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Related Items: 38209 38212 38350 38353 38356

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SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, insertion, removal or replacement of, including cardiac electrophysiological services where used for pacemaker implantation

Multiple Operation Rule

Fee: $764.40 Benefit: 75% = $573.30

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

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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)

Multiple Operation Rule

Fee: $902.85 Benefit: 75% = $677.15

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

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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)

Multiple Operation Rule

Fee: $902.85 Benefit: 75% = $677.15

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

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