Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations DP587 Compression Hip Screw ACE Washer Titanium 3-5mm DP588 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 22mm Thread length 55-65mm DP589 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 22mm Thread length 70-80mm DP590 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 22mm Thread length 85-100mm DP591 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 40mm Thread length 60-65mm DP592 Small / Large Fragment Set 6.5/8.0 mm Cannulated Cancellous 25-120mm Length 22&40mm Lag Screw DP593 Small / Large Fragment Set Cannulated Cancellous Screw Dia 4mm,16mm & 32mm Thread, 26-70mm Length DP594 Small / Large Fragment Set Titanium Cortical Screw 3.5mm x 8-48mm DP595 Small / Large Fragment Set Y Plates 2-16 Hole DP596 Small / Large Fragment Set Solid Cortical Screw 3.5mm length 10-28mm DP597 Small / Large Fragment Set Solid Cortical Screw 3.5mm length 34-48mm DP598 Small / Large Fragment Set Cannulated Cortical. Bone Screw 3.5mm length 50-60 mm DP599 Small / Large Fragment Set Cannulated Cancellous Screw Dia 4mm Lengths 75-120mm DP600 Small / Large Fragment Set Flat Washer Titanium One size only DP601 Small / Large Fragment Set Glenoid Screw 3.5 x 28-32mm DP602 Small / Large Fragment Set Solid Cancellous Bone Screw Full 10-28mm Thread DP603 Small / Large Fragment Set Cancellous Cannulated Lag Screw 4.0mm length 10-30mm Partial Thread DP604 Small / Large Fragment Set Cannulated Cortical F/T 4.5mm Dia 20mm to 80mm DP605 Small / Large Fragment Set Cannulated Cortical Lag Screw 5mm Dia 20mm to 70mm DP606 Small / Large Fragment Set Cannulated Cancellous Screw 5.0mm Length 30-70mm DP607 Small / Large Fragment Set Plates 30mm to 70mm DP608 Small / Large Fragment Set Straight Plates Sm- Lge Page 172 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations DP609 Small / Large Fragment Set 100 Tube Plate 3-8 Hole 3.5mm with 3 to 8 holes DP610 Small / Large Fragment Set T Plate 4-8 Hole DP611 Small / Large Fragment Set T Type Regular Plate One size only DP612 Small / Large Fragment Set Active Compression Plate 3.5mm DP613 Small / Large Fragment Set Dorsal Distal Radius Plate Wide - Narrow - Long DP614 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 3 to 4 holes DP615 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 10 holes DP616 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 12 holes DP617 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 14 holes DP618 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 5 to 7 holes DP619 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 8 to 9 holes DP620 Small / Large Fragment Set Cannulated Cortical. Bone Screw 3.5mm length 30-46mm DP621 Small / Large Fragment Set Straight Plate 3 Hole DP622 Small / Large Fragment Set Straight Plate 4 hole DP623 Small / Large Fragment Set Straight Plate 6 hole DP624 Small / Large Fragment Set Straight Plate 8 hole DP625 Small / Large Fragment Set Straight Plate 10 hole DP626 Small / Large Fragment Set Straight Plate 12 hole DP627 Small / Large Fragment Set Solid Cancellous Screw 4.5mm Length 32-38mm DP628 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 40-48mm DP629 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 50-60mm DP630 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 65mm DP631 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 70mm DP632 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 75mm Page 173 of 638
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Schedule 5 - Appendix A - Surgicall
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CARDIO-THORACIC Billing Code Produc
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EAR, NOSE & THROAT Billing Code Pro
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ENDOSCOPIC PRODUCTS Billing Code Pr
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GENERAL/MISCELLANEOUS Billing Code
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MECHANICAL INTERNAL WOUND CLOSURE B
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NEUROSURGICAL Billing Code Product
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OPHTHALMIC Billing Code Product Fur
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ORTHOPAEDIC Billing Code Product Fu
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PLASTIC AND RECONSTRUCTIVE Billing
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UROGENITAL Billing Code Product Fur
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VASCULAR Billing Code Product Furth
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Schedule 5 - Appendix A - Surgically Implanted Prostheses

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