Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p338
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 338/696)
Character Range: 12735323–12746102

Fixation System                                                                     Plates - Reconstruction                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      5 x 16 Hole plate Right & Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $453.00

     MEDTRONIC AUSTRALASIA PTY LTD
MC515                                                           TiMesh                                                                                                 Hemimandible, Left/Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     One size only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $453.00

  Maxilla
     MEDTRONIC AUSTRALASIA PTY LTD
MC512                                                           TiMesh                                                                                                 Maxillary Prosthesis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         One size only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $1,491.00

  Symphsis
     MEDTRONIC AUSTRALASIA PTY LTD
MC516                                                           TiMesh                                                                                                 Mandibular Symphysis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         One size only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $909.00

  07.02.05.07 - Surgical Guide
  Biomodelled
     AA-Med Pty Ltd
ZZ049                                                           Lyka Smith Patient Specific Guides                                                                     Patient specific surgical guide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              The device is custom made so the size will vary.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $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 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. The condition is taking effect on 1 February 2024.
ZZ047                                                           OrthoTin Surgical Guide                                                                                Patient specific surgical guide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              The device is custom so the size may vary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $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 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