Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p370
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 370/696)
Character Range: 13142415–13178704

filled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                500cc to 1050cc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $668.00

  Pre-shaped
     J T Medical Pty Ltd
JT004                                                           Sublime Line Mammary Implant                                                                           Smooth, Microthane or textured surface. Round or oval based with anatomical or central projection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Low Profile, Moderate Profile, High Profile and Extra High Profile. Sizes 500-1035cc.                                                                                                                                                                                                                                                                                                                                                                                                                                            $1,170.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
MN127                                                           Mentor Contour Profile Gel Implant                                                                     Textured, Contour Profile, Cohesive lll, Gel implant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         ≥500cc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $1,170.00

     LIFEHEALTHCARE PTY LIMITED
LH730                                                           MOTIVA IMPLANTS ANATOMICAL TRUEFIXATION                                                                Sterile Silicone Breast Implants. Gel filled, pre-shaped.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    500-600 cc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $1,170.00
LH727                                                           Motiva Ergonomix Implant Matrix, SilkSurface with QID                                                  Sterile Silicone Breast Implants, Motiva Ergonomix Matrix, SilkSurface PLUS with QID  - prostheses, Internal, Mammary, gel filled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            500cc TO 775cc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $1,170.00

08 - Cardiac
Billing Code                                                                                                                                                        Product Name                                                                                                                                           Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Minimum Benefit  Condition
08.01 - Single Chamber ICDs
08.01.02 - Features of 8.1.1 plus auto test sensing parameters, auto capture threshold test, lead impedance test, wireless remote analysis
  a, d
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ326                                                                                                                                                               Ellipse VR CD1377-36/CD1377-36C                                                                                                                        Single Chamber Cardioverter Defribrillator                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               31cc, 66g                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $23,920.00
SJ333                                                                                                                                                               Fortify Assura VR CD1359-40/CD1359-40C                                                                                                                 Single Chamber Cardioverter Defibrillator with 40J delivered energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      76g , 35cc                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $23,920.00

     BIOTRONIK AUSTRALIA PTY LIMITED
BT229                                                                                                                                                               Intica Neo 7 VR-T                                                                                                                                      Single Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1, IS-1 connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             W x H x D (mm) 65 x 55 x 11, Volume: 33cc, Mass: 82g                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $23,920.00
BT230                                                                                                                                                               Intica Neo 7 VR-T DX                                                                                                                                   Single Chamber ICD, ventricular capture control, physiological rate adaption, additional atrial detection (DX),automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1, IS-1 connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            65mm x 55mm x 11mm, 33cm3, 82grams                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $23,920.00

     BOSTON SCIENTIFIC PTY LTD
BS340                                                                                                                                                               MOMENTUM EL VR DF-1                                                                                                                                    Single Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector. ENDURALIFE Battery Technology                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            29.5cc, 68.9g, 5.37 x 7.79 x 0.99 cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $23,920.00
BS278                                                                                                                                                               AUTOGEN ICD VR DF-1                                                                                                                                    Single Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           28.5cc -31.5cc, 61.9g - 70.7g, 9.9mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $23,920.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI112                                                                                                                                                               Evera XT VR DF1/ Evera MRI XT VR SureScan DF1                                                                                                          Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, Optimised Battery Chemistry, SmartShock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management. DF1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            33cm³ 77g                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $23,920.00
MI256                                                                                                                                                               VISIA AF S ICDs/ VISIA AF MRI S SureScan ICDs                                                                                                          Digital single chamber implantable cardioverter defibrillator. PhysioCurve™ Design, SmartShock™ Technology, OptiVol™ 2.0 Fluid Status Monitoring, Complete Capture Management™ Diagnostic (RVCM), AF Diagnostics including SureScan/ MRI models                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          33cm³ 77g                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $23,920.00
MI394                                                                                                                                                               Cobalt™ XT VR ICD MRI SureScan™                                                                                                                        Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      33.2