Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p477
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 477/696)
Character Range: 16184542–16201834

EPORE Acetabular Augment System                                                      Washer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              8mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $484.00

     ZIMMER BIOMET PTY LTD
ZI861                                                                                                                  Segmental Trabeculer Metal Proximal Femoral Component - Washer                       4mm Flat Washer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     4mm and 7mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $484.00
                                                                                                                                                                                                            &mm Flat Washer
                                                                                                                                                                                                            4mm Curved Washer

11.04.25 - Wire - Cobalt Chrome
     STRYKER AUSTRALIA PTY LTD
HW642                                                                                                                  METS Trochanter Reattachment Wire                                                    CoCr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                0.6m                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $67.00

11.04.26 - Wire - Stainless Steel
     JOHNSON & JOHNSON MEDICAL PTY LTD
DP224                                                                                                                  Charnley & Wroblewski Trochanteric Spring Wire                                       Stainless steel wire for trochanteric attachment                                                                                                                                                                                                                                                                                                                                                                                                                                                                    0.5-3.00mm, 18 to 20g                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $123.00

11.04.27 - Insert Orientation Spacer Ring
     Lima Orthopaedics Australia Pty Ltd
LC023                                                                                                                  DELTA Coupling / Spacer / Liner                                                      DELTA Coupling / Spacer / Adaptor / Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Size Small to Extra Large  Angle (In degrees) 0 to 20  Offset +5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $1,309.00

11.04.28 - Acetabular Stem or equivalent
     LIFEHEALTHCARE PTY LIMITED
LH695                                                                                                                  MUTARS LUMiC Stem                                                                    Stems for use with a modular partial pelvic replacement and acetabula reconstruction device in case of large bone defects                                                                                                                                                                                                                                                                                                                                                                                           10mm x 65, 75, 85mm, 8mm x 65, 75, 85mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $5,833.00

12 - Knee
Billing Code                                                                                Product Name                                                                                                                      Description                                                                                                                                                                                                                    Size                                                                                                                                                                                                                             Minimum Benefit  Condition
12.01 - FEMORAL COMPONENT: TOTAL KNEE ARTHROPLASTY
12.01.01 - Cemented, Alloy
  12.01.01.01 - Minimally Stabilised
     ADLER ORTHO AUSTRALIA PTY LTD
HT010                                                                                       Genus Knee System - Genus Cemented Femoral Component                                                                              Femoral Component for Total Knee Arthroplasty                                                                                                                                                                                  1-7 right, 1-7 left, Minus                                                                                                                                                                                                       $2,793.00

     ALLEGRA ORTHOPAEDICS LIMITED
AE039                                                                                       Active Knee Femoral Component                                                                                                     Femoral Component, Cemented, CoCr                                                                                                                                                                                              Sizes 00 - 5 Left & Right                                                                                                                                                                                                        $2,793.00

     AMPLITUDE AUSTRALIA PTY LTD
LI062                                                                                       Score Knee System Femoral Component                                                                                               Femoral component, Cemented, CoCr, with extended patellar groove                                                                                                                                                               7 sizes                                                                                                                                                                                                                          $2,793.00

     B BRAUN AUSTRALIA PTY LTD
BB205                                                                                       Columbus Total Knee System (TKS) Femoral Component                                                                                Femoral component, cemented, CR, CoCr                                                                                                                                                                                          F1 - F8, Left and Right                                                                                                                                                                                                          $2,793.00
BB348                                                                                       e.motion Total Knee System FP/UC Femoral Component cemented                                                                       e.motion mobile bearing FP/UC Femoral Component cemented                                                                                                                                                                       2-8, Left and right                                                                                                                                                                                                              $2,793.00

     BESPOKE MEDICAL INNOVATIONS PTY LTD
FL007                                                                                       iTotal Cruciate-Retaining (CR) Total Knee Replacement System – iTotal Femoral Component                                           Minimally stabilised femoral component, cemented, CoCrMo                                                                                                                                                                       Left Knee, Right Knee, patient-specific                                                                                                                                                                                          $2,793.00

     Corin (Australia) Pty Limited
CR288                                                                                       Apex Knee - Cemented Femoral Component                                                                                            CR Cemented Femoral Component, Non-Porous, Size 1 to 6                                                                                                                                                                         Size 1-6, 1+, 2+, 3+, 4+, 5+, 6+ in Left & Right                                                                                                                                                                                 $2,793.00
CR249                                                                                       Unity Knee - Cruciate Retaining Femur Cemented                                                                                    Femoral Component Cemented - Cruciate Retaining                                                                                                                                                                                Size 1 – 9, Left and Right                                                                                                                                                                                                       $2,793.00

     DJO GLOBAL PTY LTD
DD017                                                                                       3D Knee System Femoral Component                                                                                                  Femoral Component, cemented, CoCr                                                                                                                                                                                              Size 2 to 12                                                                                                                                                                                                                     $2,793.00

     EXACTECH AUSTRALIA PTY LTD
FA008                                                                                       Optetrak Logic Total Knee System, Femoral Component, CR, Cemented                                                                 Femoral Component, cemented, CoCr                                                                                                                                                                                              Size 0 - 6, Left and Right                                                                                                                                                                                                       $2,793.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
JJ953                                                                                       Attune Knee System                                                                                                                Cruciate Retaining Cemented Femur                                                                                                                                                                                              1-10 including narrow