Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
ST524 Stryker Leibinger Resorbable Fixation Resorbable plate: Y-shape 6 holes Only to be funded where
System used in a service for
which a Medicare Benefit
is payable
ST525 Stryker Leibinger Resorbable Fixation Resorbable plate: Y-shape 8 holes Only to be funded where
System used in a service for
which a Medicare Benefit
is payable
Screws
SK078 Stryker Leibinger Resorbable Fixation Delta resorbable mesh for fixation of 122mm x 122mm Only to be funded where
System facial fractures and congenital used in a service for
deformity which a Medicare Benefit
is payable.
ST527 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 1.7x4-5mm Pack of 10 Only to be funded where
System used in a service for
which a Medicare Benefit
is payable
ST528 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 1.7x3-6mm Pack of 2 Only to be funded where
System used in a service for
which a Medicare Benefit
is payable
ST529 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 1.7x3-6mm Pack of 4 Only to be funded where
System used in a service for
which a Medicare Benefit
is payable
ST530 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 2.2x4mm, 2.2x6mm (pack of 1) Only to be funded where
System used in a service for
which a Medicare Benefit
is payable
ST531 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 2.2x4mm, 2.2x6mm (pack of 2) Only to be funded where
System used in a service for
which a Medicare Benefit
is payable
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