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05_063000821_0135_1_2
Prosthesis - Not Limb Related

05
Support Category

PACE: 05: Assistive Technology
MyPlace: 05: Assistive Technology

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063000821
Sequence Number

063000821

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0135
Registration Group

0135: Customised Prosthetics

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1
Outcome domain

1: Daily Living

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2
Support Purpose

2: Capital

Where a support item does not have a price limit then the provider and participant should agree on the reasonable price for the support. If necessary, they should also agree on the billing schedule for the support. In the NDIS Support Catalogue marked under empty type.

Line Item Description

This NDIS support item (05_063000821_0135_1_2), identified as Prosthesis - Not Limb Related, is classified under the Capital support purpose and the Assistive Technology (AT) support category (05).

It specifically falls within the Prosthetics and Orthotics registration group (0135).

Support Item Details
Item Type: This item is used to fund custom-made prosthetic devices that replace or restore missing or damaged body parts other than arms or legs. This includes, but is not limited to:

Maxillo-Facial Prostheses: Devices used to restore parts of the face, jaw, or mouth following trauma, disease, or birth defects.

Ocular (Eye) Prostheses: Custom-made artificial eyes.

Aural (Ear) Prostheses: Custom-made artificial ears.

Nasal Prostheses: Custom-made artificial noses.

Purpose: As Assistive Technology, the core purpose of these non-limb related prostheses is to restore body function, appearance, communication, and confidence. By restoring form and, where possible, function (e.g., eating, speaking), these items significantly enhance the participant's independence, social inclusion, mental health, and participation in daily living and community activities. This directly contributes to achieving the Daily Living goals outlined in the participant's NDIS plan.

Funding Requirement: Funding for Capital supports is generally restricted to the specific items that have been identified and detailed within a participant's NDIS plan. Due to the highly specialised, custom-made nature of these devices, funding requires a comprehensive assessment and prescription from a relevant specialist, such as a Maxillofacial Prosthetist, Ocularist, or other specialised healthcare professional, confirming the item is reasonable and necessary.

Provider Requirements: Providers claiming for this item must be a Registered Provider with the NDIS Quality and Safeguards Commission for the relevant Registration Group, which is Prosthetics and Orthotics (0135).

Line Item Parameters

  • Non-Face-To-Face

    Some activities can be delivered without the participant percent

  • Provider Travel

    Some providers can charge participants for the time it takes them to travel and deliver support

  • Quote Required
  • Short notice cancellations
  • NDIA requested reports
  • Irregular SIL reports