Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p650
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 650/706)
Character Range: 2125600–2128705

strength and regeneration. The resulting acellular dermal matrix serves as a scaffold for tissue repair and regeneration. It can be used in procedures like breast reconstruction, hernia repair, wound healing, and other soft tissue reconstructions.          26 to 60cm²  $3,257.00

ADD39  Acellular Dermal Matrix > 300cm²  ADM is derived from full thickness human skin, that has been processed to remove cells and cellular components while preserving the extracellular matrix (ECM). The extracellular matrix is the structural framework that provides support and organization to tissues. It consists of various proteins, such as collagen, elastin, and other growth factors, that contribute to tissue strength and regeneration. The resulting acellular dermal matrix serves as a scaffold for tissue repair and regeneration. It can be used in procedures like breast reconstruction, hernia repair, wound healing, and other soft tissue reconstructions.  > 300cm²  $23,569.00

ADD43  Acellular Dermal Matrix 181 to 300cm²    ADM is derived from full thickness human skin, that has been processed to remove cells and cellular components while preserving the extracellular matrix (ECM). The extracellular matrix is the structural framework that provides support and organization to tissues. It consists of various proteins, such as collagen, elastin, and other growth factors, that contribute to tissue strength and regeneration. The resulting acellular dermal matrix serves as a scaffold for tissue repair and regeneration. It can be used in procedures like breast reconstruction, hernia repair, wound healing, and other soft tissue reconstructions.    181 to 300cm²  $13,028.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
SYN06  Skin 181 to 300cm² - acellular dermal matrix allograft from human origin        $14,000.00

SYN14  Skin 121 to 180cm² - acellular dermal matrix allograft from human origin        $9,900.00

SYN03  Skin < 25cm² - acellular dermal matrix allograft from human origin        $2,200.00

SYN07  Skin > 300cm² - acellular dermal matrix allograft from human origin        $27,000.00

SYN05  Skin 61 to 120cm² - acellular dermal matrix allograft from human origin        $5,700.00

SYN04  Skin 26 to 60cm² - acellular dermal matrix allograft from human origin        $3,500.00

     METRO SOUTH HOSPITAL AND HEALTH SERVICE
QBB73  Skin 50-200cm² (graft from human origin, multiple sizes), Frozen  Skin 200cm² - frozen skin graft from human origin     $933.00

     NSW HEALTH SERVICE - SOUTH EASTERN SYDNEY LOCAL HEALTH DISTRICT
NCC70  Skin  Frozen skin from human origin  151 to 200 cm²  $826.00

NCC66  Skin  Frozen skin from human origin  <50 cm²  $206.00

NCC68  Skin  Frozen skin from human origin  81 to 110 cm²  $454.00

NCC69  Skin  Frozen skin from human origin  111 to 150 cm²  $619.00

NCC67  Skin  Frozen skin from human origin  51 to 80 cm²  $330.00

Prescribed List -Part C

03 - General Miscellaneous
Billing Code  Product Name  Description  Size  Minimum Benefit  Condition

03.02 - DRUG DELIVERY DEVICES
03.02.03 - Infusion Pumps, Battery Powered
  03.02.03.02