Devices on Part A, Part C and Part D of the Prescribed List are grouped according to similar characteristics, functionality, clinical features and effectiveness.
There are 13 categories of devices. The categories have subcategories, groups, and subgroups that are identified numerically; and in some instances, they have suffixes, which are identified alphabetically. The final benefit point is the ‘grouping’. The grouping schemes determines the benefits payable for a device. Each grouping has an individual benefit amount assigned.
Cardiac Grouping Scheme
Cardiothoracic Grouping Scheme
Ear, Nose and Throat Grouping Scheme
General and Miscellaneous Grouping Scheme
Hip Grouping Scheme
Knee Grouping Scheme
Neurosurgical Grouping Scheme
Ophthalmic Grouping Scheme
Plastic and Reconstructive Grouping Scheme
Specialist Orthopaedic Grouping Scheme
Spinal Grouping Scheme
Urogenital Grouping Scheme
Vascular Grouping Scheme
About this resource
Publication date:
Publication type:
Guideline
Language:
English