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CENTRAL CANNULATION for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies

Multiple Operation Rule

Fee: $1,787.15 Benefit: 75% = $1,340.40

(See para TN.8.67 of explanatory notes to this Category)

• Previous - Item 38572
• Next - Item 38603

Peripheral cannulation for cardiopulmonary bypass, excluding post-operative management, other than a service:

(a) in which peripheral cannulation is used in preference to central cannulation for valve or coronary bypass procedures; or

(b) associated with a service to which item 38555 or 38572 applies

(H)

Multiple Operation Rule

Fee: $1,118.05 Benefit: 75% = $838.55

(See para TN.8.67 of explanatory notes to this Category)

• Previous - Item 38600
• Next - Item 38609

Insertion of intra-aortic balloon pump, by arteriotomy, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H)

Multiple Operation Rule

Fee: $558.95 Benefit: 75% = $419.25

(See para TN.8.67 of explanatory notes to this Category)

• Previous - Item 38603
• Next - Item 38612

Removal of intra-aortic balloon pump, with closure of artery by direct suture, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 338816, 38828 or 45503 applies (H)

Multiple Operation Rule

Fee: $626.65 Benefit: 75% = $470.00

(See para TN.8.67 of explanatory notes to this Category)

• Previous - Item 38609
• Next - Item 38615

Insertion of a left or right ventricular assist device, for use as:

(a) a bridge to cardiac transplantation in patients with refractory heart failure who are:

    (i) currently on a heart transplant waiting list, or

    (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or

(b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or

(c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks;

other than a service associated with a service to which:

(d) item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies; or

(e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation

(H)

Multiple Operation Rule

Fee: $1,787.15 Benefit: 75% = $1,340.40

(See para TN.8.67 of explanatory notes to this Category)

• Previous - Item 38612
• Next - Item 38616

Surgical insertion of an intravascular microaxial ventricular assist device, into the left ventricle only, by arteriotomy, including all associated intraoperative imaging performed by the same practitioner, if:

(a) the patient has deteriorating symptoms of cardiogenic shock (with no evidence of significant anoxic neurological injury) that are not controlled by optimal medical therapy; or

(b) the patient:

(i) is on veno‑arterial extra‑corporeal membrane oxygenation, for deteriorating symptoms of cardiogenic shock (with no evidence of significant anoxic neurological injury) that are not controlled by optimal medical therapy; and

(ii) due to the effects of established veno‑arterial extra‑corporeal membrane oxygenation, requires unloading of the left ventricle

(H)

Multiple Operation Rule

Fee: $1,102.85 Benefit: 75% = $827.15

• Previous - Item 38615
• Next - Item 38618

Insertion of a left and right ventricular assist device, for use as:

(a) a bridge to cardiac transplantation in patients with refractory heart failure who are:

    (i) currently on a heart transplant waiting list, or

    (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or

(b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or

(c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks;

other than a service associated with a service to which:

(d) item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies; or

(e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation

(H) 

Multiple Operation Rule

Fee: $2,227.60 Benefit: 75% = $1,670.70

(See para TN.8.67 of explanatory notes to this Category)

• Previous - Item 38616
• Next - Item 38619

Surgical removal of a left sided intravascular microaxial ventricular assist device (H)

Multiple Operation Rule

Fee: $661.50 Benefit: 75% = $496.15

• Previous - Item 38618
• Next - Item 38620

Insertion of a durable left ventricular assist device capable of providing mechanical circulatory support for at least 6 months:

(a) as destination therapy in the management of a patient who:

(i) has refractory heart failure despite optimal medical management including device use where appropriate; and

(ii) has an INTERMACS profile of 1, 2, 3 or 4; and

(iii) is not expected to be a suitable candidate for cardiac transplantation; and

(b) including all associated intraoperative imaging performed by the same practitioner;

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies

Applicable only once per lifetime (H)

Multiple Operation Rule

Fee: $1,787.15 Benefit: 75% = $1,340.40

• Previous - Item 38619
• Next - Item 38621

Left or right ventricular assist device, removal or replacement of, as an independent procedure, other than a service to which item 38619 applies, or a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38619, 38627, 38816, 38828 or 45503 applies (H)

Multiple Operation Rule

Fee: $889.30 Benefit: 75% = $667.00

(See para TN.8.67 of explanatory notes to this Category)

• Previous - Item 38620
• Next - Item 38624