Medicare Benefits Schedule - Note TN.8.222

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.222

Indications for Percutaneous transluminal coronary rotational atherectomy

Percutaneous transluminal coronary rotational atherectomy is suitable for revascularisation of stenoses in heavily calcified coronary arteries in the absence of significant lesion angulation or vessel tortuosity in patients for whom coronary artery bypass graft surgery is not indicated.

Item 38309 describes an episode of care and can only be claimed once in a single episode.

Related Items: 38309


Related Items

Category 3 - THERAPEUTIC PROCEDURES

38309

38309 - Additional Information

Item Start Date:
01-Nov-2005
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2024

Percutaneous transluminal rotational atherectomy of one or more coronary arteries, including all associated imaging, if:

(a) the target stenosis within at least one coronary artery is heavily calcified and balloon angioplasty with or without stenting is not feasible without rotational artherectomy; and

(b) the service is performed in conjunction with a service to which item 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies

Applicable only once on each occasion the service is performed

(Anaes.) (Assist.)

Fee: $1,369.35 Benefit: 75% = $1,027.05 85% = $1,270.65

(See para TN.8.222 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