The Prostheses List

The Private Health Insurance (Prostheses) Rules (No. 2) 2020 were registered on the Federal Register of Legislation on 17 June 2020 and commences on 1 July 2020. Schedule 1 to these Rules is commonly known as the July 2020 Prostheses List.

Page last updated: 08 July 2020

Private Health Insurance (Prostheses) Rules

The Private Health Insurance (Prostheses) Rules provide the legal basis on which the Prostheses List operates.

The Prostheses List is the list of surgically implanted prostheses, human tissue items and other medical devices that private health insurers must pay benefits for when:

  • they are provided to a patient with appropriate health insurance cover
  • they are provided as part of hospital treatment or hospital substitute treatment, and
  • there is a Medicare benefit payable for the service.

The list is aimed at Private Health Insurers, prostheses device manufacturers and other sponsors. To find consumer-specific information on private health insurance cover for prostheses go to the Private Health Insurance - Cover for Prostheses page.

Prostheses Benefit Reductions

On Friday 13 October 2017 the Minister for Health announced that the minimum benefits payable by private health insurers for devices on the Prostheses List would be reduced. Additional information is available at:

Private health insurance reforms: Prostheses List benefit reductions
Agreement between the Government and the Medical Technology Association of Australia (MTAA)

July 2020 Prostheses List – commencing 1 July 2020

The Department of Health publishes the current Prostheses List for the use of stakeholders to update their claims and payments systems.

While care has been taken in the preparation of these documents, the information they contain does not take precedence over the latest copy of the Private Health Insurance (Prostheses) Rules registered and in force on the Federal Register of Legislation.

These documents reflect the Private Health Insurance (Prostheses) Rules (No. 2) 2020.

Prostheses List in parts

Part A – Prostheses List

PDF version: July 2020 Prostheses List – Part A (PDF 16601 KB)
Excel version: July 2020 Prostheses List – Part A (Excel 1044 KB)

Part A – New Prostheses Items

PDF version: July 2020 Prostheses List – Part A New Items (PDF 382 KB)
Excel version: July 2020 Prostheses List – Part A New Items (Excel 4 KB)

Part A – Deleted Prostheses Items

PDF version: July 2020 Prostheses List – Part A Deletions (PDF 388 KB)
Excel Version: July 2020 Prostheses List – Part A Deletions (Excel 4 KB)

Part A – Changed Prostheses List Items

PDF Version: July 2020 Prostheses List – Part A Changes (PDF 500 KB)
Excel Version: July 2020 Prostheses List – Part A Changes (Excel 11 KB)

Part B – Human Tissue

PDF Version: July 2020 Prostheses List – Part B (Human Tissue) (PDF 373 KB)
Excel Version: July 2020 Prostheses List – Part B (Human Tissue) (Excel 42 KB)

Part B – New Human Tissue Items

PDF Version: July 2020 Prostheses List – Part B (Human Tissue) New Items (PDF 377 KB)
Excel Version: July 2020 Prostheses List – Part B (Human Tissue) New Items (Excel 3 KB)

Part B – Deleted Human Tissue Items

PDF Version: July 2020 Prostheses List – Part B (Human Tissue) Deletions (PDF 375 KB)
Excel Version: July 2020 Prostheses List – Part B (Human Tissue) Deletions (Excel 3 KB)

Part B – Changed Human Tissue Items

PDF Version: July 2020 Prostheses List – Part B (Human Tissue) Changes (PDF 375 KB)
Excel Version: July 2020 Prostheses List – Part B (Human Tissue) Changes (Excel 3 KB)

Part C – Other

PDF Version: July 2020 Prostheses List – Part C (Other Prostheses) (PDF 539 KB)
Excel Version: July 2020 Prostheses List – Part C (Other Prostheses) (Excel 18 KB)

Part C - New Other Items

PDF Version: July 2020 Prostheses List – Part C (Other Prostheses) New Items (PDF 384 KB)
Excel Version: July 2020 Prostheses List – Part C (Other Prostheses) New Items (Excel 8 KB)

Part C - Deleted Other Items

PDF Version: July 2020 Prostheses List – Part C (Other Prostheses) Deletions (PDF 375 KB)
Excel Version: July 2020 Prostheses List – Part C (Other Prostheses) Deletions (Excel 8 KB)

Part C - Changed Other Items

PDF Version: July 2020 Prostheses List – Part C (Other Prostheses) Changes (PDF 375 KB)
Excel Version: July 2020 Prostheses List – Part C (Other Prostheses) Changes (Excel 8 KB)

XML file

July 2020 Prostheses List (XML 11507 KB)

PDF version: XML Schema document (PDF 754 KB)
Word version: XML Schema document (Word 129 KB)

Contacts for further information

The Department of Health has made every effort to ensure these documents meet accessibility requirements. If you are experiencing difficulty accessing the information contained within this webpage, or cannot find the information you need, please contact the Prostheses secretariat by email at prostheses@health.gov.au