Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p402
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 402/696)
Character Range: 14212059–14255630

08.13.03 - Left Atrial Appendage Closure
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ395                                                                                                                                                               Amplatzer Left Atrial Appendage Closure Device                                                                                                         Amplatzer Amulet Occluder, Amplatzer Cardiac Plug. Nitinol wire mesh                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     16-34 mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $11,268.00

     BOSTON SCIENTIFIC PTY LTD
BS384                                                                                                                                                               WATCHMAN FLX                                                                                                                                           Left Atrial Appendage Closure Device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     20mm to 35mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $11,268.00

08.15 - Stents For Treatment Of Coarctation Of The Aorta
08.15.01 - Uncovered
     INTERVENE MEDICAL PTY LTD
JI003                                                                                                                                                               CP Stent                                                                                                                                               CP Stent Uncovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       16,22,28,34,39,&45mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $1,199.00

  Balloon- in-Balloon
     INTERVENE MEDICAL PTY LTD
JI002                                                                                                                                                               CP Stent                                                                                                                                               CP Stent Uncovered, mounted on BIB balloon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               16,22,28,34,39,&45mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $2,124.00

08.15.02 - Covered
     INTERVENE MEDICAL PTY LTD
JI005                                                                                                                                                               CP Stent                                                                                                                                               CP Stent Covered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         16,22,28,34,39,&45mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $1,998.00

  Balloon-in-Balloon
     INTERVENE MEDICAL PTY LTD
JI004                                                                                                                                                               CP Stent                                                                                                                                               CP Stent Covered, mounted on BIB balloon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 16,22,28,34,39,&45mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $2,923.00

08.17 - Catheter Delivery
08.17.01 - Transcatheter Aortic Valve Implantation
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ394                                                                                                                                                               Portico transcatheter aortic valve                                                                                                                     Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            23-29                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $22,932.00
SJ482                                                                                                                                                               Navitor™ Transcatheter Aortic Valve                                                                                                                    Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve with delivery system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       23-29                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $22,932.00       The listed item [billing code] covers the Navitor System, containing Transcatheter Aortic Valve (cat. numbers NVTR-23, NVTR-25, NVTR-27, NVTR-29), FlexNav™ Delivery System (cat. numbers FNAV-DS-SM, FNAV-DS-LG) and Loading System (NVTR-LS-SM and NVTR-LS-LG), and the benefit is payable for the listed item if the Navitor System is used for the surgical procedure described in item 38495 in Group T8 of the Regulations.
QQ604                                                                                                                                                               Navitor Vision                                                                                                                                         Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve with delivery system and loading system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    23-29                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $22,932.00

     EDWARDS LIFESCIENCES PTY LIMITED
EL063                                                                                                                                                               Edwards SAPIEN 3 Transcatheter Heart Valve                                                                                                             Transcatheter, balloon expanded aortic heart valve with Commander Delivery System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        20mm, 23mm, 26mm and 29mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $22,932.00
EL067                                                                                                                                                               Edwards SAPIEN 3 Ultra Transcatheter Heart Valve System                                                                                                The Edwards SAPIEN 3 Ultra Transcatheter Heart Valve (THV) system is an Aortic transcatheter heart valve bioprosthesis, with stent-like framework. It  consists of the Edwards SAPIEN 3 Ultra transcatheter heart valves and delivery systems. The Edwards SAPIEN 3 Ultra Valve is comprised of a balloon-expandable, radiopaque, cobalt-chromium frame, trileaflet bovine pericardial tissue valve, and polyethylene terephthalate inner and outer fabric skirts.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        (mm) 20, 23, 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $22,932.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI315                                                                                                                                                               Medtronic CoreValve™ Evolut™ PRO transcatheter aortic valve                                                                                            Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                23mm-29mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $22,932.00
MI259                                                                                                                                                               Medtronic CoreValve™ Evolut™ R transcatheter aortic valve                                                                                              Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                23mm-34mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $22,932.00
QQ159                                                                                                                                                               Medtronic Evolut FX transcatheter aortic valve                                                                                                         Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment including a loading system (L-EVOLUTFX-2329, L-EVOLUTFX-34) and a delivery catheter system (D-EVOLUTFX-2329, D-EVOLUTFX-34)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    23mm-34mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $22,932.00

08.17.02 - Mitral Valve Repair
  08.17.02.01 -