Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p355
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 355/706)
Character Range: 1163462–1166400

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 dental 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.

     JOHNSON & JOHNSON MEDICAL PTY LTD
SY830  Surgical Guide for OBL PorousiTi® PSI System – Orbital Floor  Patient specific surgical guide for orbital floor implant  The model is custom made so size will vary  $2,584.00  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 dental 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.

07.02.08 - External Prostheses, Bone Attachment
  07.02.08.01 - Endosseous Implant
  Concave
     Southern Implants Australia Pty Ltd
IC008  Southern Implant IE Osseointegrated Implant  Titanium implant for the treatment of patients with craniofacial defects  Width 3.75mm - 4.0mm  Length 3.0mm - 6.0mm  $1,055.00

07.02.09 - Anatomical Biomodel
     ANATOMICSRX PTY LTD
QQ001  Anatomics Biomodel  A patient-specific, 3D printed  biomodel intended to assist the surgeon during pre- and intraoperative procedural planning.  The device is custom made so the size will