Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations Medtronic Sofamor Danek Australia Pty Ltd Hooks, Other SD034 CD Horizon Hook - CD osed laminar; CD Each in one size Compression; CD Distraction; Pedicle; Spinal; Laminar; Narrow laminar; Angled laminar; Left and right offset laminar; Narrow laminar (extended body); Left and right thoracic laminar; M8 Paediatric; M8 Pedicle; M8 Wide, narrow and angled blade; M8 Extended body; M8 right and left offset; Blocker; Closed and Open, pedicle or Laminar; laminar, Thoracic, Open; Closed; Laminar, Thoracic, R or L Disp; Laminar, closed, oblique balde; Laminar, closed body; Laminar, oblique body closed; Lateral opening; Lateral opening R/L Offset; Reduced blade, open and closed; Transverse Lumbar; Hydroxyapatite SD043 BCP Biphasic Calcium Phosphate 2.5cc - 20cc Reabsorbable Graft Supplement Mesh, Metallic SD006 Pyramesh Round Titanium Surgical - Long SD007 Pyramesh Round Titanium Surgical - Short SD079 Pyramesh Angled 25 - 150mm SD080 Pyramesh Curved 130mm SD081 Pyramesh Ovoid 8 - 70mm SD173 Pyramesh End ring 19 - 25mm Page 298 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations Orthopedic Internal Fixation Systems, Other SD071 Atlas Cable System (SS) Single w/crimp and bar One size only SD072 Atlas Cable System (SS) Double w/2 crimps One size only SD073 Atlas Cable System (SS) Crimp One size only SD074 Atlas Cable System (Ti) Single (loop end) w/crimp One size only SD075 Atlas Cable System (Ti) Double w/2 crimps One size only SD076 Atlas Cable System (Ti) Crimp One size only SD212 R90 Spacer Spinal Implant (Peek) Height: 7mm - 12mm, Lordosis: 6 degrees & 8 degrees, Length: 23 -27mm SD213 Union CC System Cage - Titanium 6mm x 12mm, in both 3 degrees and 8 degrees SD214 CD Horizon Spondylolisthesis Screw Diameter: 4.5 - 7.5, Length: 25mm - 50mm Orthopedic Internal Fixation Systems, Spinal SD003 Colorado Spinal System Colorado 2 Hook, Pedicular hook - small and large, Laminar hook - small, medium and large, Staple for pedicular hooks, Closed laminar thoracic hook, Supra laminar median hook, Narrow laminar - 1 size, Closed laminar - 1 size SD004 Colorado Spinal System Colorado 2 Connector For 5mm rod and 5.5mm rod SD005 Colorado Spinal System Colorado 2 Clamp SD008 Interfix C Carbon Cage Diameter range from 12 - 20mm, Length range from 20 - 29mm SD009 Affinity Cervical Cage - D7 - L12 to D9 - L14 SD010 Colorado Spinal System Colorado 2 Rod 5.0mm and 5.5mm, length range 50 - 600mm Page 299 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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