The Prostheses List

The Private Health Insurance (Prostheses) Rules 2018 (No. 1) were registered on the Federal Register of Legislation on 1 March 2018 and commence 14 March 2018. The Schedule to these Rules is commonly known as the February 2018 Prostheses List.

Page last updated: 14 March 2018

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. The first element of the benefit reductions (that became effective on 1 February 2018) is included in the Private Health Insurance (Prostheses) Rules 2018 No. 1. Further prostheses benefit reductions are scheduled for August 2018 and February 2020. 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)

Current Prostheses List

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

The complete Prostheses List is provided in MS Access format. Other formats are available below.

MS Access version: Prostheses List – February 2018 (up to and including Amendment Rules No.1) (MBD 9.2 MB)

IMPORTANT NOTE:  This is the final Prostheses List to be provided in MS Access format (MDB). Future Lists will be provided in Extensible Markup Language format (XML). Notify the appropriate areas in your organisation so that they can make ready any necessary system changes. Further information will be forwarded as this change is progressed.

Prostheses List in parts

Part A – Prostheses List

PDF version: Prostheses List - Part A (Rules 2018 No. 1) ( PDF (9.9 MB)
Excel version: Prostheses List - Part A (Rules 2018 No. 1) (Excel (1.3 MB)

Part A – New Prostheses Items

PDF version: New Prostheses Items (PDF 726 KB)
Excel version: New Prostheses Items (Excel 102 KB)

Part A – Deleted Prostheses Items

PDF version: Deleted Prostheses Items (PDF 233 KB)
Excel version: Deleted Prostheses Items (Excel 51 KB)

Part A – Changed Items for Prostheses List

PDF version: Changed Items for Prostheses List (PDF 144 KB)
Excel version: Changed Items for Prostheses List (Excel 29 KB)

Part B – Human Tissue

PDF version: Human Tissue (up to and including Amendment Rules No.1) (PDF 249 KB)
Excel version: Human Tissue (up to and including Amendment Rules No.1) (Excel 240 KB)

Part C – Other

PDF version: Other (PDF 34 KB)
Excel version: Other (Excel 108 KB)

Contacts for further information

The Department of Health has made every effort to ensure the Microsoft Excel versions 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

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