hta_ knee intro.qxp - Ministero della Salute

Appendix 2
Survey of Medical devices at 31 st December 2007
REGIONAL CODE
CODE OF THE FACILITY
NAME OF THE FACILITY
“Knee prostheses”
INFORMATION OF THE MANAGER RESPONSABILE FOR THE UNIT
Name of the manager responsible for the compilation of this survey:
Identification of the Facility/Office:
Telephone:
e-mail:
IDENTIFICATION OF THE CONTACT PERSON (*)
Name of the person to be contacted for further information:
Identification of the Facility/Office:
Telephone:
e-mail:
* to be compiled if not the same person.
PROCEDURE
ICD-9-CM 81.54 “Total knee replacement”
81.55 “Revision of the knee”
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