PHI 72/15

This circular issued by the Private Health Insurance Branch contains information about the Prostheses List

Page last updated: 02 November 2015

Printable version of 72/15 (PDF 128 KB)

2 November 2015

Prostheses List – Listing of OP-1 Implant

The purpose of this PHI Circular is to inform stakeholders that the Prostheses List Advisory Committee (PLAC) will recommend to the delegate of the Minister for Health that the grouping of billing code ST865 – OP-1 Implant should be changed when the Private Health Insurance (Prostheses) Rules are made in February 2016.

The effect of this change is that the billing code will be moved:
  • from subgroup 06.03.15.16 – Bone Graft Substitute, Biologically Active Bone Inductor >10mg
  • to subgroup 06.03.15.15 – Bone Graft Substitute, Biologically Active Bone Inductor >2.5mg – 5mg.
This change in grouping will result in a change of benefit. The benefit will reduce from $6,400 to $3,200.

This information is provided as a courtesy to stakeholders who may be impacted when this change comes into effect in February/March 2016.

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 2015 Private Health Insurance (PHI) Circulars.

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