Private Health Insurance (Prostheses) Amendment Rules 2012 (No. 3)

Link to law: https://www.comlaw.gov.au/Details/F2012L01788

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Private Health Insurance (Prostheses) Amendment Rules 2012 (No. 3)
I, DOUG FAWNS, 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 29 August 2012
 
Doug Fawns
 
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health and Ageing
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Contents
 
PART 1                  PRELIMINARY
 
1.                             Name of Rules  3
2.                             Commencement 3
3.                             Amendment of the Private Health Insurance (Prostheses) Rules 2012 (No. 2) 3
 
SCHEDULE – AMENDMENTS                                                                                     3
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Part 1        Preliminary
1.               Name of Rules
                 These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2012
       (No. 3).
2.               Commencement
These Rules commence immediately after the commencement of the Private Health Insurance (Prostheses) Rules 2012 (No. 2).
3.               Amendment of the Private Health Insurance (Prostheses) Rules 2012 (No. 2)
The Schedule amends the Private Health Insurance (Prostheses) Rules 2012 (No. 2).
 
 
 
Schedule – Amendments
[1] Schedule - Part A – Prostheses List – August 2012
 
[1.1]          at page 56 of 975, after the “Sponsor” column starting “Atrium Australia – Pacific Rim Pty Ltd”, under the heading “Billing Code” insert, “AC082”, under the heading “Product Name” insert, “Interflow Ultrathin Radially Supported”, under the heading “Description” insert, “ePTFE vascular graft with radial support”, under the heading “Size” insert, “6-8mm x 40cm”, under the heading “Minimum Benefit” insert, “$1,520.00”.
[1.2]           at page 57 of 975, starting at the “Sponsor” column “St Jude Medical Australia Pty Ltd”, omit all details of “Billing Code” SJ228.
[1.3]          at page 208 of 975, after the sponsor column starting “Global Orthopaedic Technology”, on the line starting “GO007”, under the heading “Minimum Benefit” omit “$4,100.00”.
[1.4]          at page 208 of 975, after the sponsor column starting “Global Orthopaedic Technology ”, on the line starting “GO007”, under the heading “Minimum Benefit” insert, “$3,700.00”.
[1.5]          at page 308 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details of “Billing Code” NI159. Omit heading “National Surgical Corporation Pty Ltd”.
[1.6]          at page 308 of 975, after the “Sponsor” column starting “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK006”, under the heading “Product Name” insert, “Fortex Pedicle Screw system - Pedicle Screw”, under the heading “Description” insert, “Polyaxial pedicle screw”, under the heading “Size” insert, “4.75, 5.5, 6.5, 7.5, 8.25mm diameter. 30, 35, 40, 45, 50, 55mm lengths”, under the heading “Minimum Benefit” insert, “$1,330.00”.
[1.7]          at page 320 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details of “Billing Code” “NI160”. Omit heading “National Surgical Corporation Pty Ltd”.
[1.8]          at page 320 of 975, after the “Sponsor” column starting “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK007”, under the heading “Product Name” insert, “Spider Cervical Plating System - Spider Screw”, under the heading “Description” insert, “Titanium, Self Tapping and Self Drilling”, under the heading “Size” insert, “4.0 - 4.25mm, lengths 12-16mm”, under the heading “Minimum Benefit” insert, “$200.00”.
[1.9]          at page 330 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details of “Billing Code” NI161. Omit heading “National Surgical Corporation Pty Ltd”.
[1.10]      at page 330 of 975, after the “Sponsor” column starting “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK008”, under the heading “Product Name” insert, “Calix Interbody Spacer”, under the heading “Description” insert, “Cervical cage, PEEK”, under the heading “Size” insert, “Heights 5-12mm. Lordotic and Convex”, under the heading “Minimum Benefit” insert, “$2,503.00”.
[1.11]      at page 342 of 975, the next Line after “Billing Code” MC976 under the heading “Sponsor Column” insert, “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK009”, under the heading “Product Name” insert, “Calix Peek Lumbar System”, under the heading “Description” insert, “Peek lumbar interbody spacer for fusion of the lumbar spine using an anterior, posterior or transverse approach”, under the heading “Size” insert, “36mm x 24mm x 8mm x 8deg, 36mm x 24mm x 10mm x 8deg, 36mm x 24mm x 12mm x 8deg, 36mm x 24mm x 14mm x 8deg, 36mm x 24mm x 16mm x 8deg, 36mm x 24mm x 18mm x 8deg, 36mm x 24mm x 20mm x 8deg, 36mm x 24mm x 8mm x 12deg, 36mm x 24mm x 10mm x 12deg, 36mm x 24mm x 12mm x 12deg, 36mm x 24mm x 14mm x 12deg, 36mm x 24mm x 16mm x 12deg, 36mm x 24mm x 18mm x 12deg, 36mm x 24mm x 20mm x 12deg, 28mm x 10mm x 6mm, 28mm x 10mm x 7mm, 28mm x 10mm x 8mm, 28mm x 10mm x 9mm, 28mm x 10mm x 10mm, 28mm x 10mm x 11mm, 28mm x 10mm x 12mm, 28mm x 10mm x 13mm, 28mm x 10mm x 14mm, 28mm x 10mm x 15mm, 28mm x 10mm x 16mm, 22mm x 10mm x 6mm, 22mm x 10mm x 7mm, 22mm x 10mm x 8mm, 22mm x 10mm x 9mm, 22mm x 10mm x 10mm, 22mm x 10mm x 11mm, 22mm x 10mm x 12mm, 22mm x 10mm x 13mm, 22mm x 10mm x 14mm, 22mm x 10mm x 15mm, 22mm x 10mm x 16mm, 26mm x 10mm x 6mm, 26mm x 10mm x 8mm, 26mm x 10mm x 10mm, 26mm x 10mm x 12mm, 26mm x 10mm x 14mm, 26mm x 10mm x 6mm x 5o, 26mm x 10mm x 8mm x 5o, 26mm x 10mm x 10mm x 5o, 26mm x 10mm x 12mm x 5o, 26mm x 10mm x 14mm x 5o”, under the heading “Minimum Benefit” insert, “$3,000.00”.
[1.12]      at page 343 of 975, omit heading “National Surgical Corporation Pty Ltd”.
[1.13]      at page 344 and 345 of 975, starting at the “Billing Code” column “NI162”, omit all details of “NI162”.
[1.14]      at page 358 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details of “Billing Code” “NI163”. Omit heading “National Surgical Corporation Pty Ltd”.
[1.15]      at page 358 of 975, after the “Sponsor” column starting “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK010”, under the heading “Product Name” insert, “Fortex Pedicle Screw Set Screw”, under the heading “Description” insert, “Pedicle Screw Set”, under the heading “Size” insert, “3.1mm height”, under the heading “Minimum Benefit” insert, “$170.00”.
[1.16]      at page 372 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details of “Billing Code” “NI164”. Omit heading “National Surgical Corporation Pty Ltd”.
[1.17]      at page 372 of 975, the next line after “Billing Code” JJ652 under the “Sponsor” column insert, “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK011”, under the heading “Product Name” insert, “Capless LI  Pedicle screw system - X Link cross connector – Fixed”, under the heading “Description” insert, “Titanium, lowprofile transverse crossconnector”, under the heading “Size” insert, “low profile, multiple sizes, 25-35mm” under the heading “Minimum Benefit” insert, “$400.00”.
[1.18]      at page 375 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details “NI165”. Omit heading “National Surgical Corporation Pty Ltd”.
[1.19]      at page 375 of 975, the next line after “Billing Code” MC708 under the “Sponsor” Column insert, “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK012”, under the heading “Product Name” insert, “Capless LI  Pedicle screw system - X Link cross connector – Variable”, under the heading “Description” insert, “Titanium, lowprofile transverse dual articulation crossconnector”, under the heading “Size” insert, “Low profile, Multiple sizes, 37-80mm”, under the heading “Minimum Benefit” insert, “$1,350.00”.
[1.20]      at page 382 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details of “Billing Code” “NI166”. Omit heading “National Surgical Corporation Pty Ltd”.
[1.21]      at page 382 of 975, the next line after “Billing Code” MC999 under the “Sponsor” column insert, “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK013”, under the heading “Product Name” insert, “Spider Cervical Plating System - Spider Plate”, under the heading “Description” insert, “Titanium, Anterior Cervical Plate System”, under the heading “Size” insert, “22-54mm”, under the heading “Minimum Benefit” insert, “$1,400.00”.
[1.22]      at page 385 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details of “Billing Code” “NI167”. Omit heading “National Surgical Corporation Pty Ltd”.
[1.23]      at page 385 of 975, the next line after “Billing Code” MI056 under the heading “Sponsor” insert, “National Surgical Pty Ltd”, under the heading “Billing Code” insert, “NK014”, under the heading “Product Name” insert, “Spider Cervical Plating System - Spider Plate”, under the heading “Description” insert, “Titanium, anterior cervical plate system”, under the heading “Size” insert “56-77mm”, under the heading “Minimum Benefit” insert, “$1,700.00”.
[1.24]      at page 396 of 975, starting at the “Sponsor” column “National Surgical Corporation Pty Ltd”, omit all details of “Billing Code” “NI168”. Omit heading “National Surgical Corporation Pty Ltd”.
[1.25]      at page 396 of 975, after the “Sponsor” column starting “National Surgical Pty Ltd”, under the heading “Billing Code”, insert, “NK015”, under the heading “Product Name” insert, “Capless Li Pedicle screw system – rod”, under the heading “Description” insert, “Titanium rod. Straight and pre-bent”, under the heading “Size” insert, “Straight and pre-bent, multiple sizes, 40-300mm”, under the heading “Minimum Benefit” insert, “$443.00”.
[1.26]       at page 551 of 975, starting at the “Sponsor” column “Atrium Australia – Pacific Rim Pty Limited”, omit all details of “Billing Code” “AC081”. Omit heading “Atrium Australia – Pacific Rim Pty Limited”.
[1.27]       at page 553 of 975, after the “Sponsor” column starting “St Jude Medical Australia Pty Ltd”, under the heading “Billing Code” insert, “SJ288”, under the heading “Product Name” insert, “Anchor (Butterfly)” under the heading “Description” insert, “Lead Anchor (Butterfly)”, under the heading “Size”, insert, “One size only”, under the heading “Minimum Benefit” insert, “$168.00”.
[1.28]      at page 699 of 975, starting at the “Sponsor” column “Surgiplas Medical”, omit all details of “Billing Code” “SP052”. Omit heading “Surgiplas Medical”.
[1.29]      at page 764 of 975, starting at the “Sponsor” column “Surgiplas Medical”, omit all details of “Billing Code” “SP051”. Omit heading “Surgiplas Medical”.
[1.30]      at page 812 of 975, the next line after “Billing Code” SN441 under the “Sponsor Column” insert, “Synthes Australia Pty Ltd”, under the heading “Billing Code” insert, “SY249”, under the heading “Product Name” insert, “AO/ASIF K Wires, Pins Washers – Steel/Ti Sterile & Non Sterile”, under the heading “Description” insert, “Hybrid Pins – Spade point wires/reduction wires”, under the heading “Size” insert, “1.5, 2.0mm Diameter”, under the heading “Minimum Benefit” insert, “$129.00”.
 
 
Note
1.       All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.frli.gov.au