Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
NR003 Branemark Fixtures Titanium Fixture 3, 4, 5mm Endosseous Implants -
(Not to be included for
dental treatment except as
a secondary procedure
when partial or complete
resection of a mandible or
maxilla has been
undertaken for removal of
an extensive tumour or
cyst.)
NR004 Healing Abutment Complete Abutment Coping One Size Only Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NR005 Dental implants Titanium Fixtures - SteriOss Dia 3.25 - 6.0mm Length 7 - 18mm Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NR006 Branemark Novum System Titanium - Kit Fixture System One size only Only to be funded where
used in a service for
which a Medicare Benefit
is payable
NR007 Branemark Titanium Fixture Zygomaticus Fixture 30, 35, 42.5, 40, 45, 47.5, 50, Only to be funded where
52.5mm Length used in a service for
which a Medicare Benefit
is payable
Pacific Medical
Grafts, Bone, Synthetic
PM001 Perioglas: Bioglass granules 0.5cc Only to be funded where
used in a service for
which a Medicare Benefit
is payable
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