Schedule 5 - Appendix A - Surgically Implanted Prostheses

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VASCULAR Billing Code Product Further Size Notations Stents GB026 Antares Endovascular Stent System Stents Length: 10 / 18 / 38 (mm) Stents, Vascular GB024 Antares Coronary Stent System Stent Length: 8mm - 32mm Diameter: 2.5mm -4.0mm GB025 Antares Endovascular Stent Stents Length: 10 / 18 / 38 (mm) GB085 Antares Starflex Coronary System Stainless steel Bare stent lengths 8, 12, 16, 20, 24, 32mm; Expansion range 2.5 - 4.0mm Stent Delivery System, stent lengths 8mm, 12mm, 16mm, 20mm, 24mm, 32mm Balloon 2.5mm, 3.0mm, 3.5mm, GB094 Antares Renal Twin Stent System Stainless steel stent on a Stent Delivery System - 80cm & rapid-exchange PTA catheter 135cm; Stent lengths 11 & 17mm; Balloon diameters 4.5-7mm Stents, Vascular, Coronary GB095 Lunar Starflex Coronary Stent System Niobium alloy stent coated with Balloon 2.25-4.0mm, stent 8-20mm layer of homogenous iridiumoxide Guidant Australia Pty Ltd Stents GU071 ACCULINK Peripheral Stent System Nickel-Titanium Intra-vascular stent 4-10mm diameter, 13-56mm length Stents, Vascular GU058 Dynalink Peripheral Self Expanding - Lengths 80cm and 120cm, Sizes Stent System range from 5mm x 28mm to 10mm x 56mm Imthage Pty Ltd Grafts, Vascular, Synthetic IM001 Venous Valve Ring Dacron/silicone variable diameter 52mmx15mmx0.09 mm Page 616 of 638
VASCULAR Billing Code Product Further Size Notations Jacobs Medical Australia Pty Ltd Stents, Vascular JM001 Angiodynamics Angiostent Balloon Platinum wire 5mm to 10mm Expandable Stent System (Vistaflex) Johnson & Johnson Medical Pty Ltd Embolization <strong>Prostheses</strong>, Intravascular JJ062 Trufill PVA Embolization Particles Polyvinyl alcohol particles 45 - 2000 micrometres Filters, Vena Cava JJ067 Trapease Vena Cava Filter and Nitinol filter Suitable for 18-30 mm vessels Introduction kit Occluders, Vascular JJ223 TruFill DCS Detachable coil Platinum detachable coil of complex Size .012" outer diameter. Complex and helical shapes. Embolic coil shape - 2 -12mm (dia), 2 - 30cm and delivery tube. lengths; helical shape - 2 - 30mm (dia), lengths 2 - 30cm JJ224 TruFill Pushable coil Platinum pushable coil of 1. Size .014" outer diameter. Size 2 - Straight, 2. C, 3. Flat spiral and 4. 10mm and length 2 - 100mm Complex shapes. Embolic coil and delivery tube. Stents, Vascular JJ057 Palmaz Balloon Expandable Stent Stainless steel stent Diameter 4-12mm, length 20-30mm JJ058 Palmaz Balloon Expandable Stent Stainless steel stent Extra-large JJ059 Palmaz Balloon Expandable Stent Corinthian stainless steel stent Diameter 4-10mm; Length 12 - 79 mm JJ063 Smart Peripheral Stent System Nitinol vascular stent 6 - 14 mm JJ064 Duo Via Main Endograft Leg and Nitinol abdominal aortic aneurysm 13F, 16-28 mm Delivery System device leg extension Page 617 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 565 and 566: PLASTIC AND RECONSTRUCTIVE Billing
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Schedule 5 - Appendix A - Surgically Implanted Prostheses

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