1.  Sections 1 to 3 and anything in this instrument not elsewhere covered by this table

The day after this instrument is registered.

3 June 2021

2.  Schedule 1, Part 1

1 July 2021.

1 July 2021

3.  Schedule 1, Parts 2, 3 and 3A

Immediately after the commencement of the Health Insurance (General Medical Services Table) Regulations 2021.

1 July 2021

4.  Schedule 1, Part 4

1 July 2021.

1 July 2021

Intraoperative two‑dimensional or three‑dimensional real time transoesophageal echocardiography, if the service:

(a) includes Doppler techniques with colour flow mapping and recordings on digital media; and

(b) is performed during cardiac surgery; and

(c) incorporates sequential assessment of cardiac function before and after the surgical procedure; and

(d) is not associated with a service to which item 55135, or an item in Subgroup 3, applies (R) (Anaes.)

Intraoperative two‑dimensional or three‑dimensional real time transoesophageal echocardiography, if the service:

(a) is provided on the same day as a service to which item 38477, 38484, 38499, 38516 or 38517 applies; and

(b) includes Doppler techniques with colour flow mapping and recordings on digital media; and

(c) is performed during cardiac valve surgery (replacement or repair); and

(d) incorporates sequential assessment of cardiac function and valve competence before and after the surgical procedure; and

(e) is not associated with a service to which item 55130, or an item in Subgroup 3, applies (R) (Anaes.)

38286

Removal of implantable ECG loop recorder (Anaes.)

144.60

57364

Computed tomography of the coronary arteries performed on a minimum of a 64 slice (or equivalent) scanner, if:

(a) the service is requested by a specialist or consultant physician; and

(b) at least one of the following apply to the patient:

(i) the patient has stable symptoms and newly recognised left ventricular systolic dysfunction of unknown aetiology;

(ii) the patient requires exclusion of coronary artery anomaly or fistula;

(iii) the patient will be undergoing non‑coronary cardiac surgery;

(iv) the patient meets the criteria to be eligible for a service to which item 38247, 38249 or 38252 applies, but as an alternative to selective coronary angiography will require an assessment of the patency of one or more bypass grafts

(R) (Anaes)

710.50

Group A37—Cardiothoracic surgeon attendance for lead extraction

Column 1

Item

Column 2

Description

Column 3

Fee ($)

90300

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

(a) the service is performed in conjunction with a service (the lead extraction service) to which item 38358 applies; and

(b) the surgeon is:

(i) either performing, or providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing, the lead extraction service; and

(i) present for the duration of the lead extraction service, other than during the low risk pre and post extraction phases; and

(iii) able to immediately scrub in and perform a thoracotomy if major complications occur

(H)

895.25

13400

Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (H) (Anaes.)

100.75

38200

Right heart catheterisation with any one or more of the following:

(a) fluoroscopy;

(b) oximetry;

(c) dye dilution curves;

(d) cardiac output measurement by any method;

(e) shunt detection;

(f) exercise stress test;

other than a service associated with a service to which item 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38254 or 38368 applies (Anaes.)

463.50

38203

Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture, with any one or more of the following:

(a) fluoroscopy;

(b) oximetry;

(c) dye dilution curves;

(d) cardiac output measurements by any method;

(e) shunt detection;

(f) exercise stress test;

other than a service associated with a service to which item 38200, 38206, 38244, 38247, 38248, 38249, 38251, 38252 or 38254 applies (Anaes.)

553.10

38206

Right heart catheterisation with left heart catheterisation via the right heart or by another procedure, with any one or more of the following:

(a) fluoroscopy;

(b) oximetry;

(c) dye dilution curves;

(d) cardiac output measurements by any method;

(e) shunt detection;

(f) exercise stress test;

other than a service associated with a service to which item 38200, 38203, 38244, 38247, 38248, 38249, 38251, 38252 or 38254 applies (Anaes.)

668.70

38212

Cardiac electrophysiological study involving 4 or more catheters for:

(a) supraventricular tachycardia investigation; or

(b) complex tachycardia inductions; or

(c) multiple catheter mapping; or

(d) acute intravenous anti‑arrhythmic drug testing with pre and post drug inductions; or

(e) catheter ablation to intentionally induce complete atrioventricular block; or

(f) intraoperative mapping;

other than a service associated with a service to which item 38209 or 38213 applies (Anaes.)

1,428.05

38213

Cardiac electrophysiological study, performed either:

(a) during insertion of implantable defibrillator; or

(b) for defibrillation threshold testing at a different time to implantation;

other than a service associated with a service to which item 38209 or 38212 applies (Anaes.)

425.30

38241

Use of a coronary pressure wire, if the service is:

(a) performed during selective coronary angiography, percutaneous angioplasty or transluminal insertion of one or more stents; and

(b) to measure fractional flow reserve, non‑hyperaemic pressure ratios or coronary flow reserve in intermediate coronary artery or graft lesions (stenosis of 50 to 70%); and

(c) to determine whether revascularisation is appropriate, if previous functional imaging:

(i) has not been performed; or

(ii) has been performed but the results are inconclusive or do not apply to the vessel being interrogated; and

(d) performed on one or more coronary vascular territories

(Anaes.)

488.70

38244

Selective coronary angiography:

(a) for a patient who is eligible for the service under clause 5.10.17A; and

(b) with placement of one or more catheters and injection of opaque material into native coronary arteries; and

(c) with or without left heart catheterisation, left ventriculography or aortography; and

(d) including all associated imaging;

other than a service associated with a service to which 38200, 38203, 38206, 38247, 38248, 38249, 38251 or 38252 applies (Anaes)

920.00

38247

Selective coronary and graft angiography:

(a) for a patient who is eligible for the service under clause 5.10.17A; and

(b) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and

(c) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present—with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and

(d) with or without left heart catheterisation, left ventriculography or aortography; and

(e) including all associated imaging;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38248, 38249, 38251 or 38252 applies (Anaes)

1,473.95

38248

Selective coronary angiography:

(a) for a patient who is eligible for the service under clause 5.10.17B; and

(b) as part of the management of the patient; and

(c) with placement of catheters and injection of opaque material into native coronary arteries; and

(d) with or without left heart catheterisation, left ventriculography or aortography; and

(e) including all associated imaging;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38249, 38251 or 38252 applies—applicable each 3 months (Anaes.)

920.00

38249

Selective coronary and graft angiography:

(a) for a patient who is eligible for the service under clause 5.10.17B; and

(b) as part of the management of the patient; and

(c) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and

(d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present—with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and

(e) with or without left heart catheterisation, left ventriculography or aortography; and

(f) including all associated imaging;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38251 or 38252 applies—applicable once each 3 months (Anaes.)

1,473.95

38251

Selective coronary angiography:

(a) for a symptomatic patient with valvular or other non‑coronary structural heart disease; and

(b) as part of the management of the patient for:

(i) pre‑operative assessment for planning non‑coronary cardiac surgery, including by transcatheter approaches; or

(ii) evaluation of valvular heart disease or other non‑coronary structural heart disease where clinical impression is discordant with non‑invasive assessment; and

(c) with placement of catheters and injection of opaque material into native coronary arteries; and

(d) with or without left heart catheterisation, left ventriculography or aortography; and

(e) including all associated imaging;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249 or 38252 applies—applicable once each 12 months (Anaes.)

920.00

38252

Selective coronary and graft angiography:

(a) for a symptomatic patient with valvular or other non‑coronary structural heart disease; and

(b) as part of the management of the patient for:

(i) pre‑operative assessment for planning non‑coronary cardiac surgery, including by transcatheter approaches; or

(ii) evaluation of valvular heart disease or other non‑coronary structural heart disease where clinical impression is discordant with non‑invasive assessment; and

(c) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and

(d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present—with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and

(e) with or without left heart catheterisation, left ventriculography or aortography; and

(f) including all associated imaging;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249 or 38251 applies—applicable once each 12 months (Anaes.)

1,473.95

38254

Right heart catheterisation:

(a) performed at the same time as service to which item 38244, 38247, 38248, 38249, 38251 or 38252 applies; and

(b) including any of the following (if performed):

(i) fluoroscopy;

(ii) oximetry;

(iii) dye dilution curves;

(iv) cardiac output measurement;

(v) shunt detection;

(vi) exercise stress test

(Anaes.)

463.50

38272

Atrial septal defect or patent foramen closure:

(a) for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism; and

(b) using a septal occluder or similar device, by transcatheter approach; and

(c) including right or left heart catheterisation (or both);

other than a service associated with a service to which item 38200, 38203, 38206 or 38254 applies (Anaes.) (Assist.)

949.25

38274

Ventricular septal defect, transcatheter closure of, with cardiac catheterisation, excluding imaging (H) (Anaes.) (Assist.)

777.60

38285

Insertion of implantable ECG loop recorder, by a specialist or consultant physician, for the diagnosis of a primary disorder, including initial programming and testing, if:

(a) the patient has recurrent unexplained syncope and does not have a structural heart defect associated with a high risk of sudden cardiac death; and

(b) a diagnosis has not been achieved through all other available cardiac investigations; and

(c) a neurogenic cause is not suspected

(Anaes.)

160.55

38307

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible for the service under clause 5.10.17A; and

(ii) for whom selective coronary angiography has not been completed in the previous 3 months; and

(b) including selective coronary angiography and all associated imaging, catheter and contrast; and

(c) including either or both:

(i) percutaneous angioplasty;

(ii) transluminal insertion of one or more stents; and

(d) performed on one coronary vascular territory; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

1,844.60

38308

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible for the service under clause 5.10.17A; and

(ii) for whom selective coronary angiography has not been completed in the previous 3 months; and

(b) including selective coronary angiography and all associated imaging, catheter and contrast; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on 2 coronary vascular territories; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

2,122.25

38309

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.)

1,250.70

38310

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible for the service under clause 5.10.17A; and

(ii) for whom selective coronary angiography has not been completed in the previous 3 months; and

(b) including selective coronary angiography and all associated imaging, catheter and contrast; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on 3 coronary vascular territories; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

2,399.90

38311

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible under clause 5.10.17C for the service and a service to which item 38314 applies; and

(ii) for whom selective coronary angiography has not been completed in the previous 3 months; and

(b) including selective coronary angiography and all associated imaging, catheter and contrast; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on one coronary vascular territory; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

1,844.60

38313

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible under clause 5.10.17C for the service and a service to which item 38314 applies; and

(ii) for whom selective coronary angiography has not been completed in the previous 3 months; and

(b) including selective coronary angiography and all associated imaging, catheter and contrast; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on 2 coronary vascular territories; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

2,122.25

38314

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible for the service under clause 5.10.17C; and

(ii) for whom selective coronary angiography has not been completed in the previous 3 months; and

(b) including selective coronary angiography and all associated imaging, catheter and contrast; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(c) performed on 3 coronary vascular territories; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

2,399.90

38316

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible for the service under clause 5.10.17A; and

(ii) for whom selective coronary angiography has been completed in the previous 3 months; and

(b) including any associated coronary angiography; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on one coronary vascular territory; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

1,648.95

38317

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible for the service under clause 5.10.17A; and

(ii) for whom selective coronary angiography has been completed in the previous 3 months; and

(b) including any associated coronary angiography; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on 2 coronary vascular territories; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

2,088.80

38319

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible for the service under clause 5.10.17A; and

(ii) for whom selective coronary angiography has been completed in the previous 3 months; and

(b) including any associated coronary angiography; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on 3 coronary vascular territories; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38320, 38322 or 38323 applies (Anaes.) (Assist.)

2,366.45

38320

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible under clause 5.10.17C for the service and a service to which item 38323 applies; and

(ii) for whom selective coronary angiography has been completed in the previous 3 months; and

(b) including any associated coronary angiography; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on one coronary vascular territory; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38322 or 38323 applies (Anaes.) (Assist.)

1,648.95

38322

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible under clause 5.10.17C for the service and a service to which item 38323 applies; and

(ii) for whom selective coronary angiography has been completed in the previous 3 months; and

(b) including any associated coronary angiography; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on 2 coronary vascular territories; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320 or 38323 applies (Anaes.) (Assist.)

2,088.80

38323

Percutaneous coronary intervention:

(a) for a patient:

(i) eligible for the service under clause 5.10.17C; and

(ii) for whom selective coronary angiography has been completed in the previous 3 months; and

(b) including any associated coronary angiography; and

(c) including either or both:

(i) percutaneous angioplasty; and

(ii) transluminal insertion of one or more stents; and

(d) performed on 3 coronary vascular territories; and

(e) excluding aftercare;

other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320 or 38322 applies (Anaes.) (Assist.)

2,366.45

38358

Extraction of one or more chronically implanted transvenous pacing or defibrillator leads, by percutaneous method, with locking stylets and snares, with extraction sheaths (if any), if:

(a) the leads have been in place for more than 6 months and require removal; and

(b) the service is performed:

(i) in association with a service to which item 61109 or 60509 applies; and

(ii) by a specialist or consultant physician who has undertaken the training to perform the service; and

(iii) 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—a cardiothoracic surgeon is in attendance during the service

(H) (Anaes.) (Assist.)

2,089.00

38365

Insertion, removal or replacement of permanent cardiac synchronisation device, if the patient:

(a) has all of the following:

(i) chronic heart failure, classified as New York Heart Association class III or IV (despite optimised medical therapy);

(ii) left ventricular ejection fraction of less than 35%;

(iii) QRS duration of greater than or equal to 130 ms; or

(b) has all of the following:

(i) chronic heart failure, classified as New York Heart Association class II (despite optimised medical therapy);

(ii) left ventricular ejection fraction of less than 35%;

(iii) QRS duration of greater than or equal to 150 ms;

other than a service associated with a service to which item 38212 applies (H) (Anaes.) (Assist.)

265.80

38368

Insertion, removal or replacement of permanent transvenous left ventricular electrode, through the coronary sinus, for the purpose of cardiac resynchronisation therapy, including right heart catheterisation and any associated venograms, if the patient:

(a) has all of the following:

(i) chronic heart failure, classified as New York Heart Association class III or IV (despite optimised medical therapy);

(ii) left ventricular ejection fraction of less than 35%;

(iii) QRS duration of greater than or equal to 130 ms; or

(b) has all of the following:

(i) chronic heart failure, classified as New York Heart Association class II (despite optimised medical therapy);

(ii) left ventricular ejection fraction of less than 35%;

(iii) QRS duration of greater than or equal to 150 ms;

other than a service associated with a service to which item 35200, 38200 or 38212 applies (H) (Anaes.) (Assist.)

1,274.20

38467

Insertion, removal or replacement of permanent myocardial electrode, by open surgical approach, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

997.25

38471

Insertion of implantable defibrillator, including insertion of patches for the insertion of one or more transvenous endocardial leads, if the patient has one of the following:

(a) a history of haemodynamically significant ventricular arrhythmias in the presence of structural heart disease;

(b) documented high‑risk genetic cardiac disease;

(c) ischaemic heart disease, with a left ventricular ejection fraction of less than 30% at least one month after experiencing a myocardial infarction and while on optimised medical therapy;

(d) chronic heart failure, classified as New York Heart Association class II or III, with a left ventricular ejection fraction of less than 35% (despite optimised medical therapy);

other than a service to which item 38212 applies (H) (Anaes.) (Assist)

1,095.30

38472

Insertion, replacement or removal of implantable defibrillator generator, if the patient has one of the following:

(a) a history of haemodynamically significant ventricular arrhythmias in the presence of structural heart disease;

(b) documented high‑risk genetic cardiac disease;

(c) ischaemic heart disease, with a left ventricular ejection fraction of less than 30% at least one month after experiencing a myocardial infarction and while on optimised medical therapy;

(d) chronic heart failure, classified as New York Heart Association class II or III, with a left ventricular ejection fraction of less than 35% (despite optimised medical therapy);

other than a service to which item 38212 applies (H) (Anaes.) (Assist)

299.50

38474

Repair, augmentation or replacement of branch pulmonary arteries—left or right (or both), with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,257.10

38477

Valve annuloplasty with insertion of ring, other than:

(a) a service to which item 38516 or 38517 applies; or

(b) a service associated with a service to which to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies

(H) (Anaes.) (Assist.)

2,084.55

38484

Aortic or pulmonary valve replacement with bioprosthesis or mechanical prosthesis, including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,112.20

38490

Reconstruction and re‑implantation of sub‑valvular structures, if performed in conjunction with a service to which item 38499 applies (H) (Anaes.) (Assist.)

577.00

38499

Mitral or tricuspid valve replacement with bioprosthesis or mechanical prosthesis, including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,112.20

38502

Coronary artery bypass, including cardiopulmonary bypass, with or without retrograde cardioplegia, with or without vein grafts, and including at least one of the following:

(a) harvesting of left internal mammary artery and vein graft material;

(b) harvesting of left internal mammary artery;

(c) harvesting of vein graft material;

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist)

2,451.55

38508

Repair or reconstruction of left ventricular aneurysm, including plication, resection and primary and patch repairs, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

1,996.20

38509

Repair of ischaemic ventricular septal rupture, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,485.45

38510

Artery harvesting (other than of the left internal mammary), for coronary artery bypass, if:

(a) more than one arterial graft is required; and

(b) the service is performed in conjunction with a service to which item 38502 applies

(H) (Anaes.) (Assist.)

649.25

38511

Coronary artery bypass, with the aid of tissue stabilisers, if the service is performed:

(a) without cardiopulmonary bypass; and

(b) in conjunction with a service to which item 38502 applies

(H) (Anaes.) (Assist.)

624.30

38512

Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving one atrial chamber only, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,183.55

38513

Creation of graft anastomosis, including Y‑graft, T‑graft and graft‑to‑graft extensions, with micro‑arterial or micro‑venous anastomosis using microsurgical techniques, if the service is performed in conjunction with a service to which item 38502 applies (H) (Anaes.) (Assist.)

1,040.55

38515

Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,780.20

38516

Simple valve repair:

(a) with or without annuloplasty; and

(b) including quadrangular resection, cleft closure or alfieri; and

(c) including retrograde cardioplegia (if performed);

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist)

2,509.25

38517

Complex valve repair:

(a) with or without annuloplasty; and

(b) including retrograde cardioplegia (if performed); and

(c) including one of the following:

(i) neochords;

(ii) chordal transfer;

(iii) patch augmentation;

(iv) multiple leaflets;

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist)

3,055.85

38518

Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,984.25

38519

Valve explant of a previous prosthesis, if performed during a service to which item 38484 or 38499 applies, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

1,100.00

38550

Repair or replacement of ascending thoracic aorta:

(a) including:

(i) cardiopulmonary bypass; and

(ii) retrograde cardioplegia (if performed); and

(b) not including valve replacement or repair or implantation of coronary arteries;

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,337.50

38553

Repair or replacement of ascending thoracic aorta:

(a) including:

(i) aortic valve replacement or repair; and

(i) cardiopulmonary bypass; and

(ii) retrograde cardioplegia (if performed); and

(b) not including implantation of coronary arteries;

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies

(H) (Anaes.) (Assist.)

2,942.90

38554

Valve sparing aortic root surgery, with reimplantation of aortic valve and coronary arteries and replacement of the ascending aorta, including cardiopulmonary bypass, and including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist)

4,236.45

38555

Simple replacement or repair of aortic arch, performed in conjunction with a service to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including:

(a) deep hypothermic circulatory arrest; and

(b) peripheral cannulation for cardiopulmonary bypass; and

(c) antegrade or retrograde cerebral perfusion (if performed);

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38603, 38806 or 45503 applies (H) (Anaes.) (Assist.)

3,374.00

38556

Repair or replacement of ascending thoracic aorta, including:

(a) aortic valve replacement or repair; and

(b) implantation of coronary arteries; and

(c) cardiopulmonary bypass; and

(d) retrograde cardioplegia (if performed);

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38603, 38806 or 45503 applies (H) (Anaes.) (Assist.)

3,230.50

38557

Complex replacement or repair of aortic arch, performed in conjunction with a service to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including:

(a) debranching and reimplantation of head and neck vessels; and

(b) deep hypothermic circulatory arrest; and

(c) peripheral cannulation for cardiopulmonary bypass; and

(d) antegrade or retrograde cerebral perfusion (if performed);

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

3,894.30

38558

Aortic repair involving augmentation of hypoplastic or interrupted aortic arch, if:

(a) the patient is a neonate; and

(b) the service includes:

(i) the use of antegrade cerebral perfusion or deep hypothermic circulatory arrest and associated myocardial preservation; and

(ii) retrograde cardioplegia;

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

5,083.70

38568

Repair or replacement of descending thoracic aorta, without shunt or cardiopulmonary bypass, by open exposure, percutaneous or endovascular means, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

1,938.45

38571

Repair or replacement of descending thoracic aorta, with shunt or cardiopulmonary bypass, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,209.65

38572

Operative management of acute rupture or dissection, if the service:

(a) is performed in conjunction with a service to which item 38550, 38553, 38554, 38555, 38556, 38557, 38558, 38568, 38571, 38706 or 38709 applies; and

(b) is not associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies

(H) (Anaes.) (Assist.)

2,067.60

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) (Anaes.) (Assist.)

997.25

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, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

498.55

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, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

558.90

38643

Re‑operation via thoracotomy or sternotomy, by any procedure:

(a) including any division of adhesions if the time taken to divide the adhesions exceeds 30 minutes; and

(b) other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies

(H) (Anaes.) (Assist.)

1,567.65

38653

Open heart surgery, other than a service:

(a) to which another item in this Group applies; or

(b) associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,090.50

38703

Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,008.85

38709

Anastomosis or repair of aorta, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,235.45

38718

Banding, debanding or repair of main pulmonary artery, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,245.70

38724

Vena cava, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,264.55

38727

Anastomosis or repair of intrathoracic vessels, without cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721, 38724, 38806 or 45503 applies (H) (Anaes.) (Assist.)

1,556.45

38730

Anastomosis or repair of intrathoracic vessels, with cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721, 38724, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,221.00

38739

Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,036.55

Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

38764

Ventricular myectomy, for relief of right or left ventricular obstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)

2,221.00

48400

Osteotomy of phalanx or metatarsal of foot, for correction of deformity, excision of accessory bone or sesamoid bone, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H) (Anaes.) (Assist.)

342.90

48403

Osteotomy of phalanx or metatarsal of first toe of foot, for correction of deformity, with internal fixation, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H) (Anaes.) (Assist.)

538.80

48406

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H) (Anaes.) (Assist.)

342.90

48409

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H) (Anaes.) (Assist.)

538.80

Synovectomy or debridement, and microfracture, of ankle joint for osteochondral large defect greater than 1.5cm2, by arthroscopic or open means, including any of the following (if performed):

(a) capsulotomy;

(b) debridement or release of ligament;

(c) debridement or release of tendon;

other than a service associated with a service to which any of the following apply:

(d) item 49703;

(e) another item in this Schedule if the service described in the other item is for the purpose of performing an arthroscopic procedure of the ankle

(H) (Anaes.) (Assist.)

14A

63454

patient’s pregnancy

1

63454

MRI—scan of the pelvis or abdomen, for a patient who is pregnant, if:

(a) the pregnancy is at, or after, 18 weeks gestation; and

(b) fetal central nervous system abnormality is suspected; and

(c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and

(d) the diagnosis is indeterminate or requires further examination; and

(e) the service is requested by a specialist practising in the specialty of obstetrics

(R) (Anaes.) (Contrast)

1,200.00