Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations DE144 BacFix (Thoracolumbar System) Spinal rod, rigid/flex - Titanium 5.5 - 6mm x 50 - 125mm DE145 BacFix (Thoracolumbar System) Spinal rod, rigid/flex - Titanium 5.5 - 6mm x 300 - 600mm DE146 BacFix (Thoracolumbar System) Non-threaded wedge with serrated 5.5 - 6mm teeth - Titanium alloy DE147 BacFix (Thoracolumbar System) Hook - Titanium alloy 6.5 - 11mm DE148 BacFix (Thoracolumbar System) Smooth profile flexible angle screw - 5 - 8mm x 30 - 60mm Titanium alloy DE149 BacFix (Thoracolumbar System) SpeedLink fixed distance rod - 5.5 - 6mm x 15 - 35mm Titanium alloy DE150 BacFix (Thoracolumbar System) SpeedLink adjustable length rod - 5.5 - 6mm x 39.5 - 75mm Titanium alloy DE151 AcuFix Cancellous bone screw - Anterior 4mm x 10 - 18mm cervical plate system - Titanium DE152 AcuFix Self tapping wide root screw - 4mm x 10 - 18mm Anterior cervical plate system - DE153 AcuFix Rescue screw - Anterior cervical 4.5mm x 10 - 18mm plate system - Titanium DE154 AcuFix 1 segment SlimLine plate - Anterior 20 - 34mm cervical plate system - Titanium DE155 AcuFix 2 segment SlimLine plate - Anterior 34 - 54mm cervical plate system - Titanium DE156 AcuFix 3 segment SlimLine plate - Anterior 47 - 71mm cervical plate system - Titanium DE157 AcuFix 4 segment SlimLine plate - Anterior 68 - 92mm cervical plate system - Titanium DE158 AcuFix 2 segment Corpectomy plate - 34 - 54mm Anterior cervical plate system - DE159 AcuFix 3 segment Corpectomy plate - 53 - 77mm Anterior cervical plate system - Page 228 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations DE160 AcuFix 4 segment Corpectomy plate - 68 - 101mm Anterior cervical plate system - DE164 Expandable Spinal Fusion System Composition - titanium, locking Dia 8.5/10-13.5/15mm x length ring nickel titanium Pins, Bone DE070 TransFix Implant Screw System - Titanium alloy 40mm & 50 mm DE124 Fixion Hip Pin Stainless Steel Diameter 5mm x length 60-100mm DE129 Fixion Peg Stainless steel peg with inflatable Diameter 8mm x lengths 80, 90, distal part 100, 110, 120mm Pins, Bone, Absorbable DE080 Tissue Button PLA 6.5mm - 10mm DE126 Chondral Dart Polylactide Compositition Length 18mm DE127 Bio-Transfix Composition Poly (L-lactide) Diameter 5mm, length 50mm Plates, Bone DE055 Osteotomy Plates Osteotomy, Tibial - Stainless Steel 5mm - 17.5mm DE078 Osteotomy Plates Osteotomy, Femoral - Stainless Steel 7.5mm - 17.5 mm DE094 Osteotomy Plates Anterior/posterior sloped. Stainless 5 - 15mm length steel Rods DE163 Bio-Post & Washers PLLA composition Implant 35mm, washers 16mm Screws DE069 Interference Screws Bio-Cortical - PLA 8 x 17 - 11 x 17mm and 8 x 20 - 10 x 20mm DE072 Bio-Interference Screw PLA 7mm - 9mm DE075 Arthrex Headed Bio-absorbable PLA 8mm Corkscrew DE081 Tissue Tak PLDLA 3mm - 4.5mm Page 229 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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