Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p351
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 351/706)
Character Range: 1152626–1155644

Bundle (Surgical Guide and Implants - Plates and Screws)  Custom  $1,450.00  Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction & Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable dental medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure.

HW653  VSP Reconstruction Mandibular/Maxillary Case Bundle  VSP Reconstruction Mandibular/Maxillary Case Bundle (With Metal Inserts) Customized Bundle  Custom  $1,450.00  Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction & Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems of Schedule 1, or sub-category 07.03 - Dental Implants, but only if the implantable dental medical device is explicitly identified in the product name or description of the billing code for the surgical guide or biomodel and is used in hospital. Not limiting the above, for a claim for any implantation procedure (defined by the respective MBS items stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure.

  07.02.05.08 - Maxilla
  Biomodelled
     AA-Med Pty Ltd
ZZ099  Materialise PorousiTi - Maxilla  Patient specific Titanium 3D printed implant for maxilla  Personalized so the size is variable  $6,337.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
SY828  OBL PorousiTi Patient Specific Implant - Maxilla  Patient specific implant for maxilla constructed of PorousiTi  The model is custom made so size will vary  $6,337.00

  07.02.05.09 - Hemi-mandible
  Biomodelled
     ANATOMICSRX PTY LTD
QQ010  Anatomics Patient Specific Mandible  Custom mandible implant constructed