Private Health Insurance (Prostheses) Amendment Rules 2017 (No. 3) (Cth)
Private Health Insurance (Prostheses) Amendment Rules 2017 (No. 3)
I, Tracey Duffy, 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 27 April 2017
Tracey Duffy
Assistant Secretary
Medical Benefits Division
Department of Health
Contents
PART 1 PRELIMINARY
1. Name of Rules
2. Commencement
3. Authority 3
4. Schedules
SCHEDULE – AMENDMENTS 4
Part 1 Preliminary
Name of Rules
These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2017 (No. 3).
Commencement
These Rules commence on 1 May 2017.
Authority
These Rules are made under item 4 of the table to section 333-20 of the Private Health Insurance Act 2007.
Schedules
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 2017 (No. 1)
Schedule, Part A, after entry for Billing Code OL074
Insert the subheading“02.01.05.05 - Active Middle Ear Implants”
under that subheading insert the subheading “Med-El Implant Systems Australasia 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 | US018 | Vibrant Soundbridge System - Vibrating Ossicular Prosthesis VORP502x | An active direct-drive implantable middle ear hearing prosthesis, the VORP 502x consists of the Floating Mass Transducer (FMT), a conductor link, an electronic package and a magnet surrounded by an internal coil. | VORP502A (Right), VORP502B (Left) - Length: 129mm, Width: 29mm, Thickness: 4.5mm, Weight: 9.3g | 7470 |
| 2 | US021 | Vibrant Soundbridge System - Vibrating Ossicular Prosthesis VORP503 | Part of the Vibrant Soundbridge System, VORP503 is an active implant, which is implanted into the temporal bone under the skin. The VORP 503 consists of the Floating Mass Transducer (FMT), a conductor link, the electronics (demodulator), fixation wings and a magnet surrounded by a receiver coil. | One size (left and right) Length: 118mm, Width: 28mm, Thickness: 4.4mm, Weight: 10.1g | 7470 |
under that insert the subheading “Coupler”
under that subheading insert the subheading “Med-El Implant Systems 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 | US019 | Vibrant Soundbridge System - Vibroplasty Couplers | Middle ear prostheses used with the Vibrant Soundbridge System VORP implant. Facilitate coupling between the FMT and a vibratory structure of the middle ear. | Functional length: - Vibroplasty-OW-Coupler - 2.50, 3.00, 3.50, 4.00mm - Vibroplasty-CliP-Coupler - 0.20, 0.50, 1.00, 1.50mm - Vibroplasty-Bell-Coupler - 0.20, 0.50, 1.00, 1.50mm - Vibroplasty-RW-Coupler - 0.85mm - Incus-Symphonix-Coupler - Left and Right (2.5 x 3.3mm) - Incus-LP-Coupler - Left and Right (2.8 x 3.8mm) - Incus-SP-Coupler (2.9 x 4.4mm) - RW-Soft-Coupler (1 x 1.5mm | 350 |
under that insert the subheading “Programmable, wireless–enabled”
under that subheading insert the subheading “Med-El Implant Systems 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 | US020 | Vibrant Soundbridge System - Samba Audio Processor | Middle ear implant audio processor. The Samba audio processor is the externally worn component of the Vibrant Soundbridge System and connects to the implant through magnetic attraction. Fitting the Samba audio processor activates the Soundbridge. | Samba Lo, Samba Hi left and right versions, length = 35mm, width = 30mm, height = 10mm, weight <9g (inc battery | 6825 |
Schedule, Part A, subheading 03.02.02.01 - Fixed Flow Rate, after entry for Billing Code CJ001
insert the subheading “Cosuda 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 | CU003 | Neofuser Pump | Continuous flow rate ambulatory and disposable silicone balloon infusion pump | Volume 100ml, 275ml, 450ml | 260 |
Schedule, Part A, subheading 03.02.02.02 - Variable Flow Rate, after entry for Billing Code CJ003
insert the subheading “Cosuda 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 | CU005 | Neofuser Pump | Continuous flow rate ambulatory and disposable silicone balloon infusion pump | Volume 100ml, 275ml, 450ml | 450 |
Schedule, Part A, subheading 03.02.02.02 - Variable Flow Rate, after entry for Billing Code CJ002
insert the subheading “Cosuda 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 | CU004 | Neofuser Vario Pump | Variable flow rate ambulatory and disposable silicone balloon infusion pump | Volume 60ml, 100ml, 180ml, 275ml, 450ml | 375 |
Schedule, Part A, subheading 10.01.01.03 - Self Expandable \u2265150mm, after entry for Billing Code BT132
insert the subheading “DIVERSE DEVICES 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 | DL002 | iVolution ≥150mm | Self-expanding nitinol stent system | Diameters: 5-8mm - Lengths: 150-200mm - Catheter Length: 80-140cm | 2970 |
Schedule, Part B, Orthopaedic, Billing Code PBT64 (column headed minimum benefit)
Omit 1400 and substitute 2250
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