Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations HW331 Omega Plus Compression Hip Screw Hip Sideplate - Short Barrel - 6,8,10,12 hole 130-150 degrees System Stainless Steel HW332 Omega Plus Compression Hip Screw Supracondylar Sideplate - Stainless 6,8,10,12,14 holes System Steel HW333 Omega Plus Compression Hip Screw Lag Screw - Standard - Stainless 50-130mm length System HW334 Omega Plus Compression Hip Screw Lag Screw - Super - Stainless Steel 50-130mm length System HW335 Omega Plus Compression Hip Screw Compression Screw - Stainless Steel 25mm length System HW336 Omega Plus Compression Hip Screw Cortical - Stainless Steel 4.5mm dia System HW337 Omega Plus Compression Hip Screw Cancellous - Stainless Steel 6.5mm dia System Staples, Bone HW317 Rutherford Staple Ellison Arched Staple, Vitallium 9,12,15mm x 23mm HW318 Rutherford Staple Ellison Flat Staple, Vitallium 8,11,14 x 23mm HW319 Rutherford Staple Ellison Soft Tissue Retainer, 8,11,14mm Johnson & Johnson Medical Pty Ltd Anchor, Fixation JJ076 Mitek Ethibond Knotless Suture Titanium anchor 2.7 x 10.8 mm JJ077 Mitek Polypropylene Meniscus Polypropylene anchor 6 & 8mm x 4mm JJ097 Mitek Fastin RC Anchor Titanium Suture Anchor 5 x 13.5mm JJ124 Intrafix Tibial Sheath High density polyethylene sheath 7 to 10mm x (15 to 30mm) Anchors, Synthetic Ligament JJ075 Mitek Ligament Anchor Titanium anchor 6mm x (15 to 25mm) JJ082 Mitek Mini Anchor Threader Tab Titanium Suture Anchor 1.8 x 5.4mm Page 262 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations JJ083 Mitek GII Anchor Threader Tab Titanium Suture Anchor 2.4 x 8.8mm JJ084 Mitek Rotator Cuff Anchor Threader Titanium Suture Anchor 2.8 x 11mm JJ085 Mitek Super Anchor Threader Tab to Titanium Suture Anchor 2.8 x 11.4mm bone JJ086 Mitek Tacit Anchor Threader Tab Titanium Suture Anchor 2.0 x 3.6mm JJ087 Mitek Tacit Quick Anchor Titanium Suture Anchor 2.0 x 3.6mm JJ089 Mitek GII QuickAnchor Plus Titanium Suture Anchor 2.4 x 8.8mm JJ091 Mitek Mini QuickAnchor Plus Titanium Suture Anchor 1.8 x 5.4mm JJ093 Mitek Rotator Cuff Quick Anchor Plus Titanium Suture Anchor 2.8 x 11mm JJ095 Mitek Super Quick Anchor Plus Titanium Suture Anchor 2.8 x 11.4mm JJ096 Mitek Fastin Anchor Titanium Suture Anchor 3 x 8.4mm, 4 x 9.7mm, 5.2 x 11.5mm JJ100 Micro Quick Anchor Titanium Suture Anchor 1.3 x 3.7mm Cerclage, Orthopedic Fixation JJ110 Codman Sof'wire Titanium Cable Titanium Single Cable with Leader, One size only Cinch & Tightener JJ112 Codman Sof'wire Titanium Cable Titanium Double Cable with Central One size only Leader, 2 Cinches & 2 Tighteners JJ118 Codman Sof'wire Stainless Steel Cable Stainless steel leader, pack of 10 One size only System Orthopedic Internal Fixation Systems, Spinal JJ101 Codman Ti-Frame Titanium frame 4cm; 6.0cm Radius JJ102 Codman Ti-Frame Titanium frame 4cm; 9.5cm Radius JJ103 Codman Ti-Frame Titanium frame 4cm straight JJ104 Codman Ti-Frame Titanium frame 6cm; 8.5cm Radius JJ105 Codman Ti-Frame Titanium frame 6cm; 13.0cm Radius JJ106 Codman Ti-Frame Titanium frame 6cm straight Page 263 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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