Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p333
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 333/696)
Character Range: 12655637–12669943

Two Piece
     ANATOMICSRX PTY LTD
QQ005                                                           Anatomics Cranial Patient Specific Implant - Two Piece                                                 Patient Specific Cranial Implant constructed of Titanium, Acrylic or Porous Polyethylene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Custom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $10,169.00

     SOUTHERN CROSS SURGICAL PTY LTD
UT034                                                           SCS Biomodelled Mesh, 2-piece                                                                          Titanium mesh, 2-piece: 2D, 3D                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Custom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $10,169.00

  Biomodelled, Dual Mesh
     MEDTRONIC AUSTRALASIA PTY LTD
MC625                                                           Modified Dual TiMesh                                                                                   TiMesh Surgical Mesh Modified, includes two cranial plates. Composition: Titanium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            121mm x 77mm - 152mm x 152mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $10,237.00

  07.02.02.02 - Polymer
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE815                                                           Su-Por Pterional, Mastoid, Temporal                                                                    Mastoid, Pterional, Contourable Porous Polyethylene.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Various sizes, left, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $1,267.00

     STRYKER AUSTRALIA PTY LTD
HW437                                                           E-POR Biomaterial/ Mastoid, Pterional, Contourable Porous Polyethylene                                 Mastoid, Pterional, Contourable Porous Polyethylene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Left, Right, 43mm - 57mm x 0.6mm, 1.5mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $1,267.00

  Complex
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE809                                                           Su-Por Custom Made Implant                                                                             An implantable device made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is custom made/biomodelled from individual patient's CT scan, on doctors prescription, used for correction and reconstruction of any facial, head or any non-weight bearing bone structure.                                                                                                                                                                                                                                                                                                                                                                                                Custom designed and biomodelled from patient's CT scan image.                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $9,682.00

  07.02.02.03 - Composite
     ALLIED SCIENTIFIC PRODUCTS PTY LTD
JK038                                                           OsteoMed Plating & Fixation System                                                                     Plates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       90 x 90mm, 95 x 165mm, & Large Pre-formed Osteoform Mesh, Cranium.                                                                                                                                                                                                                                                                                                                                                                                                                                                               $2,535.00

  07.02.02.04 - Surgical Guide
  Biomodelled
     ANATOMICSRX PTY LTD
QQ014                                                           Anatomics Surgical Guide                                                                               Biomodelled surgical guides to support surgical decision making both pre and intra-operatively                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               The device is custom made so the size will vary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $1,315.00        Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction & Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.

     JOHNSON & JOHNSON MEDICAL PTY LTD
SY777                                                           ProPlan                                                                                                Patient Specific Cranical Surgical Guides, Implants                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Custom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $1,315.00        Prescribed List