Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations ST897 Stabilis Bone Graft Delivery Unit - Titanium BGDU diam 13mm BGDU ST898 Stabilis Bone Graft Delivery Unit - Titanium BGDU diam 15mm BGDU ST899 Stabilis Bone Graft Delivery Unit - Titanium BGDU diam 17mm BGDU ST900 Stabilis Oblique Frame Titanium 11mm - 4 degrees ST901 Stabilis Oblique Frame Titanium 13mm - 4 degrees ST902 Stabilis Oblique Frame Titanium 15mm - 4 degrees ST903 Stabilis Oblique Frame Titanium 11mm - 8 degrees ST904 Stabilis Oblique Frame Titanium 13mm - 8 degrees ST905 Stabilis Oblique Frame Titanium 15mm - 8 degrees ST906 Stabilis Frontal Frame Titanium Frontal Frame 11 - 13mm - 4 degrees ST907 Stabilis Frontal Frame Titanium 15mm - 4 degrees ST908 Stabilis Frontal Frame Titanium 17mm - 4 degrees ST909 Stabilis Oblique Frame Titanium 11mm - 0 degrees ST910 Stabilis Oblique Frame Titanium 13mm - 0 degrees ST911 Stabilis Oblique Frame Titanium 15mm - 0 degrees ST914 Reflex Anterior Cervical Plate - Screw Titanium, locking Dia 4mm lengths 10 - 14mm ST915 Reflex Anterior Cervical Plate - Screw Titanium, locking Dia 4mm Length 16 - 22mm ST916 Reflex Anterior Cervical Plate - Screw Titanium, locking Dia 4.5mm Length 12 - 22mm ST917 Reflex Anterior Cervical Plate System Titanium, locking 1 Level size, 12 - 22mm ST918 Reflex Anterior Cervical Plate System Titanium, locking 2 Level size, 24 - 46mm ST919 Reflex Anterior Cervical Plate System Titanium, locking 3 Level size, 39 - 69mm ST920 Reflex Anterior Cervical Plate System Titanium, locking 4 Level size, 60 - 84mm Page 350 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations Pins, Bone ST007 Stryker Plating System - K Wires Stainless Steel or Titanium 150mm length in 1.25, 1.6, 2.0mm diameter ST890 Steinmann Pins Stainless Steel 7,9" Plates, Bone SK001 Stryker Plating System Epi-Union Peri- Articular Plating 7 Holes System Tibia-Distal -Medial SK002 Stryker Plating System Epi-Union Peri- Articular Plating 9 Holes System Tibia-Distal -Medial SK003 Stryker Plating System Epi-Union Peri- Articular Plating 11 Holes System Tibia-Distal -Medial SK004 Stryker Plating System Epi-Union Peri- Articular Plating 3-6 Holes System Tibia-Proximal -Lateral SK005 Stryker Plating System Epi-Union Peri- Articular Plating 7-11 Holes System Tibia-Proximal -Lateral SK031 Leibinger Titanium Implant system Profyle hand and small fragment 1.2mm sys XS, T-shape 8 holes plate system SK032 Leibinger Titanium Implant system Profyle hand and small fragment 1.7mm sys S, T-shape 10 holes plate system SK033 Leibinger Titanium Implant system Profyle hand and small fragment 1.7mm system S, Condylar 5 holes plate system L&R SK034 Leibinger Titanium Implant system Profyle hand and small fragment 1.7mm system S+, 16 holes plate system SK035 Leibinger Titanium Implant system Profyle hand and small fragment 1.7mm system S+, 90deg L&R plate system SK036 Leibinger Titanium Implant system Profyle hand and small fragment 2.3mm system M, compression plate system condylar 6 holes L&R SK037 Leibinger Titanium Implant system Profyle hand and small fragment 2.3mm system M, fixation 3D 6x2 plate system holes Page 351 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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