Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p40
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 40/696)
Character Range: 940568–996555

a retinal surgery additive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  5mL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $217.00

     BAUSCH & LOMB (AUSTRALIA) PTY LTD
BL018                                                           DK Line 100% purified perfluorodecalin                                                                               Perfluorodecalin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          7ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $217.00
BL017                                                           Perfluo-octane (Oktaline) Okta-Line                                                                                  Perfluorocarbon Liquid  for use as a retinal surgery additive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             5mL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $217.00

     Beaver-Visitec International Australia Pty Ltd
IW009                                                           Arcotane (Perfloro-N-Octane)                                                                                         Liquid perfluoro-N-Octane aid for retinal surgery, pre-operative device for retinal surgery, in particular retinal detachment (RD), RD with giant tear, RD with proliferative vitreal retinopathy (PVR) etc.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              5ml, 7ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $217.00
IW008                                                           Arcaline (Perfluorodecaline)                                                                                         Liquid perfluorocarbon aid for retinal surgery, operative device for retinal surgery, in particular retinal detachment (RD), RD with giant tear etc.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3ml, 5ml, 7ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $217.00

     Designs for Vision Pty Ltd
DV244                                                           D.O.R.C. Eftiar                                                                                                      Eftiar Decaline and Octane                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                5ml, 7ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $217.00

     Emagin Pty Ltd
EG022                                                           Perfluorocarbons                                                                                                     HPF8 Perfluoro-n-octane and HPF10 Perfluorodecalin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        5ml and 7ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $217.00

     IQ MEDICAL PTY LTD
IQ008                                                           Octane & Decalin                                                                                                     Perfluorocarbon retinal tamponade medium, intraoperative                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  5ml & 7ml, Sterile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         $217.00

     Spectrum Surgical
SO054                                                           FCI - DECA, FCI - OCTA                                                                                               FCI - DECA: Purified perflurodecalin, FCI - OCTA: Purified perfluoro-N-Octane                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             5ml / 7ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $217.00

01.09.06 - Intraocular Silicone Oils
     BAUSCH & LOMB (AUSTRALIA) PTY LTD
BL016                                                           Oxane LMWC Fractioned Silicone Oil                                                                                   Purified fractioned silicone oil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          10mL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $176.00
BL024                                                           Oxane HD                                                                                                             Silicone oil - RMN3 mixture                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               10ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $176.00

     Beaver-Visitec International Australia Pty Ltd
IW006                                                           ARCIOLANE 5500                                                                                                       Silicone Oil for Vitreoretinal Surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    10ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $176.00
IW005                                                           ARCIOLANE 1300                                                                                                       Silicone Oil for Vitreoretinal Surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    10ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $176.00

     Designs for Vision Pty Ltd
DV243                                                           D.O.R.C. Silicon Oil                                                                                                 D.O.R.C. Silicon Oil 1000/2000/5000-S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     10ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $176.00

     Emagin Pty Ltd
EG023                                                           RS-OIL                                                                                                               Highly purified Silicone Oil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              10ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $176.00

     IQ MEDICAL PTY LTD
IQ006                                                           Siluron 1000 & Siluron 5000                                                                                          Silicone Oils                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             10 ml, Sterile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $176.00

     KEVIN GRUNDY (IBD) PTY. LIMITED
KG030                                                           LSO Silicone Oil                                                                                                     Highly purified, sterile, transparent, silicone oil available in both a 1,000 cP and a 5,000 cP viscosity.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                10mL vial, 10mL syringe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $176.00

     Spectrum Surgical
SO022                                                           FCI Purified Silicone Oil (Solvent Free)                                                                             Viscosity: 1000 cst/5000 cst: solvent free purified silicone oil                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          10ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $176.00

     The Trustee for The Ophthalmopro Unit Trust
WP006                                                           AJL SIOBAL Silicon Oil                                                                                               High-purity silicone oil used as tamponade agent for retinal detachment.  1000/2000/5000 cSt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              10ml prefilled syringe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $176.00

  HO
     IQ MEDICAL PTY LTD
IQ005                                                           Densiron                                                                                                             Heavy Tamponade Liquid Medium, Postoperative                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              10 ml, Sterile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $217.00

01.10 - Artificial Iris
01.10.01 - Foldable
     Spectrum Surgical
SO076                                                           HumanOptics Artificial Iris                                                                                          One sterile, foldable Artificial Iris made of silicone, with or without fibre and custom made specific to the patient.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Custom made                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $5,607.00

02 - Ear, Nose & Throat
Billing Code                                                                           Product Name                                                                                                                 Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Size                                                                                                                                                                                                                                                                                                                                                                                                                      Minimum Benefit  Condition
02.01 - EAR
02.01.01 - Cochlear Implants
     Advanced Bionics Australia Pty Ltd
BD029                                                                                  HiRes Ultra Cochlear Implant                                                                                                 The HiRes Ultra Cochlear Implant  with HiFocus is the implanted component of the HiResolution Bionic Ear