Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p349
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 349/696)
Character Range: 12826815–12833503

hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.

     JOHNSON & JOHNSON MEDICAL PTY LTD
SY830                                                           Surgical Guide for OBL PorousiTi® PSI System – Orbital Floor                                           Patient specific surgical guide for orbital floor implant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    The model is custom made so size will vary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $2,584.00        Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction & Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure. The condition is taking effect on 1 February 2024.

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

07.02.09 - Anatomical Biomodel
     AA-Med Pty Ltd
ZZ046                                                           OrthoTin Anatomic Biomodel                                                                             Anatomic Biomodel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            The device is custom so the size will vary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $1,762.00        Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction & Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable medical device is explicitly identified in the product name or description of the billing