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MBS item 38313 · Category 3

Note: (stable multi-vessel disease - 2 coronary territories with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 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 (H) (Anaes.) (Assist.)

Schedule fee$2441.10
75% benefit$1830.85
85% benefit
100% benefit
EMSN capN
Start date2021-07-01
Do not read this as your expected bill.

The MBS benefit fields describe Medicare schedule settings. The provider's actual fee, private health insurance arrangements, hospital charges and other clinicians can change the amount you pay.

Classification

Where the item sits in the MBS

Category: 3

Group: T8

Subgroup: 6

Subheading: 3

Anaesthetic indicator: Y