Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p640
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 640/696)
Character Range: 22506248–22513403

$11,421.00
SHV03                                         Conduit - Arterial              Conduit - Arterial         $4,499.00

04 - Dermatologic
Billing Code                                                                                                                                   Product Name                                                                               Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Size                                                                                                                                                                                                                                                                                                                                                Minimum Benefit  Condition
     AUSTRALIAN TISSUE DONATION NETWORK LIMITED
ADD39                                                                                                                                          Acellular Dermal Matrix > 300cm²                                                           ADM is derived from full thickness human skin, that has been processed to remove cells and cellular components while preserving the extracellular matrix (ECM). The extracellular matrix is the structural framework that provides support and organization to tissues. It consists of various proteins, such as collagen, elastin, and other growth factors, that contribute to tissue strength and regeneration. The resulting acellular dermal matrix serves as a scaffold for tissue repair and regeneration. It can be used in procedures like breast reconstruction, hernia repair, wound healing, and other soft tissue reconstructions.                                                                                                                      > 300cm²                                                                                                                                                                                                                                                                                                                                            $23,569.00
ADD37                                                                                                                                          Acellular Dermal Matrix <25cm²                                                             ADM is derived from full thickness human skin, that has been processed to remove cells and cellular components while preserving the extracellular matrix (ECM). The extracellular matrix is the structural framework that provides support and organization to tissues. It consists of various proteins, such as collagen, elastin, and other growth factors, that contribute to tissue strength and regeneration. The resulting acellular dermal matrix serves as a scaffold for tissue repair and regeneration. It can be used in procedures like breast reconstruction, hernia repair, wound healing, and other soft tissue reconstructions.                                                                                                                      <25cm²                                                                                                                                                                                                                                                                                                                                              $2,036.00
ADD42                                                                                                                                          Acellular Dermal Matrix 61 to 120cm² Dermal Matrix 61 to 120cm²                            ADM is derived from full thickness human skin, that has been processed to remove cells and cellular components while preserving the extracellular matrix (ECM). The extracellular matrix is the structural framework that provides support and organization to tissues. It consists of various proteins, such as collagen, elastin, and other growth factors, that contribute to tissue strength and regeneration. The resulting acellular dermal matrix serves as a scaffold for tissue repair and regeneration. It can be used in procedures like breast reconstruction, hernia repair, wound healing, and other soft tissue reconstructions.                                                                                                                      61cm² to 120cm²                                                                                                                                                                                                                                                                                                                                     $5,428.00
ADD43                                                                                                                                          Acellular Dermal Matrix 181 to 300cm²                                                        ADM is derived from full thickness human skin, that has been processed to remove cells and cellular components while preserving the extracellular matrix (ECM). The extracellular matrix is the structural framework that provides support and organization to tissues. It consists of various proteins, such as collagen, elastin, and other growth factors, that contribute to tissue strength and regeneration. The resulting acellular dermal matrix serves as a scaffold for tissue repair and regeneration. It can be used in procedures like breast reconstruction, hernia repair, wound healing, and other soft tissue reconstructions.                                                                                                                    181 to 300cm²                                                                                                                                                                                                                                                                                                                                       $13,028.00
ADD38                                                                                                                                          Acellular Dermal Matrix 26 to 60cm²                                                        ADM is derived from full thickness human skin, that has been processed to remove