Schedule 5 - Appendix A - Surgically Implanted Prostheses

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
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