Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p63
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 63/696)
Character Range: 1364974–1380732

for use in theatre                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Stranded seeds are pre-loaded in brachytherapy needles in a prescribed configuration; up to 120 seeds                                                                                                                                                                                                                                                                                                                                                        $5,766.00
CL002                                                           Advantage I-125 Seed                                                                                 Advantage I-125 seeds are sealed radioactive sources containing Iodine-125 for interstitial brachytherapy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule, up to 120 seeds                                                                                                                                                                                                                                                                                                                                                                           $5,766.00

     BARD AUSTRALIA PTY. LIMITED
BA252                                                           BrachySource® I-125 Implant                                                                          BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source.  Up to 120 seeds per patient.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Seeds are a 4.5mm x 0.8mm welded titanium capsule.                                                                                                                                                                                                                                                                                                                                                                                                           $5,766.00
BA253                                                           ReadyLink® Implant                                                                                   BrachySource® Seed Implants in the ReadyLink® Delivery System.  Up to 120 seeds per patient.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Seeds are 4.5mm x 0.8mm welded titanium capsule preconnected in user defined trains.                                                                                                                                                                                                                                                                                                                                                                         $5,766.00

     RQSOLUTIONS MEDICAL DEVICES DISTRIBUTION SUPPORT PTY LTD
RQ079                                                           I-Seed AgX100 Cartridge Brachytherapy Kit                                                            The I-Seed AgX100 Cartridge brachytherapy kit comprises 8 or fewer cartridges (max. 20 seed) in a vertical seed magazine, VSM20. The kit is supplied sterile and is compatible with the Mick applicator.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    The I-Seed AgX100 Cartridge Brachytherapy Kit generally contains 8 or fewer cartridges, each a max. 20 seeds, a total of 80-100 seeds. Each seed comprises a silver rod with the source within 4.5 x 0.8mm sealed titanium capsule.                                                                                                                                                                                                                          $5,766.00
RQ078                                                           TheraStrand Rx with AgX100 Brachytherapy Kit                                                         The TheraStrand RX brachytherapy kit is prescription-loaded and supplied sterile.  The prescription generally comprises 25 needles containing the brachytherapy I-125 sources (80-100 seeds) sequenced per the physician's treatment plan.  All sources are of the same activity/strength.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter.                                                                                                                                                                                                                                                                                                                                    $5,766.00

  03.01.02.02 - Single Seed or Partial Dose
     Alphaxrt Pty Ltd
CL003                                                           Advantage I-125 Seed                                                                                 The Advantage I-125 seed is a sealed radioactive source containing Iodine-125 for interstitial brachytherapy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule                                                                                                                                                                                                                                                                                                                                                                                            $73.00

     BARD AUSTRALIA PTY. LIMITED
BA251                                                           BrachySource® I-125 seeds                                                                            Single BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source.  To be used only if more than 120 seeds are used per patient.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Seeds are a 4.5mm x 0.8mm welded titanium capsule.                                                                                                                                                                                                                                                                                                                                                                                                           $73.00

     RQSOLUTIONS MEDICAL DEVICES DISTRIBUTION SUPPORT PTY LTD
RQ076                                                           Theragenics C20 IsoLoader Magazines in TPSII Individual - 20 seeds per magazine - sterile            The C20 IsoLoader cartridge is a shielded cartridge holding up to 20 I125 seeds, supplied in accordance with the surgeon's requirements.  Benefit is per seed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1 representation in a delivery magazine with a loading of up to 20 seeds                                                                                                                                                                                                                                                                                                                                                                                     $73.00
RQ077                                                           TheraStrand RX with I-Seed AgX100 I125 implants                                                      AgX100 I-125 Seeds pre-loaded. The billing code is to be applied only if more than 100 seeds are used