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Category 3 - THERAPEUTIC PROCEDURES

38371

38371 - Additional Information

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

Group
T8 - SURGICAL OPERATIONS
Subgroup
6 - CARDIO-THORACIC
Subheading
4 - MISCELLANEOUS CARDIAC PROCEDURES

Untitled document

Permanent cardiac synchronisation device capable of defibrillation, insertion, removal or replacement of, 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

Multiple Services Rule


(Anaes.)

Fee: $287.85 Benefit: 75% = $215.90

(See para T8.66 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

38384

38384 - Additional Information

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

Group
T8 - SURGICAL OPERATIONS
Subgroup
6 - CARDIO-THORACIC
Subheading
4 - MISCELLANEOUS CARDIAC PROCEDURES

AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of transvenous endocardial defibrillation electrodes for, primary prevention of sudden cardiac death in:


    - patients with a left ventricular ejection fraction of less than or equal to 30% at least one month after a myocardial infarct when the patient has received optimised medical therapy; or


    - patients with chronic heart failure associated with mild to moderate symptoms (NYHA II and III) and a left ventricular ejection fraction less than or equal to 35% when the patient has received optimised medical therapy.


Not being a service associated  with a service to which item 38213 applies

Multiple Services Rule


(Anaes.) (Assist.)

Fee: $1,052.65 Benefit: 75% = $789.50 85% = $973.15

Category 3 - THERAPEUTIC PROCEDURES

38387

38387 - Additional Information

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

Group
T8 - SURGICAL OPERATIONS
Subgroup
6 - CARDIO-THORACIC
Subheading
4 - MISCELLANEOUS CARDIAC PROCEDURES

AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of for, primary prevention of sudden cardiac death in:


    - patients with a left ventricular ejection fraction of less than or equal to 30% at least one month after a myocardial infarct when the patient has received optimised medical therapy; or


    - patients with chronic heart failure associated with mild to moderate symptoms (NYHA II and III) and a left ventricular ejection fraction less than or equal to 35% when the patient has received optimised medical therapy.


Not being a service associated  with a service to which item 38213 applies, not for defibrillators capable of cardiac resynchronisation therapy

Multiple Services Rule


(Anaes.) (Assist.)

Fee: $287.85 Benefit: 75% = $215.90 85% = $244.70

Results 1 to 3 of 3 matches


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