Medicare Benefits Schedule - Note TN.8.299

Providers of the services associated with items 38372 and 38373 should meet the Electrophysiologist fellowship training requirements described in the Cardiac Society of Australia and New Zealand Guidelines for advanced sub-specialty training in Cardiac Implantable Electronic Devices (CIEDs): selection, implantation and follow-up. Updated March 2017.

Guidelines for advanced sub-specialty training in CIEDs (2017): https://cmsuat.csanz.edu.au/wp-content/uploads/2017/03/Sub-spec-Training-CIED_2017-March.pdf

Related Items: 38372 38373

• Previous - Note TN.8.298
• Next - Note TN.9.1

Multiple Operation Rule

Leadless permanent cardiac pacemaker, single-chamber ventricular, percutaneous insertion of, for the treatment of bradycardia, including cardiac electrophysiological services (other than a service associated with a service to which item 38350 applies) (H)

(Anaes.)

Fee: $879.95 Benefit: 75% = $660.00

(See para TN.8.299 of explanatory notes to this Category)

Multiple Operation Rule

Leadless permanent cardiac pacemaker, single‑chamber ventricular, percutaneous retrieval and replacement of, including cardiac electrophysiological services, during the same percutaneous procedure, if:

(a) the service is performed by a specialist or consultant physician who has undertaken training to perform the service; and

(b) if the service is performed at least 4 weeks after the pacemaker was inserted—the service is performed in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and

(c) if the service is performed by an interventional cardiologist at least 4 weeks after the pacemaker was inserted—a cardiothoracic surgeon is in attendance during the service;

other than a service associated with a service to which item 38350 applies

(H)

(Anaes.)

Fee: $879.95 Benefit: 75% = $660.00

(See para TN.8.214, TN.8.299 of explanatory notes to this Category)