Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations <strong>Prostheses</strong>, Joint, Shoulder DP019 Global Advantage Shoulder Head, Cobalt chrome alloy 40mm x 15, 18, 21mm DP020 Global Advantage Shoulder Eccentric Head, Cobalt chrome alloy 56mm x 18, 21mm DP021 Global Advantage Shoulder Eccentric Head, Cobalt chrome alloy 52mm x 18, 21mm DP022 Global Advantage Shoulder Eccentric Head, Cobalt chrome alloy 48mm x 18, 21mm DP023 Global Advantage Shoulder Eccentric Head, Cobalt chrome alloy 44mm x 18, 21mm DP024 Global Advantage Shoulder Head, Cobalt chrome alloy 56mm x 15, 18, 21mm DP025 Global Advantage Shoulder Head, Cobalt chrome alloy 52mm x 15, 18, 21mm DP027 Global Advantage Shoulder Head Cobalt chrome alloy 44mm x 15, 18, 21mm DP029 Global Advantage Shoulder Revision Stem Titanium alloy 8mm x 200mm - 14mm x 220mm DP030 Global Advantage Shoulder Stem Standard, Titanium alloy 6mm - 16mm DP036 Global Advantage Shoulder Head, Cobalt chrome alloy 48mm x 15, 18, 21mm DP077 Global Advantage Shoulder Global Advantage Stem Chrome Size 6-16mm DP078 Global Shoulder Global HUM Head 40-56mm DP079 Global Shoulder Global HUM Head size 44-56 XL DP080 Global Shoulder Global Advantage Stem LONG 8 to 14 Chrome DP081 Global Shoulder Global Advantage HUM HD Size 44 -52 by size x 15 DP082 Global Shoulder Global Stem Chrome 6 x 6mm to 16 x 16mm DP083 Global Shoulder Global Stem Chrome 8 x 22 to 14 x 22 DP084 Global Shoulder Global Advantage HUM HD Size 44 -52 by size x 18 DP085 Global Shoulder Global Advantage HUM HD Size 44 -52 by size x 21 DP086 Global Shoulder Global FIN Glenoid Size 40-56 DP087 Global Shoulder Global SHD END PEG Glen Size 40-56 DP874 Global Advantage Shoulder Global Advantage ECC HD Size 44-56 Page 220 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations DP875 Global Advantage Shoulder Global Advantage ECC HD Size 44- 56 DP877 Global Shoulder Global SHD ECC HD Size 44-52 DP898 S-Fit Metal Glenoid S-FIT Glenoid Bearing Size 40-52 DP899 S-Fit Metal Glenoid S-FIT M/B Glenoid Size 40-52 DP950 Delta Shoulder system Standard Metaglene INOX/ ST. One size only Steel + Aluminia+HAC DP951 Delta Shoulder system Revision Metaglene INOX/ ST. Steel One size only + Aluminia+HAC DP952 Delta Shoulder system Centror Glenoid INOX / ST.Steel / Size 36-40 Nichtrostender St. DP953 Delta Shoulder system Centror Glenoid INOX / ST.Steel / Size 42 Nichtrostender St. DP954 Delta Shoulder system Metaglene Screw Stainless Steel 3.5mm DP955 Delta Shoulder system Metaglene Screw Stainless Steel 4.5mm DP956 Delta Shoulder system Cementless Diaphysis INOX/ ST. Size 1-4 Steel + Aluminia+HAC DP957 Delta Shoulder system Cemented Epiphysis INOX/ ST. Size 1-4 in 26-42mm Steel + Aluminia+HAC DP958 Delta Shoulder system Humeral Cup Laterilised 36-42mm in +0 to +6 DP959 Delta Shoulder system Humeral Cup Polyethylene 36/42mm STD Retentive +0mm DP960 Delta Shoulder system Humeral Cup Polyethylene 36/42mm STD +0mm DP961 Delta Shoulder system Humeral Cup Polyethylene 36/42mm LAT Retentive +6mm DP962 Delta Shoulder system DELTA Humeral Head INOX / 36mm in +0-+4 ST.Steel / Nichtrostender St. DP963 Delta Shoulder system DELTA Humeral Head INOX / 42mm/+0-+4 ST.Stee / Nichtrostender St. DP964 Delta Shoulder system Humeral Spacer INOX / ST.Steel / Dia 36/42 + 9 Nichtrostender St. Page 221 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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