Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
BI381 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 2.7mm x (22 - 28) mm Only to be funded where
Titanium used in a service for
which a Medicare Benefit
is payable
BI383 W Lorenz Osteosynthesis System Plate, Straight, 2.4mm, 2.7mm 4 hole (35mm) or 6 hole (40mm) Only to be funded where
System; Titanium used in a service for
which a Medicare Benefit
is payable
BI385 W Lorenz Osteosynthesis System Plate, Angled or Straight, 2.4mm or 4-8 hole Only to be funded where
2.7mm System, Titanium used in a service for
which a Medicare Benefit
is payable
BI390 W Lorenz Osteosynthesis System Plate, Angled 45 degrees, 2.4mm or 4 hole (35 or 40mm) Only to be funded where
2.7mm system, Titanium used in a service for
which a Medicare Benefit
is payable
BI392 Lactosorb Resorbable Lactosorb Plates, 1.5mm System, All 4 - 20 hole Only to be funded where
Craniomaxillofacial Fixation System sizes, shapes PGA/PLA used in a service for
which a Medicare Benefit
is payable
BI428 Lorenz 2.4mm Locking Add on Plate, Parallel, Arched, Y, 3 to 6 hole, 12x2 hole Only to be funded where
Reconstruction System Symphysis used in a service for
which a Medicare Benefit
is payable
BI435 Lorenz 2.4mm Locking Holding Screw Head, 1.5mm Add-on 1.5mm Only to be funded where
Reconstruction System Plates. Titanium used in a service for
which a Medicare Benefit
is payable
BI436 Lorenz 2.4mm Locking Holding Screw modular head, 1.5mm 2.4mm Only to be funded where
Reconstruction System Add-On plates. Titanium used in a service for
which a Medicare Benefit
is payable
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