Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
MO071 Martin Miniplate Osteosynthesis Screw Titanium 2mm diameter, 15 to 19mm length Only to be funded where
used in a service for
which a Medicare Benefit
is payable
MO072 Martin Miniplate Osteosynthesis Screw Drill Free Titanium 2mm diameter, 5 to 7mm length Only to be funded where
used in a service for
which a Medicare Benefit
is payable
MO073 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 2 hole, 0.6mm profile Only to be funded where
used in a service for
which a Medicare Benefit
is payable
MO074 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 4 hole, 0.6mm profile Only to be funded where
used in a service for
which a Medicare Benefit
is payable
MO075 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 6 hole, 0.6mm profile Only to be funded where
used in a service for
which a Medicare Benefit
is payable
MO076 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 8 hole, 0.6mm profile Only to be funded where
used in a service for
which a Medicare Benefit
is payable
MO077 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 16 hole, 0.6mm profile Only to be funded where
used in a service for
which a Medicare Benefit
is payable
MO078 Martin Miniplate Osteosynthesis L Plate Low Profile Titanium 4 to 6 hole, 0.6mm profile Only to be funded where
used in a service for
which a Medicare Benefit
is payable
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