Medicare Benefits Schedule - Item 38620

Insertion of a durable left ventricular assist device capable of providing mechanical circulatory support for at least 6 months:

(a) as destination therapy in the management of a patient who:

(i) has refractory heart failure despite optimal medical management including device use where appropriate; and

(ii) has an INTERMACS profile of 1, 2, 3 or 4; and

(iii) is not expected to be a suitable candidate for cardiac transplantation; and

(b) including all associated intraoperative imaging performed by the same practitioner;

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies

Applicable only once per lifetime (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,787.15 Benefit: 75% = $1,340.40

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