Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p338
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 338/706)
Character Range: 1117265–1120073

Surgery  Biomodelled Patient Specific Surgical Guide for Craniofacial Surgery  Custom  $1,315.00  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.

07.02.03 - Ear
  07.02.03.01 - Helical Rim
     STRYKER AUSTRALIA PTY LTD
HW420  Ear Reconstruction  Porus Polyethylene. Helical rim, models 8328 and 8329  Helical rim: 37 x 62mm  $277.00

  07.02.03.02 - Ear Base
     STRYKER AUSTRALIA PTY LTD
HW432  Ear Reconstruction  Porus Polyethylene. Ear base left and right, models 7542 and 7525  - 7527. Ear base extended left and right, models 8330 and 8331.  Ear base: 29 x 55 x 13mm, 32 x 65 x 16mm. Ear base extended: 30 x 60mm.  $395.00

07.02.04 - Malar
     STRYKER AUSTRALIA PTY LTD
SK512  Malar Shape  Porus Polyethylene. Design RZ malar shapes, super petite and petite, left and right (Models 9501 - 9504). Design M malar shapes, left and right (Models 9507 - 9512). Additional malar shapes, extended contoured left and right (Models 9513 - 9518) Contoured  Design RZ malar shapes: super petite left and right 50 x 19 x 3mm, Design RZ malar shapes petite left and right 50 x 19 x 5mm. Design malar shapes: small left and right  64 x 19 x 3mm, left and right medium 64 x 19 x 4.5mm, Left and right large 64 x 19 x   $322.00

  07.02.04.01 - Complex
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE807  Su-Por Malar, Paranasal, Midface Implant  An implantable device intended to support, contour and provide structure for the face including the cheeks and eye sockets. Made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in various shapes and can be cut by the surgeon to meet the patient's specific needs.  Left and Right (47mm x 24mm x 4mm)  $1,121.00

     JOHNSON