Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations HW375 Howmedica Mainstay Soft Tissue Zip anchor - Titanium Sip 4.5 anchor with #5 suture and #2 suture 2 strands, zip 3.5 anchor with #2 suture and #0 suture 2 strands, zip 2.7 anchor with #0 Cement Dispensers, Orthopedic HW003 Exeter Cement Security System Exeter Bone Pug - PMMA 6, 8, 10, 12, 14, 16, 18, 20mm HW006 Exeter Cement Security System X-Change Bone Plug - PMMA 10, 12, 14, 16, 18, 20mm Cement, Orthopedic HW320 Antibiotic Simplex Bone Cement with Polymethyl Methacrylate, Styrene 40 grams Tobramycin Copolymer, Barium Sulfate HW321 Antibiotic Simplex Bone Cement Erythromycin and Colistin - 40 grams Polymethyl Methacrylate, Styrene Copolymer, Barium Sulfate HW322 Surgical Simplex P Radiopaque Bone Polymethyl Methacrylate, Styrene 40 grams Cement Copolymer, Barium Sulfate Nails, Bone HW370 Supracondylar Nail SCN - Orthinox 170,200,230,260, 280,300,320 mm length x11mm width HW371 Supracondylar Nail Condyle Screw - Orthinox 40 - 90mm HW372 Supracondylar Nail Nut for Condyle Screw - Orthinox One size only Orthopedic External Fixation Systems, Other HW328 Howmedica Dynamic Joint Distractor Complete Straight Body Frame - One size only Stainless Steel Orthopedic Internal Fixation Systems, Fracture HW261 Alta Modular Trauma System CFX - Titanium - complete 11, 13, 15mm width, 300-480mm length HW262 Alta Modular Trauma System Rod - Titanium 11, 13, 15mm width, 300-480mm length HW263 Alta Modular Trauma System Distal Screws - Titanium 5mm x 14-100mm Page 242 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations HW264 Alta Modular Trauma System Proximal Screws - Titanium 6 - 5mm x 25-100mm HW265 Alta Modular Trauma System Cap Screws - Titanium One size only HW266 Alta Modular Trauma System - Channel Plate and 10 Cortical 4,6,8 hole complete procedure costs Screws - Titanium HW267 Alta Modular Trauma System - Distal Fracture plate and Channel 6,8 hole complete procedure costs plate with Screws - Titanium HW268 Alta Modular Trauma System - Femoral Rod and 4 Cross Screws - 10-16mm x 280-480mm complete procedure costs Titanium HW269 Alta Modular Trauma System - Femoral Rod , Rod Connector, Lag 10-16mm x 280-480mm complete procedure costs and Cross Screws - Titanium HW270 Alta Modular Trauma System - Hip Bolt and Channel Plate 130-150 Degrees, 3 Hole complete procedure costs Assembly with Lag Screw and 6 cortical screws - Titanium HW271 Alta Modular Trauma System - Supraconondylar Plate with Lag 95 Degrees, 3 Hole complete procedure costs Screw and Screws - Titanium HW272 Alta Modular Trauma System - Tibial/Humeral Rod, Cross Screws, 6-14mm x 210-420mm complete procedure costs Tab and cap screw - Titanium HW273 Alta Modular Trauma System - Compression Screw Assembly - 5mm Components Titanium HW274 Alta Modular Trauma System - Cortical Screw/Screw Nut Assembly 5mm Components - Titanium HW275 Alta Modular Trauma System - Dome and Doulock Plunger - 40-120mm Components HW276 Alta Modular Trauma System - Plate - Channel - Titanium 4,6,8 hole Components HW277 Alta Modular Trauma System - Plate - Distal Fracture - Titanium 6,8 Hole Components HW278 Alta Modular Trauma System - Plate - Proximal Angled - Titanium 130-150 degrees, 4 holes Components Page 243 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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