Schedule 5 - Appendix A - Surgically Implanted Prostheses

ORTHOPAEDIC
Billing Code Product Further Size Notations
MA220 Syncage Interbody fusion cage 12 -19mm Height
MA221 Spinal Plate/Plate System AO/ASIF Notched spinal plates 5 - 13 hole
Spinal Implants
MA222 Spinal Plate/Plate System AO/ASIF Internal fixator - clamps - One size only
Spinal Implants w/posterior / lateral nut
MA223 Spinal Plate/Plate System AO/ASIF Internal fixator - rods 7.0mm dia, length 70 - 300mm
Spinal Implants
MA224 Spinal Plate/Plate System AO/ASIF Internal fixator - cross link clamp One size only
Spinal Implants
MA225 Spinal Plate/Plate System AO/ASIF Internal fixator - cross link rod Rod 3.5, length 40 - 80 mm
Spinal Implants
MA226 Spinal Plate/Plate System AO/ASIF Internal fixator - schanz screws 5.0 - 70mm dia, length 180mm,
Spinal Implants thread 25 -35mm.
MA227 Spinal Plate/Plate System AO/ASIF Anterior thoracolumbar plate - Length 57 - 103mm
Spinal Implants
MA228 Spinal Plate/Plate System AO/ASIF Anterior thoracolumbar screws - Locking screw 7.5mm, length 25 -
Spinal Implants locking 55mm
MA230 Universal Spine System (USS) Rod - Ti, St St Length 300 - 500mm,
MA232 Universal Spine System (USS) Sacral Hook - Ti, St St Small, Medium, Large,
MA240 Universal Spine System (USS) Rods - Ti, St St Length 40 - 250mm
MA241 Universal Spine System (USS) Hook - Ti, St St Small, Medium, Large, Lamina,
Thoracic, Pedicle
MA242 Universal Spine System (USS) Pedicle screw - Ti, St St 5.0 - 7.0mm dia, 25 - 65mm Length
MA243 Universal Spine System (USS) Pedicle Screw, Polyaxial - Ti 5.0 - 9.0mm dia, 30 - 65mm length
MA244 Universal Spine System (USS) Fracture clamps - Ti, St St Cranial, Standard, Low Profile
MA245 Universal Spine System (USS) Cross link clamp - Ti, St St 3.5 - 6.0mm
MA246 Universal Spine System (USS) Half ring - Ti, St St SS, Standard, Self-Holding
MA247 Universal Spine System (USS) Cross link rod - Ti, St St 40-80mm length
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