Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations DE125 Bio-Corkscrew Composition - polylactide, eyelet - 3.5-6.5mm polyester DE166 Bio-Tenodesis Screw Composition PLLA Dia 5.5-9mm DE167 Bio-Interference Screw Composition - PLLA, delta tapered Dia 7.5-10.5mm to 9-12mm x 35mm length Screws, Bone DE060 Avulsion Screw Titanium 45mm DE067 Interference Screws ARTHREX Sheathed 7 x 23mm - 12 x 23mm DE068 Interference Screws ARTHREX Non-sheathed 7 x 28mm - 12 x 28mm DE077 Cancellous Bone Screws Low Profile 30mm - 40mm DE128 Cortical Screw Self locking screws, cancellous and Diameter 3.5-6mm, length cortical Staples, Bone DE062 Ligament Staples Cobalt Chromium Molybdenium 6mm - 16mm Washers, Bone Screw DE071 Arthrex Spiked Washer Titanium alloy 14 - 15mm Dj Orthopaedics Pty Ltd Prostheses, Joint, Knee, Total DJ002 Active Knee System Active Knee - Cemented Femoral Sizes 1-5 Left & Right Component DJ003 Active Knee System Tibial Component Cemented Sizes 1-5 DJ004 Active Knee System Active Knee - Cementless Femoral Sizes 1-5 Left & Right Component DJ005 Active Knee System Bone Screw Titanium 20mm - 50mm DJ006 Active Knee System Tibial Component Cementless Sizes 1-5 DJ007 Active Mobile Bearing Tibial Tray - Cemented Sizes 1-5 Page 230 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations DJ008 Active Mobile Bearing Tibial Tray - Cementless Sizes 1-5 DJ009 Active Mobile Bearing Meniscal Insert Sizes 1 - 5 Thickness 6 - 9.5mm DJ010 Other Active Knee Components Posterior Stabilised Meniscal Insert Sizes 1 - 5 Thickness 6 - 15.5mm DJ011 Other Active Knee Components All Polyethylene Tibial Implant Sizes 1 - 5 Thickness 6 - 15.5mm DJ012 Other Active Knee Components Meniscal Insert Sizes 1 - 5 Thickness 6 - 15.5mm DJ013 Other Active Knee Components Patella Sizes 1 - 5 Screws, Bone DJ001 ACL Bone Screws - Dia 5 - 10mm, length 20 - 50mm Ebos Health & Science Pty Ltd Prostheses, Femoral Head EB003 Margron Femoral Head CoCr Alloy 28, 32mm in 4 lengths Prostheses, Joint, Ankle EB001 Cheville Salto Ankle Prostheses Includes tibial, mobile bearing, talar, Sizes 1 = small to 5 = x-large malleolar Prostheses, Joint, Hip, Total EB030 St George-Margron Total Contact Hip Margron Oncology/Revision AA60mm AA70mm, BB60mm, Replacement Module CoCr BB70mm, CC70mm, BA60mm, BA70mm, CA70mm, CB70mm EB031 St George-Margron Total Contact Hip Margron Porous/Plasma Press Fit 1,2,3,4,5,6,1+1,2+1,3+1,4+1,5+1,6 Replacement Femoral Stem +1, Length 120-150mm. Size 1 =10mmx21mm dia, S2 = 11.5mmx23mm, S3 = 13mmx25mm, S4=13.5mmx27mm, S5= 14mmx29mm, S6=14mmx31mm Page 231 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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