PHI 56/19 - Amendments to the July 2019 Prostheses List

Page last updated: 29 August 2019

PHI 56/19 Amendments to the July 2019 Prostheses List (PDF 184 KB)

The delegate for the Minister for Health has made the Private Health Insurance (Prostheses) Amendment Rules (No. 6) 2019 (the Amendment Rules) to remove the listings of five textured breast implants and tissue expanders from the Prostheses List, and to correct an error in the benefit for a human tissue item.
This follows:

  • advice from Emergo Asia Pacific Pty Ltd that the following products are no longer being sold in Australia
Billing CodeSponsorProduct NameDescriptionSizeBenefitARTG
ER198Emergo Asia Pacific Pty LtdAeroform Patient Controlled Tissue ExpanderAeroform Patient Controlled Tissue Expander; Multichamber, textured, CO2 filledwidth (12.5, 14, 15.5 cm) x height (11, 12.5, 14 cm) x projection (8, 9.5, 10.5 cm); volume 400, 600 and 800 cc
$1,024
216704
ER199Emergo Asia Pacific Pty LtdAeroForm Tissue Expander System Dosage ControllerAeroForm Tissue Expander System Dosage ControllerN/A
$1,365
216653

and
  • a request from Allied Scientific Products Pty Ltd (Surgiplas Medical) to remove the listings for the products below as a precaution in light of the ongoing review Therapeutic Goods Administration (TGA) review of textured breast implants.
Billing CodeSponsorProduct NameDescriptionSizeBenefitARTG
SP047Surgiplas MedicalGel Filled Mammary Prosthesis Models GFX-LP, GFX and GFX-EHPTextured Round80 to 800ml
$741.00
142863
SP049Surgiplas MedicalGel Filled Mammary Prosthesis Models CoGel-XR, CoGel-XRH, CoGel-XL, CoGel- XM and CoGel XFCoGel High Cohesive100 to 790gm
$1,170.00
142863
SP114Surgiplas MedicalNagor Breast ImplantsSilicone Firm and Stable Gel Breast Implants150 - 620cc
$741.00
142863

The Amendment Rules also correct the benefit for human tissue item RNB01 – Femoral Head. The Hunter New England Tissue Bank successfully applied to increase the benefit from $2,500 to $3,000 in the July 2019 Prostheses List; however due to a technical issue the increased benefit was not reflected in the Private Health Insurance (Prostheses) Rules (No. 2) 2019.

The Amendment Rules commence the day after registration.