Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations SK104 Stryker Plating System Screws Cortical bone screws Dia 2.7mm, screw length 40-60mm SK105 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length 10-20mm SK106 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length 22-38mm SK107 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length 40-60mm SK108 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length 65-95mm SK109 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length SK110 Stryker Plating System Basic Fragment Waisted compression plate narrow 2-9 Holes Set SK111 Stryker Plating System Basic Fragment Waisted compression plate narrow 10-22 Holes Set ST003 Stryker Plating System Screws - Stainless Steel/Titanium Diameter 2.7mm, screw length Cortical 2.7 & 3.5 8-20mm ST008 Stryker Plating System Small & Basic Narrow or Broad 2-20 holes, 26-260mm plate length Fragment - Compression Plate ST017 Stryker Plating System Small & Basic Stainless Steel or Titanium 50-60mm Fragment - Calcaneal Plate ST025 Stryker Plating System Small Fragment Stainless Steel 4-9 Holes Set ST036 Stryker Plating System Small & Basic Oblique T Plate or T Plate, Stainless 42-86mm Length Fragment - T Plate Steel or Titanium, Oblique ST037 Stryker Plating System SmallFragment One Third Tubular Plate with Collar 2-8 Holes Set ST038 Stryker Plating System - Reduction 4.5mm Diameter, Stainless Steel One size only ST039 Stryker Plating System Small & Basic Stainless Steel or Titanium, Left or 3-20 Holes, 67-339mm Plate Fragment - L Plate Right ST040 Stryker Plating System - Washers & Stainless Steel or Titanium Nuts 5.0 or 4.5mm thickness; Washers 7 - 13mm diameter ST041 Stryker Plating System Basic Fragment Waisted Compression Plate Broad 6-14 holes Set Page 354 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations ST051 Stryker Plating System Small Fragment Cloverleaf Plate 3-5 Holes Set ST060 Matta - Pelvic Curved Straight Stainless Steel 2-9 hole plate Synphis Pubic Plate ST671 Leibinger Plates Leibinger scaphoid platinum, One size - left, right, neutral orientation ST715 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 4 hole fragment system, fixation straight plate, titanium ST716 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 16 hole fragment system, fixation straight plate, titanium ST717 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 5 holes fragment system, fixation plate,T-shape, 90 deg, narrow, ST718 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 5 holes fragment system, fixation plate, T-shape, oblique, right/left, titanium ST719 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 5 holes fragment system, fixation plate, Y-shape, narrow, titanium ST720 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 2x2 holes fragment system, fixation plate, 3D plate, titanium ST721 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 3x2 holes, 2x2 + 2 fragment system, fixation plate, 3D holes plate, titanium ST722 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 4x2 holes fragment system, fixation plate, 3D plate, titanium ST723 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 4x2 holes fragment system, fixation plate, replant plate, titanium Page 355 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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