Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p419
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 419/706)
Character Range: 1391774–1395276

20mm and 24mm),  $256.00
                                      Two (2) sutures (2-0 ePTFE or 3-0 ePTFE),
                                      Two (2) needle shapes (1/2 circle and 3/8 circle),
                                      Two (2) needle lengths (18mm and 22mm).

10 - Vascular
Billing Code  Product Name  Description  Size  Minimum Benefit  Condition

10.01 - Vascular Stents
10.01.01 - Bare Metal Stents
  10.01.01.01 - Balloon Expandable
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ464  Cobalt Chromium Balloon Expandable Peripheral Stent  Cobalt Chromium  Diameter 4-10mm, Length 12-58mm  $1,053.00

SJ442  Omnilink Elite Vascular Balloon-Expandable Stent System  Omnilink Elite Vascular Balloon-Expandable Stent System is a balloon- expandable stent system  indicated for the treatment of atherosclerotic iliac artery lesions with reference vessel diameters of ≥ 5.0 mm and ≤ 11.0 mm, and lesion lengths up to 50 mm.  6.0mm x (12,16,19,29,39,59)mm x 80cm                       7.0mm x (12,16,19,29,39,59)mm x 80cm                      8.0mm x (19,29,39,59)mm x 80cm                                 9.0mm x (19,29,39,59)mm x 80cm                                10.0mm x (19,29,39,59)mm x 80cm                              6.0mm x (12, 16,19,29,39,59)mm x 135cm                 7.0mm x (12, 16,19,29,39,59)mm x 135cm                  8.0mm x (19,29,39,59)mm x 135cm                              9.0mm x (19,29,39,59)mm x 135cm                              10.0mm x (19,29,39,59)mm x 135cm  $1,053.00

SJ441  Omnilink Stainless Steel Balloon Deployable Peripheral Stent  Stainless Steel Balloon Expandable Peripheral Stent on 018/035 system  018 & 035 system: 5-10mm diameter by 12, 16, 18, 28, 38, 58mm length  $1,053.00

     BARD AUSTRALIA PTY. LIMITED
BA218  Lifestent Valeo  Stainless Steel Balloon Expandable Peripheral Stent  6-10mm diameter 17-56mm length  $1,053.00

     BIOTRONIK AUSTRALIA PTY LIMITED
BT249  Dynetic-35 Peripheral Balloon-Expandable Stent System   Dynetic-35 is a balloon-expandable  cobalt chromium alloy (L-605) stent pre-mounted on an over-the-wire PTA balloon catheter delivery system.  Diameter: 5-10mm; Length: 18-78mm; Catheter length: 90-170 cm  $1,053.00

     BOSTON SCIENTIFIC PTY LTD
BS059  Express Vascular LD Stent; Express Vascular SD Stent  Stainless Steel, Balloon Expanding Stent  Stent Diameters up to 10mm and lengths up to 60mm  $1,053.00

     CORDIS AUSTRALIA PTY LTD
JW016  Palmaz Genesis Peripheral Stent on Opta Pro (Large)  Stainless steel balloon expandable stent mounted on an Opta Pro Balloon.  Diameter 4-12mm, length 11-79mm  $1,053.00

JW012  Palmaz Genesis Peripheral Stent on Opta Pro (Medium)  Stainless steel balloon expandable stent mounted on an Opta Pro Balloon  Diameter 4-8mm, length 12-39mm  $1,053.00

JW014  Palmaz Blue .014 Renal Stent System (on Aviator Plus)  CoCr balloon expandable stent  12, 15, 18, 24mm Lengths  40, 50, 60, 70mm diameters  80, 142cm shaft lengths  $1,053.00

JW018  PALMAZ® BLUE™ .018 Peripheral Stent System  L605 Cobalt Chromium Alloy Balloon Expandable Stent  12, 15, 18, 24mm length 4, 5, 6, 7mm diameter  $1,053.00

  10.01.01.02 - Self Expandable, <150mm
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ446  Supera Peripheral Stent System  Interwoven Self-Expanding Nitnol Stent  Stent inner diameter: 4.0 mm - 8.0 mm  Stent outer diameter: 4.5 mm - 7.5 mm  Stent length: 20 mm - 120 mm  $1,201.00

SJ462  Xact/ Xact Flex Carotid Stent  Nitinol Self-Expanding stent on rapid