Schedule 5 - Appendix A - Surgically Implanted Prostheses

GENERAL/MISCELLANEOUS
Billing Code Product Further Size Notations
Catheterization Kits
CM005 Intraspinal Catheter Kit Arrow Model No. VARRX Intraspinal Catheter - 19Ga x 75cm,
AP07009, FlexTip Plus Intraspinal Tuohy Needle 9.8cm 17Ga
Catheter Kit. Polyurethane with
Titanium Coil Catheter with stylet,
One Titanium Catheter Connector,
One Plastic Snap Lock Adapter,
One Stainless Steel Tuohy Needle,
One plastic catheter anchor.
Catheterization Kits, Central Venous
CM014 Catheterisation Kits- CS Series Arrow Model No.'s VARRM 7Fr x 35cm & 40cm
CS18703, CS28702. Polyurethane
double and triple lumen catheters
with dacron cuff.
Catheterization Kits, Intravenous
CM011 Arrow Peripherally Inserted Central Model No.'s VARRC PC01351. 3Fr x 55cm
Catheterisation Sets Polyurethane single lumen catheters
with stylet.
CM012 Arrow Peripherally Inserted Central Model No.'s VARRC PC01451, 4Fr x 55cm
Catheterisation Sets PC05041, Polyurethane single
lumen catheters with or without
CM013 Arrow Peripherally Inserted Central Model No.'s VARRC PC01552, 5Fr x 55cm & 70cm
Catheterisation Sets PR05052, PR07051 Polyurethane
single and double lumen catheters
with or without stylet.
Injection/Infusion Ports, Implantable
CM009 L-Port Implantable Vascular Access Arrow Model No.'s VARRX Ports - H10mm, L25mm, Weight
System AP01040, AP01010, AP01011, 9grams, Internal Vol. 0.3ml.
AP001012, AP01013, AP01015, Catheter75cm
AP01017, AP06046, AP06016,
AP06020, AP06012, AP06022,
AP06025. Plastic low profile port
with self sealing silicone septum
and detached silicone catheters.
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