Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p659
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 659/706)
Character Range: 2152892–2156381

used to ablate cardiac tissue  28mm  $5,100.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI301  Arctic Front Advance Cardiac CryoAblation Catheter / Pro  A flexible, over-the-wire balloon catheter used to ablate cardiac tissue  23mm, 28mm  $5,100.00

  Medtronic
     MEDTRONIC AUSTRALASIA PTY LTD
MI399  Freezor Cardiac Cryoablation Catheters  Freezor, Freezor Xtra, Freezor Max: Focal Cryoablation Catheters  7Fr, 9Fr  $3,550.00

  08.18.02.02 - Mapping Catheter
     BOSTON SCIENTIFIC PTY LTD
BS407  POLARMAP Circular Mapping Catheter  Multi-electrode catheter designed to record intracardiac electrograms and provide pacing stimulation during electrophysiology procedures.  One size  $1,299.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI302  Achieve / Achieve Advance Mapping Catheter  Intra-cardiac electrophysiology circular mapping catheter  15mm, 20mm, 25mm  $1,299.00

08.18.03 - Pulsed Field Ablation
  08.18.03.01 - Ablation and Mapping Catheter
  Boston Scientific
     BOSTON SCIENTIFIC PTY LTD
BS415  FARAPULSE Pulsed Field Ablation System  Pulsed Field Ablation (PFA) System - FARAWAVE PFA Catheter  Distal Diameter 31 - 35 mm  $6,399.00

BS431  FARAWAVE NAV  Navigation enabled FARAWAVE Pulsed Field Ablation catheter  Distal Diameter 31 - 35 mm  $6,399.00

  Johnson and Johnson
     JOHNSON & JOHNSON MEDICAL PTY LTD
JJ977  VARIPULSE Pulsed Field Ablation System  VARIPULSE variable-loop multielectrode bi-directional catheter  Variable loop diameter, 25- 35 mm  $6,399.00

  Medtronic
     MEDTRONIC AUSTRALASIA PTY LTD
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

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

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