41603 $186.50 to 375 $72,217 Osseointegration procedure—fixation of abutment or - $503.85 implantation of titanium fixture for use with implantable bone conduction hearing system device, in a specified patient group. 41604 $1089.90 241 $191,618 Ossicular chain reconstruction 41542 to $1194.25 41545 $521.25 to 1013 $953,267 Mastoidectomy to $1876.95 41564 depends on complexity 45794 $186.50 to 67 $9066 Osseointegration procedure placement of TORP/PORP for – to $503.85 ossicular reconstruction surgery. 45797 (Commonwealth of Australia, 2014) Regulatory status The VSB is the sole partially implantable MEI available for the treatment of CHL or MHL that is listed on the Australian Register of Therapeutic Goods (ARTG). Table 11: MEI components listed on the ARTG ARTG Product Indication Amade audio processor External sound processor 170179 Vibrating ossicular prosthesis 502X Internal, crimped to vibratory structure of middle ear 161702 Vibroplasty coupler Internal, couples transducer to vibratory structure of middle 185533 ear. (Commonwealth of Australia, 2014) Proposed Listing and Options for MSAC Consideration Table 12 shows the proposed MBS listing. It should be noted that the proposed MBS Scheduled fee for the vibroplasty required to position the MEI is considerable higher than the fee for the osseointegration procedure required to position the BCI.
41603 - 41604 Osseointegration procedure—fixation of abutment or implantation of titanium fixture for use with implantable bone conduction hearing system device, in a specified patient group. $186.50 to $503.85 375 $72,217 Ossicular chain reconstruction $1089.90 to $1194.25 241 $191,618 41545 to 41564 Mastoidectomy $521.25 to $1876.95 depends on complexity 1013 $953,267 45794 to 45797 Osseointegration procedure – placement of TORP/PORP for ossicular reconstruction surgery. $186.50 to $503.85 67 $9066 (Commonwealth of Australia, 2014) Regulatory status The VSB is the sole partially implantable MEI available for the treatment of CHL or MHL that is listed on the Australian Register of Therapeutic Goods (ARTG). Table 11: MEI components listed on the ARTG ARTG Product Indication 170179 Amade audio processor External sound processor 161702 Vibrating ossicular prosthesis 502X Internal, crimped to vibratory structure of middle ear 185533 Vibroplasty coupler Internal, couples transducer to vibratory structure of middle ear. (Commonwealth of Australia, 2014) Proposed Listing and Options for MSAC Consideration Table 12 shows the proposed MBS listing. It should be noted that the proposed MBS Scheduled fee for the vibroplasty required to position the MEI is considerable higher than the fee for the osseointegration procedure required to position the BCI. 41542
1364-MEIConductive-FinalProtocol-accessible.docx