Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations SN144 TC 100 2.7mm L-plates Sterile, Right/left, Oblique right/left 3 holes SN145 TC 100 3.5mm Reconstruction plates Sterile, Straight 12 - 15 holes 142 - 178mm SN468 Compression Hip Screw System Ambi Standard Barrel Plates 60mm -80mm, 2-3 slot SN469 Compression Hip Screw System Ambi Standard Barrel Plates 100mm -220mm, 4-10 slot SN470 Compression Hip Screw System Ambi Standard Barrel Plates 260mm+, 12-14 slot SN471 Compression Hip Screw System Ambi Short Barrel Plates 100mm, 4-5 slot SN472 Compression Hip Screw System Ambi Short Barrel Plates 120mm, 4-5 slot SN473 Compression Hip Screw System Classic Standard Barrel Plates 60-140mm, 2-3 slot SN474 Compression Hip Screw System Classic Standard Barrel Plates 180-220mm, 4-10 slot SN475 Compression Hip Screw System Classic Standard Barrel Plates 260mm+, 12-14 slot SN476 Compression Hip Screw System Classic Short Barrel Plates 100mm, 4-5 slot SN477 Compression Hip Screw System Classic Short Barrel Plates 120mm, 4-5 slot SN478 Compression Hip Screw System Classic Supracondylar Plate 90-95 6-12SL SN484 Compression Hip Screw System Supracondylar plate 6 Slot SN485 Compression Hip Screw System Supracondylar plate 8 Slot SN486 Compression Hip Screw System Supracondylar plate 10 Slot SN487 Compression Hip Screw System Supracondylar plate 12 Slot SN490 Intermediate Osteotomy System Plate (hip screw) 90-150Deg SN493 Paediatric Osteotomy System Plate (hip screw) With Prox slot 90D - 140D SN532 TC100 Plate 2.0mm Straight Plate 3-20 hole SN542 TC100 Plate Multifragment Plates One size only SN543 TC100 Plate Pelvic Fragment Plates 3-18 hole, 45-190mm SN557 TC100 Plate 4.5mm Broad Compression Plate 14-18 hole SN569 TC100 Plate Calcaneal Plate Sterile 60mm,70mm & 9 hole Page 322 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations SN570 TC100 Plate Cloverleaf Plate 3-4 hole SN571 TC100 Plate Cloverleaf Plate 5-6 hole SN572 TC100 Plate Cloverleaf Plate 7-8 hole SN573 TC100 Plate Cloverleaf Plate 9 hole SN574 TC100 Plate Cobra Head Plate 8-11 hole SN577 TC100 Plate Hook Plate 123mm 4 hole SN578 TC100 Plate Large L-Buttress Plate Left & right Angled SN581 TC100 Plate Lateral Tib Head Buttress Plate 3-7 hole Left & Right SN582 TC100 Plate Lateral Tib Head Buttress Plate 9-13 hole Left & Right SN592 TC100 Plate Spoon Plate 5 hole & 6 hole SN659 HTO Plates Titanium 6 - 20mm SN670 Femoral Osteotomy Plate Titanium Wedge 6 - 20mm thick x 20mm wide SN671 Femoral Osteotomy Plate Titanium Femoral Plate 6-8 hole, 6 - 18mm wide SN685 Opening Wedge Tibial Ostectomy Titanium 6 - 20mm Prostheses, Arm SN138 Neer 3 Total Shoulder System Humeral stems Head size 15 - 16, stem diam 8 - 12mm SN677 Neer 3 Humeral CrCo Stem size 8 - 12mm, head size 15 - 26mm, Stem length 125mm Prostheses, Femoral Head SN686 Femoral Head CoCr, 14/16 taper 22mm Prostheses, Joint SN032 Compass Universal Hinge Circular external hinged fixator, One size only graphite composite Page 323 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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