Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations DY163 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 10mm - 30mm Screw, Fully Thread DY164 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 32 - 50mm Screw, Fully Thread DY165 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 55 - 75mm Screw, Fully Thread Orthopedic Internal Fixation Systems, Other DP037 Orthosorb Absorbable Pin Orthosorb K-Wire - Stainless Steel L150/L300 D2.0mm Trocar Pkt 10 DP038 Orthosorb Absorbable Pin Orthosorb K-Wire - Stainless Steel L150 to L300 D2.0mm Threaded Pkt 10 DP039 Orthosorb Absorbable Pin Orthosorb K-Wire - Stainless Steel L300 D2.0mm Thread Each DP096 Coventry Screw system Coventry Screw System Plates - 4.00 mm dia Stainless Steel DP097 Coventry Screw system Coventry Screw System Screws - 4.00 mm dia Stainless Steel DP098 Coventry Screw system Coventry Screw System Cannulated 4.00 mm dia Screws - Stainless Steel DP099 Coventry Screw system Coventry Screw System Cannulated 7.00 mm dia Screws - Stainless Steel DP100 Coventry Screw system Coventry Cancellous Screw - Length 16-25mm Stainless Steel DP101 Coventry Screw system Coventry System Standard Plate - 130 deg 2-4 Hole Stainless Steel DP102 Coventry Screw system Coventry Screw System Cannulated 4.50 mm Screws - Stainless Steel DP103 Coventry Screw system Coventry System Extra Heavy Duty 130Degree 3-4 Hole Plate - Stainless Steel DP104 Coventry Screw system Coventry System Heavy Duty Plate 2-4 Hole - Stainless Steel Page 184 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations DP105 Coventry Screw system Coventry System Extra Heavy Duty 3-4 Hole Plate - Stainless Steel DP106 Coventry Screw system Coventry Cancellous Screw - Length 28-90mm Stainless Steel DP852 Songer Cable System - Titanium Flanged Crimp/2 Hole Bar/Flat Bar One size only (Pk 2) DP854 Songer Cable System - Titanium Flex Bar - Large/Small 35mm/30mm DP857 Songer Cable System - Stainless Steel 2 Hole Bar (Pk 2) One size only DP858 Songer Cable System - Stainless Steel Flanged Crimp/Flat Bar (Pk2) One size only DP859 Songer Cable System - Stainless Steel Isola Single Cable & Crimp (Pkt 6) One size only DP860 Songer Cable System - Stainless Steel Double Loop Cable with 2 Crimps One size only DP862 Songer Cable System - Titanium Double Loop Cable with 2 Crimps One size only DP864 Songer Cable System - Titanium Isola Single Cable & Crimp (Pkt 6) One size only Orthopedic Internal Fixation Systems, Spinal DP251 DOC Ventral Stabilisation System Doc Plate 1-3 Level DP252 Acroflex Lumbar Artificial Disc Lumbar Disc Replacement Device One size only DP299 Moss Miami (Stainless Steel) Hooks - Pedicle One size only DP300 Moss Miami (Stainless Steel) Hooks - Laminar One size only (Wide/Narrow/Angled/Reduced Distance Blade) DP301 Moss Miami (Stainless Steel) Transverse Connector - Complete One size only DP303 Moss Miami (Stainless Steel) Inner Screw One size only DP304 Moss Miami (Stainless Steel) Outer Nut One size only DP305 Moss Miami (Stainless Steel) Axial Connector 5mm/5mm and 5mm/7mm DP306 Moss Miami (Stainless Steel) Monoaxial Screws 5 - 8mm x 25 - 60mm DP307 Moss Miami (Stainless Steel) Polyaxial Screws 5 - 7mm x 25 - 60mm Page 185 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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