Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations MA307 Cervifix Posterior Cervical System Occiput Screw Length 6 - 22mm, Dia 3.2 - 3.5mm MA308 Cervifix Posterior Cervical System Cancellous Screw Length 8 - 45mm, Dia 3.5 - 4.5mm MA309 Cervifix Posterior Cervical System Cortical Screw Length 8 - 55mm, Dia 3.2, 3.5mm MA319 Universal Spine System (USS) Pedicle screw - Ti, St st Length 70 - 140mm MA382 Universal Spine System Low Profile Transconnector 18-83mm length MA383 Click'X Spinal Fixation System Monoaxial Screw 25-80mm length MA384 SYNCAGE Interbody Fusion Cage, Prefilled 12-19mm Height MA385 VENTROFIX - MIS Screw 25-65mm MA388 Ventrofix - MIS Locking screw Anterior, posterior MA389 Ventrofix - MIS Double rod implant Monosegmental, bisegmental Pins, Bone MA086 AO/ASIF K-Wires, Pins, Washers Seldrill 4.0/3.0mm & 4.0 - 6mm / 80 - 250mm L MA159 AO/ASIF K-Wires, Pins, Washers etc Steinmann pins/schanz screws - 4.5 / 5.0 / 3.5 / 3.0 / 4.0 , length 60 - - Steel central thread, short thread, unifix 300 mm, T MA162 AO/ASIF K-Wires, Pins, Washers etc K-wire single ended 0.60 - 3.00mm, length 70 - 400mm - Titanium MA163 AO/ASIF K-Wires, Pins, Washers etc K-wire double ended 0.60mm - 3.00 mm, length 70 - - Titanium 150mm MA164 AO/ASIF K-Wires, Pins, Washers etc K- wires threaded 5 - 15 mm, 0.80- 3.00 mm, length 70 - Titanium - 150mm MA165 AO/ASIF K-Wires, Pins, Washers etc Steinmann pins/schanz screws - 3.5 / 4.0 / 4.5 / 5.0 , length 100 - - Titanium trocar tip 275 mm MA381 AO/ASIF K Wires, Pins Washers - Hybrid Pins - Spade point 1.8, 2.0mm Diameters Steel/Ti Sterile & Non Sterile wires/reduction wires Plates, Bone MA039 AO/ASIF Plates Titanium, 3.5mm cloverleaf 3-6 hole, length 104mm Page 284 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations MA040 AO/ASIF Plates Titanium, 3.5mm calcaneal Length 60 - 70mm MA041 AO/ASIF Plates Titanium, straight & curved 3.5mm, 5-22 hole reconstruction MA044 AO/ASIF Plates Steel, left & right, 4.5mm T & L plate, 3-12 hole 4.5mm MA045 AO/ASIF Plates Steel, spoon plate,4.5mm 5-12 hole MA046 AO/ASIF Plates Steel, left & right,4.5mm conylar 7-15 hole buttress MA047 AO/ASIF Plates Steel, 3.5mm calcaneal 60 - 70mm length MA048 AO/ASIF Plates Steel, left & right, lateral, proximal, 3-13 hole tibial, buttress, 4.5mm lateral tibial MA049 AO/ASIF Plates Steel, 4.5mm cobra head 8-11 hole MA050 AO/ASIF Plates Steel, 1.5mm, straight / T & H shaped 3-20 hole / 9-100mm length / L-condylar MA051 AO/ASIF Plates Steel, 3.5mm cloverleaf 3-9 hole / 88 - 184mm length MA052 AO/ASIF Plates Steel, 2.0mm reconstruction 20 hole, length 100mm MA053 AO/ASIF Plates Steel, left & right, 2mm condylar Left & right MA054 AO/ASIF Plates Steel, 2.7mm straight, 1/4 tubular & 2-50 hole / 23 - 300mm length DCP MA055 AO/ASIF Plates Steel, DHS plates 130-150 deg/ 2-16 hole / 43-27mm length / barrel 25 - 38mm MA056 AO/ASIF Plates Steel, left & right, 2.7mm condylar Left & right MA057 AO/ASIF Plate Steel, 3.5mm narrow, DCP/LCDCP 2-10 hole / length 25mm - 155mm MA058 AO/ASIF Plates Steel, 3.5mm broad DCP/LCDCP 7-22 hole MA059 AO/ASIF Plates Titanium, 4.5mm semi tubular 2 - 12 hole MA060 AO/ASIF Plates Titanium, 4.5mm narrow, 2-16 hole MA061 AO/ASIF Plates Titanium, 4.5mm broad, 6-18 hole Page 285 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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