Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations SN300 Spectron EF Femoral Revision Stems Non Porous 135mm - 225mm CoCr, Longstem, Neck Replacement, Proximal Third (12/14 and 14/16 SN301 Spectron EF/ Spectron Femoral Stem Non Porous 1- 5 Collared/Collarless High Offset SN302 Spectron EF/Spectron Femoral Stem Non Porous 1- 5 Collared/Collarless CoCr, Std SN304 Synergy Femoral stem Non Porous Co Cr 9-20 SN305 Synergy Femoral stem Porous Titanium 9-20 Alloy, Std and High Offset SN306 Synergy Femoral stem: HA coated Titanium 9-20 Alloy, Std and High Offset SN307 Unipolar Taper Sleeve Co Cr 12/14 and 14/16 tapers, +0,-3,+4,+8,+12mm. SN308 Unipolar Head Co Cr 12/14 42 - 61mm SN360 ITH Femoral Stem Non Porous Titanium STCOL L120mm- 200mm Stnd Alloy L120mm-200mm SN361 ITH Trunnion Sleeve One size only SN362 Matrix: Modular Hip System Femoral Stem Polished CoCr 6L-14L SN363 Matrix: Modular Hip System Practica Non Porous Stem CoCr Collarless Stem 8,10,12. Collared Stem 8,10,12,14. Collarless/Collared Femur SN364 Matrix: Modular Hip System Revision Distal Sleeve, Porous and Straight Sizes 8-16, 10 - 21mm, x Non-Porous +10mm, 60mm ; Bowed Sizes 8 - 16, x +85mm, +135mm. SN365 Matrix: Modular Hip System Sleeve -Trunnion One size only SN366 Matrix: Modular Hip System Stem: Opti-fix plus Titanium Alloy 8S - 16L <strong>Prostheses</strong>, Joint, Knee SN311 Genesis II Porous Tibial base Left/right Size 1-8 Page 328 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations SN316 Genesis II Femoral/tibial long stems 10-24x100mm, 10-20 x 150mm 10-16x 200mm SN321 Genesis II Non Porous femoral Left/Right Size 1-8 SN322 Genesis II Non Porous Tibial Base Left/Right Size 1-8 SN323 Genesis II Patella Biconvex UHMWPE 23-35mm (Patella & Revision) SN324 Genesis II Patella Resurfacing UHMWPE 26-35mm SN325 Genesis II Patella with flexlok UHMWPE 23-32mm SN326 Genesis II Porous femoral Left/Right Size 1-8 SN327 Genesis II PS Non Porous femoral Left/Right Size 1-8 SN328 Genesis II PS Porous femoral Left/Right Size 1-8 SN330 Genesis II Wedge Full Tibial, Distal Femoral, 1-8 Stacked Femoral L, Posterior Femoral, Angled Hemi, Stepped Hemi, Medial Lateral SN331 Genesis II Inserts Inserts PS 1-8. 9-25mm SN334 Genesis Uni Articular Insert UHMWPE x-Small-Magnum 8mm-12mm SN335 Genesis Uni Tibial Base HA coated Left & Right, X Small- Magnum SN336 Genesis Uni Tibial base Titanium Alloy XSmall-Magnum SN337 Genesis Uni Tibial Base UHMWPE Left & Right, X Small- Magnum Plus, 8mm-15mm SN338 Genesis Uni Femoral Component CoCr X-Small - Magnum Plus SN339 Genesis Compression Screws 16-22mm SN342 Genesis Custom Flex Lock Peg Left & right SN343 Genesis Custom Peg 10x65mm - 20x325mm SN344 Genesis Femoral Component: Cruciate Left/Right Small - Magnum Retaining: Non Porous: CoCr Page 329 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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