Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p334
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 334/696)
Character Range: 12668342–12675897

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 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.

07.02.03 - Ear
  07.02.03.01 - Helical Rim
     STRYKER AUSTRALIA PTY LTD
HW420                                                           Ear Reconstruction                                                                                     Porus Polyethylene. Helical rim, models 8328 and 8329                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Helical rim: 37 x 62mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $277.00

  07.02.03.02 - Ear Base
     STRYKER AUSTRALIA PTY LTD
HW432                                                           Ear Reconstruction                                                                                     Porus Polyethylene. Ear base left and right, models 7542 and 7525  - 7527. Ear base extended left and right, models 8330 and 8331.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Ear base: 29 x 55 x 13mm, 32 x 65 x 16mm. Ear base extended: 30 x 60mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                          $395.00

07.02.04 - Malar
     STRYKER AUSTRALIA PTY LTD
SK512                                                           Malar Shape                                                                                            Porus Polyethylene. Design RZ malar shapes, super petite and petite, left and right (Models 9501 - 9504). Design M malar shapes, left and right (Models 9507 - 9512). Additional malar shapes, extended contoured left and right (Models 9513 - 9518) Contoured                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Design RZ malar shapes: super petite left and right 50 x 19 x 3mm, Design RZ malar shapes petite left and right 50 x 19 x 5mm. Design malar shapes: small left and right  64 x 19 x 3mm, left and right medium 64 x 19 x 4.5mm, Left and right large 64 x 19 x                                                                                                                                                                                                                                                                   $322.00

  07.02.04.01 - Complex
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE807                                                           Su-Por Malar, Paranasal, Midface Implant                                                               An implantable device intended to support, contour and provide structure for the face including the cheeks and eye sockets. Made of high-density polyethylene material with an interconnecting pore