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Schedule 5 - Appendix A - Surgically Implanted Prostheses

Schedule 5 - Appendix A - Surgically Implanted Prostheses

Schedule 5 - Appendix A - Surgically Implanted Prostheses

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ORTHOPAEDIC<br />

Billing Code Product Further Size Notations<br />

TB202 SR Hand Implant System SR Hand PIP Implant - 7.5, 8.6, 10, 11.5, 13.2mm<br />

CoCr-Titanium Alloy-UHMWPE<br />

<strong>Prostheses</strong>, Joint<br />

TB200 Proximal Interphalangeal Joint Implant Silastic PIP Joint Implant 7, 8, 9, 10, 11mm<br />

TB201 Metacarpophalangeal Implant Silastic MCP Joint Implant 9, 10, 11, 12, 13, 15, 16mm<br />

TB203 Trapezium Implant Silastic 12, 13, 14mm<br />

<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />

TB064 Groupe Lepine Bipolar Heads 42 - 60mm in 1mm increments<br />

TB066 Groupe Lepine Total Hip Replacement Liner Hooded/Flat 44 - 64mm in 2mm increments<br />

TB068 Groupe Lepine Total Hip Replacement MBA Acetabular Cup 46 - 64mm in 2 mm increments<br />

TB070 Groupe Lepine Total Hip Replacement Tetras Acetabular Cup 44 - 64mm in 2mm increments<br />

TB174 GL - U Hooded Liner Acetabular component for total hip 46, 48, 50, 52, 54, 56, 58, 60, 62,<br />

system 64mm<br />

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