Schedule 5 - Appendix A - Surgically Implanted Prostheses

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VASCULAR Billing Code Product Further Size Notations BA017 Grafts Vascular Polyester grafts - straight 5mm - 25mm diameter, 50cm-75cm length BA018 Exs Bionit Vascular Grafts Polyester graft - EXS 8mm - 10mm diameter, 35cm length BA031 Grafts Vascular Polyester soft tissue patch 1mm 5cm x 10cm BA032 Grafts Vascular Polyester soft tissue patch 1mm 10cm x 15cm BA033 Grafts Vascular Polyester soft tissue patch 1mm 15cm x 20cm BA034 Grafts Vascular Polyester soft tissue patch 1mm 20cm x 30cm BA035 Grafts Vascular PTFE Felt 2mm thick 5cm x 10cm BA036 Grafts Vascular PTFE Felt 2mm thick 10cm x 15cm BA037 Grafts Vascular PTFE Felt 2mm thick 15cm x 20cm BA038 Grafts Vascular PTFE Felt 2mm thick 20cm x 30cm BA039 Grafts Vascular Polyester pledgets Rectangle, Oval, Circle, Square 2.9mm-8mm x 6mm - 9.5mm Stents, Vascular BA001 Memotherm Vascular Stents Memotherm nitinol self-expanding 4mm - 20mm diameters, 2cm - 12 cm stent lengths BA002 Pura Vario Stent Saxx balloon expandable stainless 3mm - 14mm diameter, 13mm - 80mm steel stent length BA003 Saxx Premounted Balloon Expandable Pura vario stainless steel stent 3mm - 16mm diameter, 13mm - 80mm Stent length BA004 Encapsulated Carbon Lined Stent AV access PTFE covered nitinol 4mm - 10mm diameter, 3cm - 8cm self-expanding stent length BA005 Encapsulated Carbon Lined Stent Iliac / SFA PTFE covered nitinol 4mm - 10mm diameter, 3cm - 12cm self-expanding stent length BA006 Endologix Endoluminal Prostheses Power link endoliminal stent graft 25mm - 32mm Proximal diameter, 16 - 20mm Limb diameter, 130mm - 220mm length Page 604 of 638
VASCULAR Billing Code Product Further Size Notations BA007 Endologix Endoluminal Prostheses Power link limb extension 16mm x 55mm, 16mm x 88mm, 20mm x 55mm BA008 Endologix Endoluminal Prostheses Power link proximal cuff 25mm x 55mm, 28mm x 55mm, 28mm x 75mm (55mm covered) Unknown / Unassigned BA040 VitaCuff, Hickman Catheter Dialysis/Apheresis catheter, dual 36-45cm overall length lumen, silicone Baxter Healthcare Pty Ltd Prostheses, Blood Vessel, Artificial BX062 PTFE Vascular Graft Expanded, reinforced 5-10mm x 10cm Polytetrafluoroethylene. Straight, Regular Wall BX063 PTFE Vascular Graft Expanded, reinforced 5-10mm x 20cm Polytetrafluoroethylene. Straight, Regular Wall BX064 PTFE Vascular Graft Expanded, reinforced 5-10mm x 50cm Polytetrafluoroethylene. Straight, Regular Wall BX065 PTFE Vascular Graft Expanded, reinforced 5-10mm x 80cm Polytetrafluoroethylene. Straight, Regular Wall BX066 PTFE Vascular Graft Expanded, reinforced 5-10mm x 10cm Polytetrafluoroethylene. Straight, Regular Wall, Spiral Externally Supported BX067 PTFE Vascular Graft Expanded, reinforced 5-10mm x 20cm Polytetrafluoroethylene. Straight, Regular Wall, Spiral Externally Supported Page 605 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 553 and 554: PLASTIC AND RECONSTRUCTIVE Billing
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Schedule 5 - Appendix A - Surgically Implanted Prostheses

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