Private Health Insurance (Prostheses) Amendment Rules (No. 7) 2019 (Cth)

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Private Health Insurance (Prostheses) Amendment Rules (No. 7) 2019

I, Julianne Quaine, delegate of the Minister for Health, make the following Rules.

Dated 29 October 2019

Julianne Quaine

Assistant Secretary

Office of Health Technology Assessment

Technology Assessment and Access Division

Department of Health

Contents

1Name

This instrument is the Private Health Insurance (Prostheses) Amendment Rules (No. 7) 2019.

2Commencement

This instrument commences immediately after the commencement of the Private Health Insurance (Prostheses) Rules (No. 3) 2019.

3Authority

This instrument is made under item 4 of the table in section 333-20 of the Private Health Insurance Act 2007.

4Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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

Private Health Insurance (Prostheses) Rules (No. 3) 2019

  1. 1.

    Schedule 1, Part 1 – Prostheses List – Part A, 07.06 – Mammary Implants (table item dealing with billing code ZW001 and associated subheading “Surgical Supplies Australia Pty Ltd”)

    Repeal the item and subheading.

  2. 2.

    Schedule 1, Part 1 – Prostheses List – Part A, 07.06 – Mammary Implants (table item dealing with billing code ZW003 and associated subheading “Surgical Supplies Australia Pty Ltd”)

    Repeal the item and subheading.

  3. 3.

    Schedule 1, Part 1 – Prostheses List – Part A, 08.18 – Cardiac Ablation (table item dealing with billing code MI301 and associated subheading “Medtronic Australasia Pty Ltd)

    Repeal the item and subheading.

  4. 4.

    Schedule 1, Part 1 – Prostheses List – Part C, 08.18 – Cardiac Ablation, following table item dealing with billing code MN240

Add the item and subheadings

08.18.01 - Cryoablation

08.18.02.01 - Ablation Catheter

Medtronic Australasia Pty Ltd

MI301

Arctic Front Advance Cardiac CryoAblation Catheter / Pro

A flexible, over-the-wire balloon catheter used to ablate cardiac tissue A flexible, over-the-wire balloon catheter used to ablate cardiac tissue

23mm, 28mm

$5,100.00

The prosthesis is only to be used in a surgical procedure described in item 38290 OR 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2018, AND where the procedure is for the treatment of atrial fibrillation.

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