Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
SD196 Macropore Protective Sheets 100 x 100 x 0.5mm - 100 x 100 x Only to be funded where
1.0mm used in a service for
which a Medicare Benefit
is payable
SD197 Macropore Y Plates 7 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
SD198 Macropore Straight Plates 4 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
SD199 Macropore Straight Plates 8 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
SD200 Macropore Straight Plates 20 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
SD201 Macropore C Plates 8 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
SD202 Macropore Clover Leaf Plates 4 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
SD203 Macropore Bur Hole Cover 25mm Only to be funded where
used in a service for
which a Medicare Benefit
is payable
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