Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p124
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 124/706)
Character Range: 471128–474444

Codman Bactiseal External Ventricular Drain (EVD) Catheter  Antibiotic impregated External Ventricular Drain  1.5mm & 1.9mm lumen diameter  $424.00

05 - Urogenital
Billing Code  Product Name  Description  Size  Minimum Benefit  Condition

05.01 - Incontinence Prostheses
05.01.01 - Inflatable
  05.01.01.01 - Pump
     BOSTON SCIENTIFIC PTY LTD
BS427  AMS 800 Artificial Urinary Sphincter Pump  Control Pump  One size  $4,700.00

  A
     BOSTON SCIENTIFIC PTY LTD
BS409  AMS 800 Urinary Control System Pump  Pump with InhibiZone Antibiotic Surface Treatment  One size only  $5,076.00

     RIGICON PTY LTD
VO008  Conti Artificial Urinary Sphincter Control Pump (HydroShield coated)  Conti Artificial Urinary Sphincter Control Pump with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter  Two models.  $5,076.00

  05.01.01.02 - Occlusive cuff
     BOSTON SCIENTIFIC PTY LTD
BS425  AMS 800 Artificial Urinary Sphincter Cuff  Occlusive Cuff  13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm    $2,483.00

  A
     BOSTON SCIENTIFIC PTY LTD
BS408  AMS 800 Urinary Control System with InhibiZone - cuff  Occlusive Cuff with InhibiZone Antibiotic Surface Treatment  13 Cuff sizes from 3.5 to 11.0 cm  $2,708.00

     RIGICON PTY LTD
VO003  Conti Artificial Urinary Sphincter Occlusive Cuff (HydroShield coated)  Conti Artificial Urinary Sphincter Occlusive Cuff with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter  3.5, 3.75, 4.0, 4.25, 4.5, 4.75. 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5, 9.0, 9.5, 10, 11, 12, 13cm.  $2,708.00

  05.01.01.03 - Regulating Balloon
     BOSTON SCIENTIFIC PTY LTD
BS426  AMS 800 Artificial urinary sphincter Pressure Regulating Balloon  Pressure Regulating Balloon  51 - 60cm, 61 -70cm, 71 - 80cm  $1,954.00

     RIGICON PTY LTD
VO009  Conti Artificial Urinary Sphincter Pressure Regulating Balloon (HydroShield coated)   Conti Artificial Urinary Sphincter Pressure Regulating Balloon with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter  40-49cm, 50-59cm, 60-69cm, 70-79cm, 80-89cm.  $1,954.00

  05.01.01.05 - Accessory kit
     BOSTON SCIENTIFIC PTY LTD
BS428  AMS 800 Artificial Urinary Sphincter Accessory Kit    Accessory Kit    One Size    $655.00

     RIGICON PTY LTD
VO010  Conti Artificial Urinary Sphincter Accessory Kit  Accessory Kit for Conti Artificial Urinary Sphincters with HydroShield coated connectors  One size  $655.00

  05.01.01.06 - System
     ENDOTHERAPEUTICS PTY. LIMITED
ET084  ATOMS with Integrated Scrotal Port  The ATOMS with Integrated Scrotal Port is a long-term hydraulically adjustable substitute urinary sphincter. The implant is supplied as a single piece system which includes a hydraulically adjusted urethral cuff and a silicone coated adjustment port which rests in the patient's scrotum. The pressure applied by the cuff is evenly distributed over the bulbar urethra, providing ventral closure in order to achieve continence. The adjustment port is designed to allow for non-surgical postoperative adjustment of cuff pressure.  1 size only  Width of tape: 12mm  Dimensions of cushion: 40 x 45mm  Port Diameter: 11mm  $9,500.00

05.01.02 - Permanently Adjustable
  05.01.02.01 - Single
     LIFEHEALTHCARE