Group T8: Surgical Operations
2,632 items with their schedule fees and Medicare benefits; showing 37851–39119.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 37851Surgical construction or reconstruction of the vagina in patients with congenital disorders of sexual differentiation, including anesthesia and surgical assistance. | $1,109.30 | $832.00 | — |
| 37854Destruction of urethral valves via cystoscopy and urethroscopy under anaesthesia. | $438.55 | $328.95 | — |
| 38200Right heart catheterisation with fluoroscopy, oximetry, dye dilution curves, cardiac output measurement, shunt detection, or exercise stress testing, excluding cases managed under related cardiac catheterisation items. | $533.15 | $399.90 | — |
| 38203Left heart catheterisation via arterial puncture or ventricular puncture with fluoroscopy, oximetry, dye dilution, cardiac output measurement, shunt detection, or exercise stress testing, excluding certain associated procedures. | $636.25 | $477.20 | — |
| 38206Combined right and left heart catheterisation with fluoroscopy, oximetry, dye dilution, cardiac output measurement, shunt detection, or exercise stress testing; excludes certain associated procedures. | $769.15 | $576.90 | — |
| 38209Diagnostic heart rhythm study using up to 3 catheters to investigate syncope, conduction abnormalities, sinus node function or simple ventricular tachycardia, excluding cases requiring ablation therapy. | $987.65 | $740.75 | — |
| 38212Cardiac electrophysiological study using 4+ catheters for supraventricular tachycardia investigation, complex inductions, mapping, anti-arrhythmic testing, or ablation procedures. | $1,642.65 | $1,232.00 | — |
| 38213Cardiac electrophysiological study performed during implantable defibrillator insertion or separately for defibrillation threshold testing, excluding services with items 38209 or 38212. | $489.25 | $366.95 | — |
| 38241Coronary pressure wire use during angiography or intervention to measure fractional flow reserve or pressure ratios in intermediate stenoses (50-70%), when prior functional imaging is unavailable, inconclusive, or vessel-specific. | $562.10 | $421.60 | — |
| 38244Selective coronary angiography with catheter placement and opaque dye injection for acute coronary syndrome patients meeting eligibility criteria, including imaging and optional left heart procedures. | $1,058.20 | $793.65 | — |
| 38247Selective coronary and graft angiography with catheter placement and contrast injection into native coronary arteries and any aortic or internal mammary grafts, with or without additional heart imaging, for eligible acute coronary syndrome patients. | $1,695.45 | $1,271.60 | — |
| 38248Selective coronary angiography with catheter placement and contrast injection for eligible stable coronary syndrome patients, including imaging, once per 3 months. | $1,058.20 | $793.65 | — |
| 38249Selective coronary and graft angiography with catheter placement and contrast injection for stable coronary syndrome patients with prior grafts, including imaging, limited to once per 3 months. | $1,695.45 | $1,271.60 | — |
| 38251Selective coronary angiography for symptomatic patients with valvular or non-coronary structural heart disease undergoing pre-operative assessment for non-coronary cardiac surgery or evaluation where clinical findings conflict with non-invasive imagi… | $1,058.20 | $793.65 | — |
| 38252Pre-operative coronary and graft angiography for patients with valvular or non-coronary structural heart disease planning cardiac surgery, including assessment of any existing coronary grafts; once per 12 months. | $1,695.45 | $1,271.60 | — |
| 38254Right heart catheterisation performed concurrently with specified cardiac procedures, including fluoroscopy, oximetry, cardiac output measurement, shunt detection, or exercise stress testing as needed. | $533.15 | $399.90 | — |
| 38256Insertion of a temporary transvenous pacemaker electrode, including anaesthesia. | $319.85 | $239.90 | — |
| 38270Balloon-based repair of heart valve or atrial wall defects, including pre- and post-procedure cardiac catheterisations. | $1,091.90 | $818.95 | — |
| 38272Transcatheter closure of atrial septal defect or patent foramen ovale using a septal occluder device, including cardiac catheterisation, for congenital heart disease with right heart overload or paradoxical embolism. | $1,091.90 | $818.95 | — |
| 38273Transcatheter closure of patent ductus arteriosus including cardiac catheterisation, imaging, and anaesthesia with surgical assistance. | $1,091.90 | $818.95 | — |
| 38274Transcatheter closure of ventricular septal defect including cardiac catheterisation, excluding imaging, under general anaesthesia with assistance. | $894.50 | $670.90 | — |
| 38275Tissue sample taken from heart muscle during cardiac catheterisation under anaesthesia to diagnose heart conditions. | $356.90 | $267.70 | — |
| 38276Transcatheter left atrial appendage occlusion with cardiac catheterisation for stroke prevention in non-valvular atrial fibrillation patients with high thromboembolism risk and absolute contraindication to anticoagulation. | $1,091.90 | $818.95 | — |
| 38285Specialist insertion of implantable loop recorder for diagnosis in patients with recurrent unexplained syncope, no high-risk structural heart disease, after other cardiac investigations excluded, and neurogenic cause ruled out. | $184.65 | $138.50 | $157.00 (85%) |
| 38286Removal of an implantable ECG loop recorder under general anaesthesia. | $166.30 | $124.75 | $141.40 (85%) |
| 38287Catheter ablation procedure to eliminate abnormal heart rhythm circuits or foci within one atrial chamber, performed under anaesthesia with assistance. | $2,511.75 | $1,883.85 | — |
| 38288Insertion of an implantable loop recorder in patients with embolic stroke of undetermined source to diagnose atrial fibrillation, after comprehensive cardiac and neurological investigation, when AF is suspected and anticoagulation status is uncertain… | $230.95 | $173.25 | $196.35 (85%) |
| 38290Surgical ablation to destroy abnormal heart rhythm circuits or tissue causing arrhythmias, including atrial fibrillation treatment affecting both upper heart chambers, with anaesthesia and surgical assistance. | $3,198.10 | $2,398.60 | — |
| 38293Catheter ablation procedure for ventricular arrhythmia, including electrophysiological mapping and all related studies performed during the same session under anaesthesia. | $3,432.75 | $2,574.60 | — |
| 38307Percutaneous coronary intervention with angioplasty and/or stent insertion for acute coronary syndrome in one coronary territory, including angiography and imaging, when angiography hasn't been done in the previous 3 months. | $2,121.75 | $1,591.35 | — |
| 38308Percutaneous coronary intervention with angiography and angioplasty and/or stent insertion for acute coronary syndrome affecting 2 coronary territories, where angiography hasn't been done in the previous 3 months. | $2,441.10 | $1,830.85 | — |
| 38309Percutaneous rotational atherectomy to remove calcified plaque from one or more coronary arteries when balloon angioplasty alone is not feasible, performed with concurrent coronary intervention. | $1,438.65 | $1,079.00 | — |
| 38310Percutaneous coronary intervention with angiography and stenting/angioplasty across 3 coronary territories for acute coronary syndrome patients, excluding prior angiography within 3 months. | $2,760.60 | $2,070.45 | — |
| 38311Percutaneous coronary intervention with angioplasty and/or stent insertion for stable multi-vessel disease in one coronary territory, including selective angiography if not done in previous 3 months. | $2,121.75 | $1,591.35 | — |
| 38313Percutaneous coronary intervention with angioplasty and/or stent insertion across 2 coronary territories in patients with stable multi-vessel disease, including selective angiography if not done in previous 3 months. | $2,441.10 | $1,830.85 | — |
| 38314Percutaneous coronary intervention with angioplasty and/or stenting across three coronary territories in patients with stable multi-vessel disease, including selective angiography if not done in previous 3 months. | $2,760.60 | $2,070.45 | — |
| 38316Percutaneous coronary intervention for acute coronary syndrome in one coronary territory, with selective angiography completed in previous 3 months, including angioplasty and/or stent insertion. | $1,896.80 | $1,422.60 | — |
| 38317Percutaneous coronary intervention for acute coronary syndrome involving 2 coronary territories, where angiography was completed within 3 months, including angioplasty and/or stent insertion. | $2,402.75 | $1,802.10 | — |
| 38319Percutaneous coronary intervention with angioplasty and/or stent insertion across 3 coronary territories for acute coronary syndrome, where angiography was completed in the previous 3 months. | $2,722.10 | $2,041.60 | — |
| 38320Percutaneous coronary intervention with angioplasty and/or stent placement in one coronary territory for stable multi-vessel disease, where selective angiography was completed within 3 months. | $1,896.80 | $1,422.60 | — |
| 38322Percutaneous coronary intervention for stable multi-vessel disease in 2 coronary territories, including angioplasty and/or stent insertion, where selective angiography completed within 3 months; excludes aftercare unless associated with specified ite… | $2,402.75 | $1,802.10 | — |
| 38323Percutaneous coronary intervention for stable multi-vessel disease across 3 coronary territories, including angioplasty and/or stent insertion, where selective angiography completed within 3 months. | $2,722.10 | $2,041.60 | — |
| 38325Intravascular ultrasound imaging during coronary stent insertion to optimize stent sizing and placement in left main lesions or lesions ≥28mm long, once per episode of care. | $553.15 | $414.90 | — |
| 38326OCT imaging during stent insertion to optimize stent placement and assess apposition in patients with bifurcation lesions ≥2.5mm side branches, stent thrombosis, or lesions ≥28mm length; once per episode of care. | $553.15 | $414.90 | — |
| 38350Insertion, removal or replacement of a single chamber permanent transvenous pacemaker electrode, including cardiac electrophysiological services, under anaesthesia. | $764.40 | $573.30 | — |
| 38353Insertion, removal or replacement of a permanent cardiac pacemaker (excluding cardiac resynchronisation therapy), including electrophysiological services and anaesthesia. | $305.75 | $229.35 | — |
| 38356Insertion, removal or replacement of dual chamber permanent transvenous pacemaker electrodes, including cardiac electrophysiology services, under anaesthesia. | $1,002.20 | $751.65 | — |
| 38358Percutaneous extraction of one or more chronically implanted transvenous pacing or defibrillator leads (in place >6 months) using locking stylets and snares, performed by a trained specialist with cardiothoracic surgery backup available and concurren… | $3,432.75 | $2,574.60 | — |
| 38359Drainage of fluid from the sac surrounding the heart, performed under anaesthesia, excluding follow-up care. | $159.90 | $119.95 | $135.95 (85%) |
| 38362Percutaneous insertion of an intra-aortic balloon pump to provide mechanical circulatory support, performed under anaesthesia. | $460.65 | $345.50 | — |
| 38365Insertion, removal or replacement of permanent cardiac synchronisation device (pacemaker or defibrillator) for chronic heart failure patients with reduced ejection fraction and prolonged QRS duration meeting specified NYHA class criteria. | $305.75 | $229.35 | — |
| 38368Insertion, removal or replacement of a permanent left ventricular electrode via coronary sinus for cardiac resynchronisation therapy in chronic heart failure patients with reduced ejection fraction and prolonged QRS duration. | $1,465.75 | $1,099.35 | — |
| 38372Percutaneous insertion of a single-chamber ventricular leadless pacemaker for bradycardia treatment, including cardiac electrophysiology services. | $902.85 | $677.15 | — |
| 38373Percutaneous retrieval and replacement of a single-chamber ventricular leadless pacemaker by a trained specialist, with electrophysiological services included; if performed 4+ weeks post-insertion, requires cardiothoracic surgery availability and sur… | $902.85 | $677.15 | — |
| 38374Percutaneous retrieval of a single-chamber leadless ventricular pacemaker by a trained specialist or interventional cardiologist, performed at least 4 weeks post-insertion with cardiothoracic surgical backup available on-site. | $902.85 | $677.15 | — |
| 38375Surgical removal of a single-chamber leadless ventricular pacemaker via open surgery, including anaesthesia and surgical assistance. | $3,378.70 | $2,534.05 | — |
| 38376Percutaneous insertion of a microaxial left ventricular assist device via arteriotomy for cardiogenic shock unresponsive to medical therapy, or for left ventricular unloading in patients on veno-arterial ECMO, including intraoperative imaging. | $754.35 | $565.80 | — |
| 38416Endoscopic ultrasound guided fine needle aspiration biopsy of mediastinal masses or lung cancer lymph nodes for staging; not with concurrent related procedures. | $674.30 | $505.75 | — |
| 38417Endobronchial ultrasound-guided biopsy of peripheral lung lesions, mediastinal masses, or locoregional nodes for lung cancer staging, performed during bronchoscopy with ultrasound imaging. | $674.30 | $505.75 | — |
| 38419Rigid or flexible bronchoscopy performed under anaesthesia as a standalone diagnostic or therapeutic procedure, not part of another respiratory intervention. | $213.05 | $159.80 | — |
| 38420Bronchoscopy with tissue sampling or therapeutic intervention under anaesthesia, performed by a specialist. | $281.40 | $211.05 | — |
| 38422Removal of a foreign body from the bronchus under anaesthesia, with assistance provided during the procedure. | $440.10 | $330.10 | — |
| 38423Fibreoptic bronchoscopy with transbronchial lung biopsy, with optional lavage or interventional imaging guidance, under anaesthesia with assistance. | $307.60 | $230.70 | — |
| 38425Endoscopic removal of tumours inside the airways to relieve obstruction, including related endoscopic procedures, under anaesthesia with assistance. | $723.25 | $542.45 | — |
| 38426Endoscopic dilatation of tracheal or bronchial stricture with stent insertion under anaesthesia, requiring an assistant. | $542.60 | $406.95 | — |
| 38428Bronchoscopy performed under anaesthesia to treat a narrowing of the trachea through therapeutic intervention. | $295.10 | $221.35 | — |
| 38429Surgical removal and repair of the trachea without cardiopulmonary bypass support, including anaesthesia and surgical assistance. | $2,059.75 | $1,544.85 | — |
| 38431Surgical excision and repair of the trachea using cardiopulmonary bypass, including anaesthesia and surgical assistance. | $2,786.00 | $2,089.50 | — |
| 38461Minimally invasive mitral valve repair using tissue approximation implants for patients with severe symptomatic mitral regurgitation, heart failure, adequate left ventricular function, high surgical risk, and multidisciplinary team approval, performe… | $1,714.25 | $1,285.70 | — |
| 38463Percutaneous mitral valve repair using MitraClip for patients with severe functional mitral regurgitation, ejection fraction 20-50%, refractory heart failure symptoms, and high surgical risk, performed by accredited specialists in accredited hospital… | $1,714.25 | $1,285.70 | — |
| 38467Open surgical insertion, removal or replacement of a permanent myocardial electrode, excluding cases associated with specified concurrent pacemaker or defibrillator procedures. | $1,147.10 | $860.35 | — |
| 38471Insertion of an implantable defibrillator with transvenous leads for patients with significant ventricular arrhythmias, high-risk genetic cardiac disease, post-MI ischaemic heart disease with reduced ejection fraction, or advanced chronic heart failu… | $1,259.90 | $944.95 | — |
| 38472Insertion, replacement or removal of an implantable defibrillator generator for patients with significant ventricular arrhythmias, high-risk genetic cardiac disease, post-MI ischaemic heart disease with reduced ejection fraction, or advanced heart fa… | $344.55 | $258.45 | — |
| 38474Surgical repair, augmentation or replacement of branch pulmonary arteries (left, right or both) with cardiopulmonary bypass for congenital heart disease, excluding cases already covered by specified related procedures. | $2,596.30 | $1,947.25 | — |
| 38477Surgical repair of a heart valve using a ring annuloplasty, excluding cases already covered by other specified valve procedures or those performed concurrently with certain cardiac surgeries. | $2,397.85 | $1,798.40 | — |
| 38484Surgical replacement of aortic or pulmonary valve using bioprosthetic or mechanical prosthesis, including cardioplegia techniques, excluding combined procedures with specific other cardiac operations. | $2,429.60 | $1,822.20 | — |
| 38485Reconstruction of the mitral annulus following decalcification performed as part of valve surgery, with anaesthesia and assistance. | $978.00 | $733.50 | — |
| 38487Surgical opening of the mitral valve to improve blood flow in patients with mitral stenosis, performed under anaesthesia with surgical assistance. | $2,059.75 | $1,544.85 | — |
| 38490Surgical reconstruction and re-implantation of sub-valvular structures performed together with valve replacement or repair. | $663.70 | $497.80 | — |
| 38493Anaesthetic assistance during surgical management of acute infective endocarditis requiring heart valve surgery. | $2,342.95 | $1,757.25 | — |
| 38495Transfemoral TAVI for symptomatic severe aortic stenosis in high-risk surgical patients, performed by credentialed practitioners in designated hospitals, including imaging and valvuloplasty if needed; not within 5 years of prior TAVI or related proce… | $1,714.25 | $1,285.70 | — |
| 38499Surgical replacement of mitral or tricuspid valve using bioprothesis or mechanical prosthesis, including retrograde cardioplegia if needed, excluding certain combined procedures. | $2,429.60 | $1,822.20 | — |
| 38502Coronary artery bypass surgery using cardiopulmonary bypass with at least one arterial or venous graft, excluding concurrent major cardiac procedures. | $2,819.90 | $2,114.95 | — |
| 38508Surgical repair or reconstruction of left ventricular aneurysm through plication, resection, or patch repair, excluding cases managed with concurrent major cardiac procedures. | $2,296.20 | $1,722.15 | — |
| 38509Surgical repair of a ventricular septal rupture caused by ischaemia, excluding cases already covered by specified cardiac procedures. | $2,858.95 | $2,144.25 | — |
| 38510Harvesting of non-left internal mammary artery for coronary artery bypass when multiple arterial grafts are needed, performed alongside coronary artery bypass surgery. | $746.85 | $560.15 | — |
| 38511Coronary artery bypass using tissue stabilisers without cardiopulmonary bypass, performed once per associated service to item 38502. | $718.15 | $538.65 | — |
| 38512Surgical division or isolation of an accessory cardiac pathway or AV nodal tissue affecting one atrium only, excluding cases linked to specified other cardiac procedures. | $2,511.75 | $1,883.85 | — |
| 38513Microsurgical creation of Y-graft, T-graft or graft extensions with micro-arterial or micro-venous anastomosis, performed with item 38502. | $1,197.00 | $897.75 | — |
| 38514Transfemoral TAVI for symptomatic severe aortic stenosis in intermediate-risk patients, performed by a trained TAVI practitioner in a hospital with cardiothoracic surgery capability; includes diagnostic imaging and valvuloplasty if needed; not within… | $1,714.25 | $1,285.70 | — |
| 38515Surgical division of accessory cardiac pathways or AV node tissue in both atria, including atrial fibrillation treatment, excluding certain combined procedures. | $3,198.10 | $2,398.60 | — |
| 38516Surgical repair of a single heart valve, potentially including annuloplasty, leaflet resection, cleft closure or edge-to-edge technique, with retrograde cardioplegia as needed, excluding concurrent complex procedures. | $2,990.75 | $2,243.10 | — |
| 38517Complex valve repair involving annuloplasty and advanced techniques such as neochords, chordal transfer, patch augmentation, or multiple leaflet repair, excluding concurrent major cardiac procedures. | $3,681.00 | $2,760.75 | — |
| 38518Mapping and ablation of ventricular arrhythmias, potentially including aneurysm repair, excluding cases managed under specified alternative items. | $3,432.75 | $2,574.60 | — |
| 38519Removal of a previously implanted prosthetic valve during open cardiac surgery, when not part of specific listed cardiac procedures. | $1,265.35 | $949.05 | — |
| 38522Transfemoral TAVI for symptomatic severe native aortic stenosis in low-surgical-risk patients, performed by accredited practitioners in equipped hospitals with on-site cardiothoracic surgery; not within 5 years of a prior TAVI or valve replacement. | $1,714.25 | $1,285.70 | — |
| 38523Placement of dual-filter cerebral embolic protection system during TAVI procedure to reduce postoperative stroke risk, performed by the TAVI practitioner in a TAVI Hospital; includes intraoperative imaging. | $311.60 | $233.70 | — |
| 38550Surgical repair or replacement of the ascending thoracic aorta using cardiopulmonary bypass and retrograde cardioplegia, excluding valve work or coronary artery procedures. | $2,688.80 | $2,016.60 | — |
| 38553Surgical repair or replacement of the ascending thoracic aorta, including aortic valve replacement or repair with cardiopulmonary bypass and retrograde cardioplegia if needed, excluding coronary artery implantation. | $3,385.25 | $2,538.95 | — |
| 38554Valve-sparing aortic root surgery with aortic valve reimplantation, coronary artery reimplantation, and ascending aorta replacement using cardiopulmonary bypass. | $4,873.15 | $3,654.90 | — |
| 38555Surgical replacement or repair of the aortic arch performed with another major aortic procedure, including deep hypothermic circulatory arrest and cerebral perfusion techniques. | $2,990.75 | $2,243.10 | — |
| 38556Surgical repair or replacement of ascending thoracic aorta with aortic valve replacement/repair, coronary artery implantation, and cardiopulmonary bypass, excluding certain combined procedures. | $3,716.00 | $2,787.00 | — |
| 38557Complex aortic arch replacement or repair with debranching and reimplantation of head and neck vessels, performed alongside specified major aortic procedures, including deep hypothermic circulatory arrest and cerebral perfusion techniques. | $5,176.30 | $3,882.25 | — |
| 38558Surgical repair of underdeveloped or interrupted aortic arch in newborns using advanced perfusion and preservation techniques. | $5,847.75 | $4,385.85 | — |
| 38568Surgical repair or replacement of the descending thoracic aorta using open, percutaneous, or endovascular techniques without shunt or bypass, excluding certain associated procedures. | $2,229.75 | $1,672.35 | — |
| 38571Surgical repair or replacement of the descending thoracic aorta using shunt or cardiopulmonary bypass, excluding cases managed with specified concurrent procedures. | $2,541.70 | $1,906.30 | — |
| 38572Operative management of acute aortic rupture or dissection performed concurrently with specified major vascular or cardiac procedures, excluding certain associated services. | $2,378.40 | $1,783.80 | — |
| 38600Insertion of central cannula for cardiopulmonary bypass during cardiac surgery, excluding post-operative care. | $1,833.60 | $1,375.20 | — |
| 38603Peripheral cannulation for cardiopulmonary bypass setup, excluding post-operative care, when not substituted for central access or used with specific valve/coronary procedures. | $1,147.10 | $860.35 | — |
| 38609Insertion of an intra-aortic balloon pump via arteriotomy, when not performed during specified cardiac or vascular procedures. | $573.50 | $430.15 | — |
| 38612Removal of intra-aortic balloon pump with direct arterial suture closure, excluding cases where concurrent cardiac surgery or other specified procedures apply. | $642.95 | $482.25 | — |
| 38615Insertion of a left or right ventricular assist device for bridge to transplant, post-cardiotomy support, or acute cardiac failure expected to recover within 6 weeks. | $1,833.60 | $1,375.20 | — |
| 38616Surgical insertion of a microaxial ventricular assist device into the left ventricle via arteriotomy for cardiogenic shock unresponsive to medical therapy, or for left ventricular unloading in patients on veno-arterial ECMO. | $1,131.50 | $848.65 | — |
| 38618Insertion of left and right ventricular assist devices for bridge to heart transplant, post-cardiotomy support, or acute cardiac failure expected to recover within 6 weeks. | $2,285.50 | $1,714.15 | — |
| 38619Surgical removal of a left-sided intravascular microaxial ventricular assist device under anaesthesia. | $678.70 | $509.05 | — |
| 38620Surgical insertion of a durable left ventricular assist device for destination therapy in patients with refractory heart failure (INTERMACS profile 1-4) who are ineligible for transplant, including intraoperative imaging; once per lifetime. | $1,833.60 | $1,375.20 | — |
| 38621Removal or replacement of a left or right ventricular assist device as a standalone procedure, excluding certain associated cardiac surgeries. | $912.40 | $684.30 | — |
| 38624Surgical removal of left and/or right ventricular assist device as a standalone procedure, excluding cases where concurrent heart transplant or other major cardiac surgery is performed. | $1,025.30 | $769.00 | — |
| 38627Surgical adjustment or repositioning of ECMO, bypass, or ventricular assist device cannulae by open operation in supported patients, excluding cases involving other specified concurrent procedures. | $801.40 | $601.05 | — |
| 38637Surgical repair of a blocked coronary artery bypass vein graft by dissection, disconnection and oversewing, excluding certain associated procedures. | $663.70 | $497.80 | — |
| 38653Open heart surgery not covered by another specific item or performed alongside certain cardiac procedures like transplant, assist devices, or congenital repairs. | $2,404.70 | $1,803.55 | — |
| 38670Surgical removal of a cardiac tumour from the atrial wall or inter-atrial septum without patch or conduit repair, excluding cases managed with specific concurrent procedures. | $2,285.10 | $1,713.85 | — |
| 38673Surgical excision of a cardiac tumour from the atrial wall or inter-atrial septum with patch or conduit reconstruction, excluding cases associated with specified related procedures. | $2,572.05 | $1,929.05 | — |
| 38677Partial thickness excision of a cardiac tumour from the ventricular myocardium, excluding cases associated with specific related cardiac procedures. | $2,406.10 | $1,804.60 | — |
| 38680Surgical excision of a cardiac tumour from the ventricular wall, including full-thickness removal and any necessary repair or reconstruction, excluding cases already covered by related cardiac procedures. | $2,854.10 | $2,140.60 | — |
| 38700Division or ligation of patent ductus arteriosus, shunt, collateral or other single large vessel for congenital heart disease without cardiopulmonary bypass, excluding cases associated with specified other procedures. | $1,277.50 | $958.15 | — |
| 38703Surgical division or ligation of patent ductus arteriosus or other single large vessel using cardiopulmonary bypass for congenital heart disease, excluding cases managed with specified concurrent procedures. | $2,310.80 | $1,733.10 | — |
| 38706Surgical repair or anastomosis of the aorta without cardiopulmonary bypass for congenital heart disease, excluding cases associated with specified related procedures. | $2,181.20 | $1,635.90 | — |
| 38709Surgical repair or anastomosis of the aorta using cardiopulmonary bypass for congenital heart disease, excluding certain associated procedures. | $2,571.35 | $1,928.55 | — |
| 38715Surgical banding, debanding or repair of the main pulmonary artery without cardiopulmonary bypass for congenital heart disease, excluding cases associated with specified concurrent procedures. | $2,042.30 | $1,531.75 | — |
| 38718Surgical banding, debanding or repair of the main pulmonary artery using cardiopulmonary bypass for congenital heart disease, excluding cases managed with specified concurrent procedures. | $2,583.20 | $1,937.40 | — |
| 38721Surgical repair or anastomosis of the vena cava without cardiopulmonary bypass for congenital heart disease, excluding cases where specific related procedures apply. | $1,790.40 | $1,342.80 | — |
| 38724Surgical repair or anastomosis of the vena cava using cardiopulmonary bypass for congenital heart disease, excluding cases already covered by specified related cardiac procedures. | $2,604.90 | $1,953.70 | — |
| 38727Surgical repair or connection of blood vessels inside the chest without heart-lung machine support, as a primary procedure. | $1,790.40 | $1,342.80 | — |
| 38730Surgical repair or connection of blood vessels inside the chest using heart-lung bypass, excluding specified cardiac procedures. | $2,554.85 | $1,916.15 | — |
| 38733Creation of a systemic pulmonary or cavo-pulmonary shunt without cardiopulmonary bypass for congenital heart disease, excluding cases associated with specified related procedures. | $1,790.40 | $1,342.80 | — |
| 38736Creation of a systemic pulmonary or cavo-pulmonary shunt using cardiopulmonary bypass for congenital heart disease, excluding cases linked to specific other procedures. | $2,554.85 | $1,916.15 | — |
| 38739Surgical creation or enlargement of an opening between the heart's upper chambers to treat congenital heart disease, performed with or without heart-lung bypass, excluding cases managed with specified concurrent procedures. | $2,342.60 | $1,756.95 | — |
| 38742Surgical closure of atrial septal defect by open exposure with direct suture or patch in patients with documented right heart overload or paradoxical embolism, excluding certain concurrent procedures. | $2,303.00 | $1,727.25 | — |
| 38745Surgical insertion of an intra-atrial baffle to treat congenital heart disease, excluding procedures already covered by specified related cardiac surgery items. | $2,554.85 | $1,916.15 | — |
| 38748Surgical repair of a hole between the heart's ventricles in congenital heart disease, excluding cases managed with specific other cardiac procedures. | $2,554.85 | $1,916.15 | — |
| 38751Surgical closure of a ventricular septal defect using direct suture or patch technique, excluding procedures performed concurrently with specified cardiac surgeries. | $2,554.85 | $1,916.15 | — |
| 38754Surgical insertion of an intraventricular baffle or conduit to manage congenital heart disease, excluding cases already covered by specific related cardiac procedures. | $3,198.10 | $2,398.60 | — |
| 38757Insertion of an extracardiac conduit to treat congenital heart disease when not performed with specific other cardiac procedures; includes anaesthesia and assistance. | $2,554.85 | $1,916.15 | — |
| 38760Surgical replacement of an extracardiac conduit used in congenital heart disease, excluding cases already covered by specified related procedures. | $2,554.85 | $1,916.15 | — |
| 38764Surgical removal of ventricular muscle to relieve right or left ventricular obstruction, excluding cases already covered by specified cardiac procedures. | $2,554.85 | $1,916.15 | — |
| 38766Surgical ventricular augmentation (right or left) for congenital heart disease, excluding cases involving specific associated procedures. | $2,554.85 | $1,916.15 | — |
| 38800Aspiration of fluid or material from the thoracic cavity for diagnostic testing, when not part of a therapeutic drainage procedure. | $46.05 | $34.55 | $39.15 (85%) |
| 38803Needle aspiration of fluid from the thoracic cavity with therapeutic drainage, with optional diagnostic sampling. | $92.05 | $69.05 | $78.25 (85%) |
| 38812Percutaneous needle biopsy of lung tissue performed under anaesthesia to obtain samples for diagnostic purposes. | $250.35 | $187.80 | $212.80 (85%) |
| 38815Thoracoscopy with optional pleural adhesion division and/or biopsy, including intercostal catheter insertion if needed, excluding concurrent services under items 18258, 18260, 38828, or same-lung item 38816. | $298.85 | $224.15 | — |
| 38816Exploratory thoracotomy with optional biopsy and intercostal catheter insertion, excluding cases associated with specific lung resection or other concurrent thoracic procedures on the same lung. | $1,147.10 | $860.35 | — |
| 38817Surgical access to the chest via thoracotomy, thoracoscopy or sternotomy, including adhesion division if exceeding 30 minutes, excluding specific concurrent cardiac or thoracic procedures. | $1,803.30 | $1,352.50 | — |
| 38818Emergency surgical intervention via thoracotomy, thoracoscopy or median sternotomy to manage post-operative bleeding, excluding cases already covered by specified cardiac and thoracic procedures. | $1,147.10 | $860.35 | — |
| 38820Surgical removal of a wedge-shaped section of lung tissue, excluding cases already covered by related thoracic procedures. | $1,373.10 | $1,029.85 | — |
| 38821Surgical removal of 2 or more wedge-shaped sections of lung tissue, excluding cases associated with specific concurrent procedures. | $2,059.65 | $1,544.75 | — |
| 38822Surgical removal of a lung, lobe, or lung segment, excluding cases already covered by specific related procedures. | $1,833.60 | $1,375.20 | — |
| 38823Surgical removal of one or more lung lobes, entire lung, or mediastinal lymph nodes (more than 4), excluding cases already covered by related thoracic procedures. | $2,265.55 | $1,699.20 | — |
| 38824Surgical removal of lung segment, lobe, or entire lung with chest wall/diaphragm/pericardium resection and extensive lymph node dissection (more than 4 nodes), excluding certain other procedures. | $2,831.95 | $2,124.00 | — |
| 38828Insertion of an intercostal drain without rib resection, excluding follow-up care and when not part of specified thoracic surgical procedures. | $159.90 | $119.95 | $135.95 (85%) |
| 38829Insertion of an intercostal drain with pleurodesis, not requiring rib resection, excluding follow-up care and procedures associated with specific thoracic surgery items. | $197.00 | $147.75 | — |
| 38830Surgical removal of infected fluid collection in the lungs with rib resection, excluding cases covered by related empyema procedures. | $478.00 | $358.50 | — |
| 38831Surgical drainage of fluid or infection around the lungs via chest incision or camera, with optional tissue sampling, excluding cases already covered by specific related procedures. | $1,720.65 | $1,290.50 | — |
| 38832Surgical removal of fibrous tissue coating the lung via thoracotomy or thoracoscopy, excluding cases already covered by related thoracic procedures. | $1,833.60 | $1,375.20 | — |
| 38833Surgical removal or abrasion of the pleural lining via open chest or keyhole surgery to treat pleural effusion or recurrent pneumothorax, excluding cases already covered by other specified procedures. | $1,147.10 | $860.35 | — |
| 38834Surgical removal of a lung (pneumonectomy) or lung decortication with pleurectomy for cancer, excluding cases already covered by specific related procedures. | $4,248.10 | $3,186.10 | — |
| 38837Surgical exploration of the mediastinum or neck region with optional biopsy, performed as a standalone procedure not bundled with cardiac, thoracic or other specified surgeries. | $434.55 | $325.95 | — |
| 38838Surgical removal of thymus or mediastinal tumour via thoracotomy, thoracoscopy, or sternotomy, excluding cases covered by items 18258, 18260, 38815, 38816, or 38828. | $1,416.50 | $1,062.40 | — |
| 38839Open surgical drainage of pericardial fluid via subxiphoid approach when not performed as part of specific cardiac surgery procedures listed. | $686.70 | $515.05 | — |
| 38840Surgical drainage of fluid from the pericardium via thoracotomy or thoracoscopy when not performed concurrently with cardiac surgery or other specified procedures. | $1,025.30 | $769.00 | — |
| 38841Surgical removal of the pericardium (heart sac lining) via sternotomy, thoracoscopy, or anterolateral thoracotomy without cardiopulmonary bypass, excluding cases associated with specific cardiac procedures. | $1,833.60 | $1,375.20 | — |
| 38842Surgical removal of the pericardium (heart sac lining) via sternotomy or anterolateral thoracotomy using cardiopulmonary bypass, excluding cases linked to specific cardiac procedures. | $2,565.20 | $1,923.90 | — |
| 38845Removal of sternal wires not performed as part of another listed cardiac surgery procedure, requiring anaesthesia. | $329.65 | $247.25 | — |
| 38846Surgical repair or correction of pectus excavatum or pectus carinatum, excluding cases already covered by related thoracic procedures. | $1,711.90 | $1,283.95 | — |
| 38847Surgical repair of pectus excavatum by inserting a subcutaneous prosthesis, excluding cases already covered by related items. | $912.40 | $684.30 | — |
| 38848Surgical repair of pectus excavatum (funnel chest) using concave bar insertion, excluding cases already covered by specified related procedures. | $1,369.50 | $1,027.15 | — |
| 38849Surgical removal of a concave bar used to correct pectus excavatum, when not part of a related thoracic procedure. | $684.70 | $513.55 | — |
| 38850Debridement of a sternotomy wound without reopening the mediastinum, when not part of another listed cardiac or thoracic procedure, including anaesthesia. | $390.75 | $293.10 | — |
| 38851Debridement of infected sternotomy wound including bone curettage and wire removal, without reopening the mediastinum, performed as a standalone procedure under anaesthesia. | $424.65 | $318.50 | — |
| 38852Surgical reopening of the mediastinum to treat sternal wound dehiscence or infection, with or without rewiring, excluding cases associated with specific cardiac procedures. | $1,146.65 | $860.00 | — |
| 38853Reoperation on infected sternum or mediastinum using muscle flaps and/or omentum transfer, excluding certain associated procedures. | $1,797.60 | $1,348.20 | — |
| 38857Surgical removal of chest wall tissue including sternum and/or ribs without reconstruction, excluding cases already covered by specific cardiac or thoracic procedures. | $2,172.65 | $1,629.50 | — |
| 38858Surgical resection of chest wall (sternum and/or ribs) with reconstruction, excluding cases linked to specific cardiac, lung, or other designated procedures. | $2,831.95 | $2,124.00 | — |
| 38859Surgical plating of multiple ribs to stabilise a flail segment, excluding cases already covered by items 18258, 18260, 38815, 38816 or 38828. | $1,147.10 | $860.35 | — |
| 38864Intrathoracic surgery on the heart, lungs, great vessels, bronchial tree, oesophagus, mediastinum or multiple of these structures, excluding those covered by specific other items or associated with certain cardiac procedures. | $1,833.60 | $1,375.20 | — |
| 39000Lumbar puncture performed under anaesthesia for diagnostic or therapeutic purposes, typically used when standard awake procedures are contraindicated or patient cooperation is limited. | $90.10 | $67.60 | $76.60 (85%) |
| 39007Percutaneous or burr-hole procedure to access intracranial space including subdural space, ventricle or basal cistern, with anaesthesia. | $190.80 | $143.10 | — |
| 39013Ultrasound or fluoroscopy-guided injection of local anaesthetic, corticosteroid, or contrast into facet or rib-vertebral joints under anaesthesia. | $130.60 | $97.95 | $111.05 (85%) |
| 39014Injection of anaesthetic under image guidance into one or more medial branches of posterior spinal nerves to manage chronic spinal pain. | $149.45 | $112.10 | $127.05 (85%) |
| 39015Insertion of an intracranial pressure monitoring device into brain tissue via burr hole under anaesthesia, excluding post-operative care. | $450.05 | $337.55 | — |
| 39018Insertion of a cerebrospinal reservoir, ventricular reservoir, or external ventricular drain, with or without stereotactic guidance, including anaesthesia and assistance. | $989.40 | $742.05 | — |
| 39100Injection of alcohol, cortisone, phenol or similar neurolytic substance into primary trigeminal nerve branches (ophthalmic, maxillary or mandibular) under image guidance for pain management. | $284.35 | $213.30 | $241.70 (85%) |
| 39109Percutaneous destruction of the trigeminal ganglion using radiofrequency, balloon compression, or glycerol injection under stereotactic guidance, with anaesthesia and surgical assistance. | $1,696.70 | $1,272.55 | — |
| 39110Radio-frequency or cryoprobe denervation of left lumbar facet joints under imaging guidance, up to 3 times per 12 months. | $320.80 | $240.60 | $272.70 (85%) |
| 39111Radio-frequency or cryoprobe denervation of right lumbar facet joints under imaging guidance, up to 3 times per 12 months. | $320.80 | $240.60 | $272.70 (85%) |
| 39113Microsurgical cranial nerve decompression or neurectomy using stereotactic guidance and cranioplasty, including anaesthesia and assistance. | $2,846.30 | $2,134.75 | — |
| 39116Radio-frequency or cryoprobe denervation of left-sided thoracic facet joints under imaging guidance, limited to 3 attendances per 12 months. | $356.50 | $267.40 | $303.05 (85%) |
| 39117Radiofrequency or cryoprobe denervation of right thoracic facet joints under imaging guidance, up to 3 attendances per 12 months, with anaesthesia. | $356.50 | $267.40 | $303.05 (85%) |
| 39118Radio-frequency or cryo denervation of left cervical facet joints under imaging guidance, maximum 3 attendances per 12 months. | $392.10 | $294.10 | $333.30 (85%) |
| 39119Radiofrequency or cryoprobe denervation of up to 3 right cervical facet joints under imaging guidance, limited to 3 procedures per 12 months. | $392.10 | $294.10 | $333.30 (85%) |