Schedule 5 - Appendix A - Surgically Implanted Prostheses

ORTHOPAEDIC
Billing Code Product Further Size Notations
SU143 Screws/Screws Sterile Titanium Dia 4.0mm, length 9 - 22mm
SU144 Screws/Screws Sterile Titanium Dia 4.5mm, length 12, 14, 16, 18mm
SU145 PCB Cervical System PCB cage - plate (Titanium) 12 x 16 x 4.5mm, 12 x 16 x 5.5mm,
12 x 16 x 7mm, 15 x 16 x 7mm, 15 x
16 x 8mm, 15 x 16 x 10mm
SU146 Anterior Cervical Cage CBK CBK Cage - Titanium 4.5, 5.5, 6.2, 7.0,. 8.0, 9.0mm
SU147 CO Cages Open lumbar cages - PEEK Parallel 8 - 14mm
SU148 CO Cages Open lumbar cages - PEEK Lordotic 9 - 14mm
SU149 CC Cages Isomorphic lumbar cages - PEEK Parallel 8 - 16mm
SU150 CC Cages Isomorphic lumbar cages - PEEK Lordotic 6, 9 - 15mm
SU152 Intext Cervical Plate/Intext Screws Intext cervical plate, including Plates - width 13mm, height 4, 5, 6,
(2-part) fixation screws 7mm - width 17mm, height 5.5, 6.5,
7.5, 8.5mm
SU153 Intext Cervical Plate/Intext Screws Intext cervical plate, including Screws - dia 4.4mm, length 12, 14,
(2-part) fixation screws 16mm
SU157 Isobar TTL Spinal Osteosynthesis Pedicle screws - Titanium - High dorsal hemispherical dia
comprising rigid or semi-rigid rodes 4.5mm length 25, 30, 35mm - dia
fixed to the spine by a variety of 5.5mm length 30, 35, 40, 45mm;
pedicle screws or hooks that are High lumbar hemispherical dia
attached to the rods directly or via 6.2mm length 35, 40, 45, 50mm;
High sacrum hemispherical dia
7.0mm length 30, 35, 40, 45, 50mm;
Rounded headed dia 5.0mm length
35, 40, 55, 60, 65mm
SU158 Isobar TTL Spinal Osteosynthesis Rods - Titanium - comprising rigid Dia 5.5mm, smooth, length 45, 55,
or semi-rigid rods fixed to the spine 65, 75, 85, 95, 110, 130, 150, 170,
by a variety of pedicle screws or 190, 210, 230mm
hooks that are attached to the rods
directly or via clamps
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