Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations <strong>Prostheses</strong>, Tibial LO006 Revision Tibial Component - Extra small, small, medium, large and extra large Linvatec Australia Anchor, Fixation LV003 Ultrafix RC, Anchor Soft Tissue Re-attachment - Titanium 2.9mm predeployed diameter LV004 Ultrafix MiniMite Suture Anchor Soft Tissue Re-attachment - Titanium 2.3mm predeployed diameter LV005 Ultrafix MiniMite StitchPak Suture Soft Tissue Re-attachment - Stainless 2.3mm predeployed diameter Anchor Steel LV006 Ultrafix RC StitchPak Suture Anchor Soft Tissue Re-attachment - Titanium 2.9mm predeployed diameter LV024 Ultrafix MicroMite Small Joint Anchor Suture Anchoring Device - Titanium 1.5mm predeployed diameter LV027 Pre-Loaded Ultrafix RC Anchor Surgical Grade Stainless Steel, Dia 2.9mm, length 6.5mm preloaded with 2 #2 sutures Anchors, Synthetic Ligament LV001 Linvatec Super Revo Soft Tissue Contains screw, driver and sutures LV002 Li Medical Ultrasorb Bioabsorable Contains anchor, non-absorbable Suture Anchor suture, surgical needles LV007 Bio Twist Bioabsorbable Rotator Cuff Soft Tissue Re-attachment - PLLA 6mm diameter Anchor Drivers LV028 Pre-loaded BioStinger Violet, PLLA 10, 13, 16mm Bio-Absorbable Meniscal Repair Pins, Bone, Absorbable LV008 Preloaded Bio-Anchor Absorbable Soft Tissue Re-attachment - PLLA 3.5mm diameter Suture Anchor LV020 BioButton - Recessed Ligament ACL Fixation - PLLA 7mm - 9mm Page 272 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations Screws LV019 BioScrew Bioabsorbable Interference ACL Fixation - PLLA 7mm diameter x 20mm - 11 x 25mm Screw LV021 BioStinger - V Bio - Absorbable Meniscal Repair Device - PLLA 10mm - 16mm Meniscal Repair Device LV022 EndoPearl Bio-Absorbable Implant - ACL Fixation - PLLA 7mm - 9mm ACL Fixation LV023 EndoPearl Bio-Absorbable with ACL Fixation - PLLA 7mm - 9mm Threader Implant - ACL Fixation Screws, Bone LV009 Revo Cancellous Screw Soft Tissue Re-attachment - Titanium 4mm diameter LV010 Mini-Revo Screw Soft Tissue Re-attachment - Titanium 2.7mm diameter LV011 Soft Tissue Anchoring Implant - Soft Tissue Re-attachment - Titanium 1.3 x 14mm - 2.5 x 20mm Spiked Washer LV012 Soft Tissue Anchoring Implant - Flat Soft Tissue Re-attachment - Titanium 14, 17mm Washer LV013 Soft Tissue Anchoring Implant - Soft Tissue Re-attachment - Titanium 30 - 80mm Cortical Screw LV014 Soft Tissue Anchoring Implant - Soft Tissue Re-attachment - Titanium 25 - 65mm Cancellous Screw LV016 Propel Interference Screws ACL Fixation - Titanium 7mm diameter x 20mm - 9 x 30mm LV017 Guardsman Femoral Interference ACL Fixation - Titanium 7mm diameter x 20mm - 9 x 30mm LV018 Cannulated Interference Screws ACL Fixation - Titanium 5.75mm diameter x 20mm - 9 x 40mm Staples, Bone LV015 Staple Fixation System Soft Tissue Re-attachment - Titanium 9.5 - 16.5mm Page 273 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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