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Schedule 5 - Appendix A - Surgically Implanted Prostheses

Schedule 5 - Appendix A - Surgically Implanted Prostheses

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PLASTIC AND RECONSTRUCTIVE<br />

Billing Code Product Further Size Notations<br />

ST304 Leibinger Screws Emergency Bone Screws: hexagon 3x8-20mm, pack of 5 Only to be funded where<br />

socket, self-tapping Titanium used in a service for<br />

which a Medicare Benefit<br />

is payable<br />

ST305 Leibinger Screws Emergency Bone Screws: hexagon 3x22mm, pack of 5 Only to be funded where<br />

socket, self-tapping Titanium used in a service for<br />

which a Medicare Benefit<br />

is payable<br />

ST325 Leibinger Screws Leibinger Low Profile Screws: low 1.5x4-13mm, 2.0x4-20mm, 2x21mm, Only to be funded where<br />

profile head, self-tapping screws 2x24mm. Pack of 5 used in a service for<br />

Titanium. which a Medicare Benefit<br />

is payable<br />

ST345 Leibinger Screws Leibinger Micro Screws: cross-slot, 1.0x2-6mm Only to be funded where<br />

self-tapping Titanium used in a service for<br />

which a Medicare Benefit<br />

is payable<br />

ST346 Leibinger Screws Leibinger Micro Screws: cross-slot, 1.2x2mm, 1.2x5mm Only to be funded where<br />

self-tapping Titanium used in a service for<br />

which a Medicare Benefit<br />

is payable<br />

ST355 Leibinger Screws Leibinger Dumbach Mesh System: 2x5-15mm Only to be funded where<br />

bone screws Titanium. Pack of 10 used in a service for<br />

which a Medicare Benefit<br />

is payable<br />

ST357 Leibinger Screws Leibinger - Salzburg Lag Screw 10mm Only to be funded where<br />

System: biconcave washer Titanium. used in a service for<br />

which a Medicare Benefit<br />

is payable<br />

ST358 Leibinger Screws Leibinger - Salzburg Lag Screw 2 holes Only to be funded where<br />

System: locking plate, Titanium, used in a service for<br />

with biconcave washers which a Medicare Benefit<br />

is payable<br />

Page 575 of 638

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