Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_35414:p1
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 35414 (pt 1/4)
Character Range: 1772726–1776123

35414                         Mechanical thrombectomy, in a patient with a diagnosis of acute ischaemic stroke caused by occlusion of a large vessel of the anterior cerebral circulation, including intra‑operative imaging and aftercare, if:                                                                                                                                                                                                                                                                                 3,641.85
                              (a) the diagnosis is confirmed by an appropriate imaging modality such as computed tomography, magnetic resonance imaging or angiography; and
                              (b) the service is performed by a specialist or consultant physician with appropriate training that is recognised by the Conjoint Committee for Recognition of Training in Interventional Neuroradiology; and
                              (c) the service is provided in an eligible stroke centre.
                              For any particular patient—applicable once per presentation by the patient at an eligible stroke centre, regardless of the number of times mechanical thrombectomy is attempted during that presentation (H) (Anaes.) (Assist.)

Subdivision C—Subgroups 4, 5 and 6 of Group T8

5.10.17  Restrictions on items in Subgroups 4 and 6 of Group T8—surgical techniques
 (1) For items 35581 and 35582, the size of the excised graft material must be histologically tested and confirmed.
 (2) Items 38485 to 38766 (other than items 38609, 38615, 38618, 38621 and 38624) and items 38817 and 38818 must be performed using open exposure or minimally invasive surgery which excludes percutaneous and transcatheter techniques unless otherwise stated in the item.

5.10.17A  Items 38244, 38247, 38307, 38308, 38310, 38316, 38317 and 38319—patient eligibility and timing
 (1) A patient is eligible for a service to which item 38244, 38247, 38307, 38308, 38310, 38316, 38317 or 38319 applies if:
 (a) subclause (2) applies to the patient; and
 (b) a service to which the item applies has not been provided to the patient in the previous 3 months, unless:
 (i) the patient experiences a new acute coronary syndrome or angina, as described in paragraph (2)(a), (b) or (c), in that period; or
 (ii) for a service to which item 38316, 38317 or 38319 applies—the service was provided to the patient in that period as a subsequent stage following an initial primary percutaneous coronary intervention procedure.
 (2) This subclause applies to a patient who has:
 (a) an acute coronary syndrome evidenced by any of the following:
 (i) ST segment elevation;
 (ii)  new left bundle branch block;
 (iii) troponin elevation above the local upper reference limit;
 (iv) new resting wall motion abnormality or perfusion defect;
 (v) cardiogenic shock;
 (vi) resuscitated cardiac arrest;
 (vii) ventricular fibrillation;
 (viii) sustained ventricular tachycardia; or
 (b) unstable angina or angina equivalent with a crescendo pattern, rest pain or other high‑risk clinical features, such as hypotension, dizziness, pallor, diaphoresis or syncope occurring at a low threshold; or
 (c) either of the following, detected on computed tomography coronary angiography:
 (i) significant left main coronary artery disease with greater than 50% stenosis or a cross‑sectional area of less than 6