Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
ST348 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where
short mandibular segment, right/left used in a service for
Titanium which a Medicare Benefit
is payable
ST349 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where
angled mandibular segment Titanium used in a service for
which a Medicare Benefit
is payable
ST350 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where
chin segment Titanium used in a service for
which a Medicare Benefit
is payable
ST351 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where
full mandibular segment Titanium used in a service for
which a Medicare Benefit
is payable
ST352 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: 132.5x82.5x 0.5mm, Only to be funded where
plain mesh, mesh with small holes used in a service for
Titanium which a Medicare Benefit
is payable
ST353 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: 0.2x120x120mm Only to be funded where
flat mesh micro Titanium used in a service for
which a Medicare Benefit
is payable
ST354 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: 0.2x60x60mm Only to be funded where
flat mesh micro Titanium used in a service for
which a Medicare Benefit
is payable
ST356 Leibinger Titanium Implant System Paulus Chin plate Titanium 2, 4, 6, 8, 10, 12, 14mm bar, 0.6mm Only to be funded where
used in a service for
which a Medicare Benefit
is payable
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