Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
SD013 TiMesh Rigid Fixation Bone Grafting Titanium, Straight Plate 2 - 20 hole Only to be funded where
and Plating System used in a service for
which a Medicare Benefit
is payable
SD014 TiMesh Rigid Fixation Bone Grafting Titanium, T Plate 4 - 8 hole Only to be funded where
and Plating System used in a service for
which a Medicare Benefit
is payable
SD019 TiMesh Rigid Fixation Bone Grafting Titanium, L Plate (Left and right 4 - 10 hole Only to be funded where
and Plating System configurations) used in a service for
which a Medicare Benefit
is payable
SD020 TiMesh Rigid Fixation Bone Grafting Titanium, H Plate 6 - 11 hole Only to be funded where
and Plating System used in a service for
which a Medicare Benefit
is payable
SD021 TiMesh Rigid Fixation Bone Grafting Titanium, Z Plate Left and Right 4 hole - 5mm, 9.5mm Only to be funded where
and Plating System used in a service for
which a Medicare Benefit
is payable
Screws, Bone
SD018 TiMesh Rigid Fixation Bone Grafting Titanium, Screw - Cruciate Head, 12 Diameter 1.0mm - 2.4mm, length 2 - Only to be funded where
and Plating System point Flat Head 19mm used in a service for
which a Medicare Benefit
is payable
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