The Prostheses List

The Prostheses List publication of the Private Health Insurance (Prostheses) Rules 2017 (No. 2)

Page last updated: 13 September 2017

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.

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 list is provided in MS Access format. Other formats are listed below.

Prostheses List in parts

PDF version: Prostheses List - Part A (PDF 3.91 MB)
Excel version: Prostheses List - Part A (Excel 1.4 MB)

New Prostheses Items

PDF version: New Items for Prostheses List – Part A (PDF 614 KB)
Excel version: New Items for Prostheses List – Part A (Excel 149 KB)

Deleted Prostheses Items

PDF version: Deleted Items for Prostheses List – Part A (PDF 298 KB)
Excel version: Deleted Items for Prostheses List – Part A (Execl 101 KB)

Changed Items for Prostheses List

PDF version: Changed Items for Prostheses List – Part A from Rules No 1, 2017 to No 2, 2017 (PDF 274 KB)
Excel version: Changed Items for Prostheses List – Part A from Rules No 1, 2017 to No 2, 2017 (Excel 77 KB)

Prostheses List Part B – Human Tissue

PDF version: Human Tissue – Prostheses List Part B (PDF 248 KB)
Excel version: Human Tissue – Prostheses List Part B (Excel 75.6 KB)

Prostheses List Part C – Others

PDF version: Other – Prostheses List Part C (PDF 159 KB)
Excel version: Other – Prostheses List Part C (Excel 49.1 KB)

Private Health Insurance (Prostheses) Rules

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

Private Health Insurance (Prostheses) Rules 2017 (No. 2)

The Private Health Insurance (Prostheses) Rules 2017 (No. 2) was registered on the Federal Register of Legislation on 28 August 2017 and commenced on 28 September 2017.

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 prostheses@health.gov.au



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