Schedule 5 - Appendix A - Surgically Implanted Prostheses

PLASTIC AND RECONSTRUCTIVE
Billing Code Product Further Size Notations
TI023 TiMax Titanium Plates Maxillary Prostheses Only to be funded where
used in a service for
which a Medicare Benefit
is payable
TI024 TiMax Titanium Plates Hemi Mandible, right and left Only to be funded where
used in a service for
which a Medicare Benefit
is payable
TI025 TiMax Titanium Plates Full Mandible Only to be funded where
used in a service for
which a Medicare Benefit
is payable
TI026 TiMax Titanium Plates Custom Mesh Only to be funded where
used in a service for
which a Medicare Benefit
is payable
TI027 TiMax Titanium Plates Burr Hole Cover Only to be funded where
used in a service for
which a Medicare Benefit
is payable
TI028 TiMax Titanium Plates Micro, Straight Short 8 holes Only to be funded where
used in a service for
which a Medicare Benefit
is payable
TI029 TiMax Titanium Plates Micro, Straight Long 24 holes Only to be funded where
used in a service for
which a Medicare Benefit
is payable
TI030 TiMax Titanium Plates Micro, Double T Shape 9 holes Only to be funded where
used in a service for
which a Medicare Benefit
is payable
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