CTHRepealedLegislation
Health Insurance (General Medical Services Table) Regulations 2006
95Application of items 38365, 38368 and 38654
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95 Application of items 38365, 38368 and 38654
A service described in item 38365, 38368 or 38654 applies to any particular patient only if:
(a) the patient:
(i) has moderate to severe chronic heart failure (New York Heart Association (NYHA) class III or IV) despite optimised medical therapy; and
(ii) has sinus rhythm; and
(iii) has a left vernicular ejection fraction of 35% or less; and
(iv) has a QRS duration of 120 milliseconds or more; or
(b) the patient satisfied the requirements mentioned in paragraph (a) immediately before the insertion of a cardiac resynchronisation therapy device and transvenous left ventricular electrode.