Prostheses List Guide

The Prostheses List Guide is currently being reviewed and minor updates may be published from time-to-time. Stakeholders are encouraged to check this page to ensure they are referring to the most up-to-date version of the Prostheses List Guide.

Page last updated: 26 May 2020

Prostheses List

In February 2020, the Department of Health updated the Prostheses List: Guide to listing and setting benefits for prostheses (the Guide). The Department of Health is in the process of commissioning a review of the Guide to reflect other prostheses reform activities, but has taken the opportunity to update the Guide to ensure accuracy and currency of information in the interim.

This is the third revision to the February 2017 version of the Guide: (February 2017, Revision 3)

PDF version: Prostheses List Guide (19.02.2020) (PDF 1488 KB)
Word version: Prostheses List Guide (19.02.2020) (Word 1510 KB)

Grouping Schemes

Below are the links to the Grouping Schemes for each category of product, including suffix, definitions and benefits.

PDF version: Cardiac (PDF 93 KB)
Word version: Cardiac (Word 18 KB)

PDF version: Cardiothoracic (PDF 104 KB)
Word version: Cardiothoracic (Word 19 KB)

PDF version: Ear Nose and Throat (PDF 100 KB)
Word version: Ear Nose and Throat (Word 100 KB)

PDF version: General Miscellaneous (PDF 143 KB)
Word version: General Miscellaneous (Word 21 KB)

PDF version: Hip (PDF 124 KB)
Word version: Hip (Word 19 KB)

PDF version: Knee (PDF 103 KB)
Word version: Knee (Word 19 KB)

PDF version: Neurosurgical (PDF 105 KB)
Word version: Neurosurgical (Word 19 KB)

PDF version: Ophthalmic (PDF 89 KB)
Word version: Ophthalmic (Word 17 KB)

PDF version: Plastic and Reconstructive (PDF 20 KB)
Word version: Plastic and Reconstructive (Word 20 KB)

PDF version: Specialist Orthopaedic (PDF 137 KB)
Word version: Specialist Orthopaedic (Word 20 KB)

PDF version: Spinal (PDF 222 KB)
Word version: Spinal (Word 29 KB)

PDF version: Urogenital (PDF 161 KB)
Word version: Urogenital (Word 29 KB)

PDF version: Vascular (PDF 87 KB)
Word version: Vascular (Word 17 KB)

The Trans Aortic Valve Implantation Clinical Advisory Group (TAVICAG) guideline should be read in conjunction with the Prostheses List Guide.

PDF version: TAVICAG Guideline (PDF 27 KB)
Word version: TAVICAG Guideline (Word 28 KB)