Private Health Insurance (Prostheses) Rules 2007 (Cth)

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Private Health Insurance (Prostheses) Rules 2007

I, ANTHONY JOHN ABBOTT, Minister for Health and Ageing, make these Rules under item 4 of the table in section 333-20 of the Private Health Insurance Act 2007.

Dated 30 March2007

TONY ABBOTT

____________________________________

Minister for Health and Ageing

Contents

Part 1Preliminary

1.Name of Rules

These Rules are the Private Health Insurance (Prostheses) Rules 2007 .

2.Commencement

These Rules commence:

  1. (a)

    if the Rules are registered before the Act commences―at the same time as the Act commences; or

  2. (b)

    if the Rules are registered on or after the day on which the Act commences―on the date on which the Rules are registered,

whichever occurs first.

3.Definitions

Note: Terms used in these Rules have the same meaning as in the Act―see section 13 of the Legislative Instruments Act 2003. These terms include:

complying health insurance policy

hospital-substitute treatment

hospital treatment

medicare benefit

In these rules:

accredited podiatrist has the same meaning as in subsection 3 (1) of the Health Insurance Act 1973.

Act means the Private Health Insurance Act 2007.

gap permitted prosthesis means a prosthesis listed in the Schedule where an amount is specified for that prosthesis in the column under the heading 'Minimum Benefit' and a different amount is specified in the column under the heading 'Maximum Benefit'.

no gap prosthesis means a prosthesis listed in the Schedule where an amount is specified for that prosthesis in the column under the heading 'Minimum Benefit' and no amount is specified in the column under the heading 'Maximum Benefit'.

private hospital means a hospital in respect of which there is in force a statement under subsection 121-5 (8) of the Act that the hospital is a private hospital.

Note: Section 15 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals withthe status ofcertainhospitals for which a declaration had been made before the commencement of the Act.

professional service has the same meaning as in subsection 3 (1) of the Health Insurance Act 1973.

public hospital means a hospital in respect of which there is in force a statement under subsection 121-5 (8) of the Act that the hospital is a public hospital.

Note: Section 15 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals withthe status ofcertainhospitals for which a declaration had been made before the commencement of the Act.

Schedule means the Schedule in these Rules.

Part 2Benefit requirements

4.Listing of, and benefits, for prostheses

For item 4 of the table in subsection 72-1 (2) of the Act:

  1. (a)

    the Schedule lists the prostheses (listed prostheses) the Minister has listed under subsection 72-10 (5) of the Act and section 12 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007; and

    Note: Section 12 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals with the listing of a prosthesis that was a no gap prosthesis or a gap permitted prosthesis for the purposes of the National Health Act 1953 immediately before the commencement of the Act.

  2. (b)

    rule 5 sets out the method for working out the minimum benefit and maximum benefit for hospital treatment, covered under a complying private health insurance policy, that is the provision of a listed prosthesis in circumstances where:

    1. (i)

      a medicare benefit is payable in respect of the professional service associated with the provision of the prosthesis; or

    2. (ii)

      the provision of the prosthesis is associated with podiatric treatment by an accredited podiatrist; and

  3. (c)

    rule 6 sets out the method for working out the minimum benefit and maximum benefit for hospital-substitute treatment, covered under a complying private health insurance policy, that is the provision of a listed prosthesis in circumstances where a medicare benefit is payable in respect of the professional service associated with the provision of the prosthesis.

5.Benefits for prostheses provided as part of hospital treatment

(1) For a no gap prosthesis provided as part of an episode of hospital treatment by a private hospital in the circumstances mentioned in paragraph 4 (b), the minimum benefit and the maximum benefit are each the amount for that prosthesis listed in the column in the Schedule under the heading ‘Minimum Benefit’.

(2) For a gap permitted prosthesis provided as part of an episode of hospital treatment by a private hospital in the circumstances mentioned in paragraph 4 (b):

  1. (a)

    the minimum benefit is the amount for that prosthesis in the column in the Schedule under the heading ‘Minimum Benefit’; and

  2. (b)

    the maximum benefit is the amount for that prosthesis in the column in the Schedule under the heading ‘Maximum Benefit’.

(3) For a no gap prosthesis provided as part of an episode of hospital treatment by a public hospital in the circumstances mentioned in paragraph 4 (b):

  1. (a)

    the minimum benefit is the lesser of the following amounts:

    1. (i)

      the amount for that prosthesis listed in the column under the heading ‘Minimum Benefit’ in the Schedule; or

    2. (ii)

      the amount of the insured person’s liability to the public hospital for that prosthesis; and

  2. (b)

    the maximum benefit is the amount for that prosthesis listed in the column under the heading 'Minimum Benefit'.

(4) For a gap permitted prosthesis provided as part of an episode of hospital treatment by a public hospital in the circumstances mentioned in paragraph 4 (b):

  1. (a)

    the minimum benefit is the lesser of the following amounts:

    1. (i)

      the amount for that prosthesis listed in the column under the heading ‘Minimum Benefit’ in the Schedule; or

    2. (ii)

      the amount of the insured person’s liability to the public hospital for that prosthesis; and

  2. (b)

    the maximum benefit is the amount for that prosthesis listed in the column under the heading ‘Maximum Benefit’ in the Schedule.

6.Benefits for prostheses provided as part of hospital-substitute treatment

(1) For a no gap prosthesis provided as part of an episode of hospital-substitute treatment in the circumstances mentioned in paragraph 4 (c) the minimum benefit and the maximum benefit are each the amount for that prosthesis listed in the column in the Schedule under the heading ‘Minimum Benefit’.

(2) For a gap permitted prosthesis provided as part of an episode of hospital-substitute treatment in the circumstances mentioned in paragraph 4 (c):

  1. (a)

    the minimum benefit is the amount for that prosthesis in the column in the Schedule under the heading ‘Minimum Benefit’; and

  2. (b)

    the maximum benefit is the amount for that prosthesis in the column in the Schedule under the heading ‘Maximum Benefit’.

    Note: Private health insurers cannot cover, as part of hospital-substitute treatment, a service for which medicare benefit is payable unless the service is specified in the Private Health Insurance (Health Insurance Business) Rules 2007― see paragraph 121-10 (3) (a) of the Act.

7.Timing of applications to have a prosthesis listed

As a matter of normal administrative practice, applications made under subsection 72-10 (2) of the Act will be considered after they have been received and, if the Minister decides to grant the application, the prosthesis will be listed in the Schedule the next time the Minister makes or varies the Rules.

Note 1: Under subsection 72-10 (5) of the Act the Minister must list the kind of prosthesis, set out the minimum benefit and, if the Minister considers it appropriate, the maximum benefit for the prosthesis in these Rules on the next occasion that the Minister makes or varies the Rules after he or she grants an application and the applicant has paid to the Commonwealth any initial listing fee within 14 days of being informed of the Minister's decision to grant the application.

Note 2: Under subsection 72-15 (3) of the Act, the Minister may remove a prosthesis from the list in the Rules if the applicant fails to pay an ongoing listing fee.

8.Minister may have regard to recommendations and advice

(1) In making the decision under subsection 72-10 of the Act, the Minister may have regard to a recommendation from the Prostheses and Devices Committee.

  1. (2)

    In setting the minimum and the maximum (if any) amounts for a prosthesis, the Minister may have regard to the amounts as negotiated between the Prostheses and Devices Negotiating Group and the applicant.

Note

1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003.See A - Prostheses November 2006

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Applier, Surgical, Clip, Haemostatic, Single Use

Medtronic Australasia Pty Ltd

MC680 Spyder Proximal Anastomotic Device 6-clip assembly $590.00

Catheters, Angioplasty, Laser

Pacing Importers Pty Ltd

PI002 Excimer Laser Stent Polyester Fibre optic fibre catheter 0.457mm, 0.9mm, 1.4mm, $6,800.00

1.7mm and 2.0mm

Coronary Stents

Drug Eluting Stents

Boston Scientific Pty Ltd

BS074 Taxus on Express2 Coronary Stent balloon expandable stent with conformal Length 8 - 32mm; Diameter $3,484.00

System Models 38001-0822 to 0840; polymer/drug matrix coating, pre- 2.25 - 5.0mm

38001-1222 to 1250; 38001-1622 to mounted on high pressure monorail

1650;

38001-2022 to 2050; 38001-2422 to

2450; 38001-2827 to 2850; 38001-3227

BS099 Taxus Liberte Paclitaxel-Eluting Coronary 316L Stainless Steel Stent with Translute 2.0mm-5.0mm & 8mm-32mm $3,350.00

Stent System Polymer and Paclitaxel

Prostheses List by Category, Groups and Sponsor Page 1 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Johnson & Johnson Medical Pty Ltd

JJ302 CYPHER Sirolimus-Eluting Stent & Stainless steel coronary stent with Diameter 2.25 - 5.0mm, length $3,484.00

Delivery System Model

CRS - 23300, Rapamycin (an immunosuppressive and 8-33mm

08225, 08250, 08275, 08300, 28225, antiproliferative drug) bound to the stent

28250, 28275, 28300, 33225, 33250,

33275, 33300, 13225, 13250, 13275,

18225, 18250, 18275, 18300, 23225,

23250, 23275, 23350, 23400, 08350,

08400, 28350, 28400, 33350, 33400,

13300, 13350, 13400, 18350, 18400,

23450, 23500, 28450, 28500, 33450,

33500, 08450, 13450, 18450, 18500

JJ481 CYPHER SELECT Sirolimus-Eluting Stainless steel coronary stent with Diameter 2.25 - 5.0mm, length $3,350.00

Stent & Delivery System Sirolimus (an immunosuppressive and 8 - 33mm

anti-proliferative drug) bound to the stent

by a polymer. Model CRA-23300, 08225,

08250, 08275, 08300, 28225, 28250,

28275, 28300, 33225, 33250, 33275,

33300, 13225, 13250, 13275, 18225,

18250, 18275, 18300, 23225, 23250,

23275, 23350, 23400, 08350, 08400,

28350, 238400, 33350, 33400, 13300,

13350, 13400, 18350, 18400, 23450,

23500, 28450, 28500, 33450, 33500,

General Purpose Bare Metal Stents

Abbott Australasia Pty Ltd

AY013 JoStent F1 Coronary Stent Stainless Steel 9 - 26 mm x 2.5 - 4 mm $780.00

Atrium Australia-Pacific Rim Pty Ltd

AC022 Flyer RX Coronary Stent System Stainless Steel Coronary Stent Dia 2-5mm, Length 6-40mm $780.00 $1,508.00

Biotronik Australia Pty Ltd

BT058 Lekton Motion Coated flexible stent, Balloon mounted Diameter 2.5mm to 4mm, $1,248.00

Length 8 - 30mm

BT065 Lekton Motion Mega Amorphous silicon carbide coated Diameter 4.5 and 5 mm; Length $1,248.00

13 - 40 mm

Prostheses List by Category, Groups and Sponsor Page 2 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

BT069 Lekton Motion Petite Amorphous silicon carbide coated Diameter 2, 2.25, 2.5mm; $1,248.00

Length 8-20mm

BT082 PRO-Kinetic Cobalth Chromium coronary stent system 8-40mm length 2-5mm diameter $1,200.00

Boston Scientific Pty Ltd

BS069 Express 2/Liberte Coronary Stent Consists of a balloon expandable stent, Stent lengths: 8,12,16,20,24,28 $1,248.00

pre-mounted on a Maverick 2 Monorail & 32 mm Stent diameters: 2.25,

delivery catheter. 2.5, 2.75, 3.0, 3.5, 4.0, 4.5 &

Guidant Australia Pty Ltd

GU102 Stents ACS Multilink Coronary Stent; ACS 1.5mm - 8.0mm $1,248.00

Megalink Peripheral Stent; ACS RX

Herculink Peripheral Stent. Stainless steel

GU105 Multilink Coronary Stent System Stainless Steel Length 1.5mm - 8.0mm $1,248.00

GU127 Multilink Coronary Stent System - Frontier 316L Stainless steel stent Length 1.5 - 8.0mm $2,496.00

GU128 Multilink Coronary Stent System - Vision Cobalt chrome stent Length 1.5 - 8.0mm $1,248.00

Johnson & Johnson Medical Pty Ltd

JJ026 BX Velocity with Hepacoat System Balloon expandable, stainless steel, $1,220.00

heparin coated

JJ200 BX Velocity Stent and Delivery System Stainless steel stent Diameter: 2.25-5.0 mm; Length $1,220.00

8 - 33 mm

JJ239 BX Sonic Stainless steel coronary stent mounted on Dia 2.25 - 4.0mm, lengths 8 - $1,220.00

a balloon delivery system 33mm

Medtronic Australasia Pty Ltd

MC197 Medtronic AVE S660 Coronary Stents, Stainless Steel S660 Coronary Stent - Diameter $1,144.00

S670 Coronary Stents, S7 Coronary (2.5mm-2.75mm), Length

Stents, BeStent2, (9mm-24mm); S670 & S7

Coronary Stent - Diameter

(3mm-4mm), Length (9mm-

30mm); BeStent2 - Diameter

(2.5mm-4mm), Length (9mm-

Prostheses List by Category, Groups and Sponsor Page 3 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

MC329 Medtronic Driver, Micro Driver Coronary Cobalt Alloy Driver Stent: diameter (2.25 - $1,248.00

Stent System 4.5mm), length (8-30mm);

Micro-Driver Stent: diameter

(2.25 - 2.75mm), length (8 -

Neich Medical Pty Ltd

NM002 Constant Rx Coronary Stent System Stainless Steel Balloon Expandable Lengths - 9-32mm; Diameters - $1,040.00

Tubular Stent 2.5 - 4.0mm

NM003 R Stent Evolution 2 Coronary Delivery 316LVM Stainless Steel Balloon Lengths - 9-33mm; Diameters - $1,144.00

System Expandable Stent (Tubular) 2.5-4.0mm

Pacing Importers Pty Ltd

PI003 Med-X-Flexy Stent Tubular Stent, Stainless steel 316L, Gold Dia 5 - 9mm length: 20 - $780.00

markers

Terumo Corporation Australia

TU001 Tsunami Gold Coronary Stent Stainless Steel mounted on balloon Diameter 2.0mm - 4.0mm, $1,248.00

Length 10mm - 30mm length

Zynergy Medical Pty Limited

ZY001 Carbostent Coronary stent - includes Carbostent Dia 2.5mm x Length 9, 12, 15, $780.00 $1,482.00

Syncro & Carbostent Sirius 19, 25mm; Dia 3.0mm x Length

9, 12, 15, 19, 25, 32mm; Dia

3.5mm x Length 9, 12, 15, 19,

25, 32mm; Diameter 4.0mm x

Length 9, 12, 15, 19, 25, 32mm

Special Purpose Stents

Abbott Australasia Pty Ltd

AY012 JoStent Coronary Stent Graft Stainless Steel/PTFE 9 - 26 mm x 2.5 - 5 mm $3,222.00

Boston Scientific Pty Ltd

BS067 Symbiot Covered Stent System A self-expending nitinol stent encased Stent lengths: 20, 31 & 45 mm $1,248.00

within an ePTFE covering, premounted Stent diameters: 4.0 & 5.0 mm

on a Monorail delivery catheter

Prostheses List by Category, Groups and Sponsor Page 4 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

CRT Pacemakers

Generation 1

Guidant Australia Pty Ltd

GU143 Contak Renewal TR CRT -P Model Implantable cardiac pacemaker 45x54x8.5mm, 14cc, 26gm $9,360.00

H120, Model H125

Medtronic Australasia Pty Ltd

MC006 InSync model 8040 Stimulator Titanium 14.4cc $9,360.00

St. Jude Medical Australia Pty Ltd

SJ040 Frontier 3x2 Model 5510 Biventricular Stimulation Device with AF Height 48mm, Length 52mm, $9,360.00

suppression Depth 6mm

Generation 2

Biotronik Australia Pty Ltd

BT056 Stratos LV Multiprogrammable, Biventricular, DDDRV One size only $12,480.00

Guidant Australia Pty Ltd

GU142 Contak Renewal TR2 CRT - P Model Implantable Cardiac pacemaker 45x54x8.5mm, 14cc, 26gm $12,480.00

H140, Model H145

Medtronic Australasia Pty Ltd

MC226 Medtronic Insync III Triple Chamber Titanium One size only $12,480.00

Pacemaker Model 8042

St. Jude Medical Australia Pty Ltd

SJ072 Frontier II - Model 5596 Biventricular Cardiac Resynchronisation 49mm(h) x 52(1) x 6(t), 25g $12,480.00

Device with AF suppression algorithm -

Titanum

Prostheses List by Category, Groups and Sponsor Page 5 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Dual Chamber ICDs

Generation 2

Medtronic Australasia Pty Ltd

MC202 Medtronic Gem III DR Model 7275 Titanium One size only, 39.5cc $38,480.00

Implantable Cardioverter Defibrillator

Progressive Medical

PG004 Alto II DR Dual Chamber Implantable One size only $38,480.00

Cardioverter Defibrillator

St. Jude Medical Australia Pty Ltd

SJ009 Photon Micro DR Model V-232 37cc $38,480.00

Defibrillators/Cardioverters

Generation 3

Biotronik Australia Pty Ltd

BT053 Lexos DR Dual chamber ICD, rate responsive One size only. $43,680.00

BT074 Xelos DR-T High energy ICD with home monitoring Packed in one small size $44,000.00

BT075 Lumos VR-T Single Chamber ICD with home one size only $39,000.00

monitoring and IEGM online

Guidant Australia Pty Ltd

GU111 Ventak Prizm II DR Model 1861, titanium, dual chamber, One size only $43,680.00

adaptive rate

GU132 Vitality DR Model 1871 This device acts to defibrillate the heart Model 1871 Vitality DR Dual $43,680.00

chambers when the patient enters into an Chamber Rate Responsive

arrhythmia or uses shocks or anti tachy Pacemaker/Defibrillator

pacing to revert Ventricular Tachycardia

(VT) or Ventricular Fibrillation (VF).

While also acting as a dual chamber

GU149 Vitality 2 DR - Model T165 Implantable Cardiac Defibrillator 30cc; 82g $43,680.00

GU150 Vitality 2 EL DR - Model T167 Implantable cardiac Defibrillator 35cc; 90g $43,680.00

Prostheses List by Category, Groups and Sponsor Page 6 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Medtronic Australasia Pty Ltd

MC245 Marquis DR Model 7274 Implantable Titanium 36cc $43,680.00

Cardioverter Defibrillator

MC358 Intrinsic Model 7287, Implantable Cardioverter 36cc, 75g $43,680.00

Defibrillator

MC363 EnTrust Model D153DRG, Dual chamber, VT 33cc, 63g $43,680.00

Therapies, 30J 33cc, 63g

St. Jude Medical Australia Pty Ltd

SJ049 Epic Plus DR Model V-236 Implantable Dual Chamber sensing, bradycardia 33cc $43,680.00

Cardioverter Defibrillator pacing with atrial fibrillation suppression

SJ070 Epic + DR Model V-233 ICD Dual Chamber Implantable Cardio-verter 33cc 70g $43,680.00

Defibrillator

SJ071 Epic + DR Model V-239 ICD Dual chamber implantable cardio-verter 33cc 70g $43,680.00

defibrillator

Dual Chamber ICDs with CRT

Generation 1

Biotronik Australia Pty Ltd

BT081 Kronos LV-T CRT ICD with home monitoring one size $39,000.00 $44,000.00

Medtronic Australasia Pty Ltd

MC252 Medtronic InSync Marquis Implantable Titanium Volume 38cc $40,560.00

Cardioverter Defibrillator Model 7277

Generation 2

Guidant Australia Pty Ltd

GU134 Contak Renewal 2 This device acts to defibrillate the heart One Size Only $45,760.00

chambers when the patient enters into an

arrhythmia or uses shocks or anti tachy

pacing to revert Ventricular Tachycardia

(VT) or Ventricular Fibrillation (VF).

While also acting as a biventricular

Prostheses List by Category, Groups and Sponsor Page 7 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

GU147 Contak Renewal 4 CRT-D Model H190, Implantable dual-chamber defibrillator One size only $45,760.00

Model H195

Medtronic Australasia Pty Ltd

MC306 InSync III Marquis Model 7279 Titanium One size only - Volume 38cc $45,760.00

St. Jude Medical Australia Pty Ltd

SJ062 Epic HF Model V-339 Implantable Cardioverter/defibrillator with dual One size only $45,630.00

Cardiac Defibrillator chamber (atrial and RV) sensing and

bradycardia pacing with ventricular

SJ067 Epic + HF Model V-350 ICD Epic + HF V-350 ICD is a cardioverter 36cc / 73g $45,760.00

defibrillator with dual chamber (atrial and

RV) sensing and bradycardia pacing with

ventricular resynchronisation therapy.

Generation 3

Biotronik Australia Pty Ltd

BT076 Lumos DR-T Dual Chamber ICD with home monitoring one size only $42,000.00 $44,000.00

Dual Chamber Pacemakers

Generation 1

Biotronik Australia Pty Ltd

BT026 Philos D Model 122447 Implantable Multiprogrammable, ventricula, rate One size only $5,200.00

Pacemaker responsive modes, DDDC

Guidant Australia Pty Ltd

GU079 Pulsar Model VDD 870 Titanium 3.2mm/IS-1 $5,200.00

Medtronic Australasia Pty Ltd

MC727 Adapta Pacemaker DDD Pacemaker 12.1cc $5,000.00 $6,500.00

Models ADD01 27.1g

Prostheses List by Category, Groups and Sponsor Page 8 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

St. Jude Medical Australia Pty Ltd

SJ050 Verity ADx Model XL DC 5256 Dual - Dual Chamber multi-programmable rate- 11cc, 23.5g $5,200.00

Chamber pacemaker adaptive pacing devices with extended

longevity

SJ061 Identity Adx Model XL DC 5286 Dual Identity ADx Model XL DC Model 5286 11cc, 23.5g $5,200.00

Chamber Pacemaker is an implantable, multi-programmable

rate-adaptive pacing device with AF

Generation 2

Biotronik Australia Pty Ltd

BT027 Philos SLR Model 122456 Implantable Single pass, multiprogrammable, rate One size only $6,760.00

Pacemaker responsive, VDDR

Medtronic Australasia Pty Ltd

MC243 Medtronic Kappa KVDD 900 Model Cardiac Pacemaker, Titanium 11.1cc $6,552.00

KVDD 901

MC319 EnPulse VDD; Model E2VDD01 EnPulse VDD pacemaker with IS1 One size only $6,760.00

connector.

Titanium silicone

MC713 Adapta Pacemaker VDDR Pacemaker 11.1cc $6,500.00

Models ADVDD01 23.6g

St. Jude Medical Australia Pty Ltd

SJ054 Identity ADx Model VDR 5480 Single Chamber multi-programmable rate- 8cc, 18g $6,760.00

implantable pacemaker adaptive pacing device with extended

longevity

SJ057 Verity ADx Model XL VDR 5456 Single Chamber multi-programmable rate- 11cc, 23.5g $6,760.00

implantable pacemaker adaptive pacing device with extended

longevity

Generation 3

Biotronik Australia Pty Ltd

BT024 Philos DR Model 122450 Implantable Multiprogrammable, rate responsive, One size only $9,360.00

Pacemaker

Prostheses List by Category, Groups and Sponsor Page 9 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

BT029 Philos DR-A Model 122600 Implantable Multiprogrammable, rate responsive, 5mm ports, One size only $9,360.00

Pacemaker

BT047 Protos DR/CLS Dual chamber, rate responsive, closed One size only. $9,360.00

loop system.

BT060 Philos II DR Multiprogrammable, rate responsive, One size only $9,360.00

BT071 Philos II DR-T Dual Chamber Rate Responsive with One size only $9,000.00 $10,000.00

Home Monitoring

BT079 Cylos DR-T Dual chamber dual sensor rate responsive one size $9,000.00 $11,000.00

with home monitoring system option

Guidant Australia Pty Ltd

GU120 Insignia Plus DR Model 1297, Insignia Dual Chamber Rate Responsive One size only $9,360.00

Plus DR Model 1298 Permanent Pacemaker

GU121 Insignia Entra DR Models Dual Chamber Rate Responsive One size only $9,360.00

Permanent Pacemaker

GU140 Insignia Ultra DR Model 1291 Implantable Cardiac Pacemaker One size only $9,360.00

GU141 Insignia Ultra DR Model 1290 Implantable Cardiac Pacemaker One size only $9,360.00

Medtronic Australasia Pty Ltd

MC029 Medtronic Kappa 400 pacemaker Model Titanium 13.9cc $9,048.00

KDR401

MC333 Medtronic Kappa Pacemaker Model KDR Cardiac Pacemaker, Titanium 12.1cc, 11.1cc, 13.1cc $9,048.00

901, KDR921 and KDR931

Progressive Medical

PG002 Talent II DR Pacemaker Model 233 Dula Chamber Pacemaker. 99% titanium 57.5 x 37.2 x 8mm $9,360.00

PG005 Symphony DR 2550 Active Implantable pacemaker 1 size only $9,360.00

St. Jude Medical Australia Pty Ltd

SJ026 St Jude Medical Integrity AFX DR5346 Dual chamber, rate responsive pacemaker Volume 11cc, weight 23.5gm $9,360.00

Pacemaker, Cardiac, Implantable

SJ028 Integrity Micro DR 5336 Pacemaker Dual Chamber Rate Responsive Volume 8cc, Weight 18gm $9,360.00

SJ031 Identity XL DR 5376 Dual Chamber Rate Responsive Volume 11cc, Weight 23.5gm $9,360.00

Prostheses List by Category, Groups and Sponsor Page 10 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

SJ032 Identity DR 5370 Dual Chamber Rate Responsive Volume 8cc, Weight 18gm $9,360.00

SJ051 Verity Adx Implantable Pacemaker, Dual - Chamber, multi-programmable, 45x52x6mm,11cc, 23g, 5mm or $9,360.00

Models XL DR 5356 and XL DR 5357M/S rate-responsive pacemaker withAF 6mm M/S

SJ056 Integrity ADx Model DR 5360 and XL Dual-Chamber, multi-programmable, rate- Model DR 5360 - 8cc, 18g, $9,360.00

DR 5366 responsive pacemaker with AF Model XL DR 5366 - 11cc,

SJ059 Identity ADx Models DR 5380 and XL Dual-Chamber, multi-programmable, rate- ADx DR 5380: 43x44x6mm, $9,360.00

DR 5386 adaptive pacing devices with AF 18g and 8cc

ADx XL DR 5386: 44x52x6mm,

23.5g and 11cc

SJ089 Victory XL DR 5816 and DR 5810 Dual Chamber Rate Responsive 44x52x6mm; 23.5g; 11cc $9,000.00

Generation 4

Medtronic Australasia Pty Ltd

MC322 EnPulse DR Series: Model E2DR01, EnPulse DDDR Pacemakers - with IS1 one size only $11,440.00

Model E2DR03, Model E2DR06, Model connector and normal battery size; with

E2DR21, Model E2DR31, Model E2DR33 3.2mm low profile connector and normal

battery size; with 5/6 mm connector and

normal battery size; with IS1 connector

and small battery size; with IS1

connector and large battery size; with

3.2mm low profile connector and large

battery size. Titanium and silicone.

MC726 Adapta Pacemaker DR Pacemaker 11.1-14.2cc $11,000.00

Models ADDR01, ADDRS1, ADDRL1, 23.6g-31.3g

ADDR06, ADDR03

Fixation Device, Internal, Plate

Biomet Australia Pty Ltd

BI930 Sternalock Plates - xyphoid, "L" & square 4 hole $195.00

BI931 Sternalock Plates - "X" & "T" 5-8 hole $300.00

Prostheses List by Category, Groups and Sponsor Page 11 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Fixation Device, Internal, Screw

Biomet Australia Pty Ltd

BI929 Sternalock Screws Ti 2.4-2.7mm x 8-12mm $44.00

Grafts, Vascular, Synthetic

Incision Pty Ltd

IP028 Jotec Flow Nit Bioseal Polyester Vascular Flow Nit Bioseal Straight grafts are For all diameters in 60 and $750.00

Grafts, Straight Grafts texturised exterior yarns for superior 100cm lengths

tissue incorporation and healing

characteristics, with the new Bioseal

impregnation to make the grafts blood

IP029 Jotec Flowline Bipore ePTFE Vascular ePTFE Vascular Graft with microporous All sizes up to 50cm in Length $920.00

Graft, Straight, Standard Wall With structure, Straight, Standard Wall with

Reinforcement

IP030 Jotec Flowline Bipore ePTFE Vascular ePTFE Vascular Graft with microporous All sizes at over 50cm in Length $1,050.00

Graft, Straight, Standard Wall With structure, Straight, Standard Wall with

Reinforcement

IP031 Jotec Flowline Bipore ePTFE Vascular ePTFE Vascular Graft with microporous All sizes up to 50cm in Length $1,100.00

Graft, Straight, Thin Wall with structure. Thin Wall with spiral

IP032 Jotec Flowline Bipore ePTFE Vascular ePTFE Vascular Graft with microporous All sizes at over 50cm in Length $1,300.00

Graft, Straight, Thin Wall with structure. Thin Wall with spiral

IP033 Jotec Flow Nit Bioseal Polyester Vascular Flow Nit Bioseal Bifurcated grafts are 45 cm length, 12x6mm, $1,000.00

Grafts, Bifurcated Grafts texturised exterior yarns for superior 14x7mm, 16x8mm, 18x9mm,

tissue incorporation and healing 20x10mm, 22x11mm,

characteristics, with the new Bioseal

impregnation to make the grafts blood

Prostheses List by Category, Groups and Sponsor Page 12 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Group 1- Cardiothoracic Mechanical Valves

Group 1a - Ball Valve, Standard

Edwards Lifesciences Pty Ltd

EL029 SE SIL Ball Valve Aortic Models Starr Edwards - Silastic Ball Valve. 16mm-34mm $3,850.00

1200/1260, SE SIL Ball Valve Mitral Composition: Stellite Alloy No. 21;

Polytetrafluroethelyne; polypropylene

cloth; Silicone rubber (contains 2% by

weight barium sulphate for radiopacity)

Group 1c - Bi-Leaflet, rotatable

Advanced Biomedical Pty Ltd

AB002 ATS medical open pivot heart valve Pyrolythic Carbon, Double Velour 16-33mm $5,909.00

model 500FA standard flexi-cuff aortic Polyester, Titanium

valve series, ATS medical open pivot

heart valve model 500DM standard flexi-

AB064 ATS medical open pivot heart valve Pyrolythic Carbon, Double Velour 16-33mm $5,909.00

model 501DA advanced performance Polyester, Titanium

(AP) aortic valve series, ATS medical

open pivot heart valve model 501DM

advanced performance (AP) mitral valve

Medtronic Australasia Pty Ltd

MC292 Advantage Heart Valve - Aortic Model A7760 - Pyrolytic carbon, PET Diameter 19-31 mm $5,909.00

MC324 Advantage Supra Aortic Heart Valve Mechanical Heart Valve Pyrolite Carbon Diameter (mm): 19 - 25 $5,909.00

leaflets Pyrolite carbon ring

Reid Healthcare

RH001 Aortic On-X Prosthetic Heart Valve 27-29mm, 19mm, 21mm, $5,500.00

Models ONXA-19; ONXA-21; ONXA- 23mm, 25mm, 25-33mm, 27-

23; ONXA-25; ONXA-27/29; ONXM-23; 29mm, 31-33mm, 23mm,

ONXM-25; ONXM-27/29; ONXM31/33;

Tag Medical

TM003 Optiform Mechanical Valve 19mm to 33mm $4,950.00

Prostheses List by Category, Groups and Sponsor Page 13 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Group 1e - Tilting Disc, rotatable

Hjorth Health Pty Limited

HH001 Omnicarbon 4000 4313 Aortic UPP Pure pyrolitic carbon mono-leaflet Aortic - Sizes 19mm - 27mm; $5,000.00

prosthetic heart valve Mitral - Sizes 27mm - 33mm

HH002 Omnicarbon 4000 4523 Mitral UPP Pure pyrolitic carbon mono-leaflet Aortic - Sizes 19mm - 27mm; $5,000.00

SupraAnnular prosthetic heart valve Mitral - Sizes 27mm - 33mm

Group 2 - Cardiothoracic Tissue Valves

Group 2a - Stented, porcine

Edwards Lifesciences Pty Ltd

EL030 CE Supra Annular Aortic Valve Model Carpentier-Edwards SAV Bioprosthesis. 19mm-33mm $4,350.00

2650 Carpentier-Edwards S.A.V Composition: Porcine Valve; Elgiloy

Bioprosthesis Model 6650 Mitral Valve Alloy; Silicone Rubber,

Medtronic Australasia Pty Ltd

MC701 Mosaic Cinch, Aortic, Mitral Models 305cxx, 310cxx 19mm - 35mm $4,350.00

Group 2b - Stented, pericardial

Edwards Lifesciences Pty Ltd

EL031 Carpentier-Edwards Perimount Pericardial Carpentier-Edwards Pericardial Models 2900/6900 19-33mm, $4,900.00 $5,144.00

Bioprosthesis - Models 2900/6900

Bioprosthesis. Composition: Bovine Model 6900P 25, 27, 29, 31,

Carpentier-Edwards Perimount Plus Pericardium; Elgiloy Alloy; Silicone

Pericardial Bioprosthesis Mitral - Model Rubber, Polytetrafluoroethylene

6900P

Group 2c - Non-Stented, porcine

Edwards Lifesciences Pty Ltd

EL032 Baxter Edwards Prima Plus Stentless Edwards Prima Plus. Porcine Valve; 19mm-29mm for pack of 7 items $4,600.00

Bioprosthesis Model 2500P Prosthetic Woven Polyester Cloth.

Heart Valve

Prostheses List by Category, Groups and Sponsor Page 14 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Medtronic Australasia Pty Ltd

MC015 Freestyle bioprosthesis Models 995xx, 995MSxx 19 - 35mm $5,110.00

St. Jude Medical Australia Pty Ltd

SJ038 St Jude Medical Toronto SPV Valve Tissue Heart Valves, Bioimplant TSPV: 21 - 29mm, Bioimplant $4,800.00

Model SPA-101, St Jude Medical Aortic: 21-27mm, Bioimplant

Bioimplant Heart Valve Mitral: 27-32mm

Group 3 - Cardiothoracic Valve Conduits

Group 3a - Mechanical Valve

Advanced Biomedical Pty Ltd

AB001 ATS Medical open pivot aortic valved Pyrolythic Carbon, Double Velour 21-33mm $6,800.00

graft model 502AG Polyester, Titanium

Medtronic Australasia Pty Ltd

MC198 Medtronic Hall rotatable aortic valved Titanium, pyrolite, dacron 20 - 33mm $6,800.00

collagen impregnated conduit Model R7700

Tag Medical

TM002 CarboSeal Ascending Aortic Prosthesis, Mechanical Conduit AP 21-33mm, CP 21 - 33mm $6,800.00

sterile, CarboSeal Ascending Aortic

Prosthesis with Handle Model AP21,

Model AP23, Model AP25, Model AP27,

Model AP29, Model AP31, Model AP33,

Carboseal Valsalva

Group 3b - Tissue Valve, stented porcine

Medtronic Australasia Pty Ltd

MC012 Medtronic Hancock Valved Conduit Porcine bioprosthesis, dacron 12, 14, 16, 18, 20, 22, 25, $5,750.00

Model 100/150

Prostheses List by Category, Groups and Sponsor Page 15 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Group 4 - Cardiothoracic Atrio-Ventricular Rings and Bands

Group 4a - Ring, Standard

Edwards Lifesciences Pty Ltd

EL028 Baxter Sterile Grafts, Implants & Carpentier-Edwards Classic Annuloplasty 24mm-40mm $2,200.00

Prostheses, Non-Animal Origin Ring. Composition: Titanium Alloy;

Annuloplasty: Ring-Mitral Ring with Silicone Rubber; Polyester Fabric

Holder; Mitral Cosgrove-Edwards Carpentier-Edwards Physio Annuloplasty

Annuloplasty System Model 4600; Classic Ring. Composition: Elgiloy Bands;

Polyester Film Strips; Silicone Rubber;

Polyester Cloth, Cosgrove-Edwards

Annuloplasty Band. Composition: Silicone

Rubber; Polyester Cloth. Carpentier-

Edwards Tricuspid Ring. Composition:

Titanium Alloy; Silicone Rubber;

Medtronic Australasia Pty Ltd

MC005 Medtronic Duran Annuloplasty Ring; Annuloplasty Devices - Models 610R & Model 610R 25-35mm & Model $1,900.00

Duran Ancore Ring 620R; Duran Ancore 620R Silicone / Barium Sulphate, Dacron. 620R 23-35mm

Chordal Model 620RG

St. Jude Medical Australia Pty Ltd

SJ035 SJM Tailor Annuloplasty Ring Fully Flexible 25mm - 35mm $2,150.00

Tag Medical

TM001 AnnuloFlo Annuloplasty System Annuloflex Ring or AnnuloFlo Ring 26-36mm $1,600.00

Group 4b - Band, multiplanar

Edwards Lifesciences Pty Ltd

EL049 Edwards Etlogix Annuloplasty Ring Titanium/silicon/dacron polyester 24mm/26mm/28mm/30mm/32m $2,350.00

cloth/plastic template Mitral valve annular m/34mmd

repair device designed specifically for

patients with Ischemic Mitral regurgitation

St. Jude Medical Australia Pty Ltd

SJ087 St Jude Medical Rigid Saddle Ring Rigid Annuloplasty Ring 24 - 34mm $2,400.00

Prostheses List by Category, Groups and Sponsor Page 16 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Group 4b - Ring, multiplanar

Edwards Lifesciences Pty Ltd

EL050 Edwards MC3 Tricuspid Annuloplasty Annuloplasty Ring, 26mm to 36mm in 2mm $2,350.00

titanium/silicone/polyester velour

cloth/plastic template

Group 4c - Band Standard

Medtronic Australasia Pty Ltd

MC709 Posterior Annuloplasty Band; Colvin - Annuloplasty - Model 610B & 620B Model 610B: 25-35mm; Models $1,900.00

Galloway Future Band Model 638B; Silicone / Barium Sulphate, Dacron. 620B & 620BG: 23-35mm,

Duran Ancore Band 620B; Duran Ancore Models 638B semi-regid metal alloy core, Model 638B - 26-38mm

Chordal Model 620BG silicone coating, polyester knit fabric, kit

includes-band, malleable handle, template

with suture markers, sizers

St. Jude Medical Australia Pty Ltd

SJ088 SJM Tailor Annuloplasty Band Flexible double-velour, polyester fabric 25 - 35mm $2,150.00

Group 5 - Cardiothoracic Membranes and Patches

Group 5a - Tissue

Edwards Lifesciences Pty Ltd

EL033 Baxter Augmentation / Substitution Edwards Pericardial Patch. Bovine 10cm x 16cm $740.00

Material, Human or Animal Origin, Sterile Pericardium.

Pericardial Patch.

Group 5b - Synthetic, Cardiovascular

W L Gore & Associates

GT117 Gore-Tex - Cardiovascular Patch ePTFE 0.4mm Thickness 2 x 9cm $233.00

GT118 Gore-Tex - Cardiovascular Patch ePTFE 0.4mm - 3 x 6cm $275.00

0.6mm - 2.5cm x 15cm & 5cm

x 7.5cm

Prostheses List by Category, Groups and Sponsor Page 17 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

GT120 Gore-Tex Cardiovascular Patch ePTFE 0.6mm Thickness 5 x 15cm $510.00

GT121 Gore-Tex Cardiovascular Patch ePTFE 0.6mm Thickness 10 x 15cm $925.00

GT126 Acuseal Cardiovascular Patch Vascular ePTFE 0.5mm Thickness 1 x 9cm; 0.8 $217.00

x 7.5cm

GT127 Acuseal Cardiovascular Patch Cardiac ePTFE 0.5mm Thickness 3 x 6cm & 5 $264.00

x 7.5cm

Group 5c - Synthetic, Non-cardiovascular

W L Gore & Associates

GT122 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 6 x 12cm $353.00

GT123 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 8 x 16cm $630.00

GT124 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 12 x 12cm $732.00

GT125 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 15 x 20cm $1,425.00

Group 7 - Cardiothoracic Assisted Fixation Devices

Medtronic Australasia Pty Ltd

MC714 U-Clips (Valve Repair) Double Arm, Mitral Valve Repair 2-packs $500.00

ICD Leads

Group 1 - Coronary Sinus Leads

Medtronic Australasia Pty Ltd

MC026 Medtronic Transvene SVC Lead Model Model 6937-35, Model 6937-52, Model 35 - 110cm x 660mm $2,340.00

6937-58, Model 6937-110; Silicone;

Prostheses List by Category, Groups and Sponsor Page 18 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Group 4 - Transvenous/Non steroid/Passive Leads

Biotronik Australia Pty Ltd

BT050 KAINOX A+ ICD Lead, Single Pass. Atrial ring spacing 15, 17cms. $7,280.00

BT057 Kentrox SL ICD Lead, Single Lead 65, 75 or 100cm length. Tip to $7,280.00

second shock coil 16cm or

Progressive Medical

PG003 Swift 4040 1CT lead length 58 cm - 69 cm $7,280.00

Group 5 - Transvenous/Steroid/Passive Leads

Biotronik Australia Pty Ltd

BT077 Kentrox SL steriod Dual shock coil fractal steroid eluting 65, 75cm lengths $9,000.00

passive fixation electrode

BT078 Kentrox RV Steroid single shock coil fractal steroid eluting 65, 75 cm lenghts $9,000.00

passive fixation electrode

Guidant Australia Pty Ltd

GU112 Endotak Reliance S Lead Model 0127 & Model 0128, defibrillation 59cm, 64cm $7,488.00

lead, 9fr introducer (silicone coated),

steroid eluting, high impedence

GU115 Endotak Reliance Lead Model 0147, Model 0148 & Model 0149, 59cm, 64cm, 90cm $7,488.00

defibrillation lead, 9fr introducer (silicone

coated), steroid eluting, high impedence

GU158 Endotak Reliance SG Passive Fixation Lead Endotak Reliance SG Passive Fixation 54cm - 90cm $7,200.00 $10,000.00

Lead: Models 0170, 0171, 0172, and

0173 Implantable cardioverter defibrillator

lead with GORE ™ ePTFE covered

GU159 Endotak Reliance G Passive Fixation Lead Endotak Reliance G Passive Fixation 54cm -90cm $7,200.00 $10,000.00

Lead: Models 0174, 0175, 0176 and

0177. Implantable Cardioverter

defibrillator lead with GORE ™ ePTFE

Prostheses List by Category, Groups and Sponsor Page 19 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Medtronic Australasia Pty Ltd

MC002 Medtronic Sprint Quattro Lead Model Silicone and polyurethane 65-100cm $9,360.00

6944RV/SVC 65cm; Model 6944RV/SVC

75cm; or Model 6944RV/SVC 100cm;

Medtronic Sprint Quattro Lead Model

6944RV/SVC 58cm

MC018 Medtronic Sprint Lead Model 6942RV/SVC Model 6942-65, Model 6942-75, Model 65 - 100cm $7,488.00

6942-100; Silicone

MC025 Medtronic Sprint Lead Model 6932RV Model 6932-65, Model 6932-75, Model 65 - 100cm $7,488.00

6932-100; Silicone

MC696 Sprint Fidelis Lead Model 6948, dual-coil, tined 58-100cm $10,000.00

MC698 Sprint Fidelis Lead Model 6930, single-coil, tined 58-100cm $10,000.00

St. Jude Medical Australia Pty Ltd

SJ016 Riata Transvenous Tachyarrhythmia Lead Quadripolar, dual-coil, steroid eluting, One size only $10,400.00

Model 1570, Model 1571 active fixation tachyarrhythmia leads

SJ083 Riata Transvenous Tachyarrhythmia Lead Tri-polar Passive-Fixation, Steroid 60cm, 65cm, 8F introducer $10,000.00

Model 1572 Eluting, Single Shock Coil

SJ085 Riata iTransvenous Tachyarrhythmia Passive Fixation, Steroid-Eluting, Dual 60cm, 65cm, 70cm, 8F $10,000.00

Leads Models 1560 and 1561 Shock Coil Defibrillation Lead

SJ086 Riata i Transvenous Tachyarrhythmia Passive Fixation, Steroid Eluting, Single 60cm, 65cm, 70cm, 8F $10,000.00

Lead Model 1562 Shock Coil Defibrillation Lead

Group 6 - Transvenous/ Steroid/Active Leads

Biotronik Australia Pty Ltd

BT064 Kentrox SL-S steroid Fractal coated steroid electrode, dual 16 and 18 cms tip to second $7,488.00

shock coil shock coil

BT068 Kentrox RV-S steroid Fractal coated steroid electrode, single 65cm lengths $7,488.00

shock coil

Prostheses List by Category, Groups and Sponsor Page 20 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Guidant Australia Pty Ltd

GU118 Endotak Endurance EZ Leads Model Defibrillation lead, steroid eluting, 64, 70, 100cm $7,488.00

0154, Model 0155, Model 0156 trilumen lead body contains one

conductor for pacing/sensing and two

conductors for defibrillation.

The helix is

composed of platinum iridium.

GU145 Endotak Reliance G Lead Model 0164, Implantable defibrillator/pacemaker lead Lead Lengths: 59 - 90cm $11,440.00

Model 0165, Model 0166, Model 0167

GU146 Endotak Reliance SG Lead Model 0160, Implantable defibrillator/pacemaker lead Lead Lengths: 59 - 90cm $11,440.00

Model 0161, Model 0162, Model 0163

GU160 Endotak Reliance Active Fixation Lead Endotak Reliance Active Fixation Lead: 54cm - 90cm $7,200.00

Models 0157, 0158 and 0159 Implantable

cardioverter defibrillator lead

GU161 Endotak Reliance S Active Fixation Lead Endotak Reliance S Active Fixation Lead: 54cm - 90cm $7,200.00

Models 0137, 0138 and 0139

GU163 ENDOTAK RELIANCE G Lead 018 Series Endotak Reliance G Lead: Models 0184 to 59-90cm $7,200.00 $11,000.00

0187.

Implantable cardioverter

defribrillator lead.

Active fixation.

GU164 ENDOTAK RELIANCE SG Lead 018 Endotak Reliance SG Lead: Models 0180 59-90cm $7,200.00 $11,000.00

to 0183.

Implantable cardioverter

defibrillator lead.

Active fixation.

Medtronic Australasia Pty Ltd

MC208 Medtronic Sprint Quattro Secure Lead Leads, Defibrillator, Implantable, Silicone, 58-100cm $9,360.00

Model 6947 58cm; Model 6947 65cm; polyurethane, platinized tantalum coils,

Model 6947 75cm; Model 6947 100cm steroid eluting tip

MC331 Medtronic Sprint Lead Model 6943 Model 6943-58, Model 6943-65, Model 58 - 100cm $7,488.00

6943-75, Model 6943-100; Silicone

MC341 Medtronic Sprint Lead Model 6945 Model 6945-58, Model 6945-65; Silicone, 58 - 100cm $7,488.00

Model 6945-75, Model 6945-100; Silicone

MC695 Sprint Fidelis Lead Model 6949, dual-coil, screw-in 58-100cm $10,000.00

MC697 Sprint Fidelis Lead Model 6931, single-coil, screw-in 58-100cm $10,000.00

Prostheses List by Category, Groups and Sponsor Page 21 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

St. Jude Medical Australia Pty Ltd

SJ074 Riata Transvenous tachyarrhythmia Leads Tri-polar Active - Fixation, Steroid- 60cm, 65cm, 8F introducer $10,400.00

Model 1582 Eluting, Single shock Coil

SJ075 Riata Transvenous Tachyarrhythmia Lead Quadripolar, dual-coil, steroid eluting, One size only $10,400.00

Model 1580, Model 1581 active fixation tachyarrhythmia leads

SJ081 Riata i Transvenous Tachyarrhythmia Active fixation leads, Steroid Eluting, 60cm, 65cm, 75cm, 8F $10,000.00

Leads Model 1590/1591 Dual Shock Coil Defibrillation Lead

SJ084 Riata i Transvenous Tachyarrhythmia Active Fixation, Steroid Eluting, Single 60cm, 65cm, 75cm, 8F $10,000.00

Lead Model 1592 Shock Coil Defibrillation Lead

Limited Functionality ICDs

Generation 2

Biotronik Australia Pty Ltd

BT052 Cardiac Airbag Single chamber ICD rate responsive One size only. $15,600.00

Mesh, Polymeric

W L Gore & Associates

GT128 Helex Septal Occluder ePTFE 15-35mm $10,200.00

Occluders

Medtel Australia Pty Ltd

ME068 Amplatzer PFO Occluder Nitinol Wire Mesh 25mm & 35mm $10,200.00

St. Jude Medical Australia Pty Ltd

SJ091 Premere PFO Closure System Percutaneous, transcatheter, self- Left Atrial Anchor diameter $9,820.00

expanding, dual anchor, occlusion device 20mm and 25mm

Prostheses List by Category, Groups and Sponsor Page 22 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Occluders, Vascular

Medtel Australia Pty Ltd

ME065 Amplatzer Duct Occluder Nitinol Wire Mesh 5 - 24mm $10,200.00

ME066 Amplatzer Septal Occluder Nitinol Wire Mesh 4mm - 40mm $10,200.00

ME067 Amplatzer Muscular VSD Occluder Nitinol Wire Mesh 4 - 24mm $10,200.00

ME074 Amplatzer Membranous VSD Occluder Nitinol wire mesh, double disc occluder 4-24mm, Length 7-10mm $10,200.00

and delivery system

Pacemaker Lead Adapters, Implantable

Guidant Australia Pty Ltd

GU129 LV-1 Lead Adaptor to IS-1 Connects Left ventricular leads to IS-1 One size only $500.00

ports in pacemakers and defibrillators to

replace abnormal cardiac excitation

GU130 Y Adaptor Connects multiple defibrillator electrodes One size only $500.00

to a common port, enabling the use of

shocks to revert Ventricular Tachycardia

and normal cardiac function to return

Medtronic Australasia Pty Ltd

MC035 Medtronic lead Extender Kit Model: Silicone 14 - 50cm $530.00

6984M, 6981M, 6985M, 5866-24M,

5866-38M, 5866-40M, 6986M, 5866-

37M; Bipolar Lead Adaptor Kit Model 2872

MC036 Medtronic Lead End Cap Kit Model: Silicone or Polyurethane; Plug to Seal IS- 10 - 25mm, IS-1 Pin Plug - One $80.00

5867-3M; Medtronic Adaptor Kit Line 1 connector in a pacemaker or Size only

5866-23; Connector Sleeve 5866-45;

defibrillator, Silicone

Metronic lead sleeve kit model: 5866-46;

Medtronic Pinplug kit. Model 6719, IS-1

Prostheses List by Category, Groups and Sponsor Page 23 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

MC246 DF-I Y-Adaptor/Extender Model 6726 Silicone Lengths 25cm, 37cm $537.00

25cm & 37cm

Pacemaker leads

Group 1 - Non-transvenous, Bi-Polar, Steroid

Medtronic Australasia Pty Ltd

MC011 Capsure EPI steroid eluting bipolar Silicone 25 - 60cm $1,716.00

epicardial lead Model 4968 - ventricle

Group 11 - Transvenous, Bi-Polar, Passive, Steroid, Left Ventricular

Guidant Australia Pty Ltd

GU138 Easytrak 2, Model 4514,4515, 4516, The Easytrak 2 lead is a dual electrode $6,240.00

4517, 4518, 4519, 4520 version of the Easytrak lead. The

Easytrak 2 lead is a coronary sinus lead,

steroid eluting, dual electrode, pace/sense

lead.

The lead provides chronic pacing

and sensing of the left ventricle by

placement in the coronary venous

GU153 Easytrak 2 Is-1 Lead - Models 4542, Implantable left ventricular pacemaker lead 80 to 100cm $6,240.00

4543 & 4544

GU156 Easytrak 3 Lead - Models 4521, 4522, Implantable left ventricular pacemaker lead 80 to 100cm $6,240.00

4523, 4524, 4525, 4526 and 4527

GU162 Easytrak 3 IS-1 Lead Models 4548, 4549 and 4550. Silicone Sizes 80 to 100cm $6,240.00

and polyurethane insulation and

polyurethane protective sleeve

GU165 Acuity Steerable Lead Steerable IS-1 bipolar CS LV Lead 80cm, 90 cm, 100cm $6,000.00

Models 4554, 4555, 4556

Medtronic Australasia Pty Ltd

MC699 Attain OTW Model 4194 Lead Model 4194 78cm, 88cm $6,000.00

Prostheses List by Category, Groups and Sponsor Page 24 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Group 2 - Non-transvenous, Uni-Polar, Steroid

Medtronic Australasia Pty Ltd

MC053 Capsure EPI steroid eluting unipolar Silicone 25 - 50cm $1,544.00

epicardial lead Model 4965 ventricle

Group 3 - Non-Transvenous, Uni-Polar, Non-Steroid

Guidant Australia Pty Ltd

GU037 Myocardial Pacing Lead Model 4312 and 4316 54cm and 35cm $1,144.00

Medtronic Australasia Pty Ltd

MC009 Medtronic Epicardial Pacing Leads IS-1 Silicone 35 - 53cm $1,144.00

Model 5071

Group 4 - Transvenous, Uni-Polar, Passive, Steroid, Right Ventricular/Atrial

Medtronic Australasia Pty Ltd

MC254 CapSure Sense pacemaker lead Models Titanium Nitride 30 - 85cm $1,248.00 Also grouped in Pacemaker Lead

Group 8

St. Jude Medical Australia Pty Ltd

SJ078 IsoFlex S, Models 1645K, 1643K, 1635K Endocardial, Steroid Eluting, Silicone, 34cm, 40cm, 46cm, 52cm, $1,200.00

Passive Fixation Leads with Fast-Pass 58cm, 85cm, 7F

Group 5 - Transvenous, Uni-Polar, Passive, Non- Steroid, Left Ventricular

Medtronic Australasia Pty Ltd

MC037 Medtronic Attain Cardiac Vein Pacing Polyurethane; 4 FR Polyurethane, 5 FR 58 - 75cm: 85cm/75cm/110cm $2,735.00

Lead Model 2187; Medtronic Coronary Electrode Tip, Kit Includes: Stylet x 3, or 75-110cm; 75cm/85cm

Sinus Pacing Lead Model 2188; Valve lifter, Attain Lead & Anchoring

Medtronic Attain SD Model 4189; Sleeve; 4 FR Polyurethane Body, 6.1FR

Medtronic Attain Side-Wire Model 4191

St. Jude Medical Australia Pty Ltd

SJ033 Aescula LV Model 1055K Left Ventricular Pacing Lead 75cm $2,735.00

Prostheses List by Category, Groups and Sponsor Page 25 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Group 6 - Transvenous, Uni-Polar, Passive, Steroid, Left Ventricular

Biotronik Australia Pty Ltd

BT070 Corox OTW UP Steroid Coronary Sinus Lead 77, 87cm $3,000.00

Guidant Australia Pty Ltd

GU056 Easytrak Lead Model 4510, Model 4511, Model 4512 65cm, 72cm, 80cm $3,120.00

Transvenous Coronary Sinus Lead

GU152 Easytrak IS-1 Lead, Models 4535 to 4538 Implantable left ventricular pacemaker lead 80 - 90cm $3,120.00

Medtronic Australasia Pty Ltd

MC225 Attain Over the Wire Model 4193 Titanium, polyurethane 78-88cm $3,120.00

St. Jude Medical Australia Pty Ltd

SJ079 QuickSite Model 1056K Unipolar, Steroid Eluting, Titanium Nitride 75cm, 6F and 86cm, 6F $3,000.00

Electrode, Guidewire/Stylet-placed Left

Heart Lead with Fast-Pass Coating

Group 7 - Transvenous, Bi-Polar, Passive, Non-Steroid, Right Ventricular/Atrial

St. Jude Medical Australia Pty Ltd

SJ013 Transvenous Superior Vena Cava Lead TVL lead system models SV01, SV02, SV01- 100cm; SV02 - 45cm; $7,280.00

Model SV01, Transvenous Superior Vena SV03 transvenous leads SV03 - 55cm

Cava Lead Model SV02, Transvenous

Superior Vena Cava Lead Model SV03

Group 8 - Transvenous, Bi-Polar, Passive, Steroid, Right Ventricular/Atrial

Biotronik Australia Pty Ltd

BT066 Selox ST Transvenous Bipolar Passive Steroid 53 and 60cm lengths $1,248.00

Ventricular Pacing Lead, fractal coated

BT067 Selox JT Fractal coated steroid electrode 45 and 53cm lengths $1,248.00

Guidant Australia Pty Ltd

GU009 Fineline II Sterox IROX Lead Model 4458, Model 4459 52cm, 58cm $1,248.00

Prostheses List by Category, Groups and Sponsor Page 26 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

GU011 Fineline II Sterox IROX Lead Model 4456, Model 4457 52cm, 58cm $1,248.00

GU012 Fineline II Sterox IROX Lead Model 4479, Model 4480 45cm, 52cm $1,248.00

GU023 Guidant Aust Selute Picotip Steroid Model 4033, Model 4034, Model 4035, 45cm, 52cm, 59cm $1,248.00

Eluting Bipolar Lead Model 4063, Model 4064

Medtronic Australasia Pty Ltd

MC010 Medtronic Capsure SP Novus Model Silicone Polyurethane 45 -110cm $1,144.00

5092; Capsure SP Novus Lead Model

5592; Medtronic Capsure Model 4023

Lead; Medtronic Capsure Model 4024

Lead (med.dexamethasone) Medtronic

Capsure Model 4523(MED) Medtronic

Capsure Model 4524 Lead; Medtronic

Capsure Model 5023M Lead; Medtronic

Model 5024M Capsure Lead; Medtronic

Model 5024M Capsure Lead; Medtronic

Capsure Model 5524M SP Bipolar Lead

MC229 Medtronic Capsure SP Novus Model Silicone, platinum 30-100cm $1,144.00

5594 Lead 30cm

MC336 Medtronic Capsure Z Novus Model 5054 Silicone; Contents: 1 x lead with 45-58cm $1,248.00

Pacing Lead anchoring sleeve, stylet & guide, 1 x vein

lifter, 2 x fixation tools, extra stylets

MC337 Medtronic Capsure Z Novus Model 5554 Silicone; Contents: 1 x lead with 45-58cm $1,248.00

Pacing Lead anchoring sleeve, stylet & guide, 1 x vein

lifter, 2 x fixation tools, extra stylets

MC371 Medtronic Capsurefix Model 6940 Pacing Silicone Polyurethane 30 - 85cm $1,144.00

Lead;

Medtronic Tined IS-1 Model

4557M; Medtronic Capsurefix Model

4067/8/4568 Pacing Leads;

Medtronic

Capsurefix Model 5067 Pacing Leads;

Medtronic Capsurefix Model 5068 Pacing

Leads; Capsure SP Novus Pacing Lead

Model 4092; Capsure SP Novus Pacing

MC372 CapSure Sense pacemaker lead Models Titanium Nitride CapSure Sense Lead Model $1,248.00

4074 & 4574 4074 - 30cm to 85cm; CapSure

Sense Lead Model 4574 - 30cm

Prostheses List by Category, Groups and Sponsor Page 27 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

St. Jude Medical Australia Pty Ltd

SJ024 PASSIVE PLUS DX 1342T, 1343K, Single, passive fixation, steroid eluting, 46-58cm $1,248.00

1345K, 1346T low polarisation lead; Models: Bipolar

Atrial Lead, IS-1 Unipolar Atrial Lead, IS-

1 Unipolar Ventricular Lead, IS-1 or

Bipolar Ventricular Lead, IS-1

SJ082 Isoflex S, Models 1646T, 1642T and endocardial, Steroid Eluting, Silicone, 34cm, 40cm, 46cm, 52cm, $1,200.00

Passive Fixation Pacing Leads with Fast- 58cm, 85cm, 7F, 120cm 8F

Pass Coating

Group 9 - Transvenous, Bi-Polar, Active, Steroid, Right Ventricular/Atrial

Biotronik Australia Pty Ltd

BT063 Selox SR Lead, pacemaker, implantable, 45, 53, 60cm length $1,248.00

Guidant Australia Pty Ltd

GU013 Fineline II EZ Sterox IROX Lead Model 4472, Model 4473 & Model 4474 45cm, 52cm, 58cm $1,248.00

GU016 Fineline II EZ Sterox IROX Lead Model 4469, Model 4470 & Model 4471 45cm, 52cm, 58cm $1,248.00

GU122 Flextend Lead Models 4086, 4087 & Bipolar, steroid eluting, transvenous 45,52,59cm $1,248.00

silicon pace/sense leads with an

extendable/retractable active fixation for

implantation into the atrium or ventricle

Medtronic Australasia Pty Ltd

MC008 Medtronic Capsurefix Model 5568 Pacing Silicone Polyurethane 30 - 85cm $1,144.00

Leads

MC338 Medtronic Capsurefix Novus Model 5076 Silicone; Contents: 1 x lead with 45-85cm $1,248.00

Pacing Lead anchoring sleeve, stylet & guide, 1 x vein

lifter, 2 x fixation tools, extra stylets

St. Jude Medical Australia Pty Ltd

SJ023 TENDRIL SDX 1488T, 1388T Single, Active Fixation, Steroid Eluting, 46cm-58cm $1,248.00

Low Polarisation Lead, IS-1

SJ073 Tendril SDX Models 1688T and 1688TC Endocardial Steroid-Eluting Active 100cm, 25cm, 34cm, 40cm, $1,248.00

Fixation Pacing Lead 46cm, 52cm, 58cm, 85cm, 7F

Prostheses List by Category, Groups and Sponsor Page 28 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Prostheses, Cardiac Valve, Artificial

Medtronic Australasia Pty Ltd

MC013 Medtronic Hall Heart Valve Aortic Model A7700/M7700 Titanium. Pyrolite. A7700 - Diameter 20-31mm, $5,000.00

A7700, Medtronic Hall Heart Valve Mitral Dacron, A7700EZ/M7700EZ Titanium. M7700 - Diameter 23-33mm,

Model M7700, Hall Easy Fit Aortic Heart A7700EZ - Diameter 19-29mm,

Valve Model A7700, Hall Easy Fit Mitral M7700EZ - Diameter 23-31mm

Heart Valve Model M7700

MC681 Advantage Mitral Mechanical Heart Valve 23mm-33mm $5,909.00

Group 1c - Bi-Leaflet, rotatable

St. Jude Medical Australia Pty Ltd

SJ037 St Jude Medical Aortic Expanded Cuff Aortic Expanded Cuff, Aortic Aortic Expanded 19 -31mm, $5,909.00

Heart Valve; St Jude Medical Aortic Hemodynamic Plus Cuff, Mitral Aortic Hemodynamic 17 -

Hemodynamic Plus Cuff Heart Valve; St Hemodynamic Cuff, Aortic & Mitral 27mm, Mitral Hemodynamic 17

Jude Medical Mitral Hemodynamic Plus -27mm, Rotatable 17 - 33mm

Cuff Heart Valve; St Jude Medical

Mechanical Heart Valve Masters Series

SJ039 St Jude Medical Regent Prosthetic Heart Standard Cuff - Model 17AGN-751 - Standard cuff - 17-29mm, Flex $5,909.00

Valves 29AGN-751, Flex Cuff - Model cuff - 17-29mm

17AGFN-756 - 29AGFN-756

Group 3a - Mechanical Valve

St. Jude Medical Australia Pty Ltd

SJ036 St Jude Medical Coated Aortic Valved Coated Aortic Valved Graft 21mm - 33mm $6,800.00

Prostheses List by Category, Groups and Sponsor Page 29 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Prostheses, Cardiac Valve, Biological

Edwards Lifesciences Pty Ltd

EL039 Edwards Perimount Magna Model 3000 Carpentier-Edwards Perimount Magna 19MM Aortic Pericardial Tissue $4,900.00 $5,690.00

composition: Glutaraldehyde treated Valve; 21MM Aortic Pericardial

bovine pericardium/elgiloy wireform Tissue Valve; 23MM Aortic

stent/polyester band/silicone rubber Pericardial Tissue Valve; 25MM

suture ring/polytetrafluoroethylene Aortic Pericardial Tissue Valve;

cloth/polyester cloth. 27MM Aortic Pericardial Tissue

Valve; 29MM Aortic Pericardial

Tissue Valve

Tag Medical

TM039 Mitroflow Pericardial Bioprosthesis 19-27mm $4,445.00 $4,950.00

Group 2a - Stented, porcine

St. Jude Medical Australia Pty Ltd

SJ069 St Jude Medical Biocor Porcine St Jude Medical Biocor Porcine Aortic Valves - Tissue Annulus $4,350.00

Prosthetic Heart Valve Prosthetic Heart Valve is manufactured Diameter - 21-29mm, Implant

from selected porcine aortic valve cusps Height - 11-15c; Mitral Valves -

that have been cross-linked with a Tissue Annulus Diameter - 25-

35mm, Implant Height - 8-

Recorders, Long Term, ECG, Implantable

Medtronic Australasia Pty Ltd

MC028 Medtronic Reveal ILR Model 9525, Titanium 8cc $3,635.00

Implantable Cardiogram Recorder;

Reveal Plus Implantable Loop Recorder

Prostheses List by Category, Groups and Sponsor Page 30 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Single Chamber ICDs

Generation 1

St. Jude Medical Australia Pty Ltd

SJ058 St Jude Medical Australia Ventritex Contour MD Models V - 175 AC, V-175C 57-65cc, 109 - 118g $33,462.00

Contour MD Models V-175AC, V-175D and V-175D Single chamber

and V- 175C Defibrillators/Cardioverters Defibrillators/Cardioverters

Generation 2

Biotronik Australia Pty Ltd

BT054 Lexos VR Single chamber ICD, Rate responsive One size only. $36,400.00

Medtronic Australasia Pty Ltd

MC201 Medtronic A/Asia Gem III VR Model Titanium One size only, 39.2cc $36,400.00

7231CX

Progressive Medical

PG001 Alto II VR Single Chamber ICD Debrillator, implantable, automatic $36,400.00

Generation 3

Biotronik Australia Pty Ltd

BT055 Lexos A+ Single chamber ICD, rate responsive One size only. $40,560.00

pricing, dual chamber sensing.

Guidant Australia Pty Ltd

GU110 Ventak Prizm II VR Model 1860, titanium, single chamber, One size only $40,560.00

adaptive rate

GU133 Vitality VR Model 1870 This device acts to defibrillate the heart Model 1870 Vitality VR Single $40,560.00

chambers when the patient enters into an Chamber Rate Responsive

arrhythmia or uses shocks or anti tachy Pacemaker/Defibrillator

pacing to revert Ventricular Tachycardia

(VT) or Ventricular Fibrillation (VF).

While also acting as a single chamber

Prostheses List by Category, Groups and Sponsor Page 31 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

GU148 Vitality 2 EL VR - Model T177 Implantable Cardiac Defibrillator 35cc 90g $40,560.00

GU151 Vitality 2 VR - Model T 175 Implantable cardiac defibrillator 30cc; 82g $40,560.00

Medtronic Australasia Pty Ltd

MC253 Medtronic Marquis VR 7230CX Titanium, Sterile, Single Chamber Volume 36cc $40,560.00

Implantable Cardioverter Defibrillator

MC365 EnTrust Model D153VRC, Single chamber, 30J 33cc, 63g $40,560.00

St. Jude Medical Australia Pty Ltd

SJ010 Photon Micro VR Model V-194 36cc $40,560.00

Defibrillators/Cardioverters

SJ048 Epic Plus VR Model V-196 Implantable Single Chamber sensing and bradycardia 32cc $40,560.00

Cardioverter Defibrillator pacing

Single Chamber Pacemakers

Generation 1

Biotronik Australia Pty Ltd

BT036 PHILOS S Implantable Cardiac Pulse Multiprogrammable SSI One size only $4,264.00

Generator Cat No 122 453

St. Jude Medical Australia Pty Ltd

SJ020 REGENCY SC+ 2402L Single Chamber, VVI, Autocapture, IS-1 8.6cc, 18.5gm $4,264.00

SJ053 Verity Adx Model XL SC 5056 Single Chamber multi-programmable rate- 10.5cc, 23g $4,264.00

implantable pacemaker adaptive pacing device with extended

longevity

Generation 2

St. Jude Medical Australia Pty Ltd

SJ076 Verity Adx Model XL SR 5157 M/S Single Chamber multi-programmable 11cc, 23g $5,928.00

implantable pacemaker rate-adaptive pacing devices with

extended longevity

Prostheses List by Category, Groups and Sponsor Page 32 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Generation 3

Biotronik Australia Pty Ltd

BT028 Philos SR Model 122459 Implantable Multiprogrammable, rate responsive, One size only $5,928.00

Pacemaker

BT030 Philos SR-B Model 122610 Implantable Multiprogrammable, rate responsive, 5/6mm port, One size only $5,928.00

Pacemaker

BT046 Protos VR/CLS Single chamber rate responsive, closed One size only $5,928.00

loop system.

BT062 Philos II SR Multiprogrammable, Rate Responsive, One size only $5,928.00

SSIR pacemaker

BT080 Cylos VR single chamber dual sensor rate responsive one size only $5,700.00

Guidant Australia Pty Ltd

GU124 Insignia Entra SR Models 1195 & 1198 Single Chamber Rate Responsive One size only $5,928.00

Permanent Pacemaker

GU126 Insignia Plus SR Model 1194 Single Chamber Rate Responsive One size only $5,928.00

Permanent Pacemaker

GU139 Insignia Ultra SR Lodel 1190 Implantable Cardiac Pacemaker One size only $5,928.00

Medtronic Australasia Pty Ltd

MC321 EnPulse SR Series: Model E2SR01, EnPulse SR - Pacemakers - with IS1 One size only $6,188.00

Model E2SR03, Model E2SR06 connector; with 3.2mm low profile

connector; with 5mm connector.

MC728 Adapta Pacemaker SR Pacemaker 9.7 - 11.0cc $5,950.00

Models ADSR01, ADSR06, ADSR03 21.5 - 22.5g

Progressive Medical

PG006 Symphony SR Titanium one size only $5,928.00

St. Jude Medical Australia Pty Ltd

SJ022 REGENCY SR+ 2400L Single Chamber, Rate Response, 8.6cc, 18.5gm $5,928.00

Autocapture, IS-1

Prostheses List by Category, Groups and Sponsor Page 33 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

SJ025 St Jude Medical Integrity SR5142 Single chamber, rate responsive Volume 10.4cc, weight 23gm $5,928.00

Pacemaker, Cardiac Implantable

SJ029 Integrity Micro SR 5136 Pacemaker Single Chamber Rate Responsive Volume 8cc, weight 18gm $5,928.00

SJ030 Identity SR 5172 Single Chamber Rate Responsive Volume 8cc, Weight 17gm $5,928.00

SJ055 Integrity ADx Model SR 5160 implantable Single Chamber multi-programmable rate- 8cc, 17g $5,928.00

pacemaker adaptive pacing device

SJ060 Identity ADx Model SR 5180 implantable Single Chamber multi-programmable rate- 8cc, 18g $5,928.00

pacemaker adaptive pacing device

SJ077 Verity Adx Models XL SR 5156 Single Chamber multi-programmable 11cc, 23g $5,928.00

implantable pacemaker rate-adaptive pacing devices with

extended longevity

SJ090 Victory SR 5610 single chamber rate responsive 41x44x46mm 17g 8cc $5,700.00

Special Implantable Cardioverter Defibrillator Leads

Group 2 - Subcutaneous Leads

Guidant Australia Pty Ltd

GU123 Endotak SQ Array XP Lead Model 0085 Endotak SQ Array XP Lead Model 0085 70 cm $4,680.00

is used in addition to an Endotak

endocardial leads for patients with a high

DFT (Defibrillation Threshold)

Medtronic Australasia Pty Ltd

MC251 Implantable Subcutaneous Defibrillator Silicone and Platinum Alloy Lengths 41-85cm inclusive $4,680.00

Lead Model 6996SQ 41cm, 58cm, 85cm

Group 7 - Epicardial Patches

Medtronic Australasia Pty Ltd

MC027 Model 6721 Unipolar Epicardial Patch Model 6721S-50, Model 6721M-50, 370, 660, 840mm $2,340.00

Leads S/M/L Model 6721L-50; Silicone

Prostheses List by Category, Groups and Sponsor Page 34 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Special Purpose Dual Chamber Pacemaker - Custom Header

Generation 3

Medtronic Australasia Pty Ltd

MC241 Medtronic Kappa Pacemaker Model KDR Cardiac Pacemaker, Titanium 13.9cc $9,048.00

MC332 Medtronic Kappa Pacemaker KDR 903 Cardiac Pacemaker, Titanium 13cc, 14.2cc $9,048.00

and KDR 906

MC340 Medtronic Kappa 400 pacemaker Model Titanium 13.9cc $9,048.00

KDR403

Special Purpose ICDs - High energy products

Generation 1

Medtronic Australasia Pty Ltd

MC019 Medtronic Gem DR Model 7271 Titanium 62cc $36,400.00

MC020 Medtronic Gem Model 7227Cx; Gem Titanium 49cc, 40cc $34,320.00

Model 7227 Implantable Cardioverter

Generation 2

Guidant Australia Pty Ltd

GU107 Ventak Prizm HE DR Model 1853 & Model 1858, titanium, dual One size only $40,560.00

chamber, adaptive rate

Generation 3

Medtronic Australasia Pty Ltd

MC317 Maximo VR Model 7232Cx Titanium One size only 38.5cc $42,640.00

MC318 Maximo DR Model 7278 Titanium One size only 38.9cc $45,760.00

MC362 EnTrust Model D154DRG, dual chamber, VT 35cc, 68g $45,760.00

Therapies, 35J

Prostheses List by Category, Groups and Sponsor Page 35 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

MC366 EnTrust Model D154VRC, Single chamber, 35J 35cc, 68g $42,640.00

MC722 Virtuoso VR Model 37cc, 68g $41,000.00

Implantable Cardioverter Defibrillator,

Single Chamber

St. Jude Medical Australia Pty Ltd

SJ011 Atlas DR Model V-240 Dual chamber implantable cardioverter 37cc $45,630.00

defibrillator with rate response

SJ012 Atlas VR Model V-199 Single chamber implantable cardioverter 36cc $42,588.00

defibrillator with rate response

SJ063 Atlas DR Model V-242 ICD Implantable Dual Chamber Cardio-verter 38cc/78g $45,760.00

Defibrillator

SJ065 Atlas + VR Model V-193 ICD Single chamber implantable cardio-verter 38cc, 77g $42,640.00

defibrillator

SJ066 Atlas + VR - C Model V-193C ICD Single chamber implantable cardio-verter 38cc, 77g $42,640.00

defibrillator

SJ068 Atlas + DR Model V-243 ICD Implantable Dual Chamber Cardio-verter 38cc, 78g $45,760.00

Defibrillator

Special Purpose ICDs - With custom headers

Generation 1

Medtronic Australasia Pty Ltd

MC237 Gem Model 7227B Implantable Titanium, "B" Style Connector 56cc $33,800.00

Cardioverter Defibrillator

MC238 Gem Model 7227D Implantable Titanium, "D" style connector 53cc $33,800.00

Cardioverter Defibrillator

MC239 Gem Model 7227EImplantable Titanium, "E" style connector 55cc $33,800.00

Cardioverter Defibrillator

Prostheses List by Category, Groups and Sponsor Page 36 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Special Purpose ICDs - With therapies for Atrial Tachyarrhythmia

Generation 2

Medtronic Australasia Pty Ltd

MC227 Medtronic Gem III AT Model 7276 Titanium 39.5cc $40,560.00

Implantable Cardioverter Defibrillator

Generation 3

Guidant Australia Pty Ltd

GU137 Vitality AVT Dual chamber defibrillator, with atrial and One size only $45,760.00

ventricular therapy

GU157 Vitality AVT - Model A155 Implantable cardiac defibrillator with both 30cc $45,760.00

Atrial and Ventricular tachyarrhythmia

therapy

Medtronic Australasia Pty Ltd

MC349 Entrust Model D 153ATG, Dual chamber, AT 33cc, 63g $45,760.00

Therapies, 30J

MC364 EnTrust Model D154ATG, Dual chamber, AT 35cc, 68g $45,760.00

Therapies, 35J

MC721 Virtuoso DR Model 37cc, 68g $44,000.00

Implantable Cardioverter Defibrillator,

Dual Chamber

Special Purpose ICDs with CRT - High energy products

Generation 2

Guidant Australia Pty Ltd

GU144 Contak Renewal 4 HE CRT-D Model Implantable dual-chamber defibrillator one size only $47,840.00

H197, Model H199

Medtronic Australasia Pty Ltd

MC325 InSync Sentry Model 7298 Defibrillator, Titanium 40cc $52,000.00

Prostheses List by Category, Groups and Sponsor Page 37 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

MC700 InSync Maximo Model 7304 40cc, 35J $46,000.00

MC720 Concerto CRT-D Implantable Cardioverter Defibrillator 38cc $50,000.00

with Cardiac Resynchronisation Therapy

St. Jude Medical Australia Pty Ltd

SJ064 Atlas + HF Model V - 341 ICD - Atlas + HF ICD is a cardioverter 40cc/81g $47,840.00

Defibrillator, Implantable, automatic, defibrillator with dual chamber (atrial and

dual-chamber RV) sensing and bradycardia Pacing with

ventricular resynchronisation therapy.

Generation 3

Medtronic Australasia Pty Ltd

MC359 Intrinsic Model 7288, Implantable Cardioverter 38cc, 76g $45,760.00

Defibrillator

Special Purpose ICDs with CRT - With therapies for Atrial

Generation 2

Guidant Australia Pty Ltd

GU154 Contak Renewal 4 AVT CRT -D - Model Implantable Cardioverter Defibrillator 37cc; 89g $50,960.00

M170 and M175 with Cardiac Resynchronisation Therapy

GU155 Contak Renewal 4 AVT HE CRT - D - Implantable Cardioverter Defibrillator 40cc; 89g $52,000.00

Model M177, M179 with cardiac resynchronisation Therapy

Special Purpose Pacemaker - Small size (<7cc) for pacing in infants

Generation 3

St. Jude Medical Australia Pty Ltd

SJ027 St Jude Medical Microny II SR+ Model Single Chamber Rate Responsive Volume 5.9cc, Weight 12.8gm $5,928.00

2525T Pacemaker

Prostheses List by Category, Groups and Sponsor Page 38 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Special Purpose Pacemaker - with Therapies for Atrial

Generation 3

Medtronic Australasia Pty Ltd

MC200 Medtronic A/Asia AT500 DDDRP Pacing Titanium, silicone One size only, 14.9cc $11,440.00

System Model AT501

MC360 EnRhythm Model P150 1DR, Rate Responsive dual 21g, 13cc $11,440.00

chamber pacemaker with Anti-

Tachycardia functions: DDDRP

Special Purpose Pacemaker Leads - Catheter Delivered

Group 9 - Transvenous, Bi-Polar, Active, Steroid, Right Ventricular/Atrial

Medtronic Australasia Pty Ltd

MC301 Model 3830 PACING LEADS Active fixation pacemaker lead 59 - 75 cm $2,600.00

Composition: Insulation is polyurethane,

Electrodes are Titanium Nitride coated

Platinum, the screw is steriod-coated

Special Purpose Pacemaker Leads - VDD Leads

Group 7 - Transvenous, Bi-Polar, Passive, Non-Steroid, Right Ventricular/Atrial

Biotronik Australia Pty Ltd

BT009 SL Tripolar Lead - SL60/130, Single pass lead 130mm, 150mm, 110mm $1,040.00

BP,SL60/150-BP, SL60/110-BP

Group 8 - Transvenous, Bi-Polar, Passive, Steroid, Right Ventricular/Atrial

Guidant Australia Pty Ltd

GU028 Guidant Aust Selute Picotip VDD Lead Model 4340, Model 4341, Model 4342 & $1,544.00

Model 4343

Prostheses List by Category, Groups and Sponsor Page 39 of 784

CARDIO-THORACIC

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Medtronic Australasia Pty Ltd

MC052 Medtronic Capsure VDD2 Model 5038 Silicone; Contents: 1 x lead with 11.5cm, 13.5cm, 15.5cm $1,544.00

AV Pacing Lead anchoring sleeve, stylet & guide, 1 x vein

lifter, 2 x fixation tools, extra stylets

Special Purpose Single Chamber Pacemaker - Custom Header

Generation 1

St. Jude Medical Australia Pty Ltd

SJ019 REGENCY SC 2406L, SCX 2408L, SC Single Chamber, Standard VVIC, IS-1/5- 8.6cc, 18.5-19gm $4,264.00

2407M/S

Generation 3

Medtronic Australasia Pty Ltd

MC030 Medtronic Kappa 400 Pacemaker Model Titanium 11.6cc, 11.7cc $5,616.00

KSR401

MC242 Medtronic Kappa KSR 900 Model KSR Cardiac Pacemaker, Titanium 9.7,10.5,11.0 cc $5,928.00

901,903, 906

MC330 Medtronic Kappa 400 Pacemaker Model Titanium 11.6cc, 11.7cc $5,616.00

KSR 403

Prostheses List by Category, Groups and Sponsor Page 40 of 784

EAR, NOSE & THROAT

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Cannulae, Eye, Lacrimal

Device Technologies Australia Pty Ltd

DE191 Canaliculus Intubation Sets Silicone, SS & Nylon 17.7 x .064 x 29cm, 15.5 x .051 $165.00

x 33cm

Caps, Bone

Cochlear Limited

CO028 BAHA - Bone Anchored Hearing Aids Cover screw unigrip One size only $364.00

Cement

Endotherapeutics Pty Ltd

ET031 Serenocem Cement Reaction bonded polymer composite One size only - box of 2 $1,560.00

formed by the neutralisation gelletation of

a basic inorganic ionomer

ET032 Serenocem Granules Reaction bonded polymer composite 0.5 - 1mm granules, 1gm or $1,070.00

formed by the neutralisation gelletation of 5gm; 2 - 3mm granules, 1gm or

a basic inorganic ionomer 5gm - 3 pouches

Prostheses List by Category, Groups and Sponsor Page 41 of 784

EAR, NOSE & THROAT

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Cochlear Implants

Cochlear Limited

CO017 SPrint Speech Processor Consists of: SPrint Speech Processor - Processor: One Size Only, $4,282.25

body worn speech processor to suit Transmit Cable, 8-28cm,

Nucleus 24 cochlear implant system; Headset Cable 45-100cm,

transmit cable; headset cable; headset; Headset: 0.5-4.0 magnet

battery case - double; batteries - AA; strength, Hook small and large

microphone cover; belt clip; and hook

CO019 ESPrit 3G Speech Processor - Includes speech processor with titanium Cable lengths: 6, 8, 10, 20, 28cm $6,790.00

ear hook, 6 high powered zinc air

batteries, cleaning brush, microphone

puffer, earmould compatible earhook,

soft earhook cover, magnet, drying

capsules, accessory adaptor and socket

covers, signal check, coil/cable (x2),

CO024 Nucleus Freedom Implant with Straight Cochlear implant with straight electrode One size only $12,570.00

Electrode in a titanium casing, with a removable

magnet, banded platinum electrodes

moulded in a silicone seal.

Pacing Importers Pty Ltd

PI005 Combi C40+ Implantable Auditory One Size Only $11,450.00

Ear/Nose/Throat Treatment Units

Pacific Medical

PM065 Tympo Vent Otological ventilation tubes, short medium Length 2.2 $12.59

term, Donaldson fluoroplastic/blue

PM066 Tympo Vent Otological ventilation tubes, straight tube Length 7.0 - 7.2mm $7.50

PM068 Tympo Vent Otological ventilation tubes, short medium Length 2.8 $20.00 $20.77

term, star tube, silicone

Prostheses List by Category, Groups and Sponsor Page 42 of 784

EAR, NOSE & THROAT

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

PM072 Tympo Vent Otological ventilation tubes, short medium Length 12.4 $13.32

term, shepard with tail, silicone/blue

PM074 Tympo Vent Otological ventilation tubes, paparella Length 2.2mm $17.83

with tab

PM075 Tympo Vent Otological ventilation tubes, collar button, Length 1.5mm $29.92

tubingen type gold, gilded silver

PM079 Tympo Vent Otological ventilation tubes, t-tube Length 6 - 12mm $19.08

PM083 Tympo Vent Otological ventilation tubes, long term, Length 1.5 $26.78

collar button - tubingen type, titanium

PM086 Tympo Vent Otological ventilation tubes, short medium Length 1.6 $50.10

term, reuter bobbin without holes, titanium

PM088 Tympo Vent Otological ventilation tubes, donaldson, Length 1.5mm - 9.8mm $9.00

reuter bobbin, shepard

PM089 Tympo Vent Otological ventilation tubes, short medium Length 1.8 $10.55

term, bevel bobbin, fluoroplastic/blue

PM090 Tympo Vent Otological ventilation tubes, armstrong Length 3.8 - 10.0mm $13.10

PM091 Tympo Vent Otological ventilation tubes, short medium Length 2.0 $8.62

term, collar button, fluoroplastic/blue

Grafts

Pacific Medical

PM107 Laryngeal Keel 12-16mm Keel $251.00

Prostheses List by Category, Groups and Sponsor Page 43 of 784

EAR, NOSE & THROAT

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Hearing Aids

Cochlear Limited

CO033 BAHA - Bone Anchored Hearing Aid - The BAHA Hearing Aids (Compact & $6,000.00 To be claimed only for patients

Various Models Cordelle II in various colours) are the with deafness who have

external hearing processors which are problems using air conduction or

attached to the implanted titanium fixture conventional hearing aids which

by a snap coupling.

This allows the is made worse when a hearing

sound transmission using bone

conduction for patients where

conventional hearing devices are not

Larynxes, Artificial

Pacific Medical

PM057 Provox Voice Prosthesis Long term indwelling; Silicone 4.5,6,8,10,12.5mm $335.00 $356.00 Only able to be claimed once for

the initial implant

Middle Ear Analyzers

Medtronic Australasia Pty Ltd

MC256 Pressure Pulse Generator Meniett 20 Composition - Polycarbonate One size only $5,060.00 To be claimed only where

medical therapy such as lifestyle

(general health assessment and

stress reduction) and oral

medications (diuretics, anti-

emetics, anti-vertigo and

Prostheses List by Category, Groups and Sponsor Page 44 of 784

EAR, NOSE & THROAT

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Nasal Septum Buttons

Gyrus Australasia Pty Ltd

GY018 Septal Button Plastipore One size only $149.00

Medtronic Australasia Pty Ltd

MC264 Septal Button Silicone 3cm $149.00

Plugs

Cochlear Limited

CO025 BAHA - Bone Anchored Hearing Aids Abutment Snap Coupling 5.5mm $895.00

Prostheses, Ear

Gyrus Australasia Pty Ltd

GY001 Canal Wall Prosthesis Grote, HA Small - Large $543.00

Pacific Medical

PM028 Stapes Bell/Aerial/Angular Prosthesis/Piston - 1.75 - 7.00mm $330.00 $444.00

Gold/Titanium

PM032 K-Piston Gold/Titanium ID 0.4,0.6mm $221.75 $249.00

Prostheses List by Category, Groups and Sponsor Page 45 of 784

EAR, NOSE & THROAT

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Prostheses, Larynx

Endotherapeutics Pty Ltd

ET040 Vox Implants Vox Implants are solid, irregularly One size only $8,200.00

textured, medical grade

Polydimethylsiloxane Elastomer implants

suspended in a hydrogel carrier

Gyrus Australasia Pty Ltd

GY072 Vocal Cord Medialisation Implant Vocom Larynx Medial Implant - 3 - 7mm Head $675.00

Hydroxylapatite

GY073 Vocal Cord Medialisation Implant Vocom Shim for Medial Implant - 1mm - 3mm Offset $345.00

Hydroxylapatite

Pacific Medical

PM033 Montgomery Thyroplasty Implant System Silicone 6,7,8,9,10,11,12 $1,172.00 $1,928.00

Prostheses, Ossicular

BR & CT Enterprises Pty Ltd

BC001 Titanium Head To suit blue or grey implants $179.00

BC004 Titanium PORP with Fixed Bell and Maximum lengths of 5.0mm $360.00

Removable Head (grey) and 5.5mm (blue) -

adjustable in 1mm increments;

O R Paradigm Pty Ltd

OS002 Ossicular Prostheses - PORP ALTO (adjustable Length Titanium Head Size 2.5mm x 3.5mm; $675.00

Ossicular) Partial Length 2.0mm - 5.6mm; Distal

Diameter 1.2mm (Cup)

OS004 Ossicular Prostheses - TORP/PORP OtoSil Universal Head Size 3.5mm; Length $450.00

8.0mm; Shaft Diameter 1.0mm

Prostheses List by Category, Groups and Sponsor Page 46 of 784

EAR, NOSE & THROAT

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

OS005 Ossicular Prostheses - PORP OtoSil Partial Head Size 3.0mm - 4.0mm; $450.00

Length 6.0mm; Cannulation

Diameter 1.12mm

OS007 Ossicular Prostheses - PORP Dense HA Partial Head Size 3.0mm - 4.0mm; $360.00

Length 5.0mm; Cannulation

Diameter 1.17mm

OS008 Ossicular Prosthese - PORP Dense HA Footplate Shoe Width 2.0mm; Height 1.32mm $150.00

OS010 Ossicular Prostheses - PORP Dense HA Partial Incus Strut Length 5.0mm; Cannulation $360.00

Diameter 1.17mm

OS011 Ossicular Prostheses - PORP Gator Stapes Shaft Diameter 0.6mm; Length $450.00

3.5mm - 5.5mm

OS012 Ossicular Prostheses - PORP Titanium Bucket Shaft Diameter 0.4mm - $490.00

0.8mm; Length 4.0mm - 5.0mm

OS013 Ossicular Prostheses - PORP Causse Type Fluoroplastic Stapes Shaft Diameter 0.4mm - $90.00

0.8mm; Length 3.5mm -

6.0mm; Loop Diameter 0.6mm

Prostheses, Ossicular, Incus and Stapes

Gyrus Australasia Pty Ltd

GY002 Ossicular Prosthesis Malleus, Incus and Goldenberg Footplate - HA One size only $126.00 $915.00

Stapes

GY003 Ossicular Prosthesis Attic Defect Plate, HA 7-14mm $335.00

GY004 Ossicular Prosthesis Incus a) Applebaum HA, b) Goldenberg HA, a) small - large, b) one size only, $580.00

c) Kartusch HA, d) Grote HA, e) Wehrs c) short, medium, long, d) 7-

(single & double notched) HA 10mm, e) short, average,

GY005 Ossicular Prosthesis - PORP Sheehy plastipore, Drum to stapes, Grote One size only $190.00 $360.00

Malleus to stapes, modified, centered or

offcentered

GY006 Ossicular Prosthesis - PORP/TORP Goldenberg Malleable/HA One Size Only $360.00 $580.00

Prostheses List by Category, Groups and Sponsor Page 47 of 784

EAR, NOSE & THROAT

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

GY007 Ossicular Prosthesis Incus a) Grote HA, b) Wehrs (single & double a) one size only, b) Short, $625.00

notched) HA medium, long

GY008 Piston: Stapes Prosthesis a) Schuknecht Malleus att Piston. a) 0.6x5.5mm-0.8x6.5, b) $90.00

Stainless steel, b) Cawthorne. 0.3x0.8x3.5-0.3x0.8x6mm, c)

Fluoroplastic, c) Fluoroplastic, d) 0.6x0.6x3.5-0.8x0.6x6mm,

Schuknecht. Stainless steel, e) Causse.

d) 0.4x3.5-0.5x5mm, e) one

size only

GY012 Piston: Stapes Prosthesis a) Armstrong. Platinum, b) McGee. a) 0.6x3.5-0.8x5mm, b) $104.00

Stainless steel, c) Richards.

Teflon & 0.6x3.25-0.8x5.5mm,

c) 0.4x4-0.4x5mm

GY013 Piston: Stapes Prosthesis Fisch-Type Platinum or Stainless Steel 0.4mm x 6mm $104.00

GY014 Piston: Stapes Prosthesis Bucket Handle Fluoroplastic and stainless 0.4 x 1 x 3.5mm - 0.6 x 1 x 5mm $104.00

steel

GY015 Piston: Stapes Prosthesis Platinum Fluoroplastic 0.6x3.5mm - 0.8x5mm $104.00

GY016 Piston: Stapes Prosthesis Platinum Fluoroplastic 0.6x3mm - 0.8x5.75mm $104.00

JJ486 Trufill DCS Orbit detachable coil Complex Standard 6mm - 20mm, 15cm - 30cm $1,505.00

JJ487 Trufill DCS Orbit detachable coil Complex Mini 2mm - 12mm, 1.5cm - 30cm $1,505.00

Medtel Australia Pty Ltd

ME070 Micrus ACT Platinum Microcoil Delivery Platinum Coil Helical Stretch Resistant - 2mm $1,400.00

System x 1cm - 10mm x 30cm

ME085 Micrus ACT Platinum Microcoil Delivery Platinum Coil Helical - 2mm x 2cm - 10mm x $1,700.00

System 30cm

ME086 Micrus ACT Platinum Microcoil Delivery Platinum Coil Helical Soft Stretch Resistant - $1,700.00

System 2mm x 1cm - 4mm x 8cm

ME087 Micrus ACT Platinum Microcoil Delivery Platinum Coil Spherical - 2mm x 2.5cm - $1,545.00

System 19mm x 30cm

ME088 Micrus ACT Platinum Microcoil Delivery Platinum Coil Straight - 4mm x 10cm - 6mm $1,445.00

System x 30cm

ME133 Micrus ACT Platinum Microcoil Delivery Cerecyte Helical Cerecyte - 2mm x 2cm - $1,850.00 $1,950.00

System 10mm x 30cm

ME134 Micrus ACT Platinum Microcoil Delivery Cerecyte Helical Soft Stretch Resistant $1,850.00 $1,950.00

System Cerecyte - 2mm x 1cm - 4mm x

8cm

ME135 Micrus ACT Platinum Microcoil Delivery Cerecyte Spherical Cerecyte - 2mm x $1,850.00 $1,950.00

System 2.5cm - 19mm x 30cm

ME136 Micrus ACT Platinum Microcoil Delivery Cerecyte Straight Cerecyte - 4mm x $1,850.00 $1,950.00

System 10cm - 6mm x 30cm

Group 8d - Polymer

Device Technologies Australia Pty Ltd

DE006 Onyx System DSMO/Liquid Embolic Material 18, 20, 34 (formulations) $2,300.00

DE175 Onyx System DSMO Liquid Embolic Material 500 Formulation $4,950.00

Prostheses List by Category, Groups and Sponsor Page 773 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Group 9 - Vascular Access

Group 9a - Precut Catheters

Bard Australia Pty Ltd

BA040 VitaCuff, Hickman Catheter Dialysis/Apheresis catheter, dual lumen, 36-45cm overall length $342.00

silicone

BA048 VitaCuff, Broviac Catheters Silicone, with VitaCuff 2.4 - 6.6 French Catheter $342.00

BA049 Broviac Catheters Without VitaCuff, silicone 2.4 - 6.6 French Catheter $175.00 $275.00

BA050 Hickman Catheters Single Without VitaCuff, silicone 7 - 14.4F French Catheter $247.00

BA051 Hickman Catheters Dual Without VitaCuff, silicone 7 - 9 French Catheter $343.00

BA052 Hickman Catheters Triple Without VitaCuff, silicone 13.5 French Catheter $406.00

BA053 Vitacuff, Hickman Single Lumen Catheters Silicone, with VitaCuff 7 - 14.4F French Catheter $342.00

BA054 Vitacuff, Hickman Dual Lumen Catheters Silicone, with VitaCuff 7 - 9 French Catheter $406.00

BA055 Vitacuff, Hickman Triple Catheters Silicone, with VitaCuff 13.5 French Catheter $496.00

BA125 Groshong Catheter Groshong Valved - Closed ended Single Lumen, sizes 3fr-8fr $316.00

catheter, may also include Introducer,

guidewire, tunneller, drape, gloves,

needles, scissors, syringes, gauze pads

BA126 Groshong Catheter Groshong Valved - Closed ended Dual Lumen, sizes 5fr-9.5fr $368.00

catheter, may also include Introducer,

guidewire, tunneller, drape, gloves,

needles, scissors, syringes, gauze pads

BA129 Vascular Catheter PICC - may include a Groshong Valved - Single Lumen 3Fr - 6Fr $170.00

Closed ended PICC, may also include,

Introducer, guidewire, tunneller, drape,

gloves, needles, scissors, syringes, gauze

BA130 Vascular Catheter PICC- may include a Groshong Valved - Dual Lumen 4Fr - 7Fr $205.00

Closed ended PICC, may include,

Introducer, guidewire, tunneller, drape,

gloves, needles, scissors, syringes, gauze

Prostheses List by Category, Groups and Sponsor Page 774 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

BA167 Poly RadPICC Catheters Single lumen open-ended Polyurethane, 3, 4, 5Fr with 70cm guide wire $126.00 Temporary approval pending

Modified Seldinger PICC kit, includes review of catheters

platinum tip guide wire, PTFE Peel Apart

Introducer & dilator, hydroglide insertion

stylet.

Trimmable.

BA168 Poly RadPICC Catheters Single Lumen open-ended Polyrethane, 4, 5Fr with 135cm guide wire $126.00 Temporary approval pending

Seldinger PICC kit, includes platinum tip review of catheters

guide wire, PTFE Peel Apart Introducer

& dilator, hydroglide insertion stylet.

Trimmable.

BA169 Poly RadPICC Catheters Double Lumen open-ended Polyrethane 4, 5, 6Fr with 70cm guide wire $145.00 Temporary approval pending

Modified Seldinger PICC kit, inlcudes review of catheters

platinum tip guide wire, PTFE Peel Apart

Introducer & dilator, hydroglide insertion

stylet. Trimmable.

BA170 Poly RadPICC Catheters Double Lumen open-ended, Polyurethane, 5, 6Fr with 135cm guide wire $145.00 Temporary approval pending

Seldinger PICC Kit, includes platinum tip review of catheters

guide wire, PTFE Peel Apart Introducer

& dilator, hydroglide insertion stylet.

Trimmable.

BA175 HemoGlide Long Term Haemodialysis 14.5Fr Double D stepped tip cuffed 31cm PC2 Jugular Kit $320.00

Catheter catheter. Kit also includes 18g guidewire

introducer needle, 0.038" 70cm J-wire

guidewire, 15F PTFE introducer sheath,

8" tunneling device, 10-12F Dualator

vessel dilator, 2 adhesive dressing, 2

injection caps, suture wing, heparin label

Baxter Healthcare Pty Ltd

BX255 Mahurkar 12Fr Triple Lumen Catheter Mahurkar 12Fr Triple Lumen Catheter 12Fr - 13cm, 16cm, 19cm & $230.00 Temporary approval pending

Curved Extension Kit 24cm lengths available review of catheters

BX256 Mahurkar 13.5Fr Q-Plus Dual Lumen Mahurkar 13.5Fr Q-Plus Curved 13.5Fr - 13.5cm, 16cm, 19cm $123.00 Temporary approval pending

Catheter Extension Double Lumen Catheter Kit & 24cm lengths available review of catheters

BX257 Mahurkar 13.5Fr Q-Plus Dual Lumen Mahurkar 13.5Fr Q-Plus Straight 13.5Fr - 13.5cm, 16cm, 19cm $123.00 Temporary approval pending

Catheter Extension Double Lumen Catheter Kit & 24cm lengths available review of catheters

Prostheses List by Category, Groups and Sponsor Page 775 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Boston Scientific Pty Ltd

BS065 Vaxcel Implantable Vascular Access Polyurethane Catheter Material with dual 16 French catheter tapering to a $330.00

lumens and a staggered distal tip; 14 French, lengths 19, 23,

polyester cuff which provides catheter

security and tissue growth; clear

extension tubes with clamps

BS087 Vaxcel PASV PICC Single lumen catheters 3, 4, 5 & 6 Fr $175.00 Temporary approval pending

review of catheters

BS088 Vaxcel PASV PICC Dual lumen catheters 3, 4, 5 & 6Fr $210.00 Temporary approval pending

review of catheters

Medical Specialties

Australia Pty Ltd

MS009 Catheterisation kits(Horizon Medical) Central Venous Catheter - right atrial 2.7 -14F $408.00

catheter, silicone

MS010 Catheterisation kits(HDC corp) Central Venous Catheter - right atrial 2 - 12F $397.00

catheter, silicone

William A Cook Aust Pty Ltd

WC111 Cook Central Venous Catheterisation Kit Single lumen peripherally inserted catheter Fr 3, 4, 5 and Length 50 and $132.55

set, includes catheter, needle, J-wire and

introducer

WC112 Cook Central Venous Catheterisation Kit Double lumen peripherally inserted Fr 6, 7 and Length 50cm $199.50

catheter set, includes catheter, needle,

wire or J-wire and introducer

WC113 Cook Central Venous Catheterisation Kit Single lumen peripherally inserted catheter Fr 3, 4, 5 and Length 50 and $114.00

set, includes catheter, needle, J-wire,

MPIS wire and introducer

WC114 Cook Central Venous Catheterisation Kit Double lumen peripherally inserted Fr 6, 7 and Length 58 and 60cm $145.00

catheter set, includes catheter, needle, J-

wire, MPIS wire and introducer

WC201 Cook Central Venous Catherisation Kits Turbo-Flo Peripherally Inserted Central 4Fr - 60cm and 5Fr - 60cm $132.55

Venous Catheter Set, Single Lumen

Polyurethane with Micropuncture Peel-

Away Sheath Introducer and Wire Guide

Prostheses List by Category, Groups and Sponsor Page 776 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

WC202 Cook Central Venous Catheterisation Kits Turbo-Flo Peripherally Inserted Central 5Fr - 60cm $121.00

Venous Catheter Set, Single Lumen

Polyurethane with Peel Away Sheath

Introducer and Wire Guide

WC203 Cook Central Venous Catherisation Kits Turbo-Flo Peripherally Inserted Central 5Fr - 60cm $145.00

Venous Catheter Set, Dual Lumen

Polyurethane with Peel-Away Sheath

Introducer and Wire Guide

WC204 Cook Central Venous Catheterisation Kits Turbo-Flo Over-The-Wire Peripherally 4Fr - 60cm and 5Fr -60cm $132.55

Inserted Central Venous Catheter Set,

Single Lumen Polyurethane with

Micropuncture Peel-Away Sheath

WC205 Cook Central Venous Catheterisation Kits Turbo-Flo Over-The Wire Peripherally 5Fr - 60cm $145.00

Inserted Central Venous Catheter Set,

Dual Lumen Polyurethane with

Micropuncture Peel-Away Sheath

WC206 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central 3Fr - 50cm and 4Fr and 5Fr - $238.99

Venous Catheter Set, Single Lumen

Silicone with Micropuncture Peel-Away

Sheath Introducer and Nitinol Wire Guide

WC207 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central 3Fr - 50cm and 4Fr and 5Fr - $132.55

Venous Catheter Set, Catheter without

Clamp, Single Lumen Silicone with

Micropuncture Peel-Away Sheath

WC208 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central 4Fr - 60cm and 5Fr - 60cm $241.25

Venous Catheter Set, Catheter without

Clamp, Single Lumen Silicone with

Micropuncture Peel-Away Sheath

Introducer and Nitinol Wire Guide

WC221 Cook Spectrum Silicone Long Term Single lumen catheter CVC impregnated 4Fr, 5Fr $190.00 Temporary approval pending

Catheter Set with antibiotic with or without clamp review of catheters

WC222 Cook Spectrum Silicone Long Term Dual lumen catheter CVC impregnated 7Fr $208.00 Temporary approval pending

Catheter Set with antibiotic with or without clamp review of catheters

WC223 Cook Spectrum Silicone Long Term Triple lumen catheter CVC impregnated 8Fr $253.00 Temporary approval pending

Catheter Set with antibiotic with or without clamp review of catheters

Prostheses List by Category, Groups and Sponsor Page 777 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

WC224 Cook Spectrum PICC Set / Line Single lumen PICC catheter with 4fg, and 5fg 60cm $165.00 Temporary approval pending

antibiotic impregnation review of catheters

WC225 Cook Spectrum PICC Set / Line Dual lumen PICC catheter with antibiotic 6fr and 60cm $220.00 Temporary approval pending

impregnation review of catheters

WC227 Peripherally Inserted C/V catheter with Micropuncture Single Lumen PICC with 4/5Fr single lumen ABRM $238.99 Temporary Listing pending

Antibiotic Impregnation ABRM impregnated silicone central review of catheters

venous catheter set with

micropuncture introducer kit.

6/7Fr double lumen ABRM

impregnated silicone central

venous catheter set with

micropuncture introducer kit,

Group 9b - Infuser Ports

Bard Australia Pty Ltd

BA056 Subcutaneous Ports Hickman open-ended catheter, single 8 - 9.6 French Catheter $490.00 $715.64

BA057 Groshong Subcutaneous Ports Single or dual lumen catheter 8 - 9.6 French Catheter $510.00 $727.82

BA059 Dual Lumen Subcutaneous Ports Silicone, Polyurethane or ChronoFlex 7 - 10 French Catheter $788.00

Open-ended Catheter

BA060 Hickman Subcutaneous Ports Low-Profile 6 - 6.6 French Catheter $640.00

BA177 SlimPort Ultra Low Profile Implanted Ultra SlimPort Low Profile Port: 16.9 x 22.7mm (W) x $530.00 $615.00

Plastic/Titanium port with attachable 9.2mm (H); 2.9g Wt 6 Fr

Chronoflex® single lumen catheter

Medical Specialties

Australia Pty Ltd

MS014 Injection/Infusion Ports Sterile Plastic/titanium, single lumen 5-15F $755.00

MS015 Injection/Infusion Ports Sterile Plastic/titanium, dual lumen 10, 10.5, 12F $770.00

MS016 Injection/Infusion Ports Sterile Plastic/titanium, paediatric 5, 6, 7,8, 9.6F $755.00

Prostheses List by Category, Groups and Sponsor Page 778 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

William A Cook Aust Pty Ltd

WC093 Cook Implantable Injection/Infusion Ports Standard Single Chamber Polysulfone 5fr, 6.5fr, 7.5fr, 9.5fr Pre- $490.00

with Standard Introducer Set, Petite attached or Detached Catheter

Single Chamber Polysulfone with

Standard Introducer Set, Petite Single

Chamber Polysulfone with Micropuncture

Introducer Set

WC094 Cook Implantable Injection/Infusion Ports Mini Single Chamber Titanium with 5.0fr, 6.5fr, 7.5fr, 8.5fr Pre- $523.00

Standard Introducer Set; Petite Single attached or Detached Catheter

Chamber Titanium with Standard

Introducer Set; Petite Single Chamber

Titanium with Micropuncture Introducer

Set; Standard Single Chamber Titanium

with Standard Introducer Set

WC115 Cook Implantable Injection/Infusion Port Mini Single Chamber Titanium with 5.2fr Detached Catheter $639.00

Micropuncture Introducer Set

WC164 Cook Implantable Injection/Infusion Ports Dual Chamber Titanium Port 7.5 fr, 11.5 fr Pre-Attached or $746.00

Detached Catheter with

Standard or Micropuncture

Injection/Infusion Ports, Implantable

B Braun Australia Pty Ltd

BB170 Celsite Access Port for pain relief Composition - polysulphone. Kit includes Diameter of septum:11.7mm. $495.00

tunnelling rod, filter, connectors, Height: 11.5mm. Dimension:

needles, syringe, tuohy needle 25.8 x 37.8mm

Prostheses List by Category, Groups and Sponsor Page 779 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Occluders, Vascular

Johnson & Johnson Medical Pty Ltd

JJ223 TruFill DCS Detachable coil Platinum detachable coil of complex and Size .012" outer diameter. $1,400.00

helical shapes.

Embolic coil and delivery Complex shape - 2 -12mm (dia),

tube. 2 - 30cm lengths; helical shape

- 2 - 30mm (dia), lengths 2 -

JJ224 TruFill Pushable coil Platinum pushable coil of 1. Straight, 2. Size .014" outer diameter. Size $33.25

C, 3. Flat spiral and 4. Complex shapes.

2 - 10mm and length 2 - 100mm

Embolic coil and delivery tube.

Procedure Trays, Surgical

Kendall Australasia Pty Ltd T/A Tyco Healthcare Pty Ltd

KA014 Mahurkar Maxid Catheters Catheters constructed of radiopaque Size, 38, 43, 48, 53cm $298.70

polyurethans, high kink resistant.

The

arterial lumen is shorter than the venous

lumen at the catheter's distal end in order

to reduce recirculation during

Prostheses, Blood Vessel, Artificial

Edwards Lifesciences Pty Ltd

EL005 PTFE Vascular Graft Expanded, reinforced 5-10mm x 10cm $190.00 $325.00

Polytetrafluoroethylene. Straight, Regular

Wall, Spiral Externally Supported

EL006 PTFE Vascular Graft Expanded, reinforced 5-10mm x 20cm $190.00 $325.00

Polytetrafluoroethylene. Straight, Regular

Wall, Spiral Externally Supported

Prostheses List by Category, Groups and Sponsor Page 780 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

EL013 PTFE Vascular Graft Expanded, reinforced 5-10mm x 10cm $190.00 $325.00

Polytetrafluoroethylene. Straight, Thin

Wall, Spiral Externally Supported

EL014 PTFE Vascular Graft Expanded, reinforced 5-10mm x 20cm $190.00 $325.00

Polytetrafluoroethylene. Straight, Thin

Wall, Spiral Externally Supported

EL024 PTFE Vascular Graft Expanded, reinforced 4-7mm x 70cm $1,285.00

Polytetrafluoroethylene. Regular Wall,

EL027 PTFE Vascular Graft Expanded, reinforced 4-7mm x 70cm $1,285.00

Polytetrafluoroethylene. Thin Wall,

Terumo Corporation Australia

TU038 Gelweave Graft Straight Thoracic Graft, with antiflo side 22-34 mm x 20-40 cm $1,677.00 $1,744.00

branch, Polyester, woven, gelatin sealed

Prostheses, Blood Vessel, Biological

Bio Nova International Pty Ltd

BN001 Bio Nova Vascular Graft Flonova One size only $4,032.00

BN002 Omniflow II Vascular Prosthesis - - 5 - 10 mm x 65 cm $3,891.00

BN003 Omniflow II Vascular Prosthesis - - 5 - 10 mm x 55 cm $3,357.00

BN004 Omniflow II Vascular Prosthesis - - 3 - 4 mm x 20 cm $2,283.00

BN005 Omniflow II Vascular Prosthesis - Vascular Patch One size only $672.00

Prosthesis, Internal, Embolisation, Vascular

Medtel Australia Pty Ltd

ME182 Amplatzer Vascular Plug Self expandable nitinol wire mesh Diameter 4mm - 16mm, Length $1,900.00

7 & 8mm

Prostheses List by Category, Groups and Sponsor Page 781 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Prosthesis, Internal, Stent

Johnson & Johnson Medical Pty Ltd

JJ463 PRECISE RX Nitinol Stent System Nitinol self expandable stent and repid Stent Lengths 20, 30, 40mm; $2,420.00

exchange delivery system Stent Diameter: 5, 6, 7, 8, 9,

Spring Infusor, Ambulatory

Tuta Healthcare Pty Ltd

TT001 Paragon Ambulatory Drug Infusion System The top of the Paragon infuser is made of Infuser - 100mL Administration $988.00

acetyl with stainless steel parts; the Sets - 0.50mL, 1mL, 2mL,

bottom is made of clear polycarbonate. 4mL, 10mL, 50mL, 100mL, or

Diam: 10cm Height: 5.8cm.

Administration Sets - made from PVC

TT003 Sidekick Ambulatory Disposable Delivery Spring infusor made from high impact Infuser - 50mL or 100mL, $467.00

System plastics. Administration Sets - made Administration Sets - 50mL,

from PVC and acrylic components. 100mL or 200mL/hr

Stents, Vascular

Bard Australia Pty Ltd

BA006 Endologix Endoluminal Prostheses Power link endoliminal stent graft 25mm - 32mm Proximal $12,500.00

diameter, 16 - 20mm Limb

diameter, 130mm - 220mm

BA007 Endologix Endoluminal Prostheses Power link limb extension 16mm x 55mm, 16mm x $2,500.00

88mm, 20mm x 55mm

BA008 Endologix Endoluminal Prostheses Power link proximal cuff 25mm x 55mm, 28mm x $2,500.00

55mm, 28mm x 75mm (55mm

Prostheses List by Category, Groups and Sponsor Page 782 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

Biotronik Australia Pty Ltd

BT035 PEIRON Flexible coated stent with delivery system Dia 5-8mm, length 18-38mm $2,500.00

Boston Scientific Pty Ltd

BS035 Expandable Endovascular Wallstent Wallstent - Easy Wallstent, Iliac Wallstent Stent Diameter x Stent Length: $1,800.00

(A self-expanding stent that has a 6-16mm x 18-70mm

cylindrical braided structure composed of

24 wires with core of either tantalum or

Endotherapeutics Pty Ltd

ET030 Aspire Covered Stent Expandible Nitinol Stent covered with Dia 6-14mm, Length 2.5-10cm $5,000.00

ET037 SX-Ella Endovascular Stent Uncovered, self-expanding nitinol stent Dia 6-16mm, length 22-77mm $2,500.00

Johnson & Johnson Medical Pty Ltd

JJ064 Duo Via Main Endograft Leg and Delivery Nitinol abdominal aortic aneurysm device 13F, 16-28 mm $2,163.00

System leg extension

JJ065 Duo Via Bioseal and Delivery System Nitinol abdominal aortic aneurysm device 13F, 16-28 mm $1,648.00

Medtronic Australasia Pty Ltd

MC205 Cerebrence Over-the-Wire Neurovascular Stainless Steel 2.5-4mm x 6-25mm $1,700.00

Stent System

Stents, Vascular, Peripheral

Johnson & Johnson Medical Pty Ltd

JJ479 PALMAZ GENESIS on CORDIS AMIIA Peripheral balloon expandable stent and Lengths: 12, 15, 18, 24mm. $2,300.00

RX .014 Delivery System rapid exchange delivery system Diameter: 4, 4.5, 5, 5.5, 6, 6.5,

7mm

Tissue Reconstructive Materials, Solid

W L Gore & Associates

GT012 Soft Tissue Patch ePTFE 1mm Thickness 5 x 10cm $220.00

Prostheses List by Category, Groups and Sponsor Page 783 of 784

VASCULAR

Minimum Maximum

Billing Code Product Name Description Size Benefit Benefit Notations

GT013 Soft Tissue Patch ePTFE 1mm Thickness 10 x 15cm $647.00

GT014 Soft Tissue Patch ePTFE 1mm Thickness 15 x 20cm $1,167.00

GT015 Soft Tissue Patch ePTFE 1mm Thickness 20 x 30cm $2,040.00

GT016 Soft Tissue Patch ePTFE 2mm Thickness 5 x 10cm $361.00

GT017 Soft Tissue Patch ePTFE 2mm Thickness 10 x 15cm $876.00

GT018 Soft Tissue Patch ePTFE 2mm Thickness 15 x 20cm $1,596.00

GT019 Soft Tissue Patch ePTFE 2mm Thickness 20 x 30cm $2,750.00

Vascular Prostheses, Human or Animal Origin

Bio Nova International Pty Ltd

BN006 Omniflow II Vascular Prosthesis - AV Access One size only $2,403.00

BN007 Bio Nova Omniflow II Soft Tissue Patches 2mm thick 5cm x 10cm $311.00

BN008 Bio Nova Omniflow II Soft Tissue Patches 2mm thick 10cm x 15cm $776.00

BN009 Bio Nova Omniflow II Soft Tissue Patches 2mm thick 15cm x 20cm $1,403.00

BN010 Bio Nova Omniflow II Soft Tissue Patches 2mm thick 20cm x 30cm $2,466.00

Grand Total: 9372 Records

Prostheses List by Category, Groups and Sponsor Page 784 of 784

PART B - Human Tissue List November 2006

CARDIO-THORACIC

Billing Code Facility Minimum Benefit

Aortic Valved Conduit Patch

QHV09 Queensland Heart Valve Bank $4,706.00

Heart Valve - Aortic

QHV01 Queensland Heart Valve Bank $4,706.00

RPH01 Royal Perth Hospital $3,833.00

SHV01 Sydney Heart Valve Bank, Darlinghurst NSW $5,350.00

TBV01 Donor Tissue Bank of Victoria $5,663.00

Heart Valve - Pulmonary

QHV02 Queensland Heart Valve Bank $4,706.00

RPH02 Royal Perth Hospital $3,833.00

SHV02 Sydney Heart Valve Bank, Darlinghurst NSW $5,350.00

TBV02 Donor Tissue Bank of Victoria $5,663.00

Mitral Valve Patch

QHV03 Queensland Heart Valve Bank $985.00

Pericardium

TBV50 Donor Tissue Bank of Victoria $421.00

Pericardium Patch

QHV05 Queensland Heart Valve Bank $985.00

Pulmonary Conduit

TBV03 Donor Tissue Bank of Victoria $869.00

Pulmonary Conduit - Large

QHV07 Queensland Heart Valve Bank $985.00

Pulmonary Conduit - Small

QHV06 Queensland Heart Valve Bank $985.00

Pulmonary Valved Conduit For Patch use

QHV08 Queensland Heart Valve Bank $4,706.00

Tricuspid Valve Patch

QHV04 Queensland Heart Valve Bank $985.00

Page 1 of 16

OPHTHALMIC

Billing Code Facility Minimum Benefit

Cornea

LEM01 Lions Eye Bank - Melbourne $1,300.00

LEN01 Lions NSW Eye Bank $1,000.00

LEW01 The Lions Eye Bank of WA $2,000.00

QEB01 Queensland Eye Bank $850.00

SAE01 The Eye Bank of SA $840.00

TBV04 Donor Tissue Bank of Victoria $800.00

Cornea For Lamellar

LEN03 Lions NSW Eye Bank $600.00

Cornea for Sclera

LEM02 Lions Eye Bank - Melbourne $150.00

LEN02 Lions NSW Eye Bank $150.00

SAE02 The Eye Bank of SA $60.00

Human Amniotic Membrane for Transplantation

LEM03 Lions Eye Bank - Melbourne $321.00

SCLERA

LEW02 The Lions Eye Bank of WA $200.00

QEB02 Queensland Eye Bank $150.00

Page 2 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

Achilles Tendon

NBB01 New South Wales Bone Bank $1,560.00

QBB01 Queensland Bone Bank $1,560.00

TBV05 Donor Tissue Bank of Victoria $864.00

Achilles Tendon with Bone Plug

NBB02 New South Wales Bone Bank $1,900.00

PBT01 Perth Bone & Tissue Bank $1,900.00

TBV06 Donor Tissue Bank of Victoria $1,760.00

Anterior Cruciate Ligament Unit

PBT02 Perth Bone & Tissue Bank $1,700.00

Anterior Tibialis Tendon

PBT46 Perth Bone & Tissue Bank $1,300.00

Autologous Chondrocyte Transplantation

MTE01 Mercy Tissue Engineering Pty Ltd $9,996.00

MTE03 Mercy Tissue Engineering Pty Ltd $11,349.00

MVS22 Institute of Medical & Veterinary Science, SA $9,538.00

VAP01 Verigen Australia Pty Ltd $9,556.00

Autologous Chondrocytes

MTE02 Mercy Tissue Engineering Pty Ltd $2,509.00

VAP03 Verigen Australia Pty Ltd $2,593.00

Autologous Chrondocyte Transplantation

MUA01 Monash University, Dept of Surgery, Alfred Hospital, Tissue Culture Laboratory $8,694.43

Autologous Skull Flap

MVS23 Institute of Medical & Veterinary Science, SA $1,396.00

Bone - Chips/cubes 40cc

TBV09 Donor Tissue Bank of Victoria $836.00

Bone - Chips/cubes 80cc

TBV10 Donor Tissue Bank of Victoria $1,590.00

Bone Plug/Dowel - Cancellous

PBT03 Perth Bone & Tissue Bank $500.00

Page 3 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

TBV07 Donor Tissue Bank of Victoria $583.00

Bone Plug/Dowel - Tricortical

TBV08 Donor Tissue Bank of Victoria $643.00

Cancellous Crunch - 15cc

NBB62 New South Wales Bone Bank $795.00

Cancellous Crunch - 30cc

NBB61 New South Wales Bone Bank $1,450.00

Cancellous Crunch - 60cc

NBB60 New South Wales Bone Bank $2,200.00

Cartilage (costal) segments

PBT11 Perth Bone & Tissue Bank $300.00

QBB12 Queensland Bone Bank $200.00

TBV17 Donor Tissue Bank of Victoria $335.00

Cortical Struts

(Freeze Dried) 1 strut

QBB02 Queensland Bone Bank $600.00

Cortical Struts (1 strut)

TBV14 Donor Tissue Bank of Victoria $655.00

Cortical Struts (2 struts)

TBV13 Donor Tissue Bank of Victoria $1,310.00

Cortical Struts 10-15cm

PBT06 Perth Bone & Tissue Bank $1,450.00

Cortical Struts>15 - 20cm

PBT07 Perth Bone & Tissue Bank $1,850.00

Cortical struts>20cm

PBT48 Perth Bone & Tissue Bank $2,100.00

Cortico - Cancellous Freeze Dried 20g

QBB03 Queensland Bone Bank $1,740.00

Cortico-Cancellous Crunch (40/60) - 15cc

NBB65 New South Wales Bone Bank $795.00

Page 4 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

Cortico-Cancellous Crunch (40/60) - 30cc

NBB64 New South Wales Bone Bank $1,450.00

Cortico-Cancellous Crunch (40/60) - 60cc

NBB63 New South Wales Bone Bank $2,200.00

Disc - Freeze Dried

QBB04 Queensland Bone Bank $650.00

Dowel Plug

NBB05 New South Wales Bone Bank $1,080.00

QBB13 Queensland Bone Bank $1,080.00

Elbow - joint

QBB14 Queensland Bone Bank $2,100.00

TBV18 Donor Tissue Bank of Victoria $4,710.00

Fascia Lata

TBV21 Donor Tissue Bank of Victoria $692.00

Fascia Lata - Large (15cm x 10cm)

PBT15 Perth Bone & Tissue Bank $1,300.00

Fascia Lata - Small (>10cm x >5cm)

NBB09 New South Wales Bone Bank $800.00

Fascia Lata - Small (10cm x 5cm)

PBT16 Perth Bone & Tissue Bank $800.00

Fascia Lata (per sq cm)

QBB11 Queensland Bone Bank $5.00

Fascia Lata (per squared cm)

NBB08 New South Wales Bone Bank $4.00

Femoral Condyle

PBT21 Perth Bone & Tissue Bank $1,800.00

Femoral Head

ACT01 ACT Bone Bank $1,638.00

APH01 The Avenue Private Hospital Prahan Victoria $1,131.00

CSA01 Central Sydney Area Health t/a Rachel Forster Bone Bank $802.00

Page 5 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

DHR01 The Douglas Hocking Research Institute - Bone Bank $1,060.00

HBB01 The Hobart Private Hospital Bone Bank $1,400.00

LPH01 Lingard Private Hospital $1,103.00

MMH01 Mater Misericordiae Hospital North Sydney $400.00

MVS05 Institute of Medical & Veterinary Science, SA $1,595.00

NBB16 New South Wales Bone Bank $1,750.00

PBT22 Perth Bone & Tissue Bank $1,800.00

QBB27 Queensland Bone Bank $1,775.00

RNB01 The Royal Newcastle Hospital Bone Bank $1,619.00

SVN01 St Vincent's Private Hospital (NSW) $731.00

TBV26 Donor Tissue Bank of Victoria $2,020.00

Femoral Head - Half (Freeze Dried)

QBB29 Queensland Bone Bank $500.00

Femoral Head - Whole (Freeze Dried)

QBB28 Queensland Bone Bank $800.00

Femoral Rings

NBB17 New South Wales Bone Bank $1,400.00

PBT24 Perth Bone & Tissue Bank $1,400.00

QBB30 Queensland Bone Bank $1,260.00

Femoral Rings - (Freeze Dried)

QBB31 Queensland Bone Bank $650.00

Femur - > 15cm

QBB19 Queensland Bone Bank $1,460.00

Femur - Cortical Portions < 15cm

QBB17 Queensland Bone Bank $1,560.00

Femur - Cortical portions> 1/3

QBB18 Queensland Bone Bank $1,100.00

Femur - Distal (Shaft & Condyles)

MVS02 Institute of Medical & Veterinary Science, SA $2,290.00

PBT17 Perth Bone & Tissue Bank $2,850.00

TBV22 Donor Tissue Bank of Victoria $3,308.00

Page 6 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

Femur - Distal Half

NBB10 New South Wales Bone Bank $2,370.00

Femur - Distal half > 15cm

QBB20 Queensland Bone Bank $2,370.00

Femur - Distal third

NBB11 New South Wales Bone Bank $1,144.00

Femur - Distal third < 15cm

QBB21 Queensland Bone Bank $2,270.00

Femur - Entire

MVS03 Institute of Medical & Veterinary Science, SA $2,290.00

NBB12 New South Wales Bone Bank $5,539.00

PBT18 Perth Bone & Tissue Bank $4,900.00

QBB22 Queensland Bone Bank $3,685.00

TBV23 Donor Tissue Bank of Victoria $5,539.00

Femur - Hemicondyle

NBB59 New South Wales Bone Bank $2,000.00

Femur - Middle third

NBB13 New South Wales Bone Bank $2,250.00

QBB23 Queensland Bone Bank $1,865.00

TBV24 Donor Tissue Bank of Victoria $1,804.00

Femur - Proximal

(shaft,trochanter, neck)

PBT20 Perth Bone & Tissue Bank $2,850.00

TBV25 Donor Tissue Bank of Victoria $3,283.00

Femur - Proximal (shaft & trachanter, neck)

MVS04 Institute of Medical & Veterinary Science, SA $2,290.00

Femur - Proximal half

NBB15 New South Wales Bone Bank $2,570.00

Femur - Proximal half > 15cm

QBB25 Queensland Bone Bank $2,570.00

Femur - Proximal third

Page 7 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

NBB14 New South Wales Bone Bank $1,040.00

Femur - Proximal third < 15cm

QBB24 Queensland Bone Bank $2,120.00

Femur - Segment

NBB56 New South Wales Bone Bank $1,500.00

Femur - Shaft Half

NBB57 New South Wales Bone Bank $2,200.00

Femur - Shaft Third

NBB55 New South Wales Bone Bank $1,500.00

Femur - Trochanter Milled

QBB26 Queensland Bone Bank $800.00

Femur- 1 Condyle only

TBV46 Donor Tissue Bank of Victoria $1,018.00

Femur-Proximal(Shaft, trochanter, neck and head)

TBV51 Donor Tissue Bank of Victoria $3,185.00

Fibula - Entire

MVS07 Institute of Medical & Veterinary Science, SA $2,290.00

NBB18 New South Wales Bone Bank $3,200.00

PBT25 Perth Bone & Tissue Bank $2,000.00

QBB32 Queensland Bone Bank $2,220.00

TBV27 Donor Tissue Bank of Victoria $5,775.00

Fibula - Segment

NBB54 New South Wales Bone Bank $1,925.00

Fibula - Segment (12cm)

MVS14 Institute of Medical & Veterinary Science, SA $2,290.00

NBB20 New South Wales Bone Bank $1,881.00

TBV29 Donor Tissue Bank of Victoria $891.00

Fibula - Segment (6cm)

MVS13 Institute of Medical & Veterinary Science, SA $2,290.00

NBB19 New South Wales Bone Bank $1,300.00

Page 8 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

TBV28 Donor Tissue Bank of Victoria $583.00

Fibula - Shaft

TBV30 Donor Tissue Bank of Victoria $1,881.00

Fibula segment (prox / distal)

PBT28 Perth Bone & Tissue Bank $1,100.00

Fibular Strut < 10cm:

QBB06 Queensland Bone Bank $1,210.00

Fibular Strut > 10cm:

QBB07 Queensland Bone Bank $1,335.00

Freeze Dried Milled Bone <30gm

PBT37 Perth Bone & Tissue Bank $750.00

Freeze Dried Milled Bone 30 - 50gm

PBT38 Perth Bone & Tissue Bank $900.00

Freeze-dried Cancellous Cubes (6)

QBB09 Queensland Bone Bank $1,335.00

Freeze-Dried Cancellous Strips (2)

QBB10 Queensland Bone Bank $650.00

Hemipelvis - Acetabulum

NBB21 New South Wales Bone Bank $2,568.00

PBT29 Perth Bone & Tissue Bank $2,400.00

QBB33 Queensland Bone Bank $2,320.00

TBV31 Donor Tissue Bank of Victoria $2,568.00

Hemipelvis - Complete

MVS08 Institute of Medical & Veterinary Science, SA $2,290.00

NBB24 New South Wales Bone Bank $5,825.00

PBT30 Perth Bone & Tissue Bank $4,500.00

QBB37 Queensland Bone Bank $3,685.00

TBV32 Donor Tissue Bank of Victoria $5,825.00

Hemipelvis - IIliac crest

NBB22 New South Wales Bone Bank $2,321.00

Page 9 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

PBT31 Perth Bone & Tissue Bank $1,100.00

QBB34 Queensland Bone Bank $2,060.00

TBV33 Donor Tissue Bank of Victoria $2,321.00

Hemipelvis - Tricortical wedge

QBB35 Queensland Bone Bank $1,005.00

Hemipelvis - Tricortical wedge (Freeze Dried)

QBB36 Queensland Bone Bank $700.00

Hemipelvis -Tricortical iliac wedge

NBB23 New South Wales Bone Bank $1,005.00

PBT32 Perth Bone & Tissue Bank $600.00

TBV34 Donor Tissue Bank of Victoria $880.00

Humeral Head

QBB44 Queensland Bone Bank $1,350.00

TBV37 Donor Tissue Bank of Victoria $1,419.00

Humeral Head Addition

NBB26 New South Wales Bone Bank $1,419.00

Humerus - Cortical portions/blocks < 10cm

QBB38 Queensland Bone Bank $1,110.00

Humerus - Cortical portions/blocks > 10cm

QBB39 Queensland Bone Bank $1,330.00

Humerus - Distal

MVS19 Institute of Medical & Veterinary Science, SA $2,290.00

TBV49 Donor Tissue Bank of Victoria $1,892.00

Humerus - Distal half

NBB25 New South Wales Bone Bank $1,200.00

Humerus - Entire

MVS20 Institute of Medical & Veterinary Science, SA $2,290.00

NBB29 New South Wales Bone Bank $2,828.00

QBB43 Queensland Bone Bank $2,570.00

Humerus - Proximal half

Page 10 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

NBB27 New South Wales Bone Bank $1,658.00

QBB40 Queensland Bone Bank $1,260.00

Humerus - Proximal half with rotator cuff

NBB28 New South Wales Bone Bank $2,500.00

QBB41 Queensland Bone Bank $2,245.00

Humerus - Proximal with rotator cuff

MVS09 Institute of Medical & Veterinary Science, SA $2,290.00

PBT34 Perth Bone & Tissue Bank $2,500.00

TBV35 Donor Tissue Bank of Victoria $2,233.00

Humerus - Proximal w'out rotator cuff

PBT35 Perth Bone & Tissue Bank $1,100.00

QBB42 Queensland Bone Bank $1,260.00

TBV36 Donor Tissue Bank of Victoria $2,376.00

Humerus - Ring

NBB53 New South Wales Bone Bank $1,300.00

Humerus - Segment

NBB52 New South Wales Bone Bank $1,400.00

Humerus - Shaft Half

NBB51 New South Wales Bone Bank $1,500.00

Humerus - Shaft Whole

NBB50 New South Wales Bone Bank $2,750.00

Humerus - Whole

PBT33 Perth Bone & Tissue Bank $3,000.00

Humerus - Whole with rotator cuff

NBB30 New South Wales Bone Bank $2,941.00

Matrix and Autologous Chondrocytes Implant

ORT01 Orthogen Australia Pty Ltd $11,400.00

Medial Ligament

NBB31 New South Wales Bone Bank $1,529.00

TBV38 Donor Tissue Bank of Victoria $1,529.00

Page 11 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

Meniscal Graft

PBT47 Perth Bone & Tissue Bank $1,800.00

Meniscus

QBB05 Queensland Bone Bank $1,160.00

Meniscus with Ligaments

TBV39 Donor Tissue Bank of Victoria $1,842.00

Meniscus without Ligaments

TBV40 Donor Tissue Bank of Victoria $1,000.00

Milled Bone - 15cc

NBB58 New South Wales Bone Bank $720.00

Milled Bone - 30gm

NBB03 New South Wales Bone Bank $1,050.00

Milled Bone - 40cc

TBV11 Donor Tissue Bank of Victoria $1,000.00

Milled Bone - 60gm

NBB04 New South Wales Bone Bank $1,675.00

Milled Bone - 80cc

TBV12 Donor Tissue Bank of Victoria $1,788.00

Milled Bone (60cc)

QBB45 Queensland Bone Bank $1,675.00

Milled Bone (60g max)

QBB46 Queensland Bone Bank $1,200.00

Milled Bone <30gr

PBT08 Perth Bone & Tissue Bank $1,500.00

Milled Bone >50gr

PBT10 Perth Bone & Tissue Bank $2,250.00

Milled Bone 30 - 50gr

PBT09 Perth Bone & Tissue Bank $1,950.00

Milled Bone 40cc

Page 12 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

TBV15 Donor Tissue Bank of Victoria $760.00

Milled Bone 80cc

TBV16 Donor Tissue Bank of Victoria $1,445.00

Patella

NBB32 New South Wales Bone Bank $875.00

QBB47 Queensland Bone Bank $750.00

TBV41 Donor Tissue Bank of Victoria $875.00

Patella tendon

QBB48 Queensland Bone Bank $1,715.00

Patella Tendon and Patella

TBV42 Donor Tissue Bank of Victoria $1,842.00

Patella tendon with Bone Plugs

NBB33 New South Wales Bone Bank $1,357.00

Patellar unit whole with tibial block

PBT40 Perth Bone & Tissue Bank $2,000.00

Primary MACI plus 1/2

VAP02 Verigen Australia Pty Ltd $10,891.00

Proximal Third Tibia with - Patella Tendon

QBB08 Queensland Bone Bank $2,370.00

Radius

MVS18 Institute of Medical & Veterinary Science, SA $2,290.00

NBB06 New South Wales Bone Bank $2,673.00

PBT13 Perth Bone & Tissue Bank $1,800.00

QBB15 Queensland Bone Bank $1,865.00

TBV19 Donor Tissue Bank of Victoria $2,673.00

Radius - Ring

NBB49 New South Wales Bone Bank $1,680.00

Radius - Segment

NBB48 New South Wales Bone Bank $1,925.00

Radius - Shaft

Page 13 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

NBB47 New South Wales Bone Bank $2,750.00

Rib (5cm)

MVS21 Institute of Medical & Veterinary Science, SA $382.00

PBT41 Perth Bone & Tissue Bank $300.00

TBV43 Donor Tissue Bank of Victoria $418.00

Scaphoid

QBB49 Queensland Bone Bank $900.00

Shaft - Femur / Tibia Middle third

PBT19 Perth Bone & Tissue Bank $2,400.00

Tibia - Condyles only

TBV47 Donor Tissue Bank of Victoria $1,425.00

Tibia - Cortical < 15cm

QBB50 Queensland Bone Bank $1,275.00

Tibia - Cortical > 15 cm

QBB51 Queensland Bone Bank $1,560.00

Tibia - Distal

MVS17 Institute of Medical & Veterinary Science, SA $2,290.00

TBV48 Donor Tissue Bank of Victoria $1,837.00

Tibia - Middle third seg

NBB34 New South Wales Bone Bank $1,400.00

QBB53 Queensland Bone Bank $900.00

Tibia - Plateau (prox 1/3)

NBB35 New South Wales Bone Bank $2,065.00

Tibia - Proximal third < 15cm

QBB54 Queensland Bone Bank $2,065.00

Tibia - Proximal with Patella Tendon

NBB46 New South Wales Bone Bank $3,647.00

Tibia - Proximal:

without Patella

PBT45 Perth Bone & Tissue Bank $1,100.00

Tibia - Proximal: 16-25cm

Page 14 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

TBV45 Donor Tissue Bank of Victoria $2,118.00

Tibia - Proximal: 7-15cm

TBV44 Donor Tissue Bank of Victoria $2,198.00

Tibia - Proximal: half

MVS11 Institute of Medical & Veterinary Science, SA $2,290.00

NBB36 New South Wales Bone Bank $2,290.00

Tibia - Proximal: with Patella & Tendon

PBT44 Perth Bone & Tissue Bank $1,900.00

Tibia - Ring

NBB45 New South Wales Bone Bank $1,300.00

Tibia - Shaft Half

NBB43 New South Wales Bone Bank $2,200.00

Tibia - Shaft Third

NBB42 New South Wales Bone Bank $2,065.00

Tibia - Shaft Whole

NBB41 New South Wales Bone Bank $2,750.00

Tibia - Strut

QBB52 Queensland Bone Bank $400.00

Tibia - Whole

MVS16 Institute of Medical & Veterinary Science, SA $2,290.00

NBB37 New South Wales Bone Bank $3,685.00

QBB55 Queensland Bone Bank $3,685.00

Tibia - Whole with Patella Tendon

NBB44 New South Wales Bone Bank $5,042.00

Ulna

MVS15 Institute of Medical & Veterinary Science, SA $2,290.00

NBB07 New South Wales Bone Bank $2,464.00

PBT14 Perth Bone & Tissue Bank $1,500.00

QBB16 Queensland Bone Bank $1,865.00

TBV20 Donor Tissue Bank of Victoria $2,464.00

Page 15 of 16

ORTHOPAEDIC

Billing Code Facility Minimum Benefit

Ulna - Ring

NBB40 New South Wales Bone Bank $1,680.00

Ulna - Segment

NBB39 New South Wales Bone Bank $1,925.00

Ulna - Shaft

NBB38 New South Wales Bone Bank $2,200.00

Page 16 of 16

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