Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p644
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 644/696)
Character Range: 22549171–22557383

Automated Insulin Delivery (AID) System includes the tubeless insulin Pod, the Omnipod 5 App on the Insulet provided controller, and the chosen compatible glucose sensor. The glucose sensor sends CGM values and trends to the Pod. The Pod houses the insulin pump and a microprocessor which holds the SmartAdjustTM Technology that uses CGM values to make decisions and automatically adjust the insulin delivered. The Pod or the sensor also sends the CGM value to the Omnipod 5 App. This is used to display the data and to manually send commands to the Pod for bolusing and for basal insulin doses when not operating in automated mode.                                                                                         One size only                                                                                                                                                                                                                                                                                                                                       $8,574.00        The benefit for the device is payable no more frequently than once every 4 years.

05 - Urogenital
Billing Code                                                                             Product Name  Description                                                         Size           Minimum Benefit  Condition
05.03 - Voiding Dysfunction Prostheses
05.03.03 - Radiofrequency (RF) Delivery Devices for Transurethral Water Vapour Ablation
     BOSTON SCIENTIFIC PTY LTD
BS416                                                                                    Rezum         Single-use radiofrequency delivery device kit for treatment of BPH  One size only  $1,950.00        Private health insurers are not required to pay benefits in respect of this billing code until 1 March 2024 when a Medicare benefit will be payable for the service.

08 - Cardiac
Billing Code                                             Product Name                                                  Description                                                                                                                                                                                                                                                                                                        Size                                                                                                                                                Minimum Benefit  Condition
08.14 - Implantable Cardiac Event Recorders
08.14.01 - Implantable Cardiac Event Recorders
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ390                                                    Confirm RX                                                    Insertable Cardiac Monitor                                                                                                                                                                                                                                                                                         5cm X 0.95cm X 0.33cm                                                                                                                               $2,886.00
SJ481                                                    Jot Dx                                                        Insertable Cardiac Monitor - with integrated remote monitoring capability via the myMerlin smart device App, including accessories for insertion (an incision tool and an insertion tool)                                                                                                                          49 x 9.4 x 3.1 mm                                                                                                                                   $2,886.00
QQ613                                                    Assert IQ                                                     Insertable Cardiac Monitor                                                                                                                                                                                                                                                                                         46.5mm x 9.4mm x 3.1mm and  49mm x 9.4mm x 4.4mm                                                                                                    $2,886.00

     BOSTON SCIENTIFIC PTY LTD
BS417                                                    LUX-Dx™                                                       Insertable Cardiac Monitor                                                                                                                                                                                                                                                                                         7.2 mm x 44.8 mm x 4.0 mm, 1.2 cm3                                                                                                                  $2,886.00

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     BIOTRONIK AUSTRALIA PTY LIMITED
BT247                                                    BIOMONITOR III m                                              Injectable cardiac monitor for continuous remote monitoring of patients with extended AF Detection                                                                                                                                                                                                                 77.5 mm x 8.6 mm x 4.6 mm; 4 g; 1.9 cm3                                                                                                             $2,886.00
QQ621                                                    BIOMONITOR IV                                                 Injectable cardiac monitor for continuous remote monitoring of patients                                                                                                                                                                                                                                            Dimensions (WxHxL) (overall) 77.5 mm x 8.6 mm x 4.6 mm Weight 4 g Volume (overall) 1.9 cm3                                                          $2,886.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI141                                                    Reveal LINQ                                                   Insertable Cardiac Monitor                                                                                                                                                                                                                                                                                         44.8 mm x 7.2 mm x 4.0 mm,1.2 cm3                                                                                                                   $2,886.00
MI438                                                    Reveal LINQ II™                                               Insertable Cardiac Monitor                                                                                                                                                                                                                                                                                         45.1 mm x 8mm x 4.2mm, 1.4cc                                                                                                                        $2,886.00

08.16 - Remote Monitoring System
08.16.01 - Remote Monitoring System
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ369                                                    Merlin@Home wireless                                          Home cardiac monitor (RF) with landline, cellular and broadband connectivity                                                                                                                                                                                                                                       one size                                                                                                                                            $1,450.00
SJ370                                                    Merlin@Home