Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC Billing Code Product Further Size Notations ST724 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm diameter x 4-13mm fragment system, cross-slot screw, self-tapping, titanium ST725 Leibinger Titanium Implant System Leibinger profyle hand & small 1.4x3mm, 1.4x5mm, 1.4x7mm, fragment system, emergency screw, 1.4x9mm cross-slot, titanium ST726 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 4 holes fragment system, straight plate, titanium ST727 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 4 holes fragment system, fixation straight plate with bar, titanium ST728 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 16 holes fragment system, fixation straight plate, titanium ST729 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 6 holes fragment system, fixation plate, L-shape, 90 deg, right/left, titanium ST730 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 6 holes fragment system, fixation plate, L-shape, oblique, right/left, titanium ST731 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 6 holes fragment system, fixation plate, T-shape, 90 deg, narrow, titanium ST732 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7 mm system, 6 holes fragment system, T-shape, narrow, oblique, right/left, titanium ST733 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 7 holes fragment system, fixation plate, T-shape, 90 deg, titanium ST734 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 7 holes fragment system, Y-shape, narrow, titanium Page 356 of 638
ORTHOPAEDIC Billing Code Product Further Size Notations ST735 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 9 holes fragment system, Z-shape, titanium ST736 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 4x2 holes fragment system, replant plate, ST737 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 5 holes fragment system, condylar compression plate with bar, right/left, titanium ST738 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 2x2 holes fragment system, fixation, 3D plate, titanium ST739 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 2x2 + 2 holes fragment system, fixation, 3D plate, titanium ST740 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 3x2 holes fragment system, 3D plate, titanium ST741 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 4x2 holes fragment system, 3D plate, titanium ST742 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm diameter x 5-17mm fragment system, cross-slot, self-tapping screws, titanium ST743 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 1.7mm diameter x 18-24mm Fragment System, cross-slot, self-tapping screws, titanium ST744 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 1.6mm diameter Fragment System, cross-slot, self-tapping screws , Titanium ST745 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 1.9x5mm Fragment System, emergency, cross-slot, self-tapping screw, ST746 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 4 holes Fragment System, fixation straight plate and compression plate, Page 357 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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