Amendments to February 2016 Prostheses List

Page last updated: 17 June 2016

PHI 44/16 - Amendments to February 2016 Prostheses List (PDF 418 KB)


The delegate of the Minister for Health has made the Private Health Insurance (Prostheses) Amendment Rules 2016 No 2 (the Amendment Rules) to correct 3 errors on the February Prostheses List.

The Amendment Rules will change the February 2016 Prostheses List by:

  • changing the product name, description and size of billing codes AW008 and AW005 to reflect current branding (details of the changes are in the table attached); and
  • correcting a formatting error in the Schedule to the Private Health Insurance (Prostheses) Rules No 2 that makes the minimum benefit for billing code JJ687 appear to be listed in the column for “maximum benefit”.

The Amendment Rules will commence on 17 June 2016, the day after registration on the Federal Register of Legislation.

Please note that the prostheses listed under billing codes AW008 and AW005 are the same as those listed on the February 2016 Prostheses List, but branded differently, so these prostheses are covered by the billing codes since the commencement of the February 2016 List on 25 March 2016.



Billing code

Product Name

Description

Size

Current listing

AW008

Allergan Type SLD, SHD, SRL, SRM, SRF, SRX Smooth Silicone Gel-filled Mammary Implant

Low, Medium, High or Extra High Profile

100 – 800 grams

Amended listing

AW008

Natrelle INSPIRA TruFormTM Smooth Mammary Implant

Round implants with smooth surface. Available in four projections: low, moderate, full and extra-full; and two cohesive gel types: TruFor TM 1 Responsive Gel and TruFormTM Soft-Touch Gel

110 – 800 grams


Billing code

Product Name

Description

Size

Current listing

AW005

Allergan Type MLP, MHP, TRL, TRM, TRF, TRX Low, Medium, High and Extra High Profile Gel-filled Mammary Implant

Low, Medium, High or Extra High Profile

100 – 800 grams

Amended listing

AW005

Natrelle INSPIRA TruForm Textured Mammary Implant

Round implants with textured surface. Available in four projections: low, moderate, full and extra-full; and two cohesive gel types: TruFormTM1 Responsive Gel and TruFormTM Soft-Touch Gel

110 – 800 grams