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Transluminal stent insertion, one or more stents, including associated balloon dilatation for one peripheral artery or vein of one limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding after-care (H)

Multiple Operation Rule

Fee: $730.00 Benefit: 75% = $547.50

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TRANSLUMINAL STENT INSERTION, 1 or more stents (not drug-eluting), with or without associated balloon dilatation, for 1 carotid artery, percutaneous (not direct), with or without the use of an embolic protection device, in patients who:

-    meet the indications for carotid endarterectomy; and

-    have medical or surgical comorbidities that would make them at high risk of perioperative complications from carotid endarterectomy,

excluding associated radiological services or preparation, and excluding aftercare

Multiple Operation Rule

Fee: $1,341.90 Benefit: 75% = $1,006.45

(See para TN.8.37 of explanatory notes to this Category)

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Transluminal stent insertion, one or more stents, including associated balloon dilatation for visceral arteries or veins, or more than one peripheral artery or vein of one limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding after-care (H)

Multiple Operation Rule

Fee: $912.40 Benefit: 75% = $684.30

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Use of intravascular ultrasound (IVUS) during transluminal insertion of stents, to optimise procedural strategy, appropriate stent size and assessment of stent apposition, for a patient documented with:

(a) one or more left main coronary artery lesions; or

(b) one or more lesions at least 28mm in length in other locations;

if performed in association with a service to which item 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies

Applicable once per episode of care (for one or more lesions) (H)

Multiple Operation Rule

Fee: $553.15 Benefit: 75% = $414.90

(See para TR.8.8 of explanatory notes to this Category)

• Previous - Item 38323
• Next - Item 38326

Use of optical coherence tomography (OCT) during transluminal insertion of stents, to optimise procedural strategy, appropriate stent size and assessment of stent apposition, if:

(a) the patient is documented with:

  (i) one or more lesions located at a bifurcation; and

  (ii) a planned side branch at least 2.5 mm in diameter by angiographic visual estimation; or

(b) the patient is documented with stent thrombosis; or

(c) both:

   (i) the patient is documented with one or more lesions at least 28mm in length; and

   (ii) either of the following apply:

      (A) a service to which this item applies is not performed in association with a service to which item 38325 applies because of paragraph (b) of that item;

      (B) a service to which this item applies is not performed, in relation to a lesion, in association with a service to which item 38325 applies because of paragraph (a) of that item, performed in relation to the same lesion;

if performed in association with a service to which item 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies

Applicable once per episode of care (for one or more lesions) (H)

Multiple Operation Rule

Fee: $553.15 Benefit: 75% = $414.90

(See para TR.8.8 of explanatory notes to this Category)

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