Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations SN345 Genesis Femoral: Cruciate Retaining: Left/Right Small - Magnum Porous: CoCr SN346 Genesis Flex-Lok Peg Fem & Tibial SN347 Genesis I/M Peg: Femoral and Tibial: 10-16mm Diameter x 40-200mm Length SN349 Genesis Insert: PS Articular: UHMWPE Right/Left S-XL 8mm-25mm SN350 Genesis Patella: Biconvex Prosthesis: X-Small, Small, Medium UHMWPE SN352 Genesis Resurfacing: Patella: UHMWPE Small - Large SN354 Genesis Tibial Base: Non Porous Left/Right Small- Magnum 8mm-15mm SN355 Genesis Tibial Base: Pegged Left/Right Small - Magnum SN356 Genesis Tibial Base: Porous Left/Right Small - Magnum SN357 Genesis Tibial Compression Screw 16-22mm SN358 Genesis Wedge Small-Magnum 4mm-15mm SN371 MOD III Femoral Component Small & Large SN372 Profix Conforming Plus articular insert Left/Right Size 1-6. 10 - 35mm SN373 Profix Femoral Non Porous (With out Left/Right Size 1-8 SN374 Profix Femoral Non Porous (With Taper) Left/Right Size 1-8 SN375 Profix Femoral Porous Left/Right Size 1-8 SN376 Profix I/M Peg Femoral or Tibial 10-20mm x 100mm. 10-20x150mm 10-20 x 200mm SN377 Profix Metaphyseal Tibial Stem 14-20mm SN378 Profix Mobile Bearing Stabilised Insert Size 1-8 10-16mm SN379 Profix Mobile Bearing Standard Insert Size 1-8 10-16mm SN380 Profix Non Porous Femoral with Taper Right/Left Size 1-7 Page 330 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations SN381 Profix Non Porous Wedge, Distal and 1-7. Small - Large L-Wedge SN382 Profix Patella, Inset and Onset 23-35mm SN383 Profix Porous Femoral with Taper Right/Left Size 1-7 SN384 Profix Porous wedge 1-7 SN385 Profix PS Non Porous Femoral Component Left/Right Size 2-7 SN386 Profix PS Porous Femoral Component Right/Left Size 2- 7 SN387 Profix Tibial Base HA Coated Porous Left/Right, Size 1-8 Titanium Alloy SN388 Profix Tibial Base: All Poly Left/Right Size 1-6 10-20mm SN389 Profix Tibial Insert Left/Right Size 1-6 10-20mm SN390 Profix Tibial Non Porous Right/Left Size 1-7 SN391 Profix Tibial Porous Right/Left Sizes 1-7 w& w/o holes SN392 Profix Tibial PS Insert Left/Right Size 1-6 10 - 35mm SN393 Profix Tibial Screw 15-50mm SN394 Patella Femoral Resurfacing System Mini-Large SN660 Profix Constrained Femur Cobalt Chromium Left & Right, 2-7 SN662 Profix Constrained Femur Insert, UHMWPE Left & Right, Size 1-6, 10 - 20mm SN690 Genesis II Offset Stems Femoral and tibial: +2 - +4 SN694 Knee Component Femoral, tiabial or insert Size 0 - 10 SN699 Profix Mobile bearing stabilised insert 1-8, 18-20mm <strong>Prostheses</strong>, Joint, Knee, Femoral Component SN333 Genesis II/Profix Femoral Component Zirconia 1-8 SN691 Genesis II/Profix Press Fit Oxinium Femoral Size 1 - 8 Components Page 331 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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