Prostheses List

This list sets out the prostheses that private health insurers must pay benefits for (if the patient is covered) and the benefit amount. The latest version is effective from 1 November 2022. Prostheses include surgically implanted prostheses, human tissue items and other medical devices.

Downloads

Part A – Prostheses List

Note: The list includes changes made under the Private Health Insurance (Prostheses) Amendment Rules (No. 3) 2022.

Part A – New Prostheses Items

No new items from December amendment.

Part A – Deleted Prostheses Items

No new items from December amendment.

Part A – Changed Prostheses List Items

Part B – Human Tissue

No new items from December amendment.

Part B – New Human Tissue Items

No new items from December amendment.

Part B – Deleted Human Tissue Items

No new items

Part B – Changed Human Tissue Items

No new items

Part C – Other

Part C – New Other Items

No new items

Part C – Deleted Other Items

No new items

Part C – Changed Other Items

No new items from December amendment.

Part D – General use items

General use items from Part A to be removed from the Prostheses List on 1 July 2023.

Prostheses List: XML file

Prostheses List: XML schema (version 1.2)

This document is the schema definition document for the Prostheses List XML file. It explains the XML file structure and each element. 

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Publication date:
Last updated:
Publication type:
Report
Audience:
Health sector
Language:
English
Description:

The latest version is effective from 1 December 2022.

We publish the list in these formats to help stakeholders update their claims and payments systems.

For the official version, see the latest Private Health Insurance (Prostheses) Amendment Rules (No. 3) 2022 (legislation.gov.au) on the Federal Register of Legislation. We registered the latest version on 16 October 2022.

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