Federal Register of Legislation - Australian Government

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Rules/Other as made
This instrument amends the Private Health Insurance (Prostheses) Rules 2014 (No. 1) to correct drafting errors, remove two products from Part A and inserts them in Part C, and adds three new products to Part A.
Administered by: Health
Registered 21 Feb 2014
Tabling HistoryDate
Tabled HR25-Feb-2014
Tabled Senate03-Mar-2014
Date of repeal 01 Mar 2014
Repealed by Division 1 of Part 5A of the Legislative Instruments Act 2003
Table of contents.

 

 

Private Health Insurance (Prostheses) Amendment Rules 2014 (No. 1)


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

Dated    17     February 2014

Shane Porter

Shane Porter

 

Assistant Secretary

Private Health Insurance Branch

Medical Benefits Division

Department of Health



 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contents

 

PART 1                  PRELIMINARY

 

1.                             Name of Rules  3

2.                             Commencement 3

3.                             Authority                                                                                              3

4.                             Schedules  3

 

 

SCHEDULE – AMENDMENTS                                                                                     4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Part 1        Preliminary

1.               Name of Rules

                 These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2014

       (No. 1).

2.               Commencement

These Rules commence on 28 February 2014.

3.               Authority

These Rules are made under the Private Health Insurance Act 2007.

4.               Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.  


 

Schedule – Amendments

 

Private Health Insurance (Prostheses) Rules 2014 (No. 1)

 

1       Schedule, Part A, billing codes, BX296, BX297, BX298, BX299, BX300, BX301, BX302, BX303, BX304, BX305, BX306 and BX307

delete the contents of items 1 to 12 of the table from the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum benefit

1

BX296

ACTIFUSE SHAPE 1.6mL–BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

1.6mL

$760.00

2

BX297

ACTIFUSE SHAPE 2.6mL–BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

2.6mL

$760.00

3

BX305

ACTIFUSE MICROGRANULES2.5mL–BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

2.5mL

$760.00

4

BX306

ACTIFUSE MICROGRANULES 5mL–BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

5mL

$760.00

5

BX299

ACTIFUSE SHAPE 8.0mL –BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

8.0mL

$1,200.00

6

BX301

ACTIFUSE GRANULES 10mL–BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

10mL

$1,200.00

7

BX304

ACTIFUSE EASY PREP –BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

10ml

$1,200.00

8

BX307

ACTIFUSE MICROGRANULES –BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

10mL

$1,200.00

9

BX298

ACTIFUSE GRANULES –BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

20mL

$1,500.00

10

BX300

ACTIFUSE SHAPE15.8mL –BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

15.8mL

$1,500.00

11

BX302

ACTIFUSE GRANULES –BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

5mL

$1,500.00

12

BX303

ACTIFUSE GRANULES 40mL–BONE MATRIX IMPLANT ARTIFICIAL

A silicate substituted synthetic bone graft

40mL

$1,560.00

 

2       Schedule, Part A, Group 8.14.01 – Implantable Cardiac Event Recorders, Billing Codes BT153 and MI141, after entry for billing code WC295

delete the subheadings:

8.14.01 – Implantable Cardiac Event Recorders

Biotronik Australia Pty Ltd

i

Medtronic Australasia Pty Ltd

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

Item

Billing Code

Product

Description

Size

Minimum benefit

1

BT153

BioMonitor

Implantable cardiac monitor for continuous remote monitoring of patients with Atrial Fibrillation (AF) or unexplained syncope

53.3mm x 42.7mm x 7.1mm, 26 grams

$3,900.00

2

MI141

Reveal LINQ

Insertable Cardiac Monitor

45 x 7 x 3.5mm, 1.18cc

$3,900.00

 

 


 

3       Schedule, Part C, Group 8.14.01 – Implantable Cardiac Event Recorders, Billing Codes BT153, After subheading 8.14.01 – Implantable Cardiac Event Recorders,

insert the subheading “Biotronik Australia Pty Ltd

under that subheading insert the contents of item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum benefit

1

BT153

BioMonitor

Implantable cardiac monitor for continuous remote monitoring of patients with Atrial Fibrillation (AF) or unexplained syncope

53.3mm x 42.7mm x 7.1mm, 26 grams

$3,900.00

 

4       Schedule, Part C, Group 8.14.01 – Implantable Cardiac Event Recorders, Billing Codes BT153, After entry for billing code BT153,

insert the subheading “i

insert the subheading “Medtronic Australasia Pty Ltd

under that subheading insert the contents of item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum benefit

1

MI141

Reveal LINQ

Insertable Cardiac Monitor

45 x 7 x 3.5mm, 1.18cc

$3,900.00

 

 


5       Schedule, Part A, Subgroup 6.02.02.01 – Thumb, carpometacarpal, After entry for billing code LM028,

delete the subheading “Orthopaedic Solutions Pty Ltd

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

Item

Billing Code

Product

Description

Size

Minimum benefit

1

OE029

BIOProfile Pyrocarbon Carpometacarpal Implants

Low Temperature Isotropic Pyrolytic Carbon Implants for carpometacarpal resurfacing (arthroplasty)

Small, Medium, Large & Extra Large

$884.00

 

5       Schedule, Part A, Subgroup 6.02.02.01 – Thumb, carpometacarpal, After entry for billing code LM028,

insert the subheading “Tornier Pty Ltd

under that subheading insert the contents of item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum benefit

1

TO149

BIOProfile Pyrocarbon Carpometacarpal Implants

Low Temperature Isotropic Pyrolytic Carbon Implants for carpometacarpal resurfacing (arthroplasty)

Small, Medium, Large & Extra Large

$884.00

 

 


6       Schedule, Part A, Group 07.01.01 – Intracanalicular, After entry for billing code SO044,

insert the contents of item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum benefit

1

SO049

FCI Masterka

Self-retaining monocanalicular nasal intubation WITHOUT nasal retrieval

30mm to 40mm

$180.00

 

 

7       Schedule, Part A, Group 07.01.01 – Intracanalicular, After entry for billing code SO043,

insert the contents of item 1 of the table in the columns indicated:

Item

Billing Code

Product

Description

Size

Minimum benefit

1

SO050

FCI Nunchaku

Self-retaining bicanalicular nasal intubation WITHOUT nasal retrieval

90mm to 105mm

$135.00