Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations SD126 Tenor Spondylolisthesis Screw - Ti 30 - 55mm SD127 Tenor Transverse Links - Titanium 40-100mm SD128 Tenor Rod (5.5mm) - Titanium 40-180mm SD129 Tenor Monoclamps - Titanium One size only SD130 Tenor Dual Clamps - Titanium One size only SD131 Tenor Offset Clamps - Titanium One size only SD132 CD Horizon Multi-Axial screw (Stainless Steel) 25 - 55mm SD133 CD Horizon Multi-axial screw (Titanium) 25 - 55mm SD134 CD Horizon Fixed Angle Screw (Titanium) 25 - 55mm SD135 CD Horizon M-8 Breakoff Set Screw (Titanium) 25 - 55mm SD136 Orfil L-Shaped Rods 5-510mm SD137 Orfil Double Pearl-Tipped Wires 1 - 350mm SD138 LIFT Vertebral Body Cages Short/long SD139 Novus Systems Cervical Cages 10-16mm SD140 CD Occipital-Cervical Loop CD Occipital-Cervical Loop One size only SD141 Premier Anterior Cervical Plate Plates 23 - 90mm SD142 Premier Anterior Cervical Plate Screws 10 20mm SD170 Danek Unit Rod System Scoliosis Rods Widths 3/16", 5.5mm or 6.35mm; lengths 25 x 45cm SD171 Danek Unit Rod System Scoliosis S-Rods Widths 5.5 - 6.35mm; left and right SD172 Tenor Nuts/plug One size only SD174 LIFT (Lumbar Interbody Fusion End plates (caps) Angulation: -8 - 7 degrees; left and right SD175 Bryan Cervical Disc System Disc 14 - 18mm SD176 Bryan Cervical Disc System Seal plug One size only Page 304 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations SD177 Vertex Spinal System Connector Length 10 - 13mm; diameter 3.2 - 6.35mm SD178 Vertex Spinal System Plate/rod 80 - 240mm SD179 Vertex Spinal System Rod 80 - 240mm SD180 Vertex Spinal System Screws Dia 3.5 - 4.0mm; length 6 - 24mm SD181 Vertex Spinal System Set screw One size only Plates, Bone SD094 Zephir Anterior Cervical Plate 20-70mm Screws, Bone SD030 CD Horizon Pedicle Screws Diameter 5.5 - 7.5 Lengths 25 - 80mm SD077 UCSS Cortical Screws 30 - 50mm SD078 UCSS Cortical Lag Screws 36 - 50mm SD093 Zephir Cancellous Screw 13-17mm National Surgical Corporation Pty Ltd <strong>Prostheses</strong>, Ligament NI147 Endoflip Anchor for ACL reconstruction One size only Screws NI148 Bilok Arthroscopic Screw Screw for graft fixation in ACL Standard reconstruction NI149 Bilok Arthroscopic Screw Screw for graft fixation in ACL ST reconstruction Orthotech Pty Ltd Blood Cell Processors OH018 ICI Processor Pro-Osteon/AGF System One size only Page 305 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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