Schedule 5 - Appendix A - Surgically Implanted Prostheses

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VASCULAR Billing Code Product Further Size Notations BB155 Vascugraft Standard Tapered Dia 4 - 7mm, length 30 - 70cm BB156 Vascugraft Standard Wall with Tapered Centre Dia 4 - 8mm, length 40 - 45cm Helix BB157 Vascugraft Standard Wall Stepped Taper Dia 4 - 8mm, length 40 - 45cm Injection/Infusion Ports, Implantable BB170 Celsite Access Port for pain relief Composition - polysulphone. Kit Diameter of septum:11.7mm. includes tunnelling rod, filter, Height: 11.5mm. Dimension: 25.8 connectors, needles, syringe, tuohy needle Unknown / Unassigned BB171 Coroflex Coronary Stent System Electropolished stainless steel 2.5 x 8mm; 3.0 x 8mm; 3.5 x 8mm; 316L; Laser cut slotted tube. 4.0 x 8mm; 2.5 x 13mm; 3.0 x 13mm; Product includes: Coronary stent 3.5 x 13mm; 4.0 x 13mm; 2.5 x mounted on delivery balloon 16mm; 3.0 x 16mm; 3.5 x 16mm; 4.0 x 16mm; 2.5 x 19mm; 3.0 x 19mm; 3.5 x 19mm; 4.0 x 19mm; 2.5 x 25mm; 3.0 x 25mm; 3.5 x 25mm; 4.0 x 25mm Bard Australia Pty Ltd Filters, Vena Cava BA009 Simon Filter Femoral - 2110F, Simon Nitinol self expanding vena cava 28mm Filter, 7Fr delivery Filter Jugular - 2210J, Simon Filter filter - "Simon Nitinol Filter" Anticubital - 2310A Filtration Systems BA010 Recovery Filter Femoral System Nitinol self expanding vena cava 28mm Filter, 7Fr delivery filter - "Recovery Vena Cava Filter" Grafts, Vascular, Synthetic BA019 Impra PTFE Vascular Grafts ePTFE graft - radially supported, 4mm - 8mm diameter thin wall, 10 - 50cm long BA020 Impra PTFE Vascular Grafts ePTFE graft - thin wall, 10 - 50cm 3mm - 10mm diameter Page 602 of 638
VASCULAR Billing Code Product Further Size Notations BA021 Impra PTFE Vascular Grafts ePTFE graft - radially supported, 4 - 8mm diameter thin wall, greater than 50cm long BA022 Impra PTFE Vascular grafts ePTFE graft - radially supported, 4 - 19mm diameter regular wall, 10-50cm long BA023 Impra PTFE Vascular grafts ePTFE graft - radially supported, 4 - 10mm diameter regular wall, greater than 50cm long BA024 Impra PTFE Vascular grafts ePTFE graft - thin wall, greater than 3 - 10 diameter 50cm long BA025 Impra PTFE Vascular grafts ePTFE graft - regular wall, 10-50cm 3 - 19mm diameter long BA026 Impra PTFE Vascular grafts ePTFE graft - regular wall, greater 3 - 10mm diameter than 50cm long BA027 Impra PTFE Vascular Grafts Distaflo ePTFE graft with preformed 6-10mm diameter, 40 - 80cm length cuff BA028 Impra PTFE Vascular Grafts Distaflo ePTFE Graft, with 6-10mm diameter, 40 - 80cm length preformed cuff and flex support BA029 Impra PTFE Vascular Grafts Venaflo ePTFE graft with preformed 4mm - 8mm diameter, 10cm - 50cm cuff length BA030 Impra PTFE Vascular Grafts Venaflo ePTFE graft, with preformed 4mm - 8mm diameter, 10cm - 50cm cuff and flex support length <strong>Prostheses</strong>, Blood Vessel, Artificial BA011 Grafts Vascular Polyester soft-woven graft - 13mm - 25mm diameter aortic diameter, 6.5mm - 12.5 mm Iliac/Femoral diameter BA012 Grafts Vascular Polyester knitted grafts - bifurcated 12mm - 24mm Aortic diameter, 6mm - 12mm Iliac/Femoral diameter BA014 Grafts Vascular Axillo-bifemoral polyester graft 8mm-10mm diameter, 50cm- 100cm length BA015 Grafts Vascular Intraluminal polyester graft 20mm - 29mm diameter, 4cm - 8cm length Page 603 of 638
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Schedule 5 - Appendix A - Surgicall
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CARDIO-THORACIC Billing Code Produc
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EAR, NOSE & THROAT Billing Code Pro
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ENDOSCOPIC PRODUCTS Billing Code Pr
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GENERAL/MISCELLANEOUS Billing Code
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MECHANICAL INTERNAL WOUND CLOSURE B
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NEUROSURGICAL Billing Code Product
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OPHTHALMIC Billing Code Product Fur
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ORTHOPAEDIC Billing Code Product Fu
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PLASTIC AND RECONSTRUCTIVE Billing
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Page 551 and 552: PLASTIC AND RECONSTRUCTIVE Billing
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Page 601: VASCULAR Billing Code Product Furth
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Schedule 5 - Appendix A - Surgically Implanted Prostheses

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