190 Prescribed List billing codes
| Billing code | Product | Category | Benefit | Status | Last changed |
|---|---|---|---|---|---|
| MA016 | CCA Cemented Femoral Stem | 11 - Hip | $1312.00 | — | — |
| MA018 | Intramedullary Plug | 11 - Hip | $100.00 | — | — |
| MA020 | Mathys Ceramic Femoral Head | 11 - Hip | $1568.00 | — | — |
| MA024 | CCE Acetabular Reinforcing Ring | 11 - Hip | $1197.00 | — | — |
| MA025 | Mathys Bipolar Femoral Head | 11 - Hip | $654.00 | — | — |
| MA027 | CCB Cemented UHMWPE Cup | 11 - Hip | $629.00 | — | — |
| MA028 | Mathys Stainless Steel Femoral Heads | 11 - Hip | $671.00 | — | — |
| MA108 | balanSys Femoral Component | 12 - Knee | $2793.00 | — | — |
| MA111 | Balansys Patella Component | 12 - Knee | $337.00 | — | — |
| MA311 | balanSys Tibial Mobile Insert | 12 - Knee | $992.00 | — | — |
| MA312 | balanSys Tibial Baseplate | 12 - Knee | $2005.00 | — | — |
| MA419 | SeleXys Acetabular UHMWPE Liner | 11 - Hip | $688.00 | — | — |
| MA448 | Affinis Total Shoulder | 06 - Specialist Orthopaedic | $1261.00 | — | — |
| MA450 | Affinis Total Shoulder | 06 - Specialist Orthopaedic | $1895.00 | — | — |
| MA451 | BalanSys UNI femoral component | 12 - Knee | $2007.00 | — | — |
| MA452 | BalanSys UNI tibial baseplate | 12 - Knee | $1352.00 | — | — |
| MA454 | BalanSys UNI tibial Insert | 12 - Knee | $689.00 | — | — |
| MA457 | Balansys Femoral Component | 12 - Knee | $3226.00 | — | — |
| MA462 | twinSys Non Cemented Femoral Stem | 11 - Hip | $3174.00 | — | — |
| MA463 | twinSys Cemented Femoral Stem | 11 - Hip | $1762.00 | — | — |
| MA467 | Mathys Unipolar Femoral Head | 11 - Hip | $681.00 | — | — |
| MA469 | Mathys CoCr Femoral Head | 11 - Hip | $621.00 | — | — |
| MA475 | twinSys Non Cemented Long Femoral Stem | 11 - Hip | $4826.00 | — | — |
| MA479 | Affinis Shoulder System | 06 - Specialist Orthopaedic | $3755.00 | — | — |
| MA480 | Affinis Humeral Head | 06 - Specialist Orthopaedic | $1449.00 | — | — |
| MA481 | Affinis Shoulder System | 06 - Specialist Orthopaedic | $2451.00 | — | — |
| MA482 | Ceramys Ceramic Femoral Head | 11 - Hip | $1702.00 | — | — |
| MA483 | Ceramys Large Ceramic Femoral Head | 11 - Hip | $1792.00 | — | — |
| MA484 | Ceramys Ceramic Revision Femoral Head | 11 - Hip | $1931.00 | — | — |
| MA485 | Ceramys Large Ceramic Revision Femoral Head | 11 - Hip | $2097.00 | — | — |
| MA486 | SeleXys Acetabular Ceramys Ceramic Liner | 11 - Hip | $1690.00 | — | — |
| MA487 | balanSys Femoral Component | 12 - Knee | $2855.00 | — | — |
| MA489 | balanSys Tibial Insert | 12 - Knee | $1020.00 | — | — |
| MA490 | balanSys Knee System / Femoral Component, CR, cemented, TiNbN coated | 12 - Knee | $2793.00 | — | — |
| MA493 | Balansys Knee System / Femoral Component, PS, cemented, TiNbN coated | 12 - Knee | $2855.00 | — | — |
| MA496 | SeleXys Acetabular PC Shell | 11 - Hip | $1802.00 | — | — |
| MA500 | Modular Revision Stem | 11 - Hip | $2619.00 | — | — |
| MA501 | Modular Revision Stem - Long | 11 - Hip | $3877.00 | — | — |
| MA502 | RM Pressfit Acetabular Cup | 11 - Hip | $2854.00 | — | — |
| MA503 | Selexys Acetabular Cup Liner | 11 - Hip | $930.00 | — | — |
| MA506 | Balansys Revision Knee | 12 - Knee | $5363.00 | — | — |
| MA507 | Balansys Revision Knee, Stems | 12 - Knee | $1098.00 | — | — |
| MA508 | Balansys Revision Knee, Augments | 12 - Knee | $1119.00 | — | — |
| MA509 | Balansys Revision Knee, Tibial Plateau | 12 - Knee | $2647.00 | — | — |
| MA510 | Balansys Revision Knee, Tibial Insert | 12 - Knee | $1020.00 | — | — |
| MA513 | RM Acetabular Cup, Polyethylene | 11 - Hip | $2517.00 | — | — |
| MA514 | Acetabular Screws | 11 - Hip | $111.00 | — | — |
| MA515 | Balansys Tibial Baseplate | 12 - Knee | $1836.00 | — | — |
| MA516 | BalanSys Tibial Insert | 12 - Knee | $992.00 | — | — |
| MA517 | Bionit Ceramic Femoral Head | 11 - Hip | $1357.00 | — | — |
| MA518 | Balansys Tibial Baseplate | 12 - Knee | $1836.00 | — | — |
| MA522 | Affinis Shoulder System | 06 - Specialist Orthopaedic | $3325.00 | — | — |
| MA523 | Affinis Shoulder System | 06 - Specialist Orthopaedic | $3771.00 | — | — |
| MA524 | Modular Revision Stem | 11 - Hip | $2401.00 | — | — |
| MA525 | Modular Revision Stem | 11 - Hip | $3239.00 | — | — |
| MA526 | Affinis Inverse Stem, cemented | 06 - Specialist Orthopaedic | $6301.00 | — | — |
| MA527 | Affinis Inverse Stem, uncemented | 06 - Specialist Orthopaedic | $6013.00 | — | — |
| MA528 | Affinis Inverse revision stem, cemented | 06 - Specialist Orthopaedic | $6301.00 | — | — |
| MA529 | Affinis Inverse Revision stem, uncemented | 06 - Specialist Orthopaedic | $6013.00 | — | — |
| MA530 | Affinis Inverse locking screw | 06 - Specialist Orthopaedic | $123.00 | — | — |
| MA531 | Affinis Fixation Screw | 06 - Specialist Orthopaedic | $1132.00 | — | — |
| MA532 | Affinis Inverse inlay | 06 - Specialist Orthopaedic | $774.00 | — | — |
| MA533 | Affinis Inverse glenosphere | 06 - Specialist Orthopaedic | $2139.00 | — | — |
| MA534 | Affinis Inverse Metaglene, DP | 06 - Specialist Orthopaedic | $1991.00 | — | — |
| MA535 | Affinis Inverse revision metaglene | 06 - Specialist Orthopaedic | $1991.00 | — | — |
| MA536 | Affinis Fracture Inverse | 06 - Specialist Orthopaedic | $2451.00 | — | — |
| MA537 | Affinis Inverse head adaptor | 06 - Specialist Orthopaedic | $1159.00 | — | — |
| MA538 | Affinis Inverse inlay spacer | 06 - Specialist Orthopaedic | $1159.00 | — | — |
| MA539 | Affinis Inverse Lag Screw | 06 - Specialist Orthopaedic | $57.00 | — | — |
| MA541 | optimys Stem | 11 - Hip | $3263.00 | — | — |
| MA542 | Mathys CoCr Femoral Head | 11 - Hip | $632.00 | — | — |
| MA543 | Affinis Shoulder System – Humeral Stem | 06 - Specialist Orthopaedic | $3325.00 | — | — |
| MA545 | Ligamys DIS Suture with button | 06 - Specialist Orthopaedic | $4217.00 | — | — |
| MA546 | Ligamys Monoblock | 06 - Specialist Orthopaedic | $451.00 | — | — |
| MA547 | Affinis Glenoid cemented vitamys | 06 - Specialist Orthopaedic | $1895.00 | — | — |
| MA548 | balanSys Uni vitamys Inlay | 12 - Knee | $689.00 | — | — |
| MA549 | balanSys vitamys Inlay | 12 - Knee | $1020.00 | — | — |
| MA550 | balanSys vitamys Inlay | 12 - Knee | $992.00 | — | — |
| MA551 | Affinis Inverse Glenosphere | 06 - Specialist Orthopaedic | $2139.00 | — | — |
| MA552 | Affinis Inverse inlay ceramys | 06 - Specialist Orthopaedic | $774.00 | — | — |
| MA553 | Affinis Inverse Screw with Locking Cap | 06 - Specialist Orthopaedic | $57.00 | — | — |
| MA554 | Affinis Inverse cap | 06 - Specialist Orthopaedic | $92.00 | — | — |
| MA555 | Altivate Reverse - Metal Spacer | 06 - Specialist Orthopaedic | $1159.00 | — | — |
| MA556 | Altivate Reverse Humeral Stem | 06 - Specialist Orthopaedic | $6013.00 | — | — |
| MA557 | Friendly Femoral Stem | 11 - Hip | $1762.00 | — | — |
| MA558 | Modulus Femoral Body | 11 - Hip | $2401.00 | — | — |
| MA559 | Modulus Modular Femoral Stem | 11 - Hip | $2619.00 | — | — |
| MA560 | C2 Femoral Stem | 11 - Hip | $2883.00 | — | — |
| MA561 | Lima Cup | 11 - Hip | $1762.00 | — | — |
| MA562 | FIT Femoral Stem | 11 - Hip | $3174.00 | — | — |
| MA563 | Sam-Fit modular stem | 11 - Hip | $3263.00 | — | — |
| MA564 | Lima Cemented Cup | 11 - Hip | $629.00 | — | — |
| MA565 | Acetabular Plate | 11 - Hip | $1197.00 | — | — |
| MA566 | Delta Revision TT Acetabular Cup | 11 - Hip | $2658.00 | — | — |
| MA567 | DELTA Coupling / Spacer / Liner | 11 - Hip | $1309.00 | — | — |
| MA568 | Lima Bone Screw | 11 - Hip | $111.00 | — | — |
| MA569 | Delta Hemispheric Acetabular Cup | 11 - Hip | $1175.00 | — | — |
| MA570 | Revision Modular Femoral Body | 11 - Hip | $2401.00 | — | — |
| MA571 | Modular Neck | 11 - Hip | $1029.00 | — | — |
| MA572 | Revision Modular Femoral Stem | 11 - Hip | $2619.00 | — | — |
| MA573 | Modular Head | 11 - Hip | $621.00 | — | — |
| MA574 | SMR Shoulder - Modular Augment | 06 - Specialist Orthopaedic | $950.00 | — | — |
| MA575 | SMR Adaptor | 06 - Specialist Orthopaedic | $1159.00 | — | — |
| MA576 | SMR Shoulder System | 06 - Specialist Orthopaedic | $2109.00 | — | — |
| MA577 | SMR Shoulder System | 06 - Specialist Orthopaedic | $3755.00 | — | — |
| MA578 | SMR Large Resection Stem | 06 - Specialist Orthopaedic | $3771.00 | — | — |
| MA579 | HVS BONE SCREW | 06 - Specialist Orthopaedic | $348.00 | — | — |
| MA580 | SMR Shoulder Accessories | 06 - Specialist Orthopaedic | $991.00 | — | — |
| MA581 | ColloMis Femoral Stem | 11 - Hip | $3174.00 | — | — |
| MA582 | Lima Plug and hood | 11 - Hip | $236.00 | — | — |
| MA583 | Proximal Centraliser PMMA | 11 - Hip | $127.00 | — | — |
| MA584 | Cement Plug UHMWPE | 11 - Hip | $236.00 | — | — |
| MA585 | Modular Biolox Delta Head | 11 - Hip | $1702.00 | — | — |
| MA586 | Revision Modular Biolox Delta Head | 11 - Hip | $1931.00 | — | — |
| MA587 | Modular Biolox Delta Head | 11 - Hip | $1792.00 | — | — |
| MA588 | Revision Modular Biolox Delta Head | 11 - Hip | $2097.00 | — | — |
| MA589 | Cephalic Head | 11 - Hip | $681.00 | — | — |
| MA590 | Modular Head | 11 - Hip | $632.00 | — | — |
| MA591 | H-Max M Femoral Stem Ti6AI4V | 11 - Hip | $2376.00 | — | — |
| MA592 | H-Max S Femoral Stem | 11 - Hip | $3174.00 | — | — |
| MA593 | C2 Revision Stem | 11 - Hip | $4540.00 | — | — |
| MA594 | Revision Modular Stem | 11 - Hip | $3877.00 | — | — |
| MA595 | Lock Bipolar Head and Liner | 11 - Hip | $868.00 | — | — |
| MA596 | Delta TT Acetabular Cup | 11 - Hip | $2812.00 | — | — |
| MA597 | Delta PF Acetabular Cup | 11 - Hip | $2079.00 | — | — |
| MA598 | Met Acetabular Cup | 11 - Hip | $2079.00 | — | — |
| MA599 | Delta Ceramic Liner Biolox Delta | 11 - Hip | $1690.00 | — | — |
| MA600 | Delta Non Constrained Liner | 11 - Hip | $930.00 | — | — |
| MA601 | SPH Constrained Poly Liner | 11 - Hip | $930.00 | — | — |
| MA602 | SMR Cemented Glenoid | 06 - Specialist Orthopaedic | $1895.00 | — | — |
| MA603 | SMR - Glenoid 3 Peg UHMWPE | 06 - Specialist Orthopaedic | $1895.00 | — | — |
| MA604 | SMR Reverse Modular Humeral Body Extension | 06 - Specialist Orthopaedic | $1159.00 | — | — |
| MA605 | SMR Reverse Liner (Cup) UHMWPE X-Lima | 06 - Specialist Orthopaedic | $774.00 | — | — |
| MA606 | SMR Reverse Liner (Cup) CoCrMo | 06 - Specialist Orthopaedic | $774.00 | — | — |
| MA607 | SMR System - Finned & Revision Humeral Stem | 06 - Specialist Orthopaedic | $2660.00 | — | — |
| MA608 | SMR Resurfacing Humeral Stem | 06 - Specialist Orthopaedic | $2660.00 | — | — |
| MA609 | SMR Humeral Head | 06 - Specialist Orthopaedic | $1261.00 | — | — |
| MA610 | SMR CTA Humeral Head | 06 - Specialist Orthopaedic | $3941.00 | — | — |
| MA611 | SMR Resurfacing Humeral Head | 06 - Specialist Orthopaedic | $3040.00 | — | — |
| MA612 | SMR Resurfacing CTA Humeral Head | 06 - Specialist Orthopaedic | $5220.00 | — | — |
| MA613 | SMR Reverse Poly Gleonsphere | 06 - Specialist Orthopaedic | $2139.00 | — | — |
| MA614 | SMR Reverse Glenosphere | 06 - Specialist Orthopaedic | $2139.00 | — | — |
| MA615 | SMR Reverse Glenoid Base Plate | 06 - Specialist Orthopaedic | $1991.00 | — | — |
| MA616 | SMR Revision Modular Locking Ring | 06 - Specialist Orthopaedic | $139.00 | — | — |
| MA617 | SMR Humeral Body with Locking Screw | 06 - Specialist Orthopaedic | $2451.00 | — | — |
| MA618 | SMR Reverse Humeral Body with Locking Screw | 06 - Specialist Orthopaedic | $2451.00 | — | — |
| MA619 | BioBall - Revision Neck Adaptor | 11 - Hip | $436.00 | — | — |
| MA620 | BioBall Femoral Head | 11 - Hip | $681.00 | — | — |
| MA621 | BioBall Delta Femoral Head | 11 - Hip | $1792.00 | — | — |
| MA622 | BioBall Femoral Head | 11 - Hip | $681.00 | — | — |
| MA623 | BioBall Femoral Head | 11 - Hip | $671.00 | — | — |
| MA624 | BioBall Femoral Head | 11 - Hip | $681.00 | — | — |
| MA625 | Delta Mobile Liner UHMWPE | 11 - Hip | $868.00 | — | — |
| MA626 | 2M Cups Double Mobility System Mobile Liners (UHMWPE) | 11 - Hip | $868.00 | — | — |
| MA627 | Delta Multihole TT Cup | 11 - Hip | $2812.00 | — | — |
| MA628 | Delta ONE TT cup | 11 - Hip | $2812.00 | — | — |
| MA629 | G21 Bone Cement + Delivery System | 06 - Specialist Orthopaedic | $437.00 | — | — |
| MA630 | G21 Bone Cement | 06 - Specialist Orthopaedic | $152.00 | — | — |
| MA631 | SpaceFlex Hip | 11 - Hip | $1309.00 | — | — |
| MA632 | ArTT Acetabular Augments and Buttresses | 11 - Hip | $1175.00 | — | — |
| MA633 | ArTT Bone Screws | 11 - Hip | $111.00 | — | — |
| MA634 | SMR TT Augmented 360 Baseplate | 06 - Specialist Orthopaedic | $1777.00 | — | — |
| MA635 | SMR System Glenoid Peg TT | 06 - Specialist Orthopaedic | $214.00 | — | — |
| QQ289 | Affinis Glenoid vitamys uncemented | 06 - Specialist Orthopaedic | $2109.00 | — | — |
| QQ771 | Glenoid Baseplate Locking Bone Screws | 06 - Specialist Orthopaedic | $123.00 | — | — |
| QQ772 | Glenoid Baseplate Non Locking Bone Screw | 06 - Specialist Orthopaedic | $46.00 | — | — |
| QQ773 | PIP Finger Prosthesis | 06 - Specialist Orthopaedic | $760.00 | — | — |
| QQ774 | PIP Finger Prosthesis | 06 - Specialist Orthopaedic | $760.00 | — | — |
| QQ775 | Replacement retaining screw for glenoid head | 06 - Specialist Orthopaedic | $57.00 | — | — |
| QQ776 | Reverse Shoulder - Glenoid Baseplate | 06 - Specialist Orthopaedic | $1991.00 | — | — |
| QQ777 | Reverse Shoulder – Glenosphere Head | 06 - Specialist Orthopaedic | $2139.00 | — | — |
| QQ778 | Reverse Shoulder System | 06 - Specialist Orthopaedic | $3325.00 | — | — |
| QQ779 | Reverse Shoulder System | 06 - Specialist Orthopaedic | $774.00 | — | — |
| QQ780 | Reverse Shoulder System | 06 - Specialist Orthopaedic | $2314.00 | — | — |
| QQ781 | Reverse Socket Insert e+ | 06 - Specialist Orthopaedic | $774.00 | — | — |
| QQ782 | RSP Hemi Adaptor | 06 - Specialist Orthopaedic | $1159.00 | — | — |
| QQ783 | RSP Humeral Stem Adapter | 06 - Specialist Orthopaedic | $1159.00 | — | — |
| QQ784 | RSP Monoblock Humeral Stem Cemented | 06 - Specialist Orthopaedic | $6301.00 | — | — |
| QQ785 | RSP Monoblock Humeral Stem Uncemented | 06 - Specialist Orthopaedic | $6013.00 | — | — |
| QQ786 | Sbi PIP Silicone Implant System | 06 - Specialist Orthopaedic | $1330.00 | — | — |
| QQ787 | Sbi Silicone MCP Implant System | 06 - Specialist Orthopaedic | $1330.00 | — | — |
| QQ788 | SR Hand Implant System | 06 - Specialist Orthopaedic | $665.00 | — | — |
| QQ789 | SR Hand Implant System | 06 - Specialist Orthopaedic | $665.00 | — | — |
| QQ790 | Tactys PIP - Distal System | 06 - Specialist Orthopaedic | $760.00 | — | — |
| QQ791 | Tactys PIP - Proximal System | 06 - Specialist Orthopaedic | $760.00 | — | — |
| QQ792 | Turon Shoulder System - All-Poly Glenoid | 06 - Specialist Orthopaedic | $1895.00 | — | — |
| QQ793 | Turon Shoulder System - Humeral Head | 06 - Specialist Orthopaedic | $1261.00 | — | — |
| QQ794 | Turon Shoulder System - Humeral Neck | 06 - Specialist Orthopaedic | $998.00 | — | — |
| QQ795 | Turon Shoulder System - Humeral Stems | 06 - Specialist Orthopaedic | $3771.00 | — | — |
| QQ796 | Turon to RSP Conversion Module | 06 - Specialist Orthopaedic | $829.00 | — | — |
Data sourced from Australian Government publications · Not an official government service · Why sponsors track the PL with us →