Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
NI022 Medicon Hein1 Mini Plates and Plate, Titanium 1mm x 0-12mm, 6 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NI023 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 8 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NI024 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 10 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NI025 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 12 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NI026 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 14 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NI027 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 16 hole Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NI028 Medicon Hein1 Mini Plates and Plate - L-plate. Titanium 1 x 0-15mm Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NI029 Medicon Hein1 Mini Plates and Plate - T-short. Titanium 1mm x 0-8mm Only to be funded where
used in a service for
which a Medicare Benefit
is payable
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