Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations EB032 St George-Margron Total Contact Hip HA Femoral Stem CoCr 1,2,3,4,5,6,1+1,2+1,3+1,4+1,5+1,6 Replacement +1 Length 120-150mm, Size 1 = 10mmx21mm dia, S2=11.5mmx23mm, S3=13mmx25mm, S4=13.5mmx27mm, S5=14mmx29mm, S6=14mmx31mm, Length 75mm - 7mm x 15mm, Length 82.5 - 8mm x 17mm, Length 95mm - 9mm x 19mm EB033 St George-Margron Total Contact Hip Neck Module CoCr A, B, C, BA, CA, CB, B+4, C+6, NX, Replacement NY, NZ, ANZ EB034 St George-Margron Total Contact Hip Femoral Head (Ceramic) 28mm,32mm 3 lengths Replacement EB035 St George-Margron Total Contact Hip Femoral Head Cobalt Chrome 26mm,28mm,32mm 4 Lengths Replacement EB036 St George-Margron Total Contact Hip Femoral Head Zirconia 28mm,32mm 3 lengths Replacement EB037 St George-Margron Total Contact Hip Revision Long Stem CoCr 1,2,3,4,5,6 in Lengths of Replacement +1cm,2cm,3cm,4cm, 5cm,6cm, each size. Length 120mm -340mm Size 1=10mmx21mm dia,S2=11.5mmx23mm, S3= 13mmx25mm, S4=13.5mmx27mm, S5=14mmx29mm, S6=14mmx31mm dia EB128 Bone Plug PMMA cement 8, 18, 12, 14, 16mm Prostheses, Joint, Shoulder EB092 Aequalis Shoulder Prostheses Humeral Stem Press Fit Ti, Cement 6.5-15mm - 1mm increm wide, CoCr 66-150mm long EB093 Aequalis Shoulder Prostheses Humeral Head CoCr 37,39,41,43,46,48,50,52mm EB094 Aequalis Shoulder Prostheses Humeral Neck Ti or CoCr 125,130,135,140 degrees EB095 Aequalis Shoulder Prostheses Glenoid Component UHMWPE 31mm,35mm,39mm dia Page 232 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations Prostheses, Radial Head EB097 Radial Head Prostheses Titanium/UHMWPE Stem 6.5mm & 8mm Mod Head size 19mm & 22mm Endotec Australia Pty Ltd Prostheses, Joint, Ankle EA001 B.P.U. Revision Total Ankle Ceramic coated titanium 1-6 EA002 Buechel-Pappas Total Ankle Ceramic coated titanium 1 to 6 Prosthesis - replacement Prostheses, Joint, Hip EA003 Buechel-Pappas Integrated Total Hip Acetabular Cup-Ceramic coated 45mm to 69mm Replacement System titanium EA004 Buechel-Pappas Integrated Total Hip Acetabular Bearing 45mm to 65mm Replacement System EA005 Buechel-Pappas Integrated Total Hip Femoral Head-Ceramic coated 36.5mm to 58mm Replacement System Getz Bros. & Co. (Aust) Pty Ltd Caps, Bone GB088 Surgical Dynamics Spiral Radius 90D Titanium One size only Locking Cap, Torx Orthopedic Internal Fixation Systems, Other GB056 Secure Strand Cable System Bone Reapproximation Cable Diameter 1.0mm Orthopedic Internal Fixation Systems, Spinal GB001 Surgical Dynamics Ray TFC Unite Titanium 5 diameters (12 - 20mm) 2 lengths (21mm, 26mm) GB028 Aline Cervical Plating System Bone Screws 4.0x10mm - 4.35x16mm GB029 Aline Cervical Plating System Lock Screw One size only GB030 Aline Cervical Plating System Plates 22-48mm Page 233 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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