PHI 25/12

This circular issued by the Private Health Insurance Branch contains information about Amendment to the Private Health Insurance (Prostheses) Amendment Rules 2012 (No. 1)

Page last updated: 13 April 2012

Printable version of 25/12 (PDF 77 KB)

13 April 2012

Amendment to the Private Health Insurance (Prostheses) Amendment Rules 2012 (No. 1)

Purpose
The purpose of this Circular is to inform stakeholders of an amendment to the Private Health Insurance (Prostheses) Rules (No. 1). The amended Private Health Insurance (Prostheses) Amendment Rules (No. 1) was registered on 4 April 2012 and commenced on 9 April 2012.

Amendments to Part A
The Amendment Rules amend Part A of the Schedule to the Rules as follows:
  • Reinstating one (1) billing code:
Billing CodeProduct NameDescriptionSizeGroupSub-GroupSuffixMin BenefitMax Benefit
DY538Healix Anchor SystemTitanium anchor with suture4.5 - 6.5mm6.3.9 - Soft Tissue Fixation Devices6.3.9.2 - Suture, Large anchors (≥4mm) [Ti]Ti$435.00$493.00
  • changing the ‘Group’ (Group, Sub-Group, Suffix or Benefit) of fifteen (15) items:
    Billing Code
    Product Name
    SN801
    Peri-Loc
    EO072
    APTUS Screws
    EO073
    APTUS Screws
    EO074
    APTUS Screws
    SK538
    Stryker Plating System
    SK539
    Stryker Plating System
    SK540
    Stryker Plating System
    SK541
    Stryker Plating System
    SK542
    Stryker Plating System
    SK543
    Stryker Plating System
    DY020
    SROM Trochanteric Washer Screw
    JJ712
    ALPS - Anatomic Locked Plating System
    DY400
    Neuflex Finger
    DP868
    Barouk Screw System
    DE370
    Cannulated Titanium Low Profile Screws, Small
  • deleting five (5) items:
    Billing CodeProduct Name
    SN146Taylor Spatial Frame
    SN708 Jet X Bar
    SN709Jet X Central
    SN032Compass Universal Hinge
    SN437Hex Fix Pins
  • Transferring Billing Code DY550 – Adept MoM Modular Head, from Johnson & Johnson to Finsbury Orthopaedics Australia Pty Ltd as FI061 - Adept MoM Modular Head.
Further information relating to the Private Health Insurance (Prostheses) Amendment Rules (No. 1) is available at: http://www.legislation.gov.au/Details/F2012L00788

The updated Private Health Insurance (Prostheses) Amendment Rules 2012 (No. 1) is available at: http://www1.health.gov.au/internet/main/publishing.nsf/Content/prostheses-list-pdf.htm

If you require further information please telephone: (02) 6289 9853/24 hr answering machine or email the enquiry to Private Health Insurance Branch

For more information visit 2012 Private Health Insurance (PHI) Circulars.

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