Common Procedural Item Numbers

Coronary Artery Bypass Grafts: 38503 or 38500

Valve Repairs or Replacements: 38488 or 38480 or 38481

Aortic Replacements: 38556 or 38559 or 38565

Lung Resections: 38441 or 38438 or 38440

Transcatheter Aortic Valve Replacements/Implantation (TAVR/TAVI): 38495

Vascular Access: 33815 or 33818

Example of Surgeon Fee Calculation

Item Number 38500: Coronary Artery Bypass Grafts with cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed

MBS Fee: $2,235.20 (Medicare rebate $1,676.40, Health fund contribution $558.80, Patient contribution $0)

No Gap Arrangement Fee: $3361.80 (Medicare rebate $1676.40, Health fund contribution $1685.40, Patient contribution $0)

AMA Fee: $5650.00 (Medicare rebate $1,676.40, Health fund contribution $558.80, Patient contribution $3414.80)