Schedule 5 - Appendix A - Surgically Implanted Prostheses

NEUROSURGICAL
Billing Code Product Further Size Notations
MC077 Medtronic quadripolar itrel II- DBS Unilateral: Extension kit for 10-66 cm
7424DBS Active implantable Deep Brain Stimulation Model
stimulators & ancillary equipment 7495-51,PTFE,
polyurethane,platinum,iridium,
nickel alloy
MC078 Medtronic quadripolar itrel II- DBS Unilateral: Quadripolar Itrel II One size only x 1
7424DBS Active implantable Model 7424 DBS, titanium
stimulators & ancillary equipment
Stimulators, Electrical, Brain
MC244 Medtronic Australasia DBS Lead Four platinum iridium electrodes. 28, 40cm
Model 3389, Active Implantable Lead electrodes 3mm long, 4mm
Stimulator & Ancillary Equipment, spacing. Electrode span 24mm. Used
with Synergy (MC137) or Itrel 3
(MC111) Implantable Pulse
Stimulators, Electroanalgesic,
MC001 Kinetra Dual Channel Implantable Titanium, polyurethane One size only
Pulse Generator Model 7428
Stimulators, Neuromuscular, Therapeutic
MC228 Soletra Model 7426 Neurostimulator Sterility - Ethylene Oxide. One size only
Neurostimualtor comprised of
electronic circuitry and a battery,
which are hermatically sealed in a
titanium case
Medtronic Sofamor Danek Australia Pty Ltd
Anchor, Fixation
SD216 Invisx Locks Invisx polymer cranial fixation Single pack
SD217 Invisx Locks Invisx polymer cranial fixation 2 pack
Catheters, Hydrocephalic
SD166 Shunt: Components catheter Ventricular Catheter, CSF Catheter 1.3 - 35cm
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