Changes to the Prostheses Database - effective from 21st
The amended February 2011 Prostheses List (effective 21st
February 2011) contains the following changes:
- There are currently 2,286 gap permitted
products in the Prostheses List.
- Variations from the previous Prostheses List
- 412 new billing codes (213 for new
products, 69 for expansions and 130 for transfers and compressions
and 144 duplications);
- 1,352 products have been amended either by
changing benefit/s, product information or product groups;
- 273 products have been deleted.
St John of God Health Care hospitals charge
the Minimum Prosthetic Rebate code price EXCEPT when the suppliers
cost to St John of God Health Care for the prosthesis exceeds this
rebate charge - then the cost price is charged. The cost price from
some suppliers has not yet been confirmed, therefore, there will be
further changes as these are received.
The documents below password protected as
a consequence of concerns from a major supplier. Only items for
which a gap payment will apply are shown. Please check with
your relevant hospital for the gap payment for these items.
If you have any queries relating to this
Web page, or require a password to access these
reports, please contact Steve Lamb at St John of God Hospital
Subiaco on: Tel (08) 9832 6865 - Fax (08) 9382 9735 -
Email: email@example.com or Fiona
Athersmith, who is based in Melbourne, on: Tel: (03) 9205 6503
Fax (03) 9690 0633 - Email: firstname.lastname@example.org
The reports should be checked on a regular
basis as they will be updated whenever a supplier increases the
cost of a prosthesis to a hospital to a level exceeding the minimum
benefit paid by the Health Fund for that prosthesis.
The prostheses list of deleted items below lists items removed
by the Government, which will therefore not receive a
benefit/rebate from health funds. You can check with the supplier
company or hospital for an alternative product.