54 Prescribed List billing codes
| Billing code | Product | Category | Benefit | Status | Last changed |
|---|---|---|---|---|---|
| EX006 | Novation Crown Cup Screws | 11 - Hip | $111.00 | — | — |
| EX022 | Exactech Femoral Head | 11 - Hip | $621.00 | — | — |
| EX025 | Optetrak Total Knee System Tibial Augments | 12 - Knee | $1119.00 | — | — |
| EX026 | Optetrak Total Knee System Femoral Augments | 12 - Knee | $1119.00 | — | — |
| EX027 | Optetrak Total Knee System Femoral and Tibial Stems | 12 - Knee | $1098.00 | — | — |
| EX028 | Optetrak Total Knee System Tibial Insert | 12 - Knee | $1090.00 | — | — |
| EX029 | Opetrak Total Knee System Femoral Stem Extension Adpater | 12 - Knee | $681.00 | — | — |
| EX030 | Optetrak Total Knee System Tibial Stem Extension Screw | 12 - Knee | $123.00 | — | — |
| EX038 | Optetrak Total Knee System | 12 - Knee | $337.00 | — | — |
| EX046 | Equinoxe Compression Screw | 06 - Specialist Orthopaedic | $57.00 | — | — |
| EX047 | Equinoxe Glenosphere Locking Screw | 06 - Specialist Orthopaedic | $57.00 | — | — |
| EX048 | Equinoxe Humeral Liner | 06 - Specialist Orthopaedic | $774.00 | — | — |
| EX049 | Equinoxe Glenoid Plate | 06 - Specialist Orthopaedic | $1991.00 | — | — |
| EX050 | Equinoxe Glenosphere | 06 - Specialist Orthopaedic | $2139.00 | — | — |
| EX051 | Equinoxe Humeral Long Stem | 06 - Specialist Orthopaedic | $3755.00 | — | — |
| EX055 | Equinoxe Humeral Stem, Fracture | 06 - Specialist Orthopaedic | $3771.00 | — | — |
| EX058 | Equinoxe Humeral Head | 06 - Specialist Orthopaedic | $1261.00 | — | — |
| EX062 | Equinoxe Reverse Torque Definition Screw Kit | 06 - Specialist Orthopaedic | $1132.00 | — | — |
| EX064 | Equinoxe Reverse Shoulder Humeral Adapter Tray. | 06 - Specialist Orthopaedic | $1840.00 | — | — |
| EX065 | Equinoxe Torque Definition Screw Kit. | 06 - Specialist Orthopaedic | $1132.00 | — | — |
| EX066 | Optetrak Total Knee System CCK (Constrained Condylar Knee) Femoral Com… | 12 - Knee | $5450.00 | — | — |
| FA001 | Equinoxe Replicator Plate | 06 - Specialist Orthopaedic | $1159.00 | — | — |
| FA002 | Ceramic modular head | 11 - Hip | $1702.00 | — | — |
| FA004 | Ceramic Modular head | 11 - Hip | $1792.00 | — | — |
| FA005 | Biolox Delta Acetabular Liner | 11 - Hip | $1690.00 | — | — |
| FA006 | Xonit X-PE Acetabular Liner | 11 - Hip | $930.00 | — | — |
| FA007 | Equinoxe Humeral Stem, Primary, Press-Fit | 06 - Specialist Orthopaedic | $3325.00 | — | — |
| FA008 | Optetrak Logic Total Knee System, Femoral Component, CR, Cemented | 12 - Knee | $2793.00 | — | — |
| FA009 | Optetrak Logic Total Knee System, Femoral Component, CR, Porous | 12 - Knee | $3226.00 | — | — |
| FA010 | Optetrak Logic Total Knee System, Tibial Insert, CR | 12 - Knee | $992.00 | — | — |
| FA011 | Optetrak Logic Total Knee System, Femoral Component, PS, Cemented | 12 - Knee | $2855.00 | — | — |
| FA012 | Optetrak Logic Total Knee System, Tibial Insert, PS | 12 - Knee | $1020.00 | — | — |
| FA013 | Optetrak Logic Total Knee System, Tibial Baseplate | 12 - Knee | $1836.00 | — | — |
| FA014 | Optetrak Logic Total Knee System, RBK Tibial Insert | 12 - Knee | $1020.00 | — | — |
| FA015 | Optetrak Logic Total Knee System, RBK Tibial Baseplate | 12 - Knee | $2005.00 | — | — |
| FA020 | Optetrak Logic Tibial Tray | 12 - Knee | $1836.00 | — | — |
| FA021 | Optetrak Logic Stem Extension Femoral and Tibial | 12 - Knee | $1098.00 | — | — |
| FA022 | Optetrak Logic Total Knee System Tibial Augments | 12 - Knee | $1119.00 | — | — |
| FA023 | Optetrak Logic Femoral Metaphyseal Cones | 12 - Knee | $2356.00 | — | — |
| FA024 | Exactech Femoral Head CoCr | 11 - Hip | $632.00 | — | — |
| FA025 | Optetrak Logic Total Knee System Femoral Augments | 12 - Knee | $1119.00 | — | — |
| FA026 | Optetrak Logic Offset Stem Extension Couplers | 12 - Knee | $1178.00 | — | — |
| FA027 | Optetrak Logic Tibial Metaphyseal Cones | 12 - Knee | $2356.00 | — | — |
| FA030 | Vantage Total Ankle System - Talar component | 06 - Specialist Orthopaedic | $2185.00 | — | — |
| FA031 | Vantage Total Ankle System - Tibial Insert | 06 - Specialist Orthopaedic | $591.00 | — | — |
| FA032 | Vantage Total Ankle System - Tibial Component | 06 - Specialist Orthopaedic | $1900.00 | — | — |
| FA033 | Equinoxe HRP Distal Stem Modular | 06 - Specialist Orthopaedic | $3755.00 | — | — |
| FA034 | Equinoxe HRP Middle Segment | 06 - Specialist Orthopaedic | $10877.00 | — | — |
| FA035 | Equinoxe HRP Proximal Body | 06 - Specialist Orthopaedic | $2451.00 | — | — |
| FA036 | Equinoxe HRP Distal Stem Collar | 06 - Specialist Orthopaedic | $2200.00 | — | — |
| FA037 | Equinoxe HRP Taper Locking Screw | 06 - Specialist Orthopaedic | $57.00 | — | — |
| FA038 | Equinoxe Preserve Humeral Stem | 06 - Specialist Orthopaedic | $3325.00 | — | — |
| FA039 | Equinoxe Small Reverse Glenosphere | 06 - Specialist Orthopaedic | $2139.00 | — | — |
| FA040 | Equinoxe Small Reverse, Baseplate | 06 - Specialist Orthopaedic | $1991.00 | — | — |
Data sourced from Australian Government publications · Not an official government service · Why sponsors track the PL with us →