Prostheses List 2016 (updated 7 October 2016)

The Prostheses publication of the Private Health Insurance (Prostheses) Rules 2016 (No. 4)

Page last updated: 07 October 2016

The Private Health Insurance (Prostheses) Rules 2016 (No. 4) have been registered on the Federal Register of Legislation and becomes effective on 8 September 2016. The Prostheses List Database and Prostheses List Part A files below are consolidated versions of the Prostheses List.

The New Items, Deleted Items and three Changed Items report provide information on differences between the Rules No. 2 and the Rules No. 4 Prostheses Lists as well as from Rules No. 3 to Rules No. 4.

The Private Health Insurance (Prostheses) Amendment Rules 2016 (No .3) were registered on 6 October 2016 and will come into effect 7 October.

These amendments change 15 Billing codes,

Benefits Reduction

The Private Health Insurance (Prostheses) Amendment Rules 2016 (No .4) were registered on 19 October 2016 and will come into effect on 20 February 2017.

Further information on the changes to the minimum benefits, effective 20 February 2017, for intraocular lenses, cardiac, hip and knee prostheses are available on the Benefits Reduction page.

Prostheses List Database:

MS Access version: Prostheses List - Rules 2016 (No.4) including Amendment No. 3 - Published 7 October 2016

Prostheses List – Part A:

PDF version: Prostheses List - Part A (PDF 3.89 MB)
Excel version: Prostheses List - Part A

New Items for Prostheses List – Part A:

PDF version: New Items Part A (PDF 172 KB)
Excel version: New Items Part A

Deleted Items for Prostheses List – Part A:

PDF version: Deleted Items Part A (PDF 145 KB)
Excel version: Deleted Items Part A

Changed Items for Prostheses List – Part A from Rules 2016 (No. 2) to Rules 2016 (No. 3)

PDF version: Changed items Part A (PDF 193 KB)
Excel version: Changed Items Part A

Changed Items for Prostheses List – Part A from Rules 2016 (No. 3) to Rules 2016 (No. 4)

PDF version: Changed items Part A (PDF 144KB)
Excel version: Changed Items Part A

Changed Items for Prostheses List – Part A from Rules 2016 (No. 2) to Rules 2016 (No. 4)

Excel version: Changed Items Part A

Changed Items for Prostheses List – Part A from Rules 2016 (No. 4) to Amendment (No. 3)

Excel version: Changed Items Part A

Human Tissue – Prostheses List Part B:

PDF version: Prostheses List - Part B (PDF 186 KB)
Excel version: Prostheses List - Part B

Changed Items for Prostheses List – Part B from Rules 2016 (No. 4) to Amendment (No. 3)

PDF version: Changed Items Part B (PDF 22KB)
Excel version: Changed Items Part B

Other – Prostheses List Part C:

PDF version: Prostheses List - Part C (PDF 155 KB)
Excel version: Prostheses List - Part C



The Department of Health has made every effort to ensure that the Microsoft Excel versions meet accessibility requirements. If you are experiencing difficulty accessing the information contained within this document, please email the Prostheses Section to arrange for an alternative format to be provided to you.