1749 – Insertion of durable left ventricular assist device for use as destination therapy

Page last updated: 27 June 2024

Application Detail

Description of Medical Service

A ventricular assist device is a surgically implanted pump to provide mechanical circulatory support to patients with advanced heart failure. The device is a fully magnetic levitation centrifugal pump that assumes some or all of the workload of the ventricle.The device remains with the patient for life.

Description of Medical Condition

Heart failure is a clinical syndrome presenting with symptoms such as breathlessness, ankle swelling and fatigue, that may be associated with signs such as elevated jugular venous pressure, pulmonary crackle and peripheral oedema. Heart failure is caused by structural or functional abnormalities of the heart resulting in increased intra-cardiac pressure and/or insufficient cardiac output even at rest or during exercise.

Reason for Application

Amendment of an existing MBS item

Medical Service Type

Therapeutic technology

Previous Application Number/s

Not Applicable

Associated Documentation

Application Summary and PICO Set

Application Summary (PDF 400 KB)
Application Summary (Word 24 KB)

PICO Set (PDF 1289 KB)
PICO Set (Word 462 KB)

Consultation Survey

Consultation Survey (PDF 652 KB)
Consultation Survey (Word 27 KB)

PASC Consultation
PASC consultation closed

MSAC Consultation
MSAC consultation input closed Friday, 16 February 2024.

For further information please refer to PASC, ESC, MSAC Key Dates
For further information on the consultation process please refer to MSAC Consultation Process

PICO Confirmation

PICO Confirmation (Word 596 KB)
PICO Confirmation (PDF 942 KB)

Assessment Report


Public Summary Document

Public Summary Document (PDF 1014 KB)
Public Summary Document (Word 454 KB)

Meetings for this Application


10-11 August 2023


15-16 February 2024


4-5 April 2024