Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p345
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 345/696)
Character Range: 12776537–12784612

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.
HW653                                                           VSP Reconstruction Mandibular/Maxillary Case Bundle                                                    VSP Reconstruction Mandibular/Maxillary Case Bundle (With Metal Inserts) Customized Bundle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Custom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $1,450.00        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.

  07.02.05.08 - Maxilla
  Biomodelled
     AA-Med Pty Ltd
ZZ099                                                           Materialise PorousiTi - Maxilla                                                                        Patient specific Titanium 3D printed implant for maxilla                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Personalized so the size is variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $6,337.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
SY828                                                           OBL PorousiTi Patient Specific Implant - Maxilla                                                       Patient specific implant for maxilla constructed of PorousiTi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                The model is custom made so size will vary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $6,337.00

  07.02.05.09 - Hemi-mandible
  Biomodelled
     ANATOMICSRX PTY LTD
QQ010                                                           Anatomics Patient Specific Mandible                                                                    Custom mandible implant constructed of porous polyethylene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   The device is custom made so the size will vary.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $3,493.00

07.02.06 - Nose and Zygoma
  07.02.06.01 - Nasal Dorsum
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE811                                                           Biopore Nasal Dorsum Shape                                                                             An implantable device intended to support, contour, and provide structure for the nose and zygoma. Made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in various shapes and can be cut by the surgeon to meet the