Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p347
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 347/706)
Character Range: 1141992–1144919

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.

     MAXONIQ PTY LTD
OG001  OMX Solutions patient Optimized Guide system  CT Based Patient Specific Surgical Guide  The device is patient specific so size will vary  $1,450.00  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.

OG007  MAXONIQ Surgical Guide Dental (STMN)  The MAXONIQ Surgical Dental Guide is a patient-specific and single use device that is intended to be used in conventional and multiple dental, partial and full dental arch and zygomatic implantation procedures to be used with Straumann Implant systems. It is designed from patient scan data or surgical restoration templates and is given a predefined shape and hole configuration to guide the placement of dental-guided surgery reference pins. It is also used as a drill guide for the placement of dental implants in the early stages of dental implantation procedures. The surgical guides manufactured by MAXONIQ Pty Ltd using the coDiagnosiX software are specifically designed to be used with Straumann dental implants listed under the following rebate codes, SB008, SB009, SB015, SB018, SB029, SB030 and SB035.  Sizes vary  $1,450.00  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