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Schedule 5 - Appendix A - Surgically Implanted Prostheses

Schedule 5 - Appendix A - Surgically Implanted Prostheses

Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC<br />

Billing Code Product Further Size Notations<br />

<strong>Prostheses</strong>, Finger/Thumb<br />

LM011 Ascension PIP Pyrocarbon Total Joint Pyrocarbon Proximal Interphalangeal size 10,<br />

20, 30, 40 distal, Proximal<br />

interphalageal size 10, 20, 30, 40<br />

LM012 Ascension MCP Pyrocarbon Total Pyrocarbon implant Metacarpophalageal joint sizes 10,<br />

20, 30, 40, 50<br />

<strong>Prostheses</strong>, Joint, Wrist<br />

LM010 Universal Total Wrist Implant System Consists of 3 parts, proximal radius Radial implant - small, medium,<br />

(UTW) component made of cobalt/chrome, large; Carpal implant - small,<br />

distal titanium plate, titanium medium, large; carpal poly implant -<br />

screws and polyethylene joint small, medium, large, +1, +2; carpal<br />

bone screws - 4.5mm x 20 - 35mm<br />

lengths<br />

Mathys Australia<br />

Bolts, Bone<br />

MA212 AO/ASIF Intermedullary Nails Locking bolts - steel 3.9 - 4.9mm , length 18 - 100mm<br />

MA213 AO/ASIF Intermedullary Nails Locking bolts - TAN 3.4 - 4.9mm, length 16 - 100mm,<br />

self cutting L 16 - 60mm<br />

Bone Matrix Implants, Artificial<br />

MA001 Chronos TCP Granules Porous Tricalcium Phosphate 20g<br />

MA002 Chronos TCP Granules Porous Tricalcium Phosphate 10g<br />

MA003 Chronos TCP Granules Porous Tricalcium Phosphate 5g<br />

MA004 Chronos TCP Granules Porous Tricalcium Phosphate 1g<br />

MA005 Chronos TCP Granules Porous Tricalcium Phosphate 0.5g<br />

MA295 ChronOS TCP Wedge Small, Medium, Large<br />

MA296 ChronOS TCP Blocks Small, Medium, Large<br />

MA313 ChronOS TCP Cylinder Dia 8.5 - 14mm<br />

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