Schedule 5 - Appendix A - Surgically Implanted Prostheses

ORTHOPAEDIC
Billing Code Product Further Size Notations
Prostheses, Joint, Shoulder
BI207 Bi-Angular Shoulder System Humeral Prostheses, Titanium 6.5mm-14mm
BI208 Bi-Angular Shoulder System Bi Polar Shell, Titanium/ Size 40-60mm
UHMWPE/Chrome Cobalt
BI209 Bi-Angular Shoulder System Bi Polar Head, Chrome Cobalt Std to +4mm
BI210 Bi-Angular Shoulder System Glenoid Metal backed. UHMWPE, Small Medium Large x 4 or 7mm
Titanium
BI211 Bi-Angular Shoulder System Glenoid, UHMWPE Small Medium Large x 4 or 7mm
BI212 Bi-Angular Shoulder System Humeral Head, Chrome Cobalt 40-52mm
BI213 Bio-Modular Shoulder System Bi-Polar cup 40-60mm
BI214 Bio-Modular Shoulder System Bi-Polar shell/ Titanium, chrome 40-60mm
Cobalt
BI215 Bio-Modular Shoulder System Humeral Head, Chrome Cobalt 40-54mm
BI216 Bio-Modular Shoulder System Humeral Stem, titanium 6-15mm
BI217 Bio-Modular Shoulder System Glenoid Component, Cemented, Small, Medium, Large x 4 or 7mm
Titanium/UHMWPE
BI218 Bio-Modular Shoulder System Modular Head, Chrome Cobalt Std, +2, +4mm
BI219 Bio-Modular Shoulder System Glenoid Liner Noncemented, Low Profile
UHMWPE
BI220 Bio-Modular Shoulder System Glenoid Screws x 2 Titanium 5mm x (15-40mm)
BI221 Bio-Modular Shoulder System Glenoid Shell, Titanium Low Profile
BI222 Bio-Modular Shoulder System Shoulder Offset Head, Chrome 40-54mm
BI223 Nottingham Shoulder System Humeral Stem, Chrome Cobalt, 6-12mm
Titanium
BI224 Nottingham Shoulder System Humeral Head, Chrome Cobalt Std +2, +4mm
BI225 Nottingham Shoulder System Glenoid Tray, Chrome Cobalt Size 3, 4, 5.
BI226 Nottingham Shoulder System Glenoid Bearing, UHMWPE Size 3, 4, 5.
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