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Related Items: 38358 38373 38374 38514 38522 90300

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Leadless permanent cardiac pacemaker, single‑chamber ventricular, percutaneous retrieval of, 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

(H)

Multiple Operation Rule

Fee: $902.85 Benefit: 75% = $677.15

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

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Professional attendance by a cardiothoracic surgeon in the practice of the surgeon’s speciality, if:

(a) the service is:

1. performed in conjunction with a service (the lead extraction service) to which item 38358 applies; or
2. performed in conjunction with a service (the leadless pacemaker extraction service) to which item 38373 or 38374 applies; or
3. performed in conjunction with a service (the TAVI intermediate or low surgical risk service) to which item 38514 or 38522 applies); and

(b) the surgeon:

1. is providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service; and
2. is present for the duration of the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service, other than during the low risk pre and post extraction or transcatheter aortic valve implantation phases; and
3. is able to immediately scrub in and perform a thoracotomy if major complications occur

(H)

Fee: $1,029.75 Benefit: 75% = $772.35

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

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