Medicare Benefits Schedule - Item 38209

Search Results for Item 38209

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

38209

38209 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2025
Schedule Fee Updated:
01-Jul-2025

Group
T8 - Surgical Operations
Subgroup
6 - Cardio-Thoracic
Subheading
1 - Cardiology Procedures

Cardiac electrophysiological study—up to and including 3 catheter investigation of any one or more of—syncope, atrio‑ventricular conduction, sinus node function or simple ventricular tachycardia studies, other than a service associated with a service to which item 38212 or 38213 applies (H)

Multiple Operation Rule

(Anaes.)

Fee: $962.60 Benefit: 75% = $721.95

(See para TN.8.60, TN.8.298 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.60

Cardiac Pacemaker Insertion - (Items 38209, 38212, 38350, 38353 and 38356)

The fees for the insertion of a pacemaker (Items  38350, 38353 and 38356) cover the testing of cardiac conduction or conduction threshold, etc related to the pacemaker and pacemaker function. 

Accordingly, additional benefits are not payable for such routine testing under Item 38209 or 38212 (Cardiac electrophysiological studies).

 

Related Items: 38209 38212 38350 38353 38356

Category 3 - THERAPEUTIC PROCEDURES

TN.8.298

Training Requirements - Cardiac Ablation

Providers of the services associated with items 38209, 38212, 38287, 38290 and 38293 should meet the Electrophysiologist fellowship training requirements described in the Cardiac Society of Australia and New Zealand Expert Position Statement on Catheter and Surgical Ablation for Atrial Fibrillation or equivalent. https:/https://www.csanz.edu.au/resource?resource=48/www.csanz.edu.au/resource?resource=48

Related Items: 38209 38212 38287 38290 38293


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