Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p585
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 585/696)
Character Range: 19806236–19854912

DSS construct. The DSS construct can  not be used without the washer nor can the washer be used as a separate implant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     One size only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $218.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI463                                                                            PASS LP System - Plates                                                                               Sacral Plate, Sacroilac Plate, Sacral Cap Plate Cover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 one size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $218.00

     Orthotech Pty Ltd
OH584                                                                            Venus - Spinal Fixation System - Washers                                                              Venus Washers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         STD, SP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $218.00

     Prism Surgical Designs Pty Ltd
PZ034                                                                            Centaur Screw System, Centaur Washer                                                                  Washer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1 size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $218.00

     STRYKER AUSTRALIA PTY LTD
HW739                                                                            ARI Anterior Staple System - Washer                                                                   The ARI Anterior Staple System - washer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               One size only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $218.00

13.08.02 - Staple
     EQUINOX MEDICAL PTY LTD
GW029                                                                            WEGO Spinal Systems                                                                                   Staple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Various                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $380.00

     EVOLUTION SURGICAL PTY LTD
IY027                                                                            Katana Staple                                                                                         The Katana Pedicle Screw System is intended to provide immobilization and stabilisation of spinal segments in skeletally mature patients, as an adjunct to fusion in the thoracic, lumbar and sacral spine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           13-25mm, Caudal, Rostral, Single                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $380.00

     Globus Medical Australia Pty Limited
LB167                                                                            REVERE Anterior Single Staple                                                                         Single anterior staple constructed of Titanium Alloy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  small, medium, large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $380.00
LB031                                                                            REVERE Integrated Staple Head Plate                                                                   Integrated Staple Head Plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          small, medium, large, x-large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $380.00
LB181                                                                            REFLECT Staple                                                                                        Three prong threaded staple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           5.0 mm - 7.5 mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $380.00          The Prostheses List (PL) billing code does not cover the use of the device for vertebral body tethering (VBT) for the management of adolescent idiopathic scoliosis (AIS).
LB166                                                                            REVERE Anterior Dual Staple                                                                           Dual Anterior Staple constructed of Titanium Alloy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    small, medium, large, x-large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $380.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
JJ657                                                                            Single Hole Staple - Expedium Anterior Spine System                                                   Single Hole Staple - Titanium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         One Size Only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $380.00
JJ643                                                                            Dual Hole Staple - Expendium Anterior Spine System                                                    Dual Hole Staple - Titanium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Small to Xlarge - 4 sizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $380.00
JJ771                                                                            Expedium Spine System                                                                                 Staple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Various                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $380.00

     MEDTRONIC AUSTRALASIA PTY LTD
MC437                                                                            CD-Horizon                                                                                            Staples                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               10 - 30mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $380.00
MC614                                                                            Vantage                                                                                               Vantage Plates and Screws; Staple (rostral/caudal)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    One Size Only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $380.00

     Prism Surgical Designs Pty Ltd
PZ044                                                                            Centaur Screw System, Centaur Staple                                                                  Staple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                small - extra large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $380.00

     STRYKER AUSTRALIA PTY LTD
HW774                                                                            KEYS Anterior Staple                                                                                  Staple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                13-18mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $380.00
SK242                                                                            Xia Spinal System                                                                                     Titanium or Stainless Steel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Single Hole Staple; Dual Hole Staples (Caudal/Rostral) - Small, Medium, Large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $380.00
HW738                                                                            ARI Anterior Staple System - Staple                                                                   A non-cervical anterolateral thoracolumbar screw stabilization as an adjunct to fusion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Single Hole Design and Dual Hole Design: 13mm, Left & Right; 16mm, Left & Right; 18mm, Left & Right.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $380.00

13.09 - C-Ring
13.09.01 - C-Ring
     JOHNSON & JOHNSON MEDICAL PTY LTD
SY145                                                                            Universal Spine System (USS)                                                                          Half Ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             SS, Standard, Self-Holding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $306.00

     MEDTRONIC AUSTRALASIA PTY LTD
MC436                                                                            CD-Horizon                                                                                            C-ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                One size only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $306.00

13.10 - Fusion Cage
13.10.01