Schedule 5 - Appendix A - Surgically Implanted Prostheses

ORTHOPAEDIC
Billing Code Product Further Size Notations
DP668 Small / Large Fragment Set S/S CHS Lag Screw Stainless Steel Length 50-145mm
(sterile)
DP669 Small / Large Fragment Set S/S Supracondylar Plate S/S 4-8 Hole 95 Deg
DP670 Small / Large Fragment Set S/S Tronchanteric Support Plate Small-Large
DP671 Small / Large Fragment Set S/S CHS Plate S/S Std & Short Bar 2-4 Hole 135-150 Deg
DP672 Small / Large Fragment Set S/S CHS Plate S/S, Standard & Short 4-8 Hole 95 Deg
Barrel (Sterile)
DP673 Small / Large Fragment Set S/S SCS Plate Stainless Steel Sterile 3-9 Hole
DP674 Small / Large Fragment Set S/S Narrow Bone Plate Stainless Steel 5-18 Hole
DP675 Small / Large Fragment Set S/S Broad Bone Plate Stainless Steel 3-6 Hole for 1.5mm
DP678 Small / Large Fragment Set S/S Small DCP Plate Stainless Steel LC 2-4 Hole 2.7mm
DP679 Small / Large Fragment Set S/S Narrow DCP Plate Stainless Steel 6 Hole
DP680 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 6 Hole
DP681 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 2.7mm 4-6 Hole
DP682 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 3 Hole
DP683 Small / Large Fragment Set S/S Cerclage Wire Loop Stainless Steel 0.8-1.2mm x 280-600
DP685 Small / Large Fragment Set S/S Angle Blade Plate DCP Stainless 95 Deg 5-7 Hole
DP686 Small / Large Fragment Set S/S Stainless Steel Plate for Tib Forked Small-Large
Blade
DP687 Small / Large Fragment Set S/S Stainless Steel Plate for Tib Small-Large
DP688 Small / Large Fragment Set S/S Stainless Steel Femoral Neck Pin Small-Large
Support Plate
DP689 Small / Large Fragment Set S/S Tibial Stainless Steel Condylar 1.5-2mm
Plate & Mini Condylar Plate
DP690 Small / Large Fragment Set S/S Mini Stainless Steel Condylar Plate D 1.5 mm
DP691 Small / Large Fragment Set S/S Spoon Plate Stainless Steel 5-6 Hole
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