Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p650
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 650/696)
Character Range: 22612801–22621750

Diameter 31 - 35 mm                                                                                                                          $6,399.00

  Medtronic
     MEDTRONIC AUSTRALASIA PTY LTD
QQ750                                                    Sphere-9 Catheter                                             The Sphere-9 Catheter is a sterile, single-use, bi-directional, 8F deflectable dual energy catheter (pulsed-field and radiofrequency) for cardiac ablation and mapping                                                                                                                                             Distal Diameter 9 mm                                                                                                                                $6,399.00
QQ764                                                    PulseSelect Pulsed Field Ablation (PFA) catheter              Pulse Select is a 9Fr catheter with 25mm diameter circular end with fixed electrode spacing which allows for uniform waveform distribution                                                                                                                                                                         Distal Diameter 25 mm                                                                                                                               $6,399.00

08.19 - Percutaneous Coronary Interventions
08.19.01 - Coronary Drug Coated Balloon Catheters
     B BRAUN AUSTRALIA PTY LTD
BB409                                                    SeQuent Please/SeQuent Please NEO                             Drug eluting balloon catheter for percutaneous transluminal coronary angioplasty (PTCA)                                                                                                                                                                                                                            SeQuent Please:  Diameter (mm) 2.0 to 4.0  Length (mm) 10.0 to 30.0      SeQuent Please NEO:  Diameter (mm) 2.0 to 4.0  Length (mm) 10.0 to 40.0    $854.00

     BIOTRONIK AUSTRALIA PTY LIMITED
BT256                                                    Pantera Lux                                                   Coronary Drug-Coated Balloon Catheter                                                                                                                                                                                                                                                                              Diameter (mm) - 2.0 to 4.0  Length (mm) -10 to 30                                                                                                   $854.00

     BOSTON SCIENTIFIC PTY LTD
BS419                                                    Agent Paclitaxel-Coated Balloon Catheter                      Coronary angioplasty balloon catheter, drug-eluting                                                                                                                                                                                                                                                                Length (mm) 8-30; Diameter (mm) 2.00-4.00                                                                                                           $854.00

     MEDTRONIC AUSTRALASIA PTY LTD
QQ236                                                    Prevail DCB                                                   Paclitaxel-Coated PTCA Balloon Catheter                                                                                                                                                                                                                                                                            Length (mm): 10-30; Diameter (mm): 2-4                                                                                                              $854.00

09 - Cardiothoracic
Billing Code                        Product Name                                                        Description                                                                                                                                                                                                                                                                                                                                         Size                                  Minimum Benefit  Condition
09.14 - Surgical cardiac ablation
09.14.01 - RF Ablation
  09.14.01.01 - Monopolar
  Medtronic
     MEDTRONIC AUSTRALASIA PTY LTD
MI309                               Cardioblate® Surgical Ablation Pen XL                               The Cardioblate® Surgical Ablation Pen XL facilitates cardiac ablation in areas that are difficult to ablate with a bipolar device.                                                                                                                                                                                                                 One size only                         $2,876.00
QQ246                               Cardioblate XL Pen VLFT                                             Monopolar radio-frequency catheter-pen for point-by-point cardiac ablation compatible with the Valleylab FT10 FT series energy platform                                                                                                                                                                                                             One size only                         $2,876.00

  Medtronic - MAPS
     MEDTRONIC AUSTRALASIA PTY LTD
MI487                               Cardioblate MAPS                                                    Surgical RF Mapping, Ablation, Pacing and Sensing catheter.                                                                                                                                                                                                                                                                                         One size only                         $2,000.00

  09.14.01.02 - Bipolar
  AA-Med - Coolrail
     AA-Med Pty Ltd
ZZ064                               ATRICURE COOLRAIL LINEAR PEN                                        Surgical Radio Frequency (RF) Irrigated Linear Pen for Atrial Fibrillation surgery                                                                                                                                                                                                                                                                  One size only                         $2,600.00

  AA-Med - Isolator Linear Pen
     AA-Med Pty Ltd
ZZ065                               Atricure Isolator Linear Pen                                        Surgical Radio Frequency (RF) Isolator Linear Pen for Atrial Fibrillation surgery                                                                                                                                                                                                                                                                   One size only                         $2,000.00

  AA-Med - Isolator Synergy
     AA-Med Pty Ltd
ZZ055                               ATRICURE ISOLATOR SYNERGY RF CLAMPS                                 Surgical Radio Frequency (RF) Clamps for Atrial Fibrillation surgery                                                                                                                                                                                                                                                                                Short, Long                           $4,200.00
ZZ056                               Isolator Synergy Access                                             Articulating Surgical Radio Frequency (RF) Clamp for Atrial Fibrillation Surgery                                                                                                                                                                                                                                                                    One size only                         $4,200.00

  Medtronic
     MEDTRONIC AUSTRALASIA PTY LTD
QQ243                               Cardioblate BP2 surgical ablation device                            Valleylab FT10 FT series energy platform compatible bipolar RF ablation catheter with saline irrigation and choice of standard or low-profile jaw designs                                                                                                                                                                                           Standard, Low Profile                 $3,523.00
MI308                               Cardioblate BP2 RF Surgical Ablation Device                         The Cardioblate BP2 RF Surgical Ablation devices