Category 3 - THERAPEUTIC PROCEDURES

38736

38736 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, with cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38739

38739 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

ATRIAL SEPTECTOMY, with or without cardiopulmonary bypass, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,924.10 Benefit: 75% = $1,443.10

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

Category 3 - THERAPEUTIC PROCEDURES

38742

38742 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-May-2002
Schedule Fee Start Date:
01-Nov-2012

ATRIAL SEPTAL DEFECT, closure by open exposure direct suture or patch, for congenital heart disease

(Anaes.) (Assist.)

Fee: $1,924.10 Benefit: 75% = $1,443.10

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

Category 3 - THERAPEUTIC PROCEDURES

38745

38745 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

INTRA-ATRIAL BAFFLE, insertion of, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38748

38748 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

VENTRICULAR SEPTECTOMY, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38751

38751 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-2014
Schedule Fee Start Date:
01-Nov-2012

Ventricular septal defect, closure by direct suture or patch

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38754

38754 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

INTRAVENTRICULAR BAFFLE OR CONDUIT, insertion of, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,671.95 Benefit: 75% = $2,004.00

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

Category 3 - THERAPEUTIC PROCEDURES

38757

38757 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

EXTRACARDIAC CONDUIT, insertion of, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38760

38760 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

EXTRACARDIAC CONDUIT, replacement of, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38763

38763 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

VENTRICULAR MYECTOMY, for relief of ventricular obstruction, right or left, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38766

38766 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Nov-2012

VENTRICULAR AUGMENTATION, right or left, for congenital heart disease

(Anaes.) (Assist.)

Fee: $2,134.50 Benefit: 75% = $1,600.90

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

Category 3 - THERAPEUTIC PROCEDURES

38637

38637 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

PATENT DISEASED coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of

(Anaes.) (Assist.)

Fee: $554.55 Benefit: 75% = $415.95

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

Category 3 - THERAPEUTIC PROCEDURES

38640

38640 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-1993
Schedule Fee Start Date:
01-Nov-2012

RE-OPERATION via median sternotomy, for any procedure, including any divisions of adhesions where the time taken to divide the adhesions is 45 minutes or less

(Anaes.) (Assist.)

Fee: $958.40 Benefit: 75% = $718.80

(See para TN.8.67, TN.8.69 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

38670

38670 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, without patch or conduit reconstruction

(Anaes.) (Assist.)

Fee: $1,909.20 Benefit: 75% = $1,431.90

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

Category 3 - THERAPEUTIC PROCEDURES

38673

38673 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, requiring reconstruction with patch or conduit

(Anaes.) (Assist.)

Fee: $2,148.85 Benefit: 75% = $1,611.65

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

Category 3 - THERAPEUTIC PROCEDURES

38677

38677 - Additional Information

Item Start Date:
01-Nov-1995
Description Start Date:
01-Nov-1995
Schedule Fee Start Date:
01-Nov-2012

CARDIAC TUMOUR arising from ventricular myocardium, partial thickness excision of

(Anaes.) (Assist.)

Fee: $2,010.35 Benefit: 75% = $1,507.80

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


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