Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p348
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 348/696)
Character Range: 12814593–12827050

STRYKER AUSTRALIA PTY LTD
QQ588                                                           Facial iD Orbital                                                                                      Custom Maxillofacial Meshes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Custom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $4,095.00

  Coated
     STRYKER AUSTRALIA PTY LTD
HW433                                                           E-POR Biomaterial/ Orbital Wall and Floor Porous Polyethylene Titanium Mesh Composite (large)          Orbital Wall and Floor Porous Polyethylene Titanium Mesh Composite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           41 x 42 x 0.6-1.0mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $960.00

  07.02.07.03 - Rim
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE808                                                           Su-Por Orbital Rim, Extended                                                                           An implantable device intended to support, contour, and provide structure for the face including the cheeks and eye socket. 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 (44mm x 38mm)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $385.00

     STRYKER AUSTRALIA PTY LTD
SK511                                                           Orbital Rim                                                                                            Orbital rims, left and right extended. Models 9539, 9540 Orbital Rim Onlay Implants 81001, 81002                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Left & right extended models 47 x 40mm Oribtal Rim Onlay Implants left & right 40 x 40mm                                                                                                                                                                                                                                                                                                                                                                                                                                         $385.00

  Biomodelled
     ANATOMICSRX PTY LTD
QQ012                                                           Anatomics Patient Specific Orbital Rim                                                                 Custom, 3D-printed orbital rim constructed of porous polyethylene.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           The device is custom made so the size will vary.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $4,095.00

  07.02.07.04 - Wedge for Orbit
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE816                                                           Su-Por Enophthalmos Wedge                                                                              The Su-Por Enophthalmos Wedge is contoured in the shape of the orbital floor and provides volume to restore the orbit to its normal shape and size.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          24mm x 33.5mm x 7mm (left,right)  28mm x 40mm x 7.5mm (left, right)                                                                                                                                                                                                                                                                                                                                                                                                                                                              $325.00

     STRYKER AUSTRALIA PTY LTD
HW410                                                           Enophthalmos Wedge                                                                                     Regular left and right. Large left and right. (Models 9541 - 9544)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Regular: 22 x 31 x 7mm. Large: 28 x 40 x 7.5mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $325.00

  07.02.07.05 - Surgical Guide
  Biomodelled
     ANATOMICSRX PTY LTD
QQ013                                                           Anatomics Patient Specific Surgical Guide                                                              The Surgical Guide component of the system is created from the patient's CT scan data to assist the surgeon with pre- and intraoperative planning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           The device is custom made so the size will vary.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $2,584.00        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