Private Health Insurance (Prostheses) Amendment Rules 2015 (No. 3) (Cth)

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Private Health Insurance (Prostheses) Amendment Rules 2015 (No. 3)

I, Michael Ryan, delegate of the Minister for Health, make these Rules under item 4 of the table in section 333-20 of the Private Health Insurance Act 2007.

Dated 4 November 2015

Michael Ryan

Michael Ryan

Acting Assistant Secretary

Private Health Insurance Branch

Medical Benefits Division

Department of Health

Contents

PART 1PRELIMINARY

3. Authority 3

SCHEDULE – AMENDMENTS 4

Part 1Preliminary

1.Name of Rules

These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2015 (No. 3).

2.Commencement

These Rules commence on 27 November 2015.

3.Authority

These Rules are made under item 4 of the table in s 333-20 of the Private Health Insurance Act 2007.

4.Schedules

  1. Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule – Amendments

Private Health Insurance (Prostheses) Rules 2015 (No. 2)

[1]

Part 1- Preliminary, 4 - Definitions

Insert “cardiac home/remote monitoring systemincludes a component of a cardiac home/remote monitoring system.”

  1. [2]

    Part 3 – Other, 10 - Listing criteria for prostheses to be listed in Part C of the Schedule

    Repeal therule, substitute:

    For a listing application to be granted to list a kind of prosthesis in Part C of the Schedule, the listing criterion is that the kind of prosthesis is an:

    (a) insulin infusion pump;

    (b) implantable cardiac event recorder; or

    (c) cardiac home/remote monitoring systems.

    Note 1: The power to make listing criteria is in subsection 72-10(6) of the Act.

    Note 2: Under subsection 72-10(7) of the Act the Minister must not grant a listing application if any applicable listing criteria are not satisfied in relation to the application.

    Note 3: Under the Act the Minister may refuse to grant a listing application even if the listing criteria are satisfied. See Note to subsection 72-10(7) of the Act.

  2. [3]

    Schedule, Part A, Group 01.05.03 – Ab Interno Glaucoma Drainage Device, entry for billing code OQ001

Delete the subheading “Opthalmico Pty Ltd

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

OQ001

Hydrus Microstent

Intracanilicular scaffold, made from a biocompatible alloy, for the treatment of primary open angle glaucoma

8 mm in length

$800.00

  1. [4]

    Schedule, Part A, SubGroup 02.01.05.01 – Stapes, entry for Billing Code PM032

Delete the subheading “LMA PacMed Pty Ltd

Under that subheading,delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM032

Stapes

a) NiTiBOND

b) Soft CliP

c) K-Piston

d) Angular Piston

e) CliP Piston aWengen

f) CliP Piston MVP

g) Lenticle Cup

a) Diameter - 0.4 or 0.6mm in lengths - 3.5 to 5.5mm

b)

Diameter - 0.4 or 0.6mm in lengths 3.5 to 5.5mm

c) Diameter - 0.4 or 0.6mm in lengths 3.5 to 10mm

d) Diameter 0.4 or 0.6mm in lengths 4.25, 4.5, 4.75mm

e) Diameter - 0.4mm or 0.6mm in lengths 3.5 to 5.5mm

f) Diameter 0.4 or 0.6mm in lengths - 5 to 6.25mm

g) lengths - 3 to 4.5mm

$104.00

  1. [5]

    Schedule, Part A, SubGroup 02.01.05.01 – Stapes, after entry for Billing Code OL075

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX045

Stapes

a) NiTiBOND

b) Soft CliP

c) K-Piston

d) Angular Piston

e) CliP Piston aWengen

f) CliP Piston MVP

g) Lenticle Cup

a) Diameter - 0.4 or 0.6mm in lengths - 3.5 to 5.5mm

b)

Diameter - 0.4 or 0.6mm in lengths 3.5 to 5.5mm

c) Diameter - 0.4 or 0.6mm in lengths 3.5 to 10mm

d) Diameter 0.4 or 0.6mm in lengths 4.25, 4.5, 4.75mm

e) Diameter - 0.4mm or 0.6mm in lengths 3.5 to 5.5mm

f) Diameter 0.4 or 0.6mm in lengths - 5 to 6.25mm

g) lengths - 3 to 4.5mm

$104.00

  1. [6]

    Schedule, Part A, SubGroup 02.01.05.03 – Partial Ossicle Replacement (one or two), entry for Billing Code PM028

Delete the subheading “LMA PacMed Pty Ltd

Under that subheading,delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM028

Partial Ossicle Replacement

a) TTP Tuebingen Type bell

b) CliP Dresden Type

c) Malleus

d) Angular Plester

e) Angular CliP

f) TTP – Vario Bell TTP – Variac System, Partial

g) CliP Partial FlexBAL

h) Dusseldorf Tyupe Partial

a) length – 1.75 to 3.5mm

b) Length 1.75 to 3.5mm

c) 1075 to 3.5mm

d) length 2.25 or 3.35mm

e) length 2.25 or 3.25mm

f) one size

g) lengths – 1.75 to 3.5mm

h) lengths – 1.75 to 4.5mm

$360.00

  1. [7]

    Schedule, Part A, SubGroup 02.01.05.03 – Partial Ossicle Replacement (one or two), after entry for Billing Code TX002

Insert the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX046

Partial Ossicle Replacement

a) TTP Tuebingen Type bell

b) CliP Dresden Type

c) Malleus

d) Angular Plester

e) Angular CliP

f) TTP – Vario Bell TTP – Variac System, Partial

g) CliP Partial FlexBAL

h) Dusseldorf Tyupe Partial

a) length – 1.75 to 3.5mm

b) Length 1.75 to 3.5mm

c) 1075 to 3.5mm

d) length 2.25 or 3.35mm

e) length 2.25 or 3.25mm

f) one size

g) lengths – 1.75 to 3.5mm

h) lengths – 1.75 to 4.5mm

$360.00

  1. [8]

    Schedule, Part A, SubGroup 02.01.05.04 – Total Ossicle Replacement (three), entry for Billing Code PM119

Delete the subheading “LMA PacMed Pty Ltd

Under that subheading,delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM119

Total Ossicle Replacement

a) TTP Tuebingen Type Aerial Type

b) TTB-Vario Aerial

c) TTP Variac System Total

d) Malleus Notch Prosthesis

e) Regensburg Type Titanium Prosthesis

f) Malleus Replacement

g) Regensburg Type Total

h) Duesseldorf Type Total

a) Length - 3 to to 7mm

b) one size only

d) Length - 3 to 7mm

e) Length - 4 to 5mm

f) one size only

g) lengths - 4 to 5mm

h) lengths - 3 to 7mm

$404.00

  1. [9]

    Schedule, Part A, SubGroup 02.01.05.04 – Total Ossicle Replacement (three), after entry for Billing Code OL074

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX047

Total Ossicle Replacement

a) TTP Tuebingen Type Aerial Type

b) TTB-Vario Aerial

c) TTP Variac System Total

d) Malleus Notch Prosthesis

e) Regensburg Type Titanium Prosthesis

f) Malleus Replacement

g) Regensburg Type Total

h) Duesseldorf Type Total

a) Length - 3 to to 7mm

b) one size only

d) Length - 3 to 7mm

e) Length - 4 to 5mm

f) one size only

g) lengths - 4 to 5mm

h) lengths - 3 to 7mm

$404.00

  1. [10]

    Schedule, Part A, Group 02.01.06 – Ventilation Tube/Grommet, entry for Billing Code PM065

Delete the subheading “LMA PacMed Pty Ltd

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM065

Ventilation Tubes / Grommet

a) Tubingen Gold Type

b) Tubingen Titanium Type

c) T Tube

d) Reuter Bobbin Type

e) Paparella Type

f) Collar Button Type

g) Star Tube

h) Bevel Buttton Tube

i) Straight Tube

j) Armstrong Type

k) Shepard Type

l) Donaldson Type

m) Angular Type

n) Myringotomy Tube with Trocar

o) Ventilation Tubes with Eyelets

p) Minimal Type

a) I.D.

1.25mm w/w, I.D.1.25mm wo/w, I.D. 1.5mm wo/w

b) one size only

c) L- 6, 7.5, 12

d) I.F.O.D 2.5mm, 2.7mm

e) one size only

f) one side only

g) one size only

h) one size only

i) i.d.-0.9mm,1.1mm,1.15mm

j) L-3.8mm, 3.7mm, 10mm

k) L- 2.2mm w/t, 2.2mm wo/t,2.4mm w/t

l) S- one size only, F one size only

m) one size only

n) Silver or Titanium

o) one or two

p) one size only

$20.00

  1. [11]

    Schedule, Part A, Group 02.01.06 – Ventilation Tube/Grommet, after entry for Billing Code ET076

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX048

Ventilation Tubes / Grommet

a) Tubingen Gold Type

b) Tubingen Titanium Type

c) T Tube

d) Reuter Bobbin Type

e) Paparella Type

f) Collar Button Type

g) Star Tube

h) Bevel Buttton Tube

i) Straight Tube

j) Armstrong Type

k) Shepard Type

l) Donaldson Type

m) Angular Type

n) Myringotomy Tube with Trocar

o) Ventilation Tubes with Eyelets

p) Minimal Type

a) I.D.

1.25mm w/w, I.D.1.25mm wo/w, I.D. 1.5mm wo/w

b) one size only

c) L- 6, 7.5, 12

d) I.F.O.D 2.5mm, 2.7mm

e) one size only

f) one side only

g) one size only

h) one size only

i) i.d.-0.9mm,1.1mm,1.15mm

j) L-3.8mm, 3.7mm, 10mm

k) L- 2.2mm w/t, 2.2mm wo/t,2.4mm w/t

l) S- one size only, F one size only

m) one size only

n) Silver or Titanium

o) one or two

p) one size only

$20.00

  1. [12]

    Schedule, Part A, Group 02.03.01 – Tracheal Speaking Valve, entry for Billing Code PM057

Delete the subheading “LMA PacMed Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM057

Tracheal Speaking Valve

1. Passy -Muir - a) Purple

b) Clear c) Aqua

2. Provox - a) Two b) Vega c)

Vega Puncture Set

1. One size only

2. a) 4.5, 6, 8, 10, 12.5, 15mm

b) 17, 20, 22.5Fr in 4, 6, 8, 10, 12.5, 15mm

c) 17, 20, 22.5Fr in 8, 10, 12.5, 15mm

$102.00

  1. [13]

    Schedule, Part A, Group 02.03.01 – Tracheal Speaking Valve

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX049

Tracheal Speaking Valve

1. Passy -Muir - a) Purple

b) Clear c) Aqua

2. Provox - a) Two b) Vega c)

Vega Puncture Set

1. One size only

2. a) 4.5, 6, 8, 10, 12.5, 15mm

b) 17, 20, 22.5Fr in 4, 6, 8, 10, 12.5, 15mm

c) 17, 20, 22.5Fr in 8, 10, 12.5, 15mm

$102.00

  1. [14]

    Schedule, Part A, Group 02.03.02 – Vocal Chord Medialisation Implant, entry for Billing Code PM107

Delete the subheading “LMA PacMed Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM107

Vocal Chord Medialisation Implant

Montgomery Laryngeal Keel

12, 14, 16 - Clear and Radiopaque

$275.00

  1. [15]

    Schedule, Part A, Group 02.03.02 – Vocal Chord Medialisation Implant, after entry for Billing Code OL072

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX050

Vocal Chord Medialisation Implant

Montgomery Laryngeal Keel

12, 14, 16 - Clear and Radiopaque

$275.00

  1. [16]

    Schedule, Part A, Group 02.03.04 – Thyroplasty, entry for Billing Code PM033

Delete the subheading “LMA PacMed Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM033

Thyroplasty

Montgomery Thyroplasty Implant System

male - 8,9,10,11,12,13

female - 6,7,8,9,10

$1,172.00

  1. [17]

    Schedule, Part A, Group 02.03. 04 – Thyroplasty

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX051

Thyroplasty

Montgomery Thyroplasty Implant System

male - 8,9,10,11,12,13

female - 6,7,8,9,10

$1,172.00

  1. [18]

    Schedule, Part A, Group 02.03.05 – Cannula, following subheading “Extra-tracheal”, entry for Billing Code PM102

Delete the subheading “LMA PacMed Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM102

Extra-tracheal Cannula

a) Montgomery Short-Term Cannula

b) Montgomery Long-Term Cannula

a) 4, 6, 8, 10 b) 4, 6, 8, 10 for Stoma Sizes 17-25, 25-33, 33-41, 41-49, 49-57, 57-65mm

$298.00

Delete the subheading “Extra-tracheal

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

PM104

Intra-tracheal Cannula

Montgomery Safe-T-Tubes Clear and Radiopaque except c)

a) Paediatric

b) Standard

c) Hebeler

d) Thoracic

e) Extra-Long

f) Tapered

g) Montgomery Salivary Bypass Tube

h) Har-el Pharyngeal Tube

i) Montgomery Esophageal Tube

j) Trachael Fenestrator

k) Moore Trache

a) 6, 7, 8, 9

b) 10, 11, 12, 13, 14. 15, 16

c) 12, 15, 18

d) 10, 11, 12, 13, 14, 15, 16

e) 10, 11, 12, 13, 14, 15, 16

f) 8/10, 10/13

g) 8, 10, 12, 14, 16, 18, 20

h) one size only

i) one size only

$471.00

  1. [19]

    Schedule, Part A, Group 02.03.05 – Cannula, following subheading “Extra-tracheal”

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX052

Extra-tracheal Cannula

a) Montgomery Short-Term Cannula

b) Montgomery Long-Term Cannula

a) 4, 6, 8, 10 b) 4, 6, 8, 10 for Stoma Sizes 17-25, 25-33, 33-41, 41-49, 49-57, 57-65mm

$298.00

Insert the subheading “Intra-tracheal

After that subheading, insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX053

Intra-tracheal Cannula

Montgomery Safe-T-Tubes Clear and Radiopaque except c)

a) Paediatric

b) Standard

c) Hebeler

d) Thoracic

e) Extra-Long

f) Tapered

g) Montgomery Salivary Bypass Tube

h) Har-el Pharyngeal Tube

i) Montgomery Esophageal Tube

j) Trachael Fenestrator

k) Moore Trache

a) 6, 7, 8, 9

b) 10, 11, 12, 13, 14. 15, 16

c) 12, 15, 18

d) 10, 11, 12, 13, 14, 15, 16

e) 10, 11, 12, 13, 14, 15, 16

f) 8/10, 10/13

g) 8, 10, 12, 14, 16, 18, 20

h) one size only

i) one size only

$471.00

  1. [20]

    Schedule, Part A, SubGroup 03.06.01.02 - Reinforced Wall, Uncovered/Bare Metal, entry for Billing Code YO014

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO014

Alimaxx-B Uncovered Biliary Stent System

Biliary stent, radiopaque, self expanding nitinol and premounted on delivery system

Diameter 8mm-10mm.

Length 40mm-80mm

$2,225.00

  1. [21]

    Schedule, Part A, SubGroup 03.06.01.02 - Reinforced Wall, Uncovered/Bare Metal, after entry for Billing Code PY038

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX039

Alimaxx-B Uncovered Biliary Stent System

Biliary stent, radiopaque, self expanding nitinol and premounted on delivery system

Diameter 8mm-10mm.

Length 40mm-80mm

$2,225.00

  1. [22]

    Schedule, Part A, SubGroup 03.06.03.02 - Reinforced Wall, Uncovered/Bare Metal, entry for Billing Code YO016

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO016

ALIMAXX-E Esophageal Stent System

Esophageal stent, radiopaque, self expanding nitinol covered stent, premounted on a delivery system

Diameter 18mm-22mm, Length 70mm-120mm

$2,500.00

  1. [23]

    Schedule, Part A, SubGroup 03.06.03.02 - Reinforced Wall, Uncovered/Bare Metal, after entry for Billing Code DE406

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX041

ALIMAXX-E Esophageal Stent System

Esophageal stent, radiopaque, self expanding nitinol covered stent, premounted on a delivery system

Diameter 18mm-22mm, Length 70mm-120mm

$2,500.00

  1. [24]

    Schedule, Part A, SubGroup 03.06.03.03 - Reinforced Wall, Covered, entry for Billing Code YO013

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO013

EndoMaxx Fully Covered Oesophageal Stent

Oesophageal stent, radiopaque, self expanding nitinol covered and premounted on delivery system

Diameter 19mm-23mm. Length 70mm-150mm.

$3,500.00

  1. [25]

    Schedule, Part A, SubGroup 03.06.03.03 - Reinforced Wall, Covered, after entry for Billing Code PY022

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX038

EndoMaxx Fully Covered Oesophageal Stent

Oesophageal stent, radiopaque, self expanding nitinol covered and premounted on delivery system

Diameter 19mm-23mm. Length 70mm-150mm.

$3,500.00

  1. [26]

    Schedule, Part A, SubGroup, 03.06.06 - Tracheobronchial Stents, entry for Billing Code YO017

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO017

AERO Tracheobronchial Stent System

Radiopaque self-expanding nitinol stent and delivery system

Diameter 10-20mm

Length 20-80mm

$3,000.00

  1. [27]

    Schedule, Part A, SubGroup 03.06.06 - Tracheobronchial Stents, after entry for Billing Code PY026

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX042

AERO Tracheobronchial Stent System

Radiopaque self-expanding nitinol stent and delivery system

Diameter 10-20mm

Length 20-80mm

$3,000.00

  1. [28]

    Schedule, Part A, SubGroup 05.09.01 - Nephrostomy Catheters, entry for Billing Code YO019

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO019

ReSolve (Nephrostomy) Locking Drainage Catheter

Nephrostomy Catheter

6.5F x 15cm, 7.5F x 15cm, 8.5F x 15cm, 10F x 15cm, 12F X 15cm, 14F x 15cm, 6.5F x 25cm, 7.5F x 25cm, 8.5F x 25cm, 10F x 25cm, 12F x 25cm, 14F x 25cm, 6.5F x 40cm, 7.5F x 40cm, 8.5F x 40cm, 10F x 40cm, 12F x 40cm, 14F x 40cm

$120.00

  1. [29]

    Schedule, Part A, SubGroup 05.09.01 - Nephrostomy Catheters after entry for Billing Code BA250

Insert the subheading “Culpan Medical Pty

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

CB017

Skater Nephrostomy Drainage Catheter

A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique

6 – 14 Fr

$120.00

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX044

ReSolve (Nephrostomy) Locking Drainage Catheter

Nephrostomy Catheter

6.5F x 15cm, 7.5F x 15cm, 8.5F x 15cm, 10F x 15cm, 12F X 15cm, 14F x 15cm, 6.5F x 25cm, 7.5F x 25cm, 8.5F x 25cm, 10F x 25cm, 12F x 25cm, 14F x 25cm, 6.5F x 40cm, 7.5F x 40cm, 8.5F x 40cm, 10F x 40cm, 12F x 40cm, 14F x 40cm

$120.00

  1. [30]

    Schedule, Part A, 06.02.04. –, after entry for Billing Code LC177

Insert the new grouping for “06.02.04.15 - Focal defect resurfacing - cap

Insert the subheading “Allegra Orthopaedics Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

AE131

HemiCAP Contoured Articular Resurfacing Shoulder System

Articular Component

- Chrome

Articular Component 25mm;Resurfacing Shoulder System - 2.5mm x 2.5mm to 5.0mm x

5.0mm offset;

Articular Component 30mm - 4.5mm x 4.5mm to 7.0mm x 7.0mm offset; Articular Component 35mm - 6.0mm x 6.0mm to 9.5mm x 9.5mm; Articular Component 40mm - 8.0mm x 8.0mm to 12.0mm x 12.0mm

$4,035.00

Under the entry above, insert a new grouping for “06.02.04.16 – Focal defect resurfacing – screw

Insert the subheading “Allegra Orthopaedics Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

AE132

HemiCAP Contoured Articular Resurfacing Shoulder System

Fixation Screw - Titanium

10.5mm, 12.5mm, 13.7mm, 15.6mm,

$1,545.00

  1. [31]

    Schedule, Part A, SubGroup 06.03.03.05 - Small (screw size 2.71mm – 4.49mm)(including blade) ≥ 7 to ≤ 15 holes Com, VAL, entry for Billing Code LM060

Delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LM060

BioTech Xpode 4

PEEK curved and round plate

14mm-22mm

$1,294.00

  1. [32]

    Schedule, Part A, SubGroup 06.03.03.05 - Small (screw size 2.71mm – 4.49mm)(including blade) ≥ 7 to ≤ 15 holes Com, VAL, after entry for Billing Code TO151

Insert the subheading “Wright Medical Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

WR289

BioTech Xpode 4

PEEK curved and round plate

14mm-22mm

$1,294.00

  1. [33]

    Schedule, Part A, SubGroup 06.03.06.01 – Staples, MM, entry for Billing Code LM159

Delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LM159

Eleos staple

Foot staple

4-34/38mm

$534.00

  1. [34]

    Schedule, Part A, SubGroup 06.03.06.01 – Staples, MM after entry for Billing Code LM214

Insert the subheading “Wright Medical pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

WR290

Eleos staple

Foot staple

4-34/38mm

$534.00

  1. [35]

    Schedule, Part A, SubGroup, 06.03.07.03 AB - Suture, Medium anchors (2.4 – 3.9mm), after entry for Billing Code MN171

Under the subheading “Signature Orthopaedics”, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

SF077

Signature Labral Anchor

These are an hydroxyapatite incorporated absorbable suture anchor for repair and reattachment of the labrum in shoulder and hip arthroscopy.

2.9mm, 3.2mm, 3.5mm and 3.7mm

$527.00

  1. [36]

    Schedule, Part A, SubGroup, 06.03.07.03 AB – Suture, Medium anchors (2.4 – 3.9mm), after entry for Billing Code MN171

Under the subheading “Signature Orthopaedics”, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

SF077

Signature Vector™ Anchor

These are an hydroxyapatite incorporated absorbable suture anchor for repair and reattachment of the labrum in shoulder and hip arthroscopy.

2.9mm, 3.2mm, 3.5mm and 3.7mm

$527.00

  1. [37]

    Schedule, Part A, SubGroup, 06.03.07.04 AB - Suture, Large anchors (≥4mm), after entry for Billing Code JJ949

Under the subheading “Signature Orthopaedics”, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

SF076

Signature Knotless Anchor

These are an hydroxyapatite incorporated PEEK suture anchor for repair and reattachment of the soft tissue in the shoulder.

4.5mm, 5.5mm and 6.5mm

$527.00

  1. [38]

    Schedule, Part A, SubGroup, 06.03.07.04 AB - Suture, Large anchors (≥4mm), after entry for Billing Code JJ949

Under the subheading “Signature Orthopaedics”, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

SF076

Signature Vortex™ Anchor

These are an hydroxyapatite incorporated PEEK suture anchor for repair and reattachment of the soft tissue in the shoulder.

4.5mm, 5.5mm and 6.5mm

$527.00

  1. [39]

    Schedule, Part A, SubGroup, 06.03.07.07 AB, HA - Interference Screw (± sleeve), after entry for Billing Code JJ961

Under the subheadingSignature Orthopaedics”, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

SF057

Bio-Composite Interference Screw

HA infused Ploymer Interference Screws

5-12mm

$481.00

  1. [40]

    Schedule, Part A, SubGroup, 06.03.07.07 AB, HA - Interference Screw (± sleeve), after entry for Billing Code JJ961

Under the subheadingSignature Orthopaedics”, insert the contents of Item 1 and 2 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

SF096

Bio-Composite Interference Screw

HA infused Polymer Interference

5-12mm

$481.00

2

SF097

Bi-On™ Interference Screw

HA infused Polymer Interference

5-12mm

$481.00

  1. [41]

    Schedule, Part A, SubGroup 10.09.01 - Percutaneous Catheters, Single Lumen, entry after Billing Code KA008

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Items 1 and 2 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO001

Arrow Peripherally Inserted Central

Catheterisation Sets

Range of Polyurethane single lumen

peripherally inserted central catheters

with or without stylet

3 Fr, range of lengths

$119.00

2

YO002

Arrow Peripherally Inserted Central Catheterisation Sets

Range of Polyurethane single lumen peripherally inserted central catheters with or without stylet

4 Fr, range of lengths

$119.00

  1. [42]

    Schedule, Part A, SubGroup 10.09.01 - Percutaneous Catheters, Single Lumen, after entry for Billing Code KA008

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX026

Arrow Peripherally Inserted Central

Catheterisation Sets

Range of Polyurethane single lumen

peripherally inserted central catheters

with or without stylet

3 Fr, range of lengths

$119.00

2

TX027

Arrow Peripherally Inserted Central Catheterisation Sets

Range of Polyurethane single lumen peripherally inserted central catheters with or without stylet

4 Fr, range of lengths

$119.00

  1. [43]

    Schedule, Part A, SubGroup 10.09.01 - Percutaneous Catheters, Single Lumen, A (Anti-infective Agent Coating), entry for Billing Code YO005

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO005

ARROWg+ard Blue Single Lumen Central Venous Catheters

A polyurethane central venous catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter

CS-24301 - 16g x 20cm, Single Lumen, Adult

CS-24306E-16g x 16cm, Single Lumen Adult

CS-24701 - 14g x 20cm, Single Lumen Adult

CS-24706E -14g x 16cm, Single Lumen, Adult

$150.00

  1. [44]

    Schedule, Part A, SubGroup 10.09.01 - Percutaneous Catheters, Single Lumen, A (Anti-infective Agent Coating) after entry for Billing Code ER134

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX030

ARROWg+ard Blue Single Lumen Central Venous Catheters

A polyurethane central venous catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter body.

CS-24301 - 16g x 20cm, Single Lumen, Adult

CS-24306E-16g x 16cm, Single Lumen Adult

CS-24701 - 14g x 20cm, Single Lumen Adult

CS-24706E -14g x 16cm, Single Lumen, Adult

$150.00

  1. [45]

    Schedule, Part A, SubGroup 10.09.01 - Percutaneous Catheters, Single Lumen, pi (power injection), entry for Billing Code YO011

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO011

Arrow single lumen pressure injectable peripherally inserted central catheter (PICC) sets

Single lumen pressure injectable peripherally inserted central catheter (PICC) sets

3, 4, Fr single lumen Pressure Injectable PICCs various Pressure Injection rates, various lengths.

$165.00

  1. [46]

    Schedule, Part A, SubGroup 10.09.01 - Percutaneous Catheters, Single Lumen, pi (power injection) after entry for Billing Code WC279

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX036

Arrow single lumen pressure injectable peripherally inserted central catheter (PICC) sets

Single lumen pressure injectable peripherally inserted central catheter (PICC) sets

3, 4, Fr single lumen Pressure Injectable PICCs various Pressure Injection rates, various lengths.

$165.00

  1. [47]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, entry for Billing Code YO003

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO003

Arrow Peripherally Inserted Central Catheterisation Sets

Range of Polyurethane double lumen peripherally inserted central catheters with or without stylet

4 and 5 Fr, range of lengths

$119.00

  1. [48]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, after entry for Billing Code WC205

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX028

Arrow Peripherally Inserted Central Catheterisation Sets

Range of Polyurethane double lumen peripherally inserted central catheters with or without stylet

4 and 5 Fr, range of lengths

$119.00

  1. [49]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, pi, entry for Billing Code YO015

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO015

Arrow Pressure Injectable Triple-Lumen PICC.

Pressure injectable triple lumen PICC (Peripherally Inserted Central Catheter) Set

6Fg x 50cm, triple lumen

$225.00

  1. [50]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, pi, after entry for Billing Code BA213

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX040

Arrow Pressure Injectable Triple-Lumen PICC.

Pressure injectable triple lumen PICC (Peripherally Inserted Central Catheter) Set

6Fg x 50cm, triple lumen

$225.00

  1. [51]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, A (Anti-infective Agent Coating), after entry for WC321

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Items 1, 2, 3 and 4 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO006

ARROWg+ard Four & Five Lumen Central Venous Catheters

A polyurethane central catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material

CS-22854E - 8.5 Fr x 16cm, Quad Lumen

CS-25854E - 8.5Fr x 20cm, Quad Lumen

CS-22855 - 8.5 x 16cm, Five Lumen

CS-25855 - 8.5Fr x 20cm, Five Lumen

$150.00

2

YO007

ARROWg+ard Blue Double & Triple Lumen Central Venous

A polyurethane central catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material

CS-24402 - 4Fr x 13cm, Dual Lumen CS-22502 -5Fr x 5cm, Dual Lumen CS-25402 - 4Fr x 8cm, Dual Lumen CS-25502 - 5Fr x 12cm, Dual Lumen

CS-22702E - 7Fr x 16cm, Double Lumen CS-26702 - 7Fr x 20cm, Double Lumen CS-27702E - 7Fr x 20cm, Double Lumen CS-25553 - 5.5Fr x 8cm, Triple Lumen CS-22703E - 7Fr x 16cm, Triple Lumen CS-26553 -5.5Fr x 13cm, Triple Lumen CS-24703E - 7Fr x 30cm, Triple Lumen

CS-25703E - 7Fr x 20cm, Triple Lumen

$150.00

3

YO008

ARROWg+ard Blue Plus QUAD Lumen Central Venous Catheters

Central Venous Catheters (of various lengths, sizes and lumen configurations with antimicrobial impregnation on: 1. The external indwelling surface of catheter material (chorhexidine and silver sulphadiazine) 2. The entire internal fluid pathway including catheter, extension-lines and hubs (chlorhexidine acetate)

CS-42854E - 8.5Fr x 16cm, Quad Lumen CS-45854E - 8.5Fr x 20cm, Quad Lumen

$150.00

4

YO009

ARROWg+ard Blue Plus Double & Triple Lumen Central Venous Catheters

Double & Triple Lumen Central Venous Catheters (of various lengths sizes and lumen configurations) with antimicrobial impregnation on: 1. The external indwelling surface of catheter material (chlorhexidine and silver sulphadiazine) 2. The entire internal fluid pathway including catheter, extension-lines and hubs (chlorhexidine acetate)

CS-45802E - 8 Fr x 20cm, Dual Lumen CS-46702E - 7Fr x 20cm, Dual Lumen CS-47702E - 7Fr x 20cm, Dual Lumen CS-42703E - 7Fr x 16cm, Triple Lumen CS-45703E - 7Fr x 20cm, Triple Lumen

$150.00

  1. [52]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, A (Anti-infective Agent Coating) after entry for Billing Code WC321

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Items 1, 2, 3 and 4 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX031

ARROWg+ard Four & Five Lumen Central Venous Catheters

A polyurethane central catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material

CS-22854E - 8.5 Fr x 16cm, Quad Lumen

CS-25854E - 8.5Fr x 20cm, Quad Lumen

CS-22855 - 8.5 x 16cm, Five Lumen

CS-25855 - 8.5Fr x 20cm, Five Lumen

$150.00

2

TX032

ARROWg+ard Blue Double & Triple Lumen Central Venous Catheters

A polyurethane central catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material

CS-24402 - 4Fr x 13cm, Dual Lumen CS-22502 -5Fr x 5cm, Dual Lumen CS-25402 - 4Fr x 8cm, Dual Lumen CS-25502 - 5Fr x 12cm, Dual Lumen

CS-22702E - 7Fr x 16cm, Double Lumen CS-26702 - 7Fr x 20cm, Double Lumen CS-27702E - 7Fr x 20cm, Double Lumen CS-25553 - 5.5Fr x 8cm, Triple Lumen CS-22703E - 7Fr x 16cm, Triple Lumen CS-26553 -5.5Fr x 13cm, Triple Lumen CS-24703E - 7Fr x 30cm, Triple Lumen

CS-25703E - 7Fr x 20cm, Triple Lumen

$150.00

3

TX033

ARROWg+ard Blue Plus QUAD Lumen Central Venous Catheters

Central Venous Catheters (of various lengths, sizes and lumen configurations with antimicrobial impregnation on: 1. The external indwelling surface of catheter material (chorhexidine and silver sulphadiazine) 2. The entire internal fluid pathway including catheter, extension-lines and hubs (chlorhexidine acetate)

CS-42854E - 8.5Fr x 16cm, Quad Lumen CS-45854E - 8.5Fr x 20cm, Quad Lumen

$150.00

4

TX034

ARROWg+ard Blue Plus Double & Triple Lumen Central Venous Catheters

Double & Triple

Lumen Central Venous Catheters (of various lengths sizes and lumen configurations) with antimicrobial impregnation on: 1. The external indwelling surface of catheter material (chlorhexidine and silver sulphadiazine) 2. The entire internal fluid pathway including catheter, extension-lines and hubs (chlorhexidine acetate)

CS-45802E - 8 Fr x 20cm, Dual Lumen CS-46702E - 7Fr x 20cm, Dual Lumen CS-47702E - 7Fr x 20cm, Dual Lumen CS-42703E - 7Fr x 16cm, Triple Lumen CS-45703E - 7Fr x 20cm, Triple Lumen

$150.00

  1. [53]

    Schedule, Part A, SubGroup, 10.09.02 - Percutaneous Catheters, Multiple Lumen, A (Anti-infective Agent Coating), pi (power injection), entry for Billing Code YO018

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO018

Pressure Injectable ARROWg+ard® Blue Plus Antimicrobial Multi-Lumen Central Venous Catheters

Pressure Injectable Multi Lumen Central Venous Catheters (of various lengths sizes and lumen configurations) with antimicrobial impregnation of the internal and external catheter with Chlorhexidine and Silver Sulphadiazine.

CS42703HP: 16cm x 7Fr Triple Lumen Catheter

CS45703HP: 20cm x 7Fr Triple Lumen Catheter

CS42854HP: 16cm x 8.5Fr Quad Lumen Catheter

CS45854HP: 20cm x 8.5Fr Quad Lumen Catheter

$225.00

  1. [54]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, A (Anti-infective Agent Coating), pi (power injection)

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TE043

Pressure Injectable ARROWg+ard® Blue Plus Antimicrobial Multi-Lumen Central Venous Catheters

Pressure Injectable Multi Lumen Central Venous Catheters (of various lengths sizes and lumen configurations) with antimicrobial impregnation of the internal and external catheter with Chlorhexidine and Silver Sulphadiazine.

CS42703HP: 16cm x 7Fr Triple Lumen Catheter

CS45703HP: 20cm x 7Fr Triple Lumen Catheter

CS42854HP: 16cm x 8.5Fr Quad Lumen Catheter

CS45854HP: 20cm x 8.5Fr Quad Lumen Catheter

$225.00

  1. [55]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, pi (power injection), entry for Billing Code YO010

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO010

Arrow multi lumen pressure injectable peripherally inserted central catheter (PICC) sets

Arrow multi lumen pressure injectable PICC (peripherally inserted central catheter) sets

4, 5, 6Fr multi lumen Pressure Injectable PICCs various Pressure Injection rates, various lengths. Double & triple Lumen configurations.

$225.00

  1. [56]

    Schedule, Part A, SubGroup 10.09.02 - Percutaneous Catheters, Multiple Lumen, pi (power injection) after entry for Billing Code WC297

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX035

Arrow multi lumen pressure injectable peripherally inserted central catheter (PICC) sets

Arrow multi lumen pressure injectable PICC (peripherally inserted central catheter) sets

4, 5, 6Fr multi lumen Pressure Injectable PICCs various Pressure Injection rates, various lengths. Double & triple Lumen configurations.

$225.00

  1. [57]

    Schedule, Part A, SubGroup 10.09.03 - Percutaneous Catheters, Multiple Lumen for Haemodialysis, cu, entry for Billing Code YO012

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO012

Arrow Cannon II Plus Chronic Haemodialysis Catheter Set

Dual Lumen, Retrograde Tunneled, Cuffed, Tip First, Chronic Haemodialysis Catheter Set

15Fg x 24 - 55cm

$330.00

  1. [58]

    Schedule, Part A, SubGroup 10.09.03 - Percutaneous Catheters, Multiple Lumen, cu, after entry for Billing Code KA018

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX037

Arrow Cannon II Plus Chronic Haemodialysis Catheter Set

Dual Lumen, Retrograde Tunneled, Cuffed, Tip First, Chronic Haemodialysis Catheter Set

15Fg x 24 - 55cm

$330.00

  1. [59]

    Schedule, Part A, SubGroup 10.09.03 - Percutaneous Catheters, Multiple Lumen for Haemodialysis, A (Anti-infective Agent Coating), entry for Billing Code YO004

Delete the subheading “Mayo Healthcare Pty Ltd

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

YO004

ARROWg+ard Blue Haemodialysis Catheters

Haemodialysis Catheters (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material.

CS-22122 - 12Fr 16cm, Dual Lumen CS-22123 – 12Fr 16cm, Triple Lumen CS-25122 – 12Fr x 20cm, Dual Lumen CS-22142CF – 14Fr x 15cm, Dual Lumen, Curved, Firm CS-22142F – 14Fr x 15cm, Dual Lumen Firm CS-25122 – 12Fr x 20cm, Double Lumen CS-25123 – 12Fr x 20cm, Triple Lumen CS- 25142CF – 14Fr x 20cm, Double Lumen, Curve, Firm CS-25142F – 14Fr x 20cm, Double Lumen, Firm CS-26142F – 14Fr x 25cm, Double Lumen, Firm

CU-22122 – 12Fr x 16cm, Double Lumen, Curved CU-23122 – 12Fr x 13cm, Double Lumen, Curved CU-25122 – 12Fr x 20cm, Double Lumen, Curved, Dueal Lumen CS-22142CF - 14Fr x 15cm, Dual Lumen, Curved, Firm CS-22142F - 14Fr x 15cm, Dual Lumen Firm CS-25122 - 12Fr x 20cm

$158.00

  1. [60]

    Schedule, Part A, SubGroup 10.09.03 - Percutaneous Catheters, Multiple Lumen for Haemodialysis, A (Anti-infective Agent Coating) after entry for Billing Code GA001

Insert the subheading “Teleflex Pty Ltd

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

TX029

ARROWg+ard Blue Haemodialysis Catheters

Haemodialysis Catheters (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material.

CS-22122 - 12Fr 16cm, Dual Lumen CS-22123 – 12Fr 16cm, Triple Lumen CS-25122 – 12Fr x 20cm, Dual Lumen CS-22142CF – 14Fr x 15cm, Dual Lumen, Curved, Firm CS-22142F – 14Fr x 15cm, Dual Lumen Firm CS-25122 – 12Fr x 20cm, Double Lumen CS-25123 – 12Fr x 20cm, Triple Lumen CS- 25142CF – 14Fr x 20cm, Double Lumen, Curve, Firm CS-25142F – 14Fr x 20cm, Double Lumen, Firm CS-26142F – 14Fr x 25cm, Double Lumen, Firm

CU-22122 – 12Fr x 16cm, Double Lumen, Curved CU-23122 – 12Fr x 13cm, Double Lumen, Curved CU-25122 – 12Fr x 20cm, Double Lumen, Curved, Dueal Lumen CS-22142CF - 14Fr x 15cm, Dual Lumen, Curved, Firm CS-22142F - 14Fr x 15cm, Dual Lumen Firm CS-25122 - 12Fr x 20cm

$158.00

  1. [61]

    Schedule, Part A, SubGroup 11.01.02.01 - Polished and Unpolished, Conventional, entry for Billing Code LO012

Delete the subheading “Link Orthopaedics Australia

Under that subheading,delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO012

LINK Endo - Model Saddle Prosthesis

Cobal Chrome, unpolished and long

170mm / Sizes 01-5

$3,550.00

  1. [62]

    Schedule, Part A, SubGroup 11.01.03.01 - Grit Blast, entry for Billing Code LO107

Delete the subheading “Link Orthopaedics Australia

Under that subheading,delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO107

Beta-Cone Cementless Hip Prosthesis

Titanium, grit blast, non HA

9 Stem sizes 1-9 plus

additional 9 stems with XL

neck length. Total 18 sizes

$3,870.00

  1. [63]

    Schedule, Part A, SubGroup 11.01.04.04 – Plasma, entry for Billing Code RQ074

Delete the subheading “RQSolutions Medical Devices Distribution Support” Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

RQ074

GHE Hip Stem CaP-Coated

anatomic shaped femoral stem for THR with a 3D-open calcium phosphate coatd structure for bony growth

the GHE Hip stem CaP-coated is available for the left and right body size. For each body side the stem is available in 7 sizes (90mm - 150mm in 10mm steps)

$5,000.00

  1. [64]

    Schedule, Part A, SubGroup 11.02.01.03 – Alumina, entry for Billing Code RQ020

Delete the subheading “RQSolutions Medical Devices Distribution Support

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

RQ020

Eska Ceramic Femoral Head

Ceramic, biolox forte

28-32mm

$2,000.00

  1. [65]

    Schedule, Part A, SubGroup 11.03.03.01 - Grit Blast, entry for Billing Code LO150

Delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO150

BetaCup Cementless Acetabular Cup

System

Acetabular Cup system comprising of

16 metal casings, TiCaP coating, 3

Ceramic or 4 UHMWPE Inserts, head

diameters from Ø 26mm and Ø 36mm

Ø

$2,700.00

  1. [66]

    Schedule, Part A, SubGroup 11.03.08.03 - Saddle, entry for Billing Code LO009

Delete the subheading “11.03.08.03 - Saddle

Under that subheading, delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO009

LINK Endo - model Saddle Prosthesis

Saddle Component

One Size

$4,976.00

  1. [67]

    Schedule, Part A, SubGroup 11.03.08.04 – Saddle Base, entry for Billing Code LO010

Delete the subheading “11.03.08.04 – Saddle Base

Under that subheading, delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO010

LINK Endo - Model Saddle Prosthesis

Saddle Base Component

Sizes 1-7

$3,909.00

  1. [68]

    Schedule, Part A, SubGroup 11.04.08 – Connector, after entry for Billing Code BI125

Delete the subheading “RQSolutions Medical Devices Distribution Support

Under that subheading, delete the contents of Items 1 and 2 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

RQ038

MML Tumor Revision System

Connection Module - Connects the Extension modules with the dual

Various

$570.00

2

RQ044

MML Tumor Revision System

Connection Module for Intramed, Prosthesis and Arthodesis-Connection

T10/12 - 16/18, IK16/18 - 16/18 with 70mm in Length

$570.00

  1. [69]

    Schedule, Part A, SubGroup 11.04.18 - Screw, entry for Billing Code LO011

delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO011

LINK Endo - Model Saddle

Saddle Set Screw for Base Component

One Size only

$200.00

  1. [70]

    Schedule, Part A, SubGroup 11.04.18 – Screw, after entry for Billing Code OH382

Delete the subheading “RQSolutions Medical Devices Distribution Support

Under that subheading, delete the contents of Items 1 and 2 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

RQ034

MML Tumor Revision System

Screw for Trochanter Module

20 to 50mm in Length, in 10mm increments

$200.00

2

RQ036

MML Tumor Revision System

Locking Screw

One size

$200.00

  1. [71]

    Schedule, Part A, SubGroup 12.01.01.01 - Minimally Stabilised, entry for Billing Code LO154

Delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO154

Link Gemini Femoral Component

Femoral component, cemented, CoCR,

microporous

Extra small - Extra large

$3,300.00

  1. [72]

    Schedule, Part A, SubGroup 12.01.02.02 - Posterior Stabilised, entry for Billing Code LO153

Delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO153

LINK Gemini Femoral Component PS

Femoral component PS, cemented,

CoCr, microporus

Extra small - Extra Large

$3,500.00

  1. [73]

    Schedule, Part A, SubGroup 12.01.05.01 - Minimally Stabilised, entry for Billing Code LO169

Delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO169

Link Gemini Femoral Component

Femoral component PS Uncemented,

CoCr, microporus, HX Coating

(TiCap)/Calcium phosphate

Extra small - Extra large

$4,100.00

  1. [74]

    Schedule, Part A, SubGroup 12.01.05.02 - Posterior Stabilised, entry for Billing Code LO168

Delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO168

Link Gemini Femoral Component PS

Femoral component PS Uncemented,

CoCr, microporus, HX Coating

(TiCap)/Calcium phosphate

Extra small - Extra large

$4,200.00

  1. [75]

    Schedule, Part A, SubGroup 12.03.07.01 - HA Coating, entry for Billing Code LO175

Delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO175

Link Gemini Tibial Baseplate

Tibial Baseplate, uncemented,

Microporous, HX coating (hydroxy

apatite)

Extra small - Extra large

$3,350.00

  1. [76]

    Schedule, Part A, SubGroup 12.03.04 - Cemented, Alloy, for Mobile Insert, entry for Billing Code LO176

Delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO176

Link Gemini Tibial Baseplate

Tibial baseplate, cemented

Extra small - Extra large

$2,400.00

  1. [77]

    Schedule, Part A, SubGroup 12.05.01 - Minimally Stabilised, entry for Billing Code LO177

Delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO177

Link Gemini Tibial Insert

Tibial Insert, UHMWPE, mobile/fixed

insert

Extra small - Extra large

$1,140.00

  1. [78]

    Schedule, Part A, SubGroup 12.05.02 – Posterior Stabilized, entry for Billing Code LO178

Delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO178

Link Gemini Tibial Insert

Tibial Insert, UHMWPE, Fixed PS

insert

Extra small - Extra large

$1,200.00

  1. [79]

    Schedule, Part A, SubGroup 12.07.01 - Alloy, entry for Billing Code LO058

Delete the subheading “Link Orthopaedics Australia

Under that subheading, delete the contents of Item 1 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

LO058

LINK Lubinus Total Patella Glide

Replacement (femoral trochlear

component)

Femoral trochlear Component,

cemented, CoCr

Small, medium, large, extra

Large

$2,750.00

  1. [80]

    Schedule, Part A, 12.08.01 - Cemented, All Polyethylene, after entry for Billing Code AE050

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

AE136

HemiCAP Patello-Femoral Resurfacing System - Patella Component

An all-polyethylene patella resurfacing device used alone or in conjunction with a femoral trochlear component

Available in 2 configurations Button and Anatomic

20mm,25mm,30mm

$600.00

  1. [81]

    Schedule, Part A, SubGroup 12.09.05 - Tibial Inserts, entry for Billing Code RQ041

Delete the subheading “RQSolutions Medical Devices Distribution Support

Under that subheading, delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

RQ041

ESKA Tumor Revision System MML

Distal femoral implant

various sizes

$2,300.00

  1. [82]

    Schedule, Part A, SubGroup, 12.11.06 - End caps, entry for Billing Code GO283

Delete the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

GO283

Apex Revision Knee Stems

Apex Revision Knee Femoral and Tibial Stems

Modular Stem - 9-25mm x 75-150mm

Offset - 9-25mm x 75-15mm x 2-4mm

Angled Stem - 9-25mm x 75x150mm

Modular Tibial Keels 1-16

$725.00

  1. [83]

    Schedule, Part A, SubGroup 12.11.10 - Stems - straight or offset, after entry for Billing Code GO114

Insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

GO283

Apex Revision Knee Stems

Apex Revision Knee Femoral and Tibial Stems

Modular Stem - 9-25mm x 75-150mm

Offset - 9-25mm x 75-15mm x 2-4mm

Angled Stem - 9-25mm x 75x150mm

Modular Tibial Keels 1-16

$1,258.00

  1. [84]

    Schedule, Part A, after entry for Billing Code ZI313 (under Group 12.11.12 – Spacers)

    Insert the new grouping 12.12.01 - Articulating Component

    Under that grouping, insert the subheading “Allegra Orthopaedics Pty Ltd

    Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

AE133

HemiCAP Contoured Articular Knee System Resurfacing Component

Articular resurfacing component - CoCr with titanium plasma spray

Articular Component 15mm - 0.5mm x 0.5mm to 2.0mm x 2.0mm offset;

Articular Component 20mm - 1.0mm x 1.0mm to 4.0mm x 4.0mm offset; 6 x 2mm to 10 x 3mm Offset

$2,300.00

Under the above, insert the new grouping 12.12.02 - Fixation Component

Under that grouping, insert the subheading “Allegra Orthopaedics Pty Ltd

Under that subheading, insert the contents of Item 1 and 2 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

AE134

HemiCAP Contoured Articular Knee System Fixation component

Proximal Morse taper, fully cannulated, tapered, threaded fixation component - Titanium with titanium plasma spray

Component for 15mm & 20mm Articular Components Screw 9.5mm Dia x 20mm; 11mm x 22mm

$700.00

2

AE135

HemiCAP Patello-Femoral Resurfacing System - Fixation Stud

A titanium-alloy fixation stud

8.5mm x 17.0mm

$700.00

  1. [85]

    Schedule, Part B, ORTHOPAEDIC, after entry for Billing Code TBV53

Insert the subheading “Bone – Cancellous Chips 15 CC

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Facility

Minimum Benefit

1

SYN10

Johnson and Johnson Medical Pty Ltd t/a DePuy Synthes

$1,250.00

Under the above, insert the subheading “Bone – Cancellous Chips 30 CC

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Facility

Minimum Benefit

1

SYN11

Johnson and Johnson Medical Pty Ltd t/a DePuy Synthes

$1,700.00

  1. [86]

    Schedule, Part B, ORTHOPAEDIC, after entry for Billing Code QBB09

Insert the subheading “Bone – Cancellous Granules 15 CC

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Facility

Minimum Benefit

1

SYN12

Johnson and Johnson Medical Pty Ltd t/a DePuy Synthes

$1,250.00

Under the above, insert the subheading “Bone – Cancellous Granules 30 CC

Under that subheading, insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Facility

Minimum Benefit

1

SYN13

Johnson and Johnson Medical Pty Ltd t/a DePuy Synthes

$1,700.00

  1. [87]

    Schedule, Part C, SubGroup 08.14.01 – Implantable Cardiac Event Recorders, after entry for Billing Code MI141

    Insert the new grouping“08.16.01 - Cardiac Home/Remote Monitoring Systems

    Under that new grouping, insert the subheading “Biotronik Australia Pty Ltd

    Under that subheading insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

BT179

Cardio Messenger II-S 3G

Bedside/Remote transmitter w/ ICD device life network access to Biotronik standard home monitoring data management service.

Bedside Device – 203mm x 136mm x 80mm, 450grams

$1960.00

Under the above, insert the subheading “Medtronic Australasia Pty Ltd

Under that subheading insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

MI180

MyCareLink Patient Monitor

Electronic cellular patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment.

One Size

$1960.00

Under the above, insert the subheading “Boston Scientific Australia Pty Ltd

Under that subheading insert the contents of Item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum Benefit

1

BS294

Latitude Communicator

Remote patient management system for implanted cardiac devices

One Size only

$1960.00

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