Shoulder humeral components – Prescribed List post-listing review

What the review is about 

Shoulder humeral components are used in surgery of the shoulder joint. 

In 2020, the Prostheses List Advisory Committee (PLAC) – now Medical Devices and Human Tissue Advisory Committee (MDHTAC) – and the Specialist Orthopaedic Expert Clinical Advisory Group (SOECAG) discussed that there are different humeral trays and inserts for reverse shoulder systems with different designs and constructs.  

SOECAG advised that due to developments in designs of shoulder joint replacement devices, there had been somewhat of an overlap in how reverse shoulder components have been historically grouped.

In May 2025, MDHTAC advised the department to proceed with a post-listing review (PLR) of the subgroups and suffixes and respective benefits for the humeral trays and inserts. The objective of this PLR is to review the current functionality and designs of humeral trays, metaphyseal components and humeral cups to determine the appropriate PL settings. 

The devices that are in scope of the review are: 

• 06.02.04.04 – Shoulder – Humeral – Modular humeral component – metaphyseal, cemented 
• 06.02.04.05 – Shoulder – Humeral – Modular humeral component – metaphyseal, uncemented  
• 06.02.04.14 – Shoulder – Humeral – Humeral cup 
• 06.02.05.04 – Shoulder – Glenoid – Glenoid insert 
• 06.02.06.07 – Shoulder – Accessories – Reverse humeral tray. 

The review process 

The review will follow the process outlined in the post-listing review framework. 

The review will explore the following questions:  

1. Are the current billing codes grouped according to similar device characteristics that reflect their use within implant constructs? 
2. Is there robust comparative clinical evidence that would justify appropriate PL benefits for components with specific device characteristics (e.g. inlay versus onlay conformation)?
3. What PL groupings best reflect clinical and/or functional similarity? 
4. Using the proposed grouping structure, what are the appropriate PL benefits for the devices in scope?

Timeline

Result of the review 

This review is ongoing. We will release the outcome when the review is complete. 

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