53 Prescribed List billing codes
| Billing code | Product | Category | Benefit | Status | Last changed |
|---|---|---|---|---|---|
| GT006 | Gore-Tex Stretch Bifurcated Graft | 10 - Vascular | $655.00 | — | — |
| GT029 | Gore Tips Endoprosthesis | 10 - Vascular | $3064.00 | — | — |
| GT116 | Gore Biliary Endoprostheses | 03 - General Miscellaneous | $2730.00 | — | — |
| GT122 | Preclude Pericardial Membrane | 09 - Cardiothoracic | $342.00 | — | — |
| GT125 | Preclude Pericardial Membrane | 09 - Cardiothoracic | $1382.00 | — | — |
| GT188 | EXCLUDER AAA Endovascular Prostheses | 10 - Vascular | $2986.00 | — | — |
| GT189 | GORE EXCLUDER AAA Endoprosthesis | 10 - Vascular | $2306.00 | — | — |
| GT190 | Excluder AAA Endovascular Prostheses | 10 - Vascular | $2986.00 | — | — |
| GT211 | Gore-Tex Intering Vascular Graft | 10 - Vascular | $1351.00 | — | — |
| GT214 | Gore-Tex Intering Vascular Graft | 10 - Vascular | $770.00 | — | — |
| GT216 | Gore-Tex Axillobifemoral Vascular Graft | 10 - Vascular | $1760.00 | — | — |
| GT221 | Gore ® Propaten ® Vascular Graft | 10 - Vascular | $876.00 | — | — |
| GT222 | Gore ® Propaten ® Vascular Graft | 10 - Vascular | $966.00 | — | — |
| GT225 | GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface | 10 - Vascular | $3154.00 | — | — |
| GT226 | GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface | 10 - Vascular | $3723.00 | — | — |
| GT227 | GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface | 10 - Vascular | $3154.00 | — | — |
| GT252 | GORE-TEX ® Stretch Vascular Graft | 10 - Vascular | $1351.00 | — | — |
| GT256 | BIO-A Tissue Reinforcement | 03 - General Miscellaneous | $722.00 | — | — |
| GT257 | BIO-A Tissue Reinforcement | 03 - General Miscellaneous | $722.00 | — | — |
| GT258 | BIO-A Tissue Reinforcement | 03 - General Miscellaneous | $722.00 | — | — |
| GT259 | Conformable GORE TAG Thoracic Endoprosthesis | 10 - Vascular | $9952.00 | — | — |
| GT260 | Conformable GORE TAG Thoracic Endoprosthesis | 10 - Vascular | $9952.00 | — | — |
| GT261 | Conformable GORE TAG Thoracic Endoprosthesis | 10 - Vascular | $13086.00 | — | — |
| GT262 | GORE® VIABAHN® Endoprosthesis with Propaten Bioactive Surface | 10 - Vascular | $5077.00 | — | — |
| GT263 | GORE EXCLUDER AAA Endoprosthesis | 10 - Vascular | $8082.00 | — | — |
| GT264 | Gore ® PROPATEN ® Vascular Graft | 10 - Vascular | $1462.00 | — | — |
| GT267 | Bio A Tissue Reinforcement | 03 - General Miscellaneous | $1399.00 | — | — |
| GT268 | Bio A Tissue Reinforcement | 03 - General Miscellaneous | $3204.00 | — | — |
| GT270 | GORE® CARDIOFORM Septal Occluder | 08 - Cardiac | $7436.00 | — | — |
| GT273 | Standard Wall Grafts | 10 - Vascular | $770.00 | — | — |
| GT274 | Preclude Percardial Membrane | 09 - Cardiothoracic | $611.00 | — | — |
| GT276 | GORE EXCLUDER Iliac Branch Endoprosthesis | 10 - Vascular | $6769.00 | — | — |
| GT277 | GORE EXCLUDER Iliac Branch Endoprosthesis | 10 - Vascular | $2986.00 | — | — |
| GT278 | GORE-TEX ® Stretch Vascular Graft | 10 - Vascular | $1440.00 | — | — |
| GT285 | GORE® PROPATEN® Vascular Graft | 10 - Vascular | $1561.00 | — | — |
| GT286 | GORE® INTERING® Vascular Graft | 10 - Vascular | $1440.00 | — | — |
| GT287 | GORE-TEX® Vascular Grafts | 10 - Vascular | $221.00 | — | — |
| GT288 | GORE-TEX® Vascular Grafts | 10 - Vascular | $663.00 | — | — |
| GT290 | GORE-TEX ® Stretch Vascular Graft | 10 - Vascular | $508.00 | — | — |
| GT291 | GORE-TEX ® Stretch Vascular Graft | 10 - Vascular | $550.00 | — | — |
| GT292 | GORE-TEX ® Cardiovascular Patch | 09 - Cardiothoracic | $228.00 | — | — |
| GT293 | GORE-TEX ® Cardiovascular Patch | 09 - Cardiothoracic | $495.00 | — | — |
| GT294 | GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis | 10 - Vascular | $5230.00 | — | — |
| GT295 | GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis | 10 - Vascular | $3867.00 | — | — |
| GT296 | GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis | 10 - Vascular | $3867.00 | — | — |
| GT297 | GORE SYNECOR Preperitoneal Biomaterial | 03 - General Miscellaneous | $4964.00 | — | — |
| GT298 | GORE SYNECOR Preperitoneal Biomaterial | 03 - General Miscellaneous | $3114.00 | — | — |
| GT299 | GORE SYNECOR Preperitoneal Biomaterial | 03 - General Miscellaneous | $1341.00 | — | — |
| GT300 | GORE SYNECOR Preperitoneal Biomaterial | 03 - General Miscellaneous | $710.00 | — | — |
| GT301 | GORE CARDIOFORM ASD Occluder | 08 - Cardiac | $7436.00 | — | — |
| QQ755 | GORE SYNECOR Intraperitoneal Biomaterial | 03 - General Miscellaneous | $1341.00 | — | — |
| QQ756 | GORE SYNECOR Intraperitoneal Biomaterial | 03 - General Miscellaneous | $710.00 | — | — |
| QQ757 | GORE SYNECOR Intraperitoneal Biomaterial | 03 - General Miscellaneous | $3114.00 | — | — |
Data sourced from Australian Government publications · Not an official government service · Why sponsors track the PL with us →