Schedule 5 - Appendix A - Surgically Implanted Prostheses
Schedule 5 - Appendix A - Surgically Implanted Prostheses
Schedule 5 - Appendix A - Surgically Implanted Prostheses
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>Schedule</strong> 5 - <strong>Appendix</strong> A - <strong>Surgically</strong> <strong>Implanted</strong> <strong>Prostheses</strong><br />
August 2002<br />
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
Advanced Biomedical Pty Ltd<br />
<strong>Prostheses</strong>, Cardiac Valve, Artificial<br />
AB001 ATS medical open pivot aortic valved Pyrolythic Carbon, Double Velour 21-33mm<br />
graft model 502AG Polyester, Titanium<br />
AB002 ATS medical open pivot heart valve Pyrolythic Carbon, Double Velour 16-33mm<br />
model 500FA standard flexi-cuff aortic Polyester, Titanium<br />
valve series, ATS medical open pivot<br />
heart valve model 501DM advanced<br />
performance mitral valve series, ATS<br />
medical open pivot heart valve model<br />
501DA advanced performance aortic<br />
valve series, ATS medical open pivot<br />
heart valve model 500DM mitral<br />
standard valve series<br />
B Braun Australia Pty Ltd<br />
Filters, Vena Cava<br />
BB105 Celsa Vena Cava Filter System Phynox/ combination of various One size, expands to Max length<br />
metals inc. Nickel,Copper, 38mm/Max diameter 30mm<br />
BB106 Celsa Temporary Vena Cava System Phynox/ combination of various One size, expands to Max length<br />
metals inc. Nickel,Copper, 38mm/Max diameter 30mm<br />
Bard Australia Pty Ltd<br />
Grafts, Vascular, Synthetic<br />
BA089 Impra PTFE Vascular Grafts ePTFE Cardiovascular Patch 0.4mm 20 x 90mm<br />
Oval<br />
BA090 Impra PTFE Vascular Grafts ePTFE Cardiovascular, Patch 0.6mm, 100 x 150mm<br />
Circular<br />
Page 1 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
BA091 Impra PTFE Vascular Grafts ePTFE Cardiovascular, Patch 0.6mm, 50 x 75mm<br />
Rectangular<br />
BA092 Impra PTFE Vascular Grafts ePTFE Cardiovascular, Patch 0.6mm, 50 x 150mm<br />
Rectangular<br />
BA093 Impra PTFE Vascular Grafts ePTFE Cardiovascular, Patch 0.6mm, 30 x 30mm, 10 x 90mm, 30 x 60mm<br />
Rectangular, Patch 0.4 Oval,<br />
Rectangular<br />
BA095 Impra PTFE Vascular Grafts ePTFE Cardiovascular, Patch 0.6mm, 25 x 150mm<br />
Rectangular<br />
Baxter Healthcare Pty Ltd<br />
Annuloplasty Rings<br />
BX159 Baxter Sterile Grafts, Implants & Carpentier-Edwards Classic 24mm-40mm<br />
<strong>Prostheses</strong>, Non-Animal Origin Annuloplasty Ring. Composition:<br />
Annuloplasty: Ring-Mitral Ring with Titanium Alloy; Silicone Rubber;<br />
Holder; Mitral Cosgrove-Edwards Polyester Fabric<br />
Annuloplasty System Model 4600; Carpentier-Edwards Physio<br />
Classic Annuloplasty Ring-Tricuspid Annuloplasty Ring. Composition:<br />
Elgiloy Bands; Polyester Film<br />
Strips; Silicone Rubber; Polyester<br />
Cloth, Cosgrove-Edwards<br />
Annuloplasty Band. Composition:<br />
Silicone Rubber; Polyester Cloth.<br />
Carpentier-Edwards Tricuspid Ring.<br />
Composition: Titanium Alloy;<br />
Silicone Rubber; Polyester Fabric<br />
Grafts, Dura, Biological<br />
BX164 Baxter Augmentation / Substitution Edwards Pericardial Patch. Bovine 10cm x 16cm<br />
Material, Human or Animal Origin, Pericardium.<br />
Sterile Pericardial Patch.<br />
Page 2 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Cardiac Valve, Artificial<br />
BX160 SE SIL Ball Valve Aortic Models Starr Edwards - Silastic Ball Valve. 16mm-34mm<br />
1200/1260, SE SIL Ball Valve Mitral Composition: Stellite Alloy No. 21;<br />
Model 6120 Polytetrafluroethelyne;<br />
polypropylene cloth; Silicone<br />
rubber (contains 2% by weight<br />
<strong>Prostheses</strong>, Cardiac Valve, Biological<br />
BX161 CE Supra Annular Aortic Valve Model Carpentier-Edwards SAV 19mm-33mm<br />
2650 Carpentier-Edwards S.A.V Bioprosthesis. Composition:<br />
Bioprosthesis Model 6650 Mitral Porcine Valve; Elgiloy Alloy;<br />
Silicone Rubber,<br />
BX162 Carpentier-Edwards Perimount Carpentier-Edwards Pericardial Models 2900/6900 19-33mm,<br />
Pericardial Bioprosthesis - Models Bioprosthesis. Composition: Model 6900P 25, 27, 29, 31, 33mm<br />
2900/6900 Carpentier-Edwards Bovine Pericardium; Elgiloy Alloy;<br />
Perimount Plus Pericardial Silicone Rubber,<br />
Bioprosthesis Mitral - Model 6900P<br />
BX163 Baxter Edwards Prima Plus Stentless Edwards Prima Plus. Porcine Valve; 19mm-29mm<br />
Bioprosthesis Model 2500P Woven Polyester Cloth.<br />
Prosthetic Heart Valve<br />
Biotronik Australia Pty Ltd<br />
Defibrillators, Automatic, Implantable<br />
BT022 Biotronik Australia Belos VR Single chamber ICD, rate responsive One size only<br />
Implantable Cardioverter Defribrillator pacing<br />
BT023 Tachos Model DR335572 Implantable Dual chamber ICD, rate responsibe One size only -<br />
Cardioverter Defribrillator pacing<br />
Leads, Implantable Defibrillator<br />
BT014 Kainox RV 75 Implantable Defibrillator 75 cms 100,18 cms 100,16 cms<br />
endocardial shock lead with sensing 100,13 cms 75,18 cms<br />
and pacing. SL 100/18, SL 100/16,<br />
Page 3 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
Leads, Pacemaker, Implantable Endocardial<br />
BT006 Synox Leads - SX 53-BP, SX 60-BP, Dual high performance leads 53 cm Ventricular, 60 cm<br />
SX45-JBP, SX53-JBP, SX60-UP, Ventricular, 45 cm Atrial, 53 cm<br />
SX60/15-BP, SX53/15-BP Atrial, 60 cm Ventricular, 60/1.5cm<br />
Vent, 53/1.5cm Vent<br />
BT007 Polyrox Leads - PX53-UP, PX60-UP, Dual standard leads 53 cm Ventricular, 60 cm<br />
PX53-BP, PX60-BP, PX53-JUP, Ventricular, 53 cm Ventricular, 60<br />
PX45-JBP, PX53-JBP, PX53/15-BP, cm Ventricular, 53 cm Atrial, 45cm<br />
PX60/15-BP Atrial, 53cm Atrial, 53/1.5cm Vent,<br />
60/1.5cm Vent<br />
BT008 Synox Leads - SX 53-BP, SX 60-BP, High performance lead 53 cm Ventricular, 60 cm<br />
SX45-JBP, SX53-JBP, SX60-UP, Ventricular, 45 cm Atrial, 53 cm<br />
SX60/15-BP, SX53/15-BP, Elox Atrial, 60 cm Ventricular, 60/1.5cm<br />
Leads - EX53-BP, EX45-BP, Vent, 53/1.5cm Vent, 53cm<br />
Atr/Vent, 45cm Atr/Vent, 60cm<br />
Atr/Vent<br />
BT009 SL Tripolar Lead - SL60/130, Single pass lead 130mm, 150mm, 110mm<br />
BP,SL60/150-BP, SL60/110-BP<br />
BT010 Polyrox Leads - PX53-UP, PX60-UP, Standard unipolar or biopolar lead 53 cm Ventricular, 60 cm<br />
PX53-BP, PX60-BP, PX53-JUP, Ventricular, 53 cm Ventricular, 60<br />
PX45-JBP, PX53-JBP, cm Ventricular, 53 cm Atrial, 45cm<br />
PX53/15-BP,PX60/15-BP Atrial, 53cm Atrial, 53/1.5cm Vent,<br />
60/1.5cm Vent<br />
BT018 Merox Mex 53 JBP Pacemaker Lead High Performance Lead, Model 53cm Atrial<br />
124884, one only<br />
BT019 Merox Mex 60/15 BP Pacemaker Lead High Performance Lead, Model 60cm Ventricular<br />
124962, one only<br />
BT020 Merox Mex 53 JBP and Merox Mex High Performance Lead, Model 53cm Atrial and 60cm Ventricular<br />
60/15 BP Pacemaker Leads 124884 and Model 124962, (used<br />
together)<br />
Pacemakers, Cardiac, Implantable<br />
BT001 Actros S Pacemaker Multiprogrammable SSIC One size only<br />
Page 4 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
BT002 Actros SR Pacemaker; Actros SR-B Multiprogrammable, rate responsive, One size only<br />
Pacemaker SSIR<br />
BT003 Actros SLR Pacemaker Single pass, rate responsive, One size only<br />
multiprogrammable, atrial sensing<br />
with AV synchrony , VDDR<br />
BT004 Actros D Pacemaker Multiprogrammable, including One size only<br />
ventricular rate responsive modes,<br />
night program, DDDC<br />
BT005 Actros DR Pacemaker; Actros DR-A Multiprogrammable, rate responsive One size only<br />
Pacemaker with mode switching,DDDR<br />
BT024 Philos DR Model 122450 Implantable Multiprogrammable, rate responsive, One size only -<br />
Pacemaker DDDR<br />
BT026 Philos D Model 122447 Implantable Multiprogrammable, ventricula, rate One size only -<br />
Pacemaker responsive modes, DDDC<br />
BT027 Philos SLR Model 122456 Single pass, multiprogrammable, rate One size only -<br />
Implantable Pacemaker responsive, VDDR<br />
BT028 Philos SR Model 122459 Implantable Multiprogrammable, rate responsive, One size only -<br />
Pacemaker SSIR<br />
BT029 Philos DR-A Model 122600 Multiprogrammable, rate responsive, 5mm ports, One size only<br />
Implantable Pacemaker DDDR<br />
BT030 Philos SR-B Model 122610 Multiprogrammable, rate responsive, 5/6mm port, One size only -<br />
Implantable Pacemaker SSIR<br />
BT031 AXIOS D Implantable Cardiac Pulse Multiprogrammable, DDD One size only<br />
Generator Cat No. 338 843<br />
BT032 AXIOS DR Implantable Cardiac Pulse Multiprogrammable, rate responsive, One size only<br />
Generator Cat No. 338 845 DDDR<br />
BT036 PHILOS S Implantable Cardiac Pulse Multiprogrammable SSI One size only<br />
Generator Cat No 122 453<br />
BT037 AXIOS S Implantable Cardiac Pulse Multiprogrammable SSI One size only<br />
Generator Cat No 338 847<br />
Page 5 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
BT038 AXIOS SR Implantable Cardiac Pulse Multiprogrammable, rate responsive, One size only<br />
Generator Cat No 338 851 SSIR<br />
BT039 AXIOS SLR Implantable Cardiac Multiprogrammable, rate responsive, One size only<br />
Pulse Generator Cat No 338 849 VDDR<br />
Stents, Vascular<br />
BT021 Rithron - XR Stent Intracoronary Stent, Balloon Dia 2.5 to 4.0mm<br />
BT040 Lekton Intracoronary stent - balloon Dia 2.5-4mm, length 10-30mm<br />
Stents, Vascular, Coronary<br />
BT025 Rithron Stent Intracoronary stent - balloon Diameters 2.5-4.0mm -<br />
Boston Scientific Pty Ltd<br />
Angioplasty Systems, Atherectomy<br />
BS061 Rotablator Burrs, Rotablator Includes RotaLink Burr RotaLink Burr: 1.25, 1.50, 1.75,<br />
2.00, 2.15, 2.25, 2.38, 2.50mm<br />
Stents, Vascular<br />
BS041 Intra coronary stent NIR Stent made of L316 stainless NIR (9mm, 16mm, 32mm) NIRoyal<br />
steel; NIRoyal Stent made of L316 (9-cell: 9mm, 16mm, 25mm, 32mm /<br />
stainless steel & 24K Gold electro 7-cell: 9mm, 16mm, 25mm, 32mm)<br />
magnetic coating<br />
BS042 Intra coronary stent NIRoyale Advance made of L316 Advance (2.5-4.0mm diameters &<br />
stainless steel & 24K Gold electro 9-31mm lengths), Primo (2.5-4.0mm<br />
magnetic coating, NIR Primo made of diameters & 9-32mm lengths),<br />
L316 stainless steel, NIRoyale Royal Elite (2.5-4.0mm diameters &<br />
Elite made of L316 stainless steel & 9-31mm lengths), Elite (2.5-4.0mm<br />
24K Gold electro magnetic coating, diameters & 9-31mm lengths), NIR<br />
NIR Elite made of L316 stainless Sox OTW (2.5-4.0mm diameters &<br />
steel, NIR with sox (OTW) made of 16-32mm lengths), NIR Sox<br />
L316 stainless steel, NIR with sox (2.5-4.0mm diameters & 16-32mm<br />
made of L316 stainless steel<br />
BS043 Schneider Coronary Wallstent Magic Wallstent made of L316 3.5mm, 4.0mm, 4.5mm, 5.0mm,<br />
stainless steel - self expanding stent 5.5mm, 6.0mm diameters & short,<br />
medium & long lengths<br />
Page 6 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
BS044 Radius Self Expanding Coronary Stent Radius SOE made from Nitinol - self 3.0mm, 3.5mm, 4.0mm diameters &<br />
expanding stent 14mm, 20mm, 31mm lengths<br />
BS062 Express Monorail Coronary Stent Balloon expandable stent, Diameters 2.25, 2.5, 2.75, 3.0, 3.5, -<br />
pre-mounted on a high pressure 4.0, 4.5, 5.0mm, length 8, 12, 16, 20,<br />
Monorail delivery catheter 24, 28, 32mm<br />
BS067 Symbiot Covered Stent System A self-expending nitinol stent Stent lengths: 20, 31 & 45 mm<br />
encased within an ePTFE covering, Stent diameters: 4.0 & 5.0 mm<br />
premounted on a Monorail delivery<br />
catheter<br />
BS069 Express 2 Coronary Stent System Consists of a balloon expandable Stent lengths: 8,12,16,20,24,28 &<br />
stent, pre-mounted on a 32 mm Stent diameters: 2.25, 2.5,<br />
high-pressure Maverick Monorail 2.75, 3.0, 3.5, 4.0, 4.5 & 5.0 mm<br />
Cobe Cardiovascular Australia Pty Ltd<br />
Stents, Vascular, Coronary<br />
CC001 Carbostent Coronary stent - includes Dia 2.5mm x Length 9, 12, 15, 19,<br />
Carbostent Syncro & Carbostent 25mm; Dia 3.0mm x Length 9, 12,<br />
15, 19, 25, 32mm; Dia 3.5mm x<br />
Length 9, 12, 15, 19, 25, 32mm;<br />
Diameter 4.0mm x Length 9, 12, 15,<br />
19, 25, 32mm<br />
Device Technologies Australia Pty Ltd<br />
Stents, Vascular, Coronary<br />
DE083 JoStent Coronary Stent Graft Stainless Steel/PTFE 9 - 26 mm x 2.5 - 5 mm<br />
DE084 JoStent Coronary Stent Stainless Steel 9 - 26 mm x 2.5 - 4 mm<br />
Getz Bros. & Co. (Aust) Pty Ltd<br />
Annuloplasty Rings<br />
GB072 SJM Seguin Annuloplasty Ring Semi Rigid 24mm - 40mm<br />
GB073 SJM Tailor Annuloplasty Ring Fully Flexible 25mm - 35mm<br />
Page 7 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
Occluders<br />
GB081 Amplatzer PFO Occluder Nitinol Wire Mesh 25mm & 35mm<br />
Occluders, Vascular<br />
GB077 Amplatzer Duct Occluder Nitinol Wire Mesh 5 - 24mm<br />
GB078 Amplatzer Septal Occluder Nitinol Wire Mesh 4mm - 40mm<br />
GB080 Amplatzer Muscular VSD Occluder Nitinol Wire Mesh 4 - 24mm<br />
GB096 Amplatzer Membranous VSD Occluder Nitinol wire mesh, double disc 4-24mm, Length 7-10mm<br />
occluder and delivery system<br />
<strong>Prostheses</strong>, Cardiac Valve, Artificial<br />
GB074 St Jude Medical Coated Aortic Valved Coated Aortic Valved Graft 21mm - 33mm<br />
Graft<br />
GB075 St Jude Medical Aortic Expanded Cuff Aortic Expanded Cuff, Aortic Aortic Expanded 19 -31mm, Aortic<br />
Heart Valve; St Jude Medical Aortic Hemodynamic Plus Cuff, Mitral Hemodynamic 17 - 27mm, Mitral<br />
Hemodynamic Plus Cuff Heart Valve; Hemodynamic Cuff, Aortic & Mitral Hemodynamic 17 -27mm, Rotatable<br />
St Jude Medical Mitral Hemodynamic Rotatable Cuff 17 - 33mm<br />
Plus Cuff Heart Valve; St Jude Medical<br />
Mechanical Heart Valve Masters<br />
GB086 St Jude Medical Regent Prosthetic Standard Cuff - Model 17AGN-751 - Standard cuff - 17-29mm, Flex cuff -<br />
Heart Valves 29AGN-751, Flex Cuff - Model 17-29mm<br />
17AGFN-756 - 29AGFN-756<br />
<strong>Prostheses</strong>, Cardiac Valve, Biological<br />
GB076 St Jude Medical Toronto SPV Valve Tissue Heart Valves, Bioimplant TSPV: 21 - 29mm, Bioimplant<br />
Model SPA-101, St Jude Medical Aortic: 21-27mm, Bioimplant<br />
Bioimplant Heart Valve Mitral: 27-32mm<br />
Stents, Vascular<br />
GB083 Radiation Stent One size only<br />
Guidant Australia Pty Ltd<br />
Defibrillators, Automatic, Implantable<br />
GU038 Ventak Mini IV Model 1790<br />
Page 8 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
GU039 Ventak Mini IV Model 1793<br />
GU040 Ventak Mini IV Model 1796<br />
GU051 Ventak Prizm VR Model 1855<br />
GU052 Ventak Prizm DR Model 1851<br />
GU086 Contak CD Model 1823 Titanium 3.2mm/IS-1<br />
GU106 Ventak Prizm HE VR Model 1857, titanium, single One size only<br />
chamber, adaptive rate<br />
GU107 Ventak Prizm HE DR Model 1858, titanium, dual chamber, One size only<br />
adaptive rate<br />
GU108 Ventak Prizm HE DR Model 1853, titanium, dual chamber, One size only<br />
adaptive rate<br />
GU109 Ventak Prizm HE VR Model 1852, titanium, single One size only<br />
chamber, adaptive rate<br />
GU110 Ventak Prizm II VR Model 1860, titanium, single One size only<br />
chamber, adaptive rate<br />
GU111 Ventak Prizm II DR Model 1861, titanium, dual chamber, One size only<br />
adaptive rate<br />
GU119 Contak Renewal Model H135 Composition - titanium, indicated One size only<br />
for patients with symptomatic hear<br />
failure. Provides cardiac<br />
resynchronisation therapy by<br />
providing electrical stimulation to<br />
synchronize left and right<br />
ventricular contractions. These<br />
devices also provide defibrillation<br />
Leads, Implantable Defibrillator<br />
GU006 A-67 Patch Lead 0067 - 67cm<br />
GU044 Endotak SQ Subcutaneous Array Lead Model 0048 70cm<br />
GU050 Ventak Prizm VR Model 1850<br />
GU053 Endotak SQ Implantable (Patch) Lead Model 0047 67cm<br />
Page 9 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
GU100 Endotak DSP AICD lead model: Single lead, Silicone 60-100cm<br />
0093; Model 0095; Model 0097;<br />
Model 0123; Model 0125.<br />
GU101 Endotak SQ Model 0049 Implantable Silicone 70cm<br />
(Array) Lead<br />
Leads, Implantable Defibrillator/Pacemaker<br />
GU019 Guidant Aust Endotak Endurance RX Model 0144 64cm<br />
Lead<br />
GU029 Guidant Aust Endotak Endurance RX Model 0146 100cm<br />
Lead<br />
GU031 Sweet Picotip RX Lead Model 4051 52cm<br />
GU032 Sweet Picotip RX Lead Model 4052 59cm<br />
GU033 Sweet Picotip RX Lead Model 4053 45cm<br />
GU034 Sweet Picotip RX Lead Model 4054 52cm<br />
GU035 Sweet Picotip RX Lead Model 4055 59cm<br />
GU095 Guidant Aust Endotak Endurance RX Silicone 70cm<br />
Lead Model 0145<br />
GU097 Sweet Picotip RX Lead Model 4050 Silicone 45cm<br />
GU118 Endotak Endurance EZ Leads Model Defibrillation lead, steroid eluting, 64, 70, 100cm<br />
0154, Model 0155, Model 0156 trilumen lead body contains one<br />
conductor for pacing/sensing and<br />
two conductors for defibrillation.<br />
The helix is composed of platinum<br />
Leads, Pacemaker<br />
GU122 Flextend Lead Models 4086, 4087 & Bipolar, steroid eluting, 45,52,59cm<br />
4088 transvenous silicon pace/sense<br />
leads with an extendable/retractable<br />
active fixation for implantation into<br />
the atrium or ventricle<br />
Page 10 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
Leads, Pacemaker, Implantable Endocardial<br />
GU001 Fineline II Sterox IROX Lead Model 4456 52cm<br />
GU002 Guidant Aust Selute Atrial J Lead Model 4293<br />
GU003 Guidant Australia Fineline IROX Model 4460<br />
GU004 Guidant Australia Fineline IROX Model 4461<br />
GU005 Guidant Australia Fineline EZ IROX Model 4462<br />
GU008 Guidant Australia Fineline IROX Model 4475<br />
GU009 Fineline II Sterox IROX Lead Model 4459 58cm<br />
GU010 Guidant Australia Fineline IROX Model 4451<br />
GU011 Fineline II Sterox IROX Lead Model 4457 58cm<br />
GU012 Fineline II Sterox IROX Lead Model 4479 45cm<br />
GU013 Fineline II EZ Sterox IROX Lead Model 4472 45cm<br />
GU014 Fineline II EZ Sterox IROX Lead Model 4473 52cm<br />
GU015 Fineline II EZ Sterox IROX Lead Model 4474 58cm<br />
GU016 Fineline II EZ Sterox IROX Lead Model 4470 52cm<br />
GU017 Fineline II EZ Sterox IROX Lead Model 4471 58cm<br />
GU018 Fineline II Sterox IROX Lead Model 4458 52cm<br />
GU020 Guidant Aust Selute Atrial J Lead Model 4294<br />
GU021 Guidant Aust Selute Picotip Steroid Model 4030 45cm<br />
Eluting Unipolar Lead<br />
GU022 Guidant Aust Selute Picotip Steroid Model 4031 52cm<br />
Eluting Unipolar Lead<br />
GU023 Guidant Aust Selute Picotip Steroid Model 4033 45cm<br />
Eluting Bipolar Lead<br />
GU024 Guidant Aust Selute Picotip Steroid Model 4034 52 cm<br />
Eluting Bipolar Lead<br />
Page 11 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
GU025 Sweet Tip RX Steroid Eluting Model 4245 59 cm<br />
Endocardial Pacemaker Lead<br />
GU026 Guidant Australia Fineline IROX Model 4476<br />
GU028 Guidant Aust Selute Picotip VDD Model 4343<br />
GU036 Bipolar Endocardial Lead Model 0013<br />
GU043 Guidant Aust Selute Picotip VDD Model 4341<br />
GU046 Guidant Australia Fineline II IROX Model 4455 58cm<br />
GU047 Guidant Australia Fineline II IROX Model 4467 52cm<br />
GU048 Guidant Australia Fineline II IROX Model 4468 58cm<br />
GU056 Easytrak Lead Model 4510, Transvenous Coronary 65cm<br />
Sinus<br />
GU057 Easytrak Lead Model 4511, Transvenous Coronary 72cm<br />
Sinus<br />
GU059 Atrial J Selute Picotip Lead Model 4063 45cm<br />
GU060 Atrial J Selute Picotip Lead Model 4064 52cm<br />
GU069 Guidant Aust Selute Picotip VDD Model 4342<br />
GU081 Model 4244 Sweet Tip RX Steroid Silicone 52cm<br />
Eluting Endocardial Pacemaker Lead<br />
GU082 Selute Lead Model 4285 Silicone 45, 52, 59cm<br />
GU083 Guidant Aust Selute Picotip Steroid Silicone 59cm<br />
Eluting Unipolar Lead Model 4032<br />
GU084 Guidant Aust Selute Picotip Steroid Silicone 59cm<br />
Eluting Bipolar Lead Model 4035<br />
GU088 Easytrak Lead 80 cm Model 4512 Silicone 80cm<br />
GU089 Guidant Aust Selute Picotip VDD Silicone 58cm<br />
Lead Model 4340<br />
GU090 Guidant Australia Fineline IROX Polyurethane 52cm<br />
Model 4450<br />
Page 12 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
GU091 Guidant Australia Fineline II Irox Silicone 52cm<br />
Model 4454<br />
GU092 Guidant Australia Fineline II EZ Irox Silicone 45cm<br />
Model 4466<br />
GU093 Fineline II Sterox Irox Model 55D Polyurethane 52cm<br />
4480-52cm lead<br />
GU094 Fineline II EZ Sterox Irox Model 4469 55D Polyurethane 45cm<br />
- 45cm lead<br />
GU112 Endotak Reliance S Lead Model 0127, defibrillation lead, 9fr 59cm<br />
introducer (silicone coated), steroid<br />
eluting, high impedence<br />
GU113 Endotak Reliance S Lead Model 0128, defibrillation lead, 9fr 64cm<br />
introducer (silicone coated), steroid<br />
eluting, high impedence<br />
GU115 Endotak Reliance Lead Model 0147, defibrillation lead, 9fr 59cm<br />
introducer (silicone coated), steroid<br />
eluting, high impedence<br />
GU116 Endotak Reliance Lead Model 0148, defibrillation lead, 9fr 64cm<br />
introducer (silicone coated), steroid<br />
eluting, high impedence<br />
GU117 Endotak Reliance Lead Model 0149, defibrillation lead, 9fr 90cm<br />
introducer (silicone coated), steroid<br />
eluting, high impedence<br />
Leads, Pacemaker, Implantable Myocardial<br />
GU037 Myocardial Pacing Lead Model 4312 and 4316 54cm and 35cm<br />
Pacemakers, Cardiac, Implantable<br />
GU045 Pulsar Max II Pacemaker DDDR Model 1280<br />
GU054 Discovery II Pacemaker SSIR Model 1187<br />
GU055 Ventak Prizm DR Model 1856<br />
GU061 Discovery II Pacemaker SSIR Model 1184<br />
Page 13 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
GU062 Discovery II Pacemaker SSIR Model 1186<br />
GU063 Discovery II Pacemaker DDDR Model 1283<br />
GU064 Discovery II Pacemaker DDDR Model 1284<br />
GU065 Discovery II Pacemaker DDDR Model 1285<br />
GU066 Discovery II Pacemaker DDDR Model 1286<br />
GU067 Pulsar Max II Pacemaker SSIR Model 1180<br />
GU068 Pulsar Max II Pacemaker SSIR Model 1181<br />
GU070 Discovery II Pacemaker SSIR Model 1185<br />
GU073 Discovery Model 1175 Implantable Titanium 5-6mm<br />
Pulse Generator<br />
GU074 Discovery Model 1275 Implantable Titanium 5-6mm<br />
Pulse Generator<br />
GU075 Meridian Model 476 Implantable Titanium 3.2mm/IS-1<br />
Pulse Generator<br />
GU076 Meridian Model 1176 Implantable Titanium 3.2mm/IS-1<br />
Pulse Generator<br />
GU078 Meridian Model 1276 Implantable Titanium 3.2mm/IS-1<br />
Pulse Generator<br />
GU079 Pulsar Model VDD 870 Titanium 3.2mm/IS-1<br />
GU087 Contak TR Model 1241 Pacemaker Titanium 3.2mm/IS-1<br />
GU098 Pulsar Max Model DR 1270 Titanium 3.2mm/IS-1<br />
GU099 Pulsar Max Model SR 1170 Titanium 3.2mm/IS-1<br />
GU120 Insignia I Plus SSIR Model 1194, Multi programmable implantable One size only<br />
Insignia I Plus DDDR Model 1297, pacemakers providing single or dual<br />
Insignia I Plus DDDR Model 1298, chamber pacing<br />
Pacemakers Cardiac Implantable<br />
Page 14 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
GU121 Insignia I Entra SSI Model 484,485; Multi programmable implantable One size only<br />
Insignia I Entra DDD Model 985,986; pacemakers providing single or dual<br />
Insignia Entra SSIR Model chamber pacing<br />
1195,1198;Insignia Entra DDDR<br />
Model 1294,1295,1296<br />
Stents, Vascular<br />
GU102 Stents ACS Multilink Coronary Stent; 1.5mm - 8.0mm<br />
ACS Megalink Peripheral Stent;<br />
ACS RX Herculink Peripheral Stent.<br />
Stainless steel<br />
GU105 ACS Multilink Coronary Stent Stainless Steel 1.5mm - 8.0mm<br />
Unknown / Unassigned<br />
GU123 Endotak SQ Array XP Lead Model Endotak SQ Array XP Lead Model 70 cm<br />
0085 is used in addition to an<br />
endotak endocardial leads for<br />
patients with a high DFT<br />
Johnson & Johnson Medical Pty Ltd<br />
Stents, Vascular<br />
JJ026 BX Velocity with Hepacoat System Balloon expandable, stainless steel,<br />
heparin coated<br />
Stents, Vascular, Coronary<br />
JJ200 BX Velocity Stent and Delivery Stainless steel stent Diameter: 2.25-5.0 mm; Length 8 -<br />
33 mm<br />
JJ239 BX Sonic Stainless steel coronary stent Dia 2.25 - 4.0mm, lengths 8 - 33mm<br />
mounted on a balloon delivery<br />
Page 15 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
JJ302 CYPHER Sirolimus-Eluting Stent & Stainless steel coronary stent with Diameter 2.25 - 5.0mm, length -<br />
Delivery System Model CRS23300, Rapamycin (an immunosuppressive 8-33mm<br />
CRS08225, CRS08250, CRS08275, and antiproliferative drug) bound to<br />
CRS08300, CRS28225, CRS28250, the stent struts<br />
CRS28275, CRS28300, CRS33225,<br />
CRS33250, CRS33275, CRS33300,<br />
CRS13225, CRS13250, CRS13275,<br />
CRS18225, CRS18250, CRS18275,<br />
CRS18300, CRS23225, CRS23250,<br />
CRS23275, CRS23350, CRS23400,<br />
CRS08350, CRS08400, CRS28350,<br />
CRS28400, CRS33350, CRS33400,<br />
CRS13300, CRS13350, CRS13400,<br />
CRS18350, CRS18400, CRS23450,<br />
CRS23500, CRS28450, CRS28500,<br />
CRS33450, CRS33500, CRS08450,<br />
CRS13450, CRS18450, CRS18500<br />
Medtel Australia Pty Ltd<br />
Leads, Pacemaker, Implantable Endocardial<br />
ME016 TENDRIL SDX 1488T, 1388T Single, Active Fixation, Steroid 46cm-58cm<br />
Eluting, Low Polarisation Lead,<br />
ME017 PASSIVE PLUS DX 1342T, 1343K, Single, passive fixation, steroid 46-58cm<br />
1345K, 1346T eluting, low polarisation lead;<br />
Models: Bipolar Atrial Lead, IS-1<br />
Unipolar Atrial Lead, IS-1 Unipolar<br />
Ventricular Lead, IS-1 or Bipolar<br />
Ventricular Lead, IS-1<br />
Pacemakers, Cardiac, Implantable<br />
ME001 AFFINITY SR 5130L, 5130R, Single chamber, rate responsive, 10.4cc, 22-23gm<br />
autocapture, left sided/right sided,<br />
IS-1 Single chamber, rate responsive,<br />
extended diagnostics, 5/6mm<br />
ME002 AFFINITY DR 5330L, 5330R, Dual chamber, rate responsive, 11cc, 23-23.5gm<br />
autocapture, left sided/right sided,<br />
IS-1 Dual chamber, rate responsive,<br />
extended diagnostics, 5/6mm<br />
Page 16 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
ME003 ENTITY DR 5326L, 5326R Dual chamber, rate response, 11cc, 23.5gm<br />
autocapture, left sided/right sided,<br />
ME004 REGENCY SC 2406L, SCX 2408L, Single Chamber, Standard VVIC, 8.6cc, 18.5-19gm<br />
SC 2407M/S IS-1/5-6mm<br />
ME006 REGENCY SR 2404L, 2405M/S Single Chamber, Rate Response, 8.6cc, 18.5-19gm<br />
IS-1/5-6mm<br />
ME008 REGENCY SC+ 2402L Single Chamber, VVI, Autocapture, 8.6cc, 18.5gm<br />
IS-1<br />
ME009 MICRONY SR+ 2425T Single Chamber, Rate Response, 5.9cc, 12.8gm<br />
Autocapture, IS-1<br />
ME010 REGENCY SR+ 2400L Single Chamber, Rate Response, 8.6cc, 18.5gm<br />
Autocapture, IS-1<br />
ME011 TEMPO V 1902 Single Chamber, VVIC, Limited 11cc, 27gm<br />
VVIR Option, VS-1<br />
ME012 TEMPO VR 1102 Single Chamber, MV Rate Response, 11cc, 27gm<br />
VS-1<br />
ME013 TEMPO D 2902 Dual Chamber, DDDC, VS-1 11cc, 27gm<br />
ME014 TEMPO DR 2102 Dual Chamber, MV Rate Response, 11cc, 27gm<br />
VS-1<br />
ME015 TRILOGY DR+ 2364L Dual Chamber, Automated Rate 12cc, 28gm<br />
Response, VS-1<br />
ME018 St Jude Medical Integrity SR5142 Single chamber, rate responsive Volume 10.4cc, weight 23gm -<br />
Pacemaker, Cardiac Implantable pacemaker<br />
ME019 St Jude Medical Integrity AFX Dual chamber, rate responsive Volume 11cc, weight 23.5gm -<br />
DR5346 Pacemaker, Cardiac, pacemaker<br />
ME020 St Jude Medical Microny II SR+ Model Single Chamber Rate Responsive Volume 5.9cc, Weight 12.8gm<br />
2525T Pacemaker Pacemaker<br />
ME021 Medtel Integrity Micro DR 5336 Dual Chamber Rate Responsive Volume 8cc, Weight 18gm<br />
Pacemaker Pacemaker<br />
Page 17 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
ME022 Medtel Integrity Micro SR 5136 Single Chamber Rate Responsive Volume 8cc, weight 18gm<br />
Pacemaker Pacemaker<br />
ME023 Identity SR 5172 Single Chamber Rate Responsive Volume 8cc, Weight 17gm<br />
Pacemaker<br />
ME024 Identity XL DR 5376 Dual Chamber Rate Responsive Volume 11cc, Weight 23.5gm<br />
Pacemaker<br />
ME025 Identity DR 5370 Dual Chamber Rate Responsive Volume 8cc, Weight 18gm<br />
Pacemaker<br />
Medtex<br />
Plates, Bone<br />
MX002 Judet Plate Implantable stainless plates for 4 prong x 12 through to 24mm in<br />
fixation and stabilisation of rib 2mm increments: 6 prong x 12<br />
fractures through to 24mm in 2mm<br />
Medtronic Australasia Pty Ltd<br />
Annuloplasty Rings<br />
MC005 Medtronic Posterior Annuloplasty Annuloplasty Devices Silicone / 25 - 35mm; Model 638B - Inner<br />
Band; Medtronic Duran barium suphate, dacron. Models diameters 26-38mm, lengths<br />
Annuloplasty Ring; Colvin - 610B25, 610B27, 610B29, 610B31, 59.8mm - 80.8mm<br />
Galloway Future Band Model 638B 610B33, 610B35; Silicone / barium<br />
sulphate, dacron. Models 610R25,<br />
610R27, 610R29, 610R31, 610R33,<br />
610R35; Models 638B - semi-rigid<br />
metal alloy core, silicone coating,<br />
polyester knit fabric, kit includes -<br />
band, malleable handle, template<br />
with suture markers, sizers, molded<br />
tray.<br />
Defibrillators, Automatic, Implantable<br />
MC019 Gem II DR Model 7273 Implantable Titanium 39.5cc, 62cc<br />
Cardioverter Defibrillator; Medtronic<br />
Gem DR Model 7271<br />
Page 18 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
MC020 Gem II VR Model 7229Cx Implantable Titanium 39cc, 49cc, 40cc<br />
Cardioverter Defibrillator; Medtronic<br />
Gem Model 7227Cx; Gem Model<br />
7227 Implantable Cardioverter<br />
MC022 Medtronic Micro Jewel II Model Titanium 54cc<br />
MC023 Medtronic Micro Jewel Model 7221Cx Titanium 72cc<br />
ICD<br />
MC024 Medtronic Micro Jewel Model 7221D Titanium 72cc<br />
MC201 Medtronic A/Asia Gem III VR Model Titanium One size only, 39.2cc<br />
7231CX<br />
MC202 Medtronic Gem III DR Model 7275 Titanium One size only, 39.5cc<br />
Implantable Cardioverter Defibrillator<br />
MC227 Medtronic Gem III AT Model 7276 Titanium 39.5cc<br />
Implantable Cardioverter Defibrillator<br />
MC237 Gem Model 7227B Titanium, "B" Style Connector 56cc<br />
MC238 Gem Model 7227D Titanium, "D" style connector 53cc<br />
MC239 Gem Model 7227E Titanium, "E" style connector 55cc<br />
MC245 Marquis DR Model 7274 Titanium 36cc<br />
Leads, Implantable Defibrillator<br />
MC002 Medtronic Sprint Quattro Lead Model Silicone and polyurethane 65-100cm<br />
6944RV/SVC 65cm; Model<br />
6944RV/SVC 75cm; or Model<br />
6944RV/SVC 100cm; Medtronic<br />
Sprint Quattro Lead Model<br />
MC026 Medtronic Transvene SVC Lead Model Model 6937-35, Model 6937-52, 35 - 110cm x 660mm<br />
6937; Model 6939 Transvene Model 6937-58, Model 6937-110;<br />
Unipolar Subcutaneous Patch Lead Silicone; Model 6939-50; Silicone<br />
MC027 Model 6721 Unipolar Epicardial Model 6721S-50, Model 6721M-50, 370, 660, 840mm<br />
Patch Leads S/M/L Model 6721L-50; Silicone<br />
Page 19 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
Leads, Implantable Defibrillator/Pacemaker<br />
MC018 Medtronic Sprint Lead Model Model 6942-65, Model 6942-75, 65 - 100cm, 58 - 100cm<br />
6942RV/SVC; Medtronic Sprint Lead Model 6942-100; Silicone Model<br />
Model 6945 6945-58, Model 6945-65; Silicone,<br />
Model 6945-75, Model 6945-100;<br />
Silicone<br />
MC025 Medtronic Sprint Lead Model Model 6932-65, Model 6932-75, 65 - 100cm, 58 - 100cm<br />
6932RV; Medtronic Sprint Lead Model 6932-100; Silicone Model<br />
6943-58, Model 6943-65, Model<br />
6943-75, Model 6943-100; Silicone<br />
MC208 Medtronic Sprint Quattro Secure Lead Leads, Defibrillator, Implantable, 58-100cm<br />
Model 6947 Silicone, polyurethane, platinized<br />
tantalum coils, steroid eluting tip<br />
Leads, Pacemaker, Implantable Endocardial<br />
MC008 Medtronic Capsurefix Model 6940, Silicone Polyurethane 30 - 85cm<br />
Pacing Lead; Medtronic Tined IS-1<br />
Model 4557M; Medtronic Capsurefix<br />
Model 4067/8/4568 Pacing Leads;<br />
Medtronic Capsurefix Model 5067<br />
Pacing Leads; Medtronic Capsurefix<br />
Model 5068 Pacing Leads; Medtronic<br />
Capsurefix Model 5568 Pacing Leads;<br />
Capsure SP Novus Pacing Lead<br />
Model 4092; Capsure SP Novus<br />
Pacing Lead Model 4592<br />
MC010 Medtronic Capsure SP Novus Model Silicone Polyurethane 45 -110cm<br />
5092; Capsure SP Novus Lead Model<br />
5592; Medtronic Capsure Model 4023<br />
Lead; Medtronic Capsure Model 4024<br />
Lead (med.dexamethasone) Medtronic<br />
Capsure Model 4523(MED)<br />
Medtronic Capsure Model 4524 Lead;<br />
Medtronic Capsure Model 5023M<br />
Lead; Medtronic Model 5024M<br />
Capsure Lead; Medtronic Model<br />
5024M Capsure Lead; Medtronic<br />
Capsure Model 5524M SP Bipolar<br />
Page 20 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
MC037 Medtronic Attain Cardiac Vein Pacing Polyurethane; 4 FR Polyurethane, 5 58 - 75cm: 85cm/75cm/110cm or<br />
Lead Model 2187; Medtronic FR Electrode Tip, Kit Includes: 75-110cm; 75cm/85cm<br />
Coronary Sinus Pacing Lead Model Stylet x 3, Valve lifter, Attain Lead<br />
2188; Medtronic Attain SD Model & Anchoring Sleeve; 4 FR<br />
4189; Medtronic Attain Side-Wire Polyurethane Body, 6.1FR<br />
MC051 Capsure Z Model 5034/5534 Silicone 58, 53cm<br />
MC052 Medtronic Capsure Z Novus Model Silicone; Contents: 1 x lead with 25 - 110cm; 45-110cm<br />
5054 Pacing Lead; Medtronic Capsure anchoring sleeve, stylet & guide, 1 x<br />
Z Novus Model 5554 Pacing Lead; vein lifter, 2 x fixation tools, extra<br />
Medtronic Capsure VDD2 Model stylets<br />
5038 AV 11.5cm Pacing Lead;<br />
Medtronic Capsure VDD2 Model<br />
5038 AV 13.5cm Pacing Lead;<br />
Medtronic Capsure VDD2 Model<br />
5038 AV 15.5cm Pacing Lead;<br />
Medtronic Capsurefix Novus Lead<br />
Model 5076<br />
MC216 Vitatron Excellence PS+Model IMK Titanium, polyurethane 52-65cm<br />
MC217 Vitatron Excellence SS+Model IML Titanium, polyurethane 52-65cm<br />
MC218 Vitatron Excellence PS+Model IMK Titanium, polyurethane 45-53cm<br />
49JB<br />
MC219 Vitatron Excellence SS+Model IML Titanium, polyurethane 45-53cm<br />
49JB<br />
MC220 Vitatron Brilliant S+Model IMW Vitatron Brilliant S+Models IMW 52-65cm<br />
Pacemaker 14Q, IMW 15Q, IMW 16Q, IMW<br />
17Q, IMW 18Q, titanium,<br />
MC221 Vitatron Crystalline Actfix Model Titanium, polyurethane 52-65cm<br />
ICF09 Pacemaker<br />
MC225 Attain Over the Wire Model 4193 Titanium, polyurethane 78-88cm<br />
MC229 Medtronic Capsure SP Novus Model Silicone, platinum 30-100cm<br />
5594 Lead 30cm<br />
MC231 Vitatron Crystalline Lead Model Titanium, polyurethane 30-53cm Lengths<br />
ICL08JB Leads, Pacemaker 30cm,<br />
45cm, 53cm<br />
Page 21 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
MC232 Vitatron Crystalline Lead Model Titanium, polyurethane 52-65cm Lengths<br />
ICL08 Leads, Pacemaker 52cm, 58cm,<br />
MC233 Vitatron Crystalline Lead Model Titanium, polyurethane 52-65cm Lengths<br />
ICL08B Leads, Pacemaker 35cm, 45cm,<br />
52cm, 58cm, 65cm<br />
Leads, Pacemaker, Implantable Myocardial<br />
MC009 Medtronic Epicardial Pacing Leads Silicone 35 - 53cm<br />
IS-1 Model 5071<br />
MC011 Capsure EPI steroid eluting bipolar Silicone 25 - 50cm<br />
epicardial lead Model 4968 - ventricle<br />
MC053 Capsure EPI steroid eluting unipolar Silicone 25 - 50cm<br />
epicardial lead Model 4965 ventricle<br />
Pacemaker Lead Adapters, Implantable<br />
MC035 Medtronic lead Extender Kit Model: Silicone 14 - 50cm<br />
6984M, 6981M, 6985M, 5866-24M,<br />
5866-38M, 5866-40M, 6986M,<br />
5866-37M; Bipolar Lead Adaptor Kit<br />
Model 2872<br />
MC036 Medtronic Lead End Cap Kit Model: Silicone or Polyurethane; Plug to 10 - 25mm, IS-1 Pin Plug - One<br />
5867-3M; Medtronic Adaptor Kit Seal IS-1 connector in a pacemaker Size only<br />
Line 5866-23; Connector Sleeve or defibrillator, Silicone<br />
5866-45; Metronic lead sleeve kit<br />
model: 5866-46; Medtronic Pinplug<br />
kit. Model 6719, IS-1 Pin Plug<br />
MC246 DF-I Y-Adaptor/Extender Model 6726 Silicone Lengths 25cm, 37cm<br />
25cm & 37cm<br />
Pacemakers, Cardiac, Implantable<br />
MC003 InSync ICD Model 7272 Titanium One size only<br />
MC006 InSync model 8040 Stimulator Titanium 14.4cc<br />
MC029 Medtronic Kappa 400 pacemaker Titanium 13.9cc<br />
Model KDR401/403<br />
Page 22 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
MC030 Medtronic Kappa 400 Pacemaker Titanium 11.6cc, 11.7cc<br />
Model KSR401/3<br />
MC031 Medtronic Kappa 700 Pacemaker Titanium KDR721C: Titanium with 10.9cc, 14.2cc, 12.1cc, 14.2cc,<br />
Model: Paralene Coating 13.0cc<br />
KDR700/KDR701/KDR703/KDR70<br />
6/KDR720/KDR721/KDR721C/KDR<br />
MC032 Medtronic Kappa 700 Pacemaker Titanium 11.9cc, 14.2cc<br />
Model KD700/701/703/706<br />
MC033 Medtronic Kappa 700 Pacemaker Titanium 10.9cc, 11.1cc<br />
Model KVDD700/701<br />
MC034 Medtronic Kappa 700 Pacemaker Titanium 9.7cc, 11.0cc<br />
Model KSR700/701/701C/703/706;<br />
MC200 Medtronic A/Asia AT500 DDDRP Titanium, silicone One size only, 14.9cc<br />
Pacing System Model AT501<br />
MC209 Medtronic Vitatron Clarity DDDR Titanium, polyurethane One size only<br />
Model 862<br />
MC210 Medtronic Vitatron Clarity DDDR Titanium, polyurethane One size only<br />
Model 860<br />
MC211 Medtronic Vitatron Clarity DDDR Titanium, polyurethane One size only<br />
Model 865<br />
MC212 Medtronic Vitatron Clarity VDDR Titanium, polyurethane One size only<br />
Model 660<br />
MC213 Medtronic Vitatron Clarity SSIR Titanium, polyurethane One size only<br />
Model 560<br />
MC214 Medtronic Vitatron Clarity SSIR Titanium, polyurethane One size only<br />
Model 565<br />
MC215 Medtronic Vitatron Clarity SSIR Titanium, polyurethane One size only<br />
Model 562<br />
MC222 Medtronic Vitatron Diamond 3 DDDR Titanium, polyurethane One size only<br />
Model 840 Pacemaker<br />
Page 23 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
MC223 Medtronic Vitatron Topaz 3 SSIR Titanium, polyurethane One size only<br />
Model 540 Pacemaker<br />
MC224 Medtronic Vitatron Jade 3 SSI Model Titanium, polyurethane One size only<br />
340 Pacemaker<br />
MC226 Medtronic Insync III Triple Chamber Titanium One size only<br />
Pacemaker Model 8042<br />
MC230 Vitatron Selection Model 9000 Titanium, polyurethane One size only<br />
Pacemaker<br />
MC234 Vitatron Vita 2 SSI Model 230, Titanium, polyurethane One size only<br />
Implantable Cardiac Pacemaker<br />
MC235 Vitatron Vita 2 VDD Model 630, Titanium, polyurethane One size only<br />
Implantable Cardiac Pacemaker<br />
MC236 Vitatron Vita 2 SSIR Model 530, Titanium, polyurethane One size only<br />
Implantable Cardiac Pacemaker<br />
MC240 Vitatron Vita 2 DDDR Model 830, Titanium, Polyurethane One size only<br />
Implantable Cardiac Pacemaker<br />
MC241 Medtronic Kappa KDR 900 Model Titanium 12.1,13,14.2,11.1,14.2,14.2cc<br />
KDR 901,903,906,921,931,933<br />
MC242 Medtronic Kappa KSR 900 Model Titanium 9.7,10.5,11.0 cc<br />
KSR 901,903, 906<br />
MC243 Medtronic Kappa KVDD 900 Model Titanium 11.1cc<br />
KVDD 901<br />
MC250 Medtronic Kappa KD900 Model Titanium One size only<br />
KD901, Model KD903, Model<br />
<strong>Prostheses</strong>, Cardiac Valve, Artificial<br />
MC013 Medtronic Hall heart valve mitral Titanium, pyrolite, dacron; Titanium, 20 - 35mm<br />
model M7700/A7700; pyrolite<br />
MC198 Medtronic Hall rotatable aortic valved Titanium, pyrolite, dacron 20 - 33mm<br />
collagen impregnated conduit Model<br />
R7700<br />
Page 24 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Cardiac Valve, Biological<br />
MC012 Medtronic Hancock Valved Conduit Porcine bioprosthesis, dacron 12, 14, 16, 18, 20, 22, 25, 30mm.<br />
Model 100/150<br />
MC015 Medtronic Freestyle modified Model FR995MS. Porcine 19 - 27mm, 19 - 29mm, 19 - 35mm,<br />
subcoronary aortic root bioprosthesis bioprosthesis, dacron; Model 21 - 33mm<br />
(Model 995MS); Medtronic Freestyle FR995 Porcine Bioprosthesis,<br />
aortic root bioprosthesis (Model dacron; Porcine Bioprosthesis,<br />
FR995); Medtronic Mosaic Aortic<br />
heart Valve Model 305; Medtronic<br />
Mosaic Mitral heart Valve Model 310;<br />
Medtronic Hancock II heart valve<br />
model T510 Mitral; Medtronic<br />
Hancock II heart valve model T505<br />
Aortic<br />
Tissue Reconstructive Materials<br />
MC054 Hancock pericardial patch Bovine pericardium, mylar. Model # 5 x 12cm<br />
HP710.<br />
MC055 Hancock pericardial patch Bovine pericardium, mylar. Model # 10 x 25cm<br />
HP710L<br />
Neich Medical Pty Ltd<br />
Stents, Vascular, Coronary<br />
NM001 R Stent Stainless steel coronary stent 2.00 - 4.00 mm Diameter, 7 - 33 mm<br />
length<br />
Pacing Importers Pty Ltd<br />
Catheters, Angioplasty, Laser<br />
PI002 Excimer Laser Stent Polyester Fibre optic fibre catheter 0.457mm, 0.9mm, 1.4mm, 1.7mm and<br />
2.0mm<br />
Page 25 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
St. Jude Medical Australia Pty Ltd<br />
Defibrillators, Automatic, Implantable<br />
SJ004 Brady Pacing - ATP, Cardioversion, Ventritex Defibrillator - Profile MD 70-109g, weight 34-57cc, volume<br />
Defibrillation with Atrial Model V-186HV3, Contour MD 11-15mm, width<br />
Discrimination (Morphology Model V-175AC, Contour MD<br />
Model V-175D (double header);<br />
Can: Titanium, Header: Medical<br />
grade thermoplastic elastomer,<br />
Septum: Silicone, Power Source:<br />
Lithium/silver vanadium oxide.<br />
SJ006 Photon DR, Model V-230HV Dual Chamber, Implantable 46cc<br />
Defibrillator Cardioverter<br />
SJ009 Photon Micro DR Model V-232 37cc<br />
Defibrillators/Cardioverters<br />
SJ010 Photon Micro VR Model V-194 36cc<br />
Defibrillators/Cardioverters<br />
SJ011 Atlas DR Model V-240 Dual chamber implantable 37cc<br />
cardioverter defibrillator with rate<br />
SJ012 Atlas VR Model V-199 Single chamber implantable 36cc<br />
cardioverter defibrillator with rate<br />
response<br />
Leads, Implantable Defibrillator<br />
SJ016 Riata Transvenous Tachyarrhythmia Quadripolar, dual-coil, steroid One size only<br />
Lead Model 1580 & Model 1581 eluting, active fixation<br />
Leads, Implantable Defibrillator/Pacemaker<br />
SJ005 SPL - Single Lead Endocardial Ventritex SPL Transvenous Lead 70cm-100cm, length, 17cm-21cm,<br />
Defibrillation System Models SP01, SP02, SP03, SP04. electrode spacing<br />
Connectors: MP35N, Insulation:<br />
100% Silicone, Electrodes:<br />
Platinum iridium<br />
Page 26 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
Leads, Pacemaker, Implantable Endocardial<br />
SJ013 Transvenous Superior Vena Cava Lead TVL lead system models SV01, SV01- 100cm; SV02 - 45cm; SV03 -<br />
Model SV01, Transvenous Superior SV02, SV03 transvenous leads 55cm<br />
Vena Cava Lead Model SV02,<br />
Transvenous Superior Vena Cava Lead<br />
Model SV03<br />
Tag Medical<br />
Annuloplasty Rings<br />
TM001 AnnuloFlo Annuloplasty System Annuloflex Ring or AnnuloFlo Ring 26-36mm<br />
<strong>Prostheses</strong>, Cardiac Valve, Artificial<br />
TM002 CarboSeal Ascending Aortic Mechanical Conduit AP 21-33mm<br />
Prosthesis, sterile, CarboSeal<br />
Ascending Aortic Prosthesis with<br />
Handle Model AP21, Model AP23,<br />
Model AP25, Model AP27, Model<br />
AP29, Model AP31, Model AP33<br />
TM003 SuMit - Supra-Annular Mitral Valve: Mechanical Valve 16mm to 33mm<br />
Carbomedics Aortic Model S500<br />
Supra Annular Prosthetic Heart Valve:<br />
Carbomedics Model 700 Mitral<br />
Prosthetic Heart Valve: CarboMedics<br />
Aortic Model A500 Prosthetic Heart<br />
Valve: CarboMedics Aortic Model<br />
R500 Reduced Tissue Annulus<br />
Diameter Prosthetic Heart Valve<br />
Terumo Corporation Australia<br />
Stents, Vascular, Coronary<br />
TU001 Intra Coronary Stent Stainless Steel mounted on balloon Diameter 2.0mm - 4.0mm, Length<br />
catheter 10mm - 30mm length<br />
Page 27 of 638
CARDIO-THORACIC<br />
Billing Code Product Further Size Notations<br />
W L Gore & Associates<br />
Mesh, Polymeric<br />
GT128 Helex Septal Occluder ePTFE 15-35mm<br />
Patches, Myocardial<br />
GT117 Gore-Tex - Cardiovascular Patch ePTFE 0.4mm Thickness 2 x 9cm<br />
GT118 Gore-Tex - Cardiovascular Patch ePTFE 0.4mm - 3 x 6cm<br />
0.6mm - 2.5cm x 15cm & 5cm x<br />
7.5cm<br />
GT120 Gore-Tex Cardiovascular Patch ePTFE 0.6mm Thickness 5 x 15cm<br />
GT121 Gore-Tex Cardiovascular Patch ePTFE 0.6mm Thickness 10 x 15cm<br />
GT122 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 6 x 12cm<br />
GT123 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 8 x 16cm<br />
GT124 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 12 x 12cm<br />
GT125 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 15 x 20cm<br />
GT126 Acuseal Cardiovascular Patch ePTFE 0.5mm Thickness 1 x 9cm; 0.8 x<br />
7.5cm<br />
GT127 Acuseal Cardiovascular Patch Cardiac ePTFE 0.5mm Thickness 3 x 6cm & 5 x<br />
7.5cm<br />
William A Cook Aust Pty Ltd<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
WC076 Flipper-Patient Ducts Detachable Coil for PDA Closure Coil Diameter 3,5,6.5 & 8 mm<br />
Arteriosus-Occluding System Number of Loops (3,4,5)<br />
<strong>Prostheses</strong>, Blood Vessel, Artificial<br />
WC075 V-Flex Plus Coronary Stent mounted Coronary Stent Balloon Diameter 2.5-3.5mm Stent<br />
and unmounted Length 8-24mm<br />
Page 28 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
Cochlear Limited<br />
Cochlear Implants<br />
CO001 Nucleus 22 Cochlear Implant Nucleus 22 Cochlear Implant Model One size only<br />
CI22M<br />
CO005 Nucleus 24 Cochlear Implant System, Nucleus 24 Cochlear Implant, Model One size only<br />
Model CI24M CI24M<br />
Stimulators, Auditory<br />
CO013 Nucleus 24k Cochlear Implant Model CI24R (ST) One size only<br />
CO014 Nucleus Contour Cochlear Implant Model CI24R (CS) One size only<br />
Endocorp Pty Ltd<br />
Drains, T<br />
EC013 Campbell Endolymphatic T-Shunt Silicone rubber 0.125 mm dia<br />
<strong>Prostheses</strong>, Ear<br />
EC008 Exmoor Middle Ear <strong>Prostheses</strong> - Consists of three components: a Mushroom = 3.0 mm flange dia;<br />
Causse Universal HA Prosthesis dense hydroxylapatite white 1.5mm length. Clear tube = 20.0mm<br />
mushroom; a clear teflon tube & a length x 1.32 dia o.d. White plug =<br />
5.0mm length x 0.4 dia o.d.<br />
EC009 Exmoor Middle Ear <strong>Prostheses</strong> - Mills Hydroxylapatite 2.0 mm dia od x 1.0mm dia id x 3.5<br />
Incus HA Sleeve mm length<br />
EC010 Exmoor Middle Ear <strong>Prostheses</strong> - Mills Hydroxylapatite 2.0 mm dia od x 1.0mm dia id x 2.0<br />
Incus HA Sleeve mm length<br />
EC011 Exmoor Middle Ear <strong>Prostheses</strong> - Mills Teflon 0.5/1.0 mm dia<br />
Columella<br />
EC012 Exmoor Middle Ear <strong>Prostheses</strong> - Attic Silicone rubber 0.125 mm dia<br />
to Antrum Implant<br />
EC014 Exmoor Middle Ear <strong>Prostheses</strong> - Silicone rubber 0.125 mm dia<br />
Middle Ear Aeration Sheeting<br />
Page 29 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
EC015 Exmoor Middle Ear <strong>Prostheses</strong> - Hydroxylapatite 0.6 mm dia od x 0.7 mm dia id x 6.1<br />
Teflon Loop mm length<br />
EC016 Exmoor Middle Ear <strong>Prostheses</strong> - Hydroxylapatite 0.4 mm dia od x 0.7mm dia id x 6.1<br />
Teflon Loop mm length<br />
Endotherapeutics Pty Ltd<br />
Cement<br />
ET031 Serenocem Cement Reaction bonded polymer composite One size only - box of 2<br />
formed by the neutralisation<br />
gelletation of a basic inorganic<br />
ET032 Serenocem Granules Reaction bonded polymer composite 0.5 - 1mm granules, 1gm or 5gm; 2 -<br />
formed by the neutralisation 3mm granules, 1gm or 5gm - 3<br />
gelletation of a basic inorganic pouches<br />
Getz Bros. & Co. (Aust) Pty Ltd<br />
Caps, Bone<br />
GB100 BAHA - Bone Anchored Hearing Aids Cover screw unigrip One size only<br />
Plugs<br />
GB097 BAHA - Bone Anchored Hearing Aids Abutment Snap Coupling 5.5mm<br />
Screws, Bone<br />
GB098 BAHA - Bone Anchored Hearing Aids Flange fixture 3mm<br />
GB099 BAHA - Bone Anchored Hearing Aids Flange fixture 4mm<br />
Global Scientific Pty Ltd<br />
Nasal Septum Buttons<br />
GS070 Septal Button Plastipore One size only<br />
<strong>Prostheses</strong>, Ear<br />
GS019 Canal Wall Prosthesis Grote, HA Small - Large<br />
Page 30 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Larynx<br />
GS124 Vocal Cord Medialisation Implant Vocom Larynx Medial Implant - 3 - 7mm Head<br />
Hydroxylapatite<br />
GS125 Vocal Cord Medialisation Implant Vocom Shim for Medial Implant - 1mm - 3mm Offset<br />
Hydroxylapatite<br />
<strong>Prostheses</strong>, Ossicular, Incus and Stapes<br />
GS020 Ossicular Prosthesis Malleus, Incus Goldenberg Footplate - HA One size only<br />
and Stapes<br />
GS021 Ossicular Prosthesis Attic Defect Plate, HA 7-14mm<br />
GS022 Ossicular Prosthesis Incus Applebaum - Hydroxylapatite Small - Large<br />
GS023 Ossicular Prosthesis - PORP Drum-to-Stapes - Plastipore One size only<br />
GS024 Ossicular Prosthesis - PORP Modified - Plastipore One size only<br />
GS025 Ossicular Prosthesis - PORP Off-Centered - Hydroxylapatite One size only<br />
GS026 Ossicular Prosthesis - PORP Schuring Cup Prosthesis HA One size only<br />
GS027 Ossicular Prosthesis - PORP Sheehy - Plastipore One size only<br />
GS028 Ossicular Prosthesis - PORP Sheehy Modified - Plastipore One size only<br />
GS029 Ossicular Prosthesis - PORP Richards (centered/off centered) HA Centered - one size only.<br />
Off-centered one size only.<br />
GS030 Ossicular Prosthesis - PORP Richards (centered/off centered) Centered - one size only.<br />
Malleable - Hydroxylapatite Off-centered one size only.<br />
GS031 Ossicular Prosthesis - PORP Grote Malleus to Stapes Strut - One size only<br />
Hydroxylapatite<br />
GS032 Ossicular Prosthesis - PORP Goldenberg & Goldenberg Goldenberg - one size only.<br />
Malleable. Plastipore Goldenberg malleable - one size<br />
GS033 Ossicular Prosthesis Incus Grote Incus Prosthesis HA One size only<br />
GS034 Ossicular Prosthesis Incus Wehrs (Single & Double Notch) - Short, Med, Long<br />
Hydroxylapatite<br />
GS035 Ossicular Prosthesis Incus Goldenberg - Hydroxylapatite One size only<br />
Page 31 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
GS036 Ossicular Prosthesis Incus Kartush Incus Strut: 140853, Short, Med, Long<br />
140854, 140855 - Hydroxylapatite<br />
GS037 Ossicular Prosthesis Incus-Stapes Grote HA 7-10mm<br />
GS038 Ossicular Prosthesis Incus-Stapes Kartush: 140850, 140851, 140852 - Short, Med, Long<br />
Hydroxylapatite<br />
GS039 Ossicular Prosthesis Incus-Stapes Wehrs (Single & Double Notch) - Short, Average, Med, Long<br />
Hydroxylapatite<br />
GS040 Ossicular Prosthesis Incus-Stapes Goldenberg, HA One size only<br />
GS041 Ossicular Prosthesis Malleo-Incus Shea off-centered cap One size only<br />
GS042 Ossicular Prosthesis Incus-Stapes Schuknecht Malleus att Piston - 0.6x5.5mm - 0.8x6.5mm<br />
Stainless Steel<br />
GS044 Ossicular Prosthesis -TORP Black Spanner Strut, 140923 - One size only<br />
Hydroxylapatite<br />
GS052 Ossicular Prosthesis - TORP Goldenberg. Plastipore One Size Only<br />
GS053 Ossicular Prosthesis -TORP Goldenberg. Malleable - One size only<br />
Hydroxylapatite<br />
GS056 Piston: Stapes Prosthesis Armstrong-style - Platinum 0.6x3.5mm - 0.8x5mm<br />
GS057 Piston: Stapes Prosthesis Cawthorne - Fluorplastic 0.3x0.8x3.5mm - 0.3x0.8x6mm<br />
GS058 Piston: Stapes Prosthesis Fisch-Type Platinum or Stainless 0.4mm x 6mm<br />
GS059 Piston: Stapes Prosthesis Fluoroplastic 0.6x.6x3.5mm - 0.8x0.6x6mm<br />
GS060 Piston: Stapes Prosthesis Bucket Handle Fluoroplastic 0.4x1x3.5mm - 0.6x1x5mm<br />
GS061 Piston: Stapes Prosthesis Platinum Fluoroplastic 0.6x3.5mm - 0.8x5mm<br />
GS062 Piston: Stapes Prosthesis Platinum Fluoroplastic 0.6x3mm - 0.8x5.75mm<br />
GS063 Piston: Stapes Prosthesis Schuknecht - Stainless Steel 0.4x3.5mm - 0.5x5mm<br />
GS064 Piston: Stapes Prosthesis McGee Shepherd's Crook - Stainless 0.6x3.5mm - 0.6x5.5mm<br />
Steel<br />
GS065 Piston: Stapes Prosthesis McGee Stainless Steel 0.6x3.25mm - 0.8x5.5mm<br />
Page 32 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
GS066 Piston: Stapes Prosthesis Scheer Stainless Steel 0.6x3.33mm - 0.6x4.58mm<br />
GS067 Piston: Stapes Prosthesis Bucket Handle Stainless Steel 0.4x1mmx3.5mm - 0.6x1x5mm<br />
GS068 Piston: Stapes Prosthesis Teflon and Platinum 0.4x4mm - 0.4x5mm<br />
GS069 Piston: Stapes Prosthesis Causse - Fluorplastic One size only<br />
GS126 Cartilage Anchor <strong>Prostheses</strong> (CAP), HA Head with Peg, Hapex Shaft 0.08 - 1.17mm shaft diameter, 6.5 -<br />
TORP & PORP 9.0mm length<br />
GS127 Wehrs II Stapes <strong>Prostheses</strong> Wehrs HAPEX Incus <strong>Prostheses</strong>, 0.6 - 1.57mm Shaft Dia<br />
Single & Double Notch<br />
GS131 Dornhoffer <strong>Prostheses</strong> Hydroxyapetite head/HAPEX shaft 0.8mm Shaft Dia TORP, 1.3mm Shaft<br />
PORP and TORP Diameter PORP<br />
<strong>Prostheses</strong>, Ossicular, Total<br />
GS043 Ossicular Prosthesis -TORP Black Oval Top. Universal, 4x3mm Head, Length 0.5mm to<br />
Fluoroplasty, Plastipore 0.7mm<br />
GS045 Ossicular Prosthesis -TORP Fisch-Type, Plasti-Pore One size only<br />
GS046 Ossicular Prosthesis -TORP Causse Modified - Plastipore One size only<br />
GS047 Ossicular Prosthesis -TORP Modified (Austin or Sheehy) - Austin - one size only. Sheehy -<br />
Plastipore one size only.<br />
GS048 Ossicular Prosthesis -TORP Off-Centered - Hydroxylapatite One size only<br />
GS049 Ossicular Prosthesis -TORP Shea Plasti-Pore/Fluoroplastic One size only<br />
GS050 Ossicular Prosthesis -TORP Shea Malleable, HA/Plasti-Pore One size only<br />
GS051 Ossicular Prosthesis -TORP Shea Plastipore 4-8mm<br />
GS054 Ossicular Prosthesis -TORP Tilt Top - Plastipore One size only<br />
GS055 Ossicular Prosthesis -TORP Black oval-top HA and fluoroplasty 7 & 10mm<br />
Medical Vision Australia Pty Ltd<br />
Stents<br />
MF001 Endoxane Silicone tracheal and bronchial 10 - 20mm diameter, 20 - 60mm<br />
stents - Dumon length<br />
Page 33 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
Stents, Bronchial<br />
MF002 Tracheobronxane Silmet Nitinol wire - tracheal and bronchial 12 - 20mm diameter, 20 - 90mm<br />
stenets - Dumon length<br />
Medtronic Xomed Australia Pty Ltd<br />
Cannulae, Eye, Lacrimal<br />
XO081 Canaliculus Intubation Sets Silicone, SS & Nylon 17.7 x .064 x 29cm, 15.5 x .051 x<br />
33cm<br />
Nasal Septum Buttons<br />
XO038 Septal Button Silicone 3cm<br />
XO039 Septal Button Silicone. Two Part 3cm<br />
<strong>Prostheses</strong>, Ossicular, Incus and Stapes<br />
XO001 Ossicular, Incus and Stapes Dense H/A, Fluoroplastic & SS. 0.6 x 3.25 x 8.0mm<br />
Lesinski<br />
XO002 Ossicular, Incus and Stapes Dense H/A & Titanium. Causse 0.8 x 3.25 x 9.0mm<br />
Notched Offset Total<br />
XO003 Ossicular, Incus and Stapes Dense H/A, Fluroplastic & SS. 0.4 x 4.0 x 10mm<br />
Causse Cam Head Total<br />
XO004 Ossicular, Incus and Stapes Dense H/A, Polycel & SS. Malleus 1.17 x 4.0 x 4.75mm<br />
Partial<br />
XO005 Ossicular, Incus and Stapes Flex H/A & Titanium & SS. Causse 1.0 x 3.25 x 9.0mm<br />
Total<br />
XO006 Ossicular, Incus and Stapes Flex H/A & Titanium. Causse Partial 1.14 x 3.25 x 5.0mm<br />
XO007 Ossicular, Incus and Stapes Flex H/A & Titanium. Causse Mini 1.0 x 2.5 x 9.0mm<br />
Head Total<br />
XO008 Ossicular, Incus and Stapes Flex H/A & Titanium. Causse Mini 1.14 x 2.5 x 5.0mm<br />
Head Partial<br />
XO009 Ossicular, Incus and Stapes Flex H/A & Titanium Causse Total 1.0 x 3.25 x 9.0mm<br />
Page 34 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
XO010 Ossicular, Incus and Stapes Flex H/A & Titanium. Malleus 1.0 x 2.0 x 10.2mm<br />
Cradle Total<br />
XO011 Ossicular, Incus and Stapes Flex H/A & Titanium. Centered 1.14 x 3.0 x 5.0mm, 1.14 x 4.0 x<br />
5.0mm<br />
XO012 Ossicular, Incus and Stapes Flex H/A & Titanium. Notched 1.14 x 4.0 x 5.0mm<br />
Offset Partial<br />
XO013 Ossicular, Incus and Stapes Flex H/A Incus Necrosis Small, Medium, Large<br />
XO014 Ossicular, Incus and Stapes Polycel & SS. Moretz Malleus Struts 0.6 x 8.0mm<br />
Total<br />
XO015 Ossicular, Incus and Stapes Polycel & SS. Moretz Peg Top Total 0.6 x 3.0 x 8.0mm<br />
Off set<br />
XO016 Ossicular, Incus and Stapes Polycel & SS. Moretz Peg Top Total 0.6 x 3.0 x 8.0mm<br />
Centred<br />
XO017 Ossicular, Incus and Stapes Polycel & SS. Moretz Peg Top Total 0.6 x 4.0 x 7.0mm<br />
Solid Shaft with Shoe<br />
XO018 Ossicular, Incus and Stapes Polycel & SS. Brackmann Modified 0.6 x 3.0 x 8.0mm<br />
Total<br />
XO019 Ossicular, Incus and Stapes Polycel. Austin Modified Partial 1.17 x 3.0 x 4.75mm<br />
XO020 Ossicular, Incus and Stapes Polycel Sheehy Partial 1.17 x 3.0 x 4.75mm<br />
XO021 Ossicular, Incus and Stapes Polycel. Moretz Footplate Shoe One size only<br />
XO022 Ossicular, Incus and Stapes Polycel & Fluroplastic. Causse 1.17 x 4.0 x 4.75mm<br />
XO023 Ossicular, Incus and Stapes Polycel, Fluroplastic & SS. Moretz 0.6 x 7.0mm<br />
Solid Shaft with Shoe<br />
XO024 Ossicular, Incus and Stapes Polycel & SS. Fisch Spandrel 11 0.6 x 5.0 x 6.75mm<br />
with Shoe<br />
XO025 Ossicular, Incus and Stapes Polycel & SS. Fisch Total 0.6mm x 2.2 x 8mm<br />
XO026 Ossicular, Incus and Stapes H/A & Polycel Sheehy 0.8 x 3.0 x 7.0mm<br />
Page 35 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
XO027 Ossicular, Incus and Stapes Fluroplastic Causse Large Loop 0.8 x 0.3 x 4.5, 5.0, 6.0mm,0.8 x 0.4 x<br />
6.0mm 0.8 x 0.6 x 4.0, 4.5, 5.0,<br />
6.0mm, 0.8 x 0.8 x 4.5, 5.0mm 0.8<br />
x 0.4 x 6.0mm<br />
XO028 Ossicular, Incus and Stapes Fluroplastic. Causse Loop Piston 0.6 x 0.4 x 6.0mm, 0.6 x 0.6 x 6.0mm<br />
XO029 Ossicular, Incus and Stapes Platinum & Fluroplastic Fisch 0.4 x 4 x 6mm, 0.5 x 4 x 6mm, 0.6 x 4<br />
x 6mm, 0.6 x 8.8 x 10.0mm<br />
XO030 Ossicular, Incus and Stapes SS & Fluroplastic. Fisch Piston 0.4 x 4 x 6mm, 0.5 x 4 x 6mm, 0.6 x 4<br />
x 6mm<br />
XO031 Ossicular, Incus and Stapes Platinum & Fluroplastic. Lesinski 0.6 x 2 x 4.25 - 4.75mm in<br />
Piston increments of 0.25mm<br />
XO032 Ossicular, Incus and Stapes Platinum & Fluroplastic. Piston 0.5 x 2.5 x 4.0 - 4.75mm in<br />
increments of 0.25mm, 0.6 x 2.5 x<br />
4.0 - 4.75mm in increments of<br />
0.25mm<br />
XO033 Ossicular, Incus and Stapes Platinum & Fluroplastic. De La Cruz 0.6 x 1.25 x 3.75 - 5.00mm in<br />
Increments of 0.25mm<br />
XO034 Ossicular, Incus and Stapes SS & Fluroplastic. Schuknecht 0.6 x 3.5 - 5.0mm in increments of<br />
0.25mm<br />
XO035 Ossicular, Incus and Stapes SS & Fluroplastic. Schuknecht 0.8 x 4.0 - 5.0mm in increments of<br />
0.25mm<br />
XO036 Ossicular, Incus and Stapes SS. McGee 0.6 x 3.75 - 4.75mm in increments of<br />
0.25mm, 0.5 x 3.75 - 4.75mm in<br />
increments of 0.25mm, 0.5 x 4.5 -<br />
5.00mm in increments of 0.25mm<br />
XO037 Ossicular, Incus and Stapes SS. Scheer 0.6 x 4.5 - 5.0mm in increments of<br />
0.25mm<br />
XO083 <strong>Prostheses</strong> Ossicular Incus and Stapes Material H/A flex HA and titanium 1.4 x 3.0 x 2.0 x 5<br />
Schwaber Offset partial with<br />
malleable link<br />
XO084 <strong>Prostheses</strong> Ossicular Incus and Stapes Materials flex HA with stainless 0.6 x 4.0 x 2.7 x 8.0<br />
steel Moretz Cam Head Total<br />
Page 36 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
XO085 <strong>Prostheses</strong> Ossicular Incus and Stapes Materials hydroxylapatite (H/A) 4 x 2.7 x 10 and 4 x 2.7 x 4.75<br />
Polycel with stainless steel Moretz<br />
Cam Head Partial<br />
XO086 <strong>Prostheses</strong> Ossicular Incus and Stapes Materials H/A with flex H/A and 1 x 3 x 2 x 9<br />
titanium Schwaber Total Malleable<br />
XO087 <strong>Prostheses</strong> Ossicular Incus and Stapes Materials H/A flex H/A and titanium 1.14 x 3.3 x 2.9 x 4.25<br />
Garcia Ibanez Notched Universal<br />
XO088 <strong>Prostheses</strong> Ossicular Incus and Stapes Materials H/A Cam Cap <strong>Prostheses</strong> 4 x 2.7 x 1.5 full, 4 x 2.7 x 1.5 partial<br />
<strong>Prostheses</strong>, Ossicular, Total<br />
XO089 Ossicular, Incus and Stapes Universal Middle Ear Prosthesis, 2.5 x 10mm<br />
titanium round head design<br />
XO090 Ossicular, Incus and Stapes Universal Middle Ear Prosthesis, 4.0 x 2.7 x 10.0mm<br />
titanium cam head design<br />
Reconstruction Blocks, Plastic Surgery<br />
XO082 Silicone Blocks Netterville Phonoform Block - Right - One size only, Left - One<br />
Right, Left, Wedge & Strip size only, Wedge - One size only &<br />
Strip - One size only<br />
Pacific Medical<br />
<strong>Prostheses</strong>, Ear<br />
PM025 Ear Ossicle Prosthesis Gold/Titanium/Stainless Steel 2.0,2.25,2.50,2.75,4.0,4.25,4.50,4.7<br />
5, 5, 5.5, 6mm<br />
PM028 Stapes Bell Prosthesis - Gold/Titanium 2.0,2.25,2.50,2.75mm<br />
PM029 Stapes Angular Prosthesis (Plester) - L2.4mm ID 0.5mm<br />
Gold/Titanium<br />
PM030 Stapes Angular Piston - Gold/Titanium L6mm ID 0.4,0.6mm<br />
PM031 Stapes Aerial prosthesis One Size Only<br />
PM032 K-Piston Gold ID 0.4,0.6mm<br />
Page 37 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Larynx<br />
PM033 Montgomery Thyroplasty Implant Silicone 6,7,8,9,10,11,12<br />
Tracheostomy Buttons<br />
PM036 Barton-Mayo Tracheostoma Button Silicone 9,10,11,12,14<br />
Stryker Australia Pty Ltd<br />
<strong>Prostheses</strong>, Ossicular, Total<br />
ST795 Titanium Middle Ear <strong>Prostheses</strong> Fisch Incus <strong>Prostheses</strong>: short, 2x3mm, 2x4mm, 2 x 5mm<br />
medium, large, Titanium<br />
ST796 Titanium Middle Ear <strong>Prostheses</strong> Fisch Neomalleus <strong>Prostheses</strong>, 1.1x5mm<br />
ST797 Titanium Middle Ear <strong>Prostheses</strong> Fisch Stapes <strong>Prostheses</strong>: short, 0.4x7mm, 0.4x8.5mm, 0.4x10mm<br />
medium, long, Titanium<br />
ST798 Titanium Middle Ear <strong>Prostheses</strong> Fisch Total <strong>Prostheses</strong>: with foot, 0.6x10mm<br />
Titanium<br />
Technology For Life Pty Ltd<br />
Stents, Tracheal<br />
TE010 Tracheal/Broncheal Stent Silicone, Dumon 10/20 to 18/80<br />
TE011 Bronchial Tracheal Stent Silicone, Dumon 10/20 to 18/80<br />
TE012 Harrell Y Stent Tracheal Silicone, Dumon 10/10/20 to 16/16/70<br />
TE013 Westaby T Y Stent Tracheal Silicone, Dumon 10/10/20 to 16/16/90<br />
William A Cook Aust Pty Ltd<br />
Stents<br />
WC074 SONG-Nasolacrimal Duct Stent Set Nasolacrimal Stent Stent 6Fr, 35mm, Stent Oval or<br />
(SNDS) Acute Angle, Radiopaque proximal<br />
tip 0.5mm or Entended proximal tip.<br />
Page 38 of 638
EAR, NOSE & THROAT<br />
Billing Code Product Further Size Notations<br />
Stents, Tracheal<br />
WC073 Tracheal/broncheal stent Gianturco-Rosch Trancheobronchial Expanded Diameter 15-40 mm<br />
Stent Length 5cm<br />
Page 39 of 638
ENDOSCOPIC PRODUCTS<br />
Billing Code Product Further Size Notations<br />
Boston Scientific Pty Ltd<br />
Device Kits With Drugs<br />
BS064 Enteryx Procedure Kit Enteryx is supplied as a kit that is Solution 10ml, DMSO 10ml,<br />
made up of Enteryx solution, DMSO syringes 1ml (2), needles 18 gauge<br />
(dimethyl sulfoxide) a primer<br />
solution, Enteryx injection<br />
catheters, syringes and needles<br />
Stents<br />
BS071 Ultraflex Precision Colonic Stent The Ultraflex Precision Colonic Dia 25mm along body and 30mm at<br />
Stent System consists of a flared distal section. Stent Length<br />
self-expanding metal stent and a 60 - 120mm<br />
Stents, Biliary<br />
BS070 Wallstent RX Biliary Endoprosthesis Self-expanding metal stent Dia 8 to 10mm Stent Length 40 to<br />
with Unistep Plus delivery System constructed from a biomedical 80mm Covered Length 30 to 70mm<br />
Cobalt-based super alloy wire,<br />
Eligiloy, with a tantalum core. The<br />
stent is either bare or covered with<br />
silicone. The stent is mounted on a<br />
Unknown / Unassigned<br />
BS066 Biliary Drainage Stent Radiopaque marker band situated French 7 to 12, length between<br />
inside the distal tip of the guide pigtails 5 to 15cm<br />
catheter for fluoroscopic imaging<br />
during palcment and deployment.<br />
Inner diameter of guide catheter<br />
contains a central lumen which will<br />
accommodate a 0.89mm (0.035")<br />
guidewire.<br />
Endotherapeutics Pty Ltd<br />
Stents, Esophageal<br />
ET035 Sinus-Esophageal Stent Self expanding stent made of nickel - Diameter 24-18-24mm, length<br />
titanium alloy 50,70,90,120mm; Diameter<br />
26-20-26, length 50,70,90,120mm<br />
Page 40 of 638
ENDOSCOPIC PRODUCTS<br />
Billing Code Product Further Size Notations<br />
Stents, Vascular<br />
ET038 SX-Ella Biliary Stent Uncovered, self-expanding nitinol Dia 8-12mm, length 50-77mm<br />
ET039 SX-Ella Tips Stent Uncovered, self-expanding nitinol Dia 10-14mm, length 52-77mm<br />
William A Cook Aust Pty Ltd<br />
Anchor, Fixation<br />
WC014 Cope Gastrointestinal Suture Anchor - Standard, pediatric<br />
Set (GIAS)<br />
Page 41 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Auto Suture Company, Australia T/A Tyco<br />
Injection/Infusion Ports, Implantable<br />
AS052 Chemosite Implantable Venous Access Port - Single Lumen (ChemoSite*) 7-9 french * Trademark of United<br />
System States Surgical<br />
AS053 Chemosite Implantable Venous Access Port - Dual lumen (ChemoSite*) 10.5 french * Trademark of United<br />
System States Surgical<br />
Mesh, Polymeric<br />
AS055 Mesh:Polyproplene Multifilament Polypropylene 7.6cm x 12.7cm Surgipro* mesh (3 x * Trademark of United<br />
5 inch) States Surgical<br />
AS056 Mesh:Polyproplene Multifilament Polypropylene 35.6cm x 22.9cm Surgipro* mesh * Trademark of United<br />
(14 x 9 inch) States Surgical<br />
AS057 Mesh:Polyproplene Multifilament Polypropylene 2.5cm x 10.2cm Surgipro* mesh (1 x * Trademark of United<br />
4 inch) States Surgical<br />
AS058 Mesh:Polyproplene Multifilament Polypropylene 15.3cm x 15.3cm Surgipro* mesh (6 * Trademark of United<br />
x 6 inch) States Surgical<br />
AS059 Monofilament Polyproplylene Monofilament Polypropylene 2.5cm x 10.2cm Surgipro* mesh (1 x * Trademark of United<br />
4 inch) States Surgical<br />
AS060 Monofilament Polyproplylene Monofilament Polypropylene 7.6cm x 12.7cm Surgipro* mesh (3 x * Trademark of United<br />
5 inch) States Surgical<br />
AS061 Monofilament Polyproplylene Monofilament Polypropylene 15.3cm x 15.3cm Surgipro* mesh (6 * Trademark of United<br />
x 6 inch) States Surgical<br />
AS062 Monofilament Polyproplylene Monofilament Polypropylene 35.6cm x 22.9cm Surgipro* mesh * Trademark of United<br />
(14 x 9 inch) States Surgical<br />
AS068 Surgipro Non Absorbable Polypropylene Medium and Large<br />
Polypropylene Hernia Mate Plug<br />
Tissue Reconstructive Materials<br />
AS096 SepraMesh Biosurgical Composite SMBC-360 3 x 6 inch<br />
AS097 SepraMesh Biosurgical Composite SMBC-480 4 x 8 inch<br />
AS098 SepraMesh Biosurgical Composite SMBC-680 6 x 8 inch<br />
Page 42 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
AS099 SepraMesh Biosurgical Composite SMBC-812 8 x 12 inch<br />
B Braun Australia Pty Ltd<br />
Injection/Infusion Ports, Implantable<br />
BB082 Celsite Epoxy Single Access Port Epoxy/titanium Standard/small/baby<br />
BB083 Celsite Epoxy Dual Access Port Epoxy/titanium Standard/small/baby<br />
BB084 Celsite MBS Single Access Port Methylbutadeine styrene Standard/small<br />
BB086 Celsite Epoxy Peritoneal Port Epoxy/titanium 32x27x13mm<br />
Sutures, Polypropylene Monofilament<br />
BB088 Premilene Mesh Polypropylene 2.5x10cm<br />
BB089 Premilene Mesh Polypropylene 4.5x9.5cm<br />
BB090 Premilene Mesh Polypropylene 4.5x10cm<br />
BB091 Premilene Mesh Polypropylene 5x10 cm<br />
BB092 Premilene Mesh Polypropylene 5x30cm<br />
BB093 Premilene Mesh Polypropylene 6x12.5cm<br />
BB094 Premilene Mesh Polypropylene 6x13.5cm<br />
BB095 Premilene Mesh Polypropylene 7.5x7.5cm<br />
BB096 Premilene Mesh Polypropylene 7.5x12.5cm<br />
BB097 Premilene Mesh Polypropylene 7.5x15cm<br />
BB098 Premilene Mesh Polypropylene 10x10cm<br />
BB099 Premilene Mesh Polypropylene 10x12.5cm<br />
BB100 Premilene Mesh Polypropylene 10x15cm<br />
BB101 Premilene Mesh Polypropylene 15x15cm<br />
BB102 Premilene Mesh Polypropylene 26x36cm<br />
BB103 Premilene Mesh Polypropylene 30x30cm<br />
Page 43 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
BB104 Premilene Mesh Self Forming Plug One size only<br />
Bard Australia Pty Ltd<br />
Catheters, Peritoneal, Long Term Indwelling<br />
BA049 Broviac Catheters Without VitaCuff, silicone 2.4 - 6.6 French Catheter<br />
BA050 Hickman Catheters Single Without VitaCuff, silicone 7 - 14.4F French Catheter<br />
BA051 Hickman Catheters Dual Without VitaCuff, silicone 7 - 9 French Catheter<br />
BA052 Hickman Catheters Triple Without VitaCuff, silicone 13.5 French Catheter<br />
Injection/Infusion Ports, Implantable<br />
BA056 Subcutaneous Ports Hickman open-ended catheter, 8 - 9.6 French Catheter<br />
single lumen<br />
BA057 Subcutaneous Ports With Groshong Catheters, single 8 - 9.6 French Catheter<br />
BA058 Cathlink <strong>Implanted</strong> Port Single lumen 6 - 8 French Catheter<br />
BA059 Hickman Subcutaneous Ports Dual lumen 7 - 10 French Catheter<br />
BA060 Hickman Subcutaneous Ports Low-Profile 6 - 6.6 French Catheter<br />
Mesh, Polymeric<br />
BA061 Bard Mesh PerFix Plug Small, Medium, Large<br />
BA062 Bard Mesh Visilex Laparoscopic mesh 3 x 6" & 4.5 x 6"<br />
BA063 Bard Mesh Composix Ventral mesh 10"x14"<br />
BA064 Bard Mesh Composix Ventral mesh 12"x12"<br />
BA065 Bard Mesh Composix Ventral mesh 2" x 4"<br />
BA066 Bard Mesh Composix Ventral mesh 3" x 6"<br />
BA067 Bard Mesh Composix Ventral mesh 4" x 8"<br />
BA068 Bard Mesh Composix Ventral mesh 6" x 8"<br />
BA069 Bard Mesh Composix Ventral mesh 8" x 10"<br />
BA070 Bard Mesh Flat mesh 1" x 4" to 10" x 14"<br />
Page 44 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
BA071 Bard Mesh 3D Mesh Large Left<br />
BA072 Bard Mesh 3D Mesh Medium Left<br />
BA073 Bard Mesh 3D Mesh Large Right<br />
BA074 Bard Mesh 3D Mesh Medium Right<br />
BA083 Bard Mesh Kugel Patch Small Oval 8 x 12cm<br />
BA084 Bard Mesh Kugel Patch Large Oval 14 x 18cm<br />
BA085 Bard Mesh Kugel Patch Small Circle 8 x 8cm<br />
BA086 Bard Mesh Kugel Patch Large Circle 12 x 12cm<br />
BA087 Bard Mesh Kugel Patch Medium Oval 11 x 14cm<br />
BA096 Bard Composix Kugel Hernia Patch Small Oval w/e PTFE 8 x 12 cms<br />
BA097 Bard Composix Kugel Hernia Patch Medium Oval w/e PTFE 11 x 14 cms<br />
BA098 Bard Composix Kugel Hernia Patch Large Oval w/e PTFE 14 x 18 cms<br />
BA099 Bard Composix Kugel Hernia Patch Small Circle w/e PTFE 8 x 8cms<br />
BA100 Bard Composix Kugel Hernia Patch Large Circle w/e PTFE 12 x 12cms<br />
BA101 Bard Composix E/X Mesh Elliptical 4" x 6" (10 x 15cm)<br />
BA102 Bard Composix E/X Mesh Elliptical 6" x 8" (15 x 20cm)<br />
BA103 Bard Composix E/X Mesh Elliptical 7" x 9" (18 x 23cm)<br />
BA104 Bard Composix E/X Mesh Elliptical 8" x 10" (20 x 25 cm)<br />
BA105 Bard Composix E/X Mesh Elliptical 10" x 13" (25 x 33 cm)<br />
BA106 Bard Composix E/X Mesh Rectangle 10" x 14" (25 x 36 cm)<br />
BA107 Bard Dulex Mesh Oval Shaped 7.5 x 10 cm, 1mm thickness<br />
BA108 Bard Dulex Mesh Oval Shaped 8 x 12cm, 1mm thickness<br />
BA109 Bard Dulex Mesh Oval Shaped 10 x 15 cm, 1mm thickness<br />
BA110 Bard Dulex Mesh Oval Shaped 15 x 19 cm, 1mm thickness<br />
Page 45 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
BA111 Bard Dulex Mesh Oval Shaped 18 x 24 cm, 1mm thickness<br />
BA112 Bard Dulex Mesh Oval Shaped 20 x 30cm, 1mm thickness<br />
BA113 Bard Dulex Mesh Oval Shaped 26 x 34 cm, 1mm thickness<br />
BA114 Bard Dulex Mesh Oval Shaped 10 x 15 cm, 2 mm thickness<br />
BA115 Bard Dulex Mesh Oval Shaped 15 x 19 cm, 2 mm thickness<br />
BA116 Bard Dulex Mesh Oval Shaped 18 x 24 cm, 2 mm thickness<br />
BA117 Bard Dulex Mesh Oval Shaped 20 x 30 cm, 2 mm thickness<br />
BA118 Bard Dulex Mesh Oval Shaped 26 x 34 cm, 2 mm thickness<br />
Stents<br />
BA088 Memotherm Stents Colorectal, Nitinol, Self-expanding 25-30mm D, 60-100mm Length<br />
Unknown / Unassigned<br />
BA048 VitaCuff, Broviac Catheters Silicone, with VitaCuff 2.4 - 6.6 French Catheter<br />
BA053 Vitacuff, Hickman Single Lumen Silicone, with VitaCuff 7 - 14.4F French Catheter<br />
Catheters<br />
BA054 Vitacuff, Hickman Dual Lumen Silicone, with VitaCuff 7 - 9 French Catheter<br />
BA055 Vitacuff, Hickman Triple Catheters Silicone, with VitaCuff 13.5 French Catheter<br />
Boston Scientific Pty Ltd<br />
Stents<br />
BS053 Wallstent Enteral Endoprosthesis Enteral Endoprosthesis Wallstent 18mm x 60mm, 18mm x 90mm, 20mm<br />
with Delivery System:Monofilament x 60mm, 20mm x 90mm, 22mm x<br />
wire, self-expanding 60mm, 22mm x 90mm<br />
Stents, Biliary<br />
BS045 Microvasive Ultraflex Diamond Self expanding, nitinol metallic stent Length: 4cm, 6cm, 8 cm x 10mm<br />
Expandable Biliary Stent diameter<br />
BS050 Stent (Billiary Wallstent) Wallstent (Non-covered): 10mm x 56 to 62 mm, 10mm x 78 to<br />
Monofilament wire, self-expanding 86 mm, 10mm x 101 to 111mm<br />
Page 46 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
BS055 Rapid Exchange Biliary Stent System Flexima Polyurethane with Glidex Diameter 7 FR - 11.5 FR, length 5 -<br />
Hydrophilic Coating, System 15cm<br />
includes Stent, Guide Catheter and<br />
Push Catheter<br />
Stents, Bronchial<br />
BS047 Microvasive Ultraflex Self expanding, nitinol metallic stent Expanded Stent Outer Diameter -<br />
Tracheobronchial Stent System Distal Release: (Tracheal) 14mm,<br />
16mm, 18mm, 20mm (Bronchial)<br />
8mm, 10mm, 12mm, 14mm, Proximal<br />
Release: (Tracheal) 14mm, 16mm,<br />
18mm, 20mm (Bronchial) 8mm,<br />
10mm, 12mm, 14mm<br />
Stents, Esophageal<br />
BS046 Microvasive Ultraflex Oesophageal Self expanding, nitinol metallic stent Stent Outer Diameter - Distal<br />
Stents (covered and non-covered) Release: 17mm to 22mm, 18mm to<br />
23mm, 23mm to 28mm Proximal<br />
Release: 17mm to 22mm, 18mm to<br />
23mm, 23mm to 28mm<br />
BS048 Covered Oesophageal Wallstent Wallstent Esophageal II (Lengths up to 11cm): 100mm,<br />
Endoprosthesis: Monofilament wire, Diameter: 20-28mm<br />
self-expanding<br />
BS049 Covered Oesophageal Wallstent Flamingo Wallstent, Wallstent (Lengths over 11cm): Flamingo:<br />
Esophageal II Endoprosthesis: 120mm x 16-24mm (Diameter),<br />
Monofilament wire, self-expanding 140mm x 20-30mm (diameter),<br />
Wallstent Esophageal II<br />
Endoprosthesis: 150mm x 20-28mm<br />
(diameter)<br />
BS051 Stent (Non-Vascular) Wallstent (Non-covered): 8mm x 40mm, 8mm x 60mm, 8mm x<br />
Monofilament wire, self-expanding 80mm, 10mm x 42mm, 10mm x 68mm,<br />
10mm x 80mm<br />
BS052 Stent (Non-Vascular) Wallstent (Covered): Monofilament 10mm x 40mm, 10mm x 60mm, 10mm<br />
wire, self-expanding x 80mm<br />
Page 47 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Stents, Ureteral<br />
BS054 Flexima Biliary Stent System Flexima Polyurethane with Glidex Dia 7 FR - 11.5 FR, length 5 - 15cm<br />
Hydrophilic Coating, System<br />
includes Stent, Guide Catheter and<br />
Push Catheter<br />
Cecil E Mayo Pty Ltd<br />
Catheter Injection Ports<br />
CM006 Vascular Ports Arrow Model No. AP01002, Ports - H15.5mm x L28.6mm,<br />
Titanium Port with self sealing Weight 9.2grams, Internal Vol.<br />
silicone septum and polyurethane 0.8ml. Catheter 75cm<br />
detachable catheter with Blue Flex<br />
CM007 Vascular Ports Arrow Model No.'s VARRX Ports - H15.5mm x L28.6mm,<br />
AP01004, AP01005, AP01006, Weight 9.2grams, Internal Vol.<br />
AP01007, AP01008, AP01009, 0.8ml. Catheter 75cm<br />
AP01510, AP06010, AP06013,<br />
AP06014, AP06015, AP06018,<br />
AP06520. Titanium Port with self<br />
sealing silicone septum and either<br />
attached or detached silicone<br />
CM008 Vascular Ports Arrow Model No.'s AP01515, Ports - H15.5/17.1mm x L28.6mm,<br />
AP01516, AP01517, AP01518, Weight 19.9grams, Internal Vol.<br />
AP02001, AP06527, AP6528, 0.8 - 1.0ml each side. Catheters<br />
AP06530, AP06535, AP07018.<br />
Double Titanium ports with self<br />
sealing silicone septums and either<br />
attached or detached dual lumen<br />
silicone catheters.<br />
Page 48 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Catheterization Kits<br />
CM005 Intraspinal Catheter Kit Arrow Model No. VARRX Intraspinal Catheter - 19Ga x 75cm,<br />
AP07009, FlexTip Plus Intraspinal Tuohy Needle 9.8cm 17Ga<br />
Catheter Kit. Polyurethane with<br />
Titanium Coil Catheter with stylet,<br />
One Titanium Catheter Connector,<br />
One Plastic Snap Lock Adapter,<br />
One Stainless Steel Tuohy Needle,<br />
One plastic catheter anchor.<br />
Catheterization Kits, Central Venous<br />
CM014 Catheterisation Kits- CS Series Arrow Model No.'s VARRM 7Fr x 35cm & 40cm<br />
CS18703, CS28702. Polyurethane<br />
double and triple lumen catheters<br />
with dacron cuff.<br />
Catheterization Kits, Intravenous<br />
CM011 Arrow Peripherally Inserted Central Model No.'s VARRC PC01351. 3Fr x 55cm<br />
Catheterisation Sets Polyurethane single lumen catheters<br />
with stylet.<br />
CM012 Arrow Peripherally Inserted Central Model No.'s VARRC PC01451, 4Fr x 55cm<br />
Catheterisation Sets PC05041, Polyurethane single<br />
lumen catheters with or without<br />
CM013 Arrow Peripherally Inserted Central Model No.'s VARRC PC01552, 5Fr x 55cm & 70cm<br />
Catheterisation Sets PR05052, PR07051 Polyurethane<br />
single and double lumen catheters<br />
with or without stylet.<br />
Injection/Infusion Ports, Implantable<br />
CM009 L-Port Implantable Vascular Access Arrow Model No.'s VARRX Ports - H10mm, L25mm, Weight<br />
System AP01040, AP01010, AP01011, 9grams, Internal Vol. 0.3ml.<br />
AP001012, AP01013, AP01015, Catheter75cm<br />
AP01017, AP06046, AP06016,<br />
AP06020, AP06012, AP06022,<br />
AP06025. Plastic low profile port<br />
with self sealing silicone septum<br />
and detached silicone catheters.<br />
Page 49 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
CM010 L-Port Implantable Vascular Access Arrow Model No.'s VARRX Ports - H10mm, L25mm, Weight<br />
System AP01031, AP01031, AP01032, 9grams, Internal Vol. 0.3ml.<br />
AP01033, AP01035, AP01037, Catheter75cm<br />
AP06036, AP06040, AP06041,<br />
AP06042, AP06045. Titanium Low<br />
Profile Ports with self sealing<br />
silicone septum and detached<br />
EMT Healthcare Pty Ltd<br />
Mesh, Polymeric<br />
EM004 Biomesh Reinforcement Mesh Macro porous 100% polypropylene 2.5 x 10cm; 15 x 15cm<br />
mesh for laproscopic and open<br />
surgical approaches<br />
EM005 Biomesh Reinforcement Mesh Macro porous 100% polypropylene 5 x 10cm; 7 x 15cm<br />
mesh for laproscopic and open<br />
surgical approaches<br />
EM006 Biomesh Reinforcement Mesh Macro porous 100% polypropylene 5 x 30cm<br />
mesh for laproscopic and open<br />
surgical approaches<br />
EM007 Biomesh Reinforcement Mesh Macro porous 100% polypropylene 25 x 36cm; 30 x 30cm<br />
mesh for laproscopic and open<br />
surgical approaches<br />
EM008 Intramesh Reinforcement Mesh Reinforcement mesh made from two 10 x 15cm<br />
surfaces for intra-peritoneal visceral<br />
surgery (Polypropylene/ePTFE or<br />
Polyester/Silicone)<br />
EM009 Intramesh Reinforcement Mesh Reinforcement mesh made from two 15 x 15cm<br />
surfaces for intra-peritoneal visceral<br />
surgery (Polypropylene/ePTFE or<br />
Polyester/Silicone)<br />
EM010 Intramesh Reinforcement Mesh Reinforcement mesh made from two 30 x 30cm<br />
surfaces for intra-peritoneal visceral<br />
surgery (Polypropylene/ePTFE or<br />
Polyester/Silicone)<br />
Page 50 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Endocorp Pty Ltd<br />
Shunts, Peritoneovenous<br />
EC007 Denver Peritoneo-Venous Shunt Pleural Effusion Shunt PAK Pump length 7.5 cm Pump Height<br />
1.0 cm Pump Width 1.7 cm (not<br />
including suture pad) Tubing Size:<br />
inside diameter 0.27 cm Outside<br />
diameter 0.51 cm<br />
Shunts, Pleuroperitoneal<br />
EC002 Denver Pleuro-Peritoneal Shunt Ascites - Single Valved High Flow Pump length 7.5 cm Pump Height<br />
Rate (36-48ml/min) 1.0 cm Pump Width 1.7 cm (not<br />
including suture pad) Tubing Size:<br />
inside diameter 0.27 cm Outside<br />
diameter 0.51 cm<br />
EC003 Denver Pleuro-Peritoneal Shunt Ascites - Single Valved Extra High Pump length 7.5 cm Pump Height<br />
Flow Rate (48ml/min) 1.0 cm Pump Width 1.7 cm (not<br />
including suture pad) Tubing Size:<br />
inside diameter 0.27 cm Outside<br />
diameter 0.51 cm<br />
EC004 Denver Pleuro-Peritoneal Shunt Ascites - Double Valved Standard Pump length 7.5 cm Pump Height<br />
Flow Rate (25-40ml/min) 1.0 cm Pump Width 1.7 cm (not<br />
including suture pad) Tubing Size:<br />
inside diameter 0.27 cm Outside<br />
diameter 0.51 cm<br />
EC005 Denver Pleuro-Peritoneal Shunt Double Valved Shunt PAK. Flow Pump length 7.5 cm Pump Height<br />
Rate (20-35ml/min) 1.0 cm Pump Width 1.7 cm (not<br />
including suture pad) Tubing Size:<br />
inside diameter 0.27 cm Outside<br />
diameter 0.51 cm<br />
EC006 Denver Pleuro-Peritoneal Shunt Single Valved Shunt PAK. Flow Pump length 7.5 cm Pump Height<br />
Rate (35-48 ml/min) 1.0 cm Pump Width 1.7 cm (not<br />
including suture pad) Tubing Size:<br />
inside diameter 0.27 cm Outside<br />
diameter 0.51 cm<br />
Page 51 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Endotherapeutics Pty Ltd<br />
Gastroplasty Bands<br />
ET036 Adjustable Peri Gastric Belt-Midband Silicon moulded peri gastric band Peri gastric band - 2.2 x 17.5 x<br />
and implantable chamber 0.8cm, Implantable chamber - one<br />
size only<br />
Injection/Infusion Ports, Implantable<br />
ET021 Jet Port Catheter System Polyoxymethylene injection port 28mm<br />
Mesh, Polymeric<br />
ET002 Kugel Hernia Patch Polypropylene mesh Large oval<br />
ET003 Kugel Hernia Patch Polypropylene mesh Large circle<br />
ET004 Kugel Hernia Patch Polypropylene mesh Small circle<br />
ET005 Kugel Hernia Patch Polypropylene mesh Small/medium oval<br />
Stents, Biliary<br />
ET015 Endocoil Billary Stent Nickel Titanium Alloy 5cm, 6cm, 7cm<br />
ET018 Optimed Biliary Sinus Stent Nickel Titanium Alloy 4-12 x 30-100mm<br />
ET019 Sinus-Flex Vascular-Biliary Stent Nickel Titanium Alloy 4-12 x 40-80mm<br />
ET020 Sinus-Endoflex-Biliary Sinus Stent Nickel Titanium Alloy 40 x 7,8,9,10 mm; 60 x 7,8,9,10 mm;<br />
80 x 7,8,9,10 mm<br />
Stents, Esophageal<br />
ET001 Ferx Ella Esophageal Stent Kit includes esophageal stent, Diam 20mm, Length 80 - 160mm<br />
introducer, balloon catheter<br />
ET016 Esophacoil Oesophageal Stent Coiled Nitinol-Used for 100 x 16mm, 150 x 16mm, 100 x<br />
oesophageal and rectal 18mm, 150 x 18mm<br />
ET017 Esophacoil Stent Coiled Nitinol 100 x 16mm, 150 x 16mm, 100 x<br />
18mm, 150 x 18mm<br />
Page 52 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Helex-A Pty Ltd<br />
Gastroplasty Bands<br />
HA001 Lap-Band Adjustable Gastric Banding - 9.75, 10 and 11cm<br />
(LAGB) System<br />
Injection/Infusion Ports, Implantable<br />
HA002 Lap-Band Access Port For use with the Lap-Band Standard, low profile<br />
Adjustable Gastric Banding System<br />
Jecoli Pty Ltd<br />
Mesh, Polymeric<br />
JO001 Herniamesh Polypropylene Mesh Hertra Plug & Patch Kit 4.5cm x 10cm Patch<br />
JO002 Herniamesh Polypropylene Mesh Hertra Oval Patch Small - Medium - Large<br />
JO003 Herniamesh Polypropylene Mesh Hermesh Polypropylene Mesh 8.0cm x 15.0cm<br />
JO004 Herniamesh Polypropylene Mesh Hermesh Polypropylene Mesh 15.0cm x 15.0cm<br />
JO005 Herniamesh Polypropylene Mesh Hermesh Polypropylene Mesh 30.0cm x 30.0cm<br />
JO006 Herniamesh Polypropylene Mesh Hertra Polypropylene Mesh 4.5cm x 10cm<br />
Plugs<br />
JO007 Herniamesh Polypropylene Mesh Hermesh Plug T2/T3<br />
Johnson & Johnson Medical Pty Ltd<br />
Mesh<br />
JJ179 VYPRO Mesh Vicryl (polyglactin 910) / Prolene 30cm x 30cm<br />
(polypropylene) composite mesh<br />
JJ240 VYPRO II Mesh Composition - equal part Vicryl Small 6 x 11cm<br />
polyglactin yarn - non-absorbable<br />
Prolene polypropylene yarn. Partly<br />
absorbable lightweight mesh for<br />
tension free-inguinal hernia<br />
Page 53 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
JJ241 VYPRO II Mesh Composition - equal part Vicryl Medium 12 x 10cm<br />
polyglactin yarn - non-absorbable<br />
Prolene polypropylene yarn. Partly<br />
absorbable lightweight mesh for<br />
tension free-inguinal hernia<br />
JJ242 VYPRO II Mesh Composition - equal part Vicryl Large 15 x 10cm<br />
polyglactin yarn - non-absorbable<br />
Prolene polypropylene yarn. Partly<br />
absorbable lightweight mesh for<br />
tension free-inguinal hernia<br />
JJ243 VYPRO II Mesh Composition - equal part Vicryl Extra large 15 x 15cm<br />
polyglactin yarn - non-absorbable<br />
Prolene polypropylene yarn. Partly<br />
absorbable lightweight mesh for<br />
tension free-inguinal hernia<br />
Mesh, Polyglycolic Acid<br />
JJ019 Vypro Mesh Vicryl/Prolene Composite Mesh Medium - 15cm x 15cm<br />
JJ020 Vicryl Mesh 1 sheet/box Large - 30cm x 30cm<br />
JJ173 VICRYL Mesh Polyglactin 910 - synthetic 15cm x 15cm<br />
absorbable mesh.<br />
Mesh, Polymeric<br />
JJ172 Mersilene Mesh Non-absorbable polyester mesh 30cm x 30cm<br />
JJ174 Prolene Mesh Small polypropylene monofilament 2.5cm x 10cm<br />
non absorbable mesh<br />
JJ175 Prolene Mesh Medium polypropylene 7.6cm x 15cm<br />
monofilament non absorbable mesh<br />
JJ176 Prolene Mesh Large polypropylene monofilament 30cm x 30cm<br />
non absorbable mesh<br />
JJ177 Prolene Mesh Small keyhole polypropylene 4.6cm x 10.2cm<br />
monofilament non absorbable mesh<br />
JJ178 Prolene Mesh Large keyhole polypropylene 6cm x 13.7cm<br />
monofilament non absorbable mesh<br />
Page 54 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
JJ180 Prolene Hernia System Bilayer polypropylene non Onlay 4.5-5.5cm x 10cm; Connector<br />
absorbable synthetic mesh with 1.91 x 1.27cm; Underlay 7.5-10cm<br />
diameter<br />
JJ222 Prolene Mesh - medium Constructed of knitted filaments of Medium - 6" x 6"<br />
extruded polypropylene identical to<br />
that used in Prolene suture.<br />
Material is approx. 0.027mm thick.<br />
Non-absorbable mesh for tension<br />
free-inguinal hernia techniques.<br />
Kendall Australasia Pty Ltd T/A Tyco Healthcare Pty<br />
Catheters, Peritoneal Dialysis<br />
KA001 Tenckhoff Peritoneal Dialysis Catheter Adult 2 cuff, Adult 1 cuff, Adult 0 42cm to 47cm length. All<br />
Peritoneal Catheters excluding the<br />
Swan Neck Fast Flow Catheter,<br />
have an internal diameter of 2.67mm<br />
and an external diameter of 4.95<br />
KA002 Tenckhoff Peritoneal Dialysis Catheter Paediatric 2 cuff, Paediatric 1 cuff, 31cm to 37 cm length. All<br />
Neonatal 1 cuff Peritoneal Catheters excluding the<br />
Swan Neck Fast Flow Catheter,<br />
have an internal diameter of 2.67mm<br />
and an external diameter of 4.95<br />
KA003 Fast Flow Peritoneal Dialysis Swan Neck, 2 cuff Int.diam: 3.2mm; ext diam<br />
5.49mm.All Peritoneal Catheters<br />
excluding the Swan Neck Fast<br />
Flow Catheter, have an internal<br />
diameter of 2.67mm and an external<br />
diameter of 4.95 mm.<br />
KA004 Swan Neck Curl Peritoneal Dialysis Adult 2 cuff, left 62 cm length. All Peritoneal<br />
Catheter Catheters excluding the Swan Neck<br />
Fast Flow Catheter, have an<br />
internal diameter of 2.67mm and an<br />
external diameter of 4.95 mm.<br />
Page 55 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
KA005 Swan Neck or Swan neck Tenckhoff Adult-left, Adult-right, Adult, 2 20 to 25cm external segment or<br />
Peritoneal Dialysis Catheter cuff-left, Adult, 2 cuff-right 43cm length. All Peritoneal<br />
Catheters excluding the Swan Neck<br />
Fast Flow Catheter, have an<br />
internal diameter of 2.67mm and an<br />
external diameter of 4.95 mm.<br />
KA006 Tenckhoff Peritoneal Dialysis Adult, 2 cuffs 57 to 62cm length. All Peritoneal<br />
Catheter, Curl Catheters excluding the Swan Neck<br />
Fast Flow Catheter, have an<br />
internal diameter of 2.67mm and an<br />
external diameter of 4.95 mm.<br />
Medical Specialties Australia Pty Ltd<br />
Catheterization Kits, Central Venous<br />
MS008 Catheterisation kits(Horizon Medical) Central Venous Catheter -Apheresis 12.5F<br />
Bone Marrow Transplantation<br />
Catheter, silicone<br />
MS009 Catheterisation kits(Horizon Medical) Central Venous Catheter - right 2.7 -14F<br />
atrial catheter, silicone<br />
MS010 Catheterisation kits(HDC corp) Central Venous Catheter - right 2 - 12F<br />
atrial catheter, silicone<br />
Infusion Pump Administration Sets<br />
MS011 Infusaid/Arrow Implantable Catheter Vascular, silicone 0.9 - 2.3mm<br />
MS012 Infusaid/Arrow Implantable Catheter Intraspinal, polyurethane/silicone 0.9 - 2.3mm<br />
Infusion Pumps, Ambulatory, Insulin<br />
MS020 Infusa MPD Powered Drug Infusion System, Small, Medium, Large<br />
Micro dose battery operated,<br />
Infusion Pumps, Ambulatory, Other<br />
MS017 Cormed II, Dakmed Ambulatory Pump Battery operated, Bag Type, Small, Medium, Large<br />
or Administration Sets (Dakmed models: ML6-8, ML6-10,<br />
ML6-4, ML6-6, LR-6-SB, LR-6B,<br />
LR-4B, ML6-5H SPECIAL, ML6-8<br />
Page 56 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Infusion Pumps, Ambulatory, Syringe<br />
MS019 Infusa T, Infusa TS or Infusa DSLT Powered Drug Infusion System, Small, Medium, Large<br />
Battery operated, Syringe type<br />
Injection/Infusion Ports, Implantable<br />
MS014 Injection/Infusion Ports Sterile Plastic/titanium, single lumen 5-15F<br />
MS015 Injection/Infusion Ports Sterile Plastic/titanium, dual lumen 10, 10.5, 12F<br />
MS016 Injection/Infusion Ports Sterile Plastic/titanium, paediatric 5, 6, 7,8, 9.6F<br />
Unknown / Unassigned<br />
MS013 Infusaid/Arrow Implantable Connector Metal 0.4 - 0.6mm<br />
37121<br />
Medtronic Australasia Pty Ltd<br />
Catheterization Kits<br />
MC070 Medtronic AlgoLIne Catheter System Model 81104. Radiopaque silicone 85cm<br />
Catheterization Kits, Intravenous<br />
MC064 Synchromed Accessories 8590-8, 8590-9 - SynchroMed 20cm; one size only; 38-60cm<br />
catheter accessory kit. Radiopaque<br />
silicone.OR 8590RAC - Right<br />
angled connector. Titanium,<br />
polyurethane. OR 8591-38,<br />
8691-60, 8590-41 - Tunnelling<br />
Catheters, Central Venous, Long Term<br />
MC068 Medtronic SynchroMed vascular Model 8700, 8700A, 8710. 62 to 89cm<br />
Radiopaque silicone<br />
Catheters, Cerebrospinal<br />
MC057 Spinal Catheter Model 8703W Radiopaque Silicone 2 sections for each catheter. Length<br />
of sections: 38cm distal, 66cm<br />
proximal<br />
Page 57 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Infusion Pump Administration Sets<br />
MC058 Medtronic SynchroMed Catheter Radiopaque Silicone 89cm<br />
Model 8709<br />
MiniMed Pty Ltd<br />
Infusion Pumps, Ambulatory, Insulin<br />
MI001 MiniMed Insulin Infusion Pump Model MMT- 507C<br />
MI002 MiniMed Insulin Pump-Model MMT - Insulin Infusion Pump 8.5cm x 5.0cm x 2.0cm<br />
507<br />
N Stenning & Co Pty Ltd<br />
Stents, Bronchial<br />
NG034 Dynamic Stent Silicone and stainless steel 11, 13, 15 tracheal limb 11.5, 13.5,<br />
tracheo-bronchial stent 15.5mm; 11, 13, 15 bronchial limb<br />
8, 10, 12mm<br />
Stents, Tracheal<br />
NG033 Polyflex Stent with Introducer System Polyflex Stent for Oesophagus - self One size only<br />
expanding stent, composition<br />
silicone with polyester mesh,<br />
System includes polyflex stent,<br />
introducer sleeve, stent loader,<br />
insertion tube with dilator, soft<br />
positioner, stopper & stent clamp;<br />
Polyflex Stent for Trachea or<br />
Bronchus - self expanding stent,<br />
composition silicone with polyester<br />
mesh, System includes polyflex<br />
stent, introducer sleeve, stent<br />
loader/positioner & stopper<br />
National Surgical Corporation Pty Ltd<br />
Mesh, Polymeric<br />
NI005 Atrium polypropolene mesh - surgical Polypropolene 7.5 x 15cm<br />
mesh<br />
Page 58 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
NI006 Atrium polypropolene mesh - surgical Polypropolene 30 x 30cm<br />
mesh<br />
NI007 Atrium polypropolene mesh - surgical Polypropolene 15 x 15cm<br />
mesh<br />
NI008 Atrium polypropolene mesh - surgical Polypropolene 26 x 36cm<br />
mesh<br />
NI009 Atrium polypropolene mesh - surgical Polypropolene - Pre-shaped with 6.5 x 12.5cm<br />
mesh<br />
NI010 Atrium polypropolene mesh - surgical Polypropolene 5 x 10cm<br />
mesh<br />
NI011 Atrium polypropolene mesh - surgical Polypropolene mesh plug 2.5 x 4.4cm<br />
mesh<br />
Obtech Australia Pty Ltd<br />
Gastroplasty Bands<br />
OB001 Adjustable Gastric Band for Surgical Silicone One size only<br />
Treatment of Morbid Obesity<br />
Olympus Australia<br />
Stents, Biliary<br />
OL003 Bile Duct Stent Fluorinated Ethylene Propylene 8Fr., 3cm ~ 12Fr., 15cm 8Fr., 5cm ~<br />
12Fr., 15cm<br />
OL004 Bile Duct Stent Fluorinated Ethylene Propylene 10Fr., 4 ~15cm, 10Fr., 3 ~15cm<br />
OL005 Bile Duct Stent Fluorinated Ethylene Propylene 10Fr.~14Fr. , 3~15cm<br />
Orthotech Pty Ltd<br />
Spring Infusor, Ambulatory<br />
OH065 PC2000 Pain Control Infusion Pump Plastic spring loaded drug delivery 0.5 ml - 4 ml<br />
device<br />
OH122 PC2000 Pain Control Infusion Pump Plastic spring loaded drug delivery 0.5ml - 4ml<br />
Connector device<br />
Page 59 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Sherwood Davis & Geck T/A Tyco Healthcare Pty Ltd<br />
Enteral Feeding Kits<br />
SG001 Gastrostomy Tube EntriStar Single Pass PEG 16fg, 20fg<br />
Mesh, Polyglycolic Acid<br />
SG002 Dexon Mesh Danbury 7979-00 Beige polyglycolic acid absorbable 18 x 23cm<br />
surgical mesh fabric<br />
Mesh, Polymeric<br />
SG004 Surgilene Mesh Constructed of knitted filaments of 1x4, 2x4, 3x6 10x14<br />
polypropylene, non-absorbable<br />
Smith & Nephew Surgical Pty Ltd<br />
Delivery Kits<br />
SN680 PainBuster Kit includes catheter, introducer 270ml volume x 2 lines x 2 ml per<br />
needle, flow restrictor, filter hour<br />
SN681 PainBuster Kit includes catheter, introducer 100ml volume x 2 ml per hour<br />
needle, flow restrictor, filter<br />
SN682 PainBuster Kit includes catheter, introducer 270ml volume x 2 ml per hour<br />
needle, flow restrictor, filter<br />
SN683 PainBuster Kit includes catheter, introducer 270ml volume x 5 ml per hour<br />
needle, flow restrictor, filter<br />
Smiths Medical Australasia Pty Ltd<br />
Catheters, Epidural<br />
SI020 Injection/Infusion Ports, Sterile - Port - single lumen 1.2 mm O.D. polyurethane catheter<br />
PORT-A-CATH II Epidural Low<br />
SI021 Injection/Infusion Ports, Sterile - Port - single lumen 0.9 mm O.D. polyurethane catheter<br />
PORT-A-CATH II Intraspinal Low<br />
Profile System<br />
Page 60 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Infusion Pump Administration Sets<br />
SI026 Flexible Medication Reservoir, 250ml, Pump 250 mL<br />
Model 21-6167-24<br />
SI028 Extention Set (30" & 60") Pump 76 cm<br />
SI029 Extention Set (30" & 60") Pump 152 cm<br />
SI030 CADD-TPN Administration Sets, 0.2 Pump 0.2 micron filter<br />
Micron and 1.2 Micron Filters<br />
SI031 CADD-TPN Administration Sets, 0.2 Pump 1.2 micron filter<br />
Micron and 1.2 Micron Filters<br />
SI033 CADD-Micro 10ml Medication Pump 10 mL<br />
Reservoir<br />
SI035 CADD- Prizm High Volume Pump 1.2 micron filter, .2 micron filter<br />
Administration Set - Model<br />
21-7056-24, Model 21-7055-24<br />
SI036 Flexible Medication Reservoir, 250ml Pump 250 mL<br />
Model 21-6167-24<br />
Infusion Pumps, Ambulatory, Other<br />
SI027 CADD Administration Sets, 198cm, Pump 198 cm<br />
with Bag Spike & Add-on<br />
Anti-siphon Valve, TOTM Plasticized<br />
SI037 CADD Legacy 1 Model 6400 Pump One size only<br />
Ambulatory Infusion Pump<br />
SI038 CADD Legacy Plus Model 6500 Pump One size only<br />
Ambulatory Infusion Pump<br />
Infusion Pumps, Micro<br />
SI032 CADD-Micro Model 5900 Pump One size only<br />
Ambulatory Infusion Pump<br />
Page 61 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Infusion Pumps, Patient-Controlled Analgesic<br />
SI034 CADD-PRIZM VIP (Variable Infusion Pump One size only<br />
Profile) Model 6100; CADD-PRIZM<br />
PCS Ambulatory Infusion Pump,<br />
Model 6100<br />
SI039 CADD Legacy PCA Model 6300 Pump One size only<br />
Ambulatory Infusion Pump<br />
Injection/Infusion Ports, Implantable<br />
SI001 Injection/Infusion Ports, Sterile - Port - single lumen One size only<br />
PORT-A-CATH II Trans Arterial<br />
Percuataneous System<br />
SI002 Injection/Infusion Ports, Sterile - Port - single lumen One size only<br />
PORT-A-CATH Intraspinal 501CS<br />
SI003 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm O.D. PolyFlow<br />
PORT-A-CATH P.A.S Port T2 System Polyurethane Catheter<br />
SI004 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm O.D. PolyFlow<br />
PORT-A-CATH P.A.S Port T2 Fluoro Polyurethane Catheter<br />
Free System<br />
SI005 Injection/Infusion Ports, Sterile - Port - single lumen One size only<br />
PORT-A-CATH Peritoneal System<br />
SI006 Injection/Infusion Ports, Sterile - Port - single lumen One size only<br />
PORT-A-CATH Intraspinal 500CS<br />
SI007 Injection/Infusion Ports, Sterile - Port - single lumen 2.3 mm silicone catheter<br />
PORT-A-CATH Arterial Titanium<br />
SI008 Injection/Infusion Ports, Sterile - Port - single lumen 2.8 mm silicone catheter & 9 French<br />
PORT-A-CATH Titanium Venous introducer set<br />
SI009 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm polyurethane catheter<br />
PORT-A-CATH Implantable Venous<br />
Access System<br />
SI010 Injection/Infusion Ports, Sterile - Port - single lumen 1.9mm polyurethane catheter<br />
PORT-A-CATH Implantable Access<br />
System - Venous Portal, with<br />
Page 62 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
SI011 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm polyurethane catheter<br />
PORT-A-CATH Low Profile Titanium<br />
Venous System<br />
SI012 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm polyurethane catheter<br />
PORT-A-CATH Low Profile<br />
Implantable Venous System, with<br />
SI013 Injection/Infusion Ports, Sterile - Port - single lumen 2.8 mm silicone catheter<br />
PORT-A-CATH II Titanium Venous<br />
SI014 Injection/Infusion Ports, Sterile - Port - single lumen 2.8 mm silicone catheter<br />
PORT-A-CATH II Titanium Venous<br />
System, with introducer set<br />
SI015 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm polyurethane catheter<br />
PORT-A-CATH II Titanium Venous<br />
SI016 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm polyurethane catheter<br />
PORT-A-CATH II Titanium Venous<br />
System with introducer set<br />
SI017 Injection/Infusion Ports, Sterile - Port - single lumen 2.6 mm polyurethane catheter<br />
PORT-A-CATH Titanium Venous<br />
System with introducer set<br />
SI018 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm polyurethane catheter<br />
PORT-A-CATH II Low Profile<br />
Titanium Venous System<br />
SI019 Injection/Infusion Ports, Sterile - Port - single lumen 1.9 mm polyurethane catheter<br />
PORT-A-CATH II Low Profile<br />
Titanium Venous System with<br />
SI022 Injection/Infusion Ports, Sterile - Port - dual lumen 3.4 mm silicone catheter<br />
PORT-A-CATH II Dual Lumen<br />
Titanium Venous system<br />
SI023 Injection/Infusion Ports, Sterile - Port - dual lumen 3.4 mm silicone catheter<br />
PORT-A-CATH II Dual Lumen<br />
Titanium Venous system and<br />
Page 63 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
Unknown / Unassigned<br />
SI024 Medication Cassettes (50ml & 100ml) Pump 50 mL<br />
SI025 Medication Cassettes (50ml & 100ml) Pump 100 mL<br />
Taylor Bryant Pty Ltd<br />
Hemostatic Media<br />
TB131 Curacel Oxidised Regenerated CUR-CEL-G100200 Curacel Gauze 100 x 200mm<br />
Cellulose (Gauze)<br />
TB132 Curacel Oxidised Regenerated CUR0CEL-G-50350 Curacel Gauze 50 x 350mm<br />
Cellulose (Gauze)<br />
TB133 Curacel Oxidised Regenerated CUR-CEL-G-5070 Curacel Gauze 50 x 70mm<br />
Cellulose (Gauze)<br />
Ultimate Medical Pty Ltd<br />
Anesthesia Kits, Other<br />
UM001 LA Bubble Balloon based local anaesthetic One size only<br />
infusion system<br />
W L Gore & Associates<br />
Mesh, Polymeric<br />
GT084 Gore-Tex MycroMesh Plus ePTFE 1mm Thickness 20cm x 30<br />
GT087 Gore-Tex MycroMesh Plus ePTFE 1mm thickness Oval 26 x 34cm<br />
GT104 Gore-Tex DualMesh PLUS ePTFE 1mm Thickness 7.5 x 10cm<br />
GT107 Gore-Tex DualMesh PLUS ePTFE 15.0 x 19.0cm x 1mm Oval<br />
GT201 Dualmesh Plus Biomaterial ePTFE 8cm x 12cm x 1mm<br />
GT202 Dualmesh Plus Biomaterial ePTFE, oval 10cm x 15cm x 1mm<br />
GT203 Dualmesh Plus Biomaterial ePTFE 18cm x 24cm x 1mm<br />
GT204 Dualmesh Plus Biomaterial ePTFE 20cm x 30cm x 1mm<br />
Page 64 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
GT205 Dualmesh Plus Biomaterial ePTFE, oval 26cm x 34cm x 1mm<br />
GT206 Dualmesh Plus Biomaterial ePTFE, oval 10cm x 15cm x 2mm<br />
GT207 Dualmesh Plus Biomaterial ePTFE, oval 15cm x 19cm x 2mm<br />
GT208 Dualmesh Plus Biomaterial ePTFE, 18cm x 24cm x 2mm<br />
GT209 Dualmesh Plus Biomaterial ePTFE, 20cm x 30cm x 2mm<br />
GT210 Dualmesh Plus Biomaterial ePTFE, oval 26cm x 34cm x 2mm<br />
Stents, Biliary<br />
GT116 Gore Biliary Endoprostheses ePTFE Short or Long Catheter<br />
8-10mmx4-8cm<br />
Tissue Reconstructive Materials, Solid<br />
GT065 Gore-Tex ePTFE Mycro-Mesh ePTFE 1mm Thickness 2.5 x 10cm<br />
Biomaterial<br />
GT066 Gore-Tex Mycro-Mesh Biomaterial ePTFE 1mm Thickness 5 x 10cm<br />
(Rectangle), 5 x 10cm (Key Hole)<br />
GT067 Gore-Tex Mycro-Mesh ePTFE 1mm Thickness 5 x 13cm<br />
(Configured for Vaginal Prolapse),<br />
5 x 15cm<br />
GT068 Gore-Tex Mycro-Mesh Biomaterial ePTFE 1mm Thickness 18 x 24cm<br />
GT069 Gore-Tex Mycro-Mesh Biomaterial ePTFE 1mm Thickness 20 x 30cm<br />
GT070 Gore-Tex Mycro-Mesh Biomaterial ePTFE 1mm Thickness Oval 26 x 34cm<br />
GT071 Gore-Tex Mycro-Mesh Biomaterial ePTFE 1mm Thickness Oval 10 x 15cm<br />
GT072 Gore-Tex Mycro-Mesh Biomaterial ePTFE 1mm Thickness Oval 15 x 19cm<br />
GT074 Gore-Tex Mycro-Mesh Biomaterial Configured for Inguinal Hernia 1mm Thickness 6cm x 12cm<br />
repair ePTFE<br />
GT092 Gore-Tex Dual Mesh ePTFE 1mm Thickness 7.5 x 10cm<br />
GT093 Gore-Tex Dual Mesh ePTFE 1mm Thickness 8 x 12cm<br />
GT094 Gore-Tex Dual Mesh ePTFE 1mm Thickness Oval 10 x 15cm<br />
Page 65 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
GT095 Gore-Tex Dual Mesh ePTFE 1mm Thickness Oval 15.0 x 19.0cm<br />
GT096 Gore-Tex Dual Mesh ePTFE 1mm Thickness 18 x 24cm<br />
GT097 Gore-Tex Dual Mesh ePTFE 1mm Thickness 20 x 30cm<br />
GT098 Gore-Tex Dual Mesh ePTFE 1mm Thickness Oval 26 x 34cm<br />
GT099 Gore-Tex Dual Mesh ePTFE 2mm Thickness Oval 10 x 15cm<br />
GT100 Gore-Tex Dual Mesh ePTFE 2mm Thickness Oval 15 x 19cm<br />
GT101 Gore-Tex Dual Mesh ePTFE 2mm Thickness 18 x 24cm<br />
GT102 Gore-Tex Dual Mesh ePTFE 2mm Thickness 20 x 30cm<br />
GT103 Gore-Tex Dual Mesh ePTFE 2mm Thickness Oval 26 x 34cm<br />
William A Cook Aust Pty Ltd<br />
Catheters, Biliary<br />
WC071 Nasobiliary Drainage Set Biliary/Pancreatic DRAINAGE CATHETER Fr size:<br />
5,6,7,8.5 Length: 250cm<br />
Sideports: 5cm WIRE GUIDE<br />
Diameter: .035 inch Length: 480cm<br />
Color Connection purple<br />
Catheters, Central Venous, Long Term<br />
WC116 Cook Central Venous Long Term Cook TPN single lumen catheter Fr 3, length 55, 65cm; Fr 4, length<br />
Catheter 65cm, Fr 6.5, 9.5, length 90cm<br />
WC117 Cook Central Venous Long Term Cook TPN single lumen catheter set Fr 3, length 55; Fr 4, length 65cm,<br />
Catheter Fr 6.5 length 65, 90cm, Fr 9.5,<br />
length 90cm<br />
WC118 Cook Central Venous Long Term Cook TPN double lumen catheter Fr 5, length special; Fr 7, length<br />
Catheter 65cm, Fr 9 length 80, 90cm, Fr 12,<br />
length special<br />
WC119 Cook Central Venous Long Term Cook TPN double lumen catheter Fr 7, length 65cm, Fr 9 length 90cm,<br />
Catheter Set Fr 12, 90, special<br />
WC120 Cook Central Venous Long Term Cook TPN double lumen catheter Fr 12, length special<br />
Catheter Set<br />
Page 66 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
WC121 Cook Central Venous Long Term Cook TPN single lumen catheter Fr 8, length 90cm<br />
Catheter<br />
WC122 Cook Central Venous Long Term Cook TPN triple lumen catheter set Fr 8, length 90cm<br />
Catheter<br />
Catheters, Jejunostomy<br />
WC098 Cook Jejeunostomy Catheters Composition - Catheter Radiopaque 12fr, length 66cm<br />
Stripe, includes Wireguide, Airplug,<br />
Fixation Device<br />
WC099 Cook Jejunostomy Catheters Composition - Catheter Radiopaque 9fr, Length 24cm<br />
Stripe, includes Wireguide, Airplug,<br />
Fixation Device<br />
Filters, Vena Cava<br />
WC096 Cook Vena Cava Filter Jugular One size only<br />
WC097 Cook Vena Cava Filter Femoral One size only<br />
<strong>Prostheses</strong>, Bile Duct<br />
WC001 Cotton-Huibregste Biliary Stent Set - 7 - 11.5Fr, Length 5 - 15cm<br />
WC005 Soehendra Biliary Stent Set - 7, 8, 10Fr, Length 15cm<br />
WC006 Cotton-Leung Biliary Stent Only - 6 - 11.5Fr, Length 3 - 20cm<br />
WC008 Cotton-Huibregste Biliary Stent Only - 7 - 11.5Fr, Length 5 - 21cm<br />
WC010 Zimmon Pancreatic Stent Only - 5, 7Fr, Length 6, 10, 12cm<br />
WC011 Zimmon Pancreatic Stent Sets - 5, 7Fr, Length 2 - 10cm<br />
WC012 Zimmon Biliary Stent Only - 5 - 11.5Fr, Length 3 - 15cm<br />
WC013 Zimmon Biliary Stent Set - 5 - 11.5Fr, Length 4 - 30cm<br />
WC017 Cotton-Leung Biliary Stent Set - 7 - 11.5Fr, Length 5 - 18cm<br />
WC063 Biliary Stents Spiral Z Endoscopic System Stent Diameter: 10mm Stent<br />
Length: 5.7,7.5 cm Introducer: 8.5<br />
Fr, 208cm length.<br />
Page 67 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
WC064 Biliary Stents Tannenbaum and Oasis Introducer Stent: 8.5,10,11.5 Fr. Length<br />
Between Flaps: 5 -->15 cm<br />
WC079 Cook Bile Duct <strong>Prostheses</strong> Includes Protective Sleeve for French 5.0, length 2, 2.5, 4, 6, 8, 10,<br />
Introduction through the Scope 12cm; French 6.0, Length 2, 2.5, 4,<br />
6, 8, 10, 12cm; French 7.0, Length<br />
2, 2.5, 4, 6, 8, 10, 12cm<br />
WC080 Cook Bile Duct <strong>Prostheses</strong> Includes Protective Sleeve for French 5.0, length 1, 2, 4, 6, 8, 10,<br />
Introduction through the Scope 12cm; French 7.0, Length 2, 4, 6, 8,<br />
10, 12cm<br />
WC105 Cook Bile Duct <strong>Prostheses</strong> - Zimmon Radiopaque Polyethylene Stent Diameter 10mm, length 4, 6, 8, 10, -<br />
Biliary C-Stent Only, BSCO 12cm<br />
WC106 Cook Bile Duct <strong>Prostheses</strong> Cotton Leung Biliary Radiopaque Diameter 10mm, length 5, 7, 9, 12, -<br />
Polyethylene Stent preloaded in an 15cm<br />
Oasis Introduction System<br />
WC107 Cook Bile Duct <strong>Prostheses</strong> - Geenan Radiopaque Polyethylene Stent Diameter 5, 7mm, length 3, 5, 7, 9, -<br />
Pancreatic Stent Set Includes Stent, Wireguide and 12cm<br />
WC108 Cook Bile Duct <strong>Prostheses</strong> - Geenan Radiopaque Polyethylene Stent Set Diameter 5mm, length 3, 5, 7, 9cm -<br />
Pancreatic Stent Set without Flap includes Stent, Wirreguide and<br />
Catheter<br />
WC109 Cook Bile Duct <strong>Prostheses</strong> - Zimmon Radiopaque Polyethylene Stent Diameter 10mm, length 4, 6, 8, 10, -<br />
Pancreatic C-Stent 12cm<br />
WC110 Cook Bile Duct <strong>Prostheses</strong> - Zimmon Radiopaque Polyethylene Stent Diameter 10mm, length 4, 6, 8, 10, -<br />
Pancreatic Dilatation C-Stent 12cm<br />
WC123 <strong>Prostheses</strong>, Bile Duct Geenen pancreatic stent French 3 - 7, length 3 -12cm<br />
WC124 Cook Bile Duct <strong>Prostheses</strong> Za-Stent endoscopic biliary stent Dia 10mm, length 4 - 8cm<br />
<strong>Prostheses</strong>, Esophageal<br />
WC007 Cook Esophageal <strong>Prostheses</strong> Esophageal Z-Stent with uncoated Stent length 8 -14mm, introducer<br />
flanges length 70, 100cm<br />
WC067 Covered Esophageal Stent with Anchors Stent Flared End Diameter: 25mm<br />
Shaft Diameter: 18mm Length:<br />
10,12,14cm INTRODUCER French<br />
Size: 24.0 (8 mm) Length: 60 cm<br />
Page 68 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
WC068 Esophageal Z Stent Anti-Reflux STENT Flared End Diameter: 25mm<br />
Shaft Diameter: 18mm Length:<br />
8,10,12,14cm INTRODUCER<br />
French Size: 31.0 (10 mm) Length:<br />
Stents<br />
WC100 Colonic Z Stent with Introduction Composition of Stent Stainless Dia 25mm, length 4, 6, 8, 10, 12cm<br />
Steel, includes Stent Introducer Set<br />
Stents, Biliary<br />
WC016 Cook Biliary Stents Gianturco-Rösch Biliary Design Single, triple and five body<br />
WC062 Biliary Stents Miller Set (UBSS-MLR). Double Stent: 10,12,14 Fr Stent Length:<br />
Pigtail Stent for Drainage of bile 2.5,5,7.5 cm Positioner Length:<br />
from the Common Duct into the<br />
WC065 Biliary Stents ZA Stent - Knitted Nitinol Stent for Introducer catheter length: 30 cm<br />
Drainage Diameter: 6,8,10 mm Length: 2.0,<br />
3.0, 6.0, 8.0 cm RIGHT<br />
Transhepatic Introducer catheter<br />
length: 60 cm Diameter: 6,8,10 mm<br />
Length: 2.0, 3.0, 6.0, 8.0 cm LEFT<br />
Transhepatic access<br />
WC078 Cook Biliary Stents Composition Plastic, includes Stent, French 7.0, length 4cm<br />
Wireguide & Positioner<br />
WC101 Cook Biliary Stent Includes appropriate stent loader Dia 6, 8, 10, 12mm, length 1.5cm<br />
WC102 Cook Biliary Stent Includes appropriate stent loader Dia 6, 8, 10, 12mm length 4.5cm<br />
Stents, Esophageal<br />
WC066 Covered Esophageal Stent Expanded Stent Medial Outer<br />
Diameter: 18mm Proximal and<br />
Distal Outer Diameter: 25 mm Stent<br />
Length: 10,12,14 cm<br />
WC081 Cook-Z-Stent Includes Introducer Set Dia 18mm, length 6cm<br />
WC082 Cook-Z-Stents Includes Introducer Set Dia 18mm, Length 8cm<br />
WC083 Cook-Z-Stent Includes Introducer Set Dia 18mm, length 10cm<br />
Page 69 of 638
GENERAL/MISCELLANEOUS<br />
Billing Code Product Further Size Notations<br />
WC084 Cook-Z-Stent Includes Introducer Set Dia 18mm, length 12cm<br />
WC085 Cook-Z-Stent Includes Introducer Set Dia 18mm, length 14cm<br />
Page 70 of 638
MECHANICAL INTERNAL WOUND CLOSURE<br />
Billing Code Product Further Size Notations<br />
Morton Surgical Pty Ltd<br />
Mesh, Polymeric<br />
MG001 Surgimesh Monofilament polypropylene Rectangle 6 x 11cm thread 0.20mm;<br />
Rectangle 6 x 11cm thread 0.14mm;<br />
Rectangle 8 x 12cm thread 0.14mm;<br />
Rectangle 8 x 12cm thread 0.20mm;<br />
Rectangle 10 x 13cm thread<br />
0.14mm; Rectangle 10 x 15cm<br />
thread 0.14mm; Square 15 x 15cm<br />
thread 0.14mm; Square 15 x 15cm<br />
thread 0.20mm; Square 30 x 30cm<br />
thread 0.14mm; Square 30 x 30cm<br />
thread 0.20mm; Pre-cut 1/2 oval 6 x<br />
13cm thread 0.14mm; Pre-cut 1/2<br />
oval 6 x 13cm thread 0.20mm;<br />
Pre-cut ALFI 4.5 x 10cm thread FP<br />
0.20mm; Pre-cut ALFI 4.5 x 10cm<br />
thread FP 0.14mm; Pre-cut ALFI<br />
4.5 x 10cm thread 0.20mm; Pre-cut<br />
1/2 oval 6 x 13cm thread FPD<br />
0.20mm; Pre-cut 1/2 oval 6 x 13cm<br />
thread FPD 0.14mm; Pre-cut round<br />
6cm thread 0.14mm; Pre-cut oval 19<br />
x 13cm thread 0.14mm; Pre-cut<br />
oval 10 x 14cm thread 0.14mm;<br />
Pre-cut oval 11 x 15cm thread<br />
0.14mm<br />
Page 71 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
B Braun Australia Pty Ltd<br />
Catheters, Intracranial, Ventricular<br />
BB078 Shunt Accessories Catheter-Ventricular 60cm to 120cm<br />
Clamps, Skull<br />
BB072 Craniofix Titanium Clamps Titanium 11mm<br />
BB073 Craniofix Titanium Clamps Titanium 16mm<br />
BB168 Craniofix Titanium skull fixation clamp 20mm<br />
Clips, Aneurysm<br />
BB108 Aneurism Clip Yasargil Phynox 4.5mmx150g to 25.0mmx200g<br />
BB109 Aneurism Clip Yasargil Phynox Mini 2.8mmx110g to 7.0mmx130g<br />
BB110 Aneurism Clip Yasargil Phynox Titanium 4.9mmx150g to 20.0mmx200g<br />
BB111 Aneurism Clip Yasargil Phynox Titanium Mini 2.8mmx110g to 7.0mmx110g<br />
BB112 Aneurism Clip Yasargil Reinforcing One size only<br />
<strong>Prostheses</strong>, Meningeal<br />
BB015 Neuro-Patch Polyesterurethane 12 x 14cm<br />
BB113 Neuropatch Dura Substitute Polyurethane 6 x 14cm<br />
BB114 Neuropatch Dura Substitute Polyurethane 6 x 8cm<br />
BB115 Neuropatch Dura Substitute Polyurethane 4 x 10cm<br />
BB116 Neuropatch Dura Substitute Polyurethane 4 x 5cm<br />
BB117 Neuropatch Dura Substitute Polyurethane 2 x 10cm<br />
BB118 Neuropatch Dura Substitute Polyurethane 1.5 x 3cm<br />
Reservoirs, Cerebrospinal Fluid<br />
BB081 Shunt Accessories Reservoir Small, large<br />
Page 72 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
Shunt Adapters<br />
BB079 Shunt Accessories Deflector - Burrhole Small, large<br />
BB080 Shunt Accessories Connector Straight, Y, T, X form<br />
Valves, Hydrocephalic<br />
BB074 Pressure Valve Anti Siphon Device Shunt Assist Kit 15/11 to 35/25.7 pressure units<br />
BB075 Hydrocephalus Shunt Monostep Valve 5/3.6 to 16/11.0 pressure units<br />
BB076 Hydrocephalus Shunt Paedi-Gav. Valve 4/14 to 9/29 pressure units<br />
BB077 Hydrocephalus Shunt Dual Switch Valve 10/7.4 to 50/36.8 pressure units<br />
Bard Australia Pty Ltd<br />
Catheters, Peritoneal, Long Term Indwelling<br />
BA045 Hickman Catheters Du Pen Long Term Epidural One Size Only<br />
Biomet Australia Pty Ltd<br />
Orthopedic Internal Fixation Systems, Other<br />
BI716 W Lorenz Osteosynthesis System Pre-Contoured Neuro Mesh; (80,85) x 53mm x (0.3,0.6)mm<br />
BI717 W Lorenz Osteosynthesis System Neuro Gap Plate, Titanium 1.5mm system, large<br />
BI718 W Lorenz Osteosynthesis System Neuro Gap Plate, Titanium 1.5mm system, small<br />
BI719 W Lorenz Osteosynthesis System Neuro Sub-Temporal Plate, Titanium 1.5mm system, large<br />
BI720 W.Lorenz Osteosynthesis System Neuro Gap Plate; titanium 1.5 mm system, Medium<br />
BI721 W Lorenz Osteosynthesis System Plate, Burr Hole, 1.5mm System, 22mm, 25mm<br />
Titanium<br />
BI722 W.Lorenz Osteosythesis System Pre-contoured Neuro Mesh, titanium 152 x 108 x (0.3, 0.6)mm<br />
BI728 W.Lorenz Osteosynthesis System Neuro Square Plate, titanium 1.5mm system, 4 hole<br />
BI729 W.Lorenz Osteosynthesis System Neuro Rectangle Plate, titanium 1.5mm system, 4 hole<br />
BI773 W Lorenz Osteosynthesis System Neuro sub-temporal plate, 1.5 Small<br />
system, titanium<br />
Page 73 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
BI785 W Lorenz Osteosynthesis Mesh 1.5mm system, pre-contoured, 40 x 40 x 0.6mm profile<br />
titanium<br />
Plates, Cranioplasty<br />
BI714 RapidFlap Cranial Clamp Clamp, Burr Hole or Craniotomy 12, 16, 20mm<br />
Line, Titanium<br />
Global Scientific Pty Ltd<br />
Catheters, Hydrocephalic<br />
GS134 Shunt Lumbar 80cm<br />
Catheters, Intracranial, Ventricular<br />
GS001 Heyer-Schulte In Line Valve System Anti Siphon Device One size only<br />
GS015 Heyer-Schulte Pudenz Ventricular - small, standard, right-angled<br />
Catheter<br />
GS133 Shunt Components - catheter: Atrial 55cm - 60cm, Low - High pressure<br />
range<br />
GS135 Shunt Peritoneal 90 - 120cm<br />
GS136 Shunt Ventricular 14.5cm - 23cm<br />
GS139 Heyer Schulte Portnoy Flanged Composition - silicone with Length 18cm, outer diameter 8mm<br />
Ventricular Catheter tantalum markings<br />
Reservoirs, Cerebrospinal Fluid<br />
GS008 Heyer-Schulte Braden Flushing - One size only<br />
GS011 LPV Shunt System Standard, mini, Pressure range low -<br />
high<br />
GS012 Heyer-Schulte Ommaya CSF Reservoir Standard, side-inlet, convertible, 1.5 - 2.5cm and mini<br />
GS016 Heyer-Schulte Foltz Flushing - One size only<br />
Page 74 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
Shunts, Hydrocephalic<br />
GS002 Spetzler Lumbar-Peritoneal Shunt Shunt, CSF Reservoir, In-line valve Catheter length 80 - 105cm,<br />
Reservoir small & large, Valve<br />
pressure range low - high<br />
GS006 Novus Hydrocephalic Shunt Kit Pressure range low, medium Standard, mini<br />
GS007 Heyer-Schulte Spetzler - Small, large<br />
Lumbar-Peritoneal Low Pressure<br />
Flushing Reservoir<br />
GS014 Edwards Barbaro Syringo Peritoneal 80 x 3.5cm 5FRT-Tube, 90cm One size only<br />
Shunt peritoneal reflux control catheter<br />
Step down connector, Foltz CSF<br />
Reservoir<br />
GS142 Novus Hydrocephalic Shunt - Heyer Novus valve made from Standard size - low & medium<br />
Schulte silicone/polysulfone, each valve is pressure; Mini size - low & medium<br />
packed with a valve and a right pressure<br />
angled catheter guide<br />
GS144 Spetzler In Line Valve - Heyer Schulte Composition silicone, valve with Low, Medium, High Pressure<br />
integral connectors<br />
Tubes, Connecting<br />
GS010 Heyer-Schulte Connectors for Pudenz straight, Pudenz right Each in one size<br />
Neurosurgical Use angled, Pudenz three-way (Y)<br />
Threaded straight, Threaded right<br />
angled, Double threaded straight<br />
Valves, Hydrocephalic<br />
GS003 Heyer-Schulte Pudenz Flushing Valve With Anti Siphon Device, Pressure 12, 16mm<br />
range low - high<br />
GS004 Heyer-Schulte Pudenz Flushing Valve Pressure range low - high 12, 16mm<br />
with Integral Conn<br />
GS005 Heyer-Schulte Mishler Dual Chamber Burr-hole and flat bottom designs Standard, mini<br />
Flushing Valve System Pressure range low - high<br />
Page 75 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
GS017 Heyer-Schulte In Line Valve System Ultra VS Cylindrical Shunt/Valve<br />
system - Neonate style, Pressure<br />
range low - high<br />
GS018 Heyer-Schulte In Line Valve System Ultra VS Shunt Valve, Pressure low small, standard<br />
- high<br />
GS137 Shunt Pressure valve (anti-siphon device Low - High pressure range<br />
or flushing valve or flush pump)<br />
GS138 Shunt Reservoir Standard, Large<br />
GS140 Heyer Schulte Ultra VS Valve Kit Comprises of silicone, kit includes Peritoneal catheter 90cm,<br />
Neonatal Style valve, peritoneal cather, ventricular ventricular catheter 18cm<br />
catheter and rickham style reservoir<br />
GS141 Ultra VS Shunt Kit Standard - Heyer Composition silicone, kits contain 3.8-5.8mm diameter valve, 18cm<br />
Schulte standard valve, ventricular catheter, ventricular catheter, low, medium<br />
peritoneal catheter, rickham high pressure, 120cm peritoneal<br />
catheter<br />
GS143 LPV Shunt System Kit - Heyer Schulte Composition silicone, kit includes Standard - low, medium, high<br />
LPV valve, peritoneal catheter, pressure; Mini - low, medium, high<br />
ventricular catheter, right angle pressure<br />
catheter guide<br />
Hospital Supplies of Australia<br />
Catheters, Hydrocephalic<br />
HS006 Atrial Catheter Components - catheter: Atrial Atrial Length: 46cm, F7. OD: 2.1mm;<br />
Catheters Hydrocephalux Valve ID:1.1mm<br />
Accessories<br />
HS008 Peritoneal Catheter Peritoneal Catheters Length: 91cm, F7. OD: 2.1mm;<br />
ID:1.1mm<br />
Shunts, Hydrocephalic<br />
HS001 Cordis Omnishunt System, Hakim Hakim Valve System Drainage Cath 110 cm, F7. Vent.<br />
Valve Series Cath 15cm, F8.<br />
Page 76 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
Valves, Hydrocephalic<br />
HS002 Cordis Standard Valve System Atlas Valve System Drainage Cath 110 cm, F7. Vent.<br />
Hydrocephalus Valves Cath 15cm, F8.<br />
HS003 Precision Flow-OSV II Valve System Lumbar peritoneal Lumber Catheter 80cm, F5<br />
OSV11-Lumboperitoneal System Peritoneal Catheter 110cm, F7<br />
Hydrocephalus Shunt<br />
HS004 Precision Flow-OSV II Valve System Ventricular/Atrial Drainage Cath 110 cm, F7.<br />
OSV11-Ventricular /Atrial Ventricular Catheters 7,9,13 & 15<br />
HS005 Precision Flow-OSV II Valve System Ventricular/Peritoneal OSV11- Drainage Cath 110 cm, F7.<br />
Ventricular/Peritoneal Ventricular Catheters 7,9,13 & 15<br />
Hyrocephalus Shunt<br />
Incision Pty Ltd<br />
Clips, Aneurysm<br />
IP001 Perneczky Aneurysm Clip Mini and Micro 3 to 7mm<br />
IP002 Perneczky Aneurysm Clip Standard 3 to 15mm<br />
IP003 Perneczky Aneurysm Clip Fenestrated 3 to 12mm<br />
Johnson & Johnson Medical Pty Ltd<br />
Catheters, Cerebrospinal<br />
JJ160 Hakim Ventricular Catheter with Silicone antibiotic impregnated Ventricular catheter length 14 cm<br />
Bactiseal Silicone<br />
Catheters, Intracranial, Ventricular<br />
JJ227 Codman Medos Straight Ventricular 14cm, packaged sterile, silicone 14cm<br />
Catheter<br />
Catheters, Peritoneal<br />
JJ163 Hakim Ventricular and Peritoneal Silicone ventricular/peritoneal Peritoneal Catheter length 80 cm,<br />
Catheter Set with Bactiseal Silicone Ventricular Catheter length 15 cm<br />
JJ229 Codman Medos Peritoneal Catheter 85cm, packaged sterile, silicone 85cm<br />
Page 77 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
Clips, Aneurysm<br />
JJ130 Aneurysm Clips Stainless steel alloy AVM Micro Blade length 2-9.5 mm<br />
JJ131 Aneurysm Clips Stainless steel Graft Clip (with Blade 2-5mm diameter, 3-7mm<br />
teflon graft) length<br />
JJ134 Aneurysm Clips Stainless steel Reinforcing (booster) Blade length 2-9.5 mm<br />
Clip<br />
JJ136 Aneurysm Clips Stainless steel large clip, curved Blade 6mm diameter, 7.5mm length<br />
JJ137 Aneurysm Clips Stainless steel large clip, Blade 6mm diameter, 5mm length<br />
JJ138 Aneurysm Clips Stainless steel large clip, Blade 6mm diameter, 7.5-15mm<br />
length<br />
JJ139 Aneurysm Clips Stainless steel large clip, 30 degree Blade length 12mm<br />
angle<br />
JJ140 Aneurysm Clips Stainless steel large clip, bayonet Blade length 5-12mm<br />
JJ141 Aneurysm Clips Stainless steel large clip, fenestrated Blade 6mm diameter, 24mm length<br />
JJ142 Aneurysm Clips Stainless steel large clip, fenestrated Blade 6mm diameter, 6 mm length<br />
tandem<br />
JJ143 Aneurysm Clips Stainless steel standard clip, 4.5-10mm length<br />
straight to right angled<br />
JJ144 Aneurysm Clips Stainless steel standard clip, side 0.6mm diameter, 10mm length<br />
JJ146 Aneurysm Clips Stainless steel standard clip, 0.6mm diameter, 15mm length<br />
slightly curved<br />
JJ147 Aneurysm Clips Stainless steel standard clip, right 0.6mm diameter, 5.5 mm length<br />
JJ148 Aneurysm Clips Stainless steel standard clip, 0.5-0.6mm diameter, 5-15mm length<br />
straight to right angle<br />
JJ149 Aneurysm Clips Stainless steel standard clip, 5-25mm length<br />
straight to curved<br />
JJ150 Aneurysm Clips Stainless steel standard clip, 16mm length<br />
slightly curved<br />
Page 78 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ151 Aneurysm Clips Stainless steel standard clip, 9mm length<br />
JJ152 Aneurysm Clips Stainless steel standard clip, 15mm length<br />
JJ153 Aneurysm Clips Stainless steel standard clip, curved 10-14mm length<br />
JJ154 Aneurysm Clips Stainless steel standard clip, 8-20mm length<br />
slightly curved<br />
JJ155 Aneurysm Clips Stainless steel standard clip, 6-25mm length<br />
bayonet to right angle<br />
JJ217 Aneurysm Clips Stainless steel large clip Blade 4-6mm diameter, 5-25mm<br />
length<br />
Covers, Burr Hole<br />
JJ165 Burr Hole Button Stainless steel ventriculostomy One size only<br />
reservoir<br />
JJ166 Burr Hole Button Silicone or stainless steel 14mm diameter<br />
ventriculostomy reservoir<br />
JJ167 Burr Hole Button Silicone ventriculostomy reservoir, One size only<br />
flat bottom<br />
JJ168 Burr Hole Button Silicone ventriculostomy reservoir, One size only<br />
standard<br />
JJ169 Burr Hole Button Silicone ventriculostomy reservoir, One size only<br />
large<br />
JJ170 Burr Hole Button Silicone or stainless steel One size only<br />
ventriculostomy reservoir, low<br />
JJ171 Burr Hole Button Silicone or stainless steel 24mm diameter<br />
ventriculostomy reservoir<br />
JJ284 BIOPLATE Burr hole cover 1.9mm, titanium, flexible contoured 18mm<br />
burr hole cover, packaged<br />
JJ285 BIOPLATE Burr hole cover 1.5mm, titanium, flexible contoured 12mm<br />
burr hole cover, packaged<br />
JJ286 BIOPLATE Burr hole cover 1.9mm, titanium, rigid contoured 18mm<br />
burr hole cover, packaged<br />
Page 79 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ287 BIOPLATE Burr hole cover 1.5mm, titanium, rigid contoured 12mm<br />
burr hole cover, packaged<br />
JJ288 BIOPLATE Burr hole cover 1.5mm, titanium, rigid contoured 18mm<br />
burr hole cover, packaged<br />
JJ289 BIOPLATE Burr hole cover Titanium, burr hole cover, 6 hole, 12mm flat<br />
packaged non-sterile<br />
JJ290 Burr hole button Sterile, 10 per package, silicone Button length 35mm, cover<br />
diameter 29mm, stem thickness<br />
JJ291 Burr hole cover Burr hole cover, sterile, 10 per Seat diameter 10mm, seat depth 6mm<br />
package, silicone rubber<br />
JJ292 BIOPLATE Burr hole cover 1.5mm, titanium, flexible contoured 18mm<br />
burr hole cover, packaged<br />
JJ299 BIOPLATE Burr Hole Cover 1.9mm, titanium, flexible contoured 12mm<br />
burr hole cover, packaged<br />
Mesh<br />
JJ265 ETHISORB Dura Patch Synthetic Dura substitute, Vicryl 4 x 6cm<br />
fleece, PDS foil, replaces natural<br />
dura post craniotomy, 3 units<br />
JJ266 ETHISORB Dura Patch Synthetic Dura substitute, Vicryl 6 x 14cm<br />
fleece, PDS foil, replaces natural<br />
dura post craniotomy, 1 unit<br />
JJ267 ETHISORB Dura Patch Synthetic Dura substitute, Vicryl 2 x 3cm<br />
fleece, PDS foil, replaces natural<br />
dura post craniotomy, 1 unit<br />
JJ268 ETHISORB Dura Patch Synthetic Dura substitute, Vicryl 2 x 3cm<br />
fleece, PDS foil, replaces natural<br />
dura post craniotomy, 6 units<br />
JJ269 ETHISORB Dura Patch Synthetic Dura substitute, Vicryl 4 x 6cm<br />
fleece, PDS foil, replaces natural<br />
dura post craniotomy, 1 unit<br />
Page 80 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
Mesh, Metallic<br />
JJ255 BIOPLATE Biomesh Titanium, lattice, 48 hole, packaged 32 x 44mm<br />
non-sterile<br />
JJ256 BIOPLATE Biomesh Titanium cranial biomesh, packaged 0.4mm thickness, 60 x 60mm<br />
non-sterile<br />
JJ257 BIOPLATE Biomesh Titanium cranial biomesh, packaged 0.4mm thickness, 85 x 90mm<br />
non-sterile<br />
JJ258 BIOPLATE Biomesh Titanium cranial biomesh, packaged 65 x 65mm, 90 x 92mm<br />
non-sterile<br />
JJ259 BIOPLATE Biomesh Titanium cranial biomesh, packaged 0.4mm and 0.6mm thickness<br />
non-sterile<br />
JJ260 BIOPLATE Biomesh Titanium cranial biomesh 3ME, 20 x 20cm<br />
packaged non-sterile<br />
JJ338 Bioplate (maxfax) biomesh Titanium biomesh (maxfax) packaged Dia 1.2mm, 36mm x 43mm<br />
non-sterile, 1 per pack<br />
JJ339 Bioplate (maxfax) biomesh Titanium biomesh (maxfax) packaged Dia 1.5mm, 82mm x 97mm<br />
non-sterile, 1 per pack<br />
JJ340 Bioplate (maxfax) biomesh Titanium biomesh (maxfax) packaged Dia 1.2mm, 80mm x 100mm<br />
non-sterile, 1 per pack<br />
JJ341 Bioplate (maxfax) biomesh Titanium biomesh (maxfax) packaged Dia 2.0mm, rigid round, 120mm<br />
non-sterile, 1 per pack<br />
JJ342 Bioplate (maxfax) biomesh Titanium biomesh (maxfax) packaged Dia 1.5mm, round, 120mm<br />
non-sterile, 1 per pack<br />
JJ343 Bioplate (maxfax) biomesh Titanium biomesh (maxfax) packaged Dia 2.0mm, rigid, 80 x 100 mm<br />
non-sterile, 1 per pack<br />
Plates, Bone<br />
JJ270 BIOPLATE Bone plate Titanium straight plate, 2 hole, 5 per 12mm in length<br />
pack, packaged non-sterile<br />
JJ271 BIOPLATE Bone plate Titanium Y plate, 5 hole, packaged 19mm<br />
non-sterile<br />
Page 81 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ272 BIOPLATE Bone plate Titanium T-plate, 5 hole, packaged 16mm<br />
non-sterile<br />
JJ273 BIOPLATE Bone plate Titanium boxcar plate, 6 hole, 9 x 18mm<br />
packaged non-sterile<br />
JJ274 BIOPLATE Bone plate Titanium boxcar plate, 8 hole, 11 x 25mm<br />
packaged non-sterile<br />
JJ275 BIOPLATE Bone plate Titanium cranial straight plate, 2 1.9mm<br />
hole, packaged non-sterile<br />
JJ276 BIOPLATE Bone plate Titanium curved plate, 8 hole, 30mm<br />
packaged non-sterile<br />
JJ277 BIOPLATE Bone plate Titanium straight plate, 2 hole, 11mm in length<br />
packaged non-sterile<br />
JJ278 BIOPLATE Bone plate Titanium cranial straight plate, 16 1.5mm and 1.9mm<br />
hole, packaged non-sterile<br />
JJ279 BIOPLATE Bone plate Titanium cranial compression plate, 1.5mm and 1.9mm<br />
2 hole, 3 per pack, packaged<br />
JJ280 BIOPLATE Bone plate Titanium large boxcar plate, 4 hole, 14 x 14mm<br />
packaged non-sterile<br />
JJ281 BIOPLATE Bone plate Titanium BIO100, 2 hole plate, 5 per 1.5mm<br />
pack, packaged non-sterile<br />
JJ282 BIOPLATE Bone plate Titanium straight plate, 2 hole, 3 per 14mm in length<br />
pack, packaged non-sterile<br />
JJ283 BIOPLATE Bone plate Titanium straight plate, 2 hole, 14mm in length<br />
packaged non-sterile<br />
JJ344 Bioplate (maxfax) Bone Plate Titanium, Y Plate, 9 hole, packaged 45mm - 9 hole<br />
non sterile, 1 per pack<br />
JJ345 Bioplate (maxfax) Bone Plate Titanium, Y Plate, 5 Hole, packaged 22mm - 5 hole<br />
non sterile, 1 per pack<br />
JJ346 Bioplate (maxfax) Bone Plate Titanium, Y Plate, 6 Hole, packaged 17-18mm - 6 hole<br />
non sterile, 1 per pack<br />
Page 82 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ347 Bioplate (maxfax) Bone Plate Titanium, Y Plate, 5 Hole, packaged 28mm - 5 hole<br />
non sterile, 1 per pack<br />
JJ348 Bioplate (maxfax) Bone Plate Titanium Orbital Floor Plate, 33mm - 5 hole, 34mm - 17 hole<br />
packaged non sterile, 1 per pack<br />
JJ349 Bioplate (maxfax) Bone Plate Titanium Straight Plate, 12 Hole, 74mm - 12 hole<br />
packaged non sterile, 1 per pack<br />
JJ350 Bioplate (maxfax) Bone Plate Titanium Z Plate, 4 Hole, packaged 16mm - right, left - 4 hole<br />
non sterile, 1 per pack<br />
JJ351 Bioplate (maxfax) Bone Plate Titanium Straight Plate, 8 Hole, 31mm - 8 hole<br />
packaged non sterile, 1 per pack<br />
JJ352 Bioplate (maxfax) Bone Plate Titanium Straight Plate, 6 Hole, 23mm - 6 hole<br />
packaged non sterile, 1 per pack<br />
JJ353 Bioplate (maxfax) Bone Plate Titanium Straight Plate, 6 Hole, 36mm, 43mm - 6 hole<br />
packaged non sterile, 1 per pack<br />
JJ354 Bioplate (maxfax) Bone Plate Titanium Straight Plate, 6 Hole, 22mm - 6 hole<br />
packaged non sterile, 1 per pack<br />
JJ355 Bioplate (maxfax) Bone Plate Titanium Straight Plate, 4 Hole, 15mm, 17mm - 4 hole<br />
packaged non sterile, 1 per pack<br />
JJ356 Bioplate (maxfax) Bone Plate Titanium Straight Plate, 4 Hole, 24 mm - 4 hole<br />
packaged non sterile, 1 per pack<br />
JJ357 Bioplate (maxfax) Bone Plate Titanium Straight Plate, 4 Hole, 27mm, 30mm - 4 hole<br />
packaged non sterile, 1 per pack<br />
JJ358 Bioplate (maxfax) Bone Plate Titanium, X Plate, 7 Hole, packaged 16mm - 7 hole<br />
non sterile, 1 per pack<br />
JJ359 Bioplate (maxfax) Bone Plate Titanium, X Plate, 7 Hole, packaged 17mm - 7 hole<br />
non sterile, 1 per pack<br />
JJ360 Bioplate (maxfax) Bone Plate Titanium, I Plate, 6 Hole, packaged 24mm - 6 hole<br />
non sterile, 1 per pack<br />
JJ361 Bioplate (maxfax) Bone Plate Titanium, Z Plate, 4 Hole, packaged 21mm - right, left - 4 hole<br />
non sterile, 1 per pack<br />
Page 83 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ362 Bioplate (maxfax) Bone Plate Titanium, T Plate, 4 Hole, packaged 17mm - 4 hole<br />
non sterile, 1 per pack<br />
JJ363 Bioplate (maxfax) Bone Plate Titanium, T Plate, 5 Hole, packaged 17mm - 5 hole<br />
non sterile, 1 per pack<br />
JJ364 Bioplate (maxfax) Bone Plate Titanium, T Plate, 5 Hole, packaged 19mm - 5 hole<br />
non sterile, 1 per pack<br />
JJ365 Bioplate (maxfax) Bone Plate Titanium, T Plate, 5 Hole, packaged 14mm - 5 hole<br />
non sterile, 1 per pack<br />
JJ366 Bioplate (maxfax) Bone Plate Titanium, T Plate, 5 Hole, packaged 25mm left, 25mm right - 5 hole<br />
non sterile, 1 per pack<br />
JJ367 Bioplate (maxfax) Bone Plate Titanium, T Plate, 6 Hole, packaged 24mm - 6 hole<br />
non sterile, 1 per pack<br />
JJ368 Bioplate (maxfax) Bone Plate Titanium, T Plate, 7 Hole, packaged 18mm - 7 hole<br />
non sterile, 1 per pack<br />
JJ369 Bioplate (maxfax) Bone Plate Titanium, X Plate, 6 Hole, packaged 20mm, 26mm - 6 hole<br />
non sterile, 1 per pack<br />
JJ370 Bioplate (maxfax) Bone Plate Titanium, X Plate, 6 Hole, packaged 13mm - 6 hole<br />
non sterile, 1 per pack<br />
JJ371 Bioplate (maxfax) Bone Plate Titanium, X Plate, 8 Hole, packaged 39mm - 8 hole<br />
non sterile, 1 per pack<br />
JJ372 Bioplate (maxfax) Bone Plate Titanium L Plate, 5 hole, packaged 21mm - left, right 100 degrees - 5<br />
non sterile, 1 per pack<br />
JJ373 Bioplate (maxfax) Bone Plate Titanium L Plate, 4 hole, packaged 13,15 and 17mm - right, left 100<br />
non sterile, 1 per pack degrees - 4 hole<br />
JJ374 Bioplate (maxfax) Bone Plate Titanium L Plate, 4 hole, packaged 17mm, left, right 100 degrees - 4<br />
non sterile, 1 per pack<br />
JJ375 Bioplate (maxfax) Bone Plate Titanium L Plate, 4 hole, packaged 24mm, left, right 100 degrees - 4<br />
non sterile, 1 per pack<br />
JJ376 Bioplate (maxfax) Bone Plate Titanium Y Plate, 9 hole, packaged 24mm - 9 hole<br />
non sterile, 1 per pack<br />
Page 84 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ377 Bioplate (maxfax) Bone Plate Titanium Cranial Straight 23mm - 4 hole<br />
Compression Plate, 4 hole, packaged<br />
non sterile<br />
JJ378 Bioplate (maxfax) Bone Plate Titanium Cranial Straight 28mm - 4 hole<br />
Compression Plate, 4 hole, packaged<br />
non sterile<br />
JJ379 Bioplate (maxfax) Bone Plate Titanium Cranial Straight 33mm - 6 hole<br />
Compression Plate, 6 hole, packaged<br />
non sterile<br />
JJ380 Bioplate (maxfax) Bone Plate Titanium Cranial Straight 41mm - 6 hole<br />
Compression Plate, 6 hole, packaged<br />
non sterile<br />
JJ381 Bioplate (maxfax) Bone Plate Titanium Cranial Curved 32mm - 6 hole<br />
Compression Plate, 6 hole, packaged<br />
JJ382 Bioplate (maxfax) Bone Plate Titanium Cranial Curved 22mm - 4 hole<br />
Compression Plate, 4 hole, packaged<br />
JJ383 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 4 hole, 10mm x 10mm - 4 hole<br />
packaged non sterile<br />
JJ384 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 4 hole, 9mm - 4 hole<br />
packaged non sterile<br />
JJ385 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 6 hole, 8mm x 17mm - 6 hole<br />
packaged non sterile<br />
JJ386 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 6 hole, 16mm - 6 hole<br />
packaged non sterile<br />
JJ387 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 8 hole, 23mm - 8 hole, narrow<br />
packaged non sterile<br />
JJ388 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 8 hole, 23mm - 8 hole<br />
packaged non sterile<br />
JJ389 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 8 hole, 10mm x 24mm - 8 hole<br />
packaged non sterile<br />
JJ390 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 8 hole, 17mm - 8 hole, curved<br />
packaged non sterile<br />
Page 85 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ391 Bioplate (maxfax) Bone Plate Titanium Boxcar Plate, 16 hole, 52mm - 16 hole<br />
packaged non sterile<br />
JJ392 Bioplate (maxfax) Bone Plate Titanium Cranial Curved Plate, 4 19mm - 4 hole<br />
hole, packaged non sterile<br />
JJ393 Bioplate (maxfax) Bone Plate Titanium Cranial Curved Plate, 6 23mm, 27mm - 6 hole<br />
hole, packaged non sterile<br />
JJ394 Bioplate (maxfax) Bone Plate Titanium Cranial Curved Plate, 8 45mm - 8 hole<br />
hole, packaged non sterile<br />
JJ395 Bioplate (maxfax) Bone Plate Titanium Cranial Curved Plate, 8 29mm, 30mm - 8 hole<br />
hole, packaged non sterile<br />
JJ396 Bioplate (maxfax) Bone Plate Titanium Cranial Curved Plate, 10 37mm - 10 hole<br />
hole, packaged non sterile<br />
JJ397 Bioplate (maxfax) Bone Plate Titanium H Plate, 7 hole, packaged 16mm, 17mm - 7 hole<br />
non sterile, 1 per pack<br />
JJ398 Bioplate (maxfax) Bone Plate Titanium H Plate, 8 hole, packaged 26mm - 8 hole<br />
non sterile, 1 per pack<br />
JJ399 Bioplate (maxfax) Bone Plate Titanium H Plate, 11 hole, packaged 18mm - 11 hole<br />
non sterile, 1 per pack<br />
JJ400 Bioplate (maxfax) Bone Plate Titanium H Plate, 11 hole, packaged 19mm - 11 hole<br />
non sterile, 1 per pack<br />
JJ401 Bioplate (maxfax) Bone Plate Titanium L Plate, 8 hole, packaged 40mm, left, right 100 degrees - 8<br />
non sterile, 1 per pack<br />
JJ402 Bioplate (maxfax) Bone Plate Titanium L Plate, 8 hole, packaged 22mm - right, left 100 degrees - 8<br />
non sterile, 1 per pack hole<br />
JJ403 Bioplate (maxfax) Bone Plate Titanium L Plate, 7 hole, packaged 23mm - left, right 100 degrees - 7<br />
non sterile, 1 per pack hole<br />
JJ404 Bioplate (maxfax) Bone Plate Titanium L Plate, 5 hole, packaged 28mm - left, right 100 degrees - 5<br />
non sterile, 1 per pack hole<br />
JJ405 Bioplate (maxfax) Bone Plate Titanium L Plate, 5 hole, packaged 14mm - right, left 100 degrees - 5<br />
non sterile, 1 per pack hole<br />
Page 86 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ406 Bioplate (maxfax) Bone Plate Titanium Cranial Straight Plate, 24 95mm - 24 hole<br />
hole, packaged non sterile<br />
JJ407 Bioplate (maxfax) Bone Plate Titanium Cranial Straight Plate, 16 63mm - 16 hole<br />
hole, packaged non sterile<br />
JJ408 Bioplate (maxfax) Bone Plate Titanium Cranial Straight Plate, 16 62mm - 16 hole<br />
hole, packaged non sterile<br />
JJ409 Bioplate (maxfax) Bone Plate Titanium Cranial Straight Plate, 16 100mm - 16 hole<br />
hole, packaged non sterile<br />
JJ410 Bioplate (maxfax) Bone Plate Titanium Cranial Straight Plate, 8 48mm - 8 hole<br />
hole, packaged non sterile<br />
JJ411 Bioplate (maxfax) Bone Plate Titanium Cranial Straight Plate, 4 15mm - 4 hole<br />
hole, packaged non sterile<br />
Resinous Compounds, Cranial<br />
JJ303 Cranioplastic Kit (Type 1) Cranioplastic kit containing 2 30grams<br />
complete sets. Consists of 2 bags of<br />
sterile powder, 2 vials sterile liquid,<br />
2 sterile matrix bags<br />
Screws, Bone<br />
JJ244 BIOPLATE Bone screw Titanium alloy self-drilling screws, Dia 1.9mm, length 5mm<br />
5 per pack, packaged non-sterile<br />
JJ245 BIOPLATE Bone screw Titanium alloy self-drilling screws, Dia 1.9mm, length 4mm<br />
5 per pack, packaged non-sterile<br />
JJ246 BIOPLATE Bone screw Titanium alloy self-drilling screw, 1 Dia 1.9mm, length 3 - 5mm<br />
per pack, packaged non-sterile<br />
JJ247 BIOPLATE Bone screw Titanium alloy self-drilling screw, Dia 1.9mm, length 3mm<br />
packaged non-sterile<br />
JJ248 BIOPLATE Bone screw Titanium alloy self-drilling screw, 5 Dia 1.5mm, length 3 - 5mm<br />
per pack, packaged non-sterile<br />
JJ249 BIOPLATE Bone screw Titanium alloy self-drilling screw, 1 Dia 1.5mm, length 3 - 5mm<br />
per pack, packaged non-sterile<br />
Page 87 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ250 BIOPLATE Bone screw Titanium alloy long screw, 1 per Dia 1.9mm, length 3, 4, 5, 6, 8,<br />
pack, packaged non-sterile<br />
JJ251 BIOPLATE Bone screw Titanium alloy long screws, 5 per Dia 1.9mm, length 3, 4, 5, 6, 8,<br />
pack, packaged non-sterile<br />
JJ252 BIOPLATE Bone screw Titanium alloy long screw, 1 per Dia 1.5mm, length 3, 4, 5, 6, 8,<br />
pack, packaged non-sterile<br />
JJ253 BIOPLATE Bone screw Titanium alloy emergency screws, 5 Dia 1.8, length 6mm; Dia 2.3mm,<br />
per pack, packaged non-sterile length 5mm<br />
JJ254 BIOPLATE Bone screw Titanium alloy emergency screw, 1 Dia 1.8, length 6mm; Dia 2.3mm,<br />
per pack, packaged non-sterile length 5mm<br />
JJ309 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.5mm, 3-6mm long screws<br />
packaged non-sterile, 1 per pack<br />
JJ310 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.2mm, 3-6mm long screws<br />
packaged non-sterile, 1 per pack<br />
JJ311 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.5mm, 8mm long screw<br />
packaged non-sterile, 1 per pack<br />
JJ312 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.5mm, 12mm long screw<br />
packaged non-sterile, 1 per pack<br />
JJ313 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.2mm, 8mm long screw<br />
packaged non-sterile, 1 per pack<br />
JJ314 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.2mm, 10mm long screw<br />
packaged non-sterile, 1 per pack<br />
JJ315 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.5mm, 8mm long screw<br />
packaged non-sterile, 5 per pack<br />
JJ316 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.5mm, 3-6mm long screws<br />
packaged non-sterile, 5 per pack<br />
JJ317 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.4mm, 3-6, 8, 10mm long<br />
packaged non-sterile, 5 per pack emergency screws<br />
JJ318 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.5mm, 10mm long screws<br />
packaged non-sterile, 5 per pack<br />
Page 88 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ319 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.3mm, 4-7mm, 9, 11, 13, 15,<br />
packaged non-sterile, 1 per pack 17mm emergency screws<br />
JJ320 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.8, 3-6, 10, 12mm, long<br />
packaged non-sterile, 1 per pack emergency screws<br />
JJ321 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.4mm, 8, 10mm long<br />
packaged non-sterile, 1 per pack emergency screws<br />
JJ322 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.5mm, 3-6mm long screws<br />
packaged non-sterile, 5 per pack<br />
JJ323 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.4mm, 3-6mm long emergency<br />
packaged non-sterile, 1 per pack screws<br />
JJ324 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.9mm, 3-6mm long screws<br />
packaged non-sterile, 5 per pack<br />
JJ325 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.0, 5-7, 9, 11,13, 15, 17mm<br />
packaged non-sterile, 1 per pack long screws<br />
JJ326 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.2mm, 3-6mm long screws<br />
packaged non-sterile, 5 per pack<br />
JJ327 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.2mm, 8mm long screw<br />
packaged non-sterile, 5 per pack<br />
JJ328 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.2mm, 10mm long screw<br />
packaged non-sterile, 5 per pack<br />
JJ329 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.0mm, 15mm long screw<br />
packaged non-sterile, 5 per pack<br />
JJ330 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.0mm, 11 and 13mm long<br />
packaged non-sterile, 5 per pack screws<br />
JJ331 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.0mm, 9mm long screw<br />
packaged non-sterile, 5 per pack<br />
JJ332 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.0mm, 7mm long screws<br />
packaged non-sterile, 5 per pack<br />
JJ333 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.0mm, 4-6mm long screws<br />
packaged non-sterile, 5 per pack<br />
Page 89 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ334 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 2.0mm, 17mm long screws<br />
packaged non-sterile, 5 per pack<br />
JJ335 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.5mm, 12 mm long screw<br />
packaged non-sterile, 5 per pack<br />
JJ336 Bioplate Bone Screw (maxfax) Titanium Alloy Long Screw, Dia 1.5mm, 10 mm long screw<br />
packaged non-sterile, 1 per pack<br />
Shunt Adapters<br />
JJ228 Codman Medos Connector Codman Medos stainless steel shunt One size only<br />
connector straight<br />
Shunts, Hydrocephalic<br />
JJ161 Codman-Medos Non-programmable Silicone fixed pressure Peritoneal Catheter length 25-80cm<br />
Valve System lumber/peritoneal catheter, James<br />
design<br />
JJ162 Codman-Medos Non-programmable Silicone fixed pressure Peritoneal Catheter length 65 cm<br />
Valve System lumber/peritoneal catheter, Holter<br />
design<br />
JJ164 Siphonguard CSF Control Device PET shell anti-siphon device for One size only<br />
JJ218 HOLTER Intracranial Pressure Shunt HOLTER Ventricular Catheter, 3 - 7cm and 15cm<br />
packaged sterile, silicone rubber<br />
JJ225 HOLTER Intracranial Pressure Shunt HOLTER distal peritoneal catheter, 90cm in length<br />
packaged sterile, silicone<br />
JJ226 HOLTER Intracranial Pressure Shunt HOLTER distal peritoneal catheter 90cm in length<br />
Salmon, packaged sterile, silicone<br />
JJ261 ACCU-FLO Intracranial Pressure ACCU-FLO catheter, packaged 91cm in length<br />
sterile, silicone rubber<br />
JJ262 ACCU-FLO Intracranial Pressure ACCU-FLO three way connector, One size only<br />
packaged sterile, metal or plastic<br />
JJ263 ACCU-FLO Intracranial Pressure ACCU-FLO barium ventricular One size only<br />
catheter, packaged sterile, silicone<br />
rubber<br />
Page 90 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ264 ACCU-FLO Intracranial Pressure ACCU-FLO right angle connector, One size only<br />
packaged sterile, metal or plastic<br />
Valves, Hydrocephalic<br />
JJ156 Hakim Precision Valve System Precision valve standard. Silicone Peritoneal Catheter length 80 cm,<br />
casing & catheter; stainless steel Ventricular catheter length 14 cm<br />
ruby ball in cone mechanism with<br />
fixed pressure<br />
JJ157 Hakim Precision Valve System Precision valve and pre-chamber. Peritoneal Catheter length 80 cm,<br />
Silicone casing & catheter; stainless Ventricular catheter length 14 cm<br />
steel ruby ball in cone mechanism<br />
with fixed pressure<br />
JJ158 Hakim Programmable Valve System Standard system. Silicone casing One size only<br />
without catheter; stainless steel<br />
ruby ball in cone mechanism with<br />
variable pressure<br />
JJ159 Hakim Programmable Valve System Standard system. Silicone casing Peritoneal Catheter length 80 cm,<br />
with catheter; stainless steel ruby Ventricular catheter length 14 cm<br />
ball in cone mechanism with<br />
JJ219 Hakim Programmable Valve System Fixed pressure hydrocephalus shunt, One size only<br />
packaged sterile, stainless steel and<br />
ruby valve mechanism, silicone<br />
rubber ventricular and peritoneal<br />
catheters. In line or right angled<br />
with reservoir. Valve can be<br />
reprogrammed non-invasively 18<br />
pressure settings available in 10mm<br />
H20 increments. SiphonGuard<br />
anti-siphon device integrated into<br />
valve mechanism.<br />
Page 91 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
JJ220 Hakim Precision Valve System Fixed pressure hydrocephalus shunt, One size only<br />
packaged sterile, stainless steel and<br />
ruby valve mechanism, silicone<br />
rubber ventricular and peritoneal<br />
catheters. In line or right angled<br />
with reservoir. Opening pressure<br />
H20; Very high 130mm, high<br />
100mm, medium 70mm, low 40mm,<br />
very low 10mm. With integrated<br />
JJ221 Hakim Precision Valve System Fixed pressure hydrocephalus shunt, One size only<br />
packaged sterile, stainless steel and<br />
ruby valve mechanism, silicone<br />
rubber ventricular and peritoneal<br />
catheters. In line or right angled<br />
with reservoir. Opening pressure<br />
H20; Very high 130mm, high<br />
100mm, medium 70mm, low 40mm,<br />
Medical Specialties Australia Pty Ltd<br />
Catheters, Epidural<br />
MS005 E-Catheter Silicone epidural catheters 18ga<br />
Injection/Infusion Ports, Implantable<br />
MS006 Chemoport Titanium/ plastic 19, 20ga<br />
Valves, Hydrocephalic<br />
MS003 Sterile Hydrocephalic Shunts Plastic/magnetic. Programmable 3, 8 settings<br />
valve. Programmer kit and shunts<br />
MS004 Sterile Shunts Silicone peritoneal catheters 2-29 cm<br />
Medtronic Australasia Pty Ltd<br />
Leads<br />
MC076 Medtronic quadripolar itrel II- DBS Unilateral: Deep Brain 28-40 cm<br />
7424DBS Active implantable Stimulation Lead Model 3387,<br />
stimulators & ancillary equipment PTFE,polyurethane,platinum/iridiu<br />
m,nickel alloy,tungsten<br />
Page 92 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
MC077 Medtronic quadripolar itrel II- DBS Unilateral: Extension kit for 10-66 cm<br />
7424DBS Active implantable Deep Brain Stimulation Model<br />
stimulators & ancillary equipment 7495-51,PTFE,<br />
polyurethane,platinum,iridium,<br />
nickel alloy<br />
MC078 Medtronic quadripolar itrel II- DBS Unilateral: Quadripolar Itrel II One size only x 1<br />
7424DBS Active implantable Model 7424 DBS, titanium<br />
stimulators & ancillary equipment<br />
Stimulators, Electrical, Brain<br />
MC244 Medtronic Australasia DBS Lead Four platinum iridium electrodes. 28, 40cm<br />
Model 3389, Active Implantable Lead electrodes 3mm long, 4mm<br />
Stimulator & Ancillary Equipment, spacing. Electrode span 24mm. Used<br />
with Synergy (MC137) or Itrel 3<br />
(MC111) Implantable Pulse<br />
Stimulators, Electroanalgesic,<br />
MC001 Kinetra Dual Channel Implantable Titanium, polyurethane One size only<br />
Pulse Generator Model 7428<br />
Stimulators, Neuromuscular, Therapeutic<br />
MC228 Soletra Model 7426 Neurostimulator Sterility - Ethylene Oxide. One size only<br />
Neurostimualtor comprised of<br />
electronic circuitry and a battery,<br />
which are hermatically sealed in a<br />
titanium case<br />
Medtronic Sofamor Danek Australia Pty Ltd<br />
Anchor, Fixation<br />
SD216 Invisx Locks Invisx polymer cranial fixation Single pack<br />
SD217 Invisx Locks Invisx polymer cranial fixation 2 pack<br />
Catheters, Hydrocephalic<br />
SD166 Shunt: Components catheter Ventricular Catheter, CSF Catheter 1.3 - 35cm<br />
Page 93 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
SD218 CSF - Ventricular Catheters PSM Non metallic latex free. Barium ID 1.3mm OD 2.5mm Length 15cm,<br />
impregnated, include stainless steel 23cm; ID 1.2mm OD 2.1mm Length<br />
stylet. Model Nos 41101, 41115, 15cm, 23cm<br />
41207, 41103, 41308, Proximal<br />
ventricular catheter.<br />
SD219 CSF - Distal Catheters Non metallic and latex free, Models Distal cardiac/peritoneal catheters<br />
43418,43103,43111,43209,43522,4 ID 1.3mm OD 2.5mm Length 90cm,<br />
3551,27211 96cm, 110cm, 120cm, ID 1.2mm, OD<br />
2.1mm, Length 90cm, 75cm, 58cm<br />
Reservoirs, Cerebrospinal Fluid<br />
SD167 Pressure valve (anti-siphon device or Neonatal Reservior, CSF Lumbo 2 - 90cm<br />
flushing valve or flush pump) Peritoneal<br />
SD168 Pressure valve (anti-siphon device or Reservoir, CSF Vent Reservoir, Snap 6 - 90mm<br />
flushing valve or flush pump) Assembly Reservoir<br />
Shunts, Hydrocephalic<br />
SD162 Hydrocephalus Shunt Ventricular/Peritoneal. CSF Flow 12mm-90cm<br />
Control Valves, BioGlide<br />
Contoured, Ventriculostomy Kit-E,<br />
Neonatal Delta Snap Shunt<br />
Valves, Hydrocephalic<br />
SD160 Hydrocephalus Shunt Lumbar peritoneal 84cm<br />
SD161 Hydrocephalus Shunt Ventricular/Atrial, CSF Flow 38cm-90cm<br />
Control Shunts, Cont Small Valve<br />
SD163 Hydrocephalus Shunt With Hydrostatic Valve, Delta 12mm-90cm<br />
Valves/Shunts/BioGlide, Vent<br />
Catheters<br />
SD169 Valves, Hydrocephalic Strata Adjustable Delta Valve 12 -16mm<br />
Page 94 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
N Stenning & Co Pty Ltd<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
NG035 MicroPlex Coil System Kit includes delivery pusher, Coil Size 10, 18 - Loop Diameter<br />
introducer sheath, MCS complex coil 2-14mm, 16,18,20mm, Length<br />
1-4cm, 6-13cm, 15-21cm, 23-24cm,<br />
26-28cm, 30-34cm, 38-39cm,<br />
43-44cm, 49-50cm<br />
National Surgical Corporation Pty Ltd<br />
Clips, Aneurysm<br />
NI142 Medicon Aneurysm Clips Aneurysym clips titanium, standard Small<br />
titanium<br />
NI143 Medicon Aneurysm Clips Aneurysym clips titanium, standard Large<br />
titanium, stainless steel<br />
NI144 Medicon Aneurysm Clips Aneurysym clips titanium, standard Small<br />
stainless steel<br />
NI145 Medicon Aneurysm Clips Aneurysym clips titanium, mini One size only<br />
titanium<br />
NI146 Medicon Aneurysm Clips Aneurysym clips titanium, mini One size only<br />
stainless steel<br />
Radionics T/A Tyco Healthcare<br />
Catheters, Hydrocephalic<br />
RD007 Cardiac/Peritoneal Catheters SiliconDistal Catheter, ID 1.3mm, 90cm, barium impregnated silicone<br />
OD 2.5mm catheter, closed or open ended,<br />
with or without slits<br />
RD008 Ventricular Catheters Silicon Ventricular Catheter 15cm - 25cm, optional flanges or<br />
right angle or endoscopic tip. ID<br />
1.3mm, OD 2.5mm<br />
Page 95 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
Reservoirs, Cerebrospinal Fluid<br />
RD011 Reservoirs Shunt component 9mm to 25mm, with or without<br />
convertible outlet port, burr hole or<br />
flat bottom style<br />
Shunts, Hydrocephalic<br />
RD002 Neonatal Shunt System Shunt Assembly, includes separate Medium, low or low-low pressure<br />
ventricular catheter, integral distal<br />
catheter<br />
RD004 Equi Flow Valves Valve only Small (35mm length) or Regular<br />
(40mm length); low, low/medium<br />
and medium pressure<br />
RD005 Equi Flow Shunt Assemblies CSF Shunt, includes silicone Small (35mm length) or Regular<br />
ventricular and peritoneal catheters, (40mm length); low, low/medium<br />
silicone encased overdrainage and medium pressure; various kit<br />
control valve configurations<br />
RD006 Lumboperitoneal Shunt Assemblies CSF LP Shunt includes: silicone Straight or "T" tube<br />
catheter, stainless steel trocar, suture<br />
tabs<br />
RD009 Burr Hole Valve Shunt Assemblies Shunt Assembly: silicone encased 16mm or 12mm base; low, medium<br />
valve, silicone ventricular and or high pressure, various kit<br />
peritoneal catheters configurations<br />
Valves, Hydrocephalic<br />
RD001 Contour-Flex Valves Silicone encased CSF Valve Small (24mm length) or Regular<br />
(28mm length), low medium or high<br />
pressure<br />
RD003 Contour Flex Valve Shunt Assemblies Shunt Assembly: silicone encased Small (24mm length) or Regular<br />
valve, silicone ventricular and (28mm length); low, low/medium<br />
peritoneal catheters and medium pressure; various<br />
catheter and valve configurations.<br />
RD010 Siphon Limiting Device Silicone Shunt Accessory for 15mm length, 4.5mm height, 10mm<br />
control of CSF overdrainage width<br />
Page 96 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
Spectra Medical Pty Ltd<br />
Shunts, Hydrocephalic<br />
SM001 Catheter - reservoir Silicone, catheter with either 2.5mmx3cm 3mmx3cm 2.5mmx4cm<br />
separate or unitised reservoir 3mmx4cm 2.5mmx5cm 3mmx5cm<br />
2.5mmx6-12cm 3mmx6-12cm<br />
2.5mmx15cm 2.5mmx23.5cm<br />
1.5mmx15cm<br />
SM002 Ventricular Catheter Spiral Port and Silicone, catheter with either spiral 11.5mmx3cm 1.5mmx4cm<br />
Anti-Block or anti blok tip 1.5mmx5cm 1.5mmx6cm 1.5mmx7cm<br />
1.5mmx8cm 1.5mmx9cm<br />
1.5mmx10cm 1.5mmx11cm<br />
1.5mmx12cm 1.5mmx15cm<br />
1.5mmx23.5cm 2.5mmx15cm<br />
2.5mmx23.5cm<br />
SM003 Peritoneal Catheter Silicone, open or closed end 90 120cm<br />
Valves, Hydrocephalic<br />
SM005 CRX Split Valve, CSF Silicone, unitised system with Very low, low, medium, high<br />
Shunt System peritoneal catheter, ventricular<br />
catheter, valve<br />
SM006 Diamond Valve, "Diamond" CSF Silicone, complete system; valve, Large chamber, adult small chamber,<br />
Shunt-low profile peritoneal catheter, ventricular paeds<br />
SM007 Diamond Valve II-large reservoir Silicone, valve only Large chamber, adult small chamber,<br />
paeds<br />
Taylor Bryant Pty Ltd<br />
Clips, Aneurysm<br />
TB116 Aneurism Clip Sugita Clips, Standard Slightly One Size Each<br />
TB117 Aneurism Clip Sugita Clip, Temporary Straight/S, One Size Each<br />
Sugita Clip, Temporary Straight/L<br />
TB118 Aneurism Clip Sugita Clips: Standard One Size Each<br />
Straight-Short #1/Long #2<br />
Page 97 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
TB119 Aneurism Clip Sugita Titanium Anneurysm Clips: One Size Each<br />
Standard Straight/s, Straight-L,<br />
Bayonet, Angled, Straight-Small,<br />
STD Temp-STD Small, STD<br />
Temp-Straight/Large, STD<br />
Temp-Bayonet, STD Temp-CVD,<br />
Mini Straight-Small, Mini<br />
Straight/Large, Mini Curve, Mini<br />
TB147 Aneurism Clip Sugita Titanium Clips: Standard One Size Each<br />
Slight Angle, Side CVD, CVD,<br />
Angled, Bayonet-Small/Large,<br />
Straight-Medium, Slight CVD,<br />
Straight Large, L<br />
Angle-Small/Medium/Large, 45D<br />
CVD Small/Medium/Large, STD<br />
Temp Slight CVD, Temp Mini<br />
Straight/Large, Temp Mini Angle,<br />
Standard 1/4 Curved-Small/Large,<br />
STD Slight Angle, Standard Slight<br />
Curve, Curve, 1/4 Curve, Mini<br />
Curve, Side Curve, Angle, Bayonet,<br />
TB148 Aneurism Clip Sugita Titanium Clips: Standard One Size Each<br />
Side CVD Bayonet, Small CVD, Side<br />
Angled, Slight CVD, J<br />
Angle-Small/Medium/Large, Slight<br />
CVD Small, Temp Mini Straight<br />
Slim, Standard L Curved-<br />
Small/Large, Mini Straight Slim,<br />
TB149 Aneurism Clip Sugita Titanium Clips: Booster One Size Each<br />
TB150 Aneurism Clip Sugita Clips: Mini Straight Slim, One Size Each<br />
CVD Slim<br />
TB151 Aneurism Clip Sugita Clips: Fenest, Lrg L Shaped One Size Each<br />
W/CVD<br />
TB152 Aneurism Clip Sugita Clips, Mini CVD Slim One Size Each<br />
TB153 Aneurism Clip Sugita Clips, Long One Size Each<br />
TB154 Aneurism Clip Sugita Clip, Large Straight/Short One Size Each<br />
Page 98 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
TB155 Aneurism Clip Sugita Clip, Temporary Bayonet, One Size Each<br />
TB156 Aneurism Clip Sugita Clip, STD Sideward CVD One Size Each<br />
TB157 Aneurism Clip Sugita Clip, Large Sideward Bent, One Size Each<br />
Bent, Bayonnet-Short/Large,<br />
Straight-Medium/Long<br />
TB158 Aneurism Clip Sugita Clip, Large L One Size Each<br />
Shaped-Short/Medium/Large, Large<br />
J Shaped-Short/Medium/Large,<br />
Fenest Large Straight-S/M/L, Large<br />
Bent-S/M/L, Fenest Large L<br />
TB159 Aneurism Clip Sugita Clip, Temporary Mini 5-7mm length x 1.2mm width,<br />
Straight, Bent, Mini Straight/Short, closing force 125gms<br />
Bent, SDEWARD CVD, CVD<br />
TB160 Aneurism Clip Sugita Clip, Mini CVD 4mm length x 1.2mm width, closing<br />
force 120 & 124gms<br />
TB161 Aneurism Clip Sugita Clip, Mini CVD 5mm length x 1.2mm width, closing<br />
force 132gms<br />
TB162 Aneurism Clip Sugita Clip, Large Slightly One Size Each<br />
Crv-Short/Long<br />
TB163 Aneurism Clip Sugita Clip, Large 45 D Angle/s, One Size Each<br />
Slightlyn Crv/s, Temporary Slighly<br />
Crv, Mini Straight Slim, Large 1/4<br />
CVD, Mini<br />
TB164 Aneurism Clip Sugita Clip, Large Straight, One Size Each<br />
Bayonet, Mini Bayonet<br />
TB165 Aneurism Clip Sugita Clip, Large L Shaped One Size Each<br />
W/CRV-S/L, 1/4 CVD-S/L<br />
TB166 Aneurism Clip Sugita Clip, Large 45D Angle-M/L One Size Each<br />
TB167 Aneurism Clip Sugita Clip, Fenest Large L One Size Each<br />
Shaped-L, Bayonet<br />
TB168 Aneurism Clip Sugita Clip, Fenest Large L Shaped One Size Each<br />
W/CVD<br />
Page 99 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
TB169 Aneurism Clip Sugita Clips, Standard Bayonnet, One Size Each<br />
Bent, Sideward Bent, Sideward<br />
Curve, Slight Bent<br />
TB170 Aneurism Clip Sugita Clips, Standard Sideward One Size Each<br />
Curve, Curved<br />
TB171 Aneurism Clip Sugita Clips, Standard Slight CVD, 11mm length x 1.2 width, closing<br />
CVD force 125-160gms; 9mm length x<br />
1.2 width, closing force<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
TB146 Dendron Coil Micro coils, straight, eight shape, Micro coils, straight dia 0.26 and<br />
pretzel shape, loop shape, helix 0.38mm, length 1-5mm; eight shape<br />
shape, cyclone; micro meshes; jet dia 2mm, length 10mm; pretzel<br />
coils; electrolytically detachable shape dia 3-5mm, length 25-45mm;<br />
coils, helix and cyclone loop shape dia 5mm, length 50mm;<br />
helix shape dia 2-8mm, length<br />
20-100mm; cyclone dia 3/6mm,<br />
length 22-85mm; micro meshes dia<br />
0.15mm, length 1-2mm; jet coils dia<br />
0.22, 0.36mm, length 0.3-5cm;<br />
EDC dia 2-20mm, length 1-30cm<br />
TB213 Dendron Detachable Coils Electrolytically detachable coil, Dia 2mm x length 1, 2, 3, 4, 6, 8, 10,<br />
helix, curved tip, multi diameter 22, 42, 60, 85cm; diameter 2.5mm x<br />
length 15cm; diameter 3mm x length<br />
3, 4, 6, 8, 10, 12cm; diameter 4mm x<br />
length 4, 6, 8, 10, 12, 15cm;<br />
diameter 5mm x length 5, 8, 10, 12,<br />
15, 20, 25, 30cm; diameter 6mm x<br />
length 10, 15, 20cm; diameter 7mm<br />
x length 10, 20, 30cm; diameter<br />
8mm x length 10, 20, 25cm;<br />
diameter 10mm x length 30cm;<br />
diameter 12mm x length 20cm;<br />
diameter 15mm x length 20, 30cm;<br />
diameter 20mm x length 15cm;<br />
Leads<br />
TB017 Bipolar Lead Model 300-20 -<br />
Page 100 of 638
NEUROSURGICAL<br />
Billing Code Product Further Size Notations<br />
Orthopedic Internal Fixation Systems, Spinal<br />
TB144 Spinal Implant, Cervical (Disc Cage) Titanium, straight or wedged 4x12x14, 4x12x16, 5x12x14,<br />
5x12x16, 6x12x14, 6x12x16,<br />
7x12x16, 8x12x16<br />
Stimulators, Antiseizure<br />
TB001 Neurocybernetic <strong>Prostheses</strong> (NCP) Pulse Generator - Model 100 -<br />
System<br />
Stimulators, Vagus Nerve, Antiseizure<br />
TB130 Pulse Generator - Model 101 Neurocybernetic Prosthesis (NCP) One size only<br />
System<br />
Victorian Health Care Association Pty Ltd<br />
Clips, Aneurysm<br />
VH001 Spetzler Titanium Aneurysm Clips Permanent Standard & Temporary 5mm-13mm<br />
Clips. Commercially Pure Titanium.<br />
VH002 Spetzler Titanium Aneurysm Clips Fenestrated Clips. Commercially 5mm-13mm<br />
Pure Titanium.<br />
W L Gore & Associates<br />
Tissue Reconstructive Materials, Solid<br />
GT056 Preclude Dura Substitute ePTFE 0.3mm Thickness 2 x 10cm<br />
GT057 Preclude Dura Substitute ePTFE 0.3mm Thickness 5 x 6 cm<br />
GT058 Preclude Dura Substitute ePTFE 0.3mm thickness 6 x 10cm<br />
GT059 Preclude Dura Substitute ePTFE 0.3mm thickness 10 x 12cm<br />
William A Cook Aust Pty Ltd<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
WC061 Detachable Coils Detach 18/11 Microembolisation Coils Diameters 0.30-0.46mm, Lengths<br />
2cm-12cm.<br />
Page 101 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
Advanced Medical Optics Australia Pty Ltd<br />
Lenses, Intraocular, Anterior Chamber<br />
AO001 Intraocular Lens: Model AC 51B Duralens PMMA, Anterior Chamber 6.00 mm Optic Diameter x 13.0mm<br />
IOL in overall length<br />
Lenses, Intraocular, Posterior Chamber<br />
AO002 Sensar AR40 Monofocal Acrylic IOL, Soft Acrylic, Foldable, UV 6 mm Optic Diameter x 13mm in<br />
Sensar OptiEdge AR40e Foldable Absorbing, Posterior overall length.<br />
Acrylic IOL<br />
AO003 Intraocular Lens: Allergan AMO Duralens, PMMA, Posterior 5.5mm-6.5 mm Optic Diameter x<br />
Duralens Posterior Chamber IOL Chamber IOL 12.0mm-13.5mm in overall length.<br />
Model PS42ANB, PS53ANB,<br />
PS60ANB, PS59NB, PS60AMB<br />
AO004 Intraocular Lens: Allergan AMO Array Multifocal SA40N, Silicone, 6.0 mm Optic Diameter x 13.0mm<br />
Array Multifocal UV Absorbing Foldable IOL overall length.<br />
Silicone Posterior Chamber IOL<br />
AO005 Intraocular Lens: Allergan Model PhacoFlex II SI-30NB Silicone or 6.0 mm Optic Diameter x 13.0mm in<br />
SI-30NB Silicone PC IOL; or AMO PhacoFlex II SI-40NB Silicone; overall length.<br />
model SI-40NB Silicone PC IOL Foldable IOL<br />
AO006 Clariflex, Model CLRFLXB Posterior Foldable Silicone IOL with One size only<br />
Chamber Intraocular Lens OptiEdge design<br />
Alcon Laboratories (Aust.) Pty Ltd<br />
Lenses, Intraocular, Anterior Chamber<br />
AL003 MTAU1-MTAU-7 PMMA + 4 to 28 D<br />
Page 102 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
Lenses, Intraocular, Posterior Chamber<br />
AL002 Intraocular Lens: MODIFIED C Other:PMMA Range of Powers:-10 to +34 D<br />
PMMA PC IOL MODEL MZ60BD,<br />
MODIFIED PMMA PC IOL Model<br />
MZ20BD, CANTILEVER PMMA PC<br />
IOL MODEL CVC1U, Modified<br />
PMMA PC IOL Model MZ30BD,<br />
PMMA PC, IOL Model MC60BD,<br />
PMMA PC, IOL Model MC50BD,<br />
PMMA PC, IOL Model CZ70BD,<br />
MODIFIED C PMMA PC IOL<br />
MODEL 251.60 (MC50BM),<br />
MODIFIED C PMMA PC IOL<br />
MODEL 251.61 (MC51BM),<br />
MODIFIED C PMMA PC IOL<br />
MODEL 551.61 (MC60CM), Alcon<br />
JF30BD Cantilever PMMA PC IOL,<br />
Alcon Cantilever Model LX90BD<br />
PMMA PC IOL, Alcon Cantilever<br />
Model LX10BD PMMA PC IOL,<br />
Alcon Cantilever Model LC80BD<br />
PMMA PC IOL, PMAA PC<br />
AL004 Intraocular Lens: Alcon Acrysof Foldable Acrylic Multi-piece Lens Range of Powers: -5 to +30 D<br />
Model MA60BM PC IOL, Alcon<br />
Acrysof Model MA30BA PC IOL,<br />
Alcon Acrysof model MA50BM PC<br />
IOL, ACRYSOF IOL MODEL<br />
AL011 Intraocular Lens: Alcon Acrysof Foldable Acrylic Single-piece Lens, Range of Powers: +10 to +30 D<br />
Model SA30AL, Alcon Acrysof asymmetric optic/consistent edge<br />
Model SA60AT, SA30AT Intraocular<br />
AL012 Alcon Acrysof Model MA30AC PC Foldable acrylic multi-piece lens, +10 to +30 D<br />
IOL, Alcon Acrysof Model MA60AC asymmetric optic/consistent edge<br />
Ophthalmic Accessories<br />
AL001 Capsular Tension Rings - 10.0 - 12.0 compressed, 12.3 - 14.5<br />
uncompressed<br />
Page 103 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
Argus Biomedical Pty Ltd<br />
Unknown / Unassigned<br />
AG001 AlphaCor A & P Composition poly 2 (hydroxyethyl AlphaCor A - Diameter 7mm,<br />
methacrylate) thickness 0.6mm, radius of<br />
curvature 8.0/8.0mm; AlphaCor P -<br />
Diameter 7.0, thickness 0.6mm,<br />
radius of curvature 9.0/9.0mm<br />
Page 104 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
Austmed Pty Limited<br />
Elastomers, Silicone Rubber<br />
AP001 Mira: Scleral Implants Miragel-Retinal Implant used in Mira 944 Cylinder 4mm, Mira 945<br />
Scleral Buckling (Acrylichydrogel Cylinder 5mm, Mira 945F<br />
Copolymer) Two-thirds cylinder 5mm, Mira 943<br />
Cylinder 3mm, Mira 946 Oval 3mm<br />
by 5mm, Mira 946G Grooved oval<br />
3mm by 5mm, Mira 947 Oval<br />
3.25mm by 7mm, Mira 948G<br />
Grooed oval 4.5mm by 7.5mm, Mira<br />
949 Oval 3.5mm by 8.5mm, Mira<br />
949G Grooved oval 3.5mm by<br />
8.5mm, Mira 94277 Ho 277<br />
symmetrical tire design 7mm, Mira<br />
94377 Tolentino symmetrical tire<br />
design 7.5mm, Mira 94276<br />
Asymmetrical tire design 7mm, Mira<br />
9412 Kroll tapered oval 12.5mm,<br />
Mira 903 Cylinder 3mm, Mira 904<br />
Cylinder 4mm, Mira 905 Cylinder<br />
5mm, Mira 905F Two-thirds<br />
cylinder 5mm, Mira 906 Oval 3mm<br />
by 5mm, Mira 906G Grooved oval<br />
3mm by 5mm, Mira 907 Oval<br />
3.25mm by 7mm, Mira 908G<br />
Grooved oval 4.5mm by 7.5mm,<br />
Mira 909 Oval 3.5mm by 8.5mm,<br />
Mira 909G Grooved oval 3.5mm by<br />
8.5mm, Mira 90377 Tolentino<br />
symmetrical tire design 7.5mm, Mira<br />
90276 Asymmetrical tire design<br />
design 7mm, Mira 90277 Ho 277<br />
symmetrical tire design 7mm, Mira<br />
9012 Kroll universal tapered oval<br />
12.5mm.<br />
Page 105 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
AP002 Mira: Scleral Implants Silicone Sponge- Retinal Implant Sponge- Mira 502 Cylinder 2mm,<br />
Used in Scleral Buckling (Silicone Mira 5025 Cylinder 2.5mm, Mira<br />
Elastomer Sponge) 503 Cylinder 3mm, Mira 504<br />
Cylinder 4mm, Mira 505 Cylinder<br />
5mm, Mira 505G Grooved cylinder<br />
5mm, Mira 505T Packer tunnel<br />
cylinder 5mm, Mira 510 Half<br />
cylinder 5mm, Mira 515 Brucker<br />
two-thirds cylinder 5mm, Mira 501<br />
Masciulli oval 2.5mm by 4mm, Mira<br />
506 Vaiser oval 3mm by 5mm, Mira<br />
506G Vaiser grooved oval 3mm by<br />
5mm, Mira 507 oval 5.5mm by<br />
7.5mm, Mira 507G Grooved oval<br />
5.5mm by 7.5mm, Mira 507T Packer<br />
tunnel oval 5.5mm by 7.5mm, Mira<br />
511 Half oval 7.5mm, Mira 517<br />
Brucker two-thirds oval 7.5mm,<br />
Mira 509 Fuller flat oval 3.5mm by<br />
7.5mm, Mira 509G Fuller grooved<br />
flat oval 3.5mm by 7.5mm, Mira 518<br />
Frederick grooved flat oval 2.5mm<br />
by 12mm, Mira 508 Frederick flat<br />
oval 4mm by 12mm, Mira 508G<br />
Frederick grooved flat oval 4mm by<br />
12mm, Mira 513 Snyder 3+<br />
meridional 7mm by 4mm, Mira 514<br />
Snyder 4+ meridional 8mm by 5mm,<br />
Mira 516G Tapered groove 6.4mm,<br />
Mira 519G Tapered groove 7.5mm<br />
by 3.2mm.<br />
Page 106 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
AP003 Mira: Scleral Implants Solid Tires-Mira 286 Wendel<br />
Silicone-Tire/Meridional/Wedge/Pa Symmetrical Oval Tire 6mm, Mira<br />
d. Retinal Implant used in Scleral Symmetrical Oval Tire 7mm, Mira<br />
Buckling (Dimethylmethylvinyl 287WG Murray wide (3.5mm)<br />
Siloxane Copolymer) grooved symmetrical tire, 10mm<br />
wide, Mira 288 ross symmetrical<br />
grooved tire, low profile 10mm<br />
wide by 2.5mm, Mira 289<br />
Symmetrical oval tire 10mm, Mira<br />
277Symmetrical tire 7mm, Mira 279<br />
Symmetrical tire 9mm, Mira 78G<br />
Grooved symmetrical tire 10mm,<br />
Mira 281 Symmetrical tire 12.5mm,<br />
Mira 275 Munsen Asymmetrical<br />
tire 6mm, Mira 276 Asymmetrical<br />
tire 7mm, Mira 278 Brockhurst<br />
asymmetrical tire 8.5mm, Mira<br />
280LG Large grooved<br />
asymmetrical tire 10mm, Mira 77G<br />
Grooved hemisphere 26mm.<br />
Meridional- Mira 106 Meridional<br />
Implant 6mm by 10.5mm, Mira 112<br />
Curved Meridional implant 12mm<br />
by 12mm, Mira 103 Meridional<br />
implant 4mm by 15mm. Wedge-<br />
Mira 135 Pruett maxi wedge 14mm,<br />
Mira Pruett midi wedge 12mm, Mira<br />
190 Spencer sub-implant 5mm by<br />
10mm. Pad- Mira 80 Pad 4mm by<br />
8mm, Mira 22 Button 5mm by 5mm<br />
AP004 Mira: Scleral Implants Solid Silicone-Sleeve. Retinal Sleeves-Mira 70 Sleeve 1mm I.D.,<br />
Implant used in Scleral Buckling Mira 71 Sleeve 1mm I.D., Mira 72<br />
(Dimethylmethylvinyl Siloxane McNutt Sleeve 1.57mm I.D., Mira<br />
Copolymer) 270 Sleeve 0.76mm I.D.<br />
Page 107 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
AP006 Mira: Scleral Implants Solid Bands-Mira 40 Circling Band 2mm,<br />
Silicone-Band/Strip/Boat/Clip. Mira 240 Circling Band 2.5mm.<br />
Retinal Implant used in Scleral Strips-Mira 41 Strip 3.5mm, Mira<br />
Buckling (Dimethylmethylvinyl 42 Strip 4mm, Mira 20 Strip 4mm,<br />
Mira 219 Strip 4.5mm, Mira 31<br />
Strip 4.5mm, Mira 32 Strip 5mm,<br />
Mira 225 Oval Strip 5mm, Mira 220<br />
Strip 6mm. Boats-Mira 60 Boat<br />
2mm, Mira 260 Boat 2.5mm.<br />
Clips-Mira 50 Double Tantalum<br />
Clip 2mm, Mira 250 Double<br />
Tantalum Clip 2.5mm, Mira 51<br />
Singla Tantalum Clip 3.5mm, Mira<br />
52 Joondeph Single Tantalum Clip<br />
4mm<br />
Bausch & Lomb Surgical<br />
Lenses, Intraocular, Anterior Chamber<br />
BL005 Storz (Coburn) Intraocular Lens PMMA Anterior Chamber 13.75mm length. 6.0mm optic size,<br />
Intraocular lens 1 piece diopter range 3-30d<br />
Lenses, Intraocular, Posterior Chamber<br />
BL006 Posterior chamber IOLS model P359 PMMA Posterior Chamber lens 1 12.25mm to 13.75mm length. 5.5mm<br />
UV, P399 UV, 68 UV, 95 BUV, or to 7mm optic size, diopter range<br />
lolab PC One Piece, model 6741B, -4.5 - 45d to 10 - 34d<br />
8591B, 8191B<br />
BL007 Hydroview Intraocular lens Model Foldable Hydrogel Lens Hydrogel 12.50mm length, 6.0mm optic size,<br />
Posterior Chamber Foldable lens 1 diopter range 15-30d<br />
piece<br />
BL009 Soflex UV Absorbing Silicone Foldable Intraocular Lens Silicone 13.00mm length, 6.0mm optic size,<br />
Posterior Chamber IOL Model LI61U Posterior Chamber Foldable Lens 3 diopter range 5-30d<br />
piece<br />
BL010 Chiroflex Model C11UB Intraocular Lens Foldable Plate 10.50m length, 6.0mm optic size,<br />
Haptic Silicone Posterior Chamber diopter range 10-30d<br />
Foldable Plate Haptic Lens 1 piece<br />
Page 108 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong><br />
BL011 Storz E5381 Silicone Strip Silicone Sleeve 1.65mm to 2.2mm diameter, length<br />
6.1mm to 30mm<br />
BL012 Storz E5395 3 Cylindrical Sponge Retinal Fixation Device 2.3mm x 2.5mm x 80mm, to 7.5mm x<br />
Implant 7.5mm x 100mm<br />
BL013 Storz E5381 Silicone Strip Silicone Tire Outside diameter 30.2m to 33.6mm,<br />
inner diameter 26mm, overall length<br />
10.4mm to 125mm<br />
BL014 Storz E5381 Silicone Strip Circling Band Overall length 10.4mm to 125mm<br />
ConceptVision Australia Pty Ltd<br />
Lenses, Intraocular, Posterior Chamber<br />
CS001 Staar foldable silicone intraocular Plate haptics 6.0mm; Polymide 10.8mm - 13.5mm length<br />
lens: Model AA4203VF; Model haptics 5.5 or 6.3mm optic<br />
AA4204VF; AA4204VL; Model<br />
AQ2010V; Model AQ2017V; Model<br />
CS002 Staar Toric foldable silicone Plate haptics 6.0mm optic 10.8mm - 11.2mm length<br />
intraocular lens: Model AA4203TF;<br />
Model AA4203TL<br />
CS003 Staar foldable silicone intraocular Polyimide haptics 6.3mm optic - low 14.0mm length<br />
lens: Model AQ 5010V diopters<br />
Design for Vision Pty Ltd<br />
Intracorneal Rings<br />
DV003 DORC Retinal Implants Bands and strips Bands 2 - 2.5mm, strips 2 - 4mm<br />
DV009 Morcher Capsular Tension Ring PMMA Implant 14, 14A, 14C<br />
DV010 Morcher Coloboma Diaphram PMMA Implant 96G, 96L<br />
DV013 DORC Retinal Implants Tantalum clips 2 - 2.5mm<br />
DV014 DORC Retinal Implants Sleeves 0.76 x 1.65mm and 1 x 2.1mm<br />
Page 109 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
DV015 DORC Retinal Implants Tires 1 - 1.9mm thick, 7 - 11mm wide: 4<br />
styles<br />
DV016 DORC Retinal Implants Sponges 3 - 5mm round, 3 - 5.5mm oval<br />
<strong>Prostheses</strong>, Eyelid<br />
DV004 Standard Gold Implant Gold 0.6g, 0.8g, 1.0g, 1.2g, 1.4g, 1.6g<br />
DV005 Gold Eyelid Load Small Range - standard 0.6g, 0.8g, 1.0g, 1.2g, 1.4g, 1.6g<br />
DV006 Special Gold Implant Set Gold 1.8g, 2.0g, 2.2g, 2.4g, 2.6g, 2.8g<br />
DV007 Gold Eyelid Load Large Range 1.8g, 2.0g, 2.2g, 2.4g, 2.6g, 2.8g<br />
DV012 Gold Eyelid Load Small range - thin profile 0.6g, 0.8g, 1.0g, 1.2g, 1.4g, 1.6g<br />
Valves, Eye<br />
DV011 Ahmed Glaucoma Valve Silicone Implant Adult or Paediatric<br />
DV017 Molteno Implant Single plate One size only<br />
DV018 Molteno Implant Single plate - dual chamber One size only<br />
DV019 Molteno Implant Double plate One size only<br />
DV020 Molteno Implant Double plate - dual chamber One size only<br />
OPSM Instruments<br />
Eyelid Weights, Implantable<br />
OI009 Lid Load Gold Eyelid Weights; Gold 1.8, 2.0, 2.2, 2.4, 2.6, 2.8 grams<br />
OI010 Lid Load Gold Eyelid Weights; Gold 0.6, 0.8, 1.0, 1.2, 1.4, 1.6 grams<br />
<strong>Prostheses</strong>, Evisceration<br />
OI015 Acrylic Implant Acrylic 12, 14, 16, 18, 20mm.<br />
Scleral Buckling Devices<br />
OI003 Silicon Retinal Implant Mould One size only<br />
Page 110 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
OI005 Silicon Retinal Implant Sponge 2.5 x 4.0 x 80mm, 3.0 x 5.0 x 100mm,<br />
3.25 x 7.0 x 80mm, 5.5 x 7.5 x<br />
80mm, 1.5 x 80mm, 2.0 x 80mm, 2.5 x<br />
80mm, 3.0 x 80mm, 4.0 x 80mm, 5.0<br />
x 80mm, 7.0 x 80mm<br />
OI006 Silicon Retinal Implant Tire 7.0, 9.0, 12.5, 6.0, 8.5, 10.0mm<br />
OI007 Silicon Retinal Implant Sleeve 1mm, .76mm, 1.5mm<br />
OI008 Silicon Retinal Implant Band 0.75 x 2.0 x 125mm, 0.60 x 2.5 x<br />
125mm, 0.75 x 2.5 x 125mm<br />
Sleeves<br />
OI014 P-K Titanium Peg Titanium One size only<br />
OI020 P-K Threaded Sleeve Titanium One size only<br />
Spheres, Eye<br />
OI011 Hydroxyapatite Ocular Implant Coral 22mm<br />
(orbital sphere)<br />
OI012 Hydroxyapatite Ocular Implant Coral 20mm<br />
(orbital sphere)<br />
OI013 Hydroxyapatite Ocular Implant Coral 18mm<br />
(orbital sphere)<br />
OI021 Hydroxyapatite Ocular Implant Coral 16mm<br />
(orbital sphere)<br />
Tubing, Other<br />
OI004 Lester Jones Tear Duct Tubes Glass 3 x 9 to 16mm, 3.5 x 9 to 18mm, 4.0<br />
x 9 to 24mm, 5.0 x 9mm<br />
Page 111 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
Pharmacia Australia Pty Ltd<br />
Glaucoma Filtration Implants<br />
PU053 Baerveldt Glaucoma Implant BG Non-valved artificial drainage Surface area 250, 350, 425mm2<br />
101-350, Baerveldt Glaucoma Implant device, composition silicone -<br />
BG 103-425, Baerveldt Glaucoma smooth, tumble-polished finish<br />
Implant BG 103-250<br />
Lenses, Intraocular, Posterior Chamber<br />
PU004 Posterior Chamber IOL; Pharmacia CeeOn Posterior chamber, heparin 812C:+8.0 to +40.0 diopter<br />
Heparin Surface Modified AC IOL coated , PMMA lenses, One piece, increments, 722C: +8.0 to +30.0<br />
Model 352C biconvex. 812C, 722C, 757C, 808C diopter increments, 757C: -10.0 to<br />
CeeOn Anterior chamber heparin +7.0 diopter increments 808C: +8.0<br />
coated PMMA lenses 352C. Models to +30.0 diopter increments and<br />
812C, 722C, 757C, 808C & 352C. 352C: - +8.0 to +30.0 diopter<br />
increments<br />
PU054 Ceeon Model 911A Edge Foldable UV Silicon, foldable, UV absorbable 5 - 10D in 1.0 diopter increments,<br />
Absorbing Posterior Chamber IOL intraocular lens with equibiconvex 10.5 - 30D in 0.5 diopter<br />
design and square optic edge<br />
Spectrum Ophthalmics<br />
Glaucoma Filtration Implants<br />
SO001 T.Flux: Non-Absorbable Galucoma - One size only<br />
Intracorneal Rings<br />
SO002 Tensiobag: Capsular Tension Ring PMMA Diameter 10 - 14mm<br />
SO003 Ophtec Tension Ring PMMA 12/10, 13/11<br />
<strong>Prostheses</strong>, Eyelid<br />
SO017 FCI Ptose-up Expanded PTFE 15cm long x 2 or 3mm wide x<br />
0.35mm thick<br />
SO018 FCI Eyelid Spacer (Upper & Lower Expanded PTFE Upper Lid: 20 x 4-16 x 0.35mm;<br />
Lower Lid: 20 x 4-16 x 1mm<br />
Page 112 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Orbital Rim<br />
SO005 FCI Orbital Implants Pess Implant, 75% Hydroxyapatite 30 x 25mm x (3.5-5)mm<br />
& 25% TRI Calcium Phosphate<br />
SO006 FCI Orbital Implants Orbital Implant, Bioceramic Bioceramic diameter, 12, 14, 16, 18,<br />
(Aluminium Oxide)/Hydroxyapatite 20, 21, 22mm; Synthetic Diameter,<br />
(Synthetic) 10, 12, 14, 16, 18, 20, 22mm<br />
SO007 FCI Orbital Implants Mesh wrapped orbital implant: mesh Bioceramic diameter: 16, 18, 20,<br />
wrapped bioceramic (aluminium 22mm; Synthetic Hydroxyapatite<br />
oxide), mesh wrapped diameter: 16, 18, 20, 22mm<br />
hydroxyapatite (synthetic), mesh<br />
wrap (polyglycolic acid)<br />
SO008 FCI Orbital Implants Dexon Mesh (Polyglycolic Acid Mesh: 8 x 8 cm, 4-0 Suture: 45 cm<br />
Mesh) includes resorbable 4-0<br />
polyglycolic acid suture<br />
SO019 FCI Obrbital Implants Peg & Sleeve Standard Large<br />
Punctum Plugs, Lacrimal<br />
SO004 FCI Punctum Plugs Preloaded Silicone Plug on plastic 0.8 x 1.35mm, 1.1 x 1.5mm, 1.4 x<br />
inserter 1.7mm, 1.4 x 2mm, 1.7 x 2mm<br />
Scleral Buckling Devices<br />
SO009 FCI Scleral Buckling Devices Band/strip: solid silicone Band - 2.0 x 0.75mm Type 40, 3.5 x<br />
0.75mm Type 41, 4.0 x 1.25mm Type<br />
42, 2.5 x 0.6mm Type 240, Morin<br />
3.5 x 0.6mm<br />
Strip - 5.7mm Type 20, 7.2mm Type<br />
31, 9.2mm Type 32, 6mm Type 219,<br />
7.5mm Type 220, 8mm Type 225<br />
SO010 FCI Scleral Buckling Devices Fixation Sleeve: Solid silicone O.D: 1.65 to 2.41mm, Length 30mm<br />
SO011 FCI Scleral Buckling Devices Tire: Solid Silicone Symmetrical: (2.5 mm Groove, 7 to<br />
9mm wide), Biconvex: (2.5mm<br />
Groove, 7 to 10mm wide),<br />
Asymetrical: (2.5mm Groove, 7 to<br />
10mm wide)<br />
Page 113 of 638
OPHTHALMIC<br />
Billing Code Product Further Size Notations<br />
SO012 FCI Scleral Buckling Devices Sponge/Cord: Silicone Cord: 1.0 to 5.0mm O.D. x 150mm<br />
length; Half Cord: 3.0mm to width<br />
x1.5mm to 2.5mm height x150mm;<br />
Circular Sponge: 3 to 5mm; Oval<br />
Sponge: 2 to 5.5mm x 4 to 12mm;<br />
Half Sponge: 2 to 3.1mm x 4 to<br />
7.5mm; Grooved Sponge: 3 to 5mm<br />
x 5 to 12mm; Gain Sponge: 6 x<br />
2.5mm; Sahal Sponge: 4 to 5mm x 5<br />
to 7mm<br />
SO013 FCI Scleral Buckling Devices Strip: Solid Silicone Strip: 1.4 x 4.4 x 100mm, Morin<br />
Strip: 7mm wide x 100mm long,<br />
Caputo Zip Strip: 7 to 9mm wide x<br />
120mm long, Korobelnik Oval<br />
Strip: 2 x 5mm<br />
SO014 FCI Scleral Buckling Devices Band: Solid Silicone Devin Band: 1 x 4 x 120mm,<br />
Ducournau Band: height 2 to 2.5 x<br />
5.5 to 7.5mm x length 120mm,<br />
Ducournau Band II: 2.1 x 5.5 x<br />
120mm<br />
SO015 FCI Scleral Buckling Devices Band: Expanded PTFE Ducournau Band: 2.5 x 5.5 to<br />
7.0mm x 120mm, Band: 0.5mm to 2.1<br />
x 2.5mm to 15 x 120mm<br />
SO016 FCI Scleral Buckling Devices Sponge/Strip: Expanded PFTE Circular Sponge: 3 to 5 x 90mm,<br />
Oval Sponge: 2 to 4mm x 3 to 5 x<br />
90mm, Half Sponge: 2.5 x 7.5 x<br />
120mm; Strip: 9 x 90mm<br />
Page 114 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Advanced Surgical Technologies<br />
Bone Matrix Implants, Artificial<br />
AD150 Osteoset Bone Void Filler Calcium Sulphate 50cc<br />
AD151 Osteoset Bone Void Filler Calcium Sulphate 5, 10, 20, 50, 1.25cc Syringe 3.0,<br />
4.8 syringe<br />
AD152 Osteoset T Pellets Calcium sulphate with tobramycin 20cc<br />
AD153 Osteoset T Pellets Calcium sulphate with tobramycin 5cc<br />
AD154 Osteoset T Pellets Calcium sulphate with tobramycin 10cc<br />
AD155 Osteoset T Pellets Calcium sulphate with tobramycin 50cc<br />
Cement, Orthopedic<br />
AD042 Norian SRS Reactant Pack Cement Reactant Pack 5cc<br />
AD043 Norian SRS Reactant Pack Cement Reactant Pack 10cc<br />
AD104 Osteoset BVF Kit Kit contains calcium sulfate, diluent, 20cc and 30cc<br />
mould, spatula and mixing bowl<br />
Orthopedic Internal Fixation Systems, Fracture<br />
AD101 LOCON-T Radius Plating System Stainless steel cortical bone screw 1.8, 2.7, 3.5mm dia x 6 - 40mm<br />
length in 2mm increments<br />
AD102 LOCON-T Radius Plating System Stainless steel volar plate, left and 1.2 - 1.5mm thick, left and right -<br />
right distal plates, lateral plate small, medium, large<br />
Procedure Trays, Surgical<br />
AD196 Tenofix Tendon Repair System 2 Anchors, sutures, 2 pre-applied One size only<br />
stop bead installation devices,<br />
AD197 Tenofix Tendon Repair System Pre-applied stop bead and 2/0 One size only<br />
AD198 Tenofix Tendon Repair System Pre-applied stop bead crimper One size only<br />
AD199 Tenofix Tendon Repair System Installation device with anchor One size only<br />
AD204 Tenofix Tendon Repair System Repair system and removal device One size only<br />
Page 115 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Bone, Freeze-Dried<br />
AD068 Surgibone Bovine Granulated Bone 4/12 mesh, 12/20 mesh<br />
AD069 Surgibone Bovine Granulated Bone 20/30 Mesh<br />
AD070 Surgibone Bovine Onlays 50mm, 80mm, 100mm, 120mm<br />
AD071 Surgibone Bovine Cubes 3 gram<br />
AD072 Surgibone Bovine Cubes 10 gram<br />
AD073 Surgibone Bovine Cervical Dowels 12mm, 12.5mm, 14mm, 14.5mm,<br />
16mm<br />
AD074 Surgibone Bovine Cervical Blocks 6mm, 8mm, 10mm, 12mm<br />
AD075 Surgibone Bovine Threaded Dowels 12mm, 13mm, 15mm<br />
AD076 Surgibone Bovine Cavity Blocks 20mm x 20mm x 10mm<br />
AD077 Surgibone Bovine Lumbar Blocks 30x10x14mm, 16mm, 18mm, 20mm,<br />
22mm<br />
AD078 Surgibone Bovine Lumbar Blocks 30x15x14mm, 16mm, 18mm, 20mm,<br />
22mm<br />
AD079 Surgibone Bovine Pins 33mm x 11mm x 5.5mm<br />
AD080 Surgibone Bovine Tapered Pins 50mm x 6mm, 8mm<br />
AD081 Surgibone Bovine Tapered Disks 40x2x6mm, 8mm,10mm 50x2x6mm,<br />
8mm, 10mm, 12mm, 14mm<br />
AD082 Surgibone Bovine Compound Wedge 55x25x10mm, 13mm, 15mm,<br />
60x15x30mm<br />
AD083 Surgibone Bovine Plain Wedge 55mm x 15mm x 25mm<br />
<strong>Prostheses</strong>, Carpal<br />
AD106 Orthosphere Yttria-stabilized zirconia ceramic 8 - 12mm<br />
AD166 Wright Swanson Titanium Carpal Titanium 1, 2, 3, 4, 5<br />
Lunate Implant<br />
Page 116 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AD167 Wright Swanson Titanium Carpal Titanium 1 - 5 left and right<br />
Scaphoid Implant<br />
<strong>Prostheses</strong>, Finger/Thumb<br />
AD163 WMT Orthopaedic Implants Hand Trapezium silastic 1, 2, 3, 4, 5<br />
AD164 WMT Orthopaedic Implants Hand Silastic tendon spacer 24in long, 3, 4, 5, 6mm wide<br />
<strong>Prostheses</strong>, Joint<br />
AD158 WMT Orthopaedic Implants Silastic finger joint 470 series 00, 0, 1, 2<br />
Finger/Thumb without grommets<br />
AD159 WMT Orthopaedic Implants Silastic finger joint with Ti 3, 4, 5, 6<br />
Finger/Thumb grommets G470 series<br />
<strong>Prostheses</strong>, Joint, Elbow<br />
AD156 Sorbie Questor Elbow System Total joint CoCr and UHMWPE Left and right in sizing 48mm wide,<br />
46mm, 44mm<br />
<strong>Prostheses</strong>, Joint, Hip<br />
AD113 Transcend Articulation System Transcend cup - titanium 42 - 74mm in 2mm increments<br />
AD114 Transcend Articulation System Metal femoral head CoCr 28 and 32mm, 4 lengths<br />
AD115 Transcend Articulation System Ceramic femoral head 28 and 32mm, 3 lengths<br />
AD116 Transcend Articulation System Metal liner CoCr Grp 1, Grp 2, Grp 3, Grp 4<br />
AD117 Transcend Articulation System Ceramic liner Grp 1, Grp 2, Grp 3, Grp 4<br />
AD118 Transcend Articulation System Interseal apical plug titanium One size only<br />
AD119 Transcend Articulation System Titanium HA coated cup 42 - 74mm in 2mm increments<br />
AD120 Transcend Articulation System Bone screw titanium 6.5mm x 1.5 - 6cm in 0.5cm<br />
increments long<br />
AD121 Infinity Modular Hip System Distal stem titanium 11 - 22mm in 1mm increments, 135 -<br />
175mm long<br />
AD122 Infinity Modular Hip System Head ceramic 28mm, 32mm, 3 lengths<br />
AD123 Infinity Modular Hip System Head CoCr 28mm, 32mm, 3 lengths<br />
Page 117 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AD124 Infinity Modular Hip System Trochanteric module titanium HA A, B, C, D, E, F<br />
and porous coated<br />
AD128 WMT Perfecta Hip System Porous titanium 10.5, 12, 12.7, 13.5, 14.2, 15, 16.5,<br />
18mm width, 140 - 175 long<br />
AD129 WMT Perfecta Hip System HA coated titanium 10.5, 12, 12.7, 13.5, 14.2, 15, 16.5,<br />
18mm width, 140 - 175 long<br />
AD130 WMT Perfecta Hip System Cemented CoCr 10.5, 12, 13.5, 15, 16.5, 18mm<br />
width, 140 - 170 long<br />
AD131 WMT Perfecta Hip System PMMA cement spacer 9 - 21mm in 1mm increments<br />
AD132 WMT Perfecta Hip System Bone plug PMMA cement One size only<br />
AD177 Nexus II Hip System Distal Cement Spacer 9-21mm in 1mm increments<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
AD103 Lineage Acetabular System Titanium Shells 40 - 80mm in 2mm<br />
AD125 WMT Acetabular Cups All Poly UHMWPE 42 - 68mm in 2mm increments<br />
AD126 WMT Interseal Acetabular Shells and Titanium acetabular shell 42 - 68mm in 2mm increments<br />
Liners<br />
AD127 WMT Interseal Acetabular Shells and Duramer UHMWPE Liner Grp 1, Grp 2, Grp 3, Grp 4<br />
Liners<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
AD112 Conserve Hip Resurfacing Hemi Cobalt chrome 32 - 66mm in 2mm increments<br />
AD165 Wright Titanium Basal Thumb Titanium 1, 2, 3, 4, 5<br />
<strong>Prostheses</strong>, Joint, Knee<br />
AD193 Ortholoc Modular Total Condylar Tibial Components Stemless or Small, Small Plus, Medium, Medium<br />
W/Modular Stem Base (Porous Plus, Large, Large Plus, Xlarge<br />
Coated) Titanium<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
AD133 Advance Total Knee System Femoral PS components CoCr 1, 2, 3, 4, 5, 6<br />
Page 118 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AD134 Advance Total Knee System Posterial stabilised all poly 1, 2, 3, 4, 5, 6<br />
UHMWPE tibia<br />
AD135 Advance Total Knee System Tibial base CoCr and titanium metal 1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6<br />
base cemented<br />
AD136 Advance Total Knee System Tibial base insert UHMWPE 1, 2, 3, 4, 5, 6 in 10 - 30mm in 2mm<br />
increments<br />
AD137 Advance Total Knee System All poly patella UHMWPE 25, 28, 32, 35, 38, 41mm<br />
AD138 Advance Total Knee System Traditional tibial insert 1, 2, 3, 4, 5, 6 in 10 - 30mm in 2mm<br />
increments<br />
AD139 Advance Total Knee System Metal pivot UHMWPE tibial 1, 2, 3, 4, 5, 6 in 10 - 30mm in 2mm<br />
increments<br />
AD140 Advance Total Knee System Femoral CoCr PCR component 1, 2, 3, 4, 5, 6<br />
porous and HA<br />
AD141 Advance Total Knee System Femoral CoCr component PCR 1, 2, 3, 4, 5, 6<br />
cemented<br />
AD142 Advance Revision Knee System Femoral Augments titanium 1 - 5, 5mm thick, 10mm thick and<br />
posterior<br />
AD143 Advance Revision Knee System Femoral component CoCr 1, 2, 3, 4, 5, 6<br />
AD144 Advance Revision Knee System Femoral stem titanium 6 - 22mm in 1mm increments,<br />
standard and offset length 50 -<br />
AD145 Advance Revision Knee System PS and CCK Insert UHMWPE 1, 2, 3, 4, 5, 6 in 10 - 30mm in 2mm<br />
increments<br />
AD146 Advance Revision Knee System Tibial augments/wedges titanium 15 degree, sizes 1, 2/1+, 3/2+, 4/3+,<br />
5/4+, 6/5+<br />
AD147 Advance Revision Knee System Tibial component titanium 1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6<br />
AD148 Advance Revision Knee System Tibial stem titanium 6 - 22mm in 1mm increments,<br />
standard and offset length 50 -<br />
AD149 Advance Revision Knee System Bone screw titanium 6.5mm x 1.5 - 6cm in 0.5cm<br />
increments long<br />
Page 119 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AD168 Advantim Total Knee System Femoral Components CoCr Total Small, Medium, Large, Xlarge<br />
Condylar (Porous Coated)<br />
AD169 Advantim Total Knee System Femoral Components CoCr Total Small, Medium, Large, Xlarge<br />
Condylar (Non Porous Coated)<br />
AD170 Advantim Total Knee System All Poly Tibial UHMWPE Small, Medium, Large, Xlarge<br />
AD171 Advantim Total Knee System Tibial Inserts Total Condylar 10-36mm in 2mm increments<br />
UHMWPE<br />
AD172 Advantim Total Knee System Tibial Primary Smooth/Finned 3" Length in Small-Xlarge<br />
Titanium CoCr<br />
AD173 Advantim Total Knee System Tibial Primary Smooth/Finned 6" Length in Small-Xlarge<br />
Titanium CoCr<br />
AD174 Advantim Total Knee System Patellae All Poly UHMWPE 25,28,32mm<br />
AD175 Advantim Total Knee System Patellae Metal Backed 25,28,32mm<br />
AD176 Advantim Total Knee System Bone Screws Tibial and Femoral 6.5mm x 1.5-6cm in 0.5cm<br />
Titanium increments long<br />
AD183 Advance Total Knee System Tibial base porous or HA titanium 1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6<br />
or CoCr<br />
AD185 Ortholoc 11 Revision Knee Femoral components CoCr Revision Small, Medium, Large, Xlarge<br />
(Porous Coated)<br />
AD186 Ortholoc Modular Total Condylar Femoral components CoCr Posterior Small, Medium, Large, Xlarge<br />
Stabilised (Porous Coated)<br />
AD187 Ortholoc 11 Revision Knee Tibial Revision Smooth/Finned 6" Length in Small - Xlarge<br />
Titanium<br />
AD188 Ortholoc 11 Revision Knee Tibial inserts posterior stabilised 10-36mm in 2mm increments<br />
UHMWPE<br />
AD189 Ortholoc Advantim HA Porous Tibial base HA Ti Components Small, Small Plus, Medium, Medium<br />
Coated Knee System Plus, Large, Large Plus, Xlarge<br />
AD190 Ortholoc 11 Revision Knee Tibial Components Modular Stem Small, Small Plus, Medium, Medium<br />
Thick Base (Porous Coated) Plus, Large, Large Plus, Xlarge<br />
Page 120 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AD191 Ortholoc 11 Revision Knee Tibial Components Modular Stem Small, Small Plus, Medium, Medium<br />
Wedged Base (Porous Coated) Plus, Large, Large Plus, Xlarge<br />
Titanium<br />
AD192 Ortholoc Modular Total Condylar Tibial Components Modular Stem Small, Small Plus, Medium, Medium<br />
Base (Non Porous Coated) CoCr Plus, Large, Large Plus, Xlarge<br />
AD194 Ortholoc Advantim HA Porous Femoral components CoCr HA Small, Medium, Large, Xlarge<br />
Coated Knee System coated femoral components<br />
AD195 Ortholoc 11 Revision Knee Femoral stems titanium 5 Degree 6", 7 Degree 6"<br />
AD200 Advance-Unicondylar Knee System Metal-backed tibial component 1,2,3,4 in 10,11,12mm<br />
AD205 Advance-Unicondylar Knee System Femoral component - cobolt chrome Sizes 1, 2, 3, 4<br />
AD206 Advance-Unicondylar Knee System All poly tibial component Sizes 1, 2, 3, 4 in 7mm, 8mm, 9mm,<br />
10mm<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
AD184 Olympia-Total Shoulder System Cobolt chrome head standard & 40,44,48,52,56,60mm<br />
+/-3mm<br />
AD201 Olympia - Total Shoulder System Slotted and non slotted stem Length 72 & 125mm, width 6 -<br />
AD202 Olympia - Total Shoulder System Revision stem Length 175 & 225mm, width 10 -<br />
16mm<br />
AD203 Olympia - Total Shoulder System All poly finned glenoid 40, 44, 48, 52, 56, 60mm<br />
<strong>Prostheses</strong>, Joint, Toe<br />
AD100 Metal Orthopaedic Toe Joint Implant Metal Hemi toe implant, cobalt 11 x 16 x 12mm, 13 x 19 x 14mm, 15<br />
x 22 x 16mm<br />
AD107 WMT Orthopaedics Implants Hinge Hammertoe implant titanium 1, 1S, 1L, 1W, 2, 2L, 2S<br />
Toe and Hammertoe Implant<br />
AD108 WMT Orthopaedics Implants Hinge Silastic flexible hinge toe 6 & 7<br />
Toe and Hammertoe Implant HP100-426 without grommets<br />
AD109 WMT Orthopaedics Implants Hinge Silastic flexible hinge toe 0, 1, 2, 3, 4, 5<br />
Toe and Hammertoe Implant HP100-G426 with grommets<br />
AD110 Wright Titanium Great Toe Great toe titanium 0,1, 2, 3, 4<br />
Page 121 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AD111 Conserve Plus Femoral Surface Cobalt chrome (CoCr) 32 - 66mm in 1mm increments<br />
Replacement System<br />
<strong>Prostheses</strong>, Joint, Wrist<br />
AD160 WMT Orthopaedic Implants Radial head implant HP silastic 1, 1.5, 2, 2.5, 3<br />
Radial/Ulna Head<br />
AD161 WMT Orthopaedic Implants Radial head titanium 1, 1.5, 2, 2.5, 3<br />
Radial/Ulna Head<br />
AD162 WMT Orthopaedic Implants Ulna head titanium 1, 1.5, 2, 2.5, 3<br />
Radial/Ulna Head<br />
<strong>Prostheses</strong>, Radial Head<br />
AD157 Radial Head <strong>Prostheses</strong> Titanium/UHMWPE Stem 6.5 and 8mm Mod head size 19<br />
and 22mm<br />
<strong>Prostheses</strong>, Radial/Ulna Head<br />
AD105 Evolve Modular Radial Head Cobalt chromium alloy, 75 different Stem 5.5 - 9.5mm, head 20 - 28mm<br />
combinations, 5 stem sizes, 15 head<br />
sizes<br />
Restrictors, Orthopedic Cement<br />
AD178 Bone Plug PMMA Cement 8, 10, 12, 14, 16mm<br />
Rods<br />
AD044 Bionx Implants - Rods PLLA Mini Tack 1.1mm<br />
AD046 Bionx Implants - Rods PGA, PLA or PLLA 1.5mm x 10-50mm<br />
AD047 Bionx Implants - Rods PGA, PLA or PLLA 1.5mm x 60-70mm<br />
AD048 Bionx Implants - Rods PGA, PLA or PLLA 2.0mm<br />
AD049 Bionx Implants - Rods PGA, PLA or PLLA 3.2mm x 30-40mm<br />
AD050 Bionx Implants - Rods PGA, PLA or PLLA 3.2mm x 50-70mm<br />
AD085 Bionx Implants - Rods PLLA (Smart Nail) 1.5mm<br />
Page 122 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Screws<br />
AD001 Bionx Implants - Screws Biocuff Polylactide copolymer Dia 5.7mm, length 18, 28, 36mm<br />
AD002 Bionx Implants - Screws The Wedge Polylactide copolymer Dia 5, 7, 9mm, length 20, 25mm<br />
AD052 Bionx Implants - Screws PGA Full Thread 4.5mm x 25-50mm<br />
AD053 Bionx Implants - Screws PGA Full Thread 4.5mm x 55-70mm<br />
AD056 Bionx Implants - Screws PLA Full Thread 3.5mm<br />
AD057 Bionx Implants - Screws PLA Full Thread 4.5mm<br />
AD058 Bionx Implants - Screws PLA Cannulated 4.5mm<br />
AD059 Bionx Implants - Screws PLLA Lag Screw 3.5mm x 10-28mm<br />
AD060 Bionx Implants - Screws PLLA Lag Screw 3.5mm x 30-45mm<br />
AD061 Bionx Implants - Screws PLLA Lag Screw 4.5mm x 25-65mm<br />
AD062 Bionx Implants - Screws PLLA Lag Screw 4.5mm x 70mm<br />
AD063 Bionx Implants - Screws PLLA Lag Screw 6.3mm Diameter<br />
AD064 Biofix PLA Meniscus Arrow PLLA 1.1mm x 10,13,16mm<br />
AD084 Bionx Implants - Screws PDLA Screws (Smart Screws) 7mm, 8mm, 9mm<br />
AD086 Bionx Implants - Screws PLLA Screws (Bankart Tack) 3.5mm<br />
AD087 Bionx Implants - Screws PLLA Screws (Contour Labral Nail) 3.5mm<br />
AD088 Bionx Implants - screws Biofix PLA full threaded crosshead Dia 2mm, length 6 - 10mm<br />
screw<br />
AD089 Bionx Implants - screws Biofix PLA full threaded crosshead Dia 2mm, length 12 - 20mm; Dia<br />
screw 2.7mm, length 6 -24mm<br />
AD179 Contour Meniscus Arrow 80L/20D, LPLA 1.1mm x 10, 13,16mm<br />
AD180 Contour Meniscus Arrow 80L/20D, LPLA, Pre-loaded 1.1mm x 10, 13,16mm<br />
Cartridge 1<br />
AD181 Contour Meniscus Arrow 80L/20D, LPLA, Pre-loaded 1.1mm x 10, 13,16mm<br />
Cartridge 2<br />
Page 123 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AD182 Contour Meniscus Arrow 80L/20D, LPLA, Pre-loaded 1.1mm x 10, 13,16mm<br />
Cartridge 3<br />
Austofix<br />
Nails, Bone<br />
AX001 Austofix Intramedullary Nail Humeral Nail, stainless steel 7mm and 8mm<br />
AX004 Austofix Intramedullary Nail Femoral & Tibial Nails, stainless 8mm, 9mm, 10mm<br />
AX005 Austofix Intramedullary Nail Supracondylar Nail, stainless steel 10mm & 13mm<br />
AX006 Austofix Intramedullary Nail Hip Nail, stainless steel 120 & 130 Degree<br />
AX007 Austofix Intramedullary Nail Long Hip Nail, stainless steel 13/10mm<br />
AX008 Austofix Intramedullary Nail Proximal Tibial Nail, stainless steel 10/9mm<br />
AX009 Austofix Intramedullary Nail Custom Nails, stainless steel 5-13mm<br />
AX010 Austofix Intramedullary Nail Cannulated Femoral Nail, stainless 11mm<br />
steel<br />
AX013 Proximal Humeral Nail Stainless Steel Diameter 8 mm, Length 170 mm<br />
Screws, Bone<br />
AX002 Austofix Intramedullary Screws Nail Locking Screw, stainless steel 3.5mm, 4.0mm & 4.5mm<br />
AX003 Austofix Intramedullary Screws Humeral Head Screw, stainless steel 4.3mm<br />
AX011 Austofix Intramedullary Screws Hip Screw, stainless steel 6.5mm<br />
AX012 Austofix Intramedullary Screws Proximal Thread Locking Screw, 4.0mm & 4.5mm<br />
stainless steel<br />
Australian Surgical Design & Manufacture Pty Ltd<br />
Plates, Bone<br />
AE036 Opening Wedge Tibial Ostectomy Titanium 6mm - 20mm<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
AE037 Heco Hip System Polyethylene Insert 42mm - 76mm<br />
Page 124 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AE038 Heco Hip System Titanium Cup Implant 42mm - 76mm<br />
Screws, Bone<br />
AE001 Micro Screw Titanium 1.0mm length 2-8mm<br />
AE002 Emergency Screw Titanium 1.2mm length 2-8mm<br />
AE003 MF-Cortex Screw Titanium 1.5mm length 4-18mm<br />
AE004 MF-Cortex Screw Titanium 2.0mm length 4-18mm<br />
AE005 Emergency Screw Titanium 2.4mm length 6-12mm<br />
AE006 MF-Cortex Screw Titanium 2.4mm length 6-40mm<br />
AE007 Emergency Screw Titanium 2.7mm length 8-18mm<br />
AE008 Cortex Screw Titanium 2.0mm length 4-8mm<br />
AE009 Cortex Screw Titanium 2.7mm length 8-40mm<br />
AE010 Emergency Screw Titanium 3.2mm length 8-24mm<br />
AE011 CNC Bone Screw FT Thread 3.5mm length 12-24mm<br />
AE012 Cortex Screw Titanium 3.5mm length 10-110mm<br />
AE013 Shaft Screw, Pure Titanium 3.5mm length 12-50mm<br />
AE014 Cancellous Bone Screw Titanium 4.0mm length 10-60mm<br />
AE015 Cancellous Bone Screw/Short Thread Titanium 4.0mm length 10-50mm<br />
Pure<br />
AE016 Cortex Screw Titanium 4.5mm length 14-140mm<br />
AE017 Shaft Screw Titanium 4.5mm length 22-110mm<br />
AE018 Cancellous Bone Screw Titanium 16mm Thread length 6.5mm dia, length 30-120mm<br />
AE019 Cancellous Bone Screw Threaded Titanium 32mm Thread length 6.5mm dia, length 45-150mm<br />
AE020 Cortex Screws Stainless Steel 1.5mm length 6-20mm<br />
AE021 Cortex Screw Stainless Steel 2.0mm length 6-38mm<br />
AE022 Cortex Screws Stainless Steel 2.7mm length 6-40mm<br />
Page 125 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AE023 Cortex Screws Stainless Steel 3.5mm length 10-110mm<br />
AE024 Small Cannulated Screws Short Thread Stainless Steel 3.5mm length 10-50mm<br />
AE025 Small Cannulated Screws Fully Threaded Stainless Steel 3.5mm length 10-50mm<br />
AE026 Cancellous Bone Screws Fully Threaded Stainless Steel 4.0mm length 10-60mm<br />
AE027 Cancellous Bone Screws Short Thread Stainless Steel 4.0mm length 10-50mm<br />
AE028 Large Cannulated Screws Stainless Steel 16mm Thread 7.0mm dia, length 30-150mm<br />
AE029 Large Cannulated Screws Stainless Steel 32mm thread 7.0mm dia, length 45-150mm<br />
AE030 Large Cannulated Screws Fully Threaded Stainless steel 7.0mm dia, length 70-100mm<br />
AE031 Cortex Screws Self-Tapping Stainless Steel 4.5mm length 14-140mm<br />
AE032 Malleolar Screws Stainless Steel 4.5mm length 25-70mm<br />
AE033 Cancellous Bone Screws Threaded Stainless Steel 16mm Thread 6.5mm dia, length 30-120mm<br />
AE034 Cancellous Bone Screws Threaded Stainless Steel 32mm thread 6.5mm dia, length 45-150mm<br />
AE035 Cancellous Bone Screws Fully Threaded Stainless Steel 6.5mm dia, length 20-110mm<br />
AE051 ASDM Bone screw Titanium Dia 7 - 9 mm, length 20 - 40mm<br />
Australian Surgical Technologies Pty Ltd<br />
Bolts, Bone<br />
AT048 Bone bolts Double threaded, titanium alloy Dia 4.7mm, length 24 - 80mm<br />
Ligators<br />
AT034 Suture Anchor Bioabsorbable Copolymer Implant 6mm, 15mm<br />
-for soft tissue reattachment<br />
Nails, Bone<br />
AT045 Bone nail Tibial, titanium alloy Dia 8, 9mm, length 255 - 420mm<br />
includes end cup<br />
AT046 Bone nail Supracondylar, titanium alloy Dia 10mm, length 200 - 280mm<br />
includes end cup<br />
Page 126 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Orthopedic Internal Fixation Systems, Fracture<br />
AT036 Helix Wire Titanium Alloy Xsmall, small, medium, large<br />
Plates, Bone<br />
AT039 Bone plate Locking plate for radius, titanium 4 and 6 hole, left and right<br />
AT040 Bone plate Long locking plate for radius, 4, 6, 8, 10 and 12 hole, left and<br />
titanium alloy<br />
<strong>Prostheses</strong>, Cerclage, Bone<br />
AT023 PLUS Endoprothetik Cerclage CCG Band - Pure Titanium Length 27cm<br />
AT024 PLUS Endoprothetik Cerclage CCG-GF Band - Pure Titanium Length 27cm<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
AT003 PLUS Endoprothetik Hip Systems Standard SL-PLUS - Titanium 01-12 in increments of 1<br />
AT004 PLUS Endoprothetik Hip Systems Standard SL-PLUS (HA) - Titanium 01-12 in increments of 1<br />
AT005 PLUS Endoprothetik Hip Systems Revision SLR-PLUS - Titanium 1-11 in increments of 1<br />
AT006 PLUS Endoprothetik Hip Systems Revision SLR-PLUS (HA) - 3-11 in increments of 1<br />
AT007 PLUS Endoprothetik Hip Systems Modular-PLUS Revision Stem - 1 - 12 in increments of 1<br />
Titanium<br />
AT008 PLUS Endoprothetik Hip Systems Straight Stem-PLUS - 03-7 in increments of 1<br />
AT009 PLUS Endoprothetik Hip Systems CS-PLUS -FeCrNiMoNbN 02-7 in increments of 1<br />
AT010 PLUS Endoprothetik Hip Systems CPS-PLUS - Stainless ISO5832-9 1-5 in increments of 1 & CDH<br />
AT011 PLUS Endoprothetik Hip Systems Stemfree-PLUS - Titanium 50-55 in increments of 5<br />
AT012 PLUS Endoprothetik Hip Systems Bicon-PLUS (PE) - Titanium 01-9 in increments of 1<br />
AT013 PLUS Endoprothetik Hip Systems Bicon-PLUS (PE Antilux) - 1-9 in increments of 1<br />
AT014 PLUS Endoprothetik Hip Systems Bicon-PLUS (Ceramic) - Titanium 3-9 in increments of 1<br />
AT015 PLUS Endoprothetik Hip Systems Bicon-PLUS (Metal) - Titanium 1-9 in increments of 1<br />
AT016 PLUS Endoprothetik Hip Systems Bicon-PLUS (Metal Antilux) - 1-9 in increments of 1<br />
Titanium<br />
Page 127 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
AT017 PLUS Endoprothetik Hip Systems PLUS-Fit - Titanium 40-68 in increments of 2<br />
AT018 PLUS Endoprothetik Hip Systems EPF-PLUS - Titanium 40-68 in increments of 2<br />
AT019 PLUS Endoprothetik Hip Systems EPF-PLUS (HA) - Titanium 40-68 in increments of 2<br />
AT020 PLUS Endoprothetik Hip Systems EPF-PLUS (Ceramic) - Titanium 50-68 in increments of 2<br />
AT021 PLUS Endoprothetik Hip Systems EPF-PLUS (Metal) - Titanium 48-68 in increments of 2<br />
AT022 PLUS Endoprothetik Hip Systems EPF-PLUS (Metal Antilux) - 46-68 in increments of 2<br />
<strong>Prostheses</strong>, Joint, Knee<br />
AT025 PLUS Endoprothetik Knee Systems TC-PLUS Solution (Cemented) 2-12 in increments of 2<br />
CoCrMo<br />
AT026 PLUS Endoprothetik Knee Systems TC-PLUS Solution (Cementless) - 2-12 in increments of 2<br />
CoCrMo, Ti-Plasma Spray Coated<br />
AT027 PLUS Endoprothetik Knee Systems TC-PLUS PS Solution - CoCrMo 2-12 in increments of 2<br />
AT028 PLUS Endoprothetik Knee Systems RT-PLUS Solution - CoCrMo, 4, 6, 8 in Left & Right<br />
FeCrNiMoNbN<br />
AT029 PLUS Endoprothetik Knee Systems RT-PLUS Solution (Modular) - 4, 6, 8 in Left & Right<br />
CoCrMo, FeCrNiMoNbN<br />
AT030 PLUS Endoprothetik Knee Systems UC-PLUS Solution - CoCrMo F = 4, 6, 8 & 10 T = 40, 44, 48, 52<br />
& 56<br />
<strong>Prostheses</strong>, Joint, Toe<br />
AT001 Toefit - Plus Total Prosthesis Titanium alloy Metatarsal Component S-L;<br />
Proximal sizes: 6,7,8; Phalangeal<br />
Component XS-L; Distal 11-15mm<br />
AT002 Toefit - Plus Hemi Prosthesis Titanium alloy Phalangeal Component XS-L,<br />
Distal Insert 13-17mm<br />
<strong>Prostheses</strong>, Joint, Wrist<br />
AT035 IPS Scaphoid Partial Implant Pyrocarbon Large (18 x 10mm), medium (17 x<br />
9.1mm), small (16 x 8mm)<br />
Page 128 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Screws<br />
AT031 Interference Screw, Bioabsorbable Copolymer Implant 9mm x 25mm<br />
Screws, Bone<br />
AT032 Perfixation Cannulated Hex Head Stainless Steel 9 mm in increments of 1<br />
Interference Bone Screw:<br />
AT037 Bone screw Cancellous screw, titanium alloy Dia 4mm, length 16 - 70mm<br />
AT041 Bone screws Cancellous stabilisation screws, Dia 3.5mm, length 20 - 30 mm<br />
titanium alloy<br />
AT042 Bone screws Cortical stabilisation screws, Dia 3.5mm, length 14 - 24mm<br />
titanium alloy<br />
AT043 Bone screws Cancellous, titanium alloy Dia 3.5mm, length 20 - 30mm<br />
AT044 Bone screws Cortical, titanium alloy Dia 3.5mm, length 14 - 24mm<br />
AT047 Bone screws Cortical, titanium alloy Dia 6.5mm, length 35 - 90mm<br />
Staples, Bone<br />
AT033 LCR Staple Standard Style - Stainless Steel 14.5mm x 6mm, 19mm x 6.9mm &<br />
21mm x 6.9mm<br />
Washers, Bone Screw<br />
AT038 Bone screw washers Concave and flat washers, titanium ID 4mm<br />
alloy<br />
Wires, Bone, Implantable<br />
AT049 Bone stabilisation wires Titanium alloy Dia 1.6mm, length 228mm<br />
AT050 Bone stabilisation wires Titanium alloy Dia 2mm, length 300mm<br />
B Braun Australia Pty Ltd<br />
Nails, Bone<br />
BB053 BRAUN AUST Intramedullary Nails Targon Ti Tibial Nail Dia 8mm-9mm, Length<br />
285mm-345mm<br />
Page 129 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BB054 BRAUN AUST Intramedullary Nails Targon Tibial Nail Dia 10mm-12mm, Length<br />
285mm-345mm<br />
BB055 BRAUN AUST Intramedullary Nails Targon Femoral Nail Dia 11mm-13mm, Length<br />
360mm-440mm<br />
BB107 BRAUN AUST Intramedullary Nails Nail for small bones Dia 3mm-8mm<br />
Orthopedic Internal Fixation Systems, Spinal<br />
BB001 Spine System Evolution Hook Pin Length 25 - 60mm<br />
BB002 Spine System Evolution Hook, Left and right For 5.2 and 6mm rods, Thoracic,<br />
pedicle, laminar<br />
BB003 Spine System Evolution Counter/angled/universal hook Universal - short, long; Counter -<br />
small, medium; Angled - left, right<br />
BB004 Spine System Evolution Lateral Connector Small, medium, large<br />
BB005 Spine System Evolution Sacral Screw Length 24 - 52mm<br />
BB006 Spine System Evolution Sacral Plate Left/right for 5.2 and 6mm rods<br />
BB007 Spine System Evolution Clamp for Cross Plate For 5.2 and 6mm rods<br />
BB008 Spine System Evolution Cross Plate For 5.2 and 6mm rods, length 50 -<br />
100mm<br />
BB009 Spine System Evolution Rod Connector For 5.2 and 6mm rods<br />
BB010 Spine System Evolution Rod Dia 5.2 and 6mm , length 40 -<br />
BB011 Spine System Evolution Screw Dia 5 - 8mm, length 30 - 55mm<br />
BB012 Spine System Evolution Locking Screw For 5.2 and 6mm rods, length 30 -<br />
55mm<br />
BB013 Spine System Evolution Head for Polyaxial Screw For 5.2 and 6mm rods<br />
BB014 Spine System Evolution Nut For screws for 5.2 and 6mm rods<br />
BB061 Socon Spinal System Socon Transpedicular Screw Length 35mm-65mm, Dia 5mm-7mm<br />
BB062 Socon Spinal System Socon Connecting Rods Length 40mm-200mm, Dia 6mm<br />
BB063 Socon Spinal System Socon Angled Rod Length 45mm-80mm,Dia 6mm<br />
Page 130 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BB064 Socon Spinal System Socon Clamps One size only<br />
BB065 Socon Spinal System Socon Crossbar Length 50mm-80mm<br />
BB066 Socon Spinal System Cross Bar Clamp One size only<br />
BB070 Prospace Block Titanium 9mm-11mm<br />
BB164 MACS TL Implant Set - Clamp Titanium 1.2cm - 0.9cm<br />
BB165 MACS TL Implant Set - Nut Titanium Dia 15mm<br />
BB166 MACS TL Implant Set - Bone Graft Titanium 1.6 x 1cm<br />
Clamp<br />
Pins, Bone<br />
BB071 Kirshner Wires all Sizes Steel Dia 0.8mm-3.0mm, Length<br />
70mm-310mm<br />
Pins, Bone, Absorbable<br />
BB060 BRAUN AUST Intramedullary Nails Isosorb Resorbable Fixation Pin 2mmx60mm-3.5mmx80mm<br />
Plates, Bone<br />
BB067 Caspar Cervical Plate Titanium and Steel 24mm-90mm<br />
BB068 Caspar Screws Stainless Steel 10mm-28mm<br />
BB069 Caspar Screws Titanium 10mm-28mm<br />
BB135 Advanced Biomechanical Concept Titanium, rigid Medium 34 - 64mm length<br />
BB140 Advanced Biomechanical Concept Titanium, rigid Large 67 - 103mm length<br />
BB153 Advanced Biomechanical Concept Titanium, rigid Small 20 - 32mm Length<br />
BB167 MACS Stabilisation Plates Titanium, rigid Length 45 - 100mm<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
BB036 BI-CONTACT HIP SYSTEM Unipolar Cup Dia 42-54mm<br />
BB037 BI-CONTACT HIP SYSTEM Bipolar Cup Dia 39-55mm<br />
BB049 Down Asiana Hip System Cemented Stem Size 40-45<br />
Page 131 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BB050 Down Asiana Hip System Cemented Cup Size 40-43<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
BB029 BI-CONTACT HIP SYSTEM Stem - Cementless Size 10-21<br />
BB030 BI-CONTACT HIP SYSTEM Isodur Stem Cemented 10-16<br />
BB031 BI-CONTACT HIP SYSTEM Isotan Stem Cemented 10-21<br />
BB032 BI-CONTACT HIP SYSTEM Stem Revision 13-19<br />
BB033 BI-CONTACT HIP SYSTEM Stem Revision Curved 15-19<br />
BB034 BI-CONTACT HIP SYSTEM Isodur Head CoCr Dia 22.2-32mm, short-xxlong<br />
BB035 BI-CONTACT HIP SYSTEM Head Biolox Dia 28-32mm, short-long<br />
BB038 BI-CONTACT HIP SYSTEM P.E. Cup Dia 42-58mm<br />
BB039 BI-CONTACT HIP SYSTEM Plasmacup Dia 40-68mm<br />
BB040 BI-CONTACT HIP SYSTEM Plasmacup Dia 40-68mm<br />
BB041 BI-CONTACT HIP SYSTEM Plasmacup Dia 42-58mm<br />
BB042 BI-CONTACT HIP SYSTEM Plasma Cup Screw Dia 16-44mm<br />
BB043 BI-CONTACT HIP SYSTEM Liner PE Dia 22.2-32mm<br />
BB044 BI-CONTACT HIP SYSTEM Liner Ceramic Dia 22.2-32mm<br />
BB045 BI-CONTACT HIP SYSTEM Centraliser Dia 8-18mm<br />
BB046 BI-CONTACT HIP SYSTEM Revision Interlocking Screw Length 24-40mm<br />
BB047 Downs Austin-Moore Hip Stem 39-54mm<br />
BB048 Downs Thompson Stem Stem 38-55mm<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
BB148 Search Total Knee System Cemented Femoral Implant Left & Right F1 - F5<br />
BB149 Search Total Knee System Tibial Insert LC/LCR E10 - E16. T1 - T5<br />
BB150 Search Total Knee System Tibial Plateau LC/PS T1 - T5<br />
Page 132 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BB151 Search Total Knee System Tibial Plateau T1 - T5<br />
BB152 Search Total Knee System Revision Tibial Block/Coin 4 - 8mm, T1 - T5<br />
BB154 Search Total Knee System Revision TKA Accessory Block 4 - 8mm, T1 - T5<br />
Screws, Bone<br />
BB051 BRAUN AUST Intramedullary Nails Compression Nail 100mmx10.5mm-610mmx12.5mm<br />
BB052 BRAUN AUST Intramedullary Nails Compression Screw 4.5mmx64mm-4.5mmx102mm<br />
BB056 BRAUN AUST Intramedullary Nails Fixation Screws Dia 4.5mm-6mm,Length<br />
20mm-96mm<br />
BB057 BRAUN AUST Intramedullary Nails Closure Screws Length 8mm-10mm<br />
BB059 BRAUN AUST Intramedullary Nails Huckstep Fine Thread Screw 4.5mmx19mm-4.5mmx57mm<br />
BB158 Advanced Biomechanical Concept Titanium with locking mechanism Dia 4 - 4.5mm, length 10 - 28mm<br />
BB159 Bone Screw MACS Polyaxial & Stabilisation, Dia 6.5 - 7mm, length 30 - 50mm<br />
Titanium<br />
BB160 Bone Screw HMA Polyaxial, Titanium Dia 12mm, length 26 - 38mm<br />
BB161 Bone Screw HMA Monoaxial, Titanium Dia 12mm, length 26 - 38mm<br />
BB162 Bone Screw MACS Locking, Titanium Dia 12mm, length 4mm<br />
BB163 Bone Screw MACS Graft, Titanium Dia 5mm, length 35mm<br />
Baxter Healthcare Pty Ltd<br />
Cement, Orthopedic<br />
BX146 Coriplast 1 Acrylic bone cement standard One size only<br />
BX147 Coriplast 3 Acrylic bone cement low vicosity One size only<br />
Nails, Bone<br />
BX156 Anatomik Femoral Nail System Stainless steel plate & screw Nails 11-15mmD, 340-480mm<br />
Page 133 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Orthopedic External Fixation Systems, Spinal<br />
BX002 Corin Spinal System Mehdian Thoracic Pedicle Screw 5mm x 30mm - 45mm<br />
Assembly<br />
BX016 Corin Spinal System Mehdian Pedicle Spinal Rods 110-250mm<br />
BX031 Corin Spinal System Mehdian Anterior Washers Use with 5-7mm Screw<br />
BX045 Corin Spinal System Mehdian Pedicle Screw Assembly 6mm - 8mm x 30mm - 55mm<br />
BX046 Corin Spinal System Mehdian Thoracic Hooks - Angled<br />
Laminar Hook<br />
BX048 Corin Spinal System Mehdian Pedicle Spinal Rods Long 300mm - 500mm<br />
BX049 Corin Spinal System Mehdian Grub Screws (Packet of 5)<br />
BX050 Corin Spinal System Mehdian Locking Discs (Packet of<br />
BX051 Corin Spinal System Mehdian Screw Collars (Packet of 5)<br />
BX053 Corin Spinal System Mehdian Thoracic Hooks - Lamina Small - Large<br />
Hook<br />
BX054 Corin Spinal System Mehdian Conical Spacer 7-12mm high<br />
BX055 Corin Spinal System Mehdian Bone Screws - Titanium 20mm - 50mm<br />
BX056 Corin Spinal System Mehdian Cross Brace - Titanium - 40-46mm - 79-100mm<br />
Screw to Screw<br />
BX057 Corin Spinal System Mehdian Cross Brace - Titanium - 40-46mm - 79-100mm<br />
Rod to Rod<br />
BX058 Corin Spinal System Mehdian Lumbo - Sacral Rod/Plate 80-120mm x 6mm<br />
BX059 Corin Spinal System Mehdian Lumbo - Sacral Rod/Plate 30-45mm x 7mm<br />
Screw<br />
BX060 Corin Spinal System Mehdian Pedicle Spinal Rods Short 50-100mm<br />
BX061 Corin Spinal System Mehdian Thoracic Hooks - Pedicle<br />
Hook<br />
Page 134 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Orthopedic Internal Fixation Systems, Fracture<br />
BX165 Corifix Compression Plate System T Plate Stainless Steel 3-5 holes<br />
BX187 FixClip Stainless Steel Clip to hold Wires, 0.75mm - 4mm<br />
Screws & Nails<br />
Orthopedic Internal Fixation Systems, Spinal<br />
BX014 Rotafix Cage System Titanium 8-14mm x 20-24mm long<br />
BX019 Mehdian Sublaminar Wiring System Sublaminar Spinal Wire (Box of 10) 120mm - 150mm<br />
BX020 Mehdian Sublaminar Wiring System Pedicle Spinal Collar (Pack of 5)<br />
BX021 Mehdian Sublaminar Wiring System Pedicle Spinal Locking Disc<br />
(Packet of 5)<br />
BX022 Mehdian Sublaminar Wiring System Pedicle Spinal Grub Screw (Pack of<br />
BX023 Mehdian Sublaminar Wiring System Sublaminar Rod 400mm - 600mm<br />
BX024 Mehdian Sublaminar Wiring System Sublaminar Tie Bar 20mm - 30mm<br />
BX032 Mehdian Sublaminar Wiring System Pedicle Spinal Screw Assembly 30mm - 55mm<br />
Plates, Bone<br />
BX149 Corifix Compression Plate System 1/3 Tubular Plates 2-5 holes<br />
BX150 Corifix Compression Plate System Narrow Self Compression Plate 2-5 hole<br />
BX151 Corifix Compression Plate System Straight Broad Self Compression 5-10 holes<br />
BX152 Corifix Compression Plate System T Plate, Stainless Steel 3,4 or 5 holes<br />
BX153 The Corifix Compression Plate System Cloverleaf s/steel 3 & 4 hole<br />
BX154 The Corifix Compression Plate System S/Steel angled plate 130deg 2 -12 hole<br />
BX166 Corifix Compression Plate System L Buttress Plate Stainless Steel 4 hole left & right<br />
BX167 Corifix Compression Plate System DCS Condylar Plate, 95 Deg 6 - 8 holes<br />
Stainless Steel<br />
BX168 Corifix Compression Plate System T Plate Stainless Steel 6 - 8 holes<br />
Page 135 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BX169 Corifix Compression Plate System DCS Condylar Plate, 95 Deg 9 or more holes<br />
Stainless Steel<br />
BX170 Corifix Compression Plate System Semi Tubular Plate, Stainless Steel 2 - 5 holes<br />
BX171 Corifx Compression Plate System Semi Tubular Plate, Stainless Steel 6 - 10 holes<br />
BX172 Corifix Compression Plate System Semi Tubular Plate, Stainless Steel 11 or more holes<br />
BX173 Corfix Compression Plate System Reconstruction Plates, Stainless 5 - 10 holes<br />
BX174 Corifix Compression Plate System Reconstruction Plates, Stainless 9 - 13 holes<br />
BX175 Corifix Compression Plate System Reconstruction Plates, Stainless 14 - 18 holes<br />
BX176 Corfix Compression Plate System Self Compression Plate 2 - 5 holes<br />
BX177 Corfix Compression Plate System Self Compression Plate 6 - 10 holes<br />
BX178 Corfix Compression Plate System Self Compression Plate 11 or more holes<br />
BX198 Corifix Compression Plate System Straight Broad Self Compression 11 - 15 holes<br />
BX199 Corifix Compression Plate System Straight Broad Self Compression 16 or more holes<br />
BX200 Corifix Compression Plate System 1/3 Tubular Plates 6-8 holes<br />
BX203 Corifix Compression Plate System T Plate, Stainless Steel 6 - 8 holes<br />
BX208 Corifix Compression Plate System Narrow Self Compression Plate 6 -10 holes<br />
BX209 Corifix Compression Plate System Narrow Self Compression Plate 11 or more holes<br />
<strong>Prostheses</strong>, Femoral, Upper<br />
BX155 Corifix Dynamic Hip Screw System Hexagonal Screw 25mm<br />
BX157 Dynamic Hip Screw Stainless steel lag screw 50mm -145mm length<br />
BX201 Corifix Dynamic Hip Screw System Dynamic Hip Compression Plate 14 or more holes<br />
150 Deg Stainless Steel<br />
BX202 Corifix Dynamic Hip Screw System Dynamic Hip Compression Plate 5 - 12 holes<br />
150 Deg Stainless Steel<br />
BX204 Corifix Dynamic Hip Screw System Dynamic Hip Compression Plate 2 - 5 holes<br />
150 Deg Stainless Steel<br />
Page 136 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BX205 Corifix Dynamic Hip Screw System Dynamic Hip Compression Plate 2 or 4 hole<br />
135 Deg Stainless Steel<br />
BX206 Corifix Dynamic Hip Screw System Dynamic Hip Compression Plate 14 or more holes<br />
135 Deg Stainless Steel<br />
BX207 Corifix Dynamic Hip Screw System Dynamic Hip Compression Plate 5 - 12 holes<br />
135 Deg Stainless Steel<br />
<strong>Prostheses</strong>, Hand<br />
BX128 Helal Finger Joint - Small, Medium, Large<br />
BX129 Helal Finger Spacer - 9,11,12.7 & 15mm<br />
<strong>Prostheses</strong>, Joint, Hip<br />
BX036 Cormet 2000 - Modular Endo Head CoCr alloy Short 40mm - Long 56mm<br />
BX037 Cormet 2000 Resurfacing Hip System Resurfacing femoral head Cobalt Dia 40 - 56mm<br />
chrome HAP coated<br />
BX040 DC Fit Cup Metal Backed Cemented CoCr cup with UHMPWE 38-62mm<br />
spacers<br />
BX041 DC Fit Cup Metal Backed CoCr cup, Cor plasma spray with 42mm-70mm<br />
HAP coating, with/without screws<br />
BX042 Metalok Femoral Head Carbon Cobalt Chrome Alloy Head 28mm (short/med/long neck)<br />
BX043 Metalok Acetabular Cup Carbon Cobalt Chrome Alloy 46-62mm O.D.<br />
BX044 Freeman -Morgan Stem - Special Ti - TiAlloy with HAP Coat 14mm-22mm<br />
Dual Coat<br />
BX047 DC Fit Cup Metal Backed Acetabular Liner 0 & 10 deg offset Sz 1- Sz 6<br />
BX052 Freeman -Morgan Stem, Special Ti - Ti Alloy 12-22mm<br />
Mod Smooth<br />
BX179 Cenator Hip System Hardinge Canal Occluder One size only<br />
BX180 Cenator Hip System Acetabular Cup, Ultra High Dia 40 - 62mm, 22, 26, 28 heads<br />
Molecular weight Polyethylene<br />
BX181 Oxford Hip System Cement Wiper One size only<br />
Page 137 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BX182 Oxford Hip System Distal Stem Revision 250mm 60mm Split, Diameter 12 -<br />
20mm<br />
BX183 Oxford Hip System Distal Stem Revision 300mm 60mm Split, Diameter<br />
12-20mm<br />
BX185 Taper Fit Hip System Canal Occluder Polymethyl Small & Standard<br />
Methacrylate<br />
BX186 Taper Fit Hip System Modular Femoral Head, Stainless Dia 22, 26, 28 & 32mm, Short, Std,<br />
Long & Extra Long Neck Length<br />
BX188 Cormet 2000 Resurfacing Hip Resurfacing femoral head Cobalt Dia 40 -56mm<br />
chrome cemented<br />
BX189 Cormet 2000 Resurfacing Hip Acetabular cup for resurfacing head Dia 40 -56mm<br />
Cobalt chrome TiAlloy and HAP<br />
BX210 The Oxford Universal Hip System Proximal femoral stem CoCr with Extra small, small, medium, large,<br />
tialloy & hydroxyapatite coating small-medium, medium-large,<br />
medium flared<br />
BX211 DC Fit Acetabular Cup System Bone screw, cancellous CoCr Diameter 6.5mm, length 10-50mm<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
BX089 Oxford Universal Hip System Proximal femoral stem CoCr Extra small to Large<br />
BX090 Oxford Universal Hip System Proximal femoral stem Cocr -HAP Extra small to Large<br />
coated<br />
BX091 Oxford Universal Hip System Distal femoral stem Cocr 10mm-20mm diameter,120-150mm<br />
length<br />
BX092 Oxford Universal Hip System Distal stem lock nut One size only<br />
BX095 Oxford Universal Hip System Cement restrictor 22, 26, 28 & 32mm<br />
BX096 Taper Fit Hip System Double taper stainless steel total sizes 1-4<br />
BX099 Cenator Total Hip System Femoral stem CoCr Stems ex-narrow, narrow, std &<br />
large Cups heads 22,26,28mm<br />
BX100 Cenator Total Hip System Femoral long stem CoCr Stems ex-narrow, narrow,std &<br />
large Cups heads22,26,28mm<br />
Page 138 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BX101 Cenator Total Hip System Femoral stem polished Co cr Stems ex-narrow, narrow,std &<br />
large Cups heads22,26,28mm<br />
BX109 Freeman -Morgan Total Hip System Cement spacer One size only<br />
BX110 Freeman -Morgan Total Hip System Canal occluder 12,14,16mm diameter<br />
BX112 C-Fit Total Hip System Head: alumina ceramic modular 22,26,28,32mm<br />
BX113 C-Fit Total Hip System Cocr and UHMWPE bipolar Short std and long neck 40-60mm<br />
modular head<br />
BX114 C-Fit Total Hip System Zirconia ceramic modular femoral 22,26,28,32mm<br />
BX115 C-Fit Total Hip System CoCr modular femoral head 22,26,28,32mm<br />
BX116 Freeman -Morgan Total Hip System Stem: modular cemented CoCr 14mm-22mm diameter<br />
BX117 Freeman -Morgan Total Hip System Long cemented CoCr 14mm-22mm diameter<br />
BX118 Freeman -Morgan Total Hip System Ridged Ti alloy stem 14mm-22mm diameter<br />
BX119 Freeman -Morgan Total Hip System Ridged titanium alloy HAP coated 14mm-22mm diameter<br />
<strong>Prostheses</strong>, Joint, Knee<br />
BX001 Rotaglide + Total Knee System, Tibial Latched, Porous Coat Ex Sml - Ex Lge<br />
Component<br />
BX005 Rotaglide + Total Knee System, Stem Cobalt chrome 30mm - 70mm<br />
Extensions<br />
BX006 Rotaglide + Total Knee System Tibial Augmentation Blocks Small 4mm - Large12mm<br />
BX007 Rotaglide + Total Knee System Tibial Boss Peg<br />
BX008 Rotaglide + Total Knee System, Asymmetric Sml (35/29mm)) - Lg (43/37mm)<br />
Patella UHMWPE<br />
BX009 Rotaglide + Total Knee System, Dome Sml (26mm OD) - Lg (34mm OD)<br />
Patella UHMWPE<br />
BX010 Rotaglide + Total Knee System, Tibial Mobile 7mm - 17mm<br />
Insert UHMWPE<br />
BX011 Rotaglide + Total Knee System, Tibial Fixed 9.5mm - 17mm<br />
Insert UHMWPE<br />
Page 139 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BX012 Rotaglide + Total Knee System, Tibial Non-Latched, HAP Coat Ex Sml - Ex Lge<br />
Component<br />
BX013 Rotaglide + Total Knee System, Tibial Non-Latched, Porous Coat Ex Sml - Ex Lge<br />
Component<br />
BX015 Rotaglide + Total Knee System, Tibial Latched, HAP Coat Ex Sml - Ex Lge<br />
Component<br />
BX017 Rotaglide + Total Knee System, Tibial Latched, Cemented Ex Sml - Ex Lge<br />
Component<br />
BX018 Rotaglide + Total Knee System, Pegged, Hap Coat Ex Sml - Ex Lge<br />
Femoral Component<br />
BX025 Rotaglide + Total Knee System, Pegged, Porous Coat Ex Sml - Ex Lge<br />
Femoral Component<br />
BX026 Rotaglide + Total Knee System, Pegged, Cemented Ex Sml - Ex Lge<br />
Femoral Component<br />
BX027 Rotaglide + Total Knee System, Stemmed, HAP Coat Ex Sml - Ex Lge<br />
Femoral Component<br />
BX028 Rotaglide + Total Knee System, Stemmed, Porous Coat Ex Sml - Ex Lge<br />
Femoral Component<br />
BX029 Rotaglide + Total Knee System, Stemmed, Cemented Ex Sml - Ex Lge<br />
Femoral Component<br />
BX030 Rotaglide + Total Knee System, Tibial Non-Latched, Cemented Ex Sml - Ex Lge<br />
Component<br />
BX033 CSR UNI - Condylar Knee System Tibial - Insert UHMWPE Small 5.0mm - Ex-Large 9.5mm<br />
BX034 CSR UNI - Condylar Knee System Tibial - Metal Tray Small - Ex-Lge<br />
BX035 CSR UNI - Condylar Knee System Femoral Component Sml - Lge<br />
BX122 Rotaglide Total Knee System Tibial Insert Mobile UHMWPE 7,9.5,12,14.5 &17mm thick<br />
BX123 Rotaglide Total Knee System Patella UHMWPE Small, Medium, Large<br />
BX124 Rotaglide Total Knee System Tibial Component Cobalt Chrome Small Sml-Med, Medium Med-Lge,<br />
Porous Coating Large<br />
Page 140 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BX125 Rotaglide Total Knee System Tibial Component Cobalt Chrome Small Sml-Med, Medium Med-Lge,<br />
HAP Coat Large<br />
BX190 Rotaglide Total Knee System Tibial Component Cobalt Chrome Small Sml-Med, Medium Med-Lge,<br />
Cemented Large<br />
BX191 Rotaglide Total Knee System Femoral Component Cobalt Chrome Small Sml-Med, Medium Med-Lge,<br />
Cemented Large<br />
BX192 Rotaglide Total Knee System Femoral Component Cobalt Chrome Small Sml-Med, Medium Med-Lge,<br />
Porous Coating Large<br />
BX193 Rotaglide Total Knee System Femoral Component Cobalt Chrome Small Sml-Med, Medium Med-Lge,<br />
HAP Coat Large<br />
BX212 CSR Unicondylar Knee Tibial component UHMWPE Extra small, small, medium, large,<br />
extra large<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
BX126 Lawrence Shoulder Humeral & glenoid compts One size only<br />
<strong>Prostheses</strong>, Ligament<br />
BX131 Lars Ligamanet Augmentation Woven polyester prosthetic 60,80,100 & y shaped fibres<br />
reconstruction system<br />
<strong>Prostheses</strong>, Radial Head<br />
BX004 Corifix Radial Head Implant Cobalt chrome Small - Large<br />
Screws, Bone<br />
BX127 Suture Lok - One size only<br />
BX130 Corifix Ligament Anchor Soft Screw Titanium rounded thread cannulated 7,8,9,10mm diam :20-35mm length<br />
ligament screw<br />
BX132 Corifix Bone Screw Titanium interforence screw for use 7,8,9,mm diameter 25-30mmlength<br />
with above L.A.D<br />
BX133 Corifix Bone Screw Cannulated Bone Screw 7.0mm Short 35-130mm<br />
Thread, Stainless Steel<br />
BX134 Corifix Bone Screw Stainless steel - screw bone 3.5mm diam 20-60mm length<br />
Page 141 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BX135 Ligament Anchor CoCr stirrup 10,15,20,25 & 30mmm<br />
BX136 Ligament Staple Ti Alloy claw 5mm &6mm<br />
BX137 CorifixCortical Screw Stainless steel screw 2.7mmD 6-40mm L<br />
BX138 Corifix Cortical Screw Stainless steel screw 3.5mmD 10-40mmL<br />
BX140 Corifix Bone Screw Cancellous Bone Screw 4.0mmShort 10-55mm<br />
Thread, Stainless Steel<br />
BX142 Corifix Cortical Screw Stainless steel screw 4.5mmD 12-70mmL<br />
BX143 Corifix Cortical Screw Malleolar Stainless steel screw Diameter 4.5mm Length 25-70mm<br />
BX145 Corifix Cancellous Screw Cancellous Bone Screw 6.5mm, Full 10-55mm<br />
Thread, Stainless Steel<br />
BX158 Birmingham Hip Screw Stainless steel 64 -118 mm length<br />
BX194 Corifix Bone Screw Cannulated Bone Screw 7.0mm Long 35-130mm<br />
Thread, Stainless Steel<br />
BX195 Corifix Bone Screws Cancellous Bone Screw 4.0mm Full 10-26mm<br />
Thread, Stainless Steel<br />
BX196 Corifix Bone Screws Cancellous Bone Screw 6.5mm Long 25 -105mm length<br />
Thread, Stainless Steel<br />
BX197 Corifix Bone Screws Cancellous Bone Screw 6.5mm Short 25-105mm Length<br />
Thread, Stainless Steel<br />
Washers, Bone Screw<br />
BX184 Corfix Washer for Bone Screws Washer for Bone Screws, Stainless Small 7mm & Large 13mm<br />
Steel<br />
Biomet Australia Pty Ltd<br />
Anchor, Fixation<br />
BI320 Arthrotek Harpoon System Suture Anchor, Metal, Stainless 2.0mm & 3.0mm<br />
Bone Matrix Implants, Artificial<br />
BI023 Endobon Pins Cylinder, Hydroxyapatite 13-16mm<br />
Page 142 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI024 Bone Cement Endobon Bone Cylinder, Hydroxyapatite 9-12mm<br />
Substitute Material<br />
BI025 Bone Cement Endobon Bone Granules, Hydroxyapatite Type I or Type II<br />
Substitute Material<br />
BI026 Bone Cement Endobon Bone Block, Hydroxyapatite 5x5x10, 12.5x12.5x10, 20x20x10<br />
Substitute Material<br />
BI686 Calcigen-NaP Bone substitute, Calcium Sodium 25gms<br />
Phosphate<br />
BI687 Calcigen-NaP Bone substitute, Calcium Sodium 10gms<br />
Phosphate<br />
BI688 Calcigen-NaP Bone substitute, Calcium Sodium 5gms<br />
Phosphate<br />
BI689 Calcigen-S Bone substitute, Calcium Sodium 5mls<br />
Phosphate<br />
BI690 Calcigen-S Bone substitute, Calcium Sodium 10mls<br />
Phosphate<br />
BI691 Calcigen-S Bone substitute, Calcium Sodium 25mls<br />
Phosphate<br />
Cement, Orthopedic<br />
BI242 Palamed Bone Cement, PMMA 40gm<br />
BI243 Palamed G Bone Cement Bone Cement, Gentamicin, PMMA 40gm<br />
Nails, Bone<br />
BI248 SST Small Bone Locking Nail Forearm Nail, Titanium 3.5mm x (180-260mm)<br />
BI249 SST Small Bone Locking Nail Screw, Distal Fixator, Titanium One size only<br />
BI250 SST Small Bone Locking Nail Set Screw w/holder, Titanium One size only<br />
BI251 SST Small Bone Locking Nail Nail End Cap, titanium low profile, one size only<br />
BI252 SST Small Bone Locking Nail Fibula Nail, titanium (3.5, 4.5mm) x 150mm<br />
Page 143 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI281 Femoral Interlocking Nail Femoral Nail, Interlocking. Stainless (10-15mm) x (300 - 440mm)<br />
Steel, Titanium<br />
BI282 Femoral Interlocking Nail Femoral Nail Screws, Titanium, 5mm x 25-70mm<br />
Stainless Steel<br />
BI283 Femoral Interlocking Nail Femoral Nail Screws, Titanium, 6.4mm x 70-120mm<br />
Stainless Steel<br />
BI284 Femoral Interlocking Nail Femoral Nail Screws, Titanium, 6mm x 30-100mm<br />
Stainless Steel<br />
BI285 Femoral Interlocking Nail Femoral Nail End Cap 10-11mm & 12-16mm<br />
BI286 Uniflex Tibial Nail Tibial Nail, Titanium 8-14mm x 240-420mm<br />
BI287 Uniflex Tibial Nail Tibial Nail Transverse Screw, 4.0, 5.0mm x (20-70mm)<br />
BI288 Uniflex Tibial Nail Tibial Nail, Stainless Steel 8-9mm x (240-380mm)<br />
BI289 Uniflex Tibial Nail Tibial Nail, Stainless Steel 10-11mm x (240-420mm)<br />
BI290 Uniflex Tibial Nail Tibial Nail, Screw. Stainless Steel 4-5.0mm x (20-70mm)<br />
BI291 Uniflex Tibial Nail Tibial Nail, End Cap One size only<br />
BI292 Humeral Nail Humeral Nail, Titanium 8.0- 9.0mm x (180-280mm)<br />
BI293 Humeral Nail Humeral Nail Transverse Screws, 4,4.5mm x (16-46mm)<br />
Titanium, Stainless Steel<br />
BI294 Humeral Nail Humeral Nail, Stainless Steel 8.0- 9.0mm x (180-280mm)<br />
BI295 Kuntscher Cloverleaf Medullary Nails Stainless Steel 6-12mm x (140-520mm)<br />
BI296 Kuntscher Cloverleaf Medullary Nails Stainless Steel 13-16mm x (280-520mm)<br />
BI297 Kuntscher Cloverleaf Medullary Nails Stainless Steel 17-20mm x (300-750mm)<br />
BI299 Kuntschner Y Nail Stainless Steel 1.0-3.0mm x (100-310mm)<br />
BI803 ST Pro Nailing System End cap, stainless steel Dia 8-16mm<br />
BI804 ST Pro Nailing System Fixation screws, stainless steel Fully threaded - dia 4-6mm,<br />
20-100mm length; Partially<br />
threaded - dia 6.4mm, length<br />
Page 144 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI805 ST Pro Femoral Nail Cannulated, stainless steel Dia 10-16mm, length 260-520mm<br />
BI806 ST Pro Humeral Nail Solid, stainless steel Dia 8-9mm, length 180-280mm<br />
BI807 ST Pro Tibial Nail Cannulated, solid, stainless steel Dia 8-11mm, length 240-420mm<br />
Orthopedic External Fixation Systems, Fracture<br />
BI697 Small Fragment Set Stainless Steel Screws 3.5, 4.0mm length, Sizes 10 - 60mm<br />
BI698 Small Fragment Set Stainless Steel Plates Plates 25 - 125mm<br />
BI775 EBI XFIX DynaFix System Distal radius fixator, wristfix, sterile, One size only<br />
complete<br />
Orthopedic External Fixation Systems, Other<br />
BI262 EBI XFIX Dynafix System Bone Screw, Cortical, tapered, 2.4mm to 6.00mm diameter<br />
Cancellous, Stainless Steel<br />
BI264 EBI XFIX Dynafix System Distal Radius Fixator, Dimension, One size only<br />
Stainless Steel, Aluminium<br />
BI265 EBI XFIX Dynafix System Hybrid Fixation System, Stainless Rings - 1/3, 2/3 or full, 130-220mm.<br />
Steel, Aluminium Ring to fixator connector (1 size).<br />
Variable wire (1 size) or variable<br />
screw carriages (1size): 2-6 units.<br />
Wire (1.6-2mm x 350-400mm)<br />
Olive wire washer (9 or 12mm - up<br />
to 3)<br />
BI267 EBI XFIX Dynafix System Fixator Complete - includes Standard, Small, Extra Small<br />
T-Clamp, Compression/Distraction,<br />
Dynamisation, Articulating Ankle<br />
Clamp<br />
BI270 EBI XFIX Dynafix System Pelvic Fixator Screws, Stainless One size only<br />
Steel, Aluminium<br />
BI271 EBI XFIX Dynafix System Wire Straight or Olive with Washer, 160 or 200mm x (1.6 or 2.0mm)<br />
Chrome Cobalt<br />
BI272 EBI XFIX Dynafix System Distal Radius Fixator, Wristfix, One size only<br />
Stainless Steel, Aluminium<br />
Page 145 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI776 EBI XFIX DynaFix System OptiROM elbow fixator complete One size only<br />
with comp/dist<br />
BI777 EBI XFIX DynaFix System Mini fixator/lengthener with Small, Medium, Long, 100mm,<br />
150mm<br />
BI818 EBI XFIX Dynafix System Rail/clamp (various)/CF 150-420mm<br />
clicker/dynamization/bolt/adapter/s<br />
upport, aluminium<br />
BI819 EBI XFIX Dynafix System Metaphyseal Arc System complete 4-8cm<br />
with module and T-clamp<br />
Orthopedic Internal Fixation Systems, Fracture<br />
BI253 BMP Cable System Cable Chrome Cobalt 1.6mm or 2.0mm<br />
BI254 BMP Cable System Cable Sleeve, Chrome Cobalt, One Size only<br />
Stainless Steel<br />
BI255 BMP Cable System Trochanteric Grip, Chrome Cobalt 1.6mm or 2.0mm<br />
BI256 BMP Cable System Cable, Stainless Steel 1.6mm or 2.0mm<br />
BI258 BMP Cable System Dynamic Compression Plate, 3 hole, One size only<br />
Stainless Steel<br />
BI259 BMP Cable System Dynamic Compression Plate, 5 hole, One size only<br />
Stainless Steel<br />
BI260 BMP Cable System Dynamic Compression Plate, 7 hole, One size only<br />
stainless steel<br />
BI261 BMP Cable System Dynamic Compression Plate, 9 hole, One size only<br />
Stainless Steel<br />
Orthopedic Internal Fixation Systems, Other<br />
BI206 Arthrotek Ligament Fixation System Washerloc Fixator, Screw, and Fixator 16mm, Screw 24-60mm<br />
Fixator Titanium<br />
BI233 Arthrotek Ligament Fixation System Suture Button, HMWPE 15mm, 19mm<br />
BI234 Arthrotek Ligament Fixation System Ligament Washer, Titanium 14mm, 18mm<br />
BI235 Arthrotek Ligament Fixation System Bone Screw, Ligament, Titanium 30,35,40mm<br />
Page 146 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI236 Arthrotek Ligament Fixation System Bone Screw, Titanium 3.5mm (10-40mm)<br />
BI237 Arthrotek Ligament Fixation System Channel Ligament, Clamp, Titanium 10mm, 13mm 15mm<br />
BI238 Arthrotek Ligament Fixation System Channel Ligament, Cortical Screws 3.5mm (10-40mm)<br />
Pk 6<br />
BI239 Arthrotek Ligament Fixation System Interference Screw, Titanium 15-30mm<br />
BI240 Arthrotek Ligament Fixation System Screw, Bicortical, Titanium 30-60mm<br />
BI246 Arthrotek Ligament Fixation System Bone Mulch Screws, Titanium 10.5mm x (20-35mm)<br />
BI789 Ascent Knee System Femoral augmentation block, 4, 8, 12mm<br />
posterior or distal, titanium<br />
BI790 Ascent Total Knee System Femoral, cruciate retaining, X-Small to XX-Large<br />
anatomic, cemented, chrome cobalt<br />
BI794 Ascent Total Knee System Femoral, cruciate retaining, X-Small to XX-Large<br />
anatomic, uncemented, chrome<br />
cobalt, titanium porous coat<br />
BI795 Ascent Total Knee System Femoral, anatomic, posterior X-Small to X-Large<br />
stabilised, open box, cemented,<br />
chrome cobalt<br />
BI796 Ascent Total Knee System Femoral, anatomic, posterior X-Small to X-Large<br />
stabilised, open box, uncemented,<br />
chrome cobalt, titanium porous coat<br />
BI798 Ascent Total Knee System Tibial bearing, cruciate retaining, 59, 63/67, 71/75, 79/83, 87/91mm<br />
UHMWPE, curved or lipped widths, 10-20mm thicknesses<br />
BI799 Ascent Total Knee System Femoral Anatomic, posterior X-Small to X-Large<br />
stabilised or constrained, closed<br />
box, cemented, chrome cobalt<br />
BI800 Ascent Total Knee System Femoral revision stem w/screw, 5 or 7 degree, 100mm, 150mm<br />
coronal slot, titanium lengths, 10-24mm diameters<br />
BI801 Ascent Total Knee System Tibial bearing, posterior stabilised, 59, 63/67, 71/75, 79/83, 87/91mm<br />
UHMWPE widths, 10-20mm thicknesses<br />
Page 147 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI802 Ascent Total Knee System Tibial bearing, constrained, 59, 63/67, 71/75, 79/83, 87/91mm<br />
widths, 10-20mm thicknesses<br />
Orthopedic Internal Fixation Systems, Spinal<br />
BI001 Omega 21 Spine Fixation System Screw, Self Tapping, 4.75mm, 5.5mm, 25mm - 65mm<br />
6.35mm, 7.5mm, 8.5mm diameter<br />
BI004 Omega 21 Spine Fixation System Connection Rod, Titanium 105-155mm<br />
BI006 Omega 21 Spine Fixation System Simple Coupling, Slotted; Titanium One size only<br />
BI007 Omega 21 Spine Fixation System Multidirectional Coupling, Slotted; One size only<br />
Titanium<br />
BI008 Omega 21 Spine Fixation System Screw, Spondylolisthesis, 4.75mm, 25mm - 65mm<br />
5.5mm, 6.35mm, 7.5mm diameter<br />
BI010 Omega 21 Spine Fixation System Connection Rod, Titanium 165-255mm<br />
BI011 Omega 21 Spine Fixation System Connection Rod, Titanium 35-95mm<br />
BI322 Spinelink Spinal Fixation System Polydirectional Screws, Titanium (5.5,6.5,7.5mm) x (35-60mm)<br />
BI323 Spinelink Spinal Fixation System Standard Lock Nut, Titanium One size only<br />
BI324 Spinelink Spinal Fixation System Extended Lock Nut, Titanium One size only<br />
BI325 Spinelink Spinal Fixation System Standard Link, Titanium 21mm - 78mm<br />
BI326 Spinelink Spinal Fixation System Left Reverse Link, Titanium 21mm - 48mm<br />
BI327 Spinelink Spinal Fixation System Right Reverse Link, Titanium 21mm - 48mm<br />
BI328 Spinelink Spinal Fixation System Space Washer, Titanium One size only<br />
BI329 Spinelink Spinal Fixation System End Cap, Titanium One size only<br />
BI330 OMEGA 21 Spine Fixation System Multidirection Coupling, Titanium One size only<br />
BI331 OMEGA 21 Spine Fixation System Rods, Titanium 40mm, 60mm, 80mm<br />
BI332 OMEGA 21 Spine Fixation System Locking Nut, Titanium One size only<br />
BI333 OMEGA 21 Spine Fixation System Transverse Rod Connector , One size only<br />
Page 148 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI336 Omega 21 Spine Fixation System Screw, Expandable, 5.5mm, 6.35mm, 25mm - 65mm<br />
7mm, 8mm<br />
BI705 Spinelink Anterior Cervical Spinal Lock Nut, Titanium One size only<br />
System<br />
BI706 Spinelink Anterior Cervical Spinal Screw, Titanium Dia 4.5 - 6.5mm x 12mm<br />
System<br />
BI707 Spinelink Anterior Cervical Spinal Plate Cervical, Top or Bottom, Length 12 - 50mm<br />
System Titanium<br />
BI708 Spinelink Anterior Cervical Spinal End Cap, Titanium One size only<br />
System<br />
BI709 Vuelock Anterior Cervical Plate Plate, Cervical, Four Level, Titanium 60 - 92mm<br />
BI710 Vuelock Anterior Cervical Plate Plate, Cervical, Three Level, 44 - 66mm<br />
BI711 Vuelock Anterior Cervical Plate Plate, Cervical, Two Level, Titanium 26 - 42mm<br />
BI712 Vuelock Anterior Cervical Plate Plate, Cervical, One Level, Titanium 12 - 24mm<br />
BI713 Vuelock Anterior Cervical Plate Screw, Titanium Dia 4 - 5mm, length 12 - 16mm<br />
BI793 Omega 21 Spine Fixation System Hook titanium - Pedicle/Lt & Rt 6, 8, 10mm<br />
Angle/Wide/Narrow/Reduced<br />
Pins, Bone<br />
BI232 Moore Pins Scan Pin, Stainless Steel 16mm x 51-152mm<br />
BI298 Rush Intramedullary Pins Stainless Steel 2.4-6mm x (30-440mm)<br />
BI302 Knowles Hex Drive Pins Stainless Steel 4.0, 4.7mm x (57-152mm)<br />
BI303 Rush Intramedullary Pins Stainless Steel 2.4mm x (30-35mm)<br />
BI304 Rush Intramedullary Pins Stainless Steel 3.2mm x (100-250mm)<br />
BI305 Rush Intramedullary Pins Stainless Steel (2.4, 4.8)mm dia x (30-360)mm<br />
BI306 Rush Intramedullary Pins Stainless Steel 6.4mm x (280-440mm)<br />
Pins, Bone, Absorbable<br />
BI275 Lactosorb Suture Anchors Suture Anchor, Lactosorb, 2.0mm, 3.0mm<br />
Page 149 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI276 Readsorbable Meniscal Staple PGA/PLA 11mm, 13mm<br />
BI277 Re-Unite Orthopaedic Bone Pin Bone Pin, PGA/PLA (1-4)mm dia x (20-70)mm<br />
BI797 Weil-Carver Hammertoe Implant PGA/PLA One size only<br />
BI809 Lactosorb Suture Anchor Threaded, PGA/PLA Dia 3.5mm, 5.5mm<br />
Plates, Bone<br />
BI145 Vari-Angle Hip System Compression Hip Screw, Lag + 2-14 hole plate, 4.5mm to 15mm<br />
Plate, Stainless Steel screws<br />
Plugs<br />
BI780 Optiplug Cement Restrictor Restrictor, PEGT/PBT 10-20mm Diameter<br />
<strong>Prostheses</strong>, Femoral Head<br />
BI089 Hap Impact Stem (Various) Femoral Segment, Metaphyseal, Size 3-6, Small/Medium<br />
HAP Coated, Uncemented, Titanium<br />
BI090 Hap Impact Stem (Various) Femoral Component, Metaphyseal, Size 3-6, Small/Medium<br />
Revision HAP Coated, Uncemented,<br />
Titanium<br />
BI782 M2a Modular Head Component & Metal on Metal Head, Chrome 38 mm, -6 mm to +12 mm<br />
Acetabular Cup<br />
BI783 M2a Modular Head Component & Metal on Metal Acetabular, Chrome 48-70 mm<br />
Special Acetabular Cup Cobalt, Ti<br />
<strong>Prostheses</strong>, Femoral, Upper<br />
BI095 Intrigue Polished Femoral Component Femoral Component, Chrome Cobalt 9-17mm<br />
<strong>Prostheses</strong>, Joint<br />
BI055 Biomet Alternate Bearing Surface Metal on Metal Acetabular Shell, 46 - 70mm<br />
Titanium<br />
BI056 Biomet Alternate Bearing Surface Metal on Metal head, Chrome Cobalt 28mm -6mm to +12mm<br />
BI057 Biomet Alternate Bearing Surface Metal Acetabular Insert, Chrome Standard<br />
Cobalt<br />
Page 150 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Elbow<br />
BI016 IBP Elbow Cemented, UHMWPE, Titanium, Small Standard, Large, Xlarge<br />
Cobalt Chrome<br />
BI017 Kudo Elbow Humeral Component, Cemented , Small, Large<br />
Cobalt Chrome<br />
BI018 Kudo Elbow Ulnar Component, Cemented, Small, Large<br />
BI019 Kudo Elbow Humeral Component, Uncemented, Small, Large<br />
Cobalt Chrome<br />
BI020 Kudo Elbow Ulnar Component, Uncemented, Small, Large<br />
Titanium<br />
BI695 Liverpool Radial Head Replacement Porous Coated CO CR Stem 16 x 18mm length, 18 x 14 - 28mm<br />
System Length<br />
BI781 Discovery Elbow System UHMWPE, Ti 3 - 6 mm x 75 - 150 mm<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
BI014 McLaughlin + 5 Acetabular Shell Titanium alloy plasma sprayed with 46-88mm<br />
porous coated design<br />
BI065 Vision Acetabular System Acetabular Cup System, Cemented, 9-19mm<br />
Cementless, Titanium, Chrome<br />
Cobalt, UHMWPE<br />
BI091 Kasselt Acetabular Cup System Acetabular Cup, UHMWPE 46-70mm<br />
BI096 Tripolar Acetabular Cup Series Ringloc Series, UHMWPE, Chrome 24-28mm<br />
Cobalt<br />
BI117 Recovery Protrusio Cage Healey/Morgan Revision Cup, 50-70mm<br />
HAP, Titanium<br />
BI142 Mars Acetabular System Acetabular Shell, Titanium Sizes 48 to 60mm<br />
BI699 McLauglin Plus 5 Acetabular Shell Acetabular Titanium Shell 46 - 80mm<br />
BI700 Par 5 Protrusio Acetabular System Obturator Hook - Titanium Metal One size only<br />
BI701 Par 5 Protrusio Acetabular System Blade - Titanium Metal One size only<br />
Page 151 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI702 Par 5 Protrusio Acetabular System Screws - Titanium Metal 6.5mm<br />
BI703 Par 5 Protrusio Acetabular System Acetabular Flange - Titanium Metal Short (L,R,N), Medium (L,R,N),<br />
Long (L,R,N)<br />
BI704 Par 5 Protrusio Acetabular System Acetabular Shells - Titanium Metal 56 - 72mm<br />
BI770 Exceed Acetabular System Shell titanium, liner polyethlene Shell sizes 40-70mm, Liner sizes<br />
22-28mm<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
BI015 Reach Revision Hip System Modular Reach Proximal Body - Proximal Body #1-6<br />
Collared/Collarless; Titanium,<br />
Chrome Cobalt<br />
BI034 Osteocap RS Hip System Femoral Stem, Titanium, Cementless 9-17mm<br />
BI036 Rx90 Hip System Primary Femoral Stem, Chrome 9-17mm<br />
Cobalt, Cemented<br />
BI037 Rx90 Hip System Revision Femoral Stem 200mm, 13-19mm<br />
Chrome Cobalt, Cemented<br />
BI038 Rx90 Hip System Acetabular Cup and liner, Titanium 40-70mm<br />
Alloy, UHMWPE, Cementless /<br />
Cemented<br />
BI039 Integral Hip System Femoral Centraliser, Cemented , 9-17mm<br />
Cobalt Chrome<br />
BI040 Integral Hip System Titanium Alloy, Cementless, Porus Length from 125mm to 175mm,<br />
Stem, 3 variations: Standard, 9-19mm<br />
Laterised or reduced profile<br />
BI041 Integral Hip System Titanium Alloy, Cementless, Porus Length from 180mm to 225mm,<br />
Stem, 3 variations: Standard, 9-20mm<br />
Laterised or reduced profile<br />
BI042 Answer Hip System Femoral Stem, Chrome Cobalt, 9-17mm<br />
Cemented<br />
BI046 Biogroove Femoral Component Femoral Stem, Titanium, Cementless 7-14mm<br />
Page 152 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI047 Hip Fracture System Femoral Stem, Chrome Cobalt, 8-16mm<br />
Cemented/Cementless<br />
BI048 Balance Hip System Femoral Stem and Head, Cementless, 7 - 18mm<br />
BI692 Reach Revision Hip System Titanium porous coated bowed stem Sizes 13 - 19 (L&R) by 200mm<br />
Length<br />
BI693 Reach Revision Hip System Titanium porous coated bowed stem Sizes 13 - 19 (L&R) by 250mm<br />
Length<br />
BI694 Reach Revision Hip System Titanium porous coated straight Sizes 13 - 19 by 200mm Length<br />
BI696 Olympia Stem Anatomic design CO CR femoral L & R 6 sizes (1 to 6)<br />
BI778 PLR Splined Revision Stem Splined Straight Stem, Ti 14-24mm x 270mm<br />
BI779 CDH Hip System Femoral Stem, porous coated, Ti 8-12 mm Diameter<br />
BI788 Resurfacing Head System Femoral Head/Acetabular Shell, 38-60mm Diameter<br />
CoCr, Ti, HA Coated<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
BI027 Asian Hip System Femoral Stem, Chrome Cobalt, 7-13mm<br />
Cemented<br />
BI028 Asian Hip System Acetabular Cup, UHMWPE, Chrome 28mm x (44-60mm)<br />
Cobalt Cemented<br />
BI029 Scientific Hip <strong>Prostheses</strong> System Femoral Component, Chrome Cobalt, 6 sizes, 0-6<br />
Cemented<br />
BI030 Scientific Hip <strong>Prostheses</strong> System Acetabular Component UHMWPE, 22, 26,28mm x (46-60mm)<br />
Cemented<br />
BI043 Precept Total Hip System Acetabular Porous Shell, Titanium 44-70mm<br />
BI044 Precept Total Hip System Femoral Stem, Titanium Cementless 8 - 18mm<br />
BI045 Scientific Hip <strong>Prostheses</strong> System Head, Chrome Cobalt 28mm, -6mm to +12mm<br />
BI049 Bi-Metric Hip System Porous Stem, Titanium, Cementless 7-17mm<br />
BI050 Bi-Metric Hip System Interlok Stem, Titanium, 7-17mm<br />
Cemented/Cementless<br />
Page 153 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI051 Bi-Metric Hip System Head Neck Revision Femoral Stem, 9-15mm<br />
Chrome Cobalt, Cemented<br />
BI052 Bi-Metric Hip System Revision 200 Stem, Titanium, 9-17mm<br />
Cemented<br />
BI053 Bi-Metric Hip System Revision 250 Stem, Titanium, 9-17mm<br />
Cemented<br />
BI054 Bi-Metric Hip System Revision 300mm Femoral Stem, 9-17mm<br />
Titanium, Cemented<br />
BI058 Modular Ceramic System Zirconium head 28/32mm -6mm to +12mm<br />
BI059 Biomet Taperloc Hip System Taperloc Porous Femoral 7.5mm to 20mm diameter<br />
Component, HA Coated. Hydroxy<br />
BI060 Austin Moore Self Locking Hip Straight Standard Femoral 38-55mm<br />
Prosthesis System <strong>Prostheses</strong>, Titanium<br />
BI061 Austin Moore Self Locking Hip Modular Femoral Stem and Modular 38-61mm Head, Std or Narrow stem<br />
Prosthesis System Head, Titanium.<br />
BI062 FR Thompson Hip Prosthesis System Modular Curved Femoral Stem, 38mm - 55mm<br />
Titanium.<br />
BI063 Bimetric Hip System Stem, Modular, Titanium, Chrome 7-17mm<br />
Cobalt<br />
BI064 Bioclad Hip System Acetabular Cup, UHMWPE 22,28,32mm, size 39-69mm<br />
BI066 Stanmore Total Hip System Modular Femoral Stem - Standard Size 1-5<br />
and Straight, Chrome Cobalt<br />
BI067 Stanmore Total Hip System Acetabular Cup, UHMWPE 25-32mm x size 40-53mm<br />
BI068 Stanmore Total Hip System Modular Head, Chrome Cobalt 28mm, -6mm to +12mm<br />
BI069 Biomet Taperloc Hip System Femoral Stem, Standard or Laterised. 7.5mm to 20mm diameter<br />
Titanium, Cemented<br />
BI070 Biomet Taperloc Hip System Modular Head, Chrome Cobalt 28mm, -6 to +12mm<br />
BI071 Muller Total Hip Replacement System Acetabular Cup, UHMWPE 28,32mm x (size 44-58mm)<br />
Page 154 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI072 Modular Calcar Mallory Head STS Distal Femoral Component, 14mm to 20mm<br />
Revision Hip System Titanium<br />
BI073 Modular Ceramic System Acetabular Ceramic/ Polyethylene 28mm, 32mm, -6 to +12mm<br />
Liner, UHMWPE<br />
BI074 Biomet Taperloc Hip System Primary Femoral Stem, Titanium, 7.5mm - 22.5mm<br />
Uncemented<br />
BI075 Biomet Taperloc Hip System Revision Femoral Stem, Titanium, 7.5mm - 22.5mm<br />
Uncemented<br />
BI076 Mallory - Head Hip System Acetabular Cup, Bipolar, Ringloc, 28mm, 41-58mm<br />
Chrome Cobalt, UHMWPE<br />
BI077 Austin Moore Self Locking Hip Femoral Component, Long Stem, 38 to 56mm<br />
Prosthesis System Titanium<br />
BI078 FR Thompson Hip Prosthesis System Modular Head, Titanium 38-61mm<br />
BI079 Impact Modular Total Hip System Femoral Modular Head, Chrome 22,26,28, 32mm -6 to +12mm<br />
Cobalt<br />
BI080 Impact Modular Total Hip System Acetabular Screws, Titanium Alloy 6.5mm x (15-60mm)<br />
BI081 Impact Modular Total Hip System Femoral Segment, Diaphyseal, 10-21mm<br />
Standard. Titanium<br />
BI082 Impact Modular Total Hip System Femoral Segment, Metaphyseal. Size 1-6 x Small/Medium<br />
Titanium<br />
BI083 Impact Modular Total Hip System Femoral Segment Diaphyseal Short. 11-21mm<br />
Titanium<br />
BI084 Impact Modular Total Hip System Femoral Segment, Diaphyseal, 10-21mm<br />
Bowed, Standard. Titanium<br />
BI085 Impact Modular Total Hip System Femoral Segment, Diaphyseal, 12-20mm<br />
Bowed Long, Titanium<br />
BI086 Impact Modular Total Hip System Femoral Segment Metaphyseal, Size 3-6 Small/Medium<br />
Revision Cemented , Titanium<br />
BI087 Impact Modular Total Hip System Femoral Segment, Metaphyseal, Size 3-6, Small/Medium<br />
Uncemented , Titanium<br />
Page 155 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI088 Impact Modular Total Hip System Femoral Segment, Metaphyseal, Size 3-6, Small/Medium<br />
Revision, Uncemented, Titanium<br />
BI092 Mallory Head Hip System Acetabular Liner, Constrained, 28-32mm<br />
Ringloc, UHMWPE<br />
BI093 Letson Hip System Proximal Femoral Replacement 80mm<br />
System, Chrome Cobalt<br />
BI094 Mallory Head Hip System Femoral Head, Offset, Chrome Cobalt 28,32mm<br />
BI097 Kent Hip System Femoral Component, Titanium Narrow, Std. Size 6 - 16 hole<br />
BI098 Kent Hip System Transverse Screws, Titanium 4.5mm x (26-55mm)<br />
BI099 Kent Hip System Modular Head, Chrome Cobalt 28mm. Size -6 to +12mm<br />
BI100 Bi Hapro Hip System Femoral Stem, Uncemented, Cobalt Size 1 to 8<br />
Chrome<br />
BI101 Bi Hapro Hip System Ringloc Cup, HAP Coating 46mm to 70mm<br />
uncemented<br />
BI102 Bi Hapro Hip System Liner, UHMWPE 28mm, Size 22 to 28mm<br />
BI103 Bi Hapro Hip System Modular Head, Chrome Cobalt 28mm -6 to +12mm<br />
BI104 Bi Hapro Hip System Modular Head, Zirconia 28mm -5 to +6mm<br />
BI105 Bi Hapro Hip System Acetabular Screws, Titanium Alloy 6.5mm x(15 to 50mm)<br />
BI106 Mallory Head Hip System Acetabular Liner, UHMWPE 28 & 32mm, Sizes 21 to 28mm<br />
BI107 Mallory Head Hip System Acetabular Liner, UHMWPE 22 & 26mm, Sizes 21 to 28mm<br />
BI108 Mallory Head Hip System Acetabular Liner, Standard, Std, Sizes 21 to 28mm<br />
BI109 Mallory Head Hip System Acetabular Screws x 2, Titanium 6.5mm x (15 - 70mm) 5.5mm x<br />
(15-50mm)<br />
BI110 Mallory Head Hip System Acetabular Shell, HAP Coated, 40-80mm<br />
Titanium<br />
BI111 Mallory Head Hip System Acetabular Shell, Titanium 40-80mm<br />
BI112 Mallory Head Hip System Acetabular Shell, Solid, HAP 40-80mm<br />
Coated, Titanium<br />
Page 156 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI113 Mallory Head Hip System Acetabular Shell, Constrained, 40-80mm<br />
UHMWPE<br />
BI114 Mallory Head Hip System Acetabular Liner, Constrained , 32mm, Sizes 22 to 28mm<br />
UHMWPE<br />
BI115 Mallory Head Hip System Acetabular Liner, Constrained. 32mm, Size 13,14,15mm<br />
Rimshield Component. Titanium<br />
BI116 Mallory Head Hip System Acetabular PMI Component, 44-72mm<br />
BI118 Mallory Head Hip System Femoral Stem, Calcar, Titanium 220mm, Size 9-19mm<br />
BI119 Mallory Head Hip System Femoral Stem, Calcar, Titanium 260mm, Size 9-19mm<br />
BI120 Mallory Head Hip System Femoral Stem, Calcar, HAP Coated, 220mm, Size 9-19mm<br />
Titanium<br />
BI121 Mallory Head Hip System Femoral Stem, Calcar, HAP Coated, 260mm, Size 9-19mm<br />
Titanium<br />
BI122 Mallory Head Hip System Trochanter Bolt, Titanium Round/Oblong<br />
BI123 Mallory Head Hip System Trochanter Plate, Titanium Sizes 40-70<br />
BI124 Modular Calcar Mallory Head Trochanteric Claw, Titanium Medium, Large<br />
Revision Hip System<br />
BI125 Modular Calcar Mallory Head Trochanteric Connector Sizes 40-70mm<br />
Revision Hip System<br />
BI126 Modular Calcar Mallory Head Femoral Component, Proximal. 34, 45, 55 resection levels x size<br />
Revision Hip System Titanium a,b,c,d,e<br />
BI127 Modular Calcar Mallory Head Femoral Component, Distal. 170-300mm<br />
Revision Hip System<br />
BI128 Modular Calcar Mallory Head Femoral Component, Proximal, 34, 45, 55 resection levels x size<br />
Revision Hip System Revision, HAP Coated. Titanium a,b,c,d,e<br />
BI129 Mallory Head Hip System Acetabular Cup, UHMWPE 40-80mm<br />
BI130 Bio-Plug Cement Restrictor Canal Plug, UHMWPE 10-20mm<br />
BI131 Mallory Head Hip System Femoral Sleeve, UHMWPE 9-17mm<br />
Page 157 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI132 Mallory Head Hip System Femoral Stem, Cobalt Chrome 7-19mm<br />
BI133 Mallory Head Hip System Femoral Head, Cobalt Chrome 22 to 32mm -6 to +12mm<br />
BI134 Mallory Head Hip System Femoral Modular Head, Chrome 22 to 32mm -6 to +12mm<br />
Cobalt<br />
BI135 Mallory Head Hip System Femoral Stem, Revision, Titanium 250mm, size 7 to 19mm<br />
BI136 Mallory Head Hip System Femoral Stem, Revision, HAP 250mm, size 7 to 19mm<br />
Coated, Titanium<br />
BI137 Mallory Head Hip System Femoral Stem, Revision, Titanium 300mm, size 7 to 19mm<br />
BI138 Mallory Head Hip System Femoral Stem, Revision, HAP 300mm, size 7 to 19mm<br />
Coated, Titanium<br />
BI139 Mallory Head Hip System Femoral Stem, Primary, Titanium 7-19mm x 135 -180mm<br />
BI140 Mallory Head Hip System Acetabular Shell, Ringloc. Size 1<br />
Replacement Ring, Titanium alloy<br />
BI141 Mallory Head Hip System Femoral Stem, Primary, HAP Coated, 7-19mm<br />
Titanium<br />
BI144 Bio-Plug Cement Restrictor Compression plug, PMMA Sizes 8-25mm<br />
BI247 Bio-Plug Cement Restrictor Bone Plug, HMWPE 7-18mm<br />
<strong>Prostheses</strong>, Joint, Knee<br />
BI031 Oxford Meniscal Knee System Mark III Femoral Component, Small, Medium, Large, Extra Large.<br />
Chrome Cobalt, Cemented<br />
BI032 Oxford Meniscal Knee System Mark III Tibial Bearing , UHMWPE Small Standard, Large, Xlarge, sizes<br />
3-9<br />
BI033 Oxford Meniscal Knee System Mark III Tibial Tray, Chrome Cobalt, (38-53mm) x sizes 26-34<br />
Cemented<br />
BI146 AGC Knee System Revision System consisting of : 60-75mm, 80-120mm, 63-83 mm,<br />
Femoral Component; Femoral Stem, 63-83 mm<br />
Femoral & Tibial Augmentation;<br />
Tibial Component., UHMW<br />
Page 158 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI147 AGC Knee System Femoral Component, Anatomic, 55-80mm<br />
Chrome Cobalt<br />
BI148 AGC Knee System Tibial Component, High Post 63-87mm<br />
Posterior Stabilised, Chrome Cobalt,<br />
BI149 AGC Total Knee System Tibial Bearing, 'Tradition', 59-91mm<br />
BI150 AGC Knee System Femoral Component, Anatomic, 55 to 80mm<br />
Post. Stabilised Chrome Cobalt<br />
BI151 AGC Total Knee System Dual Articular MkII, Femoral, Tibial Fem Size 55-75mm; Tibial Comps<br />
Bearing, Tibila Tray, CoCr 59-83mm.<br />
BI152 AGC Knee System Femoral Component, Universal, 55-80mm<br />
Chrome Cobalt<br />
BI153 AGC Knee System Tibial Component, Moulded, V2, 63-91mm<br />
UHMWPE, Chrome Cobalt<br />
BI154 AGC Total Knee System Modular Tibial Base Plate, Titanium 63-91mm<br />
BI155 AGC Total Knee System Modular Tibial Bearing, UHMWPE 63-91mm<br />
BI156 AGC Total Knee System Modular Tibial Stem, Titanium 40 to 80mm<br />
BI157 AGC Total Knee System Patella All Poly, UHMWPE 25 - 37mm<br />
BI158 AGC Knee System Femoral Prosthesis, Posterior 55-80mm<br />
Stabilised, Universal. Chrome<br />
BI159 AGC Total Knee System Femoral <strong>Prostheses</strong>, Anatomic. 55-80mm<br />
Chrome Cobalt<br />
BI160 AGC Total Knee System Tibial Base Plate, Uncemented, 63-91mm<br />
Titanium<br />
BI161 AGC Total Knee System Tibial Bearing, Uncemented, 63-91mm<br />
UHMWPE<br />
BI162 AGC Total Knee System Tibial Stem, Uncemented, Titanium 40 to 80mm<br />
BI163 AGC Total Knee System Bone Screws, Titanium 5mm & 6.5mm<br />
BI164 AGC Total Knee System Patella Button, Porous, size 25 to 37mm<br />
Page 159 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI165 AGC Total Knee System Femoral <strong>Prostheses</strong>, Posterior 55-80mm<br />
Stabilised, Uncemented, Chrome<br />
Cobalt<br />
BI187 TRAC Knee System Femoral Component, Anatomic, 55-80mm<br />
Cemented, Chrome Cobalt<br />
BI188 TRAC Knee System Femoral Component, Anatomic, 55-80mm<br />
Uncemented, Chrome Cobalt<br />
BI189 TRAC Knee System Femoral Component, Anatomic, HA 55-80mm<br />
Coated, Uncemented Chrome Cobalt<br />
BI190 TRAC Knee System Tibial Component, HA Coated, 55-80mm<br />
Chrome Cobalt, Uncemented<br />
BI191 TRAC Knee System Femoral Component, Tibial 55-80mm femoral, 59-91mm<br />
Component, Bearing, Cemented. tibial&bearing<br />
UHMWPE, Chrome Cobalt,<br />
BI192 TRAC Knee System Femoral Component, Tibial 55-80mm femoral, 59-91mm<br />
Component, Bearing, Uncemented. tibial&bearing<br />
UHMWPE, Chrome Cobalt,<br />
BI193 Finn Knee System Resurfacing and Segmental System. Segmental tibial 110 - 152,<br />
UHMWPE, Chrome Cobalt segmental components (10-24cm) x<br />
(11-17mmdiam) yoke std or long,<br />
lock pin, locking screw (3),<br />
bushing (2) axleFemoral Comp: R<br />
or L, std, +5cm Mod. Stem 89, 152 x<br />
(9-22mm) Tibial plate 67-81mm<br />
Tibial augment 67-83mm Tibial<br />
BI198 Oxford Meniscal Knee System Femoral Component CoCr Small to Xlarge<br />
BI199 Oxford Meniscal Knee System Meniscal Bearing UHMWPE Sizes 3 to 9<br />
BI200 Oxford Meniscal Knee System Tibial Plate, CoCr (38-53) x (26-34)mm<br />
BI201 AGC Total Knee System - Dual Femoral, Tibial, Bearing, Stems and Size 55 to 75mm Fem, Size 59 to<br />
Articular Knee System augments/wedges. Chrome Cobalt, 83mm Bearing, Size 37 to 126mm<br />
UHMWPE stems, Size 55 to 70mm augment,<br />
Size 63 to 91mm tibial<br />
Page 160 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI202 Repicci II Unicondylar Knee System Tibial Component, Cemented, 32-42mm<br />
UHMWPE<br />
BI203 Repicci II Unicondylar Knee System Femoral Component, Cemented, 45-60mm<br />
Chrome Cobalt<br />
BI204 Repicci II Unicondylar Knee System Tibia Plate, Modular, Cemented, Std, Large, Xlarge<br />
Titanium<br />
BI205 Repicci II Unicondylar Knee System Tibial Bearing, Modular, UHMWPE Std, Large, Xlarge<br />
BI821 AGC Total Knee System Tibial augments, titanium 6-16mm<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
BI167 Maxim Complete Knee System Primary Anatomic Femoral, 55-80mm<br />
Uncemented, Chrome Cobalt<br />
BI168 Maxim Complete Knee System Primary Anatomic Femoral, 55-80mm<br />
Cemented, Chrome Cobalt<br />
BI169 Maxim Complete Knee System Tibial Plate Primary, Cemented, 59-91mm<br />
Titanium<br />
BI170 Maxim Complete Knee System Tibial Plate Primary, Uncemented, 59-91mm<br />
Titanium<br />
BI171 Maxim Complete Knee System Tibial Stem, Titanium 40mm 80mm<br />
BI172 Maxim Complete Knee System Tibial Bearing Primary, UHMWPE 59-91mm<br />
BI173 Maxim Complete Knee System Tibial Locking Bar, Titanium One size only<br />
BI174 Maxim Complete Knee System Femoral Component, Posterior 55-80mm<br />
Stabilised, Porous, Chrome Cobalt<br />
BI175 Maxim Complete Knee System Femoral Component, Constrained , 55-80mm<br />
Porous Chrome Cobalt<br />
BI176 Maxim Complete Knee System Patella Button, UHMWPE size 25 to 37mm<br />
BI177 Maxim Complete Knee System One Piece Revision Tibial Plate and 59-91mm<br />
Stem Boss, Ti<br />
BI178 Maxim Complete Knee System Femoral Component, Posterior 55-80mm<br />
Stabilised Anatomic Chrome Cobalt<br />
Page 161 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI179 Maxim Complete Knee System Tibial Bearing, Posterior Stabilised 59-91mm<br />
UHMWPE<br />
BI180 Maxim Complete Knee System Constrained Anatomic Femoral 60-75mm<br />
Component, Anatomic. Chrome<br />
BI181 Maxim Complete Knee System Tibial Bearing, Contrained. 59-91mm<br />
BI182 Maxim Complete Knee System One Piece Tibial Plate and Stem, 59-91mm<br />
Posterior Stabilised and<br />
Constrained, Titanium<br />
BI183 Maxim Complete Knee System Tibial Femoral Wedge or 55-80mm<br />
Augmentation Block, Titanium<br />
BI184 Maxim Complete Knee System Tibial or Femoral Stem, Modular, 55-80mm<br />
Titanium<br />
BI185 Maxim Complete Knee System Femoral Component, HA Coated, 55-80mm<br />
Chrome Cobalt<br />
BI186 Maxim Complete Knee System Tibial Component, HA Coated, 59-91mm<br />
Titanium<br />
BI194 Oxford Tricompartmental Knee System Patella Button, UHMWPE, Chrome Size 25 to 37mm<br />
Cobalt<br />
BI195 Oxford Tricompartmental Knee System Femoral Component, Cemented, 60-75mm<br />
Porous or HA coated. CoCr, Ti, HA<br />
BI196 Oxford Tricompartmental Knee System Tibial Component, Chrome Cobalt 63-87mm<br />
BI197 Oxford Tricompartmental Knee System Tibial Bearing, UHMWPE 60-75mm<br />
BI771 Oxford Tricompartmental Knee System Tibial component, chrome cobalt, 63-87mm<br />
porous OR HA coated<br />
BI810 Maxim Complete Knee System Tibial bearing & tray, pop top, Width 59-91mm x 8-20mm<br />
cruciate retaining, including stem.<br />
Chrome colbalt, UHMWPE<br />
BI811 Maxim Complete Knee System Offset tibial tray & adapter, fixation Width 59-91mm offset tibial trays<br />
screws, chrome cobalt, titanium neutral; 2.5mm, 5.0mm offset tibial<br />
tray adapters<br />
Page 162 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
BI207 Bi-Angular Shoulder System Humeral <strong>Prostheses</strong>, Titanium 6.5mm-14mm<br />
BI208 Bi-Angular Shoulder System Bi Polar Shell, Titanium/ Size 40-60mm<br />
UHMWPE/Chrome Cobalt<br />
BI209 Bi-Angular Shoulder System Bi Polar Head, Chrome Cobalt Std to +4mm<br />
BI210 Bi-Angular Shoulder System Glenoid Metal backed. UHMWPE, Small Medium Large x 4 or 7mm<br />
Titanium<br />
BI211 Bi-Angular Shoulder System Glenoid, UHMWPE Small Medium Large x 4 or 7mm<br />
BI212 Bi-Angular Shoulder System Humeral Head, Chrome Cobalt 40-52mm<br />
BI213 Bio-Modular Shoulder System Bi-Polar cup 40-60mm<br />
BI214 Bio-Modular Shoulder System Bi-Polar shell/ Titanium, chrome 40-60mm<br />
Cobalt<br />
BI215 Bio-Modular Shoulder System Humeral Head, Chrome Cobalt 40-54mm<br />
BI216 Bio-Modular Shoulder System Humeral Stem, titanium 6-15mm<br />
BI217 Bio-Modular Shoulder System Glenoid Component, Cemented, Small, Medium, Large x 4 or 7mm<br />
Titanium/UHMWPE<br />
BI218 Bio-Modular Shoulder System Modular Head, Chrome Cobalt Std, +2, +4mm<br />
BI219 Bio-Modular Shoulder System Glenoid Liner Noncemented, Low Profile<br />
UHMWPE<br />
BI220 Bio-Modular Shoulder System Glenoid Screws x 2 Titanium 5mm x (15-40mm)<br />
BI221 Bio-Modular Shoulder System Glenoid Shell, Titanium Low Profile<br />
BI222 Bio-Modular Shoulder System Shoulder Offset Head, Chrome 40-54mm<br />
BI223 Nottingham Shoulder System Humeral Stem, Chrome Cobalt, 6-12mm<br />
Titanium<br />
BI224 Nottingham Shoulder System Humeral Head, Chrome Cobalt Std +2, +4mm<br />
BI225 Nottingham Shoulder System Glenoid Tray, Chrome Cobalt Size 3, 4, 5.<br />
BI226 Nottingham Shoulder System Glenoid Bearing, UHMWPE Size 3, 4, 5.<br />
Page 163 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI227 Kirschner Integrated Shoulder System Neer II Humeral, Chrome Cobalt, Stem 6.3 to 12.7mm Head 15-22mm<br />
UHMWPE<br />
BI228 Kirschner Modular Shoulder Humeral Head, Modular, Chrome 38-51mm<br />
Cobalt<br />
BI229 Kirschner Modular Shoulder Humeral Stem, Chrome Cobalt 6.3 -15.9mm<br />
BI230 Kirschner Modular Shoulder Glenoid Component, UHMWPE Small, Std<br />
BI231 Humeral Replacement System Proximal Shoulder System: Chrome Body: std, +10mm Stem<br />
Cobalt, Titanium, UHMWPE 6.5-12.5mm Sleeve 6.5-12.5mm<br />
Humeral Head 40-52mm<br />
BI342 Copeland Shoulder System Glenoid, UHMWPE One size only<br />
BI343 Copeland Shoulder System Humeral, Chrome Cobalt Small, Std, Large (no specific size)<br />
BI344 Copeland Shoulder System Glenoid Component, HA Coated, Small, Std, Extra Deep (no specific<br />
Chrome Cobalt, UHMWPE size)<br />
BI345 Copeland Shoulder System Humeral Component, Chrome Cobalt Small, Std, Large (no specific size)<br />
<strong>Prostheses</strong>, Joint, Toe<br />
BI021 Total Toe System Metatarsal Component UHMWPE, Small, Medium, Large Extra Large.<br />
Titanium<br />
BI022 Toe Joint Replacement Phalangeal Component, Titanium Small, Medium, Large Extra Large.<br />
<strong>Prostheses</strong>, Leg<br />
BI166 Compress Finn Limb Salvage System Distal Femoral Replacement: Anchor 15 plugs, 9 segments, 8 pins, 14<br />
Plug, Femoral segment, transverse sleeves, 26 spindles<br />
pins, centering sleeves, spindle.<br />
Chrome Cobalt.<br />
Screws<br />
BI005 Re-Unite Orthopaedic System Rotator Cuff Butress, Lactosorb; One size only<br />
PGA/PLA<br />
BI012 Re-Unite Orthopaedic System Pop-Rivet - PGA/PLA One size only<br />
BI241 Gentle Threads Ligament Fixation Screw, Graft Interference, PGA/PLA 7mm, 8mm, 9mm, 10mm<br />
Page 164 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
BI278 Re-Unite Orthopaedic Screws Screw, PGA/PLA (2-5)mm dia x (5-70)mm<br />
BI279 Re-Unite Orthopaedic System Plates, PGA/PLA 4 - 7 hole<br />
BI808 Reunite Orthopaedic System Plate, dorsal or volar, PGA/PLA Dorsal - long, small; Volar - one<br />
size only<br />
BI822 Reunite Orthopaedic System Sheet, mesh panel PGA/PLA 50-75mm square<br />
BI826 Meniscal Screw Screw PGA/PLA One size only<br />
Screws, Bone<br />
BI143 Compression Screw Set Supracondylar Plate, Stainless Steel 6-14 hole<br />
BI309 Compression Hip Screw Plate, Titanium 2-14 hole x 53-257mm<br />
BI311 Compression Hip Screw Support Screw, Titanium, Stainless 4.5 - 6.5 x (14-70mm)<br />
Steel<br />
BI312 Compression Hip Screw Lag Screw, Titanium, Stainless Steel 12.7, 15mm x (55-150mm)<br />
BI315 Compression Hip Screw Plate, Stainless Steel 25-38mm x 2-7 hole for use with<br />
plate size 50-150mm<br />
BI316 Compression Hip Screw Plate, Stainless Steel 25-38mm x 8-14 hole for use with<br />
plate size 50-150mm<br />
BI317 Compression Hip Screw Lag Screw, Stainless Steel 12.5,14mm x (50-150mm)<br />
BI318 Compression Hip Screw Cortical Screws Pk 10, Stainless 2.7-4.5mm x (10-140mm)<br />
BI319 Compression Hip Screw Compression Screw 1.5-4.5 x (6-70mm)<br />
BI820 EBI XFIX DynaFix System Screw, HA coated, cortical, Dia 2-6mm<br />
De Puy Australia<br />
Bone Matrix Implants<br />
DP028 A-BSM Bone Cement - 1.0g<br />
Caps, Bone<br />
DY098 Moss Miami (Titanium) Pin Nut One size only<br />
Page 165 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Cement, Orthopedic<br />
DP107 CMW Bone Cement CMW Bone Cement Type 1 ,2 ,3 20, 40, 60 80 grams<br />
DP108 CMW Antibiotic Bone Cement CMW Bone Cement with 20, 40, 60 80 grams<br />
Gentamicin Type 1, 2<br />
DP390 CMW Endurance Bone Cement CMW Endurance Bone Cement 20, 40, 60, 80 grams<br />
DP919 CMW Endurance Gentamicin Cement CMW Endurance Gentamicin 20, 40, 60, 80 grams<br />
DY061 Calcium Phosphate Cement Bio Fill Cement One size only<br />
DY065 CMW 2 Gentamicin Bone Cement - 20, 40, 60, 80 grams<br />
DY080 A-BSM Bone Cement 1.0g<br />
DY084 A-BSM Bone Cement 2.5g<br />
DY085 A-BSM Bone Cement 5.0g<br />
DY086 A-BSM Bone Cement 10.0g<br />
DY097 Vetebrplastic Cement One size only<br />
Collars<br />
DP012 Wroblewski Resection Stem Collar - 2.0cm - 10.0cm<br />
Device Kits With Drugs<br />
DP445 Vacu Mix Plus CMW Gentamicin Vacu-Mix Plus Pre Loaded With 20, 40, 60, 80 grams<br />
Cement CMW Gentamicin Bone Cement<br />
DY199 Cemvac Ultra Prepacked with CMW 1 Gentamicin bone cement 60 grams<br />
DY200 Cemvac Ultra Prepacked with CMW 1 Gentamicin bone cement 100 grams<br />
Electromanometers<br />
DP447 Biosel 2 BIOSEL II Dose 5G (Calcium 5g<br />
Phosphates)<br />
Grafts, Bone, Synthetic<br />
DP509 Brantigan I/F Cage AETI (Endoscopic) C/F Cage Wedge 7-13mm x 9-15mm x 21-25<br />
mm<br />
Page 166 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP510 Brantigan I/F Cage PLIF C/F Cage 9-15mm x 9-17mm<br />
DP511 Brantigan I/F Cage ALIF C/F Cage Small - Large 9-15mm<br />
DP512 Brantigan I/F Cage PLIF C/F Cage Wedge 11-13mm x 11-13mm x<br />
9-11mm<br />
DP513 Brantigan I/F Cage Stackable Cage Small-Large<br />
(Cervical/Thoracic/Lumbar)<br />
DP514 Brantigan I/F Cage Cervical Brantigan Cage Standard/Large 4-10mm<br />
Immobilizers, Cervical<br />
DY294 Bremer Halo Crown System Aluminium Crown Standard & 3D<br />
DY295 Bremer Halo Crown System Titanium Skull Pins Standard & Hi-Fix<br />
Mesh, Metallic<br />
DP424 Moss Miami (Stainless Steel) Monoaxial Staple Washer One size only<br />
DP425 Surgical Titanium Mesh System Mesh - Long/Round 10 - 16mm x 30 - 100mm Hgt<br />
DP426 Surgical Titanium Mesh System Mesh - Long/Oval 26 x 33mm x 50 - 90mm<br />
DP427 Surgical Titanium Mesh System Mesh - Curved 14mm x 130mm<br />
DP428 Surgical Titanium Mesh System Mesh - Long/Oval 17 - 22 x 22 - 28mm x 50 - 150mm<br />
Hgt<br />
DP430 Moss Miami (Stainless Steel) Washer Slotted/Angled<br />
DP434 Surgical Titanium Mesh System Mesh - Flat 90mm x 90mm<br />
DP436 Surgical Titanium Mesh System Mesh - Oval 17-22 x 22-28mm - 10-15mm Hgt<br />
DP438 Surgical Titanium Mesh System Mesh - Oblong 12 - 13 x 15 -17mm x 10 - 20mm<br />
DY081 Surgical Titanium Mesh System End Plate 17-22mm x 22-33mm<br />
DY087 Surgical Titanium Mesh System Screws One size only<br />
DY088 Surgical Titanium Mesh System Standard & Angled Rings 17-26mm x 22-33mm<br />
DY089 Surgical Titanium Mesh System End Cap 10-26mm x 15-33mm<br />
Page 167 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Nails, Bone<br />
DP525 Ace Ankle Fusion Nail Ankle Fusion Nail - Titanium 2.0-2.5 mm x 150-170mm<br />
DP526 Nancy Nail System Ankle Fusion Nail - Titanium 2.0 mm x 130mm<br />
DP527 Nancy Nail System Ankle Fusion Nail - Titanium 2.5-3.0 mm x 190-230mm<br />
DP528 Nancy Nail System Ankle Fusion Nail - Titanium 3.0 mm x 250-290mm<br />
DP529 Nancy Nail System Ankle Fusion Nail - Titanium 3.5 mm x 330-350mm<br />
DP530 Nancy Nail System Ankle Fusion Nail - Titanium 3.5 mm x 270-310mm<br />
DP531 Nancy Nail System Ankle Fusion Nail - Titanium 4.0 mm x 330-450mm<br />
Orthopedic External Fixation Systems, Fracture<br />
DP391 Ace External Fixator Pin Holder Bolt - Titanium 15mm<br />
DY218 Ace External Fixator Olive wire - stainless steel 1.5-1.8mm -<br />
DY219 Ace External Fixator Wire bayonet point - titanium 1.5mm -<br />
DY220 Ace External Fixator Olive wire bayonet point - stainless 1.5 or 1.8mm -<br />
steel, packet of 3<br />
DY221 Ace External Fixator Wire bayonet point - stainless steel 1.8mm -<br />
DY222 Ace External Fixator Ring, aluminium 1/3 ring large 10" diameter -<br />
DY223 Ace External Fixator Ring, aluminium 1/3 ring small 6" diameter -<br />
DY224 Ace External Fixator Ring, aluminium 1/3 ring small 8" diameter -<br />
DY225 Ace External Fixator Ring, composite 1/3 ring large -<br />
DY226 Ace External Fixator Ring, composite 1/3 ring medium -<br />
DY227 Ace External Fixator Ring, composite 1/3 ring small -<br />
DY228 Ace External Fixator Threaded Rod, titanium 1/4" x 10cm -<br />
DY229 Ace External Fixator Threaded Rod, titanium 1/4" x 15cm -<br />
DY230 Ace External Fixator Threaded Rod, titanium 1/4" x 20cm -<br />
DY231 Ace External Fixator Threaded Rod, titanium 1/4" x 25cm -<br />
Page 168 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY232 Ace External Fixator Stainless steel STRUCT for CAST 14" -<br />
DY233 Ace External Fixator Stainless steel STRUCT for TLSO 14"-18" -<br />
DY234 Ace External Fixator Titanium half pin thread 15-80mm, 155 x 5mm to 220 x 5mm -<br />
DY235 Ace External Fixator Stainless steel STRUCT for CAST 18" -<br />
DY236 Ace External Fixator Spacer with bolt, titanium 2.5-5mm -<br />
DY237 Ace External Fixator Ring, aluminium 2/3 ring, large 10" diameter -<br />
DY238 Ace External Fixator Ring, composite 2/3 ring, medium -<br />
DY239 Ace External Fixator Ring, aluminium 2/3 ring, medium 8" diameter -<br />
DY240 Ace External Fixator Ring, aluminium 2/3 ring, small 6" diameter -<br />
DY241 Ace External Fixator Ring, composite 2/3 ring, small -<br />
DY242 Ace External Fixator Stainless steel transfix pin 250/300 x 5mm with 40-70mm -<br />
DY243 Ace External Fixator Titanium Transfix Pin 250/300 x 5mm with 40-70mm -<br />
DY244 Ace External Fixator GRUB screw ACE/FISCHER, 5mm -<br />
DY245 Ace External Fixator TIP CapS, polyethylene 5mm -<br />
DY246 Ace External Fixator Peg, titanium 5mm -<br />
DY247 Ace External Fixator Thread, titanium 70mm length, 12-16mm -<br />
DY248 Ace External Fixator Adaptor rod, titanium 8mm -<br />
DY249 Ace External Fixator Pin holder adaptor, aluminium 90" -<br />
DY250 Ace External Fixator Align pin holder, aluminium One size only -<br />
DY251 Ace External Fixator Anchor assembly, titanium One size only -<br />
DY252 Ace External Fixator Articulation, titanium One size only -<br />
DY253 Ace External Fixator Bolt clevis, titanium One size only -<br />
DY254 Ace External Fixator Distraction assembly, titanium One size only -<br />
DY255 Ace External Fixator Lock nut, titanium One size only -<br />
Page 169 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY256 Ace External Fixator Locking nut, titanium One size only -<br />
DY257 Ace External Fixator Nut, stainless steel One size only -<br />
DY258 Ace External Fixator Position pins I/C foot plate, One size only -<br />
DY259 Ace External Fixator Ring adapter bolt, titanium One size only -<br />
DY260 Ace External Fixator Ring connector, titanium One size only -<br />
DY261 Ace External Fixator Transverse pin clamp, aluminium One size only -<br />
DY262 Ace External Fixator Spherical nut and washer, titanium One size only -<br />
DY263 Ace External Fixator U rings, aluminium One size only -<br />
DY264 Ace External Fixator Universal joint, titanium One size only -<br />
DY265 Ace External Fixator Vinyl bushing One size only -<br />
DY266 Ace External Fixator Wire bolt hinge, titanium One size only -<br />
DY267 Ace External Fixator Wire fixation bolt, cannulated or One size only -<br />
slotted (stainless steel)<br />
DY268 Ace External Fixator Connecting rod, aluminium X-Short, short, medium or long -<br />
DY269 Ace External Fixator Fixator bolt, titanium Short -<br />
DY270 Ace External Fixator External fixator, aluminium One size only -<br />
DY271 Ace External Fixator Ring adaptor, titanium One size only -<br />
Orthopedic Internal Fixation Systems, Fracture<br />
DP330 Tibial Nail System Tibial Nail Titanium Unsterile 8-13mm x 25.5-42.5cm<br />
DP331 Tibial Nail System End Cap Titanium One size only<br />
DP332 Tibial Nail System Dynamic Titanium Unsterile Tibial 8-13mm x 25.5-42.5cm<br />
Nail<br />
DP333 Tibial Nail System Solid Canulated Screw Titanium 6.5mm x 20-35mm<br />
Unsterile<br />
DP334 Tibial Nail System Solid Canulated Screw Titanium 6.5mm x 40-50mm<br />
Unsterile<br />
Page 170 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP335 Tibial Nail System Solid Canulated Screw Titanium 6.5mm x 55-65mm<br />
Unsterile<br />
DP336 Tibial Nail System Solid Canulated Screw Titanium 6.5mm x 60-120mm<br />
Unsterile<br />
DP337 Tibial Nail System Solid Canulated Screw Titanium 6.5mm x 70-80mm<br />
Unsterile<br />
DP338 Tibial Nail System Solid Canulated Screw Titanium 6.5mm x 85-100mm<br />
Unsterile<br />
DP339 Femoral Nail End Cap Titanium One size only<br />
DP340 Femoral Nail System Solid Cortical Screw Titanium 4.5mm x 20-48mm<br />
DP341 Femoral Nail System Solid Cortical Screw Titanium 4.5mm x 50-80mm<br />
DP342 Femoral Nail System Solid Cortical Screw Titanium 5.5mm x 40-80mm<br />
DP343 Femoral Nail System Femoral Nail Titanium Sterile 9-15mm x 30- 50cm<br />
DP344 Femoral Nail System Femoral Nail Titanium Unsterile 9-15mm x 30- 50cm<br />
DP345 Femoral Nail System Femoral Nail Titanium 8mm x 340mm<br />
DP365 Supacondylar Nail System Supracondylar Titanium Unsterile 10mm x 15-30cm<br />
DP366 Supacondylar Nail System Solid End Cap Titanium Unsterile One size only<br />
DP367 Humeral Nail System Humeral Nail Titanium Sterile 7-9mm x 22cm-30cm<br />
DP368 Humeral Nail System Humeral Nail Titanium Unsterile 7-9mm x 22cm-30cm<br />
DP369 Humeral Nail System End Cap Titanium Unsterile 1/2cm<br />
DP370 Humeral Nail System End Cap cm Titanium Unsterile One size only<br />
DP371 Humeral Nail System End Cap Flush Mid Hole Titanium One size only<br />
Unsterile<br />
DP372 Humeral Nail System End Cap Flush Titanium Unsterile One size only<br />
Titanium<br />
DP571 Art Retrograde Nail Femoral Nail Titanium Unsterile 9-12mm x 30- 50cm<br />
DP585 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 22mm Thread length 40-50mm<br />
Page 171 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP587 Compression Hip Screw ACE Washer Titanium 3-5mm<br />
DP588 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 22mm Thread length 55-65mm<br />
DP589 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 22mm Thread length 70-80mm<br />
DP590 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 22mm Thread length 85-100mm<br />
DP591 Compression Hip Screw 6.5mm Solid Lag Screw Stainless 40mm Thread length 60-65mm<br />
DP592 Small / Large Fragment Set 6.5/8.0 mm Cannulated Cancellous 25-120mm Length 22&40mm<br />
Lag Screw<br />
DP593 Small / Large Fragment Set Cannulated Cancellous Screw Dia 4mm,16mm & 32mm Thread,<br />
26-70mm Length<br />
DP594 Small / Large Fragment Set Titanium Cortical Screw 3.5mm x 8-48mm<br />
DP595 Small / Large Fragment Set Y Plates 2-16 Hole<br />
DP596 Small / Large Fragment Set Solid Cortical Screw 3.5mm length 10-28mm<br />
DP597 Small / Large Fragment Set Solid Cortical Screw 3.5mm length 34-48mm<br />
DP598 Small / Large Fragment Set Cannulated Cortical. Bone Screw 3.5mm length 50-60 mm<br />
DP599 Small / Large Fragment Set Cannulated Cancellous Screw Dia 4mm Lengths 75-120mm<br />
DP600 Small / Large Fragment Set Flat Washer Titanium One size only<br />
DP601 Small / Large Fragment Set Glenoid Screw 3.5 x 28-32mm<br />
DP602 Small / Large Fragment Set Solid Cancellous Bone Screw Full 10-28mm<br />
Thread<br />
DP603 Small / Large Fragment Set Cancellous Cannulated Lag Screw 4.0mm length 10-30mm<br />
Partial Thread<br />
DP604 Small / Large Fragment Set Cannulated Cortical F/T 4.5mm Dia 20mm to 80mm<br />
DP605 Small / Large Fragment Set Cannulated Cortical Lag Screw 5mm Dia 20mm to 70mm<br />
DP606 Small / Large Fragment Set Cannulated Cancellous Screw 5.0mm Length 30-70mm<br />
DP607 Small / Large Fragment Set Plates 30mm to 70mm<br />
DP608 Small / Large Fragment Set Straight Plates Sm- Lge<br />
Page 172 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP609 Small / Large Fragment Set 100 Tube Plate 3-8 Hole 3.5mm with 3 to 8 holes<br />
DP610 Small / Large Fragment Set T Plate 4-8 Hole<br />
DP611 Small / Large Fragment Set T Type Regular Plate One size only<br />
DP612 Small / Large Fragment Set Active Compression Plate 3.5mm<br />
DP613 Small / Large Fragment Set Dorsal Distal Radius Plate Wide - Narrow - Long<br />
DP614 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 3 to 4 holes<br />
DP615 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 10 holes<br />
DP616 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 12 holes<br />
DP617 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 14 holes<br />
DP618 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 5 to 7 holes<br />
DP619 Small / Large Fragment Set Universal Reconstruction Ribbon 3.5mm with 8 to 9 holes<br />
DP620 Small / Large Fragment Set Cannulated Cortical. Bone Screw 3.5mm length 30-46mm<br />
DP621 Small / Large Fragment Set Straight Plate 3 Hole<br />
DP622 Small / Large Fragment Set Straight Plate 4 hole<br />
DP623 Small / Large Fragment Set Straight Plate 6 hole<br />
DP624 Small / Large Fragment Set Straight Plate 8 hole<br />
DP625 Small / Large Fragment Set Straight Plate 10 hole<br />
DP626 Small / Large Fragment Set Straight Plate 12 hole<br />
DP627 Small / Large Fragment Set Solid Cancellous Screw 4.5mm Length 32-38mm<br />
DP628 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 40-48mm<br />
DP629 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 50-60mm<br />
DP630 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 65mm<br />
DP631 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 70mm<br />
DP632 Small / Large Fragment Set Solid Cancellous Screw 5.0mm Length 75mm<br />
Page 173 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP634 Small / Large Fragment Set Solid Cancellous Lag Screw Partial 10-45mm<br />
Thread<br />
DP635 Small / Large Fragment Set Solid Cancellous Lag Screw Partial 50-60mm<br />
Thread<br />
DP636 Small / Large Fragment Set Solid Cancellous Bone Screw Full 30-48mm<br />
Thread<br />
DP637 Small / Large Fragment Set Solid Cancellous Bone Screw Full 50-95mm<br />
Thread<br />
DP638 Small / Large Fragment Set Solid Cancellous Bone Screw Full 100-110mm<br />
Thread<br />
DP639 Small / Large Fragment Set Cancellous Cannulated Lag Screw 4mm length 32-48mm<br />
Partial Thread<br />
DP640 Small / Large Fragment Set Cancellous Cannulated Lag Screw 4mm length 50-70mm<br />
Partial Thread<br />
DP641 Small / Large Fragment Set Screw Cancellous Lag 4mm length 14-22mm<br />
DP642 Small / Large Fragment Set Cannulated Cancellous Screw Fully 4mm x 10-30mm<br />
Threaded<br />
DP643 Small / Large Fragment Set Cannulated Cancellous Screw Fully 4mm x 32-48mm<br />
Threaded<br />
DP644 Small / Large Fragment Set Cannulated Cancellous Screw Fully 4mm x 50-70mm<br />
Threaded<br />
DP645 Small / Large Fragment Set Screw Cancellous Full Thread 4mm x 10-22mm<br />
DP646 Small / Large Fragment Set Countersink Washer Titanium One size only<br />
DP647 Small / Large Fragment Set Cup Washer Titanium One size only<br />
DP648 Small / Large Fragment Set Flat Washer Titanium 6.5-8mm<br />
DP649 Small / Large Fragment Set S/S Cortical Screw - Stainless Steel Diameter 1.5 x 6 - 22mm<br />
DP650 Small / Large Fragment Set S/S Cortical Screw - Stainless Steel Dia 2 x 6 - 40mm<br />
DP651 Small / Large Fragment Set S/S Cortical Screw - Stainless Steel Dia 2.7 x 6 - 44mm<br />
Page 174 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP652 Small / Large Fragment Set S/S Cortical Screw - Stainless Steel Dia 3.5 x 8 - 24mm<br />
DP653 Small / Large Fragment Set S/S Cortical Screw Self tapping Diameter Dia 3.5 x 8 -18mm<br />
- Stainless Steel<br />
DP654 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless Dia 4.5 x 12 - 32mm<br />
Steel<br />
DP655 Small / Large Fragment Set S/S Cortical Self Tapping Screw - Dia 4.5 x 12-32mm<br />
Stainless Steel<br />
DP656 Small / Large Fragment Set S/S Malleolar Stainless Steel Screw - 25 - 70mm<br />
Stainless Steel<br />
DP657 Small / Large Fragment Set S/S Malleolar Cann Cor Stainless Steel 25 - 70mm<br />
Screw - Stainless Steel<br />
DP658 Small / Large Fragment Set S/S Cortical Stainless Steel Cannulated 3.5 x 8-70 mm<br />
Screw - Stainless Steel<br />
DP659 Small / Large Fragment Set S/S Cortical Cannulated Screw - Dia 4.5 x 12-70mm<br />
Stainless Steel<br />
DP660 Small / Large Fragment Set S/S Cannulated Screw Diameter partially Dia 4 x 10-60<br />
threaded - Stainless Steel<br />
DP661 Small / Large Fragment Set S/S Cancellous Screw 16 Thread - Dia 6.5mm x 25-70mm<br />
Stainless Steel<br />
DP662 Small / Large Fragment Set S/S Cannulated Cancellous Screw 16 6.5mm x 25-130mm<br />
Thread - Stainless Steel<br />
DP663 Small / Large Fragment Set S/S Cannulated Cancellous Screw P/T 4mm x 10- 30-mm<br />
Screw - Stainless Steel<br />
DP664 Small / Large Fragment Set S/S Cannulated Cancellous Screw 16 7mm x 25-130mm<br />
Thread - Stainless Steel<br />
DP665 Small / Large Fragment Set S/S CHS Compression Screw - Stainless Neutral to +2<br />
Steel<br />
DP666 Small / Large Fragment Set S/S Washer Stainless Steel D13.0, 16 &19 mm<br />
DP667 Small / Large Fragment Set S/S CHS Lag Screw Stainless Steel Length 50-145mm<br />
Page 175 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP668 Small / Large Fragment Set S/S CHS Lag Screw Stainless Steel Length 50-145mm<br />
(sterile)<br />
DP669 Small / Large Fragment Set S/S Supracondylar Plate S/S 4-8 Hole 95 Deg<br />
DP670 Small / Large Fragment Set S/S Tronchanteric Support Plate Small-Large<br />
DP671 Small / Large Fragment Set S/S CHS Plate S/S Std & Short Bar 2-4 Hole 135-150 Deg<br />
DP672 Small / Large Fragment Set S/S CHS Plate S/S, Standard & Short 4-8 Hole 95 Deg<br />
Barrel (Sterile)<br />
DP673 Small / Large Fragment Set S/S SCS Plate Stainless Steel Sterile 3-9 Hole<br />
DP674 Small / Large Fragment Set S/S Narrow Bone Plate Stainless Steel 5-18 Hole<br />
DP675 Small / Large Fragment Set S/S Broad Bone Plate Stainless Steel 3-6 Hole for 1.5mm<br />
DP678 Small / Large Fragment Set S/S Small DCP Plate Stainless Steel LC 2-4 Hole 2.7mm<br />
DP679 Small / Large Fragment Set S/S Narrow DCP Plate Stainless Steel 6 Hole<br />
DP680 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 6 Hole<br />
DP681 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 2.7mm 4-6 Hole<br />
DP682 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 3 Hole<br />
DP683 Small / Large Fragment Set S/S Cerclage Wire Loop Stainless Steel 0.8-1.2mm x 280-600<br />
DP685 Small / Large Fragment Set S/S Angle Blade Plate DCP Stainless 95 Deg 5-7 Hole<br />
DP686 Small / Large Fragment Set S/S Stainless Steel Plate for Tib Forked Small-Large<br />
Blade<br />
DP687 Small / Large Fragment Set S/S Stainless Steel Plate for Tib Small-Large<br />
DP688 Small / Large Fragment Set S/S Stainless Steel Femoral Neck Pin Small-Large<br />
Support Plate<br />
DP689 Small / Large Fragment Set S/S Tibial Stainless Steel Condylar 1.5-2mm<br />
Plate & Mini Condylar Plate<br />
DP690 Small / Large Fragment Set S/S Mini Stainless Steel Condylar Plate D 1.5 mm<br />
DP691 Small / Large Fragment Set S/S Spoon Plate Stainless Steel 5-6 Hole<br />
Page 176 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP692 Small / Large Fragment Set S/S Cloverleaf Plate Stainless Steel 3-4 Hole<br />
DP693 Small / Large Fragment Set S/S T-Plate Stainless Steel 3 Hole<br />
DP694 Small / Large Fragment Set S/S T-Plate Stainless Steel 3/3 - 5/3 - 4/4 - 6/4 Hole<br />
DP695 Small / Large Fragment Set S/S Y-Plate Stainless Steel 2 + 2 + 4 or 4 + 4 + 4 Slots<br />
DP696 Small / Large Fragment Set S/S T-Small Plate Stainless Steel D 2.7mm<br />
DP697 Small / Large Fragment Set S/S Stainless Steel L-Mini Plate / 2.0mm<br />
Oblique L-Mini<br />
DP698 Small / Large Fragment Set S/S H-Mini Stainless Steel Plate 2.0mm<br />
DP699 Small / Large Fragment Set S/S H-Mini Stainless Steel Plate 1.5mm<br />
DP700 Small / Large Fragment Set S/S K/Wire Stainless Steel each 0.8-3.0mm x 150-500mm<br />
DP701 Small / Large Fragment Set S/S Bored K/Wire Stainless Steel 2.0-3.0mm x 80/30-200-15<br />
DP702 Small / Large Fragment Set S/S Threaded K/Wire Stainless Steel 1.5-2.5mm x 150/5-230-15<br />
DP703 Small / Large Fragment Set S/S Steinmann Pin Stainless Steel 3.5-4 mm x 180mm<br />
DP704 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 10 Hole<br />
DP705 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 12 Hole<br />
DP706 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 14 Hole<br />
DP707 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 16 Hole<br />
DP708 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 18 Hole<br />
DP709 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 20-18 Hole<br />
DP710 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 4-6 Hole<br />
DP711 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 5 Hole<br />
DP712 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 6 Hole<br />
DP713 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 3.5mm 7-9 Hole<br />
DP714 Small / Large Fragment Set S/S Reconstruction Plate Stainless 2.7mm 18-26 Hole<br />
DP715 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 2.7mm 12-16 Hole<br />
Page 177 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP716 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 2.7mm 8-10 Hole<br />
DP717 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 4.5 - 6.5mm 3-4 Hole<br />
DP718 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 4.5 - 6.5mm 5-6 Hole<br />
DP719 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 4.5 - 6.5mm 7-8 Hole<br />
DP720 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 4.5 - 6.5mm 9-10 Hole<br />
DP721 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 4.5 - 6.5mm 11-12 Hole<br />
DP722 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 4.5 - 6.5mm 13-14 Hole<br />
DP723 Small / Large Fragment Set S/S Reconstruction Plate Stainless Steel 4.5 - 6.5mm 15-18 Hole<br />
DP724 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 3.5 x 45 - 50mm<br />
Steel<br />
DP725 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 3.5 x 55 - 85mm<br />
Steel<br />
DP726 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 3.5 x 26 - 40mm<br />
Steel<br />
DP727 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 4.5 x 105mm<br />
Steel<br />
DP728 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 4.5 x 34 - 48mm<br />
Steel<br />
DP729 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 4.5 x 65 - 75mm<br />
Steel<br />
DP730 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 4.5 x 80 - 100mm<br />
Steel<br />
DP731 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 4.5 x 90 - 110 mm<br />
Steel<br />
DP733 Small / Large Fragment Set S/S Angle Blade Plate DCP Stainless 95 Degrees 14-18 Hole<br />
DP734 Small / Large Fragment Set S/S Angle Blade Plate DCP Stainless 95 Degrees 9-12 Hole<br />
DP735 Small / Large Fragment Set S/S Angle Blade Plate Stainless Steel 95 Degrees 45mm x 8mm<br />
DP736 Small / Large Fragment Set S/S Angle Blade Plate Stainless Steel 90 Degrees 40 -50mm x 10mm<br />
Page 178 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP737 Small / Large Fragment Set S/S Angle Blade Plate Stainless Steel 90 Degrees 50mm x 10mm<br />
DP738 Small / Large Fragment Set S/S Angle Blade Plate Stainless Steel 90 Degrees 60 x 10-15<br />
DP739 Small / Large Fragment Set S/S Angle Blade Plate Stainless Steel 90 Degrees 65 x 10-15<br />
DP740 Small / Large Fragment Set S/S Angle Blade Plate Stainless Steel 90 Degrees 35mm x 8mm<br />
DP741 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 10 Hole<br />
DP742 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 11 Hole<br />
DP743 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 12 Hole<br />
DP744 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 14 Hole<br />
DP745 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 16 Hole<br />
DP746 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 17 Hole<br />
DP747 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 18 Hole<br />
DP748 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 22 Hole<br />
DP749 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 26 Hole<br />
DP750 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 7 hole<br />
DP751 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 8 Hole<br />
DP752 Small / Large Fragment Set S/S Broad DCP Plate Stainless Steel 9 Hole<br />
DP753 Small / Large Fragment Set S/S Blade Plate Stainless Steel 95 Degrees 5-6 Hole<br />
DP754 Small / Large Fragment Set S/S Cannulated Screw Diameter - 4mm X 35-50mm<br />
Stainless Steel<br />
DP755 Small / Large Fragment Set S/S Cannulated Screw Diameter - 4mm X 55-60mm<br />
Stainless Steel<br />
DP756 Small / Large Fragment Set S/S Cannulated Screw Diameter - 4mm X 20-30mm<br />
Stainless Steel<br />
DP757 Small / Large Fragment Set S/S Cannulated Screw Diameter - 4mm X 10 -18mm<br />
Stainless Steel<br />
DP758 Small / Large Fragment Set S/S Cerclage 0.8-2.5mm D898<br />
Page 179 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP759 Small / Large Fragment Set S/S Washer Stainless Steel One size only<br />
DP760 Small / Large Fragment Set S/S Washer Stainless Steel for 4 & 6.5mm<br />
cancellous screw<br />
DP761 Small / Large Fragment Set S/S Cancellous Screw 4mm T10 - L24 with 1.2<br />
Cannulated<br />
DP762 Small / Large Fragment Set S/S Cancellous Screw 4mm T12 - L26 with 1.2<br />
Cannulated<br />
DP763 Small / Large Fragment Set S/S Cancellous Screw 4mm T14 - L28 with 1.2<br />
Cannulated<br />
DP764 Small / Large Fragment Set S/S Cannulated Cancellous Screw Full 7mm 16 x 100mm<br />
Threaded - Stainless Steel<br />
DP765 Small / Large Fragment Set S/S Cannulated Cancellous Screw P/T & 4mm x 24 - 60mm<br />
F/T - Stainless Steel<br />
DP766 Small / Large Fragment Set S/S Cancellous Screw 32 Thread - Dia 6.5mm x 130-140mm<br />
Stainless Steel<br />
DP767 Small / Large Fragment Set S/S Cancellous Screw 32 Thread - Dia 6.5mm x 105-120mm<br />
Stainless Steel<br />
DP768 Small / Large Fragment Set S/S Cancellous Screw 32 Thread - Dia 6.5mm x 40- 100mm<br />
Stainless Steel<br />
DP769 Small / Large Fragment Set S/S Cannulated Cancellous Screw 32 - Thread 6.5mm x 40-140mm<br />
Stainless Steel<br />
DP770 Small / Large Fragment Set S/S Cannulated Cancellous Screw 32 7mm x 40-140mm<br />
Thread - Stainless Steel<br />
DP771 Small / Large Fragment Set S/S Cannulated Cancellous Screw Full 6.5mm 14 x 40-mm<br />
Threaded - Stainless Steel<br />
DP772 Small / Large Fragment Set S/S Cancellous Screw - Stainless Steel Dia 6.5mm x 14-70mm<br />
DP773 Small / Large Fragment Set S/S Cancellous Screw - Stainless Steel Dia 6.5mm x 75 -110mm<br />
DP774 Small / Large Fragment Set S/S Cancellous Screw 16 Thread - Dia 6.5mm x 75- 130mm<br />
Stainless Steel<br />
DP775 Small / Large Fragment Set S/S CHS Plate S/S Standard & Short Bar 5-6 Hole 135-150 Deg<br />
Page 180 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP776 Small / Large Fragment Set S/S CHS Plate S/S, Standard & Short 10 Hole 135-150 Deg<br />
Barrel Sterile<br />
DP777 Small / Large Fragment Set S/S CHS Plate S/S, Standard & Short 12 Hole 135-150 Deg<br />
Barrel Sterile<br />
DP778 Small / Large Fragment Set S/S CHS Plate S/S, Standard & Short 14 Hole 135-150 Deg<br />
Barrel Sterile<br />
DP779 Small / Large Fragment Set S/S CHS Plate S/S, Standard & Short 5-6 Hole 135-150 Deg<br />
Barrel Sterile<br />
DP780 Small / Large Fragment Set S/S CHS Plate S/S, Standard & Short 8 Hole 135-150 Deg<br />
Barrel Sterile<br />
DP781 Small / Large Fragment Set S/S CHS Plate Stainless Steel 10 Hole 135-150 Deg<br />
DP782 Small / Large Fragment Set S/S CHS Plate Stainless Steel 12 Hole 135-150 Deg<br />
DP783 Small / Large Fragment Set S/S CHS Plate Stainless Steel 14 Hole 135-150 Deg<br />
DP784 Small / Large Fragment Set S/S CHS Plate Stainless Steel 16 Hole 135-150 Deg<br />
DP785 Small / Large Fragment Set S/S CHS Plate Stainless Steel 8 Hole 135-150 Deg<br />
DP786 Small / Large Fragment Set S/S Cortical Screw Self Tapping - Dia 3.5 x 30 - 50mm<br />
Stainless Steel<br />
DP787 Small / Large Fragment Set S/S Cortical Screw Self Tapping Dia 3.5 x 20 - 28mm<br />
Diameter - Stainless Steel<br />
DP788 Small / Large Fragment Set S/S Cortical Self Tapping Screw - Dia 4.5 x 105 - 110mm<br />
Stainless Steel<br />
DP789 Small / Large Fragment Set S/S Cortical Self Tapping Screw - Dia 4.5 x 34-48mm<br />
Stainless Steel<br />
DP790 Small / Large Fragment Set S/S Cortical Self Tapping Screw - Dia 4.5 x 50-60mm<br />
Stainless Steel<br />
DP791 Small / Large Fragment Set S/S Cortical Self Tapping Screw - Dia 4.5 x 65-70mm<br />
Stainless Steel<br />
DP792 Small / Large Fragment Set S/S Cortical Self Tapping Screw - Dia 4.5 x 75-100mm<br />
Stainless Steel<br />
Page 181 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP793 Small / Large Fragment Set S/S K/Wire Stainless Steel 1.6mm x 6-9"<br />
DP794 Small / Large Fragment Set S/S Double-HD Washer S/S Cancellous 4-6.5mm<br />
Nut Cortical Screw<br />
DP795 Small / Large Fragment Set S/S Narrow Bone Plate Stainless Steel 10-13 Hole<br />
DP796 Small / Large Fragment Set S/S Narrow Bone Plate Stainless Steel 14-16 Hole<br />
DP797 Small / Large Fragment Set S/S Narrow DCP Plate Stainless Steel 11-14 Hole<br />
DP798 Small / Large Fragment Set S/S Narrow DCP Plate Stainless Steel 14-16 Hole<br />
DP799 Small / Large Fragment Set S/S Narrow DCP Plate Stainless Steel 5-7 Hole<br />
DP800 Small / Large Fragment Set S/S Narrow DCP Plate Stainless Steel 8-10 Hole<br />
DP801 Small / Large Fragment Set S/S Narrow Lengthening Plate Stainless 8 Hole<br />
Steel<br />
DP802 Small / Large Fragment Set S/S Small DCP Plate Stainless Steel 2.7mm 10-12 Hole<br />
DP803 Small / Large Fragment Set S/S Small DCP Plate Stainless Steel 2.7mm 6-9 Hole<br />
DP804 Small / Large Fragment Set S/S Small DCP Plate Stainless Steel 2.7mm 10-12 Hole<br />
DP805 Small / Large Fragment Set S/S Oblique Plate Stainless Steel Small D2.7mm<br />
DP806 Small / Large Fragment Set S/S SCS Plate Stainless Steel Sterile 10-12 Hole 95 Degrees<br />
DP807 Small / Large Fragment Set S/S SCS Plate Stainless Steel Sterile 14-16 Hole 95 Degrees<br />
DP808 Small / Large Fragment Set S/S Spiked Washer Stainless Steel Cort For 3.5 & 4.5 mm<br />
& Fastening wires<br />
DP809 Small / Large Fragment Set S/S Steinmann Pin Dbl Tro Pkt6 1/8 x 9<br />
DP810 Small / Large Fragment Set S/S Steinmann Pin Stainless Steel Dbl 5/32 x 9<br />
Tro Pkt6<br />
DP811 Small / Large Fragment Set S/S STR T Mini Bone Plate Stainless 3-6 Hole for 2mm<br />
DP812 Small / Large Fragment Set S/S Supracondylar Plate S/S 10-12 Hole 95 Degrees<br />
DP813 Small / Large Fragment Set S/S Supracondylar Plate S/S 14-16Hole 95deg<br />
DP814 Small / Large Fragment Set S/S Threaded Steinmann Pin 0.5-3mm<br />
Page 182 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP815 Small / Large Fragment Set S/S T-Plate - Stainless Steel D 2.7mm<br />
DP816 Small / Large Fragment Set S/S T-Plate Stainless Steel 4 Hole<br />
DP817 Small / Large Fragment Set S/S T-Plate Stainless Steel 5 Hole<br />
DP818 Small / Large Fragment Set S/S T-Plate Stainless Steel 6-8 Hole<br />
DP819 Small / Large Fragment Set S/S T-Plate Stainless Steel Oblique 3/3 - 3/5 - 3/4 Hole for 2mm<br />
DP820 Small / Large Fragment Set S/S Cortical Screw Diameter - Stainless 4.5 x 50 - 60mm<br />
Steel<br />
DP835 Peak Channelled Plate System Channel Plate 2 - 8 Segment<br />
DP836 Peak Channelled Plate System Channel Plate Locking Washer 9 x 13mm<br />
DP837 Peak Channelled Plate System Cortical Bone Screw 3.5mm<br />
DP885 Compression Hip Screw System Ace Cannulated Hip Screw - 4.5/5.0mm<br />
DP886 Compression Hip Screw System Ace Compression Hip Screw 38mm<br />
DP887 Compression Hip Screw System Ace Cannulated Screw & Plate 4.5/5.0mm<br />
Systems Stainless Steel<br />
DP929 Supacondylar Nail System Supracondylar Titanium Nail Sterile 10mm x 15-30cm<br />
DP930 Art Retrograde Nail Femoral Nail Titanium Sterile 9-12mm x 30- 50cm<br />
DP931 Small / Large Fragment Set S/S Solid Cortical Screw Titanium 6.5mm x 40-100mm<br />
Unsterile<br />
DP932 Tibial Nail System Dynamic Titanium Sterile Tibial 8-13mm x 25.5-42.5cm<br />
DP933 Tibial Nail System Tibial Nail Titanium Sterile 8-13mm x 25.5-42.5cm<br />
DY130 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 10mm - 32mm<br />
Screw, Partially Thread<br />
DY131 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 34mm - 48mm<br />
Screw, Partially Thread<br />
DY162 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 50 - 75mm<br />
Screw, Partially Thread<br />
Page 183 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY163 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 10mm - 30mm<br />
Screw, Fully Thread<br />
DY164 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 32 - 50mm<br />
Screw, Fully Thread<br />
DY165 Fragment Set Small/Large Low Profile Cannulated Cancellous 4mm x 55 - 75mm<br />
Screw, Fully Thread<br />
Orthopedic Internal Fixation Systems, Other<br />
DP037 Orthosorb Absorbable Pin Orthosorb K-Wire - Stainless Steel L150/L300 D2.0mm<br />
Trocar Pkt 10<br />
DP038 Orthosorb Absorbable Pin Orthosorb K-Wire - Stainless Steel L150 to L300 D2.0mm<br />
Threaded Pkt 10<br />
DP039 Orthosorb Absorbable Pin Orthosorb K-Wire - Stainless Steel L300 D2.0mm Thread Each<br />
DP096 Coventry Screw system Coventry Screw System Plates - 4.00 mm dia<br />
Stainless Steel<br />
DP097 Coventry Screw system Coventry Screw System Screws - 4.00 mm dia<br />
Stainless Steel<br />
DP098 Coventry Screw system Coventry Screw System Cannulated 4.00 mm dia<br />
Screws - Stainless Steel<br />
DP099 Coventry Screw system Coventry Screw System Cannulated 7.00 mm dia<br />
Screws - Stainless Steel<br />
DP100 Coventry Screw system Coventry Cancellous Screw - Length 16-25mm<br />
Stainless Steel<br />
DP101 Coventry Screw system Coventry System Standard Plate - 130 deg 2-4 Hole<br />
Stainless Steel<br />
DP102 Coventry Screw system Coventry Screw System Cannulated 4.50 mm<br />
Screws - Stainless Steel<br />
DP103 Coventry Screw system Coventry System Extra Heavy Duty 130Degree 3-4 Hole<br />
Plate - Stainless Steel<br />
DP104 Coventry Screw system Coventry System Heavy Duty Plate 2-4 Hole<br />
- Stainless Steel<br />
Page 184 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP105 Coventry Screw system Coventry System Extra Heavy Duty 3-4 Hole<br />
Plate - Stainless Steel<br />
DP106 Coventry Screw system Coventry Cancellous Screw - Length 28-90mm<br />
Stainless Steel<br />
DP852 Songer Cable System - Titanium Flanged Crimp/2 Hole Bar/Flat Bar One size only<br />
(Pk 2)<br />
DP854 Songer Cable System - Titanium Flex Bar - Large/Small 35mm/30mm<br />
DP857 Songer Cable System - Stainless Steel 2 Hole Bar (Pk 2) One size only<br />
DP858 Songer Cable System - Stainless Steel Flanged Crimp/Flat Bar (Pk2) One size only<br />
DP859 Songer Cable System - Stainless Steel Isola Single Cable & Crimp (Pkt 6) One size only<br />
DP860 Songer Cable System - Stainless Steel Double Loop Cable with 2 Crimps One size only<br />
DP862 Songer Cable System - Titanium Double Loop Cable with 2 Crimps One size only<br />
DP864 Songer Cable System - Titanium Isola Single Cable & Crimp (Pkt 6) One size only<br />
Orthopedic Internal Fixation Systems, Spinal<br />
DP251 DOC Ventral Stabilisation System Doc Plate 1-3 Level<br />
DP252 Acroflex Lumbar Artificial Disc Lumbar Disc Replacement Device One size only<br />
DP299 Moss Miami (Stainless Steel) Hooks - Pedicle One size only<br />
DP300 Moss Miami (Stainless Steel) Hooks - Laminar One size only<br />
(Wide/Narrow/Angled/Reduced<br />
Distance Blade)<br />
DP301 Moss Miami (Stainless Steel) Transverse Connector - Complete One size only<br />
DP303 Moss Miami (Stainless Steel) Inner Screw One size only<br />
DP304 Moss Miami (Stainless Steel) Outer Nut One size only<br />
DP305 Moss Miami (Stainless Steel) Axial Connector 5mm/5mm and 5mm/7mm<br />
DP306 Moss Miami (Stainless Steel) Monoaxial Screws 5 - 8mm x 25 - 60mm<br />
DP307 Moss Miami (Stainless Steel) Polyaxial Screws 5 - 7mm x 25 - 60mm<br />
Page 185 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP309 Moss Miami (Stainless Steel) Transverse Connector Screw One size only<br />
DP310 Moss Miami (Stainless Steel) Transverse Connector Hook Standard/Slotted<br />
DP311 Moss Miami (Stainless Steel) Transverse Connector Rod 110mm & Swedged<br />
DP315 Moss Miami (Stainless Steel) Rod 5mm x 30 - 40mm<br />
DP316 Moss Miami (Stainless Steel) Rod 5mm x 50 - 60mm<br />
DP317 Moss Miami (Stainless Steel) Rod 5mm x 70mm<br />
DP318 Moss Miami (Stainless Steel) Rod 5mm x 80mm<br />
DP319 Moss Miami (Stainless Steel) Rod 5mm x 12 - 48cm<br />
DP320 Moss Miami (Stainless Steel) Rod 5mm x 90mm<br />
DP321 Moss Miami (Stainless Steel) Hooks - Ancillary (Small 3 - 5mm<br />
Angled/Displaced Body)<br />
DP329 Moss Miami (Stainless Steel) Hooks - Translation One size only<br />
(Pedicle/Reduced<br />
DP394 Moss Miami (Titanium) Rod 5.5mm x30mm<br />
DP395 Moss Miami (Titanium) Rod 5.5mm x 40mm<br />
DP396 Moss Miami (Titanium) Rod 5.5mm x 50mm<br />
DP397 Moss Miami (Titanium) Rod 5.5mm x 60mm<br />
DP398 Moss Miami (Titanium) Rod 5.5mm x 70mm<br />
DP399 Moss Miami (Titanium) Rod 5.5mm x 80mm<br />
DP400 Moss Miami (Titanium) Rod 5.5mm x 12cm<br />
DP401 Moss Miami (Titanium) Rod 5.5mm x 30cm<br />
DP402 Moss Miami (Titanium) Rod 5.5mm x 90mm<br />
DP403 Moss Miami (Titanium) Rod 5.5mm x 48cm<br />
DP404 Moss Miami (Titanium) Inner Screw One Size Only<br />
DP405 Moss Miami (Titanium) Outer Nut One Size Only<br />
Page 186 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP406 Moss Miami (Titanium) Hooks - Ancillary One Size Only<br />
(Supra-laminar/Offset/Extended<br />
Body/Wide Blade)<br />
DP407 Moss Miami (Titanium) Monoaxial Screw 5 - 8mm x 25 - 60mm<br />
DP408 Moss Miami (Titanium) Polyaxial Screw 5 - 8mm x 25 - 60mm<br />
DP410 Moss Miami (Titanium) Hooks - Pedicle 3-5 mm<br />
DP411 Moss Miami (Titanium) Hooks - Laminar One size only<br />
(Wide/Narrow/Angled/Reduced<br />
Distance)<br />
DP412 Moss Miami (Titanium) Transverse Connector - Complete One size only<br />
DP413 Moss Miami (Titanium) Axial Connector 5mm/5mm<br />
DP416 Moss Miami (Titanium) Washers Slotted/Angled<br />
DP417 Moss Miami (Titanium) Monoaxial Staple Washer One size only<br />
DP418 Moss Miami (Titanium) Hooks - Translation One size only<br />
DP419 Moss Miami (Titanium) Transverse Connector Screw One size only<br />
DP420 Moss Miami (Titanium) Transverse Connector Hook Standard/Slotted<br />
DP421 Moss Miami (Titanium) Transverse Connector Rod 110mm and Swedged<br />
DP422 Moss Miami 4mm Anterior System (SS) 12 Sided Outie One size only<br />
DP449 Kaneda SR (Smooth Rod) Anterior Closed Screw 1/4" - 6.25mm x 25 - 60mm<br />
DP450 Kaneda SR (Smooth Rod) Anterior Plates Small/Large - Caudal or Rostral<br />
DP451 Kaneda SR (Smooth Rod) Anterior Transverse Coupler 1/4" x 13 - 16mm<br />
DP452 Kaneda SR (Smooth Rod) Anterior Pre Cut Rod 1/4" x 45 - 150mm<br />
DP453 Isola Paediatric System (Stainless Threadless TRC - Closed or Open 3/16"<br />
Body without Rod<br />
DP454 Isola System (Titanium) Slotted Connector - Offset/Angled 1/4" & 3/16"<br />
DP455 Isola System (Titanium) Slotted Connector - Standard 1/4" & 3/16"<br />
Page 187 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP459 Isola System (Titanium) Jaw Clamp 1/4" & 3/16"<br />
DP460 Isola System (Titanium) Right Hand Nut 5/16"<br />
DP461 Isola System (Titanium) Spinal Rod 1/4" & 3/16" x 18" & 24"<br />
DP462 Isola System (Stainless Steel) Wedding Band 1/4 " & 3/16"<br />
DP463 Isola System (Titanium) Set Screw 6.35mm<br />
DP464 Isola System (Titanium) Closed Hooks 1/4" x 3/16" x 5-11mm<br />
DP465 Isola System (Titanium) Open Hooks 1/4" & 3/16" x 5-11mm<br />
DP466 Isola System (Titanium) Wedding Band 1/4" & 3/16"<br />
DP467 Isola System (Titanium) Slotted Connector - Extended 1/4" & 3/16"<br />
DP469 Isola System (Stainless Steel) Slotted Connector - 1/4" & 3/16"<br />
DP470 Isola System (Stainless Steel) Transverse Rod Connector 1/4 & 3/16"<br />
DP471 Isola System (Stainless Steel) Closed Hooks 1/4" & 3/16" x 5-11mm<br />
DP472 Isola System (Stainless Steel) Open Hooks 1/4" & 3/16" x 5-11mm<br />
DP473 Isola System (Stainless Steel) Iliac Screw 6.25 & 7.0mm<br />
DP474 Isola System (Stainless Steel) Jaw Clamp 1/4" & 3/16"<br />
DP475 Isola System (Stainless Steel) Right Hand Nut 5/16"<br />
DP476 Isola System (Stainless Steel) Eye Rod 1/4" & 3/16" x 18" - 24"<br />
DP477 Isola System (Stainless Steel) Spinal Rod Standard 1/4" & 3/16" x 18" & 24"<br />
DP478 Isola System (Stainless Steel) Tandem Connector 1/4" & 3/16"<br />
DP479 Isola System (Stainless Steel) Beaded Wire One size only<br />
DP480 Isola System (Stainless Steel) Wire with Button One size only<br />
DP481 Isola System (Stainless Steel) Transverse Connector - Dual 1/4" & 3/16"<br />
DP482 Isola System (Stainless Steel) Slotted Connector - Offset/Angled 1/4" & 3/16"<br />
DP483 Isola System (Stainless Steel) Slotted Connector - Twister 1/4"<br />
Page 188 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP484 Isola System (Titanium) Slotted Connector - Twister 1/4"<br />
DP485 Isola System (Stainless Steel) Dual Diameter Rod 3/16" to 1/4" x 18 - 24"<br />
DP487 Isola Paediatric System (Stainless Side Tightening Hook - 3/16" x 3.5mm - 11mm<br />
DP488 Isola Paediatric System (Stainless Pre-Bent Rod 3/16 "<br />
DP489 Isola Paediatric System (Stainless Cable Wire Screw 4.75 - 5.50mm x 25 - 30mm<br />
DP490 Isola Paediatric System (Stainless Wedding Band 3/16"<br />
DP492 Isola System (Titanium) Iliac Screws 6.25mm & 7.0mm<br />
DP493 Isola System (Stainless Steel) Open Hook Caps 1/4" & 3/16"<br />
DP494 Isola System (Stainless Steel) Spinal Rod Hex Ends - 1/4" x 18"<br />
DP495 Isola Paediatric System (Stainless Growth/Tandem Connector 3/16"<br />
DP496 Isola Paediatric System (Stainless Threadless TRC - Open Body with 3/16"<br />
DP497 Isola Paediatric System (Stainless Threadless TRC - Closed Body with 3/16"<br />
Rod<br />
DP498 Isola System (Titanium) Slotted Connector - Open 1/4" & 3/16"<br />
DP499 Isola System (Titanium) Transverse Rod Connector 1/4" & 3/16"<br />
DP501 Isola System (Stainless Steel) Set Screw One size only<br />
DP502 Anterior Isola System (SS) Single Hole Washer and Staples 16-22mm<br />
DP503 Anterior Isola System (SS) Closed Screw 1/4" x 5.5-7mm x 25-55mm<br />
DP504 Anterior Isola System (SS) Open Screw 1/4" x 5.5-7mm x 20-55mm<br />
DP505 Anterior Isola System (SS) Rod with Hex End 1/4" x 18"<br />
DP515 Brantigan I/F Ramp PLIF C/F Ramp 7-11 x 11-15 x 25 mm<br />
DP517 Brantigan I/F Ramp PLIF C/F Ramp 9-11 x 7.5 x 21mm<br />
DP533 Peak Posterior Cervical Rod System Cortical Skull Screw 3mm x 8 - 12mm<br />
DP534 Peak Posterior Cervical Rod System Rod 3mm x 70mm<br />
DP535 Peak Posterior Cervical Rod System Rod 3mm x 120mm<br />
Page 189 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP536 Peak Posterior Cervical Rod System Rod 3mm x 200mm<br />
DP537 Peak Posterior Cervical Rod System Step Rod 3mm<br />
DP538 Peak Posterior Cervical Rod System Inner Screw 2.5mm Hex<br />
DP539 Peak Posterior Cervical Rod System Connector Left/Right<br />
DP540 Peak Posterior Cervical Rod System Pin Nut 3mm<br />
DP541 Peak Posterior Cervical Rod System Transverse Connection Hook 3mm<br />
DP542 Peak Posterior Cervical Rod System Skull T-Plate Small - Large<br />
DP543 Peak Posterior Cervical Rod System Locking Plate 3mm<br />
DP544 Peak Posterior Cervical Rod System Locking Nut 3mm<br />
DP564 Peak Polyaxial Anterior Cervical Anterior Cervical Plate 1 - 4 Segment<br />
Plate System<br />
DP566 Peak Polyaxial Anterior Cervical Safety Locking Screw 4.35mm x 10 - 16mm<br />
Plate System<br />
DP567 Peak Polyaxial Anterior Cervical Graft Screw 4mm x 9 -15mm<br />
Plate System<br />
DP569 Peak Polyaxial Anterior Cervical Primary Locking Screw 4mm x 10 -16mm<br />
Plate System<br />
DP576 Kaneda Anterior Scoliosis System S/S Open Screw - Blunt 3/16" - 6.25mm x 25 - 50mm<br />
DP577 Kaneda Anterior Scoliosis System S/S Closed Screw - Blunt 3/16" - 6.25mm x 25 - 50mm<br />
DP578 Kaneda Anterior Scoliosis System S/S Open Screw 3/16" - 6.25mm x 25 - 50mm<br />
DP579 Kaneda Anterior Scoliosis System S/S Closed Screw 3/16" - 6.25mm x 25 - 50mm<br />
DP580 Kaneda Anterior Scoliosis System S/S Radiused Caps for Open Screws 3/16"<br />
DP581 Kaneda Anterior Scoliosis System S/S Staple Single Hole<br />
DP582 Kaneda Anterior Scoliosis System S/S Staple 2 hole - small /large<br />
DP828 Profile Anterior Thoracolumbar Plate Plates - Thoracolumbar 50 - 120mm<br />
System<br />
Page 190 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP829 Profile Anterior Thoracolumbar Plate Plates - High Thoracic 40 - 110mm<br />
System<br />
DP830 Profile Anterior Thoracolumbar Plate Cancellous Screw 6mm x 20 - 60mm<br />
System<br />
DP831 Profile Anterior Thoracolumbar Plate Cancellous Bolt 7mm x 25 - 60mm<br />
System<br />
DP832 Profile Anterior Thoracolumbar Plate Locking Inner Screw One size only<br />
System<br />
DP833 Profile Anterior Thoracolumbar Plate Graft Screw 15 - 30mm<br />
System<br />
DP834 Profile Anterior Thoracolumbar Plate Locking Outer Nut One size only<br />
System<br />
DP842 Moss Miami (Stainless Steel) Sacral Extender 5mm x 5 - 20mm length<br />
DP843 Moss Miami (Titanium) Sacral Extender 5mm x 5 - 20mm length<br />
DP845 Moss Miami 4mm Anterior System (SS) Hooks 4mm<br />
DP846 Moss Miami 4mm Anterior System (SS) Rods 4.0mm x 30 - 48cm<br />
DP847 Moss Miami 4mm Anterior System (SS) Screws - Monoaxial 6mm x 25 - 55mm<br />
DP848 Moss Miami 4mm Anterior System (SS) Screws - Polyaxial 6mm x 25 - 55mm<br />
DP849 Moss Miami 4mm Anterior System (SS) Washer One size only<br />
DP850 Moss Miami 4mm Anterior System (SS) Staple One size only<br />
DP851 Surgical Titanium Mesh System Standard & Trapezoidal 10-16mm x 8-17mm Hgt<br />
DY039 TiMX Low Back System Pedicle Screw - +5 No Cut 5.5 - 7.75mm x 30 - 50mm<br />
DY040 TiMX Low Back System Pedicle Screw - Standard 5.5 - 7.75mm x 30 - 50mm<br />
DY041 TiMX Low Back System Sacral Connector - Left & Right One size only<br />
DY042 TiMX Low Back System VSP Bone Plate One Slot<br />
DY043 TiMX Low Back System VSP Bone Plate One & 1/2 SLot<br />
DY044 TiMX Low Back System VSP Bone Plate Two Slot<br />
Page 191 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY045 TiMX Low Back System VSP Bone Plate Two & 1/2 Slot - 3 Slot<br />
DY046 TiMX Low Back System VSP Bone Plate Double Half Slot<br />
DY047 TiMX Low Back System VSP Bone Plate One Slot - Shortened<br />
DY048 TiMX Low Back System VSP Bone Plate Triple Half Slot<br />
DY049 TiMX Low Back System Slotted Connector - Twister 1/4"<br />
DY050 TiMX Low Back System Slotted Connector - Left & Right 1/4"<br />
DY052 TiMX Low Back System Hexlobe Set Screw One size only<br />
DY054 TiMX Low Back System Spherical Nut One size only<br />
DY055 TiMX Low Back System Sacral Connector - Rod 3/16" x 4"<br />
DY056 TiMX Low Back System Slotted Connector - Straight 1/4"<br />
DY057 TiMX Low Back System Washer - Standard 3mm & 4.5mm<br />
DY058 TiMX Low Back System Washer - Tapered One size only<br />
DY059 TiMX Low Back System Modular Cross Connector Hex Lobe One size only<br />
Set Screw<br />
DY062 Brazenor Device Custom Cervical Buttress One size only<br />
DY063 Peak Posterior Cervical Rod System Cortical Screws 3.5mm x 8 - 28mm<br />
DY078 Kaneda SR Anterior Kaneda SR Anterior Open Screw 1/4"-6.25mm x 25-60mm, 3/16" -<br />
DY090 Peak Posterior Cervical Rod System Mini Polyaxial Screw Std/High 3mm x 14-35mm<br />
DY091 Peak Posterior Cervical Rod System Outer Nut for Mini Polyaxial Screw One size only<br />
DY092 Peak Posterior Cervical Rod System U-shape Insert One size only<br />
DY094 Isola Paediatric System Stainless Steel, Slotted Connector 3/16"<br />
Downsized<br />
DY099 Isola System (Stainless Steel) Slotted Connector Open 1/4" & 3/16"<br />
DY100 Isola System (Stainless Steel) Threadless TRC - Closed Body 1/4" & 3/16"<br />
with Rod<br />
DY101 Isola System (Stainless Steel) Threadless TRC Open Body with 1/4" & 3/16"<br />
Page 192 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY102 Isola System (Stainless Steel) Threadless TRC - Closed Body No 1/4" & 3/16"<br />
Rod<br />
DY103 Isola System (Stainless Steel) Modular Cross Connector Set Screw One Size Only<br />
DY104 Isola System (Titanium) Open Hook Caps One size only<br />
DY105 Isola System (Titanium) Eye Rod 1/4" x 18"<br />
DY106 Isola System (Titanium) Modular Cross Connector Set Screw One size only<br />
DY107 Carbon Fibre Cages Stackable Cage Titanium Interface One size only<br />
Screw Nuts<br />
DY108 Isola System Titanium, Locking Screw 60-120mm<br />
DY109 Carbon Fibre Cages Stackable Cage Titanium Protective 5-15mm<br />
Sleeve<br />
DY110 Carbon Fibre Cages Stackable Cage Titanium Interface M4 / M5<br />
Screws<br />
DY170 Monarch Spinal System Bolts - Pedicle & Reduction 4.75 - 8.5 mm x 30 - 55mm<br />
DY171 Monarch Spinal System Pedicle Screws - Polyaxial 4.75 - 8.5 mm x 30 - 55mm<br />
DY172 Monarch Spinal System Bone Plates 1/2 - 11/2 slot<br />
DY173 Monarch Spinal System Bone Plates 2 - 3 slot<br />
DY174 Monarch Spinal System Bone Plates 3 1/2 slot<br />
DY175 Monarch Spinal System Domed Nut One size only<br />
DY176 Monarch Spinal System Washer (Spacer & Polyaxial) One size only<br />
DY177 Monarch Spinal System Set Screws One size only<br />
DY178 Monarch Spinal System Hooks - Closed (Narrow Tapered / 5 - 11 mm<br />
wide Blade)<br />
DY179 Monarch Spinal System Slotted Connectors One size only<br />
DY180 Monarch Spinal System Slotted Connectors (Offset One size only<br />
DY181 Monarch Spinal System Slotted Connectors Offset Mini and One size only<br />
Twister<br />
Page 193 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY182 Monarch Spinal System Rods 1/4" x 450mm<br />
DY183 Monarch Spinal System Dual Rod Connectors side by side 1/4" - 1/4", 1/4" - 3/16"<br />
DY184 Monarch Spinal System Dual Rod Connectors End to End 1/4" - 1/4", 1/4" - 3/16"<br />
DY185 Monarch Spinal System Plate J-Hooks One size only<br />
DY186 Monarch Spinal System Band Clamp Connector One size only<br />
DY198 Carbon Fibre Cages ALIF 1 C/F Cage 5 - 10 deg Sm to Lg 10 - 18 mm<br />
DY289 Crossover System (Titanium) Crossconnector Small 18-30mm<br />
DY290 Crossover System (Titanium) Crossconnector Medium 32-45mm<br />
DY291 Crossover System (Titanium) CrossOver Nut One size only<br />
DY292 Crossover System (Titanium) Crossconnector Large 45-107mm<br />
DY293 Crossover System (Titanium) CrossOver Ball Screw One size only<br />
DY297 Slim-loc Anterior Cervical Plate Plates - one level 22-37mm<br />
DY298 Slim-loc Anterior Cervical Plate Plates - two level 39-53mm<br />
DY299 Slim-loc Anterior Cervical Plate Plates - three level 54-78mm<br />
DY300 Slim-loc Anterior Cervical Plate Screws - Self Tapping 4.5 x 12-26mm<br />
DY301 Slim-loc Anterior Cervical Plate Screws - Large Diameter 4.8 x 12-16mm<br />
DY302 Slim-loc Anterior Cervical Plate Screws - Self Drilling 4.5 x 12-18mm<br />
DY303 Monarch Spinal System Typhoon Cap One size only<br />
DY304 Monarch Spinal System Hooks - Open (Pedicle/Narrow 5-11mm<br />
Tapered/Wide Blade)<br />
DY306 Isola System (Titanium) Threadless TRC - Open body with 1/4" 1/4"<br />
DY307 Isola System (Titanium) Dual Connector (end to end) 3<br />
DY308 Isola System (Titanium) Threadless TRC - Open body no rod 1/4" 1/4 "<br />
DY309 Frontier Anterior Scoliosis System Bone Screws 5.5 x 20-60mm<br />
(Titanium)<br />
Page 194 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY310 Frontier Anterior Scoliosis System Spinal Rod 4.75 x 45-600mm<br />
(Titanium)<br />
DY311 Frontier Anterior Scoliosis System Twist on Internal Cap One size only<br />
(Titanium)<br />
DY312 Frontier Anterior Scoliosis System Twist on Internal Cap Set Screw One size only<br />
(Titanium)<br />
DY313 Monarch Spinal System Rods - Pre Cut/Lordosed 1/4" x 45-95mm<br />
DY314 Isola System (Stainless Steel) Threadless TRC - open body no rod 1/4" & 3/16"<br />
DY315 Isola System (Stainless Steel) Closed eye rod connector 1/4"<br />
DY316 Isola System (Stainless Steel) Open eye rod connector 1/4"<br />
DY317 Isola System (Stainless Steel) Band Clamp connector 1/4" & 3/16"<br />
DY318 Isola System (Stainless Steel) Pre-Cut Rod 3/16" x 35-60mm<br />
DY319 Isola System (Stainless Steel) Pre-Cut Rod 3/16" x 70-90mm<br />
DY320 Isola System (Stainless Steel) Pre-Cut Rod 3/16" x 80-90mm<br />
DY322 Carbon Fibre Interbody Fusion Device Stackable C/F Cage System Wedges 11 Degree Small-Large<br />
Pins, Bone<br />
DP088 Orthosorb Absorbable Pin Orthosorb - Polydiaxanone Fixation 2mm<br />
Pins<br />
DP089 Orthosorb Absorbable Pin Orthosorb Pkt3 - Polydiaxanone 40mm x2mm<br />
DP090 Orthosorb Absorbable Pin Orthosorb Pkt 3 - Polydiaxanone 1mm x 40mm x 1.3mm<br />
DP091 Orthosorb Absorbable Pin Orthosorb Pkt 1 - Polydiaxanone 40 x 2.0mm<br />
DP092 Orthosorb Absorbable Pin Orthosorb K Wire - Stainless Steel 1 x 40mm x 1.3mm Pk 3<br />
Tapered Pins<br />
DP093 Orthosorb Absorbable Pin Orthosorb -Polydiameterxanone 1.3mm<br />
DP094 Orthosorb Absorbable Pin Orthosorb Pk 2 - Polydiaxanone 40mm x 2.0mm<br />
DP095 Orthosorb Absorbable Pin Orthosorb Arthroscopic Fix-Set - 1.3MM<br />
Polydiaxanone<br />
Page 195 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP572 Nancy Nail System Nancy Nail Titanium 2.0 mm x 130mm<br />
DP892 Rockwood Clavical Pin Rockwood Clavicle Pin + Nut S/S 2.5 to 4.5mm<br />
DP893 Rockwood Clavical Pin Nut Clavical Pin S/S 2.5 to 4.5mm<br />
DY272 Clavicle Pin (Sterile) Clavicle pin assembly 2.5-4.5mm<br />
Pins, Bone, Absorbable<br />
DP584 PLA Centraliser Poly Lactic Acid+D108 Centraliser 9-20mm<br />
Plates, Bone<br />
DP045 Isola System (Stainless Steel) Double Wire One size only<br />
DP046 VSP System (Titanium) Pedicle Screw - Standard 4.75 - 8.5mm x 25 - 50mm<br />
DP049 VSP System (Titanium) Washer Tapered<br />
DP050 VSP System (Titanium) VSP Bone Plate Two 1/2 - Three 1/2 Slot<br />
DP051 VSP System (Titanium) VSP Bone Plate One - Two Slot<br />
DP052 VSP System (Titanium) VSP Bone Plate Four - Five Slot<br />
DP058 Isola System (Stainless Steel) Modular Cross Connector Hex Nut One size only<br />
DP059 VSP System (Titanium) Pedicle Screw + 5 No Cut 4.75 - 8.5mm x 25 - 50mm<br />
DP060 VSP System (Stainless Steel) Sacral Connector - Left & Right One size only<br />
DP065 VSP System (Titanium) Washer 3 - 5mm<br />
DP072 Isola System (Titanium) Modular Cross Connector J-Hooks 1/4 & 3/16"<br />
DP073 Isola System (Titanium) Modular Cross Connector Plates 0 - 70mm<br />
DP074 Isola System (Titanium) Modular Cross Connector Hex Nut One size only<br />
DP075 Isola System (Stainless Steel) Modular Cross Connector Plates 0 - 70mm<br />
DP076 Isola System (Stainless Steel) Modular Cross Connector J-Hooks 1/4 & 3/16"<br />
DP869 Bridge Plates Bridge P.F.P. Femoral 140-170mm<br />
DP870 Bridge Plates Bridge P.F.P. Humeral 90mm<br />
Page 196 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP888 Calcaneal Periarticular Plate Calcaneal Periarticular Plate - One size only<br />
DP904 Periarticular Plating System Plate Calcaneal - Titanium Small - Large<br />
DP905 Periarticular Plating System Fibula Composite Plate - Titanium 5 Hole<br />
DP906 Periarticular Plating System Medial Pilon Plate - Titanium 3 Hole<br />
DP907 Periarticular Plating System Meta Plate - Titanium Sm - Lge 3 Hole<br />
DP908 Periarticular Plating System Periarticular Pilon Plate - Titanium 4 to 10 hole<br />
DP909 Periarticular Plating System SPIDER Plate.(2p/p) Titanium Sm<br />
DP910 Periarticular Plating System SPIDER Plate (2p/p) and offset Lg<br />
Titanium<br />
DP911 Periarticular Plating System Meta Plate - Titanium Sm -Lge 5 Hole<br />
DP912 Periarticular Plating System Fibula Composite Plate - Titanium 11 Hole<br />
DP913 Periarticular Plating System Fibula Composite Plate - Titanium 7 Hole<br />
DP914 Periarticular Plating System Fibula Composite Plate - Titanium 9 Hole<br />
DP915 Periarticular Plating System Medial Pilon Plate - Titanium 5 Hole<br />
DP916 Periarticular Plating System Medial Pilon Plate - Titanium 7 Hole<br />
DP917 Periarticular Plating System Periarticular Spider Washer - One size only<br />
DP920 DOC Ventral Stabilisation System Assembly 36-110mm<br />
DP921 DOC Ventral Stabilisation System Outer Bone Screw 4.0mm x 12-16mm<br />
DP922 DOC Ventral Stabilisation System Inner Bone Screw 12 - 16mm<br />
DP923 DOC Ventral Stabilisation System Platform - Straight Non Locking 3.5 - 4mm<br />
DP924 DOC Ventral Stabilisation System Platform - Angled Screw 20Deg 3.5 - 4mm<br />
Lockable<br />
DP925 DOC Ventral Stabilisation System Graft Screw One Size Only<br />
DP926 DOC Ventral Stabilisation System Assembly - 2 Level 30 - 42mm<br />
DP927 DOC Ventral Stabilisation System Assembly - 3 Level 30-42mm<br />
Page 197 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP928 DOC Ventral Stabilisation System Platform/Cross Connector Locking 3.5 - 4mm<br />
Screw<br />
DY064 Protrusio Cage Left and right Cobalt Size 52OD X 49ID, 56OD X 53ID,<br />
60OD X 57ID<br />
DY066 Codman Anterior Cervical Plate Anterior Cervical Plate 24 - 32mm<br />
DY067 Codman Anterior Cervical Plate Anterior Cervical Plate 34 - 48mm<br />
DY068 Codman Anterior Cervical Plate Anterior Cervical Plate 58 - 70mm<br />
DY069 Codman Anterior Cervical Plate Anterior Cervical Plate 50 - 56mm<br />
DY070 Codman Anterior Cervical Plate Anterior Cervical Plate 74 - 82mm<br />
DY071 Codman Anterior Cervical Plate Anterior Cervical Plate 86 - 98mm<br />
DY072 Codman Anterior Cervical Plate Anterior Cervical Plate 102 - 110mm<br />
DY095 DOC Ventral Stabilization System Cross Connector One size only<br />
DY096 DOC Ventral Stabilization System Graft Platform One size only<br />
DY121 VSP System (Stainless Steel) Pedicle Screw + 5 No Cut 4.75-7.75mm x 25-50mm<br />
DY122 VSP System (Stainless Steel) Pedicle Screw Standard 4.75-7.75mm x 25-50mm<br />
DY123 VSP System (Stainless Steel) VSP Bone Plate One-Two Slot<br />
DY124 VSP System (Stainless Steel) VSP Bone Plate Two 1/2-Three 1/2 Slot<br />
DY125 VSP System (Stainless Steel) VSP Bone Plate Four-Five Slot<br />
DY127 VSP System (Stainless Steel) Washer Tapered<br />
DY128 VSP System (Stainless Steel) Washer 3-5mm<br />
DY305 VSP System (Titanium) Sacral Connector - Left & Right One size only<br />
Prep Kits<br />
DP446 Vacu Mix Plus CMW Cement Vacu-Mix Plus Pre Loaded With 20, 40, 60, 80 grams<br />
CMW Bone Cement<br />
<strong>Prostheses</strong>, Femoral Head<br />
DP246 AML Modular Heads Chrome Cobalt Head 32mm +0, +5, +11, +15 and +18<br />
Page 198 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP247 AML Modular Heads Zirconia Head 28/32m size +1.5 to +9<br />
DP248 AML Modular Heads Chrome Cobalt Head 22.225 +0 and +5<br />
DP249 AML Modular Heads Ceramic Head 28/32mm size +1 to +9<br />
<strong>Prostheses</strong>, Femoral, Upper<br />
DP013 Wroblewski Resection Stem Stainless steel 200mm, 250mm<br />
DP172 PLAD Wroblewski Cup Angle bore Left 22mm<br />
and Right UHMWP<br />
DP173 PLAD PLAD for cups S/S and 22.225mm, 26mm and 28mm<br />
DP546 C- Stem High Offset Ortron Size 1-8 size 3-5<br />
DP547 C- Stem CDH Ortron CDH<br />
DP548 C- Stem C-Stem Heads Zirconia Size -3 to +6<br />
DP549 C- Stem C-Stem Heads Ortron Size -3 to +8<br />
DP550 C- Stem Revision Stem Ortron Size 4-8 x 200-240 mm length<br />
<strong>Prostheses</strong>, Finger/Thumb<br />
DP002 Roseland Thumb Trap CIM Small, Large<br />
DP015 Roseland Thumb Meta 1/3 HAC Small, Large, Xlarge<br />
DP016 Roseland Thumb Meta CIM Small, Large<br />
DP017 Roseland Thumb Trap HAC Small, Large<br />
DP573 Neuflex Finger Neuflex MCP implant - Anasil Size 0-60<br />
<strong>Prostheses</strong>, Foot<br />
DY135 Barouk Screws 2.5mm x 10-22mm<br />
<strong>Prostheses</strong>, Joint, Ankle<br />
DP871 Agility Ankle System Agility Ankle Talar Size 1 - 6<br />
DY079 Agility Ankle System Agility Ankle Talar Size 1-6 -<br />
Page 199 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY082 Agility Ankle System Agility Ankle Tibial Shell Right Size 1-6<br />
and Left<br />
DY083 Agility Ankle System Agility Ankle Tibial Insert and +2 Size 1-6<br />
<strong>Prostheses</strong>, Joint, Elbow<br />
DY137 Acclaim Elbow Humeral Stem, Std/Lge 100-200mm<br />
DY138 Acclaim Elbow Ulnar Stem, Std/Lge-Left/Right 60-85mm<br />
DY139 Acclaim Elbow Humeral Bobbin One size only<br />
DY140 Acclaim Elbow Linked Ulnar Metal Bearing One size only<br />
DY141 Acclaim Elbow Unlinked Polyethylene Ulnar One size only<br />
DY142 Acclaim Elbow Pin Assembly One size only<br />
DY143 Acclaim Elbow Pin One size only<br />
DY144 Acclaim Elbow Polyethylene Sleeve One size only<br />
DY145 Acclaim Elbow Polyethylene Humeral Yoke One size only<br />
DY146 Acclaim Elbow Linked Ulnar Bearing Screw One size only<br />
DY288 Acclaim Elbow Unconstrained Ulnar Poly Bearing 15mm<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
DP014 Duraloc Constrained Liner UHMWPE liner with titanium alloy Head sizes: 28mm, 32mm, Liner size<br />
48 - 74mm<br />
DP551 Bantam Shells Bantam Titanium Size 38 - 46<br />
DP552 Bantam Liners Bantam Enduron Polyethylene 10 Degree 22.225 & 26 & 28mm<br />
size 38-46<br />
DP555 Duraloc 100 Series Cup 100 series with polished inner Size 66<br />
DP556 Duraloc 100 Series Cup 100 series Titanium Size 66<br />
DP557 Duraloc 100 Series Cup 100 series Polished Titanium HA Inner 48 to 64<br />
DP558 Duraloc 100 Series Cup 100 series Titanium Size 48 - 64<br />
DP559 Duraloc 100 Series Cup 100 series HA on Porocoat Titanium Size 48 to 64<br />
Page 200 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP560 Duraloc 100 Series Cup Revision 100 series Titanium Size 66<br />
DP563 Wroblewski Cup Golf Ball Left and right UHMWP 22mm size 40-53mm<br />
DP944 Octopus Cup System Screw 6.5mm Diameter length 15-65mm<br />
DP945 Octopus Cup System Cup Size 50, 55mm<br />
DP946 Octopus Cup System Hooded Liner 22.2, 28 and 32mm Size 55, 50<br />
DP947 Octopus Cup System Reorientation Liner 22.2, 28 and 32mm Size 50-55mm<br />
DP948 Octopus Cup System Ring Right and Left Size 50-55mm<br />
DP949 Octopus Cup System Ring Long left and right Size 50-55mm<br />
DY027 Option Cup system Option Cup Lagoon 44-62mm<br />
DY028 Option Cup system Option Cup Lagoon Multihole cup 38-74mm<br />
DY029 Option Cup system Option Cup Multihole 38-74mm<br />
DY030 Option Cup system Option Cup 46-66 mm<br />
DY031 Option Cup system Option Ha 46-66 mm<br />
DY032 Option Cup system Liner LPW 38-80 mm<br />
DY033 Option Cup system Liner STD 38-80 mm<br />
DY034 Option Cup system Liner Option Ceramic 46-66 mm<br />
DY035 Duraloc Marathon Acetabular Liner Marathon Neutral Polyetholene 32mm size 52-66<br />
DY036 Duraloc Marathon Acetabular Liner Marathon Polyetholene 10 degree 28mm size 50-66<br />
DY037 Duraloc Marathon Acetabular Liner Marathon Neutral Polyetholene 28mm size 50-66<br />
DY076 Duraloc Constrained Liner Constrained Liner 48-80<br />
DY169 Ultima Acetabular Ring Ultima Acetabular Ring 40 - 62mm<br />
DY197 Pinnacle Cup/Liners Pinnacle 100 Series Acetabular Cup 38 - 80 mm<br />
DY201 Pinnacle Cup/Liners Pinnacle Sector Acetabular Cup 38 - 80 mm<br />
DY202 Pinnacle Cup/Liners Pinnacle Multihole Acetabular Cup 38 - 80 mm<br />
Page 201 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY203 Pinnacle Cup/Liners Pinnacle 300 Series Acetabular Cup 38 - 80 mm<br />
DY204 Pinnacle Acetabular Cup System Marathon Insert Neutral 38 - 80 mm x 22.225 mm & 26 & 28<br />
& 32mm<br />
DY205 Pinnacle Acetabular Cup System Marathon Insert 10 Degree 38 - 80 mm x 22.225 mm & 26 & 28<br />
&32mm<br />
DY210 Pinnacle Acetabular Cup System Marathon Insert + 4 Neutral 38 - 80 mm x 28 mm & 32mm<br />
DY211 Pinnacle Acetabular Cup System MoM Insert Neutral 36 - 66 mm x 28 mm & 32 & 36mm<br />
DY212 Pinnacle Cup/Liners Pinnacle Metal Insert Neutral 48 - 60 mm x 36 mm<br />
DY213 Pinnacle Cup/Liners Pinnacle Ceramic Insert Neutral 48 - 66 mm x 28 mm<br />
DY214 Pinnacle Cup/Liners Articul/eze "M" Taper Femoral 36 mm -2.1 to +12.0<br />
DY215 Pinnacle Cup/Liners S-ROM "M" Taper Femoral Heads 36 mm +0 to +12.0 Skirted<br />
DY275 Pinnacle Acetabular Cup System Pinnacle Cancellous Screws 6.5mm x 15-70mm<br />
DY276 Pinnacle Acetabular Cup System Pinnacle 100 HA Acetabular Cup 38-80mm<br />
DY277 Pinnacle Acetabular Cup System Pinnacle Sector HA Acetabular Cup 38-80mm<br />
DY278 Pinnacle Acetabular Cup System Pinnacle 300 HA Acetabular Cup 38-80mm<br />
DY279 Pinnacle Acetabular Cup System Pinnacle GVF Lipped Liners 48-66mm x 28, 32mm<br />
DY280 Pinnacle Acetabular Cup System Pinnacle GVF +4 Neutral Liners 48-66mm x 28, 32mm<br />
DY281 Pinnacle Acetabular Cup System Pinnacle GVF Neutral Liners 48-66mm x 28, 32mm<br />
DY282 Pinnacle Acetabular Cup System Pinnacle Marathon +4 10 Deg 48-66mm x 28, 32, 36mm<br />
DY283 Pinnacle Acetabular Cup System Ultamet SROM Heads 28-36mm, 0 to +9<br />
DY284 Pinnacle Acetabular Cup System Pinnacle Marathon Lipped Liners 48-66mm x 28, 32mm<br />
DY285 Pinnacle Acetabular Cup System Ultamet Articuleze 12/14 Head 28-32mm, -2 to +12<br />
DY286 Pinnacle Acetabular Cup System Ultamet 9/10 Head 28-32mm, -3 to +6<br />
DY287 Pinnacle Acetabular Cup System Pinnacle Marathon +4 10 Deg Liner 48-66mm x 28, 32mm<br />
Page 202 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
DP001 Reef Hip System Stem Wings, Titanium alloy Sizes 1, 2, 3<br />
DP005 Reef Hip System Stem Trochanteric Components, 35mm<br />
Titanium alloy, Collared and<br />
DP006 Reef Hip System Stem Trochanteric Components, 25mm<br />
Titanium alloy, Collared and<br />
DP007 Reef Hip System Stem Cobalt Chrome Heads 22.2mm, 28mm, 32mm<br />
DP009 Reef Hip System Stem, Titanium alloy Dia 10 - 20mm, Length 225 -<br />
DP011 Reef Hip System Stem Screws, Titanium alloy Dia 5mm, Length 20mm - 80mm<br />
DP018 Reef Hip System Alumina Heads, Alumina ceramic 28mm, 32mm<br />
DP561 IPS HIP Titanium Femoral Hip System Titanium IPS Stem Left and Right Size 1 to 7<br />
DP562 IPS HIP Titanium Femoral Hip System Revision IPS Stem Titanium Size 12 - 20<br />
DP884 Streamline Centraliser - Size 11-16<br />
DP934 Corail Hip System Titanium Stem Size K9A-K20A in Lengths<br />
130-190 mm<br />
DP935 Corail Hip System Cobalt Chrome Head 2 2.225 - 28 - 32mm Size -2 to +8<br />
DP936 Corail Hip System Alumina Head 28-32mm size -3.5 to +4<br />
DP937 Corail Hip System Corail Hip Acetabular Cup Titanium Size 00-6<br />
DP938 Corail Hip System Corail Hip Liner 36-76mm<br />
DP939 Corail Hip System Titanium Corail Hip Screws 6-20mm<br />
DP940 Corail Hip System Titanium Revision Long Stem Kar Size 12-20<br />
DP941 Corail Hip System Femoral Head Cobalt Chrome 28 to 32mm size -4 to 8<br />
DP942 Corail Hip System Femoral Head Alumina 28 to 32mm size +0 to 5<br />
DP943 Corail Hip System Titanium Stem Size K9S-K20S in lengths<br />
130-190mm<br />
DY024 Unirom Total Hip System Femoral UNIROM Stm Size 16-22 Small / Large / XX<br />
Page 203 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY025 Unirom Total Hip System Femoral Cobalt Chrome 10/12 PFC / Ultima Size -3 to +6<br />
Taper<br />
DY132 Corail Hip System Kar Femoral Stem Size 12 - 20<br />
DY133 Summit Hip System Summit Femoral Stem Porocoat Size 1-10<br />
Standard and High Offset<br />
DY134 Summit Hip System Summit Femoral Stem DUOFIX HA Size 1-10<br />
Coated with Standard Offset and<br />
High Offset<br />
DY147 C-Stem End Cap One size only<br />
DY160 Ultima Monk Bi-Articular Head 42 - 56mm<br />
DY161 Uni-Rom HA 11/13 Small 11mm - XXL 17mm<br />
DY166 G2 Hip System G2 Stem Uncemented 1 - 12L<br />
DY167 G2 Hip System G2 Stem Cemented 1 - 11L<br />
DY168 G2 Hip System Distal Centraliser 1 - 11<br />
DY296 Corail Hip System Corail Coxa Vara Stem 130-170mm<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
DP112 Duraloc Enduron Liner Enduron Liner +4 28mm size 48-66<br />
DP113 Duraloc Enduron Liner Enduron Liner +4 D14332mm size 48-66<br />
DP114 Duraloc Enduron Liner Enduron Liner +4 Neutral 28mm size 48-74 C97<br />
DP115 Duraloc Enduron Liner Polythene 10 Degree 26mm 28mm 32mm size<br />
48-74<br />
DP116 Duraloc Enduron Liner Neutral Polythene 26mm & 28mm & 32mm size 48-74<br />
DP117 Duraloc Enduron Liner Charnley Bore 22.225mm size 48, 50, 52, 54, 56mm<br />
DP118 Duraloc Enduron Liner Enduron Polythene 20D 60 or 72X28ID GPD<br />
DP119 Solution Implantable Hip System Revision Standard & MMA & 6" size 10.5 - 22.5<br />
Porous coated<br />
Page 204 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP120 Solution Implantable Hip System Porous coated MMA 8.0 with 8" size 13.5 - 22.5<br />
Straight or bowed<br />
DP121 Solution Implantable Hip System Revision straight or bowed & Calcar 10" size 13.5 - 22.5<br />
both left and right<br />
DP122 Solution Implantable Hip System Artic/Zirconia (Ceramic) Femoral 32mm size +1<br />
Head<br />
DP123 Solution Implantable Hip System Chrome Cobalt (Articul/eze) Femoral 26mm size +4 to +10<br />
Head<br />
DP124 Solution Implantable Hip System Chrome Cobalt (Articul/eze) Femoral 28mm size +1.5 to +15.5<br />
Head<br />
DP125 Solution Implantable Hip System Chrome Cobalt (Articul/eze) Femoral 28mm size +1.5 to +8.5<br />
Head<br />
DP126 Solution Implantable Hip System Chrome Cobalt (Articul/eze) Femoral 32mm size +1 to +17<br />
Head<br />
DP167 Thompson Implantable Hip Thompson stems Ortron Size 41-54<br />
DP168 Austin Moore Hip Prosthesis Narrow, Ortron Size 38-50mm<br />
DP169 Austin Moore Hip Prosthesis Standard, Ortron Size 41-54mm<br />
DP170 Austin Moore Hip Prosthesis Ortron Custom sizes<br />
DP171 Hastings HIP Head Size 36 - 56<br />
DP174 Charnley Hip System Ortron Flanged 35<br />
DP175 Charnley Hip System Modular (sterile), Magnum 40, 15" with 250mm stem<br />
Magnum 45, FL 40 Ortron<br />
DP176 Charnley Hip System CDH Ortron CDH<br />
DP177 Charnley Hip System Revision Ortron Hip 15" Longstem 40, Resection, FL 40<br />
LG, Longstem EH 40<br />
DP178 Charnley Hip System Ortron Round Back SNS 35, STS 35<br />
DP179 Charnley Hip System Revision LG. NK 1& 2, LG. NK 1 & 2 EH,<br />
Lonstem LG. NK 1 & 2<br />
Page 205 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP180 Charnley Hip System RB 40, RB 40 NRW, RB 45 Ortron RB 40, RB 40 NRW, RB 45<br />
Stem<br />
DP181 Charnley Hip System EH 40, Fl 40, Fl 45, EH 45 Ortron EH 40, Fl 40, Fl 45, EH 45<br />
Stem Tumour and other<br />
DP182 Charnley Hip System OGEE, Polythene 22.225mm size 40-53, Flanged 40,<br />
DP183 Charnley Hip System PIJ LPW Polythene Size STD-STD LG., O/S Bore, SM<br />
DP184 Charnley Hip System OGEE Polythene Sml-Lge<br />
DP185 Duraloc Cup Duraloc Revision 500 series Size 66 - 70<br />
DP186 Thackray Hip System 1200 series Titanium 28mm size 44 to 64<br />
DP187 Thackray Hip System Duraloc Porocoat Cup Multi hole Size 40 to 70<br />
Titanium<br />
DP188 Thackray Hip System Acetabular Cup Self centering cup 28mm size 39-65<br />
DP189 Thackray Hip System Revision 1200 series Titanium Size 66 - 74<br />
DP190 Thackray Hip System Shell Non Standard HA on Porocoat Custom sizes<br />
Titanium<br />
DP191 Thackray Hip System 300 series Titanium Size 50 - 64<br />
DP192 Thackray Hip System Charnley cement restrictor EA One size only<br />
Polymethylmethacrylate<br />
DP193 Thackray Hip System Wroblewski Self centering Heads Size 43-57mm<br />
DP194 Thackray Hip System Duraloc Liner Polythene 22.225mm 10 Degree size 48-74<br />
DP195 Thackray Hip System Duraloc Porocoat Cup 2 hole Size 40 to 70<br />
Titanium<br />
DP196 Thackray Hip System Duraloc Porocoat Cup No hole Size 40 to 70<br />
Titanium<br />
DP197 Thackray Hip System Duraloc Revision 300series, Size 66 - 74<br />
DP198 Thackray Hip System Poly 10 Deg 26mm & 28mm & 32mm size<br />
48-74<br />
DP199 Elite Modular Hip System Elite Plus Stem Ortron CDH<br />
Page 206 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP200 Elite Modular Hip System Elite Plus Stem Primary Ortron Size 1 - 4, Round Back<br />
DP201 Elite Modular Hip System Tumor and custom stems 1-12<br />
DP202 Elite Modular Hip System Chrome Cobalt Femoral Head Size -3 to +6 22 to 32mm<br />
DP203 Elite Modular Hip System Elite Plus Stem High Offset Ortron Size 2 - 5<br />
DP204 Elite Modular Hip System Elite Plus Stem Revision Ortron Size 4 length 250mm<br />
DP205 Elite Modular Hip System Ortron+C28 Custom size<br />
DP206 Elite Modular Hip System Elite Plus Stem, Ortron CDH EX SM<br />
DP207 Elite Modular Hip System Elite Plus Stem Primary Ortron Size 6, 7<br />
DP208 Elite Modular Hip System Elite Plus Stem Primary Ortron Size RB 40<br />
DP209 Elite Modular Hip System Elite Plus Stem Primary Ortron Size 1 - 4, flanged<br />
DP210 Elite Modular Hip System Elite Plus Stem Revision, Ortron Size EH FL 40, 3/4 neck and SNS<br />
DP211 Elite Modular Hip System Elite Plus Stem Textured size Ortron Narrow 2 Femur, Narrow 3 Femur<br />
DP212 Elite Modular Hip System Elite Plus Stem Revision Ortron 4-8 length 200mm and 4-8 length<br />
250mm<br />
DP213 Elite Modular Hip System Elite Plus Stem Primary. Ortron Size LG. NK 1 & 2, LG. NK 1 & 2<br />
EH, LG NK 1 & 2 LSTEM<br />
DP214 Elite Modular Hip System Elite Plus Stem Primary Ortron Size 1, 2 ,3, 4, Round Back<br />
DP215 Elite Modular Hip System Zirconia Head 22 to 28mm -2 to +3<br />
DP216 Thackray Elite Modular Hip System Elite/Charnley Cups, Polythene Standard size SM, MED, LG.,<br />
DP217 Thackray Elite Modular Hip System Elite Polythene Cups 22.25mm / 26mm / 28mm /<br />
32mm size 40- 53mm<br />
DP218 Thackray Elite Modular Hip System Elite OGEE Polythene Cups 26mm / 28mm size 40-53<br />
DP219 Thackray Elite Modular Hip System Elite/Charnley Cup Polythene Standard 22.225mm size 38-53<br />
DP220 Thackray Elite Modular Hip System Elite/Charnley Cup Elite LPW 28mm size 40-53<br />
Polythene<br />
DP221 Thackray Elite Modular Hip System Elite/Charnley Cup LPW Polythene EX/SM, SM, LG., EX/LG . 53<br />
Page 207 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP222 Thackray Hip System Poly Liner Custom Made to order<br />
DP223 Thackray Hip System Acetabular Mesh Ortron 90 One size only<br />
DP224 Thackray Hip System Charnley Spring Wires - Stainless 0.5mm to 3.00mm<br />
DP225 Thackray Hip System Acetabular Mesh Ortron 90 Pkt 5 One size only<br />
DP226 Thackray Hip System Charnley cement restrictor Pkt 10 One size only<br />
Polymethylmethacrylate<br />
DP227 Thackray Hip System HW Poly Liner 56OD Polythene 28mm 20 Deg<br />
DP250 Anatomic Medullary Locking System Locking Rings Titanium Size 38 - 74<br />
DP275 Stability Hip System Articul/eze Femoral Head size 22.225mm+4 to +7<br />
DP276 Stability Hip System Alumina Head 28 to 32mm +1.5 to +9<br />
DP277 Stability Hip System Stem HA Coated Sm, Lge, XLge size 12A - 18B<br />
DP278 Stability Hip System Stability Primary HA on Porocoat Sm, Lge, XLge size 12A - 18B<br />
Titanium<br />
DP279 Stability Hip System Stability Revision Stem Titanium Sm, Lge, XLge size 12A - 18B<br />
DP280 Stability Hip System Stem HA Coated Titanium 10/20 Sm W/CS, 10/20 Med W/CS<br />
DP281 AML Prodigy Hip Implant Stem STAT both left and right Small to Large sizes 10.5 - 19.5<br />
DP282 AML Prodigy Hip Implant Prodigy Stem Heads Zirconia size -5 to +18<br />
DP283 AML Prodigy Hip Implant Metal on Metal Fem Head Chrome 12/14 taper 28mm size +0, +3.5,<br />
10.5mm<br />
DP284 AML Prodigy Hip Implant Revision Stem Ortron Size 12.mm to 28mm<br />
DP296 Cementraliser Cementraliser Size 10 -13<br />
DP297 Cementraliser Stem Centraliser Distal Centralisers 10-18mm<br />
DP298 Centralisers Centraliser Size 11 - 18<br />
DP346 Stability Hip System Stem Porocoat Sm, Lge, XLge size 12A - 18B<br />
DP347 Stability Hip System Stem Porocoat, Titanium 10/20 sm, 10/20 med<br />
DP359 Duraloc Sector Acetabular Cup Revision Sector Titanium Size 66<br />
Page 208 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP360 Sector Cups Sector (Titanium) Size 52 to 64<br />
DP361 Solution Deep Profile Cup Deep Profile Titanium Size 56 - 80 mm<br />
DP553 Duraloc Sector Cups Polished Sector with polished Titanium Inner size 52 - 64<br />
DP554 Duraloc Sector Cups Polished Sector with polished inner Titanium Size 66<br />
DP968 SROM Total Hip System UHMWPE 28mm and 32mm size M28 - XL<br />
46mm<br />
DP969 SROM Total Hip System UHMWPE Constrained 0Deg, 10 Deg, 28mm, 32mm,<br />
DP970 SROM Total Hip System Ceramic Femoral Heads 28 to 32mm size +0 to +6<br />
DP971 SROM Total Hip System Femoral Heads 26mm size +3<br />
DP972 SROM Total Hip System Ceramic Femoral Heads 28 to 32mm size -2 to +6<br />
DP973 SROM Total Hip System Chrome Cobalt Femoral Head 22 to 32mm size +0 to + 12<br />
DP974 SROM Total Hip System (Titanium) ZTT- 1 28mm and 32mm size 50-66mm<br />
DP975 SROM Total Hip System (Titanium) Obolong Ace both left and right 28mm & 32mm size 51+E15N -<br />
66+E15N<br />
DP976 SROM Total Hip System (Titanium) Locking Pin Acetabular 5.0mm<br />
DP977 SROM Total Hip System (Titanium) XX-Long, Right, left or neutral 16 x 11 x 300 sizes 36+21+4<br />
DP978 SROM Total Hip System (Titanium) X-Long 36+21+4L or CR in left, 16 x 11 x 240<br />
right or neutral<br />
DP979 SROM Total HIP System (Titanium) Long NK36+21CR or +4 left right 16 x 11 x 205<br />
or neutral<br />
DP980 SROM Total HIP System (Titanium) Stem STD 14 x 09 x 130 NK36mm to 24 x<br />
19 x 175 NK42mm<br />
DP981 SROM Total HIP System (Titanium) ZT/HA Small / Large /XX Large size<br />
14B-24F<br />
DP982 SROM Total HIP System (Titanium) ZTT Cone Small / Large / XX large size<br />
14B-24F<br />
DP983 SROM Total HIP System (Titanium) ZTT OS/ Under Size SM-XXLG size<br />
14B-24F<br />
Page 209 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP984 SROM Total HIP System (Titanium) Std Lat 16 x 11 x 150mm to 24 x 19 x<br />
175mm NK36+8<br />
DP985 SROM Total HIP System (Titanium) Special left right or neutral 12 x 06 x 155mm NK30, 14 x 09 x<br />
205mm NK36<br />
DP986 SROM Total HIP System (Titanium) Trochanteric Washer 40 x 31, 60 x 45, 70 x 54<br />
DP987 SROM Total Hip System (Titanium) SROM Hip Cup Diaphaseal size 0 to 4<br />
DP988 SROM Total Hip System (Titanium) Unipolar 38-66mm<br />
DP989 SROM Total Hip System (Titanium) ACE, A2 32mm size 54, 57,60DP<br />
DP990 SROM Total Hip System (Titanium) Polythene Liner D71PFC 22, 26, 28, 32mm size 40-70<br />
DP991 SROM Total Hip System (Titanium) SROM Fully Porous coated hip stem Size 1-10<br />
DP992 SROM Total Hip System (Titanium) 12/14SROM Fem STD & Calcar 14 x 8 x 130/30 to 24 x 19 x<br />
175/36+21nck<br />
DP993 SROM Total Hip System (Titanium) 12/14SROM Fem DDH 12X6X115/30 or 12X7X115/30<br />
DP994 SROM Total Hip System (Titanium) 12/14SROM Lat 14 x 09 x130/30+4 to 24 x 19 x<br />
175/36+8<br />
DP995 SROM Total Hip System (Titanium) Arthropor I 22mm and 28mm DP sizes 39-51<br />
DP996 SROM Total Hip System (Titanium) Arthropor I, S22 48mm<br />
DP997 SROM Total Hip System (Titanium) Arthropor II, XL46 & DP+6 54- 75mm<br />
DP998 SROM Total Hip System (Titanium) Acetabular Apical Hole Plug One size only<br />
DP999 SROM Total Hip System (Titanium) Unipolar Adaptor Sleeve +10<br />
DY001 SROM Total Hip System (Titanium) X-Long 36+21+8L, left or right 26 x 21 x275<br />
DY002 SROM Total Hip System (Titanium) X-Long 36+21+8L or CR in left, 22 x 17 x 275<br />
right or neutral<br />
DY003 SROM Total Hip System (Titanium) X-Long 36+21+8L or CR in left, 24 x 19 x 275<br />
right or neutral<br />
DY004 SROM Total Hip System (Titanium) X-Long 36+21+8L or CR in left, 18 x 13 x 255<br />
right or neutral<br />
Page 210 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY005 SROM Total Hip System (Titanium) X-Long 36+21+8L or CR in left, 20 x 15 x 270<br />
right or neutral<br />
DY006 SROM Total Hip System (Titanium) XX-Long 36+21+8 or CR in right, 20 x 15 x 325<br />
left or neutral<br />
DY007 SROM Total Hip System (Titanium) XX-Long 36+21+8 or CR in right, 22 x 17 x 325<br />
left or neutral<br />
DY008 SROM Total Hip System (Titanium) XX-Long 36+21+8 or CR in right, 24 x 19 x 325<br />
left or neutral<br />
DY009 SROM Total Hip System (Titanium) XX-Long 36+21CRor +8 Right left 18 x 13 x 315<br />
or neutral<br />
DY010 SROM Total Hip System (Titanium) ZTT-2 28mm and 32mm size 50-66mm<br />
DY011 SROM Total Hip System (Titanium) Gripper II 28mm sizes 45, 48, 51<br />
DY012 SROM Total Hip System (Titanium) Gripper II 32mm sizes 51, 54, 57, 60, 63, 66,<br />
69, 72<br />
DY013 SROM Total Hip System (Titanium) Long 36+21CR or CR +8L left right 20 x 15 x 225<br />
or neutral<br />
DY014 SROM Total Hip System (Titanium) Long 36+21CR+8L or CR in left 24 x 19 x 230<br />
right or neutral<br />
DY015 SROM Total Hip System (Titanium) Long NK26+21CR or CR+8L left 22 x 17 x 230<br />
right or neutral<br />
DY016 SROM Total Hip System (Titanium) Long NK36+21CR or CR +8 left 18 x 13 x 215<br />
right or neutral<br />
DY017 SROM Total Hip System (Titanium) Long 16 Right / Left / Neutral 16 x11x 205 NK36mm to 24 x 19 x<br />
230 NK36+8L<br />
DY018 SROM Total Hip System (Titanium) Special Stem with either 230 to 325 12 x 06 x 155mm NK30, 14 x 09 x<br />
in Left right Neutral 205mm NK36<br />
DY019 SROM Total Hip System (Titanium) Super cup series DP 28mm & 32mm size 51-72mm<br />
DY020 SROM Total Hip System (Titanium) Trochanteric Screw 42mm, 52mm, 62mm<br />
DY021 Ultima Total Hip System Ultima Metal on metal, Titanium Size Std 28mm 0D and Avg 28mm<br />
10D<br />
Page 211 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY022 Ultima Total Hip System Ultima Metal on metal shell with 3 Size 48-68<br />
hole Titanium<br />
DY023 Ultima Total Hip System Metal on metal head neck 12/14 28mm size +0, +6, +7 and<br />
+12mm<br />
DY026 Elite Hemi Head Elite Plus Hemi Head 42 - 60 mm<br />
<strong>Prostheses</strong>, Joint, Knee<br />
DP003 LCS Complete System Femoral Porocoat Small - large<br />
DP004 LCS Complete System Femoral Cemented Small - xlarge<br />
DP008 LCS Complete System APG Insert small - xlarge, sizes 10 - 20mm<br />
DP010 LCS Complete System Guide Arm Sizes 1 - 7<br />
DP026 LCS Complete System RP Tibial Insert Small - large, size 10 - 30mm<br />
DP031 LCS Complete System MBT Porocoat Keeled Tibial Tray Sizes 1 - 7<br />
DP032 LCS Complete System MBT Cemented Keeled Tibial Tray Sizes 1 - 7<br />
DP033 LCS Complete System MBT Porocoat Tibial Tray Sizes 1- 7<br />
DP034 LCS Complete System MBT Cemented Tibial Tray Sizes 1 - 7<br />
DP035 LCS Complete System MBT DuoFix Tibial Trays Tibial sizes 1 - 7<br />
DP129 PFC Knee System Range PFC Sigma Uni Femur Size 2-6<br />
DP130 PFC Knee System Range PFC Tibial CK cemented Size 1-6<br />
DP131 PFC Knee System Range PFC Tibia CK Porous Size 2-6<br />
DP132 PFC Knee System Range PFC Mod Tib Tray Cem Size 2-6<br />
DP133 PFC Knee System Range PFC Mod Tib Tray Por Size 2-6<br />
DP134 PFC Knee System Range PFC Mod Mix N Mat Tib Tray Size 2-6<br />
DP135 PFC Knee System Range PFC Modular Plus & Offset TIBIAL Size 1-6<br />
TRAY<br />
DP136 PFC Knee System Range PFC UNI tibial tray titanium COM Size 1-6<br />
DP137 PFC Knee System Range PFC Uni RM/LL or LM/RL PL Size 2-6<br />
Page 212 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP138 PFC Knee System Range PFC, CVD or PLI or PLIINS Tibial Size 2-6<br />
insert<br />
DP139 PFC Knee System Range PFC Sigma Uni Ins Size 2-6<br />
DP140 PFC Knee System Range PFC Dome & Oval Patella with 3 Size 35-41 and X small-large<br />
DP141 PFC Knee System Range PFC Augment Tibial Wedges TM & Size 10-15<br />
TM Quad<br />
DP142 PFC Knee System Range Universal inset patella Size 25-32mm<br />
DP143 PFC Knee System Range PFC Flute Tib Rod & Extension Size 75-150mm<br />
DP144 PFC Knee System Range PFC TC3 Insert Size 1-6<br />
DP145 PFC Knee System Range PFC Sigma PLI or CVD or CS Size 1-6<br />
DP146 PFC Knee System Range PFC Sigma TC3 INS Size 1-6<br />
DP147 PFC Knee System Range PFC II Porous stem Chrome Size 1/1 to 10/10<br />
cobalt+C397<br />
DP148 PFC Knee System Range PFC Sigma C/R porous Size 1-6<br />
DP149 PFC Knee System Range PFC Sigma C/S Size 1-6<br />
DP150 PFC Knee System Range PFC Sigma TC3 Femur Size 1-5<br />
DP151 PFC Knee System Range PFC Sigma CVD or PLI Poly tibial Size 1-6<br />
DP152 PFC Knee System Range PFC Sigma Patella Size SM - LG.<br />
DP153 PFC Knee System Range PFC Sigma ROD or FC femoral Size 5 Deg to 7 Deg<br />
DP154 PFC Knee System Range PFC Sigma FEM AUG Size 2-5<br />
DP155 PFC Knee System Range PFC Sigma Femoral stem / Bolt / Neutral to +2<br />
Collar<br />
DP156 PFC Knee System Range PFC CNSTR Tibial Insert Size 1-6<br />
DP157 PFC Knee System Range PFC Fem Aug Combo Size 1-6<br />
DP158 PFC Knee System Range PFC Sigma Femoral Distal or Post Size 1-6<br />
Augments<br />
Page 213 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP159 PFC Knee System Range PFC Sigma STAB+ INS Size 1-6<br />
DP160 PFC Knee System Range PFC Stab Tibial Insert Size 1-6<br />
DP161 PFC Knee System Range PFC Mod PL TB WDG Types Hemi/ Size 2-5<br />
Stp / Full with<br />
DP162 PFC Knee System Range PFC Sigma Knee Duofix insert Size 1-6<br />
DP163 PFC Knee System Range PFC Sigma Knee Offset Tibial Tray Size 1-6<br />
DP164 PFC Knee System Range PFC Sigma Knee Mobile Bearing Size 1-6<br />
DP165 PFC Knee System Range PFC Sigma Knee Mobile Bearing Size 1-6<br />
Tray - Cementless<br />
DP166 PFC Knee System Range PFC Sigma Knee PR Insert Size 1-6<br />
DP235 LCS Knee system Textured PCR tibial tray Chrome Std to Lge ++<br />
cobalt<br />
DP236 LCS Total Knee System Textured Femoral tray Chrome cobalt Sm+ to Lge++<br />
DP237 LCS Total Knee System Femoral Tray Chrome cobalt Sm+ to Lge++<br />
DP238 LCS Total Knee System Meniscal Bearing 10-17.5mm Std to Lge+<br />
DP239 LCS Total Knee System Rotating platform bearing Std to Lge +<br />
DP240 LCS Total Knee system Cemented Cruciate retention Tibial Std to Lge ++<br />
Chrome cobalt<br />
DP241 LCS Total Knee System Deep Dish rotating platform Sm to Lge ++<br />
bridging bearing<br />
DP242 LCS Total Knee system Rotating platform bearing Sm to Sm+<br />
DP243 LCS Total Knee System Meniscal Bridging bearing Sm/Std to Std+/Lge<br />
DP244 LCS Total Knee System Rotating Platform Tibial Tray Sm+ to Lge++<br />
DP245 LCS Total Knee system Cemented Post cruciate retention Std to Lge ++<br />
Tibial Chrome cobalt<br />
DP285 AMK All Poly Tibia All Poly Tibial tray Size 1/2 -1<br />
DP286 AMK All Poly Tibia All Poly Tibial tray Size 1-5<br />
Page 214 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP287 AMK Coordinate Revision Knee Revision Tibial tray Chrome cobalt Size 1-5<br />
DP288 AMK Coordinate Revision Knee Tibial Insert 10mmThick Size 1-5<br />
DP289 AMK Coordinate Revision Knee Full Wedge Tibial tray Size 1-5<br />
DP290 AMK Coordinate Revision Knee Cemented stem 10mm Chrome cobalt Size 1-6<br />
DP291 AMK Coordinate Revision Knee Revision Fluted stem Chrome cobalt 10-24mm thickness x 95-140mm<br />
length<br />
DP292 AMK Coordinate Revision Knee Fluted Stem Chrome cobalt 8-27mm thickness x 95-140mm<br />
DP293 AMK Coordinate Revision Knee Varus valgus Constrained Insert Size 10-10mm<br />
DP294 AMK Coordinate Revision Knee Insert 4mm Thick Tibial Size 1-5<br />
DP295 AMK Coordinate Revision Knee Tibial Insert Size 1-5<br />
DP348 LCS UNI Knee system AP Glide Bearing Size 1-6<br />
DP349 LCS UNI Knee system LCS AP Glide arm Chrome cobalt Size 1-7<br />
DP350 LCS UNI Knee system UNIV Tibial Cemented Chrome Size 1-7<br />
DP351 LCS UNI Knee system AP GLIDE Tibial Porocoat Chrome Size 1-6<br />
cobalt<br />
DP352 LCS UNI Knee system UNICOMP Femoral Chrome cobalt Std - Lge<br />
DP353 LCS UNI Knee system UNI Meniscal Bearing Size 1-6<br />
DP354 LCS UNI Knee system UNIV Tibial Porocoat Chrome Size 1-7<br />
DP355 LCS UNI Knee system LCS UNIV TN PCR Guide Arm Size 3-4<br />
Chrome cobalt<br />
DP356 LCS UNI Knee system UNIV Rotating platform bearing Sm-Lge+<br />
DP357 LCS UNI Knee system UNIV PCR BRG Sm-Lge+<br />
DP358 LCS UNI Knee system UNICOMP Tibial Chrome cobalt Std-Lge<br />
DP373 LCS All Poly Tibia All Poly Post Cruciate stabiliser Std to Lge+ size 1-6<br />
DP374 AMK Knee system Tibial Insert Size 1-5<br />
DP375 AMK Total Knee system Uni Stem Chrome cobalt Size 10 - 14mm<br />
Page 215 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP376 AMK Total Knee system Standard Tibial Constraint Size 1-5<br />
DP377 AMK Total Knee system Poly Patella Size 30 - 38mm<br />
DP378 AMK Total Knee system Co ordinate Femoral wedge DIS Size 1-5<br />
Chrome cobalt<br />
DP379 AMK Total Knee system Co ordinate Femoral wedge post Size 1-5<br />
Chrome cobalt<br />
DP380 AMK Total Knee system Posterior stabilised femoral post Size 1-5<br />
Chrome cobalt<br />
DP381 AMK Total Knee system Cemented Femoral left and right Size 1-5<br />
DP382 AMK Total Knee system Porous Coated Femoral left and right Size 1-5<br />
DP383 AMK Total Knee system Revision Pin Tibial Chrome cobalt One size only<br />
DP384 AMK Total Knee system Primary Locking Pin S/S One size only<br />
DP385 AMK Total Knee system Co ordinate Femoral Chrome cobalt Size 1-5<br />
DP386 AMK Total Knee system Congruency Posterior stabilised Size 1-5<br />
femoral Chrome cobalt<br />
DP387 AMK Total Knee system Congruency Posterior Stabilised Size 1-5<br />
DP388 AMK Total Knee system Posterior stabilised insert Size 1-5<br />
DP389 AMK Total Knee system Tibial Constrained Insert Size 1-5<br />
DP392 LCS All Poly Patella All Poly Patella Std - Lge+<br />
DP444 AMK Chrome CobaltTray Cemented CoCr Keeled tray Size 1-5<br />
DP518 LCS Universal Knee LCS Ultra Femorals Chrome cobalt Sm - Lge+<br />
DP519 LCS Universal Knee LCS Ultra Tibial Chrome cobalt Std - Lge+<br />
DP520 LCS Universal Knee LCS Ultra Patella Sm - Lge+<br />
DP521 LCS Universal Knee LCS Ultra inserts Sm - Lge+<br />
DP570 AMK Coordinate Revision Knee Tibial insert Ultra Size 1-5<br />
DP889 AMK Chrome CobaltTray Cobalt Chrome Tibial TEX Tray Size 1-5<br />
Page 216 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP890 AMK Chrome CobaltTray Cobalt Chrome Tibial TX FX Tray Size 1-5<br />
DP891 AMK Chrome CobaltTray Duofix Cobalt Chrome tibial Tray Size 1-5<br />
HA coated<br />
DY148 LCS Complete Revision System LCS Complete Revision Femoral Small - Large<br />
Cemented Right and Left<br />
DY149 LCS Complete Revision System LCS Complete Revision Femoral Small - Large<br />
Porocoat Right and Left<br />
DY150 LCS Complete Revision System LCS Complete Revision Tibial Small 10mm - large +30mm<br />
DY151 LCS Complete Revision System MBT Revision Trays Cemented 1 - 7<br />
DY152 LCS Complete Revision System MBT Revision Trays Porocoat 1 - 7<br />
DY153 LCS Complete Revision System LCS Complete Revision Femoral Small 5mm - Large + 15mm<br />
Distal Augments<br />
DY154 LCS Complete Revision System LCS Complete Revision Femoral Small 5mm - Large + 10mm<br />
Posterior Augments<br />
DY155 LCS Complete Revision System MBT Revision Tibial Augments 1, 5mm - 7, 15mm<br />
DY156 LCS Complete Revision System LCS Complete PFC Sigma Revision 20 - 46mm<br />
Femoral Sleeves Porocoat<br />
DY157 LCS Complete Revision System MBT Revision Tibial Sleeve Porous 37 - 61mm<br />
Coated<br />
DY158 LCS Complete Revision System LCS Complete Revision Insert Small 10mm - large + 30mm<br />
DY159 LCS Complete Revision System MBT Step Wedge 1, 5mm - 7, 15mm<br />
<strong>Prostheses</strong>, Joint, Knee, Patellar Component<br />
DP522 LCS 3 Pegged Patella Textured & 3 peg Patella Std - Lge+<br />
DP523 LCS 3 Pegged Patella Cemented & 3 peg porous coated Sm - Lge+<br />
Patella<br />
DP524 LCS 3 Pegged Patella All Poly & all Poly 3peg Patella Std - Lge+<br />
DY111 LCS Patellofemoral Joint Prosthesis LCS PFJ Trochlear Components Small - Large<br />
Right and Left<br />
Page 217 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
DP254 SROM Knee System Noiles Hinge Femoral Comp XSml-Lge<br />
DP255 SROM Knee System Noiles Replacement Bumper Noiles XSml - Medium<br />
Modular<br />
DP256 SROM Knee System Noiles Femoral Augmentation XSml - Lge<br />
Blocks & Posts<br />
DP257 SROM Knee System NRH Tibial Plateau size XSml - Med<br />
DP258 SROM Knee System Noiles Replacement Hinge Com One size only<br />
Bearings<br />
DP259 SROM Knee System Noiles Modular Tibial Base XSml-Xlge<br />
DP260 SROM Knee System SROM Noiles Tibial Augments 4-10mm size 2-6<br />
DP261 SROM Knee System Noiles Modular Tibial Sleeve 37-61mm<br />
DP262 SROM Knee System Noiles Cap with Screw for Tibial One size only<br />
DP263 SROM Knee System Noiles Tibial Stem Extension Screw 9 x 100 to 17x150<br />
DP264 SROM Knee System Noiles UHMWPE & Poly Patella Size 30-38<br />
DP265 SROM Knee System Modular Femoral Sleeve 31-46 mm<br />
DP266 SROM Knee System SROM Noiles Femoral Extension 11 x 100mm to 129 x 100mm<br />
with screws<br />
DP267 SROM Knee System PLUG Modular Sleeve with Screw One size only<br />
DP268 SROM Knee System Femoral Component XSml -Lge<br />
DP269 SROM Knee System SROM Noiles Femoral 1-6 4-16mm<br />
Augmentation Blocks<br />
DP270 SROM Knee System NPS Tibial Plateau XSml -Lge<br />
DP271 SROM Knee System Noiles Femoral Sleeve Por Coated Size 31-46mm<br />
DP272 SROM Knee System Noiles Femoral Stem Extn/Screw Size 11x100 - 19x150<br />
DP273 SROM Knee System PROM Insert Curved & Stabilised Size 2-5<br />
(Noiles)<br />
Page 218 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP274 SROM Knee System PFC Sig RP CV & PS Insert Size 2-6<br />
DP821 LCS Revision Knee system Revision Femoral Chrome cobalt STD - LGE+<br />
DP822 LCS Revision Knee system Revision tibial Tray Chrome cobalt STD- LGE+<br />
DP823 LCS Revision Knee system Stem Extension Chrome cobalt 10 x 55mm to 22x110mm<br />
DP824 LCS Revision Knee system LCS DIST or Post or BLK Femoral SM-LGE+<br />
Augments Chrome cobalt<br />
DP825 LCS Revision Knee system LCS Revision Bearings SML+ to LGE++ 10m-25mm in<br />
each size<br />
DP826 LCS Revision Knee system Revision Textured Tibial Tray Size 1-7<br />
Chrome cobalt<br />
DP827 LCS Revision Knee system Revision Textured femoral Chrome Size SM - LG+<br />
cobalt<br />
DY112 Preservation Miu Knee System MIU Cemented Femoral Size 1-5<br />
DY113 Preservation Miu Knee System MIU Porous Femoral Size 1-5<br />
DY114 Preservation Miu Knee System MIU All Poly Tibials RM/LL and 1, 7mm - 5, 11.5mm<br />
LM/RL<br />
DY115 Preservation Miu Knee System MIU Fixed Bearing Inserts RM/LL 1, 9.5mm - 5, 13.5mm<br />
and LM/RL<br />
DY116 Preservation Miu Knee System MIU Mobile Bearing Inserts 1, 9.5mm to 5, 13.5mm<br />
RM/LL and LM/RL<br />
DY117 Preservation Miu Knee System MIU Fixed Tibial Tray Cemented Size 1-5<br />
RM/LL and LM/RL<br />
DY118 Preservation Miu Knee System MIU Fixed Tibial Tray Porous Size 1-5<br />
RM/LL and LM/RL<br />
DY119 Preservation Miu Knee System MIU Mobile Bearing Tibial Tray Size 1-5<br />
Cemented RM/LL and LM/RL<br />
DY120 Preservation Miu Knee System MIU Mobile Bearing Tibial Tray Size 1-5<br />
Porous RM/LL and LM/RL<br />
Page 219 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
DP019 Global Advantage Shoulder Head, Cobalt chrome alloy 40mm x 15, 18, 21mm<br />
DP020 Global Advantage Shoulder Eccentric Head, Cobalt chrome alloy 56mm x 18, 21mm<br />
DP021 Global Advantage Shoulder Eccentric Head, Cobalt chrome alloy 52mm x 18, 21mm<br />
DP022 Global Advantage Shoulder Eccentric Head, Cobalt chrome alloy 48mm x 18, 21mm<br />
DP023 Global Advantage Shoulder Eccentric Head, Cobalt chrome alloy 44mm x 18, 21mm<br />
DP024 Global Advantage Shoulder Head, Cobalt chrome alloy 56mm x 15, 18, 21mm<br />
DP025 Global Advantage Shoulder Head, Cobalt chrome alloy 52mm x 15, 18, 21mm<br />
DP027 Global Advantage Shoulder Head Cobalt chrome alloy 44mm x 15, 18, 21mm<br />
DP029 Global Advantage Shoulder Revision Stem Titanium alloy 8mm x 200mm - 14mm x 220mm<br />
DP030 Global Advantage Shoulder Stem Standard, Titanium alloy 6mm - 16mm<br />
DP036 Global Advantage Shoulder Head, Cobalt chrome alloy 48mm x 15, 18, 21mm<br />
DP077 Global Advantage Shoulder Global Advantage Stem Chrome Size 6-16mm<br />
DP078 Global Shoulder Global HUM Head 40-56mm<br />
DP079 Global Shoulder Global HUM Head size 44-56 XL<br />
DP080 Global Shoulder Global Advantage Stem LONG 8 to 14<br />
Chrome<br />
DP081 Global Shoulder Global Advantage HUM HD Size 44 -52 by size x 15<br />
DP082 Global Shoulder Global Stem Chrome 6 x 6mm to 16 x 16mm<br />
DP083 Global Shoulder Global Stem Chrome 8 x 22 to 14 x 22<br />
DP084 Global Shoulder Global Advantage HUM HD Size 44 -52 by size x 18<br />
DP085 Global Shoulder Global Advantage HUM HD Size 44 -52 by size x 21<br />
DP086 Global Shoulder Global FIN Glenoid Size 40-56<br />
DP087 Global Shoulder Global SHD END PEG Glen Size 40-56<br />
DP874 Global Advantage Shoulder Global Advantage ECC HD Size 44-56<br />
Page 220 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP875 Global Advantage Shoulder Global Advantage ECC HD Size 44- 56<br />
DP877 Global Shoulder Global SHD ECC HD Size 44-52<br />
DP898 S-Fit Metal Glenoid S-FIT Glenoid Bearing Size 40-52<br />
DP899 S-Fit Metal Glenoid S-FIT M/B Glenoid Size 40-52<br />
DP950 Delta Shoulder system Standard Metaglene INOX/ ST. One size only<br />
Steel + Aluminia+HAC<br />
DP951 Delta Shoulder system Revision Metaglene INOX/ ST. Steel One size only<br />
+ Aluminia+HAC<br />
DP952 Delta Shoulder system Centror Glenoid INOX / ST.Steel / Size 36-40<br />
Nichtrostender St.<br />
DP953 Delta Shoulder system Centror Glenoid INOX / ST.Steel / Size 42<br />
Nichtrostender St.<br />
DP954 Delta Shoulder system Metaglene Screw Stainless Steel 3.5mm<br />
DP955 Delta Shoulder system Metaglene Screw Stainless Steel 4.5mm<br />
DP956 Delta Shoulder system Cementless Diaphysis INOX/ ST. Size 1-4<br />
Steel + Aluminia+HAC<br />
DP957 Delta Shoulder system Cemented Epiphysis INOX/ ST. Size 1-4 in 26-42mm<br />
Steel + Aluminia+HAC<br />
DP958 Delta Shoulder system Humeral Cup Laterilised 36-42mm in +0 to +6<br />
DP959 Delta Shoulder system Humeral Cup Polyethylene 36/42mm STD Retentive +0mm<br />
DP960 Delta Shoulder system Humeral Cup Polyethylene 36/42mm STD +0mm<br />
DP961 Delta Shoulder system Humeral Cup Polyethylene 36/42mm LAT Retentive +6mm<br />
DP962 Delta Shoulder system DELTA Humeral Head INOX / 36mm in +0-+4<br />
ST.Steel / Nichtrostender St.<br />
DP963 Delta Shoulder system DELTA Humeral Head INOX / 42mm/+0-+4<br />
ST.Stee / Nichtrostender St.<br />
DP964 Delta Shoulder system Humeral Spacer INOX / ST.Steel / Dia 36/42 + 9<br />
Nichtrostender St.<br />
Page 221 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP965 Delta Shoulder system Revision Cementless Diaphysis Size 1-4<br />
INOX / ST. Steel + Aluminia+HAC<br />
DP966 Global FX Shoulder Global FX Stem Chrome 6-12mm<br />
DP967 Global FX Shoulder Global FX Stem Chrome 6mm x 160mm to 12mm x 220mm<br />
DY129 Global Advantage CTA Head 44 x 18 - 56 x 23<br />
DY273 Global FX Porocoat FX PC Stem standard 6-12mm<br />
DY274 Global FX Porocoat FX PC Stem long 6-12mm<br />
<strong>Prostheses</strong>, Joint, Toe<br />
DP883 Barouk SCR Sys Staples and Buttons Barouk Screw System Button 8-20mm<br />
Prosthesis - SS or Ceramic<br />
<strong>Prostheses</strong>, Joint, Wrist<br />
DP127 Biax Wrist Biax Wrist Small - Large<br />
DP128 Biax Wrist Biax Wrist Long Stem Small - Medium<br />
<strong>Prostheses</strong>, Leg<br />
DY187 Limb Preservation System Proximal Femoral Body Component Neutral to 15 Degrees in Std,<br />
Left/Right Trochanter body<br />
DY188 Limb Preservation System Distal Femoral Replacement Extra small<br />
Component Left/Right<br />
DY189 Limb Preservation System 2cm LPS Femoral Stem Cemented 11 mm diameter x 150 mm length -<br />
(Bowed) 17 mm diameter x 200 mm length<br />
DY190 Limb Preservation System 2cm LPS Femoral Stem Porous 12.5 mm diameter x 150 mm length -<br />
Coated (Bowed) 18.5 mm diameter x 200 mm length<br />
DY191 Limb Preservation System Total Femoral Segment Component 55 mm<br />
(Male/Male)<br />
DY192 Limb Preservation System Segmental Component 25 - 125 mm (length)<br />
DY193 Limb Preservation System Standard Cemented Stem (straight) 9 mm diameter x 100 mm length - 17<br />
mm diameter x 125 mm length<br />
Page 222 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DY194 Limb Preservation System Standard Porous Stem (straight) 10.5 mm diameter x 100 mm length -<br />
18.5 mm diameter x 125 mm length<br />
DY195 Limb Preservation System Tibial Replacement Component X-Sm - Med<br />
DY196 Limb Preservation System Tibial Hinge Insert X-Sm 12mm height - Med 31 mm<br />
height<br />
DY217 Limb Preservation System Intercalary Segment Component 55mm<br />
(Male/Female)<br />
<strong>Prostheses</strong>, Soft Tissue<br />
DY136 Restore Orthobiologic Soft Tissue Restore Patch One size only<br />
Implant<br />
<strong>Prostheses</strong>, Tibial<br />
DP532 LCS Universal Universal Tibial tray HA on Size 1-7<br />
Restrictors, Orthopedic Cement<br />
DP233 Hardinge Cement Restrictor Hardinge cement Restrictor (ea) One size only<br />
DP234 Hardinge Cement Restrictor Hardinge cement Restrictor Pkt 10 One size only<br />
DP448 BIO Stop G Biostop Restrictor (Gelatin, size 8-20<br />
Glkycerol, PHBM, Water)<br />
DP575 C-Stem End Cap End Cap Biostop Restrictor Size 8- 20<br />
(Gelatin, Glycerol, PHBM, water)<br />
Screws<br />
DY321 Codman Anterior Cervical Plate Rescue screw 12 & 15mm<br />
Screws, Bone<br />
DP040 Bone Screw Screw Cancellous Titanium Dia 6.5mm length 15 -50mm<br />
DP041 Bone Screw Titanium Roof Pile Screw Length 20 - 60mm<br />
DP042 Chandler Plate Tibial Osteotomy Plate -Stainless 50-70mm<br />
DP043 Chandler Plate Self Tap Screw 4.5mm Length 60-100mm<br />
-Stainless steel<br />
Page 223 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP228 Bone Screw Titanium Peripheral acetabular bone 5mm/6.5 diameter 15-55mm length<br />
screw<br />
DP229 Bone Screw Titanium Dome screw Dia 6.5mm Length 40-55mm<br />
DP230 Bone Screw Titanium Cancellous Screw 3.5mm 15-45mm<br />
DP231 Bone Screw Titanium Cancellous screw Dia 7.0mm Length 40-110mm<br />
DP253 Malleolar Screws Malleolar Screw - Stainless Steel 4.5mm x 50-80mm length<br />
DP362 Solution Bone Screws Screw Titanium Dia 5mm length 25 - 50<br />
DP868 Barouk Screw System Barouk Screw - Titanium 10-34mm Length<br />
DP882 Twistoff Screw TwistOff Screw Titanium 11-14mm Long<br />
DP894 Rockwood Shoulder Screw Rockwood Shoulder Screw S/S One size only<br />
DP895 Rockwood Shoulder Screw Rockwood Shoulder washer S/S One size only<br />
DP896 AC Percu Screw AC Percu screw S/S Size 32-52mm<br />
DP897 AC Percu Screw AC Percu Screw Washer S/S+C285 One size only<br />
DP900 Albizza Nail Albizza Nail - Stainless Steel 240-320mm Length<br />
DP901 Albizza Nail Albizza Nail Cotter Screw - 3.5mm 25-65 mm length<br />
Stainless Steel<br />
DP902 Albizza Nail Albizza Nail Cotter Screw - 4.5mm 25-65 mm length<br />
Stainless Steel<br />
DP903 Albizza Nail Albizza Nail Proximal - Stainless 5.5mm 40-75mm Length<br />
DY073 Codman Anterior Cervical Plate Cancellous Bone Screw - Standard 12 & 15mm<br />
DY074 Codman Anterior Cervical Plate Cancellous Bone Screw - Variable 10 - 26mm<br />
Depth<br />
DY075 Codman Anterior Cervical Plate Cancellous Bone Screw - Self 12 & 15mm<br />
Sleeves<br />
DP574 C-Stem Centraliser Centraliser Polymethylmethacrylate One size only<br />
(PMMA)<br />
Page 224 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DP872 Charnley Centraliser Charnley Centraliser EA Size 1 and 2<br />
Polymethylmethacrylate<br />
DP873 Charnley Centraliser Charnley Centraliser Pkt 10 Size 1 and 2<br />
Polymethylmethacrylate<br />
Staples, Bone<br />
DP878 Barouk System Staples Varisation Staple Stainless Steel 26-90Deg x 8-10mm<br />
DP879 Barouk System Staples Memory Staple - Titanium Alloy 13-19mm Long<br />
DP880 Barouk System Staples TIFLEX Staple - Titanium 7-24mm width 13/15-36/40mm<br />
Length<br />
DP881 Barouk System Staples TIFLEX Pin - Titanium 50mm Length 1.6-2.5mm Diameter<br />
Sutures, Stainless Steel Monofilament<br />
DP232 Suture Wire Wire Suture Stainless Steel 0.5 to 5mm<br />
Unknown / Unassigned<br />
DP363 Control Cable Control Cable sleeve One size only<br />
DP364 Control Cable with Sleeve Control Cable with sleeve One size only<br />
DY077 Apex Hole eliminator Hole eliminator screw Titanium One size only<br />
Device Technologies Australia Pty Ltd<br />
Anchor, Fixation<br />
DE063 Parachute Corkscrew Suture Anchor PLA & Titanium 3.5mm - 5mm<br />
DE064 Corkscrew Suture Anchor Titanium alloy 3.5 - 6.5mm x 5.0mm<br />
DE066 FASTak Titanium Suture Anchor Titanium alloy One size only<br />
DE074 Fastak II Anchor Titanium alloy One size only<br />
DE162 FASTak Suture Anchor (Small Bone) Titanium suture anchor, preloaded Dia 2.4mm x length 7.5mm<br />
with polyester suture<br />
Grafts, Bone, Synthetic<br />
DE082 Hatric Bone Substitute Ceramic 7mm - 15mm<br />
Page 225 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DE130 MBCP Micro & Macroporous Biphasic 0.5-1mm (1cc)<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
DE131 MBCP Micro & Macroporous Biphasic 0.5-1mm (2cc)<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
DE132 MBCP Micro & Macroporous Biphasic 1-2mm (2cc)<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
DE133 MBCP Micro & Macroporous Biphasic 1-2mm (10cc)<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
DE134 MBCP Micro & Macroporous Biphasic 2-3mm (2cc)<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
DE135 MBCP Micro & Macroporous Biphasic 2-3mm (10cc)<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
DE136 MBCP Micro & Macroporous Biphasic 2-3mm (16cc)<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
Page 226 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DE137 MBCP Micro & Macroporous Biphasic 5 x 5 x 10-20mm<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
DE138 MBCP Micro & Macroporous Biphasic 5-12mm<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
40%, wedges, basis<br />
DE139 MBCP Micro & Macroporous Biphasic 6-12mm<br />
Calcium Phosphate, composition -<br />
ceramic consituting calcium<br />
phosphate hydroxyapatic 60% and<br />
tricalcium phosphate beta (TCP)<br />
40%, wedges, round off<br />
Ligators<br />
DE059 Arthrex Meniscal Dart PLA 10mm - 14mm<br />
DE140 Bio-Fastak Composition - Poly 3-11mm<br />
(L-lactide-co-D, L-lactide) with an<br />
insert molded eyelet of<br />
Nails, Bone<br />
DE061 Fixion Nailing System Stainless Steel 18x 6.7mm - 440 x 12mm<br />
DE095 Fixation IM Nail - Proximal femur Stainless steel Dia 10 x 220mm, length 12 x<br />
DE096 Fixion IM nail - Humeral Stainless steel Dia 6.7 - 8.5mm (reduced), length<br />
180 - 280mm<br />
Orthopedic Internal Fixation Systems, Spinal<br />
DE141 BacFix (Thoracolumbar System) Anterior washer - Titanium alloy Small, standard<br />
DE142 BacFix (Thoracolumbar System) Multi axial bone screw - Nitinol 5 - 8mm x 30 - 60mm<br />
DE143 BacFix (Thoracolumbar System) Serrated tooth locking clip - Nominal, deep<br />
Titanium alloy<br />
Page 227 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DE144 BacFix (Thoracolumbar System) Spinal rod, rigid/flex - Titanium 5.5 - 6mm x 50 - 125mm<br />
DE145 BacFix (Thoracolumbar System) Spinal rod, rigid/flex - Titanium 5.5 - 6mm x 300 - 600mm<br />
DE146 BacFix (Thoracolumbar System) Non-threaded wedge with serrated 5.5 - 6mm<br />
teeth - Titanium alloy<br />
DE147 BacFix (Thoracolumbar System) Hook - Titanium alloy 6.5 - 11mm<br />
DE148 BacFix (Thoracolumbar System) Smooth profile flexible angle screw - 5 - 8mm x 30 - 60mm<br />
Titanium alloy<br />
DE149 BacFix (Thoracolumbar System) SpeedLink fixed distance rod - 5.5 - 6mm x 15 - 35mm<br />
Titanium alloy<br />
DE150 BacFix (Thoracolumbar System) SpeedLink adjustable length rod - 5.5 - 6mm x 39.5 - 75mm<br />
Titanium alloy<br />
DE151 AcuFix Cancellous bone screw - Anterior 4mm x 10 - 18mm<br />
cervical plate system - Titanium<br />
DE152 AcuFix Self tapping wide root screw - 4mm x 10 - 18mm<br />
Anterior cervical plate system -<br />
DE153 AcuFix Rescue screw - Anterior cervical 4.5mm x 10 - 18mm<br />
plate system - Titanium<br />
DE154 AcuFix 1 segment SlimLine plate - Anterior 20 - 34mm<br />
cervical plate system - Titanium<br />
DE155 AcuFix 2 segment SlimLine plate - Anterior 34 - 54mm<br />
cervical plate system - Titanium<br />
DE156 AcuFix 3 segment SlimLine plate - Anterior 47 - 71mm<br />
cervical plate system - Titanium<br />
DE157 AcuFix 4 segment SlimLine plate - Anterior 68 - 92mm<br />
cervical plate system - Titanium<br />
DE158 AcuFix 2 segment Corpectomy plate - 34 - 54mm<br />
Anterior cervical plate system -<br />
DE159 AcuFix 3 segment Corpectomy plate - 53 - 77mm<br />
Anterior cervical plate system -<br />
Page 228 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DE160 AcuFix 4 segment Corpectomy plate - 68 - 101mm<br />
Anterior cervical plate system -<br />
DE164 Expandable Spinal Fusion System Composition - titanium, locking Dia 8.5/10-13.5/15mm x length<br />
ring nickel titanium<br />
Pins, Bone<br />
DE070 TransFix Implant Screw System - Titanium alloy 40mm & 50 mm<br />
DE124 Fixion Hip Pin Stainless Steel Diameter 5mm x length 60-100mm<br />
DE129 Fixion Peg Stainless steel peg with inflatable Diameter 8mm x lengths 80, 90,<br />
distal part 100, 110, 120mm<br />
Pins, Bone, Absorbable<br />
DE080 Tissue Button PLA 6.5mm - 10mm<br />
DE126 Chondral Dart Polylactide Compositition Length 18mm<br />
DE127 Bio-Transfix Composition Poly (L-lactide) Diameter 5mm, length 50mm<br />
Plates, Bone<br />
DE055 Osteotomy Plates Osteotomy, Tibial - Stainless Steel 5mm - 17.5mm<br />
DE078 Osteotomy Plates Osteotomy, Femoral - Stainless Steel 7.5mm - 17.5 mm<br />
DE094 Osteotomy Plates Anterior/posterior sloped. Stainless 5 - 15mm length<br />
steel<br />
Rods<br />
DE163 Bio-Post & Washers PLLA composition Implant 35mm, washers 16mm<br />
Screws<br />
DE069 Interference Screws Bio-Cortical - PLA 8 x 17 - 11 x 17mm and 8 x 20 - 10 x<br />
20mm<br />
DE072 Bio-Interference Screw PLA 7mm - 9mm<br />
DE075 Arthrex Headed Bio-absorbable PLA 8mm<br />
Corkscrew<br />
DE081 Tissue Tak PLDLA 3mm - 4.5mm<br />
Page 229 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DE125 Bio-Corkscrew Composition - polylactide, eyelet - 3.5-6.5mm<br />
polyester<br />
DE166 Bio-Tenodesis Screw Composition PLLA Dia 5.5-9mm<br />
DE167 Bio-Interference Screw Composition - PLLA, delta tapered Dia 7.5-10.5mm to 9-12mm x 35mm<br />
length<br />
Screws, Bone<br />
DE060 Avulsion Screw Titanium 45mm<br />
DE067 Interference Screws ARTHREX Sheathed 7 x 23mm - 12 x 23mm<br />
DE068 Interference Screws ARTHREX Non-sheathed 7 x 28mm - 12 x 28mm<br />
DE077 Cancellous Bone Screws Low Profile 30mm - 40mm<br />
DE128 Cortical Screw Self locking screws, cancellous and Diameter 3.5-6mm, length<br />
cortical<br />
Staples, Bone<br />
DE062 Ligament Staples Cobalt Chromium Molybdenium 6mm - 16mm<br />
Washers, Bone Screw<br />
DE071 Arthrex Spiked Washer Titanium alloy 14 - 15mm<br />
Dj Orthopaedics Pty Ltd<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
DJ002 Active Knee System Active Knee - Cemented Femoral Sizes 1-5 Left & Right<br />
Component<br />
DJ003 Active Knee System Tibial Component Cemented Sizes 1-5<br />
DJ004 Active Knee System Active Knee - Cementless Femoral Sizes 1-5 Left & Right<br />
Component<br />
DJ005 Active Knee System Bone Screw Titanium 20mm - 50mm<br />
DJ006 Active Knee System Tibial Component Cementless Sizes 1-5<br />
DJ007 Active Mobile Bearing Tibial Tray - Cemented Sizes 1-5<br />
Page 230 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
DJ008 Active Mobile Bearing Tibial Tray - Cementless Sizes 1-5<br />
DJ009 Active Mobile Bearing Meniscal Insert Sizes 1 - 5 Thickness 6 - 9.5mm<br />
DJ010 Other Active Knee Components Posterior Stabilised Meniscal Insert Sizes 1 - 5 Thickness 6 - 15.5mm<br />
DJ011 Other Active Knee Components All Polyethylene Tibial Implant Sizes 1 - 5 Thickness 6 - 15.5mm<br />
DJ012 Other Active Knee Components Meniscal Insert Sizes 1 - 5 Thickness 6 - 15.5mm<br />
DJ013 Other Active Knee Components Patella Sizes 1 - 5<br />
Screws, Bone<br />
DJ001 ACL Bone Screws - Dia 5 - 10mm, length 20 - 50mm<br />
Ebos Health & Science Pty Ltd<br />
<strong>Prostheses</strong>, Femoral Head<br />
EB003 Margron Femoral Head CoCr Alloy 28, 32mm in 4 lengths<br />
<strong>Prostheses</strong>, Joint, Ankle<br />
EB001 Cheville Salto Ankle <strong>Prostheses</strong> Includes tibial, mobile bearing, talar, Sizes 1 = small to 5 = x-large<br />
malleolar<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
EB030 St George-Margron Total Contact Hip Margron Oncology/Revision AA60mm AA70mm, BB60mm,<br />
Replacement Module CoCr BB70mm, CC70mm, BA60mm,<br />
BA70mm, CA70mm, CB70mm<br />
EB031 St George-Margron Total Contact Hip Margron Porous/Plasma Press Fit 1,2,3,4,5,6,1+1,2+1,3+1,4+1,5+1,6<br />
Replacement Femoral Stem +1, Length 120-150mm. Size 1<br />
=10mmx21mm dia, S2 =<br />
11.5mmx23mm, S3 = 13mmx25mm,<br />
S4=13.5mmx27mm, S5=<br />
14mmx29mm, S6=14mmx31mm<br />
Page 231 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
EB032 St George-Margron Total Contact Hip HA Femoral Stem CoCr 1,2,3,4,5,6,1+1,2+1,3+1,4+1,5+1,6<br />
Replacement +1 Length 120-150mm, Size 1 =<br />
10mmx21mm dia,<br />
S2=11.5mmx23mm,<br />
S3=13mmx25mm,<br />
S4=13.5mmx27mm,<br />
S5=14mmx29mm, S6=14mmx31mm,<br />
Length 75mm - 7mm x 15mm,<br />
Length 82.5 - 8mm x 17mm, Length<br />
95mm - 9mm x 19mm<br />
EB033 St George-Margron Total Contact Hip Neck Module CoCr A, B, C, BA, CA, CB, B+4, C+6, NX,<br />
Replacement NY, NZ, ANZ<br />
EB034 St George-Margron Total Contact Hip Femoral Head (Ceramic) 28mm,32mm 3 lengths<br />
Replacement<br />
EB035 St George-Margron Total Contact Hip Femoral Head Cobalt Chrome 26mm,28mm,32mm 4 Lengths<br />
Replacement<br />
EB036 St George-Margron Total Contact Hip Femoral Head Zirconia 28mm,32mm 3 lengths<br />
Replacement<br />
EB037 St George-Margron Total Contact Hip Revision Long Stem CoCr 1,2,3,4,5,6 in Lengths of<br />
Replacement +1cm,2cm,3cm,4cm, 5cm,6cm, each<br />
size. Length 120mm -340mm Size<br />
1=10mmx21mm<br />
dia,S2=11.5mmx23mm, S3=<br />
13mmx25mm, S4=13.5mmx27mm,<br />
S5=14mmx29mm, S6=14mmx31mm<br />
dia<br />
EB128 Bone Plug PMMA cement 8, 18, 12, 14, 16mm<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
EB092 Aequalis Shoulder <strong>Prostheses</strong> Humeral Stem Press Fit Ti, Cement 6.5-15mm - 1mm increm wide,<br />
CoCr 66-150mm long<br />
EB093 Aequalis Shoulder <strong>Prostheses</strong> Humeral Head CoCr 37,39,41,43,46,48,50,52mm<br />
EB094 Aequalis Shoulder <strong>Prostheses</strong> Humeral Neck Ti or CoCr 125,130,135,140 degrees<br />
EB095 Aequalis Shoulder <strong>Prostheses</strong> Glenoid Component UHMWPE 31mm,35mm,39mm dia<br />
Page 232 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Radial Head<br />
EB097 Radial Head <strong>Prostheses</strong> Titanium/UHMWPE Stem 6.5mm & 8mm Mod Head size<br />
19mm & 22mm<br />
Endotec Australia Pty Ltd<br />
<strong>Prostheses</strong>, Joint, Ankle<br />
EA001 B.P.U. Revision Total Ankle Ceramic coated titanium 1-6<br />
EA002 Buechel-Pappas Total Ankle Ceramic coated titanium 1 to 6<br />
Prosthesis - replacement<br />
<strong>Prostheses</strong>, Joint, Hip<br />
EA003 Buechel-Pappas Integrated Total Hip Acetabular Cup-Ceramic coated 45mm to 69mm<br />
Replacement System titanium<br />
EA004 Buechel-Pappas Integrated Total Hip Acetabular Bearing 45mm to 65mm<br />
Replacement System<br />
EA005 Buechel-Pappas Integrated Total Hip Femoral Head-Ceramic coated 36.5mm to 58mm<br />
Replacement System<br />
Getz Bros. & Co. (Aust) Pty Ltd<br />
Caps, Bone<br />
GB088 Surgical Dynamics Spiral Radius 90D Titanium One size only<br />
Locking Cap, Torx<br />
Orthopedic Internal Fixation Systems, Other<br />
GB056 Secure Strand Cable System Bone Reapproximation Cable Diameter 1.0mm<br />
Orthopedic Internal Fixation Systems, Spinal<br />
GB001 Surgical Dynamics Ray TFC Unite Titanium 5 diameters (12 - 20mm) 2 lengths<br />
(21mm, 26mm)<br />
GB028 Aline Cervical Plating System Bone Screws 4.0x10mm - 4.35x16mm<br />
GB029 Aline Cervical Plating System Lock Screw One size only<br />
GB030 Aline Cervical Plating System Plates 22-48mm<br />
Page 233 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
GB031 Aline Cervical Plating System Plates 54-78mm<br />
GB032 Aline Cervical Plating System Plates 84-96mm<br />
GB033 Aline Cervical Plating System Plates 102-108mm<br />
GB034 Ray Threaded Fusion Cage Lumbar Cage 12x21mm - 20x26mm<br />
GB035 Ray Threaded Fusion Cage Cervical Cage 10mm x 9mm - 12mm x 11mm<br />
GB038 Surgical Dynamics Rodding System Lamina, Wide Lamina, Extended Small/Medium/Large<br />
(SDRS) Lamina Hook<br />
GB039 Surgical Dynamics Rodding System Hook -Offset Right / Left<br />
(SDRS)<br />
GB040 Surgical Dynamics Rodding System Thoracic Hook One size only<br />
(SDRS)<br />
GB041 Surgical Dynamics Rodding System Pedicle Hook Small/Large<br />
(SDRS)<br />
GB042 Surgical Dynamics Rodding System Spinal Rods 50 - 380mm<br />
(SDRS)<br />
GB043 Surgical Dynamics Rodding System Spinal Rods with Sacral Eye 400mm & 200mm<br />
(SDRS)<br />
GB044 Surgical Dynamics Rodding System Rods - Transverse One size only<br />
(SDRS)<br />
GB045 Surgical Dynamics Rodding System Locking Screw 6.75x30 - 6.75x50mm<br />
(SDRS)<br />
GB046 Surgical Dynamics Rodding System Screw Offset Connector, Reverse One size only<br />
(SDRS) Screw Offset Connector<br />
GB047 Surgical Dynamics Rodding System Screw - Pedicle Fixed Angle 4.75 x 30mm - 8.75 x 50mm<br />
(SDRS)<br />
GB048 Surgical Dynamics Rodding System Screw - Multi Angle 5.75 x 30mm - 7.75 x 50mm<br />
(SDRS)<br />
GB049 Surgical Dynamics Rodding System Crossbar Clamp, Anterior Clamp One size only<br />
(SDRS)<br />
Page 234 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
GB050 Surgical Dynamics Rodding System Screw Offset Clip One size only<br />
(SDRS)<br />
GB051 Surgical Dynamics Rodding System Locking Cap One size only<br />
(SDRS)<br />
GB089 Surgical Dynamics Spiral Radius 90D Titanium Standard and wide<br />
Pedicle Hook<br />
GB090 Surgical Dynamics Spiral Radius 90D Titanium Raised<br />
Lamina Hook<br />
GB091 Surgical Dynamics Spiral Radius 90D Titanium High<br />
Thoracic Hook<br />
GB092 Surgical Dynamics Spiral Radius 90D Titanium Variable (short, medium and long).<br />
Cross Connector Fixed (10, 12, 14, 16, 18, 20, 22, 24,<br />
26, 28, 30mm)<br />
Pins, Bone, Absorbable<br />
GB053 S.D.sorb AnchorSew Soft Tissue Anchor 3mm White/3mm Green Sutures<br />
GB055 S.D.sorb Suture Anchor Soft Tissue Anchor 3mm White/3mm Green Sutures<br />
Screws<br />
GB054 S.D.sorb E-Z TAC Implant Sutureless Soft Tissue Anchor One Size / 3 Anchors<br />
Screws, Bone<br />
GB036 Re-Union System Bone Screw 34 & 36mm<br />
GB087 Surgical Dynamics Spiral Radius 90D Titanium 1.75, 5.75, 6.75, 7.75, 8.75<br />
Screw diameter, 25 - 55mm length<br />
Washers, Bone Screw<br />
GB037 Re-Union System Washer One size only<br />
Global Orthopaedic Technology<br />
<strong>Prostheses</strong>, Joint, Hip<br />
GO009 Consensus Hip System Femoral head CoCr 22-32mm<br />
Page 235 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
GO010 Consensus Hip System Femoral head Biolox ceramic 28-32mm<br />
GO011 UniSyn Hip System a) Stem fluted straight, b) Stem a) 10 x 130 to 20 x 170mm, b) 14-20<br />
porous plasma sprayed straight, c) x 140-170mm, c) 14-18 x<br />
Stem porous plasma sprayed bowed, 140-160mm, d) 10-20 x 130-170mm<br />
d) Stem fluted tapered<br />
GO012 UniSyn Hip System a) Stem fluted straight Ti, b) Stem a) 10-20 x 170-210mm, b) 12-24 x<br />
fluted bowed Ti; c) Stem porous 210mm, c) 14-25 x 180-210mm, d)<br />
plasma sprayed straight, d) Stem 14-25 x 210mm, e) 10-25 x<br />
porous plasma sprayed bowed; e) 170-210mm<br />
Stem fluted tapered<br />
GO013 UniSyn Hip System a) Stem fluted bowed Ti; b) Stem a) 12-24 x 260mm, b) 14-25 x<br />
porous plasma sprayed straight, c) 260mm, c) 14-25 x 260mm, d) 10-25<br />
Stem porous plasma sprayed bowed; x 260mm<br />
d) Stem fluted tapered<br />
GO014 UniSyn Hip System a) Neck standard Ti, b) Body a) 30-36 x 34-46mm, b) 22-30 x<br />
standard plasma sprayed Ti, c) Body 22-34mm, c) 22-30 x 22-34mm, d)<br />
standard Ti HA coated, d) Body 22-30mm<br />
cone Ti plasma sprayed,<br />
GO015 UniSyn Hip System a) Neck calcar Ti, b) Body standard a) 36-55 x 34-46mm, b) 22-30 x<br />
plasma sprayed Ti HA body, c) Body 22-34mm, c) 22-30mm<br />
cone Ti HA coated<br />
GO016 UniSyn Hip System a) Body cone Ti plasma sprayed HA a) 22-30mm, b) 22-30mm<br />
coated, b) Body calcar Ti plasma<br />
sprayed<br />
GO017 UniSyn Hip System Body calcar Ti HA coated 22-30mm<br />
GO018 UniSyn Hip System Body calcar Ti plasma sprayed HA 22-30mm<br />
coated<br />
GO019 UniSyn Hip System Locking nut Ti 30-54mm<br />
GO020 UniSyn Hip System a) Stem fluted bowed Ti, b) Stem a) 12-24 x 310mm, b) 14-25 x<br />
porous plasma sprayed bowed, c) 310mm, c) 10-25 x 310mm<br />
Stem fluted tapered<br />
Page 236 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
GO001 RBK Total Knee System - Patellar Polyethylene 28-32mm<br />
component<br />
GO002 RBK Total Knee System - Tibial insert Polyethylene 1-5, 10-20mm<br />
GO003 RBK Total Knee System - Tibial base No coatings 1-5<br />
GO004 RBK Total Knee System - Tibial base Porous coating 1-5<br />
GO005 RBK Total Knee System - Tibial base Porous and hydroxyapatite coating 1-5<br />
GO006 RBK Total Knee System - Femoral No coatings 1-5<br />
Component<br />
GO007 RBK Total Knee System - Femoral Porous coating 1-5<br />
Component<br />
GO008 RBK Total Knee System - Patella Polyethylene/metal/hydroxyapatite sizes 1 - 5<br />
component coating<br />
GO021 Consensus Knee System Femoral component nonporous CoCr 1-6 L & R<br />
and PS<br />
GO022 Consensus Knee System Femoral component porous CoCr 1-6 L & R<br />
GO023 Consensus Knee System Femoral component porous CoCr/Ti 1-6 L & R<br />
GO024 Consensus Knee System a) Stemmed tibial baseplate a) 1-6 L & R; b) 1-6 L & R<br />
nonporous CoCr; b) Stemmed tibial<br />
baseplate CCM nonporous Ti<br />
GO025 Consensus Knee System Resurfacing tibial baseplate porous 1-6 L & R<br />
GO026 Consensus Knee System Stemmed tibial baseplate porous 1-6 L & R<br />
CoCr/Ti<br />
GO027 Consensus Knee System Congruent tibial insert UHMWPE 1-2 to 5-6 L & R 10-18mm<br />
GO028 Consensus Knee System a) PCL substituting tibial insert; b) a) 1-2 to 5-6 L & R 10-18mm; b)<br />
Posterior stabilized tibial insert 1-2 to 5-6 L & R 10mm-18mm<br />
GO029 Consensus Knee System Patellar component porous 10mm sz 1-3<br />
Ti/UHMWPE<br />
Page 237 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
GO030 Consensus Knee System Patellar component all UHMWPE 7.5mm sz 0-2; 10mm sz 1-3<br />
Halas Dental Pty Ltd<br />
Tissue Reconstructive Materials<br />
HD001 Bio-Oss Bone Natural Bone Mineral Derived from bovine bone 0.25gm<br />
HD002 Bio-Oss Bone Natural Bone Mineral Derived from bovine bone 0.5gm<br />
HD003 Bio-Oss Bone Natural Bone Mineral Derived from bovine bone 2.0gm<br />
Hipokrat Australia Pty Ltd<br />
Anchor, Fixation<br />
HP042 Kirschner Wires with Trocar Point Stainless Steel Diam. 0.5mm-4.0mm, Length<br />
100mm-290mm<br />
HP043 Kirschner Wire with Thread and Stainless Steel Diam. 2.0mm-4.0mm, Length 290mm<br />
Trocar Point<br />
Nails, Bone<br />
HP001 C75 Washer - One size only<br />
HP002 C75 Femur/Tibia Set Screws - One size only<br />
HP003 C75 Femur/Tibia End Cups - Short, medium, long<br />
HP004 C75 Femur/Tibia Locking Screws - Dia 4 - 5mm, length 25 - 75mm<br />
HP005 C75 - Interlocking Nails For Femur and Tibia Femur Diam. 10mm-14mm, Length<br />
32cm-48cm; Tibia Diam.<br />
8mm-12mm, Length 28cm-42cm<br />
Pins, Bone<br />
HP035 Schanz Screw- Threaded - Half Pin Titanium Diam. 2.5 -6mm, Length<br />
HP037 Steinmann Pin Stainless Steel Diam. 3.5-6.0mm, Length<br />
120-250mm<br />
HP038 Steinmann Pin with Central Thread Stainless Steel Diam. 5.0mm, Length 230mm<br />
Page 238 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HP039 Rush Intramedullary Pins Stainless Steel Diam. 3.0mm-5.0mm, Length<br />
150-270mm<br />
Plates, Bone<br />
HP007 Lateral Tibial Plate Stainless Steel, Left and right 5 - 13 holes<br />
HP046 Angled Blade Plates Adults 90-130 Degrees Displacement 10mm-20mm, Blade<br />
length 40mm-90mm<br />
HP047 Angled Blade Plates Femoral Adolescent Length of blade 40-70mm,<br />
Osteotomies Displacement 10-15mm<br />
HP048 Angled Blade Plates Femoral Children Length of blade 35-45mm,<br />
Osteotomies Displacement 10mm<br />
HP049 Angled Blade Plates Femoral Infants Length of blade 25-32mm,<br />
Osteotomies Displacement 7-12mm<br />
HP051 Condylar Plates Stainless Steel 95 Degrees for Adults<br />
HP052 DHS Plates Stainless Steel 135 -150 Degrees (4 sizes)<br />
HP053 DCS Plate Stainless Steel 95 Degrees<br />
HP054 Broad Compression Plates with Stainless Steel 6-18 DCP hole<br />
Round / DCP Holes<br />
HP055 Narrow Compression Plates with Stainless Steel 2-16 DCP hole<br />
Round / DCP Holes<br />
HP056 Thin Narrow Plates with Round / Stainless Steel 2-12 DCP hole<br />
DCP Holes<br />
HP057 Buttress Plates L / T Shape L - Shape left /right 3-8 holes, T-<br />
shape 4-6 holes<br />
HP059 Cloverleaf Plates Distal Tibia Fractures - St. Steel 3-5 hole<br />
HP060 Cobra Arthrodesis Hip Arthrodesis Fracture, St. Steel 8-11 DCP hole<br />
HP061 Condylar Buttress Plates Femur Condyles Multiple Fract, 7-15 DCP hole<br />
Left/Right-St. Steel<br />
HP065 Lengthening Osteotomy Plates Broad/Narrow , Stainless Steel Length 30-120mm -Broad, Length<br />
30-80mm -Narrow<br />
Page 239 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HP066 Mini Epiphyseal Plates - T & L & For finger joint - head, St. Steel 4 hole T&L&oblique shape<br />
Oblique Shaped<br />
HP068 Reconstruction Plates 3.5mm - Straight & Curved, St. Steel 2-18 hole<br />
HP069 Reconstruction Plates 2.7mm Straight, St. Steel 5-24 hole<br />
HP070 Reconstruction Plates Y-Straight, Distal humerus Y-straight<br />
Comminuted Frac. St. Steel<br />
HP071 Small Fragment Plates 2.7mm , Stainless Steel 2-12 DCP hole<br />
HP072 Small T Plates Distal Radius, Left/Right, Stainless 3-6 hole<br />
Steel<br />
HP074 Spoon Plates Anterior Tibia Border, Stainless 5-6 hole<br />
HP075 T & L Plates Left/Right, Stainless Steel 4-8 hole<br />
HP076 Tubular Plates Semi and One Third 2-12 holes<br />
HP078 Y - Fork Plates Distal humerus, Left/Right St. Steel 3-8 hole<br />
HP080 Compression Screw DHS-DCS Compression screw, St. One size only<br />
Steel<br />
Plugs<br />
HP020 Distal Centraliser Radiopacifier PMMA Diam. 10-16mm (4 sizes)<br />
HP021 Polyethylene Plug UHMWPE Length 9-17mm (9 sizes)<br />
<strong>Prostheses</strong>, Femoral Head<br />
HP018 Modular Head for Total Hip Co.Cr.Mo. Head Diam. 28-32mm<br />
<strong>Prostheses</strong> Cone 12/14<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
HP016 M.P.P. Protruder Liner UHMWPE -Cemented Diam. 44-58mm (8 sizes)<br />
HP017 Protruded Liner for Acetabular Cup UHMWPE - Uncemented Diam. 46-66mm (6 sizes)<br />
HP019 Porocoat Acetabular Cup Titanium Alloy -Uncemented Diam. 46-66mm (9 sizes)<br />
Page 240 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
HP011 Austin Moore Hip <strong>Prostheses</strong> Standard and Narrow Stem Standard- Head Diam. 38mm-58mm,<br />
Stem Length 127mm-154mm;<br />
Narrow - Head Diam. 38mm-58mm,<br />
Stem Length 140mm-152mm<br />
HP015 M.P.P. 2 Multi Purposes <strong>Prostheses</strong> Co.Cr.Mo. - Polished Stem Stem length 119-151mm (4 sizes)<br />
Screws, Bone<br />
HP009 Schanz Screw Cancellous & Cortical Thread Shaft Diam 6mm, Length 110 -<br />
200mm<br />
HP022 Titanium Screw Titanium Alloy - Cup Screw Diam. 6.5mm, length 25-45mm<br />
HP028 Screws S/S Cortical Hexagonal Head Diameter 1.5mm, 2.0mm, 2.7mm,<br />
3.5mm, 4.5mm, Length 6mm - 70mm<br />
HP029 Screws S/S Cortical Stainless Steel 4.5mm Diam. Self Tapping,<br />
HP030 Screws S/S Cancellous Stainless Steel 4.0mm Diam, length 10-60mm<br />
HP032 Screws S/S Cancellous Hexagonal Head, Thread Full, Diam. 6.5mm, Length 25-110mm<br />
16-32mm<br />
HP033 Screws Malleolar Stainless Steel 4.5mm Diam, length 200-700mm<br />
HP034 Schanz Screw-Threaded - Half Pin Stainless Steel Diam. 2.5-6mm, Length 130-200mm<br />
HP081 DHS - DCS Screw Stainless Steel Length 50-145mm<br />
Wires, Bone, Implantable<br />
HP010 Half round wire - Dia 1.5 - 2mm, length 300 - 400mm<br />
Howmedica Incorporated<br />
Anchor, Fixation<br />
HW373 Howmedica Mainstay Soft Tissue With suture - Titanium 4.5 anchor with #2 and #5 suture,<br />
2.7 anchor with #0 suture<br />
HW374 Howmedica Mainstay Soft Tissue Without suture - Titanium 4.5, 3.5 and 2.7 anchor<br />
Page 241 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW375 Howmedica Mainstay Soft Tissue Zip anchor - Titanium Sip 4.5 anchor with #5 suture and<br />
#2 suture 2 strands, zip 3.5 anchor<br />
with #2 suture and #0 suture 2<br />
strands, zip 2.7 anchor with #0<br />
Cement Dispensers, Orthopedic<br />
HW003 Exeter Cement Security System Exeter Bone Pug - PMMA 6, 8, 10, 12, 14, 16, 18, 20mm<br />
HW006 Exeter Cement Security System X-Change Bone Plug - PMMA 10, 12, 14, 16, 18, 20mm<br />
Cement, Orthopedic<br />
HW320 Antibiotic Simplex Bone Cement with Polymethyl Methacrylate, Styrene 40 grams<br />
Tobramycin Copolymer, Barium Sulfate<br />
HW321 Antibiotic Simplex Bone Cement Erythromycin and Colistin - 40 grams<br />
Polymethyl Methacrylate, Styrene<br />
Copolymer, Barium Sulfate<br />
HW322 Surgical Simplex P Radiopaque Bone Polymethyl Methacrylate, Styrene 40 grams<br />
Cement Copolymer, Barium Sulfate<br />
Nails, Bone<br />
HW370 Supracondylar Nail SCN - Orthinox 170,200,230,260, 280,300,320 mm<br />
length x11mm width<br />
HW371 Supracondylar Nail Condyle Screw - Orthinox 40 - 90mm<br />
HW372 Supracondylar Nail Nut for Condyle Screw - Orthinox One size only<br />
Orthopedic External Fixation Systems, Other<br />
HW328 Howmedica Dynamic Joint Distractor Complete Straight Body Frame - One size only<br />
Stainless Steel<br />
Orthopedic Internal Fixation Systems, Fracture<br />
HW261 Alta Modular Trauma System CFX - Titanium - complete 11, 13, 15mm width, 300-480mm<br />
length<br />
HW262 Alta Modular Trauma System Rod - Titanium 11, 13, 15mm width, 300-480mm<br />
length<br />
HW263 Alta Modular Trauma System Distal Screws - Titanium 5mm x 14-100mm<br />
Page 242 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW264 Alta Modular Trauma System Proximal Screws - Titanium 6 - 5mm x 25-100mm<br />
HW265 Alta Modular Trauma System Cap Screws - Titanium One size only<br />
HW266 Alta Modular Trauma System - Channel Plate and 10 Cortical 4,6,8 hole<br />
complete procedure costs Screws - Titanium<br />
HW267 Alta Modular Trauma System - Distal Fracture plate and Channel 6,8 hole<br />
complete procedure costs plate with Screws - Titanium<br />
HW268 Alta Modular Trauma System - Femoral Rod and 4 Cross Screws - 10-16mm x 280-480mm<br />
complete procedure costs Titanium<br />
HW269 Alta Modular Trauma System - Femoral Rod , Rod Connector, Lag 10-16mm x 280-480mm<br />
complete procedure costs and Cross Screws - Titanium<br />
HW270 Alta Modular Trauma System - Hip Bolt and Channel Plate 130-150 Degrees, 3 Hole<br />
complete procedure costs Assembly with Lag Screw and 6<br />
cortical screws - Titanium<br />
HW271 Alta Modular Trauma System - Supraconondylar Plate with Lag 95 Degrees, 3 Hole<br />
complete procedure costs Screw and Screws - Titanium<br />
HW272 Alta Modular Trauma System - Tibial/Humeral Rod, Cross Screws, 6-14mm x 210-420mm<br />
complete procedure costs Tab and cap screw - Titanium<br />
HW273 Alta Modular Trauma System - Compression Screw Assembly - 5mm<br />
Components Titanium<br />
HW274 Alta Modular Trauma System - Cortical Screw/Screw Nut Assembly 5mm<br />
Components - Titanium<br />
HW275 Alta Modular Trauma System - Dome and Doulock Plunger - 40-120mm<br />
Components<br />
HW276 Alta Modular Trauma System - Plate - Channel - Titanium 4,6,8 hole<br />
Components<br />
HW277 Alta Modular Trauma System - Plate - Distal Fracture - Titanium 6,8 Hole<br />
Components<br />
HW278 Alta Modular Trauma System - Plate - Proximal Angled - Titanium 130-150 degrees, 4 holes<br />
Components<br />
Page 243 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW279 Alta Modular Trauma System - Plate - Small Bone - Titanium 4,6,8 holes<br />
Components<br />
HW280 Alta Modular Trauma System - Plate - Supracondylar - Titanium 95 degrees, 3 holes<br />
Components<br />
HW281 Alta Modular Trauma System - Plate Connector - Titanium One size only<br />
Components<br />
HW282 Alta Modular Trauma System - Rod Connector and Locking Shoe - 13 & 15mm<br />
Components Titanium<br />
HW283 Alta Modular Trauma System - Rod - Femoral - Titanium 9,10,11,12,13,14,15,16mm width,<br />
Components 280-480mm length<br />
HW284 Alta Modular Trauma System - Rod -Tibial/Humeral - Titanium 6, 7, 8.25, 9, 10, 11, 12, 13, 14mm<br />
Components width, 210-420 mm length<br />
HW285 Alta Modular Trauma System - Cancellous - Titanium 4.2mm dia<br />
Components Screws<br />
HW286 Alta Modular Trauma System - Cancellous - Titanium 6.5mm dia<br />
Components Screws<br />
HW287 Alta Modular Trauma System - Cortical (fully threaded) - Titanium 3.7mm dia<br />
Components Screws<br />
HW288 Alta Modular Trauma System - Cortical (fully threaded) - Titanium 5.0mm dia<br />
Components Screws<br />
HW289 Alta Modular Trauma System - Cross Locking - Titanium 3.7mm dia<br />
Components Screws<br />
HW290 Alta Modular Trauma System - Lag - Titanium 40-130mm dia<br />
Components Screws<br />
HW291 Alta Modular Trauma System - Rod Cap Screw - Titanium Standard, +1cm<br />
Components Screws<br />
HW292 Alta Modular Trauma System - Cross Locking - Titanium 5mm<br />
Components Screws<br />
HW293 Alta Modular Trauma System - Tibial/Humeral Rod Tab - Titanium 1,2<br />
Components Screws<br />
Page 244 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW294 Alta Modular Trauma System - Washer - Cancellous Screw - One size only<br />
Components Screws<br />
HW338 Gamma Locking Nail Gamma Complete - Orthinox 125,130,135 degrees x 180mm<br />
HW339 Gamma Locking Nail Long Complete - Orthinox 125,130,135 degrees x 340-440mm<br />
length<br />
HW340 Gamma Locking Nail Standard - Orthinox 125,130,135 degrees x 180mm<br />
HW341 Gamma Locking Nail Long Nail - Orthinox 125,130,135 degrees x 340-440mm<br />
length<br />
HW342 Gamma Locking Nail Distal Screw - Orthinox 25-95mm length<br />
HW343 Gamma Locking Nail Lag Screw - Orthinox 85-120mm length<br />
HW344 Gamma Locking Nail Set Screw - Orthinox 8mm dia x 22-27 mm length<br />
HW345 Gamma Locking Nail Proximal Plug - Orthinox 17mm<br />
HW346 Grosse & Kempf Locking Nail Femoral - Rods and Screws - 10,11,12,13,14,15, 16mm width,<br />
Stainless Steel 260-380mm length<br />
HW347 Grosse & Kempf Locking Nail Tibial - Rods and Screws - Stainless 7.5,9,10,11,12,13, 14,15mm width,<br />
Steel 240-375mm length<br />
HW348 Grosse & Kempf Locking Nail Unreamed - Stainless Steel 7.5mm dia, 240 - 390mm length<br />
HW349 Grosse & Kempf Locking Nail Cross Screw - Stainless Steel 6.28mm x 15-95mm<br />
HW350 Grosse & Kempf Locking Nail Cross Screw - Stainless Steel 3.7mm x 25-70mm<br />
HW351 Grosse & Kempf Locking Nail Cross Screw - Stainless Steel 4.6mm x 20-70mm<br />
HW352 Grosse & Kempf Locking Nail Cross Screw - Stainless Steel 6.35mm x 50-90mm<br />
HW353 The Humeral Locking Nail Complete - Stainless Steel 140-320mm x 9mm<br />
HW354 Metaizeau Nail Stainless Steel 2-4mm x 400-500mm<br />
Orthopedic Internal Fixation Systems, Other<br />
HW183 First Step High Tibial Osteotomy Proximal Component 5mm Step - 60 to 90mm in 5mm increments<br />
Vitallium<br />
Page 245 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW184 First Step High Tibial Osteotomy Proximal Component 10mm Step - 60 to 90mm in 5mm increments<br />
Vitallium<br />
HW185 First Step High Tibial Osteotomy Proximal Component 15mm Step - 60 to 90mm in 5mm increments<br />
Vitallium<br />
HW186 First Step High Tibial Osteotomy Distal Component - Vitallium 30 to 55mm in 5mm increments<br />
HW187 First Step High Tibial Osteotomy Total Procedure - Vitallium 60 to 90mm in 5mm increments<br />
30mm to 55mm in 5mm increments<br />
HW257 Wichita Fusion Nail System Femoral Component - Vitallium 18mm<br />
HW258 Wichita Fusion Nail System Tibial Component - Vitallium 12mm<br />
HW259 Wichita Fusion Nail System Compression Screw - Vitallium One size only<br />
HW260 Wichita Fusion Nail System Transverse Screw - Vitallium 30-60mm in 5mm increments<br />
Orthopedic Internal Fixation Systems, Spinal<br />
HW384 Xia Spine System Polyaxial Screw Dia 4.5 - 8.5mm Length 25 - 60mm<br />
HW385 Xia Spine System Monoaxial Screw Dia 4.5 - 8.5mm Length 25 - 60mm<br />
HW386 Xia Spine System Rod Clamp - Parallel, Axial One size only<br />
HW387 Xia Spine System Lamina Hook - Angled, Reduced, Large Medium, Small<br />
Extended, Standard Blade, Narrow<br />
Blade, Offset<br />
HW388 Xia Spine System Pedicle Hook Large, Small<br />
HW389 Xia Spine System Rod - Titanium alloy 70, 100, 480mm<br />
HW390 Xia Spine System Cross Link Length 40, 60, 80mm<br />
HW391 Xia Spine System Connector - Axial, Dual, Offset One Size<br />
HW392 Xia Spine System Sacral Block One size only<br />
HW393 Xia Spine System Bone Screw One size only<br />
Plates, Bone<br />
HW376 Profyle - Hand and Small Fragment Condylar Plates - Titanium 1.7mm, 2.3mm<br />
System<br />
Page 246 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Plugs<br />
HW005 Artisan Bone Plug Artisan Cement Restrictor - Small, Medium, Large<br />
Polyethylene<br />
HW009 HNR System Head Neck Replacement System - Medium, Large, X-Large, XX-Large<br />
Non-Porous Stem - Cobalt Chrome Body Size 33, 43, 53mm<br />
<strong>Prostheses</strong>, Cerclage, Bone<br />
HW300 Dall Miles Cable Grip System - Stainless Steel: Cable - Stainless 1.6 and 2mm<br />
Stainless Steel<br />
HW301 Dall Miles Cable Grip System - Stainless Steel: Sleeve - Stainless 1.6 and 2mm<br />
Stainless Steel<br />
HW302 Dall Miles Cable Grip System - Stainless Steel: Trochanter Grip - Small, Medium, Large<br />
Stainless Steel Stainless Steel<br />
HW303 Dall Miles Cable Grip System - Stainless Steel: Cable & Sleeve - 1.6 and 2mm<br />
Stainless Steel Stainless Steel<br />
HW304 Dall Miles Cable Grip System - Stainless Steel: Cable & Sleeve 1.6 and 2mm<br />
Stainless Steel Beaded - Stainless Steel<br />
HW305 Dall Miles Cable Grip System - Stainless Steel Plate:5 hole - 6 inches<br />
Stainless Steel Stainless Steel<br />
HW306 Dall Miles Cable Grip System - Stainless Steel Plate:7 hole - 8 inches<br />
Stainless Steel Stainless Steel<br />
HW307 Dall Miles Cable Grip System - Stainless Steel Plate:9 hole - 10 inches<br />
Stainless Steel Stainless Steel<br />
HW308 Dall Miles Cable Grip System - Stainless Steel Plate:11 hole - 12 inches<br />
Stainless Steel Stainless Steel<br />
HW309 Dall Miles Cable Grip System - Vitallium: Cable - Vitallium 1.6 and 2mm<br />
HW310 Dall Miles Cable Grip System - Vitallium: Sleeve - Vitallium 1.6 and 2mm<br />
HW311 Dall Miles Cable Grip System - Vitallium: Trochanter Grip - Small, Medium and Large<br />
HW312 Dall Miles Cable Grip System - Vitallium: Mini Cleat. Vitallium One size only<br />
HW313 Dall Miles Cable Grip System - Vitallium: Grooved Button - One size only<br />
Page 247 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW314 Dall Miles Cable Grip System - Vitallium: Cable and Grip Combined 1.6 and 2mm<br />
- Vitallium<br />
HW315 Dall Miles Cable Grip System - Vitallium: Cable and Sleeve - 1.6 and 2mm<br />
Vitallium<br />
HW316 Dall Miles Cable Grip System - Vitallium: Cable and Sleeve Beaded 1.6 and 2mm<br />
- Vitallium<br />
<strong>Prostheses</strong>, Femoral Head<br />
HW007 Centrax Bi-Polar System Vitallium Outer Shell, Polyethylene OD: 41-72mm - ID: 26, 28, 32mm<br />
Insert - Factory Fitted<br />
HW017 V40 Ceramic Head Ceramic Femoral Head - Alumina 28mm,32mm,36mm Dia<br />
ceramic<br />
HW025 Austin Moore Endoprosthesis Long Stem - Vitallium Head size 38 to 63<br />
HW026 Austin Moore Endoprosthesis Standard Stem - Vitallium 105-165mm length, Head size: 38<br />
to 57<br />
<strong>Prostheses</strong>, Femoral, Upper<br />
HW048 Trochanteric Mesh Stainless Steel Small/Large<br />
HW049 Trochanteric Mesh Wire mesh - Stainless Steel 50 x 50mm<br />
<strong>Prostheses</strong>, Joint, Elbow<br />
HW377 Souter Strathclyde Elbow Humeral - Long stem, left and right Medium, Large<br />
HW378 Souter Strathclyde Elbow Ulnar - Retentive, non retentive 50 - 90mm (Non), 70 - 90mm<br />
(Retentive)<br />
HW379 Souter Strathclyde Elbow Revision Humeral - Custom, Long A, B, C, D<br />
Stem<br />
HW380 Souter Strathclyde Elbow Revision Ulnar - Custom, Long stem Small, Medium<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
HW070 Vitalock Acetabular System PA Solid-Back and Cluster Cup - 42 to 76mm OD in 2mm increments<br />
Vitallium/Periapatite coated<br />
Page 248 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
HW010 ABG Hip System ABG1 Polyethylene Insert. 22mm, 28mm, 32mm ID<br />
Polyethylene<br />
HW011 ABG Hip System Screw - Titanium, used with ABG11 12,15,20,25,30,35,40,45 and 50mm<br />
Cups lengths<br />
HW012 ABG Hip System Spikes - Titanium, used with 7mm, 8mm, 9mm lengths<br />
ABG11 Cups<br />
HW014 ABG 11Cup with Hydroxyapatite ABG11 Acetabular Cup - HA Sizes 42mm to 74mm OD in 2mm<br />
coated/Titanium increments<br />
HW015 ABG 11Cup with Hydroxyapatite ABG II Ceramic Cup - HA Sizes 44mm to 66mm OD in 2mm<br />
coated/Titanium increments<br />
HW018 ABG Hip System ABG1 Metal femoral head - 22mm,28mm,32mm Dia<br />
HW020 ABG Hip System ABG Femoral Revision Stem - HA Stem sizes 1 - 9 Left, 1-9 Right<br />
coated/Titanium<br />
HW021 ABG Hip System ABG11 Polyethylene Insert - 22mm,28mm,32mm ID<br />
Enhanced Polyethylene. Standard or<br />
10deg hooded inserts<br />
HW024 ABG11 Hip Stem Prosthesis(Various) ABG ll Femoral Stem - HA Stem sizes 1 - 8 Left, 1 - 8 Right<br />
coated/Titanium<br />
HW027 Contemporary Hip System Range Femoral Head. Vitallium 22, 26, 28, 32mm<br />
HW028 Contemporary Hip System Range All Poly Cup - Polyethylene ID: 26, 28, 32. OD 46, 48, 50, 52,<br />
54, 56, 58, 60<br />
HW029 Contemporary Hip System Range Duration Poly Cup - Enhanced ID: 26, 28, 32. OD 46, 48, 50, 52,<br />
Polyethylene 54, 56, 58, 60<br />
HW030 Contemporary Hip System Range Flanged Poly Cup - Enhanced ID: 26, 28, 32. OD 46, 48, 50, 52,<br />
Polyethylene 54, 56, 58, 60<br />
HW031 Definition PM Femoral Component Femoral Stem - Vitallium Stem sizes 1 - 7<br />
HW032 V40 Femoral Head V40 Head - Metal - Cobalt Chrome, 22, 26, 28, 30, 32<br />
Vitallium<br />
HW033 V40 Femoral Head V40 Head - Ceramic - ZIRCONIA 22, 26, 28, 30, 32<br />
Page 249 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW034 Definition PM Femoral Component Distal Centraliser - PMMA - Ring 11-22mm<br />
Centraliser<br />
HW035 Exeter Hip System Exeter Duration Cup - Enhanced OD:40-60mm, ID: 22, 26, 28, 30<br />
Polyethylene - Low and High<br />
HW036 Exeter Hip System Exeter Duration X-Tra Cover Cup - OD:40-60mm, ID: 22, 26, 28, 30<br />
Enhanced Polyethylene<br />
HW038 Exeter Hip System Metal Head - Orthinox 22, 26, 28, 30, 32mm Diameter<br />
HW039 Exeter Hip System Zirconia Ceramic Head - Zirconia 22, 26, 28, 30, 32mm Diameter<br />
HW040 Exeter Hip System Long Stem - Orthinox Stem Lengths 205<br />
HW041 Exeter Hip System Stem: Standard - Orthinox Stem Sizes 0-6, Offsets 35 - 5, 37 -<br />
5, 44, 50mm<br />
HW042 Exeter Hip System Stem: Long - Orthinox Stem Lengths 205 +<br />
HW043 Brunswick Cup Polyethylene 44, 48, 50, 52, 54, 56mm OD<br />
HW044 Exeter Hip System X-Change Revision Mesh - Calcar - One size only - 153mm length<br />
Stainless Steel<br />
HW045 Exeter Hip System X-Change Revision Mesh -Rim - Small<br />
Stainless Steel<br />
HW046 Exeter Hip System X-Change Revision Mesh - Rim - Large<br />
Stainless Steel<br />
HW047 Exeter Hip System X-Change Bone Screws - Stainless 3.5mm X 10, 15, 20, 25, 30, 35mm<br />
Steel<br />
HW051 Meridian ST Stem ST Stem - Vitallium/Porous coated Stem size 0 to 9<br />
HW052 Meridian ST Stem ST Stem - Titanium Stem size 0 to 9<br />
HW053 Meridian PA Hip PA Stem - Vitallium/Periapatite Stem size 0 to 9<br />
HW054 Citation Hip AT Stem - Vitallium/Porous coated Stem sizes 0 - 8 Left & Right<br />
HW055 Citation Hip TMZF - HA Stem - Titanium/HA Stem sizes 0 - 8 Left & Right<br />
coated<br />
Page 250 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW056 RELIANCE HIP Femoral Component - Vitallium Stem size 1-5, Stem Length<br />
100-125mm<br />
HW057 RELIANCE HIP Distal Centraliser - PMMA 10-18mm<br />
HW058 PCA Hip System Femoral Head - Vitallium 22mm,26mm,28mm, 32mm Dia<br />
HW059 PCA Hip System Revision (+15mm) Head - Vitallium 26mm,28mm,32mm Dia<br />
HW060 PCA Hip System PCA Cup inserts - Enhanced 26mm,28mm,32mm ID<br />
Polyethylene<br />
HW064 Petrusion Shell Kerboull - Vitallium 44, 48, 52, 56, 60mm OD<br />
HW065 Petrusion Shell Protrusion Shell - Vitallium 44 x 48, 45 x 53, 54 x 58, 58 x 62<br />
HW066 Precision Strate Hip System Stem - Vitallium Sizes 1-5 (Stem Length<br />
HW067 Precision Strate Hip System Distal Centraliser - PMMA 10-18mm<br />
HW068 Vitalock Acetabular System Solid-Back Cup - Vitallium/Porous 42 to 76mm OD in 2mm increments<br />
Coated<br />
HW069 Vitalock Acetabular System Cluster Cup - Vitallium/Porous 42 to 76mm OD in 2mm increments<br />
HW071 Vitalock Acetabular System Cancellous Bone Screw - Vitallium 12mm to 30mm in 2mm increments -<br />
35mm to 50mm in 5mm increments<br />
HW072 Vitalock Acetabular System System 12 liner - Enhanced 22mm,26mm,28mm, 32mm ID<br />
Polyethylene - For use with<br />
Vitalock Cups<br />
HW073 Vitalock Acetabular System 30mm custom insert - Enhanced 30mm ID<br />
Polyethylene - For use with<br />
Vitalock Cups<br />
<strong>Prostheses</strong>, Joint, Knee<br />
HW077 Duracon PA Knee System Femoral Component Cementless Small, Medium, Medium-Large,<br />
with PA - Vitallium, with Large, Extra-Large<br />
Peri-Apapite coating<br />
HW078 Duracon PA Knee System Periapatite- Femoral - Vitallium, Small, Medium, Medium-Large,<br />
with Peri-Apapite coating Large, Extra-Large<br />
Page 251 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW088 Duracon Total Knee System Tibial Baseplate Cementless with Small, Medium, Large, Extra-Large<br />
PA - Vitallium with PA coating<br />
HW089 Duracon Total Knee System Periapatite - Cruciform Base Plate - Small, Medium, Large, Extra-Large<br />
Vitallium with PA coating<br />
HW107 Duracon Total Knee System Patella - PA coated - Polyethylene Small, Medium, Large, Xlarge<br />
and Vitallium coated with PA<br />
HW108 Duracon Total Knee System Patella - Periapatite - Insert - Small, Medium, Large, Xlarge<br />
Polyethylene and Vitallium coated<br />
with PA<br />
HW109 Duracon Total Knee System Patella - Periapatite - Domed - Small, Medium, Large, Xlarge<br />
Polyethylene and Vitallium coated<br />
with PA<br />
HW113 Interax Knee Femoral: Cemented (Diamond) - 200, 300, 400, 500, 600, 700<br />
Vitallium<br />
HW115 Interax Knee Femoral: Spacer - Vitallium One size only<br />
HW116 Interax Knee Femoral Stem - Vitallium 40, 45, 55, 70, 85, 100mm<br />
HW118 Interax Knee Insert: Meniscal ISA, Duration - Micro, Midi 1, Midi 2, Maxi<br />
Polyethylene<br />
HW119 Interax Knee Insert: Dual Condylar - articulating Micro, Midi 1, Midi 2, Maxi<br />
surface - Polyethylene<br />
HW120 Interax Knee Insert: Dual Condylar, Duration - Micro, Midi 1, Midi 2, Maxi<br />
Polyethylene<br />
HW122 Interax Knee Insert: Stabilizer Duration - Micro, Midi 1, Midi 2, Maxi<br />
Polyethylene<br />
HW123 Interax Knee Revision Mesh & HA - Vitallium Micro, Midi 1, Midi 2, Maxi<br />
with HA coating<br />
HW124 Interax Knee Tibial Baseplate: Mesh - Vitallium Micro, Midi 1, Midi 2, Maxi<br />
HW125 Interax Knee Tibial Baseplate: Mesh with PA - Micro, Midi 1, Midi 2, Maxi<br />
Vitallium with HA coating<br />
Page 252 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW126 Interax Knee Tibial Baseplate: Cemented Micro, Midi 1, Midi 2, Maxi<br />
(Diamond) - Vitallium<br />
HW127 Interax Knee Tibial Baseplate: Meniscal - Micro, Midi 1, Midi 2, Maxi<br />
HW128 Interax Knee Tibial Baseplate: Holeless - Micro, Midi 1, Midi 2, Maxi<br />
HW129 Interax Knee Tibial Stem - Vitallium 35, 55, 65, 70, 85, 100mm<br />
HW130 Interax Knee Tibial Stem Adapter - Vitallium One size only<br />
HW131 Interax Knee Meniscal Post - Vitallium One size only<br />
HW132 Interax Knee Tibial Wedge - Vitallium 10 degrees<br />
HW133 Interax Knee Tibial Screw - Vitallium 6.2 diameter<br />
HW134 Interax Knee Patella: Metal Backed - Vitallium 200, 300, 600, 700<br />
and Polyethylene<br />
HW135 Interax Knee Patella: All Poly - Polyethylene 200, 300, 600, 701<br />
HW136 Interax Knee Patella: All Poly Duration - 200, 300, 600, 702<br />
Polyethylene<br />
HW137 Interax Knee Patella: Inset - Polyethylene 200, 300, 600, 703<br />
HW138 Interax Knee Patella: Inset Duration - 200, 300, 600, 704<br />
HW139 Interax Knee Patella: Meniscal - Polyethylene 200, 300, 600, 705<br />
HW140 Kinematic Rotating Knee Patella - Polyethylene Small, Medium, Large<br />
HW141 HMRS Tibial Baseplate Cobalt Chrome Small, Medium, Large<br />
HW142 Kinematic Rotating Knee Tibial Bearing - Vitallium Small and Medium in11mm, 13mm,<br />
16mm, 21mm<br />
HW143 HMRS Femoral Component Cobalt Chromium Left, Right<br />
HW144 Kinematic Rotating Knee Tibial Component - Vitallium Small and Medium 11mm/15mm by<br />
110mm/180mm<br />
HW145 Kinematic Rotating Knee Axles, Bumpers, Bushings - One size only<br />
HW146 Kinemax Knee Femoral: Condylar Beaded - XS, S, M, L, XL, XXL<br />
Page 253 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW147 Kinemax Knee Femoral: Condylar Beadless - XS, S, M, L, XL, XXL<br />
Vitallium<br />
HW148 Kinemax Knee Femoral: Stabilizer Beaded - XS, S, M, L, XL, XXL<br />
HW149 Kinemax Knee Femoral: Stabilizer Beadless - XS, S, M, L, XL, XXL<br />
Vitallium<br />
HW153 Kinemax Knee Femoral Augmentation Cobalt Chromium 5mm/10mm<br />
HW154 Kinemax Knee Tibial Component: Beadless - XS, S, M, L, XL<br />
Vitallium<br />
HW155 Kinemax Knee Tibial Component: Beaded - XS, S, M, L, XL<br />
HW156 Kinemax Knee Tibial Component: Superstabilizer - XS, S, M, L, XL<br />
Vitallium<br />
HW157 Kinemax Knee Tibial Component: All Poly - XS, S, M, L, XL<br />
Vitallium<br />
HW158 Kinemax Knee Tibial Insert: Condylar - Vitallium 8, 10, 12, 15, 18, 21, 25mm per size<br />
HW159 Kinemax Knee Tibial Insert: Low Stress - Vitallium 8, 10, 12, 15, 18, 21, 25mm per size<br />
HW160 Kinemax Knee Tibial Insert: Low Stress, Duration - 8, 10, 12, 15, 18, 21, 25mm per size<br />
Vitallium<br />
HW161 Kinemax Knee Tibial Insert: Stabilizer - Vitallium 8, 10, 12, 15, 18, 21, 25mm per size<br />
HW162 Kinemax Knee Tibial Insert: All Poly, Duration - 8, 10, 12, 15, 18, 21mm per size<br />
Vitallium<br />
HW163 Kinemax Knee Tibial Insert: Stabilizer, Duration - 10, 12, 15, 18, 21, 25mm per size<br />
Vitallium<br />
HW164 Kinemax Knee Tibial Insert: Superstabilizer - 10, 12, 15, 18, 21, 25mm per size<br />
Vitallium<br />
HW165 Kinemax Knee Tibial Insert: Revision Insert, 10, 12, 15, 18, 21, 25mm per size<br />
Duration - Vitallium<br />
HW166 Kinemax Knee Tibial Insert: Superstabilizer, 10, 12, 15, 18, 21, 25mm per size<br />
Duration - Vitallium<br />
HW167 Kinemax Knee Tibial: Fixation Peg - Vitallium 20mm<br />
Page 254 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW168 Kinemax Knee Tibial: Wedge Full - Vitallium 10mm per size<br />
HW169 Kinemax Knee Tibial: Wedge - Vitallium 7.5mm per size<br />
HW170 Kinemax Knee Tibial : Block - Vitallium 5mm, and 10mm per size<br />
HW171 Kinemax Knee Femoral/Tibial: Extension Stem - 40mm, 80mm, 155mm for each size<br />
Vitallium<br />
HW172 Kinemax Knee Patella: All Poly - Vitallium Small, Medium, Large<br />
HW173 Kinemax Knee Patella: Revision, Duration - Small, Medium, Large<br />
HW174 Kinemax Knee Tibial Insert: KMS - Vitallium 8, 10, 12, 15, 18, 21, 25mm per size<br />
HW175 Duracon Total Knee System Femoral Component - Vitallium Small, Medium, Medium-Large,<br />
Large, Extra-Large<br />
HW176 Duracon Total Knee System Tibial Insert - Polyethylene 8, 10, 12, 15, 18mm<br />
HW178 PCA Knee Tibial: Non Porous Primary - Small, Medium, Large, Extra Large<br />
Vitallium<br />
HW179 PCA Knee Tibial: Revision - Vitallium Small, Medium, Large, Extra Large<br />
HW180 PCA Knee Tibial Porous Primary - Vitallium Small, Medium, Large, Extra Large<br />
HW181 PCA Knee Tibial Insert - Polyethylene Small, Medium, Large, Extra Large<br />
in 6-28mm in 2mm increments<br />
HW182 PCA Knee Patella: All Poly - Vitallium Small, Medium, Large, Extra Large<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
HW075 Duracon Total Knee System Femoral Component Cementless - Small, Medium, Medium-Large,<br />
Vitallium Large, Extra-Large<br />
HW076 Duracon Total Knee System Femoral Component Cemented - Small, Medium, Medium-Large,<br />
Vitallium Large, Extra-Large<br />
HW079 Duracon Total Knee System Femoral Component Stabiliser Small, Medium, Medium-Large,<br />
Constrained - Vitallium Large, Extra-Large<br />
HW080 Duracon Total Knee System Monolithic Stabiliser - Vitallium Small, Medium, Medium-Large,<br />
Large, Extra-Large<br />
Page 255 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW081 Duracon Total Knee System Femoral Component Stabiliser - Small, Medium, Medium-Large,<br />
Vitallium Large, Extra-Large<br />
HW082 Duracon Total Knee System Augmentation Femoral Spacers - 5mm, 10mm<br />
Vitallium<br />
HW083 Duracon Total Knee System Femoral Component Small, Medium, Medium-Large,<br />
Unicompartmental - Vitallium Large, Extra-Large<br />
HW084 Duracon Total Knee System Augmentation Locking Screw - 5mm, 10mm<br />
Vitallium<br />
HW085 Duracon Total Knee System Augmentation Modular Stabiliser Small, Medium, Medium-Large,<br />
Box - Vitallium Large, Extra-Large<br />
HW086 Duracon Total Knee System Tibial Baseplate Cementless - Small, Medium, Large, Extra-Large<br />
Vitallium<br />
HW087 Duracon Total Knee System Tibial Baseplate Cemented - Small, Medium, Large, Extra-Large<br />
HW090 Duracon Total Knee System Tibial Insert - Condylar - Small, Medium, Large, Extra-Large<br />
in each thickness 9mm, 11mm,<br />
13mm, 16mm, 19mm, 22mm, 25mm<br />
HW091 Duracon Total Knee System Tibial Insert - AP Lipped - Small, Medium, Large, Extra-Large<br />
Polyethylene in each thickness 9mm, 11mm,<br />
13mm, 16mm, 19mm, 22mm, 25mm<br />
HW092 Duracon Total Knee System Tibial Insert - Stabilised - Small, Medium, Large, Extra-Large<br />
Polyethylene in each thickness 9mm, 11mm,<br />
13mm, 16mm, 19mm, 22mm, 25mm<br />
HW093 Duracon Total Knee System Tibial Baseplate Universal - Small, Medium, Large, Extra-Large<br />
Cemented - Vitallium<br />
HW094 Duracon Total Knee System Tibial Baseplate Universal - Small, Medium, Large, Extra-Large<br />
Cementless - Vitallium<br />
HW095 Duracon Total Knee System Tibial Baseplate All Polyethylene - Small, Medium, Large, Extra-Large<br />
Polyethylene<br />
HW096 Duracon Total Knee System Tibial Insert - Non Duration - Small, Medium, Large, Extra-Large<br />
Polyethylene<br />
Page 256 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW097 Duracon Total Knee System Tibial Baseplate Screw - Vitallium 6.2mm diameter in 15mm, 20mm,<br />
25mm, 30mm, 35mm, 40mm, 50mm,<br />
55mm, 60mm lengths<br />
HW098 Duracon Total Knee System Augmentation Stem Extension 40mm, 80mm, 155mm lengths<br />
Cementless - Vitallium<br />
HW099 Duracon Total Knee System Augmentation Tibial Wedge - 5mm, 10mm<br />
Vitallium<br />
HW100 Duracon Total Knee System Constrained Insert - Polyethylene Small, Medium, Large, Extra-Large<br />
in each thickness 9mm, 11mm,<br />
13mm, 16mm, 19mm, 22mm, 25mm,<br />
28mm, 31mm<br />
HW101 Duracon Total Knee System Stabilizer Insert - Polyethylene Small, Medium, Large, Extra-Large<br />
in each thickness 9mm, 11mm,<br />
13mm, 16mm, 19mm, 22mm, 25mm,<br />
28mm, 31mm<br />
HW102 Duracon Total Knee System Tibial Insert - Revision (crossover) - Small, Medium, Large, Extra-Large<br />
Polyethylene in each thickness 9mm, 11mm,<br />
13mm, 16mm, 19mm, 22mm, 25mm,<br />
28mm, 31mm<br />
HW103 Duracon Total Knee System Tibial Baseplate Unicompartmental Small, Medium, Medium-Large,<br />
all polyethylene - Large, Extra-Large<br />
HW104 Duracon Total Knee System Patella All Polyethylene - Small, Medium, Large, Xlarge<br />
HW105 Duracon Total Knee System Patella - all polyethylene Small, Medium, Large, Xlarge<br />
HW106 Duracon Total Knee System Patella - metal backed - Small, Medium, Large, Xlarge<br />
Polyethylene and Vitallium<br />
HW177 Duracon Total Knee System Tibial - Vitallium Small, Medium, Medium-Large,<br />
Large, Extra-Large<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
HW382 Monospherical Shoulder (M/S) Humeral Small, Standard, Long<br />
HW383 Monospherical Shoulder (M/S) Glenoid - Keeled Small, Standard<br />
Page 257 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Leg<br />
HW110 Howmedica Modular Resection Total Knee Reconstruction 120mm, 140mm, 160mm<br />
HW188 Howmedica Modular Resection Growing Prosthesis - Vitallium Expandable prostheses - Custom<br />
made to child<br />
HW189 Howmedica Modular Resection Femoral Head - Vitallium 32mm in short, medium, long and<br />
22mm, 26mm standard<br />
HW190 Howmedica Modular Resection Femoral Head 26mm - Vitallium 26mm<br />
HW191 Howmedica Modular Resection Proximal Femur - Vitallium 120, 140, 160mm<br />
HW192 Howmedica Modular Resection Hex Screw - Vitallium 16-30mm in 2mm increments and<br />
35-70mm in 5m increments<br />
HW193 Howmedica Modular Resection Distal Femur - Vitallium 120, 140, 160mm<br />
HW194 Howmedica Modular Resection Femoral Joint - Vitallium One size only<br />
HW195 Howmedica Modular Resection Plug Screw - Vitallium One size only<br />
HW196 Howmedica Modular Resection Tibial Joint - Vitallium One size only<br />
HW197 Howmedica Modular Resection Proximal Tibia - Vitallium 120mm, 140mm, 160mm<br />
HW198 Howmedica Modular Resection Patella - Polyethylene Small, Medium, Large<br />
HW199 Howmedica Modular Resection Circlip - Vitallium One size only<br />
HW200 Howmedica Modular Resection Plug Screw Axis - Vitallium One size only<br />
HW201 Howmedica Modular Resection Axis - Vitallium One size only<br />
HW202 Howmedica Modular Resection Wedge - Vitallium One size only<br />
HW203 Howmedica Modular Resection Bearing - Vitallium One size only<br />
HW204 Howmedica Modular Resection Extension Piece - Vitallium 60mm, 80mm, 100mm<br />
HW205 Howmedica Modular Resection Straight Anchorage Piece - 11, 12, 13, 14, 15mm<br />
HW206 Howmedica Modular Resection Curved Anchorage Piece - Vitallium 12, 13, 14, 15, 16, 17, 19mm<br />
HW207 Howmedica Modular Resection Connecting Piece - Vitallium One size only<br />
HW208 Howmedica Modular Resection Hex Socket Bolt - Vitallium One size only<br />
Page 258 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW209 Howmedica Modular Resection Screw Jack - Vitallium One size only<br />
HW210 Howmedica Modular Resection Fixation Plate - Vitallium One size only<br />
HW211 Howmedica Modular Resection Barr Bolt - Vitallium 51, 57, 64, 70, 76, 83mm<br />
HW212 Howmedica Modular Resection Barr Bolt Nut - Vitallium 51, 57, 64, 70, 76, 83mm<br />
HW213 Howmedica Modular Resection Humeral Bearing - Vitallium One size only<br />
HW214 Howmedica Modular Resection Humeral Head Fixed - Vitallium One size only<br />
HW215 Howmedica Modular Resection Humeral Head Rotating - Vitallium One size only<br />
HW216 Howmedica Modular Resection Distal Humerus Cone - Vitallium One size only<br />
HW217 Howmedica Modular Resection Distal Humerus Flange - Vitallium One size only<br />
HW218 Howmedica Modular Resection Humerus Connection Piece - One size only<br />
HW219 Howmedica Modular Resection Humerus Connecting Screw - One size only<br />
Vitallium<br />
HW220 Howmedica Modular Resection Humerus Hex Socket Bolt - One size only<br />
HW221 Howmedica Modular Resection Humerus Extension Piece - 5, 15, 30, 45, 60, 75, 90, 105, 120,<br />
135, 150, 165mm<br />
HW222 Howmedica Modular Resection Humeral Anchorage Piece - 9, 10, 11, 12mm<br />
HW223 Howmedica Modular Resection Ulna Joint - Vitallium One size only<br />
HW224 Howmedica Modular Resection Humeral Axis - Vitallium One size only<br />
HW225 Howmedica Modular Resection Revision Bushing - Vitallium One size only<br />
HW226 Howmedica Modular Resection Revision Rings - Vitallium One size only<br />
HW227 Howmedica Modular Resection Rotating Hinge Distal Femur - 120, 140, 160mm<br />
Vitallium<br />
HW228 Howmedica Modular Resection Rotating Hinge Axle - Vitallium One size only<br />
HW229 Howmedica Modular Resection Rotating Hinge Femoral Bushing - One size only<br />
Vitallium<br />
HW230 Howmedica Modular Resection Rotating Hinge Bumper - Vitallium Insert 0degree, 3degree, 5degree<br />
Page 259 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW231 Howmedica Modular Resection Tibial Rotating Component - One size only<br />
HW232 Howmedica Modular Resection Tibial Insert - Polyethylene 6, 10, 14mm<br />
HW233 Howmedica Modular Resection Tibial Sleeve - Vitallium One size only<br />
HW234 Howmedica Modular Resection Tibial Stemmed Tray - Vitallium One size only<br />
HW235 Howmedica Modular Resection Duration Plug Screw Axis - One size only<br />
HW236 Howmedica Modular Resection Duration Femoral Bushing - One size only<br />
HW237 Howmedica Modular Resection Duration Tibial Insert - 6, 10, 14mm<br />
HW238 Howmedica Modular Resection Duration Tibial Sleeve - Vitallium 10, 12, 13, 14, 15, 16, 17, 19mm<br />
HW239 Howmedica Modular Resection Duration Bumper - Vitallium One size only<br />
HW240 Howmedica Modular Resection Duration Wedge - Vitallium One size only<br />
HW241 Howmedica Modular Resection Duration Bearing - Vitallium One size only<br />
HW242 Howmedica Modular Resection Duration Fixation Plate - Vitallium One size only<br />
HW243 Howmedica Modular Resection Duration Screw Jack - Vitallium One size only<br />
HW244 Howmedica Modular Resection Oncology Proximal Femur - 26mm, 28mm head with 70mm<br />
segment<br />
HW245 Howmedica Modular Resection Oncology Distal Femur Condyle - Small, Standard<br />
Vitallium<br />
HW246 Howmedica Modular Resection Oncology Femoral Body - Titanium Standard Diametre 40-220mm in<br />
20mm increments and small<br />
diameter 40-160mm in 20mm<br />
HW247 Howmedica Modular Resection Oncology Femoral Stem - Vitallium 127mm and 203mm length 11, 13,<br />
15, 17mm diameter<br />
HW248 HMRS Tibial Insert Polyethylene Extra Small, Small, Medium, Large,<br />
Extra Large<br />
HW249 Howmedica Modular Resection Oncology Proximal Tibia - 95mm segment<br />
HW250 Howmedica Modular Resection Oncology Tibial Stem - Vitallium 127mm in 9, 11, 13mm diameter<br />
Page 260 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW251 Howmedica Modular Resection Oncology Tibial Insert - Small and Medium in 11, 13, 16,<br />
21mm<br />
HW252 Howmedica Modular Resection Oncology Duration Tibial Insert - Small and Medium in 11, 13, 16,<br />
Polyethylene 21mm<br />
HW253 Howmedica Modular Resection Oncology Duration Tibial Plug - One size only<br />
Polyethylene<br />
HW254 HMRS Oncology Humeral Head/Cap Cobalt Chromium 40, 44mm, Cap<br />
HW255 Howmedica Modular Resection Oncology Humeral Body - Titanium 40 - 140mm in 20mm increments<br />
HW256 HMRS Oncology Humeral Stem Cobalt Chromium 7x75mm, 7x115mm, 9x75mm,<br />
9x115mm, 11x115mm, 25mmx75mm,<br />
25mmx100mm, 50mmx75mm,<br />
50mmx100mm,75mmx100mm,<br />
100mmx50mm<br />
<strong>Prostheses</strong>, Radial Head<br />
HW381 Radial Head <strong>Prostheses</strong> Radial Head - Small, Medium, Large 8 - 15mm<br />
Restrictors, Orthopedic Cement<br />
HW001 Hardinge Cement Restrictor PMMA 6,9 and 12 Leaf<br />
HW002 Seidel Plugs Seidel Cement Restrictor - 8, 10, 12, 14, 16, 18mm<br />
Polyethylene.<br />
Screws, Bone<br />
HW295 Asnis Guided Screw System Screw, Stainless Steel 35-130mm<br />
HW296 Asnis Guided Screw System Screw - Titanium 4, 5, 6.5,8mm<br />
HW297 Asnis Guided Screw System Guide Pin, Stainless Steel 1.4,2.0,3.2mm<br />
HW298 Asnis Guided Screw System Washer, Stainless Steel One size only<br />
HW299 Asnis Guided Screw System Washer - Titanium 4, 5, 6.5,8mm<br />
HW330 Omega Plus Compression Hip Screw Hip Sideplate - Standard Barrel - 2,3,4,5 hole 130-150 degrees<br />
System Stainless Steel<br />
Page 261 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
HW331 Omega Plus Compression Hip Screw Hip Sideplate - Short Barrel - 6,8,10,12 hole 130-150 degrees<br />
System Stainless Steel<br />
HW332 Omega Plus Compression Hip Screw Supracondylar Sideplate - Stainless 6,8,10,12,14 holes<br />
System Steel<br />
HW333 Omega Plus Compression Hip Screw Lag Screw - Standard - Stainless 50-130mm length<br />
System<br />
HW334 Omega Plus Compression Hip Screw Lag Screw - Super - Stainless Steel 50-130mm length<br />
System<br />
HW335 Omega Plus Compression Hip Screw Compression Screw - Stainless Steel 25mm length<br />
System<br />
HW336 Omega Plus Compression Hip Screw Cortical - Stainless Steel 4.5mm dia<br />
System<br />
HW337 Omega Plus Compression Hip Screw Cancellous - Stainless Steel 6.5mm dia<br />
System<br />
Staples, Bone<br />
HW317 Rutherford Staple Ellison Arched Staple, Vitallium 9,12,15mm x 23mm<br />
HW318 Rutherford Staple Ellison Flat Staple, Vitallium 8,11,14 x 23mm<br />
HW319 Rutherford Staple Ellison Soft Tissue Retainer, 8,11,14mm<br />
Johnson & Johnson Medical Pty Ltd<br />
Anchor, Fixation<br />
JJ076 Mitek Ethibond Knotless Suture Titanium anchor 2.7 x 10.8 mm<br />
JJ077 Mitek Polypropylene Meniscus Polypropylene anchor 6 & 8mm x 4mm<br />
JJ097 Mitek Fastin RC Anchor Titanium Suture Anchor 5 x 13.5mm<br />
JJ124 Intrafix Tibial Sheath High density polyethylene sheath 7 to 10mm x (15 to 30mm)<br />
Anchors, Synthetic Ligament<br />
JJ075 Mitek Ligament Anchor Titanium anchor 6mm x (15 to 25mm)<br />
JJ082 Mitek Mini Anchor Threader Tab Titanium Suture Anchor 1.8 x 5.4mm<br />
Page 262 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
JJ083 Mitek GII Anchor Threader Tab Titanium Suture Anchor 2.4 x 8.8mm<br />
JJ084 Mitek Rotator Cuff Anchor Threader Titanium Suture Anchor 2.8 x 11mm<br />
JJ085 Mitek Super Anchor Threader Tab to Titanium Suture Anchor 2.8 x 11.4mm<br />
bone<br />
JJ086 Mitek Tacit Anchor Threader Tab Titanium Suture Anchor 2.0 x 3.6mm<br />
JJ087 Mitek Tacit Quick Anchor Titanium Suture Anchor 2.0 x 3.6mm<br />
JJ089 Mitek GII QuickAnchor Plus Titanium Suture Anchor 2.4 x 8.8mm<br />
JJ091 Mitek Mini QuickAnchor Plus Titanium Suture Anchor 1.8 x 5.4mm<br />
JJ093 Mitek Rotator Cuff Quick Anchor Plus Titanium Suture Anchor 2.8 x 11mm<br />
JJ095 Mitek Super Quick Anchor Plus Titanium Suture Anchor 2.8 x 11.4mm<br />
JJ096 Mitek Fastin Anchor Titanium Suture Anchor 3 x 8.4mm, 4 x 9.7mm, 5.2 x 11.5mm<br />
JJ100 Micro Quick Anchor Titanium Suture Anchor 1.3 x 3.7mm<br />
Cerclage, Orthopedic Fixation<br />
JJ110 Codman Sof'wire Titanium Cable Titanium Single Cable with Leader, One size only<br />
Cinch & Tightener<br />
JJ112 Codman Sof'wire Titanium Cable Titanium Double Cable with Central One size only<br />
Leader, 2 Cinches & 2 Tighteners<br />
JJ118 Codman Sof'wire Stainless Steel Cable Stainless steel leader, pack of 10 One size only<br />
System<br />
Orthopedic Internal Fixation Systems, Spinal<br />
JJ101 Codman Ti-Frame Titanium frame 4cm; 6.0cm Radius<br />
JJ102 Codman Ti-Frame Titanium frame 4cm; 9.5cm Radius<br />
JJ103 Codman Ti-Frame Titanium frame 4cm straight<br />
JJ104 Codman Ti-Frame Titanium frame 6cm; 8.5cm Radius<br />
JJ105 Codman Ti-Frame Titanium frame 6cm; 13.0cm Radius<br />
JJ106 Codman Ti-Frame Titanium frame 6cm straight<br />
Page 263 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
JJ107 Codman Ti-Frame Titanium frame 8cm; 8.5cm Radius<br />
JJ108 Codman Ti-Frame Titanium frame 8cm; 13.0cm Radius<br />
JJ109 Codman Ti-Frame Titanium frame 8cm straight<br />
JJ114 Codman Sof'wire Cinch Seat (stainless Titanium Cinch Seats, pack of 10 One size only<br />
steel or titanium)<br />
Pins, Bone<br />
JJ024 Cross Pin - 6.5mm x 40, 50mm lengths<br />
Pins, Bone, Absorbable<br />
JJ078 Rigidfix ACL Cross Pin System Polylactic acid pin 2.7 & 3.3mm x 42mm<br />
JJ098 Panalok RC Quick Anchor Plus Polylactic acid absorbable anchor 2.9 x 11.0mm<br />
JJ099 Panalok Absorbable Anchor Polylactic acid absorbable anchor 4.1 x 6.0mm<br />
JJ231 Bioknotless Anchor Anchor composition is PLLA Dia 3.9mm, length 9mm<br />
JJ232 Cufftack rotator cuff anchor Composition of anchor is a) tack - Anchor diameter 4.5mm, length<br />
abosorbable PLA b) pin - 23mm<br />
absorbable L PLA c) sleeve -<br />
JJ233 Panalok RC QuickAnchor Plus DS Anchor composed of PLA, Suture Anchor diameter 2.9mm, length<br />
Panacryl Suture composed of PLA and PGA 11mm<br />
JJ234 Panalok RC QuickAnchor Plus DS Anchor composed of PLA, Suture Anchor diameter 2.9mm, length<br />
Ethibond Suture composed of polyester 11mm<br />
Rods<br />
JJ126 Contack Fastener Polylactic acid tack (3.5 to 7.5mm) x11.5mm<br />
JJ307 Rapidloc Meniscal Repair PLA Composition: PLA Implant and 2/0<br />
Tophat with Ethibond Suture Ethibond Suture, non absorbable<br />
JJ308 Rapidloc Meniscal Repair PLA Composition: PLA Implant and Straight needle, 12 degree curved<br />
Tophat with Panacryl Suture Panacryl Suture needle, 27 degree curved needle<br />
Screws<br />
JJ002 Meniscal Screw Bioabsorbable Poly Lactic Acid<br />
Page 264 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
JJ073 Mitek Phantom Screw - Absorbable Polylactic acid Bioabsorbable 7,8 & 9mm x (20 to 30mm)<br />
JJ074 Mitek Phantom Softhread Screw Polylactic acid Softhread 7,8,9 & 10mm x 25mm<br />
Absorbable Bioabsorbable Screw<br />
JJ127 Absolute Absorbable Interference Polylactic acid screw 7 to11mm x (23 to 30mm)<br />
JJ337 Biocryl - TCP/PLA Interference Screw Composition - Tricalcium Phosphate 7x23mm; 7x30mm; 8x23mm;<br />
& Polylactic Acid 8x30mm, 9x23mm; 9x30mm;<br />
10x23mm; 10x30mm; 11x30mm<br />
Screws, Bone<br />
JJ071 Mitek Kurosaka Advantage Fixation Titanium Screw Cannulated - 7 & 9mm x (15 to 40mm)<br />
Screw Advantage<br />
JJ072 Mitek Kurosaka Fixation Screw Titanium Screw Cannulated - Profile 7,8 & 9mm x (20 to 30mm)<br />
JJ079 Mitek Cancellous Screw Low Profile Titanium screw 4.5mm x (26 to 76mm)<br />
JJ080 Mitek Cancellous Screw Low Profile Titanium screw 6.5mm x (25 to 55mm)<br />
JJ125 Intrafix Tibial Tapered Screw Plastic tapered screw 6 to 10mm x (15 to 30mm)<br />
Sleeves<br />
JJ128 Cuff Link High density plastic link 8mm<br />
Washers, Bone Screw<br />
JJ081 Mitek Soft Tissue Washer Titanium washer 14mm, 17mm & 20mm<br />
Link Orthopaedic Australia<br />
Orthopedic Internal Fixation Systems, Fracture<br />
LO061 Orthofix K. Wires - Hand - Stainless - 60 x 1,5 mm<br />
Steel threaded<br />
Orthopedic Internal Fixation Systems, Spinal<br />
LO102 SB Charite Disc Prosthesis End plate 1 - 5<br />
LO103 End Plates Parallel 1 - 5<br />
LO104 End Plates Oblique 1 - 5<br />
Page 265 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
LO105 Sliding Core - 7.5 -11.5mm, 8.5mm, 10.5mm<br />
Pins, Bone<br />
LO100 LINK Arthrodesis Pin Cobalt Chromium 90mm<br />
LO101 LINK Arthrodesis Pin Tilastan 90mm<br />
Plates, Bone<br />
LO062 LINK Giebel Blade Plates - 50- 80mm<br />
LO063 LINK Giebel Blade Plates - Cortical - 6-40mm<br />
Screws<br />
LO064 LINK May Bone Plates Distal Tibia Plate 80mm<br />
LO065 LINK May Bone Plates Distal Tibia Plate 122mm<br />
LO066 LINK May Bone Plates Distal Tibia Plate 158mm<br />
LO067 LINK May Bone Plates Distal Tibia Plate 194mm<br />
LO068 LINK May Bone Plates Distal Tibia Plate 230mm<br />
LO069 LINK May Bone Plates Distal Fibular Plate 122mm<br />
LO070 LINK May Bone Plates Distal Fibular Plate 158mm<br />
LO071 LINK May Bone Plates Distal Fibular Plate 194mm<br />
LO072 LINK May Bone Plates Distal Fibular Plate 230mm<br />
LO073 LINK May Bone Plates Lateral Proximal Tibia Plate 80mm<br />
LO074 LINK May Bone Plates Lateral Proximal Tibia Plate 122mm<br />
LO075 LINK May Bone Plates Lateral Proximal Tibia Plate 158mm<br />
LO076 LINK May Bone Plates Lateral Proximal Tibia Plate 194mm<br />
LO077 LINK May Bone Plates Lateral Proximal Tibia Plate 230mm<br />
LO078 LINK May Bone Plates Medical Proximal Tibia Plate 80mm<br />
LO079 LINK May Bone Plates Medical Proximal Tibia Plate 122mm<br />
LO080 LINK May Bone Plates Medical Proximal Tibia Plate 158mm<br />
Page 266 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
LO081 LINK May Bone Plates Medical Proximal Tibia Plate 194mm<br />
LO082 LINK May Bone Plates Medical Proximal Tibia Plate 230mm<br />
LO083 LINK May Bone Plates Distal Femur Plate 80mm<br />
LO084 LINK May Bone Plates Distal Femur Plate 122mm<br />
LO085 LINK May Bone Plates Distal Femur Plate 158mm<br />
LO086 LINK May Bone Plates Distal Femur Plate 194mm<br />
LO087 LINK May Bone Plates Distal Femur Plate 230mm<br />
LO088 LINK May Bone Plates Proximal Femur Plate 122mm<br />
LO089 LINK May Bone Plates Proximal Femur Plate 158mm<br />
LO090 LINK May Bone Plates Proximal Femur Plate 194mm<br />
LO091 LINK May Bone Plates Proximal Femur Plate 230mm<br />
LO092 LINK May Bone Plates Distal Humerus Plate Y-shape: 122mm<br />
Angle 40deg<br />
LO093 LINK May Bone Plates Distal Humerus Plate Y-shape: 150mm<br />
Angle 50deg<br />
LO094 LINK May Bone Plates Distal Humerus Plate Y-shape: 90mm<br />
Angle 30deg<br />
LO095 LINK May Bone Plates Distal Humerus Plate Y-shape: 120mm<br />
Angle 30deg<br />
LO096 LINK May Bone Plates Distal Humerus Plate Y-shape: 150mm<br />
Angle 45deg<br />
LO097 LINK May Bone Plates Humerus Plate Proximal - Neutral 80mm<br />
LO098 LINK May Bone Plates Humerus Plate Proximal - Neutral 98mm<br />
LO099 Schwabe Plates Distal Radius Bone Plates Small & large<br />
<strong>Prostheses</strong>, Femoral Head<br />
LO020 Waldemar Link MP Reconstruction Neck Segment Assembly 35-65mm IN 126 & 135 degrees<br />
Hip Prosthesis<br />
Page 267 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
LO021 Waldemar Link MP Reconstruction Stem 14 - 25mm x 210, 250, 290 &<br />
Hip Prosthesis 330mm; 12 x 160, 180, 210, 250 -<br />
MP; 14 x 160, 180 -MP; 16 x 160,<br />
180 - MP; 18 x 160, 180 - MP; 20 x<br />
160, 180 - MP; 22.5 x 160, 180<br />
-MP; 25 x 160, 180 - MP<br />
LO022 Waldemar Link MP Reconstruction Head:Chrome Cobalt Short, medium-short, medium &<br />
Hip Prosthesis<br />
LO023 Waldemar Link MP Reconstruction Biolox Ceramic Short, medium-short & large<br />
Hip Prosthesis<br />
LO024 Fixation Screw with Locking Bolt - 38 & 58 mm<br />
LO025 Neck Segment - 35-65mm IN 126 & 135 degrees<br />
LO026 Proximal Spacers - 10mm<br />
LO027 Proximal Spacers - 20mm<br />
<strong>Prostheses</strong>, Joint, Ankle<br />
LO001 Star (cemented) Talar Component Small , medium & large<br />
LO002 Star (cemented) Tibial Component Small, medium & large<br />
LO003 Star (cemented) Polyethylene Sliding Core 6- 10 mm<br />
LO004 Hydroxyapatite Coated (Hac) Talar Component Extra extra small, extra small, small,<br />
medium & large<br />
LO005 Hydroxyapatite Coated (Hac) Tibial Component Extra small, small, medium, large &<br />
extra large<br />
<strong>Prostheses</strong>, Joint, Elbow<br />
LO008 LINK Elbow Prosthesis Small, medium & large<br />
<strong>Prostheses</strong>, Joint, Hip<br />
LO032 CFP Cup ( TOP CUP) - 40 - 68mm<br />
LO033 CFP Insert( TOP INSERT) - 40 - 68mm<br />
Page 268 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
LO036 Vario Cup - 44-65mm<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
LO009 LINK Saddle Prosthesis Saddle Saddle Component One size only<br />
Prosthesis<br />
LO010 LINK Saddle Prosthesis Saddle Base Component 60 - 160mm<br />
Prosthesis<br />
LO011 LINK Saddle Prosthesis Saddle Set Screw for Base Component One size only<br />
Prosthesis<br />
LO012 LINK Saddle Prosthesis Saddle Stem 14 - 25mm x 210, 250, 290 &<br />
Prosthesis 330mm; 12 x 160, 180, 210, 250 -<br />
MP; 14 x 160, 180 - MP; 16 x 160,<br />
180 - MP; 18 x 160, 180 - MP; 20 x<br />
160, 180 - MP; 22.5 x 160, 180<br />
MP; 25 x 160, 180 - MP<br />
LO013 Link McMinn Acetabular Cementless Cup HAC Coated 45 - 55 mm<br />
Reconstruction Cup System<br />
LO014 Link McMinn Acetabular Polyethylene Insert 45 - 55 mm<br />
Reconstruction Cup System<br />
LO015 LINK Lubinus SP Hip Prosthesis Stem Left & right 01-5<br />
LO016 LINK Lubinus SP Hip Prosthesis Head: Chrome Cobalt Short, medium-short, medium,<br />
medium-large, large<br />
LO017 LINK Lubinus SP Hip Prosthesis Biolox Ceramic Short, medium-short & large<br />
LO018 LINK Lubinus SP Hip Prosthesis Cup: Muller 44 - 58mm, 40mm<br />
LO019 LINK Lubinus SP Hip Prosthesis Eccentric 44 - 58mm<br />
LO028 LINK Partial Pelvis Replacement Partial Pelvis Replacement 48-67mm<br />
LO029 LINK Partial Pelvis Replacement Partial Pelvis Replacement 48-67mm<br />
(left/right) with additional Caudal<br />
LO030 LINK Partial Pelvis Replacement Hook for Obturator Foramen Width 6-12mm<br />
Page 269 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
LO031 LINK Partial Pelvis Replacement Fixation Screw 20-35mm<br />
LO034 CFP Total Hip System including A, B, left and right; titanium/ HA Extra small, small, medium large &<br />
Acetabular Cup extra large<br />
LO035 Ribbed System - 001A-8 left and right<br />
<strong>Prostheses</strong>, Joint, Knee<br />
LO059 LINK Endo-Model SLED Prosthesis: Femoral Component Short, medium-short, medium &<br />
large<br />
LO060 LINK Endo-Model SLED Prosthesis Tibial Plateau, Metal Backed 7mm-13mm IN 45, 50, 55 diameter<br />
<strong>Prostheses</strong>, Joint, Knee, Patellar Component<br />
LO057 LINK Lubinus Total Patella Glide Patella Component Small, medium & large<br />
Replacement<br />
LO058 LINK Lubinus Total Patella Glide Femoral Component Small, medium, large, extra large<br />
Replacement<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
LO037 Gemini MkII Modular Knee - Extra-small, small, medium-small,<br />
<strong>Prostheses</strong> System medium, large & extra large<br />
LO038 LINK Endo Model Rotational Knee Intracondylar Total Rotation Knee Small, medium & large<br />
System Joint: Without Patella Flange<br />
LO039 LINK Endo Model Rotational Knee Intracondylar Total Rotation Knee Small, medium & large<br />
System Joint: With Patella Flange<br />
LO040 LINK Endo Model Rotational Knee Intracondylar total rotation knee Small, medium & large<br />
System join with Anti Lux device: without<br />
patella flange<br />
LO041 LINK Endo Model Rotational Knee Intracondylar total rotation knee Small, medium & large<br />
System join with Anti Lux device: with<br />
patella flange<br />
LO042 LINK Endo Model Rotational Knee Patella Component Small, medium & large<br />
System<br />
LO043 LINK Endo Model Rotational Knee Tibial Spacers Small, medium & large<br />
System<br />
Page 270 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
LO044 LINK Endo Model Rotational Knee Total Rotational Knee Joint with Small, medium & large<br />
System Anti Lux Device, with Patella<br />
Flange and Replacement of Femoral<br />
and/or Tibial Bone Structures,<br />
LO045 LINK Endo Model Rotational Knee Total Rotational Knee Joint with Small, medium & large<br />
System Anti Lux Device, with Patella<br />
Flange and Replacement of Femoral<br />
and/or Tibial Bone Structures,<br />
LO046 LINK Endo Model Rotational Knee Total Rotational Knee Joint with Extra small, small, medium & large<br />
System Anti Lux Device, with Patella<br />
Flange and Replacement of Femoral<br />
and/or Tibial Bone Structures, distal<br />
femur & proximal tibia<br />
LO047 LINK Endo Model Rotational Knee Total hinge knee: without patella Small, medium & large<br />
System<br />
LO048 LINK Endo Model Rotational Knee Total hinge knee: with patella flange Small, medium & large<br />
System<br />
LO049 LINK T.A.C.K. Knee Femoral Cementless Extra-small, small, medium & large<br />
LO050 LINK T.A.C.K. Knee Rotating Platform Extra-small, small, medium & large<br />
LO051 LINK T.A.C.K. Knee Patella cemented Small & large<br />
LO052 LINK T.A.C.K. Knee Tibial cementless Extra-small, small, medium & large<br />
LO053 LINK T.A.C.K. Knee Bridging Articulating Surface Extra-small, small, medium & large<br />
LO054 LINK T.A.C.K. Knee Hydroxyapaptite Coated (Hac): Extra-small, small, medium & large<br />
femoral component<br />
LO055 LINK T.A.C.K. Knee Hydroxyapaptite Coated (Hac): Extra-small, small, medium & large<br />
tibial tray<br />
LO056 LINK T.A.C.K. Knee Hydroxyapaptite Coated (Hac): 9- 16.5mm<br />
tibial plateau<br />
<strong>Prostheses</strong>, Radial Head<br />
LO007 Distal Radius Head Replacement - Small, medium & large<br />
Page 271 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Tibial<br />
LO006 Revision Tibial Component - Extra small, small, medium, large<br />
and extra large<br />
Linvatec Australia<br />
Anchor, Fixation<br />
LV003 Ultrafix RC, Anchor Soft Tissue Re-attachment - Titanium 2.9mm predeployed diameter<br />
LV004 Ultrafix MiniMite Suture Anchor Soft Tissue Re-attachment - Titanium 2.3mm predeployed diameter<br />
LV005 Ultrafix MiniMite StitchPak Suture Soft Tissue Re-attachment - Stainless 2.3mm predeployed diameter<br />
Anchor Steel<br />
LV006 Ultrafix RC StitchPak Suture Anchor Soft Tissue Re-attachment - Titanium 2.9mm predeployed diameter<br />
LV024 Ultrafix MicroMite Small Joint Anchor Suture Anchoring Device - Titanium 1.5mm predeployed diameter<br />
LV027 Pre-Loaded Ultrafix RC Anchor Surgical Grade Stainless Steel, Dia 2.9mm, length 6.5mm<br />
preloaded with 2 #2 sutures<br />
Anchors, Synthetic Ligament<br />
LV001 Linvatec Super Revo Soft Tissue Contains screw, driver and sutures<br />
LV002 Li Medical Ultrasorb Bioabsorable Contains anchor, non-absorbable<br />
Suture Anchor suture, surgical needles<br />
LV007 Bio Twist Bioabsorbable Rotator Cuff Soft Tissue Re-attachment - PLLA 6mm diameter<br />
Anchor<br />
Drivers<br />
LV028 Pre-loaded BioStinger Violet, PLLA 10, 13, 16mm<br />
Bio-Absorbable Meniscal Repair<br />
Pins, Bone, Absorbable<br />
LV008 Preloaded Bio-Anchor Absorbable Soft Tissue Re-attachment - PLLA 3.5mm diameter<br />
Suture Anchor<br />
LV020 BioButton - Recessed Ligament ACL Fixation - PLLA 7mm - 9mm<br />
Page 272 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Screws<br />
LV019 BioScrew Bioabsorbable Interference ACL Fixation - PLLA 7mm diameter x 20mm - 11 x 25mm<br />
Screw<br />
LV021 BioStinger - V Bio - Absorbable Meniscal Repair Device - PLLA 10mm - 16mm<br />
Meniscal Repair Device<br />
LV022 EndoPearl Bio-Absorbable Implant - ACL Fixation - PLLA 7mm - 9mm<br />
ACL Fixation<br />
LV023 EndoPearl Bio-Absorbable with ACL Fixation - PLLA 7mm - 9mm<br />
Threader Implant - ACL Fixation<br />
Screws, Bone<br />
LV009 Revo Cancellous Screw Soft Tissue Re-attachment - Titanium 4mm diameter<br />
LV010 Mini-Revo Screw Soft Tissue Re-attachment - Titanium 2.7mm diameter<br />
LV011 Soft Tissue Anchoring Implant - Soft Tissue Re-attachment - Titanium 1.3 x 14mm - 2.5 x 20mm<br />
Spiked Washer<br />
LV012 Soft Tissue Anchoring Implant - Flat Soft Tissue Re-attachment - Titanium 14, 17mm<br />
Washer<br />
LV013 Soft Tissue Anchoring Implant - Soft Tissue Re-attachment - Titanium 30 - 80mm<br />
Cortical Screw<br />
LV014 Soft Tissue Anchoring Implant - Soft Tissue Re-attachment - Titanium 25 - 65mm<br />
Cancellous Screw<br />
LV016 Propel Interference Screws ACL Fixation - Titanium 7mm diameter x 20mm - 9 x 30mm<br />
LV017 Guardsman Femoral Interference ACL Fixation - Titanium 7mm diameter x 20mm - 9 x 30mm<br />
LV018 Cannulated Interference Screws ACL Fixation - Titanium 5.75mm diameter x 20mm - 9 x 40mm<br />
Staples, Bone<br />
LV015 Staple Fixation System Soft Tissue Re-attachment - Titanium 9.5 - 16.5mm<br />
Page 273 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
LV025 Staplizer Bone Staple Cartridge 5 Titanium staples per cartridge 7 x 7mm, 7 x 10mm, 10 x 7mm, 10 x<br />
10mm, 10 x 15mm, 13 x 7mm, 13 x<br />
10mm, 13 x 15mm, 13 x 20mm, 16 x<br />
10mm, 16 x 15mm, 16 x 20mm, 16 x<br />
25mm<br />
LMT Surgical Pty Ltd<br />
Orthopedic Internal Fixation Systems, Fracture<br />
LM001 TriMed Wrist Fixation System Washer<br />
LM002 TriMed Wrist Fixation System Plates, Stainless Steel Radial and Ulna pin plate - 3 hole,<br />
5 hole; L plate - left and right<br />
LM003 TriMed Wrist Fixation System Small Fragment Clamp/Buttress Pin 27mm length x 14mm bend, 24mm<br />
Combination length x 10 - 14mm bend, 20mm<br />
length x 10mm bend,16mm length x<br />
8mm bend<br />
LM004 TriMed Wrist Fixation System Buttress Pin 16mm - 32mm length<br />
LM005 TriMed Wrist Fixation System Small Fragment Clamp Inner 24mm length x 10 -18mm bend,<br />
Component 20mm length x 10 -14mm bend,<br />
16mm length x 8mm bend<br />
LM006 TriMed Wrist Fixation System Small Fragment Clamp Outer 20 x 32mm length<br />
Component<br />
LM007 TriMed Wrist Fixation System Cortical Bone Screw, Stainless Steel 2.3 x 10 - 32mm length<br />
Orthopedic Internal Fixation Systems, Other<br />
LM008 Spider and Mini-Spider Limited Wrist Stainless Steel 8 hole spider plate, 6 hole<br />
Fusion System mini-spider plate<br />
LM009 The Subtaler MBA Implant Titanium 6, 8, 9, 10, 12mm and guide pin<br />
LM013 Cobra Total Wrist Fusion System Titanium Plate and Screws Plate - one size only, Screws -<br />
diameter 2.8mm, length 10, 14,<br />
18mm and diameter 3.5mm, length<br />
14, 16, 18, 20, 22, 24, 28mm<br />
Page 274 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Finger/Thumb<br />
LM011 Ascension PIP Pyrocarbon Total Joint Pyrocarbon Proximal Interphalangeal size 10,<br />
20, 30, 40 distal, Proximal<br />
interphalageal size 10, 20, 30, 40<br />
LM012 Ascension MCP Pyrocarbon Total Pyrocarbon implant Metacarpophalageal joint sizes 10,<br />
20, 30, 40, 50<br />
<strong>Prostheses</strong>, Joint, Wrist<br />
LM010 Universal Total Wrist Implant System Consists of 3 parts, proximal radius Radial implant - small, medium,<br />
(UTW) component made of cobalt/chrome, large; Carpal implant - small,<br />
distal titanium plate, titanium medium, large; carpal poly implant -<br />
screws and polyethylene joint small, medium, large, +1, +2; carpal<br />
bone screws - 4.5mm x 20 - 35mm<br />
lengths<br />
Mathys Australia<br />
Bolts, Bone<br />
MA212 AO/ASIF Intermedullary Nails Locking bolts - steel 3.9 - 4.9mm , length 18 - 100mm<br />
MA213 AO/ASIF Intermedullary Nails Locking bolts - TAN 3.4 - 4.9mm, length 16 - 100mm,<br />
self cutting L 16 - 60mm<br />
Bone Matrix Implants, Artificial<br />
MA001 Chronos TCP Granules Porous Tricalcium Phosphate 20g<br />
MA002 Chronos TCP Granules Porous Tricalcium Phosphate 10g<br />
MA003 Chronos TCP Granules Porous Tricalcium Phosphate 5g<br />
MA004 Chronos TCP Granules Porous Tricalcium Phosphate 1g<br />
MA005 Chronos TCP Granules Porous Tricalcium Phosphate 0.5g<br />
MA295 ChronOS TCP Wedge Small, Medium, Large<br />
MA296 ChronOS TCP Blocks Small, Medium, Large<br />
MA313 ChronOS TCP Cylinder Dia 8.5 - 14mm<br />
Page 275 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Grafts, Bone, Synthetic<br />
MA117 Chronos TCP Chronos B-TCP granules sterile 0.5G - 20G, granule size<br />
Hooks, Other<br />
MA067 Spinal Plate/Plate System AO/ASIF Spondylolysis hook screw Screw 45 - 60mm<br />
Spinal Implants (complete) small & large<br />
Nails, Bone<br />
MA042 AO/ASIF Intermedullary Nails Tibial reamed - standard 9/220mm - 16/420mm<br />
MA043 AO/ASIF Intermedullary Nails Tibial reamed - locking 10/240mm - 13/420mm<br />
MA073 AO/ASIF Intermedullary Nails Femoral unreamed - TAN 9 - 15mm dia / length 300-480mm<br />
MA090 AO/ASIF Intermedullary Nails Proximal femoral nail 10-12mm / 125 - 130 deg/<br />
240-420mm length / left & right /<br />
6.5mm hip pin 55-120mm length/<br />
remoral neck screw 80-120mm /end<br />
MA097 AO/ASIF Intermedullary Nails Cannulated nail - tibial, femoral 10 - 15mm / 255 - 480mm length<br />
MA114 Distal Femoral Nail Solid & cannulated - (& end cap) 9 - 12mm / solid & cann / 160 -<br />
420mm L/ 6mm locking bolt DFN/<br />
spiral blade 50 -100mm<br />
MA115 Titanium Elastic Nail - 2.0mm dia - 4.0mm dia<br />
MA203 AO/ASIF Intermedullary Nails Femoral reamed 10 - 19mm , length 300 - 480mm.<br />
MA204 AO/ASIF Intermedullary Nails Proximal sleeve - TAN Standard 130 deg antigrade, spiral<br />
blade<br />
MA205 AO/ASIF Intermedullary Nails Nail end cap - TAN 0 - 30mm<br />
MA206 AO/ASIF Intermedullary Nails Spiral blade - TAN - TI femoral nail Length 70 - 120mm<br />
MA208 AO/ASIF Intermedullary Nails Tibial unreamed - steel 8 - 9 mm , length 255 - 420mm<br />
MA209 AO/ASIF Intermedullary Nails Tibial unreamed - TAN - solid 8 - 10mm , length 255 - 420mm<br />
MA210 AO/ASIF Intermedullary Nails Humeral unreamed - TAN 6.7 - 9.5 mm, length 190 - 325mm<br />
MA211 AO/ASIF Intermedullary Nails Arthrodesis - special manufacture Custom made<br />
Page 276 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA214 AO/ASIF Intermedullary Nails Sealing screw - steel 0 - 20mm<br />
Orthopedic External Fixation Systems, Fracture<br />
MA320 Orthopaedic External Fixator Systems External fix bar - carbon fibre/steel 4mm small -<br />
MA321 Orthopaedic External Fixator Systems Curved rod - carbon fibre 11mm -<br />
MA322 Orthopaedic External Fixator Systems Protective caps for rods, protection One size only -<br />
caps<br />
MA323 Orthopaedic External Fixator Systems Connecting bar, carbon fibre rod 5mm, 8mm -<br />
MA324 Orthopaedic External Fixator Systems Connecting bar, carbon fibre/steel 3mm -<br />
MA325 Orthopaedic External Fixator Systems Carbon fibre steel bar 100 450mm length -<br />
MA326 Orthopaedic External Fixator Systems Carbon fibre steel bar 450 650mm length -<br />
MA327 Orthopaedic External Fixator Systems Hybrid Rings 11mm diameter 1/4 ring - 205mm -<br />
diameter full ring<br />
MA328 Orthopaedic External Fixator Systems Distractors and lengthening Mini - lengthening apparatus, mini -<br />
- distractor/lengthening apparatus,<br />
medium and large distractor<br />
MA329 Orthopaedic External Fixator Systems External fixator clamps, double 4-6mm Diameter -<br />
MA330 Orthopaedic External Fixator Systems External fixator clamps, transverse 4-6mm Diameter -<br />
clamp<br />
MA331 Orthopaedic External Fixator Systems External fixator clamps, clamp or 1.25-6mm Diameter -<br />
open clamp<br />
MA332 Orthopaedic External Fixator Systems External fixator clamps, clamp for 1.8-11mm Diameter -<br />
hybrid<br />
MA333 Orthopaedic External Fixator Systems External fixator clamps, tube to 11mm Diameter -<br />
tube/universal clamp<br />
MA334 Orthopaedic External Fixator Systems External fixator clamps, open/clip on 4-6mm Diameter -<br />
clamp<br />
MA335 Orthopaedic External Fixator Systems External fixator clamps, connecting 3-4mm Diameter -<br />
clamp<br />
Page 277 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA336 Orthopaedic External Fixator Systems External fixator clamps, adjustable 4.0mm -<br />
clamp<br />
MA337 Orthopaedic External Fixator Systems External fixator clamp components, 14mm diameter -<br />
threaded rod<br />
MA338 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
spare nut<br />
MA339 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
knurled nut<br />
MA340 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
spare screw<br />
MA341 Orthopaedic External Fixator Systems External fixator clamp components, 11mm -<br />
nut for threaded rod<br />
MA342 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
nut spring loaded<br />
MA343 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
nut for open adjustable clamp<br />
MA344 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
nut for fixation screw<br />
MA345 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
holding sleeve with wing screw<br />
MA346 Orthopaedic External Fixator Systems External fixator clamp components, 6mm, 40mm -<br />
fixation screw<br />
MA347 Orthopaedic External Fixator Systems External fixator clamp components, 6mm, 67mm -<br />
fixation screw<br />
MA348 Orthopaedic External Fixator Systems External fixator clamp components, 6mm, 85mm -<br />
fixation screw<br />
MA349 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
clamp for halo<br />
MA350 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
oral rod, right<br />
Page 278 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA351 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
oral rod, left<br />
MA352 Orthopaedic External Fixator Systems External fixator clamp components, 12mm, L 360mm -<br />
threaded rod<br />
MA353 Orthopaedic External Fixator Systems External fixator clamp components, 12mm, L 260mm -<br />
threaded rod<br />
MA354 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
double joint, complete<br />
MA355 Orthopaedic External Fixator Systems External fixator clamp components, Large -<br />
angled piece<br />
MA356 Orthopaedic External Fixator Systems External fixator clamp components, Small -<br />
angled piece<br />
MA357 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
transport nut with catch<br />
MA358 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
clamp body with two nuts<br />
MA359 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
vice plate<br />
MA360 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
vice plate double<br />
MA361 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
vice plate for open<br />
MA362 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
intermediate piece<br />
MA363 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
locking sleeve for open<br />
MA364 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
clamp body of open<br />
MA365 Orthopaedic External Fixator Systems External fixator clamp components, 3mm -<br />
angle<br />
Page 279 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA366 Orthopaedic External Fixator Systems External fixator clamp components, 3mm -<br />
angulator<br />
MA367 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
sliding carriage, complete<br />
MA368 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
halo with visor<br />
MA369 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
holder<br />
MA370 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
connecting tube<br />
MA371 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
angled piece with nut<br />
MA372 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
bar for lower jaw for children<br />
MA373 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
bar for upper jaw<br />
MA374 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
bar for upper jaw<br />
MA375 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
malar plates<br />
MA376 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
simple hook<br />
MA377 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
knurled nut M23<br />
MA378 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
sliding carriage<br />
MA379 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
double joint<br />
MA380 Orthopaedic External Fixator Systems External fixator clamp components, 1.25-6.0mm -<br />
holding sleeve with wing screw<br />
Page 280 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Orthopedic Internal Fixation Systems, Spinal<br />
MA006 Click'X Spinal Fixation System Cap One size only<br />
MA007 Click'X Spinal Fixation System Pedicle Screw: Preassembled, 35-60mm length; 5.5 - 7.0mm dia<br />
Spondylolisthesis<br />
MA008 VentroFix Clamp Single, Double, Fracture, Left,<br />
MA009 VentroFix Locking screw 7.5mm dia, 25-55mm length<br />
MA010 VentroFix Set screw One size only<br />
MA011 VentroFix Parallel connector 6.0/6.0mm<br />
MA012 CerviFix Posterior Cervical System Clamp Left, Right, Medial, Lateral,<br />
Pedicle, Lamina<br />
MA013 CerviFix Posterior Cervical System Hook Small, Large, Left, Right<br />
MA014 CerviFix Posterior Cervical System Rod: Occiput, Straight, Tapered 120 - 250mm length<br />
MA015 CerviFix Posterior Cervical System Parallel connector 3.5/3.5, 3.5/5.0, 3.5/6.0<br />
MA034 Universal Spine System (USS) Sacral Screw - Ti, St St 30 - 100mm length<br />
MA035 Universal Spine System (USS) Sacral Clamp 10 - 16mm, right, left<br />
MA036 Universal Spine System (USS) Pedicle Screw, 3D - St St 6mm dia, length 30mm - 55mm<br />
MA116 Vertebral body Replacement Cage Titanium Height 23-71mm<br />
MA156 Plif Cage: Cage Contact fusion cage, tan - bone Width 8 - 11mm / height 9 - 15mm<br />
compression screw for PLIF cage<br />
MA215 Cervical Spine Locking Plate (CSLP) Plate - Special Manuf. 22 - 92mm Length<br />
System<br />
MA216 Cervical Spine Locking Plate (CSLP) Expansion Head Screw 4.0 - 4.5mm dia, 12 - 25mm Length<br />
System<br />
MA217 Cervical Spine Locking Plate (CSLP) Locking Screw One size only<br />
System<br />
MA218 Posterior Cervical Plate System Screw 3.5 - 4.0mm dia, 8 - 40mm length<br />
MA219 Posterior Cervical Plate System Plate 3 - 5 Holes<br />
Page 281 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA220 Syncage Interbody fusion cage 12 -19mm Height<br />
MA221 Spinal Plate/Plate System AO/ASIF Notched spinal plates 5 - 13 hole<br />
Spinal Implants<br />
MA222 Spinal Plate/Plate System AO/ASIF Internal fixator - clamps - One size only<br />
Spinal Implants w/posterior / lateral nut<br />
MA223 Spinal Plate/Plate System AO/ASIF Internal fixator - rods 7.0mm dia, length 70 - 300mm<br />
Spinal Implants<br />
MA224 Spinal Plate/Plate System AO/ASIF Internal fixator - cross link clamp One size only<br />
Spinal Implants<br />
MA225 Spinal Plate/Plate System AO/ASIF Internal fixator - cross link rod Rod 3.5, length 40 - 80 mm<br />
Spinal Implants<br />
MA226 Spinal Plate/Plate System AO/ASIF Internal fixator - schanz screws 5.0 - 70mm dia, length 180mm,<br />
Spinal Implants thread 25 -35mm.<br />
MA227 Spinal Plate/Plate System AO/ASIF Anterior thoracolumbar plate - Length 57 - 103mm<br />
Spinal Implants<br />
MA228 Spinal Plate/Plate System AO/ASIF Anterior thoracolumbar screws - Locking screw 7.5mm, length 25 -<br />
Spinal Implants locking 55mm<br />
MA230 Universal Spine System (USS) Rod - Ti, St St Length 300 - 500mm,<br />
MA232 Universal Spine System (USS) Sacral Hook - Ti, St St Small, Medium, Large,<br />
MA240 Universal Spine System (USS) Rods - Ti, St St Length 40 - 250mm<br />
MA241 Universal Spine System (USS) Hook - Ti, St St Small, Medium, Large, Lamina,<br />
Thoracic, Pedicle<br />
MA242 Universal Spine System (USS) Pedicle screw - Ti, St St 5.0 - 7.0mm dia, 25 - 65mm Length<br />
MA243 Universal Spine System (USS) Pedicle Screw, Polyaxial - Ti 5.0 - 9.0mm dia, 30 - 65mm length<br />
MA244 Universal Spine System (USS) Fracture clamps - Ti, St St Cranial, Standard, Low Profile<br />
MA245 Universal Spine System (USS) Cross link clamp - Ti, St St 3.5 - 6.0mm<br />
MA246 Universal Spine System (USS) Half ring - Ti, St St SS, Standard, Self-Holding<br />
MA247 Universal Spine System (USS) Cross link rod - Ti, St St 40-80mm length<br />
Page 282 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA248 Universal Spine System (USS) Connectors - Ti, St St Parallel, In-line, Transverse, SS, 15<br />
- 25mm<br />
MA249 Universal Spine System (USS) Safety screw - Ti, St St One size only<br />
MA250 Universal Spine System (USS) Pedicle Hook Screw - Ti, St St Length 20- 40mm<br />
MA251 Universal Spine System (USS) Schanz screws - Ti, St St 5-7mm dia<br />
MA253 Universal Spine System (USS) Sleeve - Ti, St St 3.5 - 6mm<br />
MA254 Universal Spine System (USS) Miscellaneous - Ti, St St SS, Std<br />
MA255 Universal Spine System (USS) Spondylolysthesis pin - Ti, St St Standard, SS.<br />
MA277 VentroFix Fracture clamp One size only<br />
MA292 Universal Spine System (USS) Nut, Tc, St St Standard, SS<br />
MA293 Universal Spine System (USS) Pedicle Screw, Ti, St St Dia 4, 4.2, 8.0mm, length 25 - 65mm<br />
MA294 Syncage - C ACIF Cage 4.5 - 10mm<br />
MA297 Click'X Spinal Fixation System Head One size only<br />
MA298 Click'X Spinal Fixation System Pedicle Screw (without head) Dia 5.5, 6.2, 7.0mm, length<br />
MA299 Cervical Spine Locking Plate (CSLP) Small Stature Plate Length 20-77mm<br />
System<br />
MA300 Cervical Spine Locking Plate (CSLP) VA Screw Dia 4.0 - 4.5mm, length 12-20mm<br />
System<br />
MA301 Cervical Spine Locking Plate (CSLP) Expansion Head Screw Length 18 - 25mm, Diameter 3.5 -<br />
System 4.5mm<br />
MA302 Cervical Spine Locking Plate (CSLP) VA Plate Length 23 - 109mm<br />
System<br />
MA303 Posterior Cervical Plate System Plate 22-33 holes<br />
MA304 Posterior Cervical Plate System Plate - rod Special Manufacture - One size<br />
MA305 Cervifix Posterior Cervical System Starlock Clamp Upgoing, Neutral, Offset, Offset<br />
Neutral, Left, Right<br />
MA306 Cervifix Posterior Cervical System Nut One size only<br />
Page 283 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA307 Cervifix Posterior Cervical System Occiput Screw Length 6 - 22mm, Dia 3.2 - 3.5mm<br />
MA308 Cervifix Posterior Cervical System Cancellous Screw Length 8 - 45mm, Dia 3.5 - 4.5mm<br />
MA309 Cervifix Posterior Cervical System Cortical Screw Length 8 - 55mm, Dia 3.2, 3.5mm<br />
MA319 Universal Spine System (USS) Pedicle screw - Ti, St st Length 70 - 140mm<br />
MA382 Universal Spine System Low Profile Transconnector 18-83mm length<br />
MA383 Click'X Spinal Fixation System Monoaxial Screw 25-80mm length<br />
MA384 SYNCAGE Interbody Fusion Cage, Prefilled 12-19mm Height<br />
MA385 VENTROFIX - MIS Screw 25-65mm<br />
MA388 Ventrofix - MIS Locking screw Anterior, posterior<br />
MA389 Ventrofix - MIS Double rod implant Monosegmental, bisegmental<br />
Pins, Bone<br />
MA086 AO/ASIF K-Wires, Pins, Washers Seldrill 4.0/3.0mm & 4.0 - 6mm / 80 -<br />
250mm L<br />
MA159 AO/ASIF K-Wires, Pins, Washers etc Steinmann pins/schanz screws - 4.5 / 5.0 / 3.5 / 3.0 / 4.0 , length 60 -<br />
- Steel central thread, short thread, unifix 300 mm, T<br />
MA162 AO/ASIF K-Wires, Pins, Washers etc K-wire single ended 0.60 - 3.00mm, length 70 - 400mm<br />
- Titanium<br />
MA163 AO/ASIF K-Wires, Pins, Washers etc K-wire double ended 0.60mm - 3.00 mm, length 70 -<br />
- Titanium 150mm<br />
MA164 AO/ASIF K-Wires, Pins, Washers etc K- wires threaded 5 - 15 mm, 0.80- 3.00 mm, length 70<br />
- Titanium - 150mm<br />
MA165 AO/ASIF K-Wires, Pins, Washers etc Steinmann pins/schanz screws - 3.5 / 4.0 / 4.5 / 5.0 , length 100 -<br />
- Titanium trocar tip 275 mm<br />
MA381 AO/ASIF K Wires, Pins Washers - Hybrid Pins - Spade point 1.8, 2.0mm Diameters<br />
Steel/Ti Sterile & Non Sterile wires/reduction wires<br />
Plates, Bone<br />
MA039 AO/ASIF Plates Titanium, 3.5mm cloverleaf 3-6 hole, length 104mm<br />
Page 284 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA040 AO/ASIF Plates Titanium, 3.5mm calcaneal Length 60 - 70mm<br />
MA041 AO/ASIF Plates Titanium, straight & curved 3.5mm, 5-22 hole<br />
reconstruction<br />
MA044 AO/ASIF Plates Steel, left & right, 4.5mm T & L plate, 3-12 hole<br />
4.5mm<br />
MA045 AO/ASIF Plates Steel, spoon plate,4.5mm 5-12 hole<br />
MA046 AO/ASIF Plates Steel, left & right,4.5mm conylar 7-15 hole<br />
buttress<br />
MA047 AO/ASIF Plates Steel, 3.5mm calcaneal 60 - 70mm length<br />
MA048 AO/ASIF Plates Steel, left & right, lateral, proximal, 3-13 hole<br />
tibial, buttress, 4.5mm lateral tibial<br />
MA049 AO/ASIF Plates Steel, 4.5mm cobra head 8-11 hole<br />
MA050 AO/ASIF Plates Steel, 1.5mm, straight / T & H shaped 3-20 hole / 9-100mm length<br />
/ L-condylar<br />
MA051 AO/ASIF Plates Steel, 3.5mm cloverleaf 3-9 hole / 88 - 184mm length<br />
MA052 AO/ASIF Plates Steel, 2.0mm reconstruction 20 hole, length 100mm<br />
MA053 AO/ASIF Plates Steel, left & right, 2mm condylar Left & right<br />
MA054 AO/ASIF Plates Steel, 2.7mm straight, 1/4 tubular & 2-50 hole / 23 - 300mm length<br />
DCP<br />
MA055 AO/ASIF Plates Steel, DHS plates 130-150 deg/ 2-16 hole / 43-27mm<br />
length / barrel 25 - 38mm<br />
MA056 AO/ASIF Plates Steel, left & right, 2.7mm condylar Left & right<br />
MA057 AO/ASIF Plate Steel, 3.5mm narrow, DCP/LCDCP 2-10 hole / length 25mm - 155mm<br />
MA058 AO/ASIF Plates Steel, 3.5mm broad DCP/LCDCP 7-22 hole<br />
MA059 AO/ASIF Plates Titanium, 4.5mm semi tubular 2 - 12 hole<br />
MA060 AO/ASIF Plates Titanium, 4.5mm narrow, 2-16 hole<br />
MA061 AO/ASIF Plates Titanium, 4.5mm broad, 6-18 hole<br />
Page 285 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA062 AO/ASIF Plates Titanium, tubular plate, 3.5mm 1/3 2-12 hole<br />
tubular<br />
MA063 AO/ASIF Plates Titanium, wrist fusion plate - 8 - 9 hole<br />
standard bend, short bend, straight<br />
MA064 AO/ASIF Plates - Steel DHS trochanteric stabilizing plate One size only<br />
sterile / short<br />
MA065 Spinal Plate/Plate System AO/ASIF Posterior cervical hook 1 & 2 hole / 21-39mm length<br />
Spinal Implants<br />
MA066 Spinal Plate/Plate System AO/ASIF Anterior cervical H plate 5-20 hole / 16 - 21mm holes & hole<br />
Spinal Implants spacing<br />
MA072 AO/ASIF Plates - Titanium Osteotomy plate - adult 4 Hole /blade 40 - 110mm / 90-130<br />
deg<br />
MA075 AO/ASIF Plates - Steel 3.5mm - 1/3 tubular plate 2-12 hole / 25 - 145mm length<br />
MA076 AO/ASIF Plates - Steel 3.5mm T plate 3-5 hole shaft / 3-4 hole head (incl.<br />
oblique) length 38mm - 78mm<br />
MA077 AO/ASIF Plates - Titanium 2.7mm straight, 1/4 tubular & DCP 2-12 hole / length 23-63mm<br />
MA078 AO/ASIF Plates - Titanium 2.7mm, shaped, left, right, T 3 hole shaft / 2 hole head<br />
MA079 AO/ASIF Plates - Titanium 2.7 condylar Left & right<br />
MA087 AO/ASIF Plates - Titanium Distal radius plate - volar plates - One size only<br />
left & right<br />
MA088 AO/ASIF Plates - Titanium DHS/DCS plate 135-150 deg / 2-5 hole<br />
MA094 AO/ASIF K-Wires, Pins, Washers etc Wire mount One size only<br />
- Steel<br />
MA095 AO/ASIF Plates - Titanium 1.2mm, straight, external, T, Y, 3-4 hole<br />
button, plate<br />
MA096 AO/ASIF Plates - Titanium 2.4mm unilock, angled, straight, T, 4-20 hole<br />
Y, condylar, DCP, LCDCP, left &<br />
right, plate<br />
MA112 AO/ASIF Screws Titanium LISS screws - locking head & screw 5.0 x 81mm - 5.0 x 85mm<br />
hole insert<br />
Page 286 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA113 AO/ASIF Screws Titanium LISS fixator - Lat. proximal tibia/ 5-13 holes<br />
distal femur/ right & left<br />
MA168 AO/ASIF Plates - Steel Specially manufactured plate all Custom made<br />
MA169 AO/ASIF Plates - Steel Shaped 2.0mm<br />
MA170 AO/ASIF Plates - Steel Shaped 2.7mm<br />
MA171 AO/ASIF Plates - Steel Straight reconstruction 2.7mm 5 hole<br />
MA172 AO/ASIF Plates - Steel 3.5mm reconstruction, straight & 2.7-3.5mm / 5 hole - 24 hole<br />
curved<br />
MA173 AO/ASIF Plates - Steel 4.5mm semi tubular 2-12 hole<br />
MA174 AO/ASIF Plates - Steel 4.5mm narrow DCP/LCDCP 2-24 hole length 34-286mm<br />
MA175 AO/ASIF Plates - Steel 4.5mm broad DCP/LCDCP 6-26 hole/ length 106 - 359mm<br />
MA176 AO/ASIF Plates - Steel 4.5mm reconstruction 3 - 16 hole<br />
MA177 AO/ASIF Plates - Steel 4.5mm lengthening broad 8-10 hole / 30-249mm<br />
MA178 AO/ASIF Plates - Steel Hook / double hook plate 4.5mm hook , 5 - 8 hole.<br />
MA179 AO/ASIF Plates - Steel Osteotomy Plate - Adult / LC angle 4 hole, 5-6 hole/30-40mm blade<br />
blade /cannulated angle blade length/ 90 - 100 deg, 10- 20 mm<br />
displacement<br />
MA180 AO/ASIF Plates - Steel Osteotomy plate - adolescent 90 deg, blade 40 - 60mm, displ 10 -<br />
15mm<br />
MA181 AO/ASIF Plates - Steel Osteotomy plate - infant Child, toddler & infant, 115 deg<br />
bifurcated, blade 25 - 45mm, 80 -<br />
100 deg, 4 - 8mm offset, displ 7 -<br />
12mm, height 49- 54mm<br />
MA182 AO/ASIF Plates - Steel Osteotomy plate - high tibial 95 deg condylarprox tibia , 50-60<br />
mm, displ 15-20mm<br />
MA183 AO/ASIF Plates - Steel Condylar & small condylar, angled 5 - 24 hole, blade length 50 - 90mm,<br />
plate 95 degree<br />
MA184 AO/ASIF Plates - Steel Angled plate 4 - 12 hole, length 50 - 110mm 130<br />
degree<br />
Page 287 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA185 AO/ASIF Plates - Steel DCS plate 95 deg, 10 hole - 22 hole, length<br />
100 - 370mm, barrel 25mm.<br />
MA189 AO/ASIF Plates - Titanium Specially manufactured plate One size only<br />
MA190 AO/ASIF Plates - Titanium Titanium 1.5mm plate<br />
MA191 AO/ASIF Plates - Titanium 2.0mm DCP LCDCP, left, right 4 - 20 hole<br />
MA192 AO/ASIF Plates - Titanium 2.0mm shaped 2 - 9 hole, right, left & oblique<br />
MA193 AO/ASIF Plates - Titanium 2.0mm condylar Left & right<br />
MA194 AO/ASIF Plates - Titanium 3.5mm narrow, DCP/LCDCP 4 - 12 hole<br />
MA195 AO/ASIF Plates - Titanium 3.5mm, T-PLATE - right & oblique Small , 3 - 6 hole<br />
angle<br />
MA196 AO/ASIF Plates - Titanium 4.5mm pelvic recon plate 3 - 16 hole<br />
MA197 AO/ASIF Plates - Titanium 4.5mm,T-plate - left & right 3 hole - 9 hole<br />
MA198 AO/ASIF Plates - Titanium 4.5mm, head buttress plate lateral 5 - 13 hole<br />
tibial left & right<br />
MA199 AO/ASIF Plates - Titanium 4.5mm condylar buttress plate left & 7 - 15 hole<br />
right<br />
MA200 AO/ASIF Plates - Titanium 4.5mm, spoon plate 5 - 6 hole<br />
MA201 AO/ASIF Plates - Titanium 4.5mm condylar, angled plate, 95 5 - 12 hole, length 50 - 80mm, 5 - 6<br />
degrees hole<br />
MA202 AO/ASIF Plates - Titanium 4.5mm, angled plate, 130 degrees 4 - 12 hole, length 50 - 110 mm<br />
MA256 AO/ASIF Plates - Steel Osteotomy plate - shoulder Dislocation 80-90 deg. blade<br />
length 35 - 40mm<br />
MA279 LCP Plate 1/3 Tubular Plate Dia 3.5mm, length 2-16 hole<br />
MA280 LCP Plate Distal Tibial Plate, sterile/non Dia 3.5 - 5.0mm, length 4-16 hole<br />
MA281 LCP Plate Proximal Tibial Head Plate, Dia 3.5 - 5.0mm, length 4-18 hole<br />
Sterile/Non Sterile<br />
MA282 LCP Plate Distal Femoral Buttress Plate, Dia 5.0mm, length 4-22 hole<br />
Sterile/Non Sterile<br />
Page 288 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA283 LCP Plate Tomofix Plate, Sterile/Non Sterile Dia 5.0mm, length 2-8 hole<br />
MA284 LCP Plate Locking Proximal Humeral Plate, Dia 3.5mm, length 4-10 hole<br />
Sterile/Non Sterile<br />
MA285 LCP Plates Cloverleaf Plate, Stainless, Dia 3.5mm, length 3-6 hole<br />
Sterile/Non Sterile<br />
MA286 LCP Plates Oblique left & right and right Dia 3.5mm, length 3 - 6 hole<br />
angled plates, Sterile/Non Sterile<br />
MA287 LCP Plate L & T Plates, L & T Buttress Plates, Dia 3.5 - 5.0mm, length 2-10 hole<br />
Sterile/Non Sterile<br />
MA288 LCP Plate Reconstruction Plate, Sterile/Non Dia 3.5 - 5.0mm, length 3-22 hole<br />
Sterile<br />
MA289 LCP Spacer and LCP Washer Dia 2.7 - 5.0mm<br />
MA290 LCP Plate Straight Plate, Sterile/Non Sterile Dia 3.5 - 5.0mm, length 2-20 hole<br />
MA310 AO/ASIF Plates Calcaneal, Locking 3.5mm, Long, Short, Left, Right<br />
MA314 Proximal Tibial Plate ST.ST Diameter 3.5-4mm, length 2-16 hole<br />
MA317 Medial Distal Tibial Plate Stainless steel plate 3.5 and 4.5mm, 6 - 12 hole<br />
MA318 Medial Distal Tibial Plate Stainless steel plate 3.5 and 4.5mm, 13 - 18 hole<br />
MA387 AO/ASIF Plates Foot plates - steel - multiple hole 2 - 4mm<br />
<strong>Prostheses</strong>, Femoral Head<br />
MA020 Ceramic Head Small / medium / large Small, medium & large, cone 12/14<br />
- dia 28mm-32mm<br />
MA025 Bipolar Head Bipolar prosthesis head Dia 28mm size 42- 58<br />
MA029 Metal on Metal Head Head for MOM articulation - 28mm<br />
small/medium/large<br />
<strong>Prostheses</strong>, Finger/Thumb<br />
MA081 Finger Prosthesis -distal, proximal, L18 D4.0 - L26 D6.0<br />
standard, large<br />
Page 289 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
MA021 Modular Shell CBF cup with fin & screws 46 mm - 68mm OD<br />
MA022 MOM Liner CBF inlay metal.metal 28/48 - 28/68<br />
MA023 RM cup with MOM Polyethylene titanium coating, Dia 46mm -64mm<br />
chrome, cobalt lining<br />
MA024 CCE Ring CCE roof reinforcement ring - TICP Dia 46 - 58mm<br />
for cup O dia<br />
MA027 CCB Cemented Cup Full profile / low profile special cup 28/32 ID - 42/64 OD<br />
/ UJMWPE<br />
MA030 PE Liner CBF cup liner id Size 28mm ID/46mm - 68mm OD<br />
MA031 RM Cementless Cup RM bevelled / monomesh / ceros 80 46mm-size 64 & 28mm IDX46mm<br />
coated/ ti coated OD - 28mm IDX64mm OD<br />
MA104 Consensus Hip System Cemented and cementless acetabular Cluster & no-hole / PC-TI 46-68mm<br />
cup shells<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
MA016 CCA Cemented Stem Straight / standard / lateral sterile 7.50mm -17.5mm<br />
MA017 FULFIX Cemented Stem Standard modular / lateral modular 3.0mm - 12.5mm<br />
sterile<br />
MA018 PE Plug Medullary Small , medium, large, extra large<br />
MA019 CBC Cementless Stem Titanium femoral stem 9.00mm - 16.25mm<br />
MA026 Centraliser For fullfix stem - PMMA Dia 8.0/9.5mm - 15/12mm<br />
MA028 Metal Heads hip prosthesis head - total - hemi / Cone 12/14 dia 28mm-58mm<br />
metal - small/ medium/ large<br />
MA107 Option 3000 Cementless Stem Uncemented 0.5 - 7.0mm<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
MA102 Consensus Hip System Cementless femoral stem HA/TI & PC-TI / size 10 - 15<br />
MA103 Consensus Hip System Cemented femoral stem - with collar Size 8-14<br />
Page 290 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA105 Consensus Hip System Acetabular cup liners and poly cups With hood 46-68mm<br />
MA106 Consensus Hip System Proximal and distal centralisers 12-18mm<br />
<strong>Prostheses</strong>, Joint, Knee, Femoral Component<br />
MA100 Consensus Knee Femoral component Size 1-6<br />
MA108 Balansys Femoral Component Left & right A - E<br />
<strong>Prostheses</strong>, Joint, Knee, Patellar Component<br />
MA101 Consensus Knee Patella - All PE Size 1-3 / 10mm<br />
MA111 Balansys Patella Component Polyethylene Dia 25mm<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
MA099 Consensus Knee Tibial Insert - congruent, PCL SUB / Sizes 1/2, 3/4, 5/6, / 10-18mm<br />
PS / left, right<br />
MA311 Balansys Knee System Tibial Polyethylene Component 64/8mm - 85/15.5mm<br />
Mobile Bearing<br />
MA312 Balansys Knee System Tibial Base Plate Mobile Bearing 64/8mm - 85/15.5mm<br />
MA316 Balansys Tibial Component Tibial component - mobile bearing - 60 -90mm<br />
tibial insert<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
MA033 RM Shoulder With & without shaft/ distal/ Distal 9-11 / proximal 11-14 /<br />
proximal/ diaphyseal prosthesis/ length 70-110mm / head 38-50 /<br />
shoulder tumor prosthesis stem 9-14 / shaft 30mm - 150mm<br />
MA080 Radial Head Prosthesis / Type A & B D20, D08 - D24, D10<br />
<strong>Prostheses</strong>, Tibial<br />
MA098 Consensus Knee Tibial base plate - stemmed NPC/PC Size 1-6<br />
left & right<br />
MA109 Balansys Tibial Base Plate Metal back 64mm - 85mm<br />
MA110 Balansys Tibial Component Tibial insert Insert 64/8 - 85/15.5<br />
MA315 Balansys Tibial Base Plate Mobile bearing, metal back 60-90mm<br />
Page 291 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Screws, Bone<br />
MA032 RM Cup Screws Titanium 4 x 22mm - 4 x 48mm<br />
MA082 AO/ASIF Screws Steel Mini cannulated screw - short & 3.0mm dia / 8 - 40mm length<br />
long thread/ self tap & drill<br />
MA083 AO/ASIF Screws Titanium Plate pin 1.8mm buttress pin 12 - 30mm<br />
MA089 AO/ASIF Plates - Titanium DHS/DCS lag screw 75 - 105mm<br />
MA091 AO/ASIF Screws Steel Self-Tapping Screw 2.4mm dia / 6 - 40mm length<br />
MA092 AO/ASIF Screws Titanium Cortex & self tapping screw 1.3mm dia / 3.0 - 16mm length<br />
MA118 AO/ASIF Screws Steel Cortex screws 1.5mm dia / 6-28mm<br />
MA119 AO/ASIF Screws Steel Cortex screws self tapping & non 2.0mm dia / 6 -48mm / L 6-14mm<br />
tapping<br />
MA120 AO/ASIF Screws Steel Cortex screws 2.7mm dia / 8-46mm / MF 6 - 40mm /<br />
cortical 42mm<br />
MA121 AO/ASIF Screws Steel Cortex screws 3.5mm dia /10 - 110mm<br />
MA122 AO/ASIF Screws Steel Cortex self tapping screws 3.5mm Dia / 10 - 130mm<br />
MA123 AO/ASIF Screws Steel Cancellous,- ligament, 4.0mm dia/ 10 - 105mm / 16/8 -<br />
bunionectomy, full & short thread 52/20mm<br />
MA124 AO/ASIF Screws Steel Cortex screws - shaft, malleolar 4.5mm dia / 14 - 110mm<br />
MA125 AO/ASIF Screws Steel Cortex self tapping screws 4.5mm dia / length 14 - 140mm<br />
MA126 AO/ASIF Screws Steel 6.5mm cancellous screws 16 -125mm to 32 - 150mm / full<br />
thread 18 - 150mm<br />
MA127 AO/ASIF Screws Steel 3.5mm cannulated screws Short thread 10 - 50mm / full thread<br />
10 - 50mm<br />
MA128 AO/ASIF Screws Steel Cannulated screws 1/3 thread & long thread / 10 -<br />
50mm /4.0mm cannulated<br />
MA129 AO/ASIF Screws Steel 4.5mm cannulated screws Short thread, 1/3 thread, full thread<br />
/ 20 - 72mm, 4.5mm cannulated<br />
Page 292 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA130 AO/ASIF Screws Steel 7mm cannulated screws 16, 32mm, & full thread / 30 -<br />
150mm / 7.00 mm cannulated<br />
MA131 AO/ASIF Screws Steel 7.35mm cannulated screws 16, 32mm, & full thread / 20 -<br />
150mm / 7.3mm cannulated<br />
MA132 AO/ASIF Screws Steel Cannulated implant Custom made<br />
MA133 AO/ASIF Screws Titanium Cortex screw self tapping 2 - 14mm length / 1.0mm dia<br />
MA134 AO/ASIF Screws Titanium Cortex screw 2 - 8m / 1.2mm dia<br />
MA135 AO/ASIF Screws Titanium Cortex screw - stardrive self drill & 4-24mm length / 1.5mm dia<br />
tapping<br />
MA136 AO/ASIF Screws Titanium Cortex screw - stardrive self drill & 1.7 - 2.0mm TI MF emergency<br />
tapping, monocortical /2.0mm dia / 3 - 38mm length<br />
MA137 AO/ASIF Screws Titanium Cortex screw - madibular, emergency, 4-40mm length/ 2.4mm dia<br />
unlock self tapp.<br />
MA138 AO/ASIF Screws Titanium Cortex screw - emergency, self tap 6mm-mm length / 2.7mm dia<br />
MA139 AO/ASIF Screws Titanium Cortex screw - emergency 8 - 24mm length/ 3.2mm dia<br />
MA140 AO/ASIF Screws Titanium Cortex screw - shaft 10 - 100mm length / 3.5mm dia<br />
MA141 AO/ASIF Screws Titanium Cortex self tapping screws 10 - 55mm length / 3.5mm dia<br />
MA142 AO/ASIF Screws Titanium Cancellous screws - full & part 10 - 60mm / 4.0mm dia<br />
MA143 AO/ASIF Screws Titanium Cortex screws TI.cortex / TI.shaft 14mm - 140mm<br />
length / 4.5mm dia<br />
MA144 AO/ASIF Screws Titanium Cortex screws self tapping 14mm - 140mm length / 4.5mm dia<br />
MA145 AO/ASIF Screws Titanium 6.5mm cancellous screws Washer / 16, 32mm, full thread /<br />
20mm 150mm / 6.5mm dia<br />
MA146 AO/ASIF Screws Titanium Cannulated screws - self tapping 36-50mm length 3.5mm dia<br />
MA147 AO/ASIF Screws Titanium 4.0mm cannulated screws Self tapping & drilling short thread<br />
34-50mm/ 4.0mm dia<br />
Page 293 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MA148 AO/ASIF Screws Titanium 7.35mm cannulated screws TAN/CANN. / full thread /16mm,<br />
32mm thread / 30 - 130mm length /<br />
7.3mm Dia<br />
MA149 AO/ASIF Screws Titanium Cannulated special Custom made<br />
MA186 AO/ASIF Plates - Steel DHS/DCS lag screws 12.5mm, length 50 - 145mm<br />
MA187 AO/ASIF Plates - Steel DHS/DCS compression screw 36mm length<br />
MA188 AO/ASIF Plates - Steel DHS/DCS locking device screw One size only<br />
MA207 AO/ASIF Intermedullary Nails Shaft screw - TAN 5.0mm , length 70 - 125mm<br />
MA229 Spinal Plate/Plate System AO/ASIF Cannulated/self tapping screw 3.5mm dia, 36-50mm length<br />
Spinal Implants (odontoid)<br />
MA278 AO/ASIF Screws Titanium Cortex screw self tapping 2 - 14mm length/1.0mm diameter<br />
MA291 Locking Head Screws Self drilling, Self Tapping, Dia 3.5 - 5.0mm, length 10-100mm<br />
Sterile/Non Sterile<br />
Washers, Bone Screw<br />
MA161 AO/ASIF K-Wires, Pins, Washers etc Washers/nuts 4.5mm - 13.5mm dia<br />
- Steel<br />
MA167 AO/ASIF K-Wires, Pins, Washers etc Washers/nuts 7 and 13mm<br />
- Titanium<br />
MA252 Universal Spine System (USS) Washers - Ti, St St Pointed, Flat, 4.2 - 7mm<br />
Wires, Bone<br />
MA166 AO/ASIF K-Wires, Pins, Washers etc Pinless pins/clips Asymetric small and large<br />
- Titanium<br />
Medical & Optical Instruments Australia Pty Ltd<br />
Orthopedic Internal Fixation Systems, Fracture<br />
MO150 Acumed Congruent Plate System Toe Fusion Plate Titanium 5 to 9 hole<br />
MO151 Acumed Congruent Plate System Distal Radius Plate Titanium 6 to 7 hole<br />
MO152 Acumed Congruent Plate System Thumb Plate Titanium 5 to 6 hole<br />
Page 294 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MO153 Acumed Congruent Plate System Screw Titanium 8 to 27.5mm length<br />
MO154 Polarus Proximal Humeral Fixation Polarus Proximal Humeral Rod 150 - 300mm length<br />
System Standard/Plus Titanium<br />
MO156 Polarus Proximal Humeral Fixation Polarus Screws Cancellous/Cortical 12.5 to 60mm length<br />
System Titanium<br />
MO158 Polarus Humeral Rod System Polarus Washer 3.5mm<br />
MO159 Polarus Humeral Rod System Polarus Ulna Rod Titanium 210 to 270mm length<br />
MO160 Polarus Humeral Rod System Polarus Retrograde Rod Titanium 200 to 300mm length<br />
MO161 Polarus Humeral Rod System Polarus Radius Rod Titanium 190 to 230mm length<br />
MO190 Acumed Congruent Plate System Mid-shaft compression plate - 4 - 12 hole<br />
MO191 Acumed Congruent Plate System Metatarsal osteotomy plate - Right, left<br />
MO192 Acumed Congruent Plate System Malleolar plate - titanium Medial, anterior, lateral 5 hole,<br />
lateral 7 hole<br />
MO193 Acumed Congruent Plate System Fibula guide plate - titanium 3 - 7 hole<br />
MO194 Acumed Congruent Plate System Elbow plate - titanium Epicondyle, olecranon, small,<br />
medium, long, extra long<br />
MO195 Acumed Congruent Plate System Screw - titanium 2.7, 3.5, 4.0mm dia, 30 - 65 length<br />
Orthopedic Internal Fixation Systems, Other<br />
MO200 Polarus Proximal Humeral Fixation End cap, titanium Only size only<br />
System<br />
Pins, Bone<br />
MO162 Tension Band Pin Stainless Steel 50 to 90mm<br />
Plates, Bone<br />
MO138 Martin Bone Plate Compression Plate Y Plate 1.0mm<br />
MO139 Martin Bone Plate Compression Plate T Plate Titanium 1.0mm<br />
MO140 Martin Bone Plate Compression Plate Y, L Plate 1.0mm<br />
Page 295 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
MO141 Martin Bone Plate Compression Plate Straight 1.0mm<br />
MO142 Martin Bone Plate Compression Plate T,L, Straight 1.2mm<br />
Titanium<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
MO147 Acumed Shoulder Joint <strong>Prostheses</strong> Titanium 130 to 280mm stem,13 to 15mm<br />
body, 16 to 23mm head.<br />
<strong>Prostheses</strong>, Radial/Ulna Head<br />
MO145 Martin Ulna Head prosthesis Stem Titanium Small, medium and large,2mm,4mm<br />
and 17mm collar<br />
MO146 Martin Ulna Head prosthesis Ceramic Head Small, medium and large<br />
Screws, Bone<br />
MO005 HBS Bone screw Compression - standard, high Length 10 - 30mm<br />
MO006 Screw Cortical Titanium 1.5mm, length 6 - 20mm<br />
MO143 Martin Bone Screw Titanium 2.0mm diameter,20 to 24mm length<br />
MO144 Martin Bone Screw Titanium 2.0mm diameter,26 to 32mm length<br />
MO148 Acumed Implantable Screw Fixation Screw Titanium 2.7/3.5mm diameter 12 to 24mm<br />
length<br />
MO172 Dynamic Martin Screw Plate Stainless Steel 2 to 8 hole<br />
MO173 Dynamic Martin Screw Plate Stainless Steel 10 to 12 hole<br />
MO174 Dynamic Martin Screw Plate Stainless Steel 14 hole<br />
MO175 Dynamic Martin Screw Support Screw Stainless Steel 50 to 120mm length<br />
MO176 Dynamic Martin Screw Lag Screw Stainless Steel One size only<br />
MO178 Acutrak Fusion Screw Titanium 24 to 37mm<br />
MO179 Acutrak Fixation Screw Acutrak Cannulated Screw Titanium 10 to 50mm<br />
MO180 Acutrak Fixation Screw Acutrak Plus Cannulated Screw 35 to 80 mm<br />
Titanium<br />
Page 296 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Wires, Bone<br />
MO164 Osteo Clage Cable System CoCr Cable 2mm diameter 850mm length<br />
MO165 Osteo Clage Cable System CoCr Cable Sleeve 2mm diameter 850mm length<br />
MO166 Osteo Clage Cable System Stainless Steel Cable 850mm<br />
MO167 Osteo Clage Cable System Stainless Steel Cable Sleeve 2mm<br />
MO168 Osteo Clage Cable System Compression Plate Stainless Steel 5 hole<br />
MO169 Osteo Clage Cable System Compression Plate Stainless Steel 7 hole<br />
MO170 Osteo Clage Cable System Compression Plate Stainless Steel 9 hole<br />
MO171 Osteo Clage Cable System Compression Plate Stainless Steel 11 hole<br />
MO196 Osteo Clage Cable System Cerclage wire and sleeve 500mm<br />
Medimen Australia Pty Ltd T/A Alpha Medical<br />
<strong>Prostheses</strong>, Joint<br />
MM001 MOJE Toe and Finger Implants Includes distal and proximal<br />
Medtex<br />
Orthopedic Internal Fixation Systems, Spinal<br />
MX001 Universal Spinal Instrumentation Consists of - Screws, Threaded Rod, Screws: 6mm dia x 30 to 65mm<br />
(Zielke) System Hex Nuts, Washer, Endplate lengths, 5mm increments. Threaded<br />
Rod: 4mm dia x 200 & 300mm<br />
lengths. Hex Nuts: 4mm. Washer:<br />
16 - 18mm dia, 2mm increments.<br />
Endplate: 12mm diameter 14mm<br />
diameter 17mm diameter<br />
Page 297 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Medtronic Sofamor Danek Australia Pty Ltd<br />
Hooks, Other<br />
SD034 CD Horizon Hook - CD osed laminar; CD Each in one size<br />
Compression; CD Distraction;<br />
Pedicle; Spinal; Laminar; Narrow<br />
laminar; Angled laminar; Left and<br />
right offset laminar; Narrow laminar<br />
(extended body); Left and right<br />
thoracic laminar; M8 Paediatric; M8<br />
Pedicle; M8 Wide, narrow and<br />
angled blade; M8 Extended body;<br />
M8 right and left offset; Blocker;<br />
Closed and Open, pedicle or<br />
Laminar; laminar, Thoracic, Open;<br />
Closed; Laminar, Thoracic, R or L<br />
Disp; Laminar, closed, oblique<br />
balde; Laminar, closed body;<br />
Laminar, oblique body closed;<br />
Lateral opening; Lateral opening<br />
R/L Offset; Reduced blade, open and<br />
closed; Transverse Lumbar;<br />
Hydroxyapatite<br />
SD043 BCP Biphasic Calcium Phosphate 2.5cc - 20cc<br />
Reabsorbable Graft Supplement<br />
Mesh, Metallic<br />
SD006 Pyramesh Round Titanium Surgical - Long<br />
SD007 Pyramesh Round Titanium Surgical - Short<br />
SD079 Pyramesh Angled 25 - 150mm<br />
SD080 Pyramesh Curved 130mm<br />
SD081 Pyramesh Ovoid 8 - 70mm<br />
SD173 Pyramesh End ring 19 - 25mm<br />
Page 298 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Orthopedic Internal Fixation Systems, Other<br />
SD071 Atlas Cable System (SS) Single w/crimp and bar One size only<br />
SD072 Atlas Cable System (SS) Double w/2 crimps One size only<br />
SD073 Atlas Cable System (SS) Crimp One size only<br />
SD074 Atlas Cable System (Ti) Single (loop end) w/crimp One size only<br />
SD075 Atlas Cable System (Ti) Double w/2 crimps One size only<br />
SD076 Atlas Cable System (Ti) Crimp One size only<br />
SD212 R90 Spacer Spinal Implant (Peek) Height: 7mm - 12mm, Lordosis: 6<br />
degrees & 8 degrees, Length: 23<br />
-27mm<br />
SD213 Union CC System Cage - Titanium 6mm x 12mm, in both 3 degrees and<br />
8 degrees<br />
SD214 CD Horizon Spondylolisthesis Screw Diameter: 4.5 - 7.5, Length: 25mm -<br />
50mm<br />
Orthopedic Internal Fixation Systems, Spinal<br />
SD003 Colorado Spinal System Colorado 2 Hook, Pedicular hook -<br />
small and large, Laminar hook -<br />
small, medium and large, Staple for<br />
pedicular hooks,<br />
Closed laminar thoracic hook, Supra<br />
laminar median hook,<br />
Narrow laminar - 1 size, Closed<br />
laminar - 1 size<br />
SD004 Colorado Spinal System Colorado 2 Connector For 5mm rod and 5.5mm rod<br />
SD005 Colorado Spinal System Colorado 2 Clamp<br />
SD008 Interfix C Carbon Cage Diameter range from 12 - 20mm,<br />
Length range from 20 - 29mm<br />
SD009 Affinity Cervical Cage - D7 - L12 to D9 - L14<br />
SD010 Colorado Spinal System Colorado 2 Rod 5.0mm and 5.5mm, length range 50 -<br />
600mm<br />
Page 299 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SD012 Colorado 2 Pedicle Screw Diameter 5.5 - 7.5 Lengths 30 -<br />
SD022 CD Horizon Nut/Plug, DDT Nuts, double Each in one size<br />
threaded screw nots, plug for closed<br />
implants, threaded screw plug<br />
SD023 TSRH Spinal Implant System 3D -Staple, Two hole - left, right Two pronged 16 - 36mm<br />
SD024 TSRH Spinal Implant System 3D - Rod Diam 4.75 - 6.35mm, Length 25 -<br />
80cm<br />
SD025 TSRH Spinal Implant System 3D - Hook, Offset, left, right, laminar, Large - small<br />
pedicle, Stainless steel, Titanium<br />
SD026 TSRH Spinal Implant System 3D - Plate, Offset, connector, Sacral 20 - 50mm, rest 0.375 - 3.75<br />
multi-span, sacral inches<br />
SD027 TSRH Spinal Implant System 3D - Nut, Eyebolt locknot, locknut Each in one size<br />
1/2 inch, locking screws, double<br />
hex, flush break, universal breakoff<br />
SD028 TSRH Spinal Implant System 3D - Crosslink, Plate, multip-span Sacral 20 - 50mm, rest 0.375 - 3.75<br />
plate, offset plate, sacral plate inches<br />
SD029 TSRH Spinal Implant System 3D - Bolt Small, medium, large<br />
SD031 Colorado Spinal System Colorado 2 Plate Range length 20 - 60mm<br />
SD032 CD Horizon Rod, Stainless Steel, Titanium 40mm to 600mm<br />
SD033 TSRH Spinal Implant System 3D - Washer One size only<br />
SD035 CD Horizon Domino 5.5 - 6.35mm<br />
SD036 CD Horizon Crosslink, Plate, Multi-span late, 60 - 200mm<br />
Offset plate, Transverse links<br />
SD037 CD Horizon Connector, Lateral open, lateral Connector, Lateral open, lateral<br />
closed, closed reduction, DTT closed, closed reduction - 1size,<br />
Transverse, Domino, Connecting DTT Transverse - 70 - 100mm,<br />
cylinder, Closed Domino, Domino - 5.5 - 6.35mm<br />
Connecting Cylinder, Hopf screw,<br />
ilio sacral, lateral, Stephanie, axial<br />
SD038 CD Horizon Bolt, Left, Right One size only<br />
Page 300 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SD039 CD Horizon Block, Right, Left 5 - 7 mm<br />
SD040 Cornerstone SRC Cage Staple, Carbon composite<br />
SD041 Cornerstone SRC Cage Sterile and Non-sterile, Carbon 4, 5, 7, 8mm<br />
composite<br />
SD042 CD Horizon Plate, Chopin Intrapedicular 32mm -<br />
52mm, Chopin plate 32 - 36mm<br />
SD044 Novus System ALIF II 10-16mm<br />
SD045 Orfil Stainless Steel - Wire Spool 1-350mm<br />
SD046 Atlantis Anterior Cervical Plate Plate 19.0mm - 47.5mm<br />
SD047 Atlantis Anterior Cervical Plate Plate 50.0 - 60.0mm<br />
SD048 Atlantis Anterior Cervical Plate Plate 62.5 - 77.5mm<br />
SD049 Atlantis Anterior Cervical Plate Plate 80.0 - 95.0mm<br />
SD050 Atlantis Anterior Cervical Plate Plate 100.0 - 110.0mm<br />
SD051 Atlantis Fixed Angle Cancellous Screw 10-20mm<br />
SD052 Atlantis Variable Angle Cancellous Screw 10-20mm<br />
SD053 Dynalok Plus Breakoff Nut One size only<br />
SD054 Dynalok Plus Crosslink Plate 3cm - 16 cm<br />
SD055 Dynalok Plus Long Post Bolt 30 - 55mm<br />
SD056 Dynalok Plus Short Post Bolt 30 - 55mm<br />
SD057 Dynalok Plus Offset, Straight, Extended Connector 5.5 - 6.35mm<br />
SD058 Dynalok Plus Washer / Stabiliser One size only<br />
SD059 Colorado Spinal System Staple One size only<br />
SD060 Colorado Spinal System Sacral Plate Left/right<br />
SD061 Colorado Spinal System Ilio-Sacral Plate Left/right<br />
SD062 Colorado Spinal System Connector for Sacral & Ilio-Sacral One size only<br />
Plate<br />
Page 301 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SD063 Colorado Spinal System Break off Nut One size only<br />
SD064 CD-Horizon C-ring One size only<br />
SD065 CD-Horizon Staples One size only<br />
SD066 Novus System Plif Cage: Cage 12 - 50mm<br />
SD067 CD Horizon Eclipse Pedicle Screw Diameter 5.5 - 7.5mm, Lengths<br />
25-55mm<br />
SD068 CD Horizon Eclipse: 4.5mm Rod 40 - 600mm<br />
SD082 Telamon Carbon Cage 8 - 16mm<br />
SD083 Telamon Titanium Cage 8 - 16mm<br />
SD084 Telamon Contour, Carbon Cage 8 - 16mm<br />
SD085 Telamon Contour, Titanium Cage 8 - 16mm<br />
SD086 Interfix Titanium Cage 12 x 20mm - 24 x 50mm<br />
SD087 Lordotec Titanium Cage 18-28mm<br />
SD088 TSRH 3D Screw 30-55mm<br />
SD089 TSRH 3D Extended Post Screw 30-50mm<br />
SD090 TSRH 3D Rod, 5.5mm 20-500mm<br />
SD091 TSRH 3D Connector, 5.5mm 6-12mm<br />
SD092 Union Carbon Cage 10 - 16mm<br />
SD095 Z Plate II Plate 4cm<br />
SD096 Z Plate II Plate 5cm<br />
SD097 Z Plate II Plate 6cm<br />
SD098 Z Plate II Plate 7cm<br />
SD099 Z Plate II Plate 8cm<br />
SD100 Z Plate II Plate 9cm<br />
SD101 Z Plate II Plate 10cm<br />
Page 302 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SD102 Z Plate II Plate 11cm<br />
SD103 Z Plate II Plate 12cm<br />
SD104 Z Plate II Plate 13cm<br />
SD105 Z Plate II Bolt & Nut 30mm - 55mm<br />
SD106 Z Plate II Non Breakoff Nut One size only<br />
SD107 Z Plate II Screw 20 - 60mm<br />
SD108 Z Plate II Slot Washer One size only<br />
SD109 Axis Cervical Plating System Plate 11mm<br />
SD110 Axis Cervical Plating System Plate 13mm<br />
SD111 Axis Cervical Plating System Plate 15mm<br />
SD112 Axis Cervical Plating System Plate Longer than 15mm<br />
SD113 Axis Cervical Plating System Screw: Cancellous 6 - 24mm<br />
SD114 Axis Cervical Plating System Screw: Cortical 26 - 54mm<br />
SD115 Orion Anterior Cervical System Convergent or Divergent Plates 21.5 - 47.5mm<br />
SD116 Orion Anterior Cervical System Convergent or Divergent Plates 50 - 60mm<br />
SD117 Orion Anterior Cervical System Convergent or Divergent Plates 62.5 - 77.5mm<br />
SD118 Orion Anterior Cervical System Convergent or Divergent Plates 80 - 95mm<br />
SD119 Orion Anterior Cervical System Convergent or Divergent Plates 100 - 110mm<br />
SD120 Orion Anterior Cervical System Cancellous Screw 10 - 17mm<br />
SD121 Orion Anterior Cervical System Locking screw One size only<br />
SD122 TSRH Titanium Spinal Implant Washer One size only<br />
SD123 Apofix Support Rod One size only<br />
SD124 Apofix Clamp Single Rod Upper/lower<br />
SD125 Tenor Pedicle Screw (incl Self Breaking 30 - 55mm<br />
Nuts)<br />
Page 303 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SD126 Tenor Spondylolisthesis Screw - Ti 30 - 55mm<br />
SD127 Tenor Transverse Links - Titanium 40-100mm<br />
SD128 Tenor Rod (5.5mm) - Titanium 40-180mm<br />
SD129 Tenor Monoclamps - Titanium One size only<br />
SD130 Tenor Dual Clamps - Titanium One size only<br />
SD131 Tenor Offset Clamps - Titanium One size only<br />
SD132 CD Horizon Multi-Axial screw (Stainless Steel) 25 - 55mm<br />
SD133 CD Horizon Multi-axial screw (Titanium) 25 - 55mm<br />
SD134 CD Horizon Fixed Angle Screw (Titanium) 25 - 55mm<br />
SD135 CD Horizon M-8 Breakoff Set Screw (Titanium) 25 - 55mm<br />
SD136 Orfil L-Shaped Rods 5-510mm<br />
SD137 Orfil Double Pearl-Tipped Wires 1 - 350mm<br />
SD138 LIFT Vertebral Body Cages Short/long<br />
SD139 Novus Systems Cervical Cages 10-16mm<br />
SD140 CD Occipital-Cervical Loop CD Occipital-Cervical Loop One size only<br />
SD141 Premier Anterior Cervical Plate Plates 23 - 90mm<br />
SD142 Premier Anterior Cervical Plate Screws 10 20mm<br />
SD170 Danek Unit Rod System Scoliosis Rods Widths 3/16", 5.5mm or 6.35mm;<br />
lengths 25 x 45cm<br />
SD171 Danek Unit Rod System Scoliosis S-Rods Widths 5.5 - 6.35mm; left and right<br />
SD172 Tenor Nuts/plug One size only<br />
SD174 LIFT (Lumbar Interbody Fusion End plates (caps) Angulation: -8 - 7 degrees; left and<br />
right<br />
SD175 Bryan Cervical Disc System Disc 14 - 18mm<br />
SD176 Bryan Cervical Disc System Seal plug One size only<br />
Page 304 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SD177 Vertex Spinal System Connector Length 10 - 13mm; diameter 3.2 -<br />
6.35mm<br />
SD178 Vertex Spinal System Plate/rod 80 - 240mm<br />
SD179 Vertex Spinal System Rod 80 - 240mm<br />
SD180 Vertex Spinal System Screws Dia 3.5 - 4.0mm; length 6 - 24mm<br />
SD181 Vertex Spinal System Set screw One size only<br />
Plates, Bone<br />
SD094 Zephir Anterior Cervical Plate 20-70mm<br />
Screws, Bone<br />
SD030 CD Horizon Pedicle Screws Diameter 5.5 - 7.5 Lengths 25 -<br />
80mm<br />
SD077 UCSS Cortical Screws 30 - 50mm<br />
SD078 UCSS Cortical Lag Screws 36 - 50mm<br />
SD093 Zephir Cancellous Screw 13-17mm<br />
National Surgical Corporation Pty Ltd<br />
<strong>Prostheses</strong>, Ligament<br />
NI147 Endoflip Anchor for ACL reconstruction One size only<br />
Screws<br />
NI148 Bilok Arthroscopic Screw Screw for graft fixation in ACL Standard<br />
reconstruction<br />
NI149 Bilok Arthroscopic Screw Screw for graft fixation in ACL ST<br />
reconstruction<br />
Orthotech Pty Ltd<br />
Blood Cell Processors<br />
OH018 ICI Processor Pro-Osteon/AGF System One size only<br />
Page 305 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Cement, Orthopedic<br />
OH073 Lima Bone Cement CMT 1 Standard Viscosity Cement 40g<br />
OH074 Lima Bone Cement CMT 3 Low Viscosity Cement 60g<br />
OH126 Cemex bone cement 1 mix 1 mix 40g powder and 13.3g liquid<br />
Methylmethacrylate/Polymethylmet<br />
hacrylate<br />
OH127 Cemex-genta bone cement 1 mix Methylmethacrylate/ 1 mix 40g powder and 13.3g liquid<br />
Polymethylmethacrylate with<br />
gentamiacin<br />
Grafts, Bone<br />
OH002 Pro-Osteon Implants 500 Granules 5mm x 12mm x 40mm (2cc) Block<br />
OH003 Pro-Osteon Implants 500 Granules 10mm x 10mm x 10mm (1cc) Block<br />
OH004 Pro-Osteon Implants 500 Granules 10mm x 10mm x 40mm (4cc) Block<br />
OH005 Pro-Osteon Implants 500 Granules 10 x 20 x 50mm (10cc) Block<br />
OH006 Pro-Osteon Implants 500 Granules 12mm x 25mm x 25mm (7.5cc) Block<br />
OH007 Pro-Osteon Implants 500 Granules 12 x 30 x 30mm (11cc) Block<br />
OH008 Pro-Osteon Implants 500 Granules 10cc<br />
OH009 Pro-Osteon Implants 500 Granules 15cc<br />
OH010 Pro-Osteon Implants 500 Granules 20cc<br />
OH011 Pro-Osteon Implants 500 Granules 30cc<br />
OH012 Pro-Osteon Implants 200 Block 40 x 10 x 10mm Block<br />
OH013 Pro-Osteon Implants 200 Block 50 x 15 x 10mm Block<br />
OH014 Pro-Osteon Implants 200 Block 20 x 15 x 10mm Block<br />
OH015 Pro-Osteon Implants 200 Block 5cc Granules<br />
OH016 Pro-Osteon Implants 200 Block 0.8cc x 5 Syringes Grannules<br />
OH017 Pro-Osteon Implants 200 Block 0.8cc x 10 Syringes Grannules<br />
Page 306 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
OH055 Pro Osteon Implants 200 Granules, Porous Hydroxyapatite 5cc Syringe<br />
Bone Void Filler<br />
OH124 Pro Osteon Implants 200 Biocompatible osteoconductive 15cc Vial<br />
matrix made from hydroxyapatite<br />
Grafts, Bone, Synthetic<br />
OH019 Bone Plast Bone Void Filler Powder 20cc<br />
Hydroxyapatite<br />
OH001 Ceramtec Osprovit Granules Calcium Hydroxyapatite Bone 3.15 - 5.0mm, 5 grams<br />
Granules<br />
Nails, Bone<br />
OH138 Lima Humeral Nail Stainless steel Dia 7 - 8mm, length 200 - 300mm<br />
Orthopedic Internal Fixation Systems, Other<br />
OH128 Fidji Lumbar Cages - Anterior 10-16mm<br />
Orthopedic Internal Fixation Systems, Spinal<br />
OH030 Scolio Carbon Spinal Cage System Anterior Lumbar Cage 1 - 4<br />
OH031 Scolio Carbon Spinal Cage System Cervical Cage 1 - 8<br />
OH032 Scolio Carbon Spinal Cage System Lumbar Cage 1 - 6<br />
OH033 Synergy Spinal System Rods 5cm - 14cm<br />
OH034 Synergy Spinal System Rods 30 - 60cm<br />
OH035 Synergy Spinal System Sliders 4.75 - 6.35mm dia<br />
OH036 Synergy Spinal System Hex Nut / Cap Nut 3mm<br />
OH037 Synergy Spinal System Open/Closed Screws 5.5 to 8.0mm dia<br />
OH038 Synergy Spinal System Open/Closed Offset Hooks 4mm<br />
OH039 Synergy Spinal System Open/Closed Hooks 4.75 - 6.35mm dia<br />
OH040 Synergy Spinal System Adjustable Transverse Connector 3 - 6cm<br />
With Rod/Clamp<br />
Page 307 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
OH041 Synergy Spinal System Fixed Transverse Connectors 10.5 - 31.5mm<br />
OH042 Synergy Spinal System Lateral Connectors (Closed Rod) 4.75 - 6.35mm<br />
OH043 Synergy Spinal System Point/Double Hex Set Screw 4.75 - 6.35mm<br />
OH044 Synergy Spinal System C-Ring 4.75 - 6.35mm<br />
OH045 Synergy Spinal System Infant Hooks 4.75mm<br />
OH046 Synergy Spinal System Washers Single/Double 16mm - 21mm<br />
OH047 Synergy Spinal System Variable Locking Screws 6.5 - 7mm<br />
OH048 Synergy Spinal System Variable Locking Screw Seat 6.35mm<br />
OH049 Synergy Spinal System Variable Locking Screw Nut 13.8mm<br />
OH050 Synergy Spinal System Variable Locking Screw Reduction 6.35mm<br />
Seat<br />
OH051 Synergy Spinal System Iliac Screw 6.0 - 10.0mm<br />
OH058 Synergy Spinal System Growth Rod 30 - 60cm<br />
OH063 C-Tek Anterior Cervical Plate System Anterior Plate 20 - 70mm<br />
OH064 C-Tek Anterior Cervical Plate System Cancellous Bone Screw 4 - 20mm<br />
OH066 Co-Ligne Osta-Pek GII Plates Nuts<br />
OH067 Co-Ligne Osta-Pek GII Plates Washers 3mm, 5mm, Oblique<br />
OH068 Co-Ligne Osta-Pek GII Plates Spinal fixation plate 1 slot - 2 slots<br />
OH069 Co-Ligne Osta-Pek Plates Pedicle Screws 35 - 50mm<br />
OH070 Co-Ligne Osta-Pek System PLIF Cage 7 - 13mm<br />
OH071 Co-Ligne Osta-Pek System Cervical Cage 12 - 15mm<br />
OH072 Co-Ligne Osta-Pek System Anterior Cage 9 - 15mm, 5 degrees - 13 degrees<br />
OH123 GEO Structure Vertebral Cage - Alif 3 dimensional titanium One size only<br />
intervertebral cage<br />
OH129 Fidji Lumbar Cages - Posterior 9-14mm<br />
Page 308 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
OH130 Wallis No Fusion Stabilising Device 10-16mm<br />
OH131 Fidji Cervical Cage 12 x 15, 12 x 17, 14 x 17, 14 x 19<br />
OH132 Optima Spinal System - Transverse Small, Medium, Large<br />
Link Assembly<br />
OH133 Optima Spinal System - Set Screw One size only<br />
OH134 Optima Spinal System - Rod Dia 5-7mm, length 40-400mm<br />
OH135 Optima Spinal System - Monoaxial Dia 4-8mm, length 20-60mm<br />
Pedicle Screw System<br />
OH136 Optima Spinal System - Polyaxial Dia 4-8mm, length 20-60mm<br />
Pedicle Screw System<br />
Plates, Bone<br />
OH052 Interpore Bone Plate System TPS Bone Plate 20 - 56cm<br />
OH053 Interpore Bone Plate System TPS Screw 14 - 22mm<br />
OH054 Interpore Bone Plate System TPS Locked Nut 3mm<br />
Procedure Trays, Surgical<br />
OH139 Cement One size only<br />
<strong>Prostheses</strong>, Joint, Hip<br />
OH059 Exactech Total Hip System Modular Titanium Revision Hip - 11 - 21mm x 135-165mm<br />
OH060 Exactech Total Hip System Modular Titanium Revision Hip - 21 - 23mm, S, M, L, XL<br />
Metaphyseal Segment<br />
OH061 Exactech Total Hip System Modular Titanium Revision Hip - 32 - 49mm, -5 - +30mm<br />
Neck Segment<br />
OH116 Exactech Total Hip System Modular Titanium Revision Hip - 11-21mm x 200mm -<br />
OH117 Exactech Total Hip System Modular Titanium Revision Hip - 11-21mm x 250mm -<br />
OH118 Exactech Total Hip System Modular Titanium Revision Hip - 11-21mm x 300mm -<br />
OH119 Exactech Total Hip System Modular Titanium Revision Hip - 25-27mm, S, M, L, XL -<br />
Metaphyseal Segment<br />
Page 309 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
OH120 Exactech Total Hip System Modular Titanium Revision Hip - 29-31mm, S, M, L, XL -<br />
Metaphyseal Segment<br />
OH121 Exactech Total Hip System Modular Titanium Revision Hip - 21-31mm -<br />
Metaphyseal Segment - Calcar<br />
OH125 Lima Total Hip Replacement System CRCO Femoral Head S, M, L, XL, XXL<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
OH062 Acumatch M-Series Total Hip System Modular Titanium Revision Hip - -2 to -5mm, +0 to 10mm<br />
Cobalt Chrome Head<br />
OH137 Acumatch M-Series Total Hip System - Modular Titanium Revision Hip - -2 to -5mm, +0 to +10mm<br />
Head Ceramic Head<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
OH091 Lima RPS Femoral System Cemented Revision Stem 280, 330, 380mm<br />
OH092 Lima RPS Femoral System Modular Spacer 20 - 144mm<br />
OH093 Lima Total Hip Replacement System Ceramic/Femoral Head (Biolox Small, Medium, Large<br />
OH094 Lima Total Hip Replacement System Uncemented Cup with HA/Porous 44 - 66mm<br />
OH095 Lima Total Hip Replacement System Ceramic Liner A, B, C, D, E<br />
OH096 Lima Total Hip Replacement System Protruded UHMWPE Liner A, B, C, D, E<br />
OH097 Lima Total Hip Replacement System F2L Multineck Femoral Stem 1 - 6<br />
Uncemented HAC & Porous<br />
OH098 Lima Total Hip Replacement System F2L Modular Neck - Titanium Short & Long (Straight & Angled)<br />
OH099 Lima Total Hip Replacement System C2 Femoral Stem Uncemented 1 - 10<br />
OH100 Lima Total Hip Replacement System Friendly Stem Cemented Hip 0, 1, 2, 3<br />
OH101 Lima Total Hip Replacement System H-MOOS Cemented Hip 1 - 5<br />
OH102 Lima Total Hip Replacement System UHMWPE Cement Plug 8mm - 16mm<br />
OH103 Lima Total Hip Replacement System Heads - Bi-Polar and Fixed 22, 28, 32mm<br />
OH104 Lima Total Hip Replacement System Mueller Ceramic and UHMWPE 44 - 62mm<br />
Cup (Cemented)<br />
Page 310 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
OH105 Lima Total Hip Replacement System Mueller UHMWPE Cup (Cemented) 44 - 62mm<br />
OH106 Lima Total Hip Replacement System Modular Revision Hip Titanium 14, 16, 18, 20, 22, 24<br />
Stem (Uncemented)<br />
OH107 Lima Total Hip Replacement System Revision Titanium Neck with 50 - 110mm<br />
Locking Screw<br />
OH108 Lima Total Hip Replacement System Acetabular Revision Plate 50, 54, 58, 62, 64mm<br />
OH109 Lima Total Hip Replacement System SPH Revision Cup 50 - 66mm<br />
OH110 Lima Total Hip Replacement System Lateralising Spacer B, C, D, E<br />
OH111 Lima Total Hip Replacement System Titanium Bone Screw 20 - 60mm<br />
OH112 Lima Total Hip Replacement System Titanium Revision Bilobo Cup 50 - 58mm<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
OH020 Optetrak Total Knee System Femoral Component Size 1 - 6<br />
OH021 Optetrak Total Knee System Tibial Component Size 1 - 6<br />
OH022 Optetrak Total Knee System Insert Size 1 - 6<br />
OH023 Optetrak Total Knee System Patella 32 - 42mm<br />
OH024 Optetrak Total Knee System CCK Femoral Component Size 1 - 6<br />
OH025 Optetrak Total Knee System CCK Tibial Insert with Screw Size 1 - 6<br />
OH026 Optetrak Total Knee System CCK Tibial Augmentation Block Size 1 - 2<br />
OH027 Optetrak Total Knee System CCK Tibial & Femoral Stems Size 1 - 6<br />
OH028 Optetrak Total Knee System CCK All Poly Components Size 1 - 6<br />
OH029 Optetrak Total Knee System CCK Femoral Augmentation Block Size 5, 8 and 11<br />
OH056 Optetrak Total Knee System Tibial Stem Screw One size only<br />
OH057 Opetrak Total Knee System Femoral Stem Extension Adapter One size only<br />
OH075 Lima Multigen Total Knee System Femoral Component 1 - 6<br />
OH076 Lima Multigen Total Knee System Patella 32 - 38mm<br />
Page 311 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
OH077 Lima Multigen Total Knee System Revision Tibial Stem 10, 12, 14 16<br />
OH078 Lima Multigen Total Knee System Tibial Liner 1 - 6<br />
OH079 Lima Multigen Total Knee System Tibial Spacer 5, 8, 11mm<br />
OH080 Lima Multigen Total Knee System Revision Femoral Stem 10, 12, 14 16<br />
OH081 Lima Multigen Total Knee System Tibial Component 1 - 6<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
OH082 Lima RPS Tumor System RPS Humeral Head 46, 52, 58mm<br />
OH083 Lima RPS Tumor System RPS Total Shoulder Replacement 200, 240, 280mm<br />
OH084 Lima RPS Tumor System RPS Additional Spacer 40, 60, 90, 120mm<br />
OH085 Randelli Total Shoulder Randelli Shoulder Uncemented Stem 8 - 16mm<br />
OH086 Randelli Total Shoulder Randelli Neutral Taper 0 - 6mm<br />
OH087 Randelli Total Shoulder Randelli Humeral Head 42, 46, 50, 54mm<br />
OH088 Randelli Total Shoulder Randelli Eccentrical Adapter 0 - 6mm<br />
OH089 Randelli Total Shoulder Randelli Humeral Body with One size only<br />
Locking Screw<br />
OH090 Randelli Total Shoulder Randelli Shoulder Cemented Stem 8, 10, 12, 14, 16mm<br />
OH113 Lima Randelli Shoulder System Cemented Glenoid Mini, Small, Standard<br />
OH114 Lima Randelli Shoulder System Uncemented Glenoid Mini, Small, Standard<br />
OH115 Lima Randelli Shoulder System Uncemented Glenoid Liner Mini, Small, Standard<br />
Osteoz Pty Ltd<br />
<strong>Prostheses</strong>, Joint, Hip<br />
OZ001 Birmingham Modular Femoral Head Cobalt Chrome 38 - 58mm<br />
OZ002 Birmingham Hip Resurfacing Porous Coated 44 - 66 mm cups<br />
<strong>Prostheses</strong> - Acetabular Cup<br />
Page 312 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
OZ003 Birmingham Hip Resurfacing Cemented 38 - 58 mm heads<br />
<strong>Prostheses</strong> - Femoral Component<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
OZ004 Birmingham Hip Resurfacing Acetabular Cup Porous Coated with Dysplasia Cups: 46 - 66 mm cups<br />
Dysplasia Cup screw fixation<br />
Pacific Medical<br />
Grafts, Bone, Synthetic<br />
PM005 Perioglas Bone Graft - Artificial Pyrost: 0.5cc<br />
Bioglass Granules<br />
PM006 Perioglas Bone Graft - Artificial Pyrost: 1.5cc<br />
Bioglass Granules<br />
PM007 Perioglas Bone Graft - Artificial Pyrost: 3.0cc<br />
Bioglass Granules<br />
PM008 Austioglas Bone Graft - Artificial Pyrost: 5.0cc<br />
Bioglass Granules<br />
PM009 Austioglas Bone Graft - Artificial Pyrost: 10.0cc<br />
Bioglass Granules<br />
PM010 Austioglas Bone Graft - Artificial Pyrost: 15.0cc<br />
Bioglass Granules<br />
PM011 Austioglas Bone Graft - Artificial Pyrost: 20.0cc<br />
Bioglass Granules<br />
Orthopedic External Fixation Systems, Fracture<br />
PM012 Orthofix External Fixation System Anodised aluminium and stainless One size only<br />
Ankle Fixator<br />
PM013 Orthofix External Fixation System Anodised aluminium and stainless One size only<br />
Pennig Wrist Fixator<br />
PM061 Orthofix External Fixation System Anodised aluminium and stainless One size only -<br />
Elbow Fixator<br />
Page 313 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
PM062 Orthofix External Fixation System Anodised aluminium and stainless One size only -<br />
Hybrid Fixator<br />
PM063 Orthofix External Fixation System Anodised aluminium and stainless One size only -<br />
Knee Fixator<br />
Screws, Bone<br />
PM004 Orthofix Screw Stainless Steel OD 2.0-6.5mm L40.0-250mm<br />
Smith & Nephew Surgical Pty Ltd<br />
Anchor, Fixation<br />
SN651 OBL Anchor System Preloaded Soft Tissue Anchor Anchor sizes - Titanium: 2.8, 3.5,<br />
System Material: Titanium Alloy or 4.0 5.0, 6.5mm Anchor size -<br />
Polyacetal Polymer. Comes with Polymer: 5.0mm<br />
Insertion device and 2 Braided<br />
SN652 OBL Anchor System Soft Tissue Anchor System 4.0 and 6.5mm<br />
Non-preloaded Material: Titanium<br />
SN703 TwinFix AB Absorbable suture anchor PLA 5.0 Dia 5.0, overall length 15.5<br />
with threaded dialator<br />
Cement, Orthopedic<br />
SN664 Versabond Bone Cement Methy Methacrylate Methyl 60g<br />
Acrylate Copolymer,<br />
Methylmethacrylate Homopolymer,<br />
Supplied as pack of powder<br />
(copolymer) and 28.2ml liquid<br />
SN667 Versabond Bone Cement Methyl Methacrylate Methyl 40g<br />
Acrylate Copolymer,<br />
Methylmethacrylate Homopolymer,<br />
Supplied as Powder (copolymer)<br />
and liquid (monomer) in an ampule<br />
Clips, Ligating<br />
SN479 Compression Hip Screw System Hip Screw Clip (ambi only) One size only<br />
Page 314 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Grafts, Bone, Synthetic<br />
SN672 JAX Advanced Bone Void Filler Two components, granules 10cc<br />
composed of calcium sulphate,<br />
stearic acid & magnesium sulphate &<br />
an aqueous gel of<br />
carboxymethylcellulose, sterile<br />
SN674 JAX Advanced Bone Void Filler Two components, granules 4cc<br />
composed of calcium sulphate,<br />
stearic acid & magnesium sulphate &<br />
an aqueous gel of<br />
carboxymethylcellulose, sterile<br />
Nails, Bone<br />
SN494 Ender Nails - 3.5mmx22cm - 4.5mmx48cm<br />
SN495 Intermedullary Nailing System Foresight Locking Screw 2.7mm Diameter 8-18mm Length<br />
SN496 Intermedullary Nailing System Foresight Nail 4-5mm Diameter 20-26cm Length<br />
SN497 Intermedullary Nailing System Knee Fussion Nail, Stainless Steel 11x 65-75 & 12 x 65-85cm<br />
SN498 Intermedullary Nailing System Nail Cap One size only<br />
SN499 Intermedullary Nailing System Revision, Ankle Fusion Nail 11mmx15cm -13x21cm<br />
SN500 Russel Taylor Delta II Femoral Nail 8mmx24cm - 10mmx38mm<br />
SN501 Russel Taylor Delta II Reconstruction Nail Left/Right 8mmx24cm - 9mmx38cm<br />
SN502 Russel Taylor Delta Reconstruction & Femoral Left/Right 10-11 32-48mm.<br />
Plus Nails, Stainless Steel<br />
SN503 Russel Taylor Delta Tibial & Tibial Pro Nails, 8 x 27-42mm 9 x 27-36mm. 10 x<br />
Stainless Steel 32-48mm 11 x 32-48mm.<br />
SN505 Russel Taylor Femoral/Tibial Interlocking Nails 11mmx28.5cm - 16mmx50cm<br />
SN507 Russel Taylor Humeral Nails 7-9 x 18-30cm<br />
SN509 Russel Taylor Intermedullary Hip Screw Nail Standard 10-16mm 21 cm length,<br />
(IMHS) Stainless Steel Long 10-12mm Diameter Right&<br />
Left 34-42cm Length<br />
Page 315 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN510 Russel Taylor Intermedullary Supracondylar Nail, 11mmx15cm -13mmx25cm.<br />
Stainless Steel<br />
SN515 Russel Taylor Reconstruction Nails, Stainless 12mmx32cm -15mmx50cm.<br />
SN518 Russell Taylor Femoral Interlocking Retrograde 11mmx30cm - 13mmx48cm<br />
Orthopedic External Fixation Systems, Fracture<br />
SN033 Distal Radius System Distal Radius External Fixation One size only<br />
System, composition - carbon fibre,<br />
modular rod and clamp system<br />
SN034 Hex Fix External Fixator System Composition either aluminium, 6.4mm Diameter (65-125mm<br />
graphile composile or stainless<br />
steel. System comprises of hex bar,<br />
clamps, spools and pins.<br />
SN035 Colles Gold External Fixator System Dynamic external fixator, anodised One size only<br />
aluminium for distal radius fractures<br />
reduction<br />
SN433 Half Pin Hex Fix, Stainless Steal 4-6mm x 20-80mm<br />
SN434 Half Pin Arrow 4-6mm x 20-80mm<br />
SN435 Half Pins Hex Fix Titanium 4-6mm x 20-80mm<br />
SN437 Hex Fix Pins Cancellous Crane Pin Threaded 5/8" - 1 1/4"<br />
Orthopedic External Fixation Systems, Other<br />
SN031 Original Ilazarov System External circular fixation system, Adult and Paediatric<br />
stainless steel and composite carbon<br />
fibre<br />
SN146 Taylor Spatial Frame Pre-assembled circular external One size only<br />
fixator, carbon-fibre rings, telescopic<br />
rods<br />
SN436 Half Pins Ilizarov Stainless Steel 4 x 120 -180mm 30mm 35mm -<br />
thread 50mm conic<br />
SN439 Ilizarov Jurgan Pin Balls 0.7-5.0mm<br />
SN440 Ilizarov Wires 300-370 length x 1-1.8mm diameter<br />
Page 316 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN441 Ilizarov Wires with stopper 300-370 length x 1-1.8mm diameter<br />
Orthopedic Internal Fixation Systems, Fracture<br />
SN519 TriGen Capture Reconstruction Screws 6.4mm diameter 65-125mm length<br />
Titanium<br />
SN520 TriGen Captured Screws Titanium 4.5 & 5.0mm diameters, 20-110mm<br />
lengths<br />
SN521 TriGen Femoral Antegrade Nail (FAN) 10 x 26cm - 13 x 50cm<br />
SN522 TriGen Knee Nail 8.8, 10, 11.5 & 13mm diameters,<br />
26-50cm lengths<br />
SN665 TriGen TAN Titanium 6A1-4V 10, 11.5 & 13mm Diameter, 30 -<br />
50cm Length<br />
SN666 TriGen Nail Cap Titanium 5 - 20mm body length<br />
Orthopedic Internal Fixation Systems, Other<br />
SN443 Reis Cable and Swage 1.6 & 2.0mm<br />
SN444 Reis Swage 1.6 & 2.0mm<br />
Pins, Bone<br />
SN438 Hip Pin Cannulated 30-135mm<br />
SN445 Steinmann Pins Skeletal Traction Pin-Cove Point 150-200mm<br />
SN446 Steinmann Pins Skeletal Traction Pin-Cove Point 250mm+<br />
SN447 Steinmann Pins Non Threaded, Various Tips 9"x5/64 - 9"x3/16<br />
SN448 Steinmann Pins Threaded, Various Tips 19mm & 28.5mm<br />
SN461 Bone Staple Fixation Staple 1.16x 1.2- 3.8 x1.2-3.4.<br />
Staple 3.32 x 5.8-7.8 x 3.4. Staple<br />
with Spikes XSM- Large. Staple<br />
W/O Spikes XSM- Large. Trac Pin<br />
SN462 Bone Staple Fixation - Scaphoid Staples Scaphoid Staple S,M, M- Long &<br />
Large<br />
Page 317 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN463 Bone Staple Fixation - Osteotomy Fixation Staple 5mm- 14mm.<br />
McConnel HTO PF 15mm 0-S<br />
SN464 Bone Staple Fixation - Short Leg Xsmall - large<br />
SN465 Bone Staple Fixation - Table Small -Medium 13mm - 16mm.<br />
SN466 Bone Staple Krackow HTO 12,14,16mm<br />
SN630 Cannulated Hip Pins Knowles 1.8 x 2 - 5.32 x 5 1/2.<br />
SN631 Cannulated Hip Pins Rush Nails, Round Bevil Point 2.3mm Diameter 25.4mm- 101.6mm<br />
Hook Pins<br />
SN632 Cannulated Hip Pins Rush Nails, Round Bevil Point 3.1mm Diameter 101.6mm-254<br />
Hook Pins<br />
SN633 Cannulated Hip Pins Rush Nails, Round Bevil Point 4.7mm Diameter 20.3mm-35.5mm<br />
Hook Pins<br />
SN634 Cannulated Hip Pins Rush Nails, Round Bevil Point 6.3mm Diameter 27.9mm-43.1mm<br />
Hook Pins<br />
Plates, Bone<br />
SN001 TC 100 Quarter Tubular plates (2.7mm Sterile 23 - 63mm<br />
cortex screws)<br />
SN006 TC 100 1.5mm Mini Plates Stainless steel, Sterile Straight 3-6 holes, T-Plates 3-4<br />
SN011 TC 100 3.5mm Small Fragment Sterile, 14 - 26 hole 169 - 265mm<br />
(Compression) plates<br />
SN012 TC 100 3.5mm One Third Tubular Sterile, 2 - 8 holes 25 - 97mm<br />
SN013 TC 100 3.5mm Curved Reconstruction Sterile, 6 - 8 holes 70 - 94mm<br />
plates<br />
SN026 135 degree Angled Blade Plates - Shaft length 60 - 200mm<br />
SN044 TC 100 3.5mm Small Fragment Sterile, 2 - 7 holes 25mm - 85mm<br />
(Compression) Plates<br />
SN046 TC 100 2.0mm Condylar plates Sterile, Left and right 7 holes<br />
Page 318 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN062 TC 100 4.5mm Narrow Compression Sterile, 5 - 7 holes 87 - 119mm<br />
plates<br />
SN063 TC 100 2.7mm Small Fragment 2 - 12 holes 20 - 100mm<br />
(Compression) plates<br />
SN065 TC 100 4.5mm T-Buttress plates Sterile, 4 - 6 holes 80 - 112mm<br />
SN068 TC 100 1.5mm Condylar plates Sterile, Left and right One size only<br />
SN069 TC 100 3.5mm Reconstruction plates Sterile, Straight 9 - 11 holes 106 - 130mm<br />
SN071 TC 100 4.5mm Narrow Compression Sterile, 2 - 4 holes 39 - 71mm<br />
plates<br />
SN073 TC 100 2.0mm T-plates Sterile, 2 hole shaft One size only<br />
SN074 TC 100 Bone Plates with provisional 3.5mm Small Compression Plate 7 - 8 hole<br />
fixation holes<br />
SN075 TC 100 4.5mm Reconstruction plates Sterile, 10 - 13 holes 157 - 205mm<br />
SN076 TC 100 3.5mm Curved Reconstruction Sterile, 14 - 18 holes 166 - 214mm<br />
plates<br />
SN077 TC 100 3.5mm Curved Reconstruction Sterile, 10 - 12 holes 118 - 142mm<br />
plates<br />
SN078 TC 100 4.5mm Broad Compression Sterile, 20 - 26 holes 326 - 423mm<br />
plates<br />
SN080 TC 100 4.5mm T-plate Sterile, 5 - 8 holes 100 - 148mm<br />
SN081 TC 100 2.0mm H-plates Sterile One size only<br />
SN083 TC 100 2.0mm T-plates Sterile, 9 hole shaft 3 - 4 holes<br />
SN087 TC 100 Semi Tubular plates 8 - 12 holes 135 - 199mm<br />
SN088 TC 100 Semi Tubular plates Sterile, 5 - 7 holes 87 - 119mm<br />
SN089 TC 100 2.7mm Condylar plates Sterile Right/left<br />
SN090 TC 100 2.0mm L-plates Sterile, Right/left, Oblique right/left One size each<br />
SN091 TC 100 Bone Plates with provisional Lateral Tibial Head Buttress 7 - 9 149 - 181mm<br />
fixation holes<br />
Page 319 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN092 TC 100 Bone Plates with provisional 4.5mm Narrow Compression 11 - 12 hole<br />
fixation holes<br />
SN093 TC 100 Bone Plates with provisional 4.5mm Narrow Compression 8 - 10 hole<br />
fixation holes<br />
SN094 TC 100 Bone Plates with provisional 4.5mm Narrow Compression 5 - 7 hole<br />
fixation holes<br />
SN095 TC 100 Bone Plates with provisional Semi-Tubular 6 - 7 holes 103 - 119mm<br />
fixation holes<br />
SN096 TC 100 Bone Plates with provisional Semi-Tubular 4 - 5 holes 71 - 87mm<br />
fixation holes<br />
SN097 TC 100 Bone Plates with provisional 4.5mm Broad Compression 12 - 14 hole<br />
fixation holes<br />
SN098 TC 100 4.5mm Reconstruction plates Sterile, 14 - 16 holes 221 - 253mm<br />
SN099 TC 100 Bone Plates with provisional 4.5mm Broad Compression 6 - 8 hole<br />
fixation holes<br />
SN101 TC 100 Bone Plates with provisional L-Buttress, Left and right angled One size each<br />
fixation holes<br />
SN102 TC 100 Bone Plates with provisional T-Plate Oblique 50 - 73mm<br />
fixation holes<br />
SN103 TC 100 Bone Plates with provisional T-Plate Right angled 50 - 67mm<br />
fixation holes<br />
SN104 TC 100 Bone Plates with provisional 1/3 Tubular with Collar 7 - 10 hole<br />
fixation holes<br />
SN105 TC 100 Bone Plates with provisional 1/3 Tubular with Collar 3 - 6 hole<br />
fixation holes<br />
SN106 TC 100 Bone Plates with provisional 3.5mm Small Compression Plate 9 - 10 hole<br />
fixation holes<br />
SN107 TC 100 4.5mm Condylar Buttress Sterile, right, 11 - 15 hole 221 - 285mm<br />
SN108 TC 100 Bone Plates with provisional 4.5mm Broad Compression 9 - 10 hole<br />
fixation holes<br />
Page 320 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN109 TC 100 3.5mm Reconstruction plates Sterile, Straight 4 - 8 holes 46 - 94mm<br />
SN116 TC 100 2.7mm T-plates Sterile One size only<br />
SN117 TC 100 Semi Tubular plates Sterile, 2 - 4 holes 39 - 71mm<br />
SN118 TC 100 3.5mm Small Fragment Sterile, 8 - 12 hole 97 - 145mm<br />
(Compression) plates<br />
SN119 TC 100 4.5mm T-plate Sterile, 3 - 4 holes 68 - 84mm<br />
SN121 TC 100 Bone Plates with provisional 3.5mm Small Compression Plate 5 - 6 hole<br />
fixation holes<br />
SN125 TC 100 Bone Plates with provisional T-Plate 4 - 8 holes 84 - 148mm<br />
fixation holes<br />
SN126 TC 100 4.5mm Condylar Buttress Sterile, Left and right, 7 - 9 hole 158 - 190mm<br />
SN129 TC 100 1.5mm Mini Plates Stainless steel, Sterile H-Plates 4 holes<br />
SN130 TC 100 3.5mm One Third Tubular Sterile, 9 - 12 holes 109 - 145mm<br />
SN131 TC 100 4.5mm Narrow Compression Sterile, 14 - 24 holes 231 - 390mm<br />
plates<br />
SN132 TC 100 4.5mm Narrow Compression Sterile, 11 - 13 holes 183 - 215mm<br />
plates<br />
SN133 TC 100 4.5mm Narrow Compression Sterile, 8 - 10 holes 135 - 167mm<br />
plates<br />
SN134 TC 100 3.5mm Reconstruction plates Sterile, Straight 16 - 22 holes 190 - 263mm<br />
SN135 TC 100 95 Degree Condylar Plates Small stature Shaft length 92 - 299 mm, blade<br />
length 50 - 80mm<br />
SN136 TC 100 Small T-Plates Sterile, right angled and oblique 3 - 4 holes in head, 3 - 6 holes in<br />
SN137 TC 100 4.5mm Broad Compression Sterile, 6 - 8 holes 103 - 135mm<br />
plates<br />
SN142 TC 100 4.5mm Broad Compression Sterile, 9 - 12 holes 151 - 199mm<br />
plates<br />
SN143 TC 100 4.5mm Reconstruction plates 3 - 9 holes 45 - 141mm<br />
Page 321 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN144 TC 100 2.7mm L-plates Sterile, Right/left, Oblique right/left 3 holes<br />
SN145 TC 100 3.5mm Reconstruction plates Sterile, Straight 12 - 15 holes 142 - 178mm<br />
SN468 Compression Hip Screw System Ambi Standard Barrel Plates 60mm -80mm, 2-3 slot<br />
SN469 Compression Hip Screw System Ambi Standard Barrel Plates 100mm -220mm, 4-10 slot<br />
SN470 Compression Hip Screw System Ambi Standard Barrel Plates 260mm+, 12-14 slot<br />
SN471 Compression Hip Screw System Ambi Short Barrel Plates 100mm, 4-5 slot<br />
SN472 Compression Hip Screw System Ambi Short Barrel Plates 120mm, 4-5 slot<br />
SN473 Compression Hip Screw System Classic Standard Barrel Plates 60-140mm, 2-3 slot<br />
SN474 Compression Hip Screw System Classic Standard Barrel Plates 180-220mm, 4-10 slot<br />
SN475 Compression Hip Screw System Classic Standard Barrel Plates 260mm+, 12-14 slot<br />
SN476 Compression Hip Screw System Classic Short Barrel Plates 100mm, 4-5 slot<br />
SN477 Compression Hip Screw System Classic Short Barrel Plates 120mm, 4-5 slot<br />
SN478 Compression Hip Screw System Classic Supracondylar Plate 90-95 6-12SL<br />
SN484 Compression Hip Screw System Supracondylar plate 6 Slot<br />
SN485 Compression Hip Screw System Supracondylar plate 8 Slot<br />
SN486 Compression Hip Screw System Supracondylar plate 10 Slot<br />
SN487 Compression Hip Screw System Supracondylar plate 12 Slot<br />
SN490 Intermediate Osteotomy System Plate (hip screw) 90-150Deg<br />
SN493 Paediatric Osteotomy System Plate (hip screw) With Prox slot 90D - 140D<br />
SN532 TC100 Plate 2.0mm Straight Plate 3-20 hole<br />
SN542 TC100 Plate Multifragment Plates One size only<br />
SN543 TC100 Plate Pelvic Fragment Plates 3-18 hole, 45-190mm<br />
SN557 TC100 Plate 4.5mm Broad Compression Plate 14-18 hole<br />
SN569 TC100 Plate Calcaneal Plate Sterile 60mm,70mm & 9 hole<br />
Page 322 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN570 TC100 Plate Cloverleaf Plate 3-4 hole<br />
SN571 TC100 Plate Cloverleaf Plate 5-6 hole<br />
SN572 TC100 Plate Cloverleaf Plate 7-8 hole<br />
SN573 TC100 Plate Cloverleaf Plate 9 hole<br />
SN574 TC100 Plate Cobra Head Plate 8-11 hole<br />
SN577 TC100 Plate Hook Plate 123mm 4 hole<br />
SN578 TC100 Plate Large L-Buttress Plate Left & right Angled<br />
SN581 TC100 Plate Lateral Tib Head Buttress Plate 3-7 hole Left & Right<br />
SN582 TC100 Plate Lateral Tib Head Buttress Plate 9-13 hole Left & Right<br />
SN592 TC100 Plate Spoon Plate 5 hole & 6 hole<br />
SN659 HTO Plates Titanium 6 - 20mm<br />
SN670 Femoral Osteotomy Plate Titanium Wedge 6 - 20mm thick x 20mm wide<br />
SN671 Femoral Osteotomy Plate Titanium Femoral Plate 6-8 hole, 6 - 18mm wide<br />
SN685 Opening Wedge Tibial Ostectomy Titanium 6 - 20mm<br />
<strong>Prostheses</strong>, Arm<br />
SN138 Neer 3 Total Shoulder System Humeral stems Head size 15 - 16, stem diam 8 -<br />
12mm<br />
SN677 Neer 3 Humeral CrCo Stem size 8 - 12mm, head size 15 -<br />
26mm, Stem length 125mm<br />
<strong>Prostheses</strong>, Femoral Head<br />
SN686 Femoral Head CoCr, 14/16 taper 22mm<br />
<strong>Prostheses</strong>, Joint<br />
SN032 Compass Universal Hinge Circular external hinged fixator, One size only<br />
graphite composite<br />
Page 323 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN661 Compass PIP Kit assembly includes 0.45 x 5" K Single sterile PIP Hinge Kit<br />
Wires, 1 Small Pin Support Block, 1<br />
Hexdriver, 1 Compass PIP (Packed<br />
Sterile)<br />
<strong>Prostheses</strong>, Joint, Hip<br />
SN003 Hydroxylapatite coated Primary Image Hip Stem, Titanium, left and Sizes 9 - 18<br />
Femoral Stems right<br />
SN019 Low Profile Classic Compression Hip 130 - 150 deg Hot forged stainless 5 - 6 holes<br />
Screw System<br />
SN020 Osteotomy Plates Blade, 130 deg Adult osteotomy 50 - 110mm<br />
SN021 Osteotomy Plates Blade, 95 deg Adult osteotomy 50 - 80mm<br />
SN022 Osteotomy Plates Blade, Adult osteotomy 4 hole 40 - 80mm<br />
SN023 Osteotomy Plates Blade, 90 deg adolescent osteotomy 40 - 60mm<br />
3 hole<br />
SN024 Osteotomy Plates Blade, 130 deg Angled Blade Plate shaft 60 - 152mm<br />
Small Stature 50 - 80mm<br />
SN025 Osteotomy Plates Blade, 95 deg Condylar Blade 40 - Shaft 92 - 156mm<br />
SN027 Osteotomy Plates Blade, 115 deg Bifurcated Infant 30 - 35mm<br />
SN036 Osteotomy Plates Blade, Child Osteotomy 80 -100 deg 35 - 45mm<br />
SN139 Osteotomy Plates Blade, 90 deg Infant Osteotomy 25 - 32mm<br />
SN140 Low Profile Classic Compression Hip 130 - 150 deg Hot forged stainless 3 - 4 holes<br />
Screw System<br />
SN663 35deg Reflection Liner UHMWPE 50 - 60mm<br />
SN678 Echelon with HA Cobalt Chromium with 11-20<br />
Hyrdoxyapetite Coating<br />
SN687 Femoral Head 12/14 Taper 22 - 36mm, +0 - +16mm<br />
SN689 Reflection Constrained Acetabular Liner - 22 - 32mm, 42 - 76mm<br />
UHMWPE<br />
Page 324 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN692 Spectrum EF Tantalum marked high offset and Size 1 - 8<br />
standard stems<br />
SN693 Hip Component Femoral or acetabular Size 0 - 20<br />
SN695 Opera Acetabular Cup Flanged - XLPE 22-36mm, 42-76mm<br />
SN696 Reflection Acetabular Cup - XLPE 22-36mm,40-61mm<br />
SN698 Reflection Acetabular liner - XLPE (0 & 20 22-36mm, 42-76mm<br />
degrees)<br />
SN702 Collarless Polished Cemented Stem Tantalum marked high offset and Size 0 to 5<br />
standard offset stems<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
SN278 Femoral Head Ceramic AlO3 14/16 taper, 28 and 32mm, Std -<br />
Xlong<br />
SN285 Reflection Acetabular Cup Dual Geometry 42 - 76mm<br />
Porous Titanium Alloy, No Hole,<br />
Three Hole, Multi-Hole<br />
SN290 Reflection Acetabular Shell Ceramic, Porous 46-66mm OD<br />
Titanium Alloy<br />
SN297 Reflection Acetabular Liner Ceramic, AlO3 28 - 32mm, 46 - 66mm OD<br />
SN298 Reflection Acetabular Shell Porous HA Coated 42 - 76mm<br />
Titanium Alloy<br />
SN299 Reflection Head Ceramic, AlO3 28-32mm<br />
SN688 Reflection HA Coated acetabular ceramic cup Sizes 45 - 66<br />
SN701 Reflection Constrained acetabular liner - 42 - 76mm<br />
adaptor ring<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
SN010 Basis Femoral Component Hip stem, Cobalt Chromium Length 115 - 135mm<br />
SN127 Marathon Femoral Component Hip stem, Cobalt Chrome Lengths 115 - 135mm<br />
Page 325 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN303 Synergy Femoral Stem HA Coated Porous 9 - 18<br />
Titanium Alloy, Std and High offset<br />
SN697 Femoral Head Stainless steel 22-36mm,+0-+16mm<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
SN256 Axis Ceramic Femoral Head AlO3 12./14Taper, 28 - 32mm, +0, +4-+8,<br />
SN257 Axis Ceramic Insert AlO3 28, 32mm ID; 44 - 60mm OD<br />
SN258 Axis Cup Uncoated Titanium Alloy 28, 32mm ID; 44 - 60mm OD<br />
SN259 Axis Femoral HA Stem Titanium Alloy 120 - 200mm<br />
SN260 Axis HA Cup Titanium Alloy Axis Shell 44 - 60mm Axis II Shell<br />
44 - 64mm<br />
SN261 Bio-fit Femoral Stem Collarless Collarless Stem size 2-6.<br />
SN262 Bio-fit Femoral Stem Collared Collared size 1-6<br />
SN265 Contour Acetabular Roof Reinforcement Shell 44 - 68mm OD<br />
SN266 Convene Bi-polar Liner 28 - 32mm<br />
SN267 Convene Bi-polar Metal Shell 43 - 64mm<br />
SN268 CPCS Femoral Stem Polished Non Porous, 1 - 5<br />
Std and High Offset<br />
SN269 CPCS Polished Cemented Stem Distal 8 - 18<br />
Centraliser<br />
SN270 Echelon Femoral Stem Porous Co Cr, Std and 9 - 19<br />
High Offset<br />
SN271 Echelon Revision hip stem - Bowed, porous: Left/Right, 15 and 30mm, Sizes<br />
Calcar Replacement Collar 11-22<br />
SN272 Echelon Revision hip stem - Bowed, porous: Left/Right Sizes 11 - 22<br />
Standard Collar<br />
SN273 Echelon Revision hip stem - Non Porous: 15 and 30mm 175-235mm Sizes<br />
Calcar Replacement Collar 12-16.<br />
Page 326 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN274 Echelon Revision hip stem - Non Porous: 12-16 175-225mm<br />
Standard Collar<br />
SN275 Echelon Revision hip stem - Straight, 15, 30mm, Sizes 11-22<br />
porous: Calcar Replacement Collar<br />
SN276 Echelon Revision hip stem - Straight, 11-22<br />
porous: Standard Collar<br />
SN277 Endoprosthesis CoCr 38 - 54mm<br />
SN279 Femoral Head Ceramic Zirconium Head- standard - Xlong. 12/14<br />
Taper Head 28 mm, 32mm , +0, +4,<br />
SN280 Femoral Head Co Cr 14/16 taper, 22-32mm, Short<br />
-XXXLong Neck<br />
SN281 Femoral Head Co Cr 12/14Taper, 22 - 36mm, +0 - +16mm<br />
SN282 Opera Acetabular Cup Flanged UHMWPE 22 - 28mm; 40 - 53mm<br />
SN283 Optifix Acetabular: Liner, 20 degree 43 - 76mm<br />
SN284 Screws Cancellous 15mm - 50mm<br />
SN286 Reflection Acetabular Cup HA coated Titanium HA Reflection I 46mm- 70mm. HA<br />
Alloy Reflection FSO 5 46mm - 70mm<br />
SN287 Reflection Acetabular Cup Porous Titanium ReflectionFSO 3-5, 42 -70mm;<br />
ReflectionFSO 9, 50mm-76mm;<br />
ReflectionV, 42mm-70mm;<br />
Reflection1 42mm- 70mm<br />
SN288 Reflection Acetabular Cup 22 - 36mm, 42 - 76mm<br />
SN289 Reflection Acetabular Liner 22 - 36mm, 42 - 76mm<br />
SN291 Reflection Anteverted Acetabular Liner XLPE 22 - 36mm, 42 - 76mm<br />
SN292 Reflection Fixation peg Titanium Alloy One size only<br />
SN293 Reflection Lateralised Liner, UHMWPE 22 - 36mm, 42 - 76mm<br />
SN296 Reflection Acetabular Cup Revision Porous 42 - 76mm<br />
Titanium Alloy<br />
Page 327 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN300 Spectron EF Femoral Revision Stems Non Porous 135mm - 225mm<br />
CoCr, Longstem, Neck Replacement,<br />
Proximal Third (12/14 and 14/16<br />
SN301 Spectron EF/ Spectron Femoral Stem Non Porous 1- 5<br />
Collared/Collarless High Offset<br />
SN302 Spectron EF/Spectron Femoral Stem Non Porous 1- 5<br />
Collared/Collarless CoCr, Std<br />
SN304 Synergy Femoral stem Non Porous Co Cr 9-20<br />
SN305 Synergy Femoral stem Porous Titanium 9-20<br />
Alloy, Std and High Offset<br />
SN306 Synergy Femoral stem: HA coated Titanium 9-20<br />
Alloy, Std and High Offset<br />
SN307 Unipolar Taper Sleeve Co Cr 12/14 and 14/16 tapers,<br />
+0,-3,+4,+8,+12mm.<br />
SN308 Unipolar Head Co Cr 12/14 42 - 61mm<br />
SN360 ITH Femoral Stem Non Porous Titanium STCOL L120mm- 200mm Stnd<br />
Alloy L120mm-200mm<br />
SN361 ITH Trunnion Sleeve One size only<br />
SN362 Matrix: Modular Hip System Femoral Stem Polished CoCr 6L-14L<br />
SN363 Matrix: Modular Hip System Practica Non Porous Stem CoCr Collarless Stem 8,10,12. Collared<br />
Stem 8,10,12,14.<br />
Collarless/Collared Femur<br />
SN364 Matrix: Modular Hip System Revision Distal Sleeve, Porous and Straight Sizes 8-16, 10 - 21mm, x<br />
Non-Porous +10mm, 60mm ; Bowed Sizes 8 -<br />
16, x +85mm, +135mm.<br />
SN365 Matrix: Modular Hip System Sleeve -Trunnion One size only<br />
SN366 Matrix: Modular Hip System Stem: Opti-fix plus Titanium Alloy 8S - 16L<br />
<strong>Prostheses</strong>, Joint, Knee<br />
SN311 Genesis II Porous Tibial base Left/right Size 1-8<br />
Page 328 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN316 Genesis II Femoral/tibial long stems 10-24x100mm, 10-20 x 150mm<br />
10-16x 200mm<br />
SN321 Genesis II Non Porous femoral Left/Right Size 1-8<br />
SN322 Genesis II Non Porous Tibial Base Left/Right Size 1-8<br />
SN323 Genesis II Patella Biconvex UHMWPE 23-35mm<br />
(Patella & Revision)<br />
SN324 Genesis II Patella Resurfacing UHMWPE 26-35mm<br />
SN325 Genesis II Patella with flexlok UHMWPE 23-32mm<br />
SN326 Genesis II Porous femoral Left/Right Size 1-8<br />
SN327 Genesis II PS Non Porous femoral Left/Right Size 1-8<br />
SN328 Genesis II PS Porous femoral Left/Right Size 1-8<br />
SN330 Genesis II Wedge Full Tibial, Distal Femoral, 1-8<br />
Stacked Femoral L, Posterior<br />
Femoral, Angled Hemi, Stepped<br />
Hemi, Medial Lateral<br />
SN331 Genesis II Inserts Inserts PS 1-8. 9-25mm<br />
SN334 Genesis Uni Articular Insert UHMWPE x-Small-Magnum 8mm-12mm<br />
SN335 Genesis Uni Tibial Base HA coated Left & Right, X Small- Magnum<br />
SN336 Genesis Uni Tibial base Titanium Alloy XSmall-Magnum<br />
SN337 Genesis Uni Tibial Base UHMWPE Left & Right, X Small- Magnum<br />
Plus, 8mm-15mm<br />
SN338 Genesis Uni Femoral Component CoCr X-Small - Magnum Plus<br />
SN339 Genesis Compression Screws 16-22mm<br />
SN342 Genesis Custom Flex Lock Peg Left & right<br />
SN343 Genesis Custom Peg 10x65mm - 20x325mm<br />
SN344 Genesis Femoral Component: Cruciate Left/Right Small - Magnum<br />
Retaining: Non Porous: CoCr<br />
Page 329 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN345 Genesis Femoral: Cruciate Retaining: Left/Right Small - Magnum<br />
Porous: CoCr<br />
SN346 Genesis Flex-Lok Peg Fem & Tibial<br />
SN347 Genesis I/M Peg: Femoral and Tibial: 10-16mm Diameter x 40-200mm<br />
Length<br />
SN349 Genesis Insert: PS Articular: UHMWPE Right/Left S-XL 8mm-25mm<br />
SN350 Genesis Patella: Biconvex Prosthesis: X-Small, Small, Medium<br />
UHMWPE<br />
SN352 Genesis Resurfacing: Patella: UHMWPE Small - Large<br />
SN354 Genesis Tibial Base: Non Porous Left/Right Small- Magnum<br />
8mm-15mm<br />
SN355 Genesis Tibial Base: Pegged Left/Right Small - Magnum<br />
SN356 Genesis Tibial Base: Porous Left/Right Small - Magnum<br />
SN357 Genesis Tibial Compression Screw 16-22mm<br />
SN358 Genesis Wedge Small-Magnum 4mm-15mm<br />
SN371 MOD III Femoral Component Small & Large<br />
SN372 Profix Conforming Plus articular insert Left/Right Size 1-6. 10 - 35mm<br />
SN373 Profix Femoral Non Porous (With out Left/Right Size 1-8<br />
SN374 Profix Femoral Non Porous (With Taper) Left/Right Size 1-8<br />
SN375 Profix Femoral Porous Left/Right Size 1-8<br />
SN376 Profix I/M Peg Femoral or Tibial 10-20mm x 100mm. 10-20x150mm<br />
10-20 x 200mm<br />
SN377 Profix Metaphyseal Tibial Stem 14-20mm<br />
SN378 Profix Mobile Bearing Stabilised Insert Size 1-8 10-16mm<br />
SN379 Profix Mobile Bearing Standard Insert Size 1-8 10-16mm<br />
SN380 Profix Non Porous Femoral with Taper Right/Left Size 1-7<br />
Page 330 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN381 Profix Non Porous Wedge, Distal and 1-7. Small - Large<br />
L-Wedge<br />
SN382 Profix Patella, Inset and Onset 23-35mm<br />
SN383 Profix Porous Femoral with Taper Right/Left Size 1-7<br />
SN384 Profix Porous wedge 1-7<br />
SN385 Profix PS Non Porous Femoral Component Left/Right Size 2-7<br />
SN386 Profix PS Porous Femoral Component Right/Left Size 2- 7<br />
SN387 Profix Tibial Base HA Coated Porous Left/Right, Size 1-8<br />
Titanium Alloy<br />
SN388 Profix Tibial Base: All Poly Left/Right Size 1-6 10-20mm<br />
SN389 Profix Tibial Insert Left/Right Size 1-6 10-20mm<br />
SN390 Profix Tibial Non Porous Right/Left Size 1-7<br />
SN391 Profix Tibial Porous Right/Left Sizes 1-7 w& w/o holes<br />
SN392 Profix Tibial PS Insert Left/Right Size 1-6 10 - 35mm<br />
SN393 Profix Tibial Screw 15-50mm<br />
SN394 Patella Femoral Resurfacing System Mini-Large<br />
SN660 Profix Constrained Femur Cobalt Chromium Left & Right, 2-7<br />
SN662 Profix Constrained Femur Insert, UHMWPE Left & Right, Size 1-6, 10 - 20mm<br />
SN690 Genesis II Offset Stems Femoral and tibial: +2 - +4<br />
SN694 Knee Component Femoral, tiabial or insert Size 0 - 10<br />
SN699 Profix Mobile bearing stabilised insert 1-8, 18-20mm<br />
<strong>Prostheses</strong>, Joint, Knee, Femoral Component<br />
SN333 Genesis II/Profix Femoral Component Zirconia 1-8<br />
SN691 Genesis II/Profix Press Fit Oxinium Femoral Size 1 - 8<br />
Components<br />
Page 331 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN704 Genesis II / Profix Posterior Stabilised Oxinium Size 1 - 8<br />
Femoral Components<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
SN309 Genesis II Tibial Base Non Porous CoCr 1 - 8<br />
SN310 Genesis II Inserts Deep dished 1-8. 9 - 21mm<br />
SN312 Genesis II Tibial Base HA Coated Titanium Left & Right Size 1-8<br />
SN313 Genesis II Constrained Insert 1-8 11-30mm<br />
SN314 Genesis II Conversion module Left/Right size 1-8<br />
SN315 Genesis II Femoral Component Constrained Co Left & Right size 1-8<br />
SN317 Genesis II Inserts Articulating 1-8 9mm-18mm<br />
SN318 Genesis II Lug One size only<br />
SN319 Genesis II Metaphyseal Stem 1-8<br />
SN320 Genesis II Mobile Bearing Standard Insert Left & Right, Size 1-8, 9-15mm<br />
SN329 Genesis II Tibial screws 15-50mm<br />
SN332 Genesis II/Profix Femoral Component HA Coated Co 1-8<br />
SN340 Genesis Constrained Articular Left/Right Small- XLarge 10mm -<br />
25mm<br />
SN341 Genesis Constrained Conversion Module: Left/Right Small-Magnum Plus<br />
SN348 Genesis Insert: Articular: Cruciate Left & Right XS-Magnum<br />
Retaining: UHMWPE 8MM-15MM<br />
SN351 Genesis PS Conversion Module Resurfacing: Left/Right Small - Magnum<br />
Co Cr<br />
SN353 Genesis Revision Articular Insert Left/Right Constrained Small -<br />
Xlarge, Crutiate retaining Size 1-8,<br />
Post Stabilising Size 1-8,<br />
Tricon/Genisis Small-Xlarge<br />
SN367 Mobile Bearing Knee Locking Screw Co Cr One size only<br />
Page 332 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN368 Mobile Bearing Knee Tibial Base HA Coated Porous Co Left & Right Size 1-8<br />
SN369 Mobile Bearing Knee Tibial Base Non Porous Co Cr Left & Right, Size 1-8<br />
SN370 Mobile Bearing Knee Tibial Base Porous Co Cr Left & Right, Size 1-8<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
SN395 Cofield Humeral stem component Standard & Long, small- large<br />
SN396 Cofield Screw Long, Short, Standard<br />
SN397 Cofield Glenoid All Polyethylene Small, Standard<br />
SN398 Cofield Glenoid Component Metal backed Standard Base. Base Insert.<br />
Glenoid Comp Sm, Stan, St W/off<br />
SN399 Cofield Glenoid Insert Small, Standard<br />
SN400 Modular Cofield + 2 insert Small, Standard, Standard with<br />
SN401 Modular Cofield All Poly + 2 insert Small, Standard, Standard with<br />
SN402 Modular Cofield All poly & +2 All Poly Glenoid Small - Large<br />
SN403 Modular Cofield Humeral Head 14x36mm - 36x58mm<br />
SN404 Modular Cofield Humeral Stem 6mmx115mm - 16mmx245mm<br />
SN405 Modular Cofield Metal backed Glenoid Screw Small, Standard, Large<br />
SN406 Modular Cofield Metal backed Glenoid Small/Standard/ Posterior<br />
SN407 Modular Cofield Posterior Lipped All poly Glenoid Small - Large<br />
SN408 Modular Cofield Posterior Lipped Articular Insert Small - Large<br />
SN409 Modular Cofield Standard Articular Insert Small, Standard<br />
SN410 Neer Neer II Humeral 22 x 6.3-9.5mm, 33 x 12.7mm, 15 x<br />
6.3-12.7mm<br />
SN411 Neer Neer II Glenoid Standard Glenoid Resurf Glenoid<br />
XS Metal Back Glenoid XS<br />
SN668 Standard Stems Humeral Components Modular Shoulder System, 6 - 16mm Diameter, 125 - 175mm<br />
Chromium Cobalt Length<br />
Page 333 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN669 Standard Humeral Components Modular Shoulder System Humeral 11.25 - 25mm Height, 40 - 49.5mm<br />
Head, Chromium Cobalt Diameter<br />
SN676 Genoid Components Anatomic Glenoid Component, Extra Small & Standard<br />
Ti-6A1-4V, UHMWPE<br />
Restrictors, Orthopedic Cement<br />
SN263 Buck Cement Restrictor 18.5 - 35mm<br />
SN264 Buck IM Prep Kit One size only<br />
Screws<br />
SN004 Bioabsorbable screw BioRCI-HA Screw, Medial, Portal, 7 x 25mm - 10 x 35mm<br />
Reverse thread, Tibial specific,<br />
Trans-tibial<br />
SN008 Rotorloc Absorbable PLA Suture - One size only<br />
Anchor System<br />
SN412 RotorLoC Suture Anchor System One size only<br />
SN421 ACL/PCL Reconstructions Absorbable RCI (Bio RCI) 7-10mm diameter, 25-35mm length<br />
SN430 ACL/PCL Reconstructions EndoFix Bioabsorbable Screw 7 x 20mm - 9mm x30mm<br />
SN431 ACL/PCL Reconstructions EndoFix L 7, 8 & 9mm diameters, 20-30mm<br />
lengths<br />
Screws, Bone<br />
SN294 Reflection Tapered hole cover (Reflection One size only<br />
SN295 Reflection Threaded hole cover (Reflection) One size only<br />
SN419 ACL/PCL Reconstruction Aims Screws, Titanium 7-9mm diameter, 20 -25mm length<br />
SN420 ACL/PCL Reconstruction RCI Screws Titanium 7-9mm diameter, 25-40mm length<br />
SN422 ACL/PCL Reconstructions Acufex Fixation Post 25 -55mm<br />
SN423 ACL/PCL Reconstructions Acufex Tibial Fixation Anchor One size only<br />
SN425 ACL/PCL Reconstructions Cannuflex Silk & Soft Silk 5.5 x 20mm - 9x30mm<br />
Interference Screw<br />
Page 334 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN432 ACL/PCL Reconstructions Tibial Post Screw Small, Standard<br />
SN449 Washer For Cannulated screw systems, One size only<br />
Stainless Steel<br />
SN467 Compressing Screw For Intermedullary and compression 19mm & 28.5mm<br />
Hip Screw Systems<br />
SN480 Compression Hip Screw System Intermedullary Hip Screw (IMHS), One size only<br />
Centering Sleeve, Stainless Steel<br />
SN481 Compression Hip Screw System Standard Lag Screw 55-125mm<br />
SN482 Compression Hip Screw System Standard Lag Screw 130mm+<br />
SN483 Compression Hip Screw System Super Lag Screw 55mm-140mm<br />
SN488 Intermediate Osteotomy System Compressing One size only<br />
SN489 Intermediate Osteotomy System Lag 35 mm - 85mm, 1 1/2" - 3-3/4"<br />
SN491 Paediatric Osteotomy System Compressing Screw One size only<br />
SN492 Paediatric Osteotomy System Lag Screw 22mm- 40mm<br />
SN504 Russel Taylor Femoral Locking screw F/fem nl 30-90mm. F/r-t nl<br />
SN506 Russel Taylor Humeral Locking Screw 4.0mm Diameter 12-60mm<br />
SN508 Russel Taylor Intermedullary Hip Screw (IMHS) One size only<br />
Set screw<br />
SN511 Russel Taylor Locking Screw 4.5mm Diameter 20-65mm<br />
SN512 Russel Taylor Locking Step Screw 5.0/6.4mm 25mm-110mm<br />
SN513 Russel Taylor Proximal Locking Screw (Recon) 6.4 x 85 to 8 x 110mm.<br />
SN514 Russel Taylor Proximal Set Screw (Recon) Short & Long<br />
SN516 Russel Taylor Stable-Lok Nut One size only<br />
SN517 Russel Taylor Washer One size only<br />
SN540 TC100 1.5mm Screw Hex, Cruciate or Self-tapping 6-24mm<br />
Page 335 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN593 TC100 Screw 6.5mm Cancellous Screw Fully 6.5mm Diameter, 25-60mm length<br />
Threaded<br />
SN594 TC100 Screw 6.5mm Cancellous Screw Fully 6.5mm Diameter, 65-110mm length<br />
Threaded<br />
SN595 TC100 Screw 6.5mm Cancellous Screw Fully 6.5mm Diameter, 115mm-150mm<br />
Threaded<br />
SN600 TC100 Screw 6.5mm Cancellous Screw Partially 6.5mm Diameter,32mm thread,<br />
Threaded 45-100mm Length<br />
SN601 TC100 Screw 6.5mm Cancellous Screw Partially 6.5mm Diameter, 32mm thread,<br />
Threaded 105-125mm Length<br />
SN602 TC100 Screw 6.5mm Cancellous Screw Partially 6.5mm Diameter, 32mm thread,<br />
Threaded 130mm+ Length<br />
SN603 TC100 Screw 6.5mm Cancellous Screw Partially 6.5mm Diameter,16mm thread,<br />
Threaded 30-70mm Length<br />
SN604 TC100 Screw 6.5mm Cancellous Screw Partially 6.5mm Diameter, 16mm thread,<br />
Threaded 75-120mm Length<br />
SN605 TC100 Screw 6.5mm Cancellous Screw Partially 6.5mm Diameter, 16mm thread,<br />
Threaded 125mm+ Length<br />
SN606 TC100 4mm Cancellous Screw Fully or Partially Threaded 10 - 20mm<br />
SN607 TC100 4mm Cancellous Screw Fully or Partially Threaded 22 - 32mm<br />
SN608 TC100 4mm Cancellous Screw Fully or Partially Threaded 32 - 50mm<br />
SN609 TC100 4mm Cancellous Screw Fully or Partially Threaded 55mm +<br />
SN612 TC100 3.5mm Cortex Screw Hex, Cruciate or Self-tapping 85mm +<br />
SN618 TC100 Screw 2.7mm Cortex Bone screw, hexagonal 2.7mm Diameter, 6mm-28mm Length<br />
or crutiate head<br />
SN619 TC100 Screw 2.7mm Cortex Bone screw, hexagonal 2.7mm Diameter, 30mm+ Length<br />
or crutiate head<br />
SN621 TC100 3.5mm Cortex Screw Hex, Cruciate or Self-tapping 10 - 40mm<br />
SN625 TC100 Screw Malleolar Bone Screw, Sterile 25x12mm - 70x32mm<br />
Page 336 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN629 Bone Screw Full & Partial Thread , Self tapping, 3.5mm Diameter, 1/2-4" length<br />
Stainless Steel<br />
SN635 Cannulated Screw Partial Thread, Stainless Steel 6.5mm Diameter, 16&20mm Thread,<br />
20-135mm<br />
SN636 Cannulated Screw Partial Thread, Stainless Steel 6.5mm Diameter, 32mm thread,<br />
45-130mm<br />
SN637 Cannulated Screw Partial and Fully Threaded, 5.5mm Diameter, 20-120mm<br />
Stainless Steel<br />
SN638 Cannulated Screw Partial and Fully Threaded, 7.0mm Diameter, 30-150mm<br />
Stainless Steel<br />
SN639 Cannulated Screw 6.5mm screw Titanium 6.5mm Diameter, 40mm-110mm<br />
SN640 Cannulated Screw 7.0mm screw Titanium 7.0mm Diameter 30-150mm length<br />
SN641 Cannulated Screw 5.5mm screw Titanium 5.5mm Diameter 8x20mm-<br />
32x120mm<br />
SN642 Cannulated Screw 4.0mm Screw Titanium 4.0mm Diameter 20-70mm length<br />
SN643 Cannulated Screw 8mm Cannulated screws 8mm Diameter 65-125mm<br />
SN644 Cannulated Screw 6.4mm Cannulated screws 6.4mm diameter 65-125mm length<br />
SN675 HTO Screws Titanium 4.5mm Diameter, 20 - 80mm Length<br />
Screws, Cranioplasty Plate<br />
SN002 TC 100 3.5mm Cortical Screws Hex, Cruciate or Self Tapping 45 - 85mm<br />
SN007 TC 100 3.5mm Cortical Screws Sterile, Hex or Cruciate 10 - 40mm<br />
SN014 TC 100 4.5mm Cortical Screws Hex, Cruciate or Self-tapping 14 - 60mm<br />
SN018 TC 100 4.5mm Cortical Screws Hex, Cruciate or Self-tapping 100 - 145mm<br />
SN061 TC 100 4.5mm Cortical Screws Hex, Cruciate or Self-tapping 62 - 95mm<br />
SN082 TC 100 2.7mm Cortical Screws Hex, Cruciate or Self-tapping 6 - 55mm<br />
SN112 TC 100 2.0mm Cortical Screws Self Tapping, Hex or cruciate 6 - 38mm<br />
SN123 TC 100 3.5mm Cortical screw Sterile - Hex or Cruciate, Self 10 - 40mm<br />
Page 337 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Sleeves<br />
SN359 Invis Distal Centraliser PMMA 7 - 21mm<br />
Staples, Tissue<br />
SN414 Shoulder Reconstruction Suretac Absorbable Staple 6-8 x 16mm<br />
Suture Buttons<br />
SN426 ACL/PCL Reconstructions EndoButton 4 x 12mm<br />
SN427 ACL/PCL Reconstructions Fixation Button 12-17mm<br />
SN428 ACL/PCL Reconstructions EndoButton CL 20-50mm<br />
Suture Units, Other<br />
SN141 T-Bar Suture Retention System Fastfix One size only<br />
SN413 Shoulder Reconstruction 3.7mm TAG & Wedge Suture Wedge 3.7mm<br />
SN415 Shoulder Reconstruction TAG Bioabsorbable Anchor Wedge 3.7mm<br />
SN417 T-Bar Suture Retention System T-Fix RCG 1.8mm<br />
SN418 T-Bar Suture Retention System T-Fix Single & Double T-Fix Suture Bar, Straight Needle,<br />
Double Suture<br />
SN442 Mini TAG Suture Anchor 2.0mm 2.0mm<br />
Sutures, Polyester<br />
SN416 Shoulder Reconstruction Fastentor Suture Anchor One size only<br />
SN429 ACL/PCL Reconstructions EndoButton Tape One size only<br />
Unknown / Unassigned<br />
SN700 RCI Screw with Perforations Tinanium interference screw Dia 7 - 10mm, length 25 - 35mm<br />
Washers, Bone Screw<br />
SN424 ACL/PCL Reconstructions Acufex Spiked Washer One size only<br />
SN450 Washer For Cannulated screw systems, One size only<br />
Titanium<br />
Page 338 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SN626 TC100 Washers Stainless Steel 7-13mm<br />
SN627 TC100 Washers Titanium Non Sterile 4.5mm -13mm<br />
SN628 TC100 Washers Titanium Sterile 4.5mm -13mm<br />
Stryker Australia Pty Ltd<br />
Anchor, Fixation<br />
SK048 Stryker Cuff Anchor Titanium anchor kit for soft tissue Length 5-8mm<br />
reattachment<br />
Bone Matrix Implants, Artificial<br />
ST019 Calcium Sulphate Pellets Vial of 200 5mm<br />
ST020 Bonesave Calcium phosphate based granules 40gms, granule size 2-4mm<br />
ST021 Bonesave Calcium phosphate based granules 40gms, granule size 4-6mm<br />
ST022 Bonesave Calcium phosphate based powder 40gms<br />
ST049 Calcium Sulphate Pellets Vial of 200 3mm<br />
ST050 Calcium Sulphate Pellets Vial of 400 3mm<br />
ST053 Calcium Sulphate Pellets Vial of 100 5mm<br />
Bone Matrix Implants, Biological<br />
ST677 Bone Graft - Artificial Pyrost - 2.7cubic cm<br />
ST678 Bone Graft - Artificial Pyrost - 6.5cubic cm<br />
ST679 Bone Graft - Artificial Pyrost - 19.5cubic cm<br />
ST865 OP-1 Implant - Osteogenic Protein 1, Osteoinductive and 1 vial<br />
3.5mg osteoconductive bone graft<br />
Cement, Orthopedic<br />
ST800 2.5gm Bone Source Hydroxyapatite Self setting cement used to fill 2.5gm<br />
Cement with Sodium Phosphate cranial defects, sodium phosphate<br />
included in packaging to allow<br />
acceleration of the setting process.<br />
Page 339 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Nails, Bone<br />
SK006 Stryker Trauma Locking Nail System Titanium - Humeral Nail Dia 7,8,9mm length 140 - 320mm<br />
ST035 Stryker Trauma Locking Nail System: Titanium One size only<br />
Compression Screw<br />
ST043 Stryker Trauma Locking Nail System: Titanium 20-120mm<br />
Locking Screw with & without shaft<br />
ST045 Stryker Trauma Locking Nail System: Titanium Standard, +5, +10, +15<br />
End Cap<br />
ST046 Stryker Trauma Locking Nail System: Standard, Proximal & Distal; 8-15mm diameter; 240-420mm<br />
Tibial Nail<br />
ST047 Stryker Trauma Locking Nail System: Titanium One size only<br />
Condyle Screw (including nut)<br />
ST059 Stryker Trauma Locking Nail System: Titanium 13-15mm diameter; 240-480mm<br />
Femoral Nail length<br />
ST659 IC Nail Femoral stainless steel 10-14mm width x 300-480mm<br />
ST660 IC Nail Tibial stainless steel 8-12mm width x 240-390mm length<br />
ST661 IC Nail Tibial nail for distal fractures 10mm length x 240-405mm length<br />
stainless steel<br />
ST662 IC Nail Locking screw with shaft stainless 25-70mm length<br />
ST663 IC Nail Locking screw without Shaft 20-70mm length<br />
stainless steel<br />
ST664 IC Nail Protection screw stainless steel One size only<br />
ST665 IC Nail Compression screw stainless steel One size only<br />
Orthopedic External Fixation Systems, Fracture<br />
SK007 Hoffmann II External Fixation System Hoffmann II Compact One size only<br />
-Compression/Distraction Rod<br />
SK008 Hoffmann II External Fixation System Hoffmann II One size only<br />
Compression/Distraction Tube<br />
Page 340 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SK009 Hoffmann II External Fixation System Hoffman II Miami Post One size only<br />
SK014 Hoffmann II Hoffmann II Mini- Linking Pivot for One size only<br />
2mm & 3mm pins<br />
SK015 Hoffmann II Hoffmann II Mini- Shank Straight 2, 3 mm<br />
Pin Holder - for 1.5mm & 2.0mm pins<br />
SK016 Hoffmann II Hoffmann II Mini- Shank 'T' Offset 2mm<br />
Pin Holder - for 1.5mm & 2.0mm pins<br />
SK017 Hoffmann II Hoffmann II Mini- 3 Hole Vise One size only<br />
SK018 Hoffmann II Hoffmann II Mini- Simple Swivel One size only<br />
Clamp<br />
SK019 Hoffmann II Hoffmann II Mini- Insulated Smooth One size only<br />
Vise<br />
SK020 Hoffmann II Hoffmann II Mini- Articulating 3x3, 2x3<br />
Coupling<br />
SK021 Hoffmann II Hoffmann II Mini- Adjustable One size only<br />
Swivel Clamp<br />
SK045 Hoffmann II Hoffmann II Mini- Shank Offset Pin 2, 3mm<br />
Holder - for 1.5mm & 2.0mm pins<br />
ST878 Monticelli-Spinelli External Fixation Anodized metal alloy, three quarter Small, Medium, Large<br />
ring<br />
ST879 Apex Pins Stainless Steel Orthopaedic Pins 2mm<br />
ST880 Apex Pins Stainless Steel Orthopaedic Pins 3mm<br />
ST881 Apex Pins Stainless Steel Orthopaedic Pins 4mm<br />
ST882 Apex Pins Stainless Steel Orthopaedic Pins 5mm<br />
ST883 Apex Pins Stainless Steel Orthopaedic Pins 6mm<br />
ST884 Apex Pins Stainless Steel Orthopaedic Pins 2 - 6mm<br />
ST891 Hoffmann II External Fixation System Pin clamp assembly with no post One Size Only<br />
Page 341 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST892 Hoffmann II Compact External Fixation Pin clamp assembly with no post One Size Only<br />
System<br />
ST935 Hoffman II External Fixation System Anodised metal alloy, rod to rod 8/8mm -<br />
coupling<br />
ST936 Hoffman II External Fixation System Anodised metal alloy, pin to rod 8/4, 5mm -<br />
coupling<br />
ST937 Hoffman II External Fixation System Anodised metal alloy, 30 deg angled One size only -<br />
post, stainless steel<br />
ST938 Hoffman II External Fixation System Anodised metal alloy, straight post, One size only -<br />
stainless steel<br />
ST939 Hoffman II External Fixation System Anodised metal alloy, aluminium 8mm x 65-500mm -<br />
connecting rod<br />
ST940 Hoffman II External Fixation System Anodised metal alloy, carbon 8mm x 65-500mm -<br />
connecting rod<br />
ST941 Hoffman II External Fixation System Anodised metal alloy, stainless steel 8mm x 65-500mm -<br />
connecting rod<br />
ST942 Hoffman II External Fixation System Anodised metal alloy, curved Small, Medium, Large -<br />
aluminium rod semi-circular<br />
ST943 Hoffman II External Fixation System Anodised metal alloy, adjustable Long, short -<br />
connecting rod<br />
ST944 Hoffman II External Fixation System Anodised metal alloy, One size only -<br />
dynamization/distraction rod,<br />
compression/distraction rod,<br />
dynamization/distraction rod to rod<br />
coupling<br />
ST945 Monotube External Fixation System Anodized metal alloy, dynamic tube 15mm -<br />
assembly yellow<br />
ST946 Monotube External Fixation System Anodized metal alloy, dynamic tube 20mm -<br />
assembly blue<br />
ST947 Monotube External Fixation System Anodized metal alloy, dynamic tube 25mm -<br />
assembly red<br />
Page 342 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST948 Monotube External Fixation System Anodized metal alloy, dynamic tube 15mm -<br />
assembly yellow<br />
ST949 Monotube External Fixation System Anodized metal alloy, dynamic tube 20mm -<br />
assembly blue<br />
ST950 Monotube External Fixation System Anodized metal alloy, dynamic tube 25mm -<br />
assembly red<br />
ST951 Monotube External Fixation System Anodized metal alloy, pin clamp 15, 20, 25mm -<br />
yellow, blue, red<br />
ST952 Monotube External Fixation System Anodized metal alloy, single pin 15, 20, 25mm -<br />
clamp yellow, blue, red<br />
ST953 Monotube External Fixation System Anodized metal alloy, T-Adapter 15, 20, 25mm -<br />
yellow, blue, red<br />
ST954 Monotube External Fixation System Anodized metal alloy, tube to tube 15, 20, 25mm, 15/20mm, 20/25mm -<br />
clamp yellow, blue, red,<br />
yellow/blue, blue/red<br />
ST955 Monotube External Fixation System Anodized metal alloy, hybrid clamp One size only -<br />
blue, hybrid clamp red<br />
ST956 Monotube External Fixation System Monticelli/Spinelli Ring Frame One size only -<br />
ST957 Monotube External Fixation System 3/4 ring blue, green and white 147mm, 165mm, 187mm -<br />
ST958 Monotube External Fixation System Monticelli/Spinelli Kirschner Wire One size only -<br />
Holder<br />
ST959 Monotube External Fixation System With sliding clamp One size only -<br />
ST960 Monotube External Fixation System With sliding clamp and spacer One size only -<br />
ST961 Monotube External Fixation System Carbon tube assembly yellow 015 150, 200, 250, 300mm -<br />
ST962 Monotube External Fixation System Carbon tube yellow 015 150, 200, 250, 300mm -<br />
ST963 Monotube External Fixation System Carbon tube blue 015 150, 200, 250, 300mm -<br />
ST964 Monotube External Fixation System Carbon tube red 015 150, 200, 250, 300mm -<br />
ST965 TenXor External Fixation System Anodized metal alloy, open ring 150, 180, 210, 250mm -<br />
Page 343 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST966 TenXor External Fixation System Anodized metal alloy, ring clamp One size only -<br />
ST967 TenXor External Fixation System Anodized metal alloy, wire post, pin One size only -<br />
post<br />
ST968 TenXor External Fixation System Anodized metal alloy, ring to One size only -<br />
monotube triax tube clamp<br />
ST969 TenXor External Fixation System Anodized metal alloy, blue, red 20, 25mm -<br />
ST970 TenXor External Fixation System Anodized metal alloy, Monticelli One size only -<br />
Spinelli kirschner wire holder<br />
ST971 TenXor External Fixation System Anodized metal alloy, with sliding One size only -<br />
clamp<br />
ST972 TenXor External Fixation System Anodized metal alloy,with sliding One size only -<br />
clamp and spacer<br />
ST973 Monticelli Spinelli External Fixation Anodized metal alloy, one quarter Small, Medium, Large -<br />
System<br />
ST974 Monticelli Spinelli External Fixation Anodized metal alloy, sliding clamp One size only -<br />
System<br />
ST975 Monticelli Spinelli External Fixation Anodized metal alloy, articulation One size only -<br />
System coupling<br />
ST976 Monticelli Spinelli External Fixation Anodized metal alloy, kirchner wire One size only -<br />
System holder, with sliding clamp, with<br />
sliding clamp and spacer<br />
ST977 Monticelli Spinelli External Fixation Anodized metal alloy, threaded 8mm OD x 200, 350, 450mm -<br />
System connecting rod with 4 nuts<br />
ST978 Monticelli Spinelli External Fixation Anodized metal alloy, longitudinal One size only -<br />
System sliding clamp<br />
ST979 Monticelli Spinelli External Fixation Anodized metal alloy, carbon fibre 8mm OD x 100mm -<br />
System connecting rod<br />
ST980 Monticelli Spinelli External Fixation Anodized metal alloy, column with 50, 100mm -<br />
System pin/K-wire holder and sliding clamp<br />
Page 344 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST981 Monticelli Spinelli External Fixation Anodized metal alloy, articulation One size only -<br />
System with sliding clamp and kirschner<br />
ST982 Monticelli Spinelli External Fixation Anodized metal alloy, spherical ball One size only -<br />
System joint<br />
Orthopedic External Fixation Systems, Other<br />
ST885 Howmedica Dynamic Joint Distractor Y Body Assembly - Stainless Steel One size only<br />
ST886 Howmedica Dynamic Joint Distractor Pin Stop Collar - Stainless Steel One size only<br />
ST887 Howmedica Dynamic Joint Distractor Pin to Rod Coupling - Stainless One size only<br />
ST888 Howmedica Dynamic Joint Distractor Complete Y Body Frame - Stainless One size only<br />
Steel<br />
ST889 Howmedica Dynamic Joint Distractor Straight Body Assembly - Stainless One size only<br />
Steel<br />
Orthopedic Internal Fixation Systems, Fracture<br />
ST052 Square Fit 1.7mm Quik Flap System Kit contains three titanium 2 hole 2 hole plate. 4mm length screw<br />
plates, and 6 titanium alloy bone<br />
screws<br />
ST062 Auto Pilot 1.7mm Quik Flap System Kit contains three titanium 2 hole 2 hole plate. 4mm length screw<br />
plates, and 6 titanium alloy bone<br />
screws<br />
ST063 Auto Pilot 1.7mm Quik Burr System Kit contains one 14mm Malleable 14mm plate. 4mm length screw<br />
Burr Hole Cover plate and 5<br />
titanium alloy bone screws<br />
ST064 Square Fit 1.7mm Quik Burr System Kit contains one 14mm Malleable 14mm plate. 4mm length screw<br />
Burr Hole Cover plate and 5<br />
titanium alloy bone screws<br />
ST065 Cross Slot 2.0mm Quik Flap System Kit contains three titanium 2-hole 2 hole plate. 4.0mm length screw<br />
plates and six titanium low profile<br />
bone screws<br />
ST803 Grosse and Kempf Locking Nail - Cross screws 15 - 95mm length<br />
6.28mm<br />
Page 345 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST804 Grosse and Kempf Locking Nail - Cross screws 20 - 70mm length<br />
Orthopedic Internal Fixation Systems, Spinal<br />
SK025 Xia Spine System Thoracic laminar hook blocker One size only<br />
SK042 Xia Spine System Transverse Process Hook, Right and One Size Only<br />
Left<br />
SK043 Xia Spine System Thoracic Laminar Hook, Washer One size only<br />
SK044 Xia Spine System Multi Axial Connector Monobloc 17, 19, 21, 23, 26mm;<br />
Small 29, 31, 35mm; Standard 38,<br />
42, 50mm<br />
SK063 Opus Spinal Fixation System Thoracic Long Top Screw, conical Dia 5.5mm, length 30-45mm<br />
SK065 Opus Spinal Fixation System Sacral Screw Dia 8-9mm, length 30-60mm<br />
SK068 Opus Spinal Fixation System Lumbar screw, conical Dia 6.7-7.7mm, length 30-60mm<br />
SK072 Opus Spinal Fixation System Long Hex Lumbar Screw, conical Dia 6.7-7.7mm, length 30-60mm<br />
SK076 Opus Spinal Fixation System Thoracic Long Hex Screw, conical Dia 5.5mm, length 30-45mm<br />
SK079 Opus Spinal Fixation System Long Top Lumbar Screw, conical Dia 6.7-7.7mm, length 30-60mm<br />
SK080 Xia Spine System Multi Axial Connector Monobloc 17,19,21,-23,26mm,<br />
Small 29,31,35mm, Standard<br />
SK085 Centaur Union Rods Dia 6mm, length 60-160mm<br />
SK087 Centaur Rod Main Screw Set Dia 7mm, length 25-55mm<br />
SK089 Centaur Rod Tightening Screw Dia 5, Length 10mm<br />
SK093 Xia Spine System Rod Dia 6mm, length 40-130mm<br />
SK112 Xia Spine System Buttress thread locking nut One size only<br />
SK113 Centaur Rod connector set One size only<br />
ST002 Diapason Millenium - Long Arm Titanium Alloy 40-60mm length<br />
Sacral Screw<br />
ST010 Diapason Millenium - Long Arm Titanium Alloy 30-55mm length<br />
Thoracic Screw<br />
Page 346 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST042 Diapason Millenium - Thoracic Screw, Titanium Alloy 5,5.5, 6.7 & 7.7mm diameter.<br />
5mm, 5.5mm, 6.7mm & 7.7mm 30-60mm length<br />
ST048 Diapason Millenium - Sacral Screw, Titanium Alloy 8mm length<br />
8mm or 9mm<br />
ST057 Diapason Millenium - Long Arm Titanium Alloy 6.7mm diameter; 30-60mm length<br />
Lumbar Screw<br />
ST058 Diapason Millenium - Long Arm Titanium Alloy 7.7mm diameter; 30-60mm length<br />
Lumbar Screw<br />
ST680 Centaur Rod main screw set Diameter 5.5 mm Length 25-55mm<br />
ST681 Centaur Secondary screw titanium alloy 5.5 & 7mm - from 25-55mm in 5mm<br />
increments<br />
ST682 Centaur Rod titanium alloy 4mm Length 60 - 160mm<br />
ST683 Centaur Plate titanium alloy, straight, 30-90mm in 10mm increments<br />
lordotic, kyphotic<br />
ST684 Centaur Plate support titanium alloy One size only<br />
ST685 Dimso/Stryker Implants Diapason Screw - short arm + ball ring 5, 5.5, 6.7, 7.7, 8, 9mm by 30-60mm<br />
titanium, thoracic, lumbar, sacral with 5mm increment<br />
ST686 Dimso/Stryker Implants Diapason Screw - short arm + ball ring 5, 5.5, 6.7, 7.7, 8, 9mm by 30-60mm<br />
titanium , diapason millenium- with 5mm increment<br />
thoracic, lumbar, sacral<br />
ST687 Dimso/Stryker Implants Diapason Screw -long arm 5.5, 6.7, 7.7mm by 30-60mm by 5mm<br />
increment<br />
ST688 Dimso/Stryker Implants Diapason Screw -long arm + ball ring titanium, 5.5, 6.7, 7.7, 8mm by 30-60mm by<br />
diapason millenium- thoracic, 5mm increment<br />
lumbar, sacral<br />
ST689 Dimso/Stryker Implants Diapason Transverse - Domino titanium One size only<br />
ST690 Dimso/Stryker Implants Diapason Transverse rod union titanium 10-50mm<br />
ST691 Dimso/Stryker Implants Diapason Transverse ball links (set of 2) One size only<br />
ST692 Dimso/Stryker Implants Diapason Transverse cross link (set of 2) One size only<br />
Page 347 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST693 Dimso/Stryker Implants Diapason Transverse - transverse connector One size only<br />
titanium, TLC connector<br />
ST694 Dimso/Stryker Implants Diapason Transverse - transverse bar titanium 50-90mm<br />
ST695 Dimso/Stryker Implants Diapason Rods titanium 40-210mm<br />
ST696 Dimso/Stryker Implants Diapason Hook - non offset titanium, narrow, One size only<br />
wide, straight, oblique, lumbar<br />
ST697 Dimso/Stryker Implants Diapason Hook - offset titanium, thoracic - Small, Large<br />
left, right<br />
ST698 Opus Spinal Fixation System Plate - short plates titanium, 2 holes small, large<br />
or 3 holes<br />
ST699 Opus Spinal Fixation System Plate - long plates titanium 2 holes small, large<br />
or 3 holes<br />
ST700 Opus Spinal Fixation System Screw - short arm titanium 5.5,6.7,7.7,9mm by 35-55mm with<br />
5mm increments<br />
ST701 Opus Spinal Fixation System Screw - long arm titanium 6.7,7.7mm by 40-50mm with 5mm<br />
increment<br />
ST702 Opus Spinal Fixation System Fixation - plate key titanium One size only<br />
ST703 Opus Spinal Fixation System Fixation - plate nut titanium One size only<br />
ST704 Opus Spinal Fixation System Rods titanium 40-90mm with 10mm increment;<br />
90,110,130,150,180, 210mm<br />
ST705 Equinox Spinal Plate System Cervical - short plates titanium 1 Level from 24-37mm with 2mm<br />
monobloc increment and 2 Level from<br />
46-58mm with 3mm increment<br />
ST706 Equinox Spinal Plate System Cervical - long plates titanium, 3 Level from 62-78mm with 4mm<br />
monobloc increment and 4 Lervel from<br />
80-100mm with 5mm increment<br />
ST707 Equinox Spinal Plate System Cervical - screws titanium 4& 4.5mm by 10-16mm with 2mm<br />
increment<br />
ST711 PEEK Interbody Cages Peek lumbar cages poly ether ether Size 9-14mm<br />
ketone 0, 4 & 8 degree<br />
Page 348 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST712 PEEK Interbody Cages Solis cages poly ether ether ketone 12/5-12/7 and 14/5-14/7<br />
ST792 Opus Spinal Fixation System Rod Bolt, titanium alloy Standard, Offset<br />
ST793 Opus Spinal Fixation System Rod Support, titanium alloy 40-120mm<br />
ST805 Modul ICS Cervical base 0 degree, 4 degree - small, 16mm<br />
diameter<br />
ST806 Modul ICS Cervical endplate 0 degree, 4 degree - 16mm diameter<br />
ST807 Modul ICS Cervical intermediate part Small, standard - 16mm diameter<br />
ST808 Modul ICS High thoracic base 0 degree, 4 degree - small and<br />
standard, 22mm diameter<br />
ST809 Modul ICS High thoracic endplate 0 degree, 4 degree, 6 degree - 22mm<br />
diameter<br />
ST810 Modul ICS High thoracic intermediate part Small and standard - 22mm diameter<br />
ST811 Modul ICS Low thoracic base 0 degree, 4 degree - small and<br />
standard, 26mm diameter<br />
ST812 Modul ICS Low thoracic endplate 0 degree, 4 degree, 6 degree - 26mm<br />
diameter<br />
ST813 Modul ICS Low thoracic intermediate part Small and standard - 26mm diameter<br />
ST814 Modul ICS Lumbar endplate 0 degree, 4 degree, 6 degree - 28mm<br />
diameter<br />
ST815 Modul ICS Lumbar intermediate part Small and standard - 28mm diameter<br />
ST816 Modul ICS Lumbar base 0 degree, 4 degree - small and<br />
standard, 28mm diameter<br />
ST893 Stabilis Frame Titanium Frontal Frame 11 - 13mm 8 degrees<br />
ST894 Stabilis Frame Titanium 15mm - 8 degrees<br />
ST895 Stabilis Frame Titanium 17mm - 8 degrees<br />
ST896 Stabilis Bone Graft Delivery Unit - Titanium BGDU diam 11mm<br />
BGDU<br />
Page 349 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST897 Stabilis Bone Graft Delivery Unit - Titanium BGDU diam 13mm<br />
BGDU<br />
ST898 Stabilis Bone Graft Delivery Unit - Titanium BGDU diam 15mm<br />
BGDU<br />
ST899 Stabilis Bone Graft Delivery Unit - Titanium BGDU diam 17mm<br />
BGDU<br />
ST900 Stabilis Oblique Frame Titanium 11mm - 4 degrees<br />
ST901 Stabilis Oblique Frame Titanium 13mm - 4 degrees<br />
ST902 Stabilis Oblique Frame Titanium 15mm - 4 degrees<br />
ST903 Stabilis Oblique Frame Titanium 11mm - 8 degrees<br />
ST904 Stabilis Oblique Frame Titanium 13mm - 8 degrees<br />
ST905 Stabilis Oblique Frame Titanium 15mm - 8 degrees<br />
ST906 Stabilis Frontal Frame Titanium Frontal Frame 11 - 13mm - 4 degrees<br />
ST907 Stabilis Frontal Frame Titanium 15mm - 4 degrees<br />
ST908 Stabilis Frontal Frame Titanium 17mm - 4 degrees<br />
ST909 Stabilis Oblique Frame Titanium 11mm - 0 degrees<br />
ST910 Stabilis Oblique Frame Titanium 13mm - 0 degrees<br />
ST911 Stabilis Oblique Frame Titanium 15mm - 0 degrees<br />
ST914 Reflex Anterior Cervical Plate - Screw Titanium, locking Dia 4mm lengths 10 - 14mm<br />
ST915 Reflex Anterior Cervical Plate - Screw Titanium, locking Dia 4mm Length 16 - 22mm<br />
ST916 Reflex Anterior Cervical Plate - Screw Titanium, locking Dia 4.5mm Length 12 - 22mm<br />
ST917 Reflex Anterior Cervical Plate System Titanium, locking 1 Level size, 12 - 22mm<br />
ST918 Reflex Anterior Cervical Plate System Titanium, locking 2 Level size, 24 - 46mm<br />
ST919 Reflex Anterior Cervical Plate System Titanium, locking 3 Level size, 39 - 69mm<br />
ST920 Reflex Anterior Cervical Plate System Titanium, locking 4 Level size, 60 - 84mm<br />
Page 350 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Pins, Bone<br />
ST007 Stryker Plating System - K Wires Stainless Steel or Titanium 150mm length in 1.25, 1.6, 2.0mm<br />
diameter<br />
ST890 Steinmann Pins Stainless Steel 7,9"<br />
Plates, Bone<br />
SK001 Stryker Plating System Epi-Union Peri- Articular Plating 7 Holes<br />
System Tibia-Distal -Medial<br />
SK002 Stryker Plating System Epi-Union Peri- Articular Plating 9 Holes<br />
System Tibia-Distal -Medial<br />
SK003 Stryker Plating System Epi-Union Peri- Articular Plating 11 Holes<br />
System Tibia-Distal -Medial<br />
SK004 Stryker Plating System Epi-Union Peri- Articular Plating 3-6 Holes<br />
System Tibia-Proximal -Lateral<br />
SK005 Stryker Plating System Epi-Union Peri- Articular Plating 7-11 Holes<br />
System Tibia-Proximal -Lateral<br />
SK031 Leibinger Titanium Implant system Profyle hand and small fragment 1.2mm sys XS, T-shape 8 holes<br />
plate system<br />
SK032 Leibinger Titanium Implant system Profyle hand and small fragment 1.7mm sys S, T-shape 10 holes<br />
plate system<br />
SK033 Leibinger Titanium Implant system Profyle hand and small fragment 1.7mm system S, Condylar 5 holes<br />
plate system L&R<br />
SK034 Leibinger Titanium Implant system Profyle hand and small fragment 1.7mm system S+, 16 holes<br />
plate system<br />
SK035 Leibinger Titanium Implant system Profyle hand and small fragment 1.7mm system S+, 90deg L&R<br />
plate system<br />
SK036 Leibinger Titanium Implant system Profyle hand and small fragment 2.3mm system M, compression<br />
plate system condylar 6 holes L&R<br />
SK037 Leibinger Titanium Implant system Profyle hand and small fragment 2.3mm system M, fixation 3D 6x2<br />
plate system holes<br />
Page 351 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SK038 Leibinger Titanium Implant system Profyle hand and small fragment 2.3mm system L, compr 10 hole T<br />
plate system<br />
SK039 Leibinger Titanium Implant system Profyle hand and small fragment 2.3mm system M, compr 8 holes<br />
plate system straight bar<br />
SK040 Leibinger Titanium Implant system Profyle hand and small fragment 2.3mm system L, straight 7 & 8<br />
plate system holes bar<br />
SK041 Leibinger Titanium Implant system Profyle hand and small fragment 2.3mm system M, compr 10 hole T<br />
plate system<br />
SK049 Stryker Plating System Screws Cancellous bone screws, full and Dia 4.0mm, 10-20mm<br />
partial thread<br />
SK050 Stryker Plating System Screws Cancellous bone screws, full and Dia 4.0mm, 22-30mm<br />
partial thread<br />
SK051 Stryker Plating System Screws Cancellous bone screws, full and Dia 4.0mm, 32-50mm<br />
partial thread<br />
SK052 Stryker Plating System Screws Cancellous bone screws, full and Dia 4.0mm, 55-100mm<br />
partial thread<br />
SK055 Matta Pelvic System Straight acetabular plate 10-14 Holes<br />
SK057 Matta Pelvic System Straight acetabular plate 15-20 Holes<br />
SK064 Matta Pelvic System Straight acetabular plate 4-9 Holes<br />
SK066 Matta Pelvic System Symphysis Publis Plates Radius 75 4-6 Holes<br />
SK067 Matta Pelvic System Curved Pelvic Plate Radius 108 4-9 Holes<br />
SK069 Matta Pelvic System Curved Pelvic Plate Radius 108 10-14 Holes<br />
SK070 Matta Pelvic System Curved Pelvic Plate Radius 108 15-20 Holes<br />
SK071 Matta Pelvic System Curved Pelvic Plate Radius 88 4-9 Holes<br />
SK073 Matta Pelvic System Curved Pelvic Plate Radius 88 10-14 Holes<br />
SK074 Matta Pelvic System Curved Pelvic Plate Radius 88 15-20 Holes<br />
SK075 Stryker Plating System Basic Fragment 4.5mm Reconstruction Plate 3-9 Holes<br />
Set<br />
Page 352 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SK077 Stryker Plating System Basic Fragment 4.5mm Reconstruction Plate 10-16 Holes<br />
Set<br />
SK081 Stryker Plating System Small Fragment Waisted compression plate 2-10 Holes<br />
Set<br />
SK082 Stryker Plating System Small Fragment Waisted compression plate 11-20 Holes<br />
Set<br />
SK083 Stryker Plating System Small Fragment Standard compression plate 2-9 Holes<br />
Set<br />
SK084 Stryker Plating System Small Fragment Standard compression plate 10-20 Holes<br />
Set<br />
SK086 Stryker Plating System Screws Cortical bone screws 4.5mm diameter 22-38mm<br />
SK088 Stryker Plating System Basic Fragment Waisted Compression Plate Broad 15-26 Holes<br />
Set<br />
SK094 Stryker Plating System Small Fragment Calcaneal Plate 70-80mm<br />
Set<br />
SK095 Stryker Plating System Screws Cortical bone screws 4.5mm diameter 40-64mm<br />
SK096 Stryker Plating System Screws Cortical bone screws 4.5mm diameter 65-95mm<br />
SK097 Stryker Plating System Screws Cortical bone screws 4.5mm diameter 100-150mm<br />
SK098 Stryker Plating System Small Fragment Stainless steel, reconstruction plate 10-22 Holes<br />
Set<br />
SK099 Stryker Plating System Small Fragment One Third Tubular Plate with Collar 9-14 Holes<br />
Set<br />
SK100 Stryker Plating System Small Fragment T Plates, standard 40-57mm Length<br />
Set<br />
SK101 Stryker Plating System Small Fragment T Plates, standard 66-100mm Length<br />
Set<br />
SK102 Stryker Plating System Small Fragment Cloverleaf Plate 6-10 Holes<br />
Set<br />
SK103 Stryker Plating System Screws Cortical bone screws Dia 2.7mm, screw length 22-38mm<br />
Page 353 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SK104 Stryker Plating System Screws Cortical bone screws Dia 2.7mm, screw length 40-60mm<br />
SK105 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length 10-20mm<br />
SK106 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length 22-38mm<br />
SK107 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length 40-60mm<br />
SK108 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length 65-95mm<br />
SK109 Stryker Plating System Screws Cortical bone screws Dia 3.5mm, screw length<br />
SK110 Stryker Plating System Basic Fragment Waisted compression plate narrow 2-9 Holes<br />
Set<br />
SK111 Stryker Plating System Basic Fragment Waisted compression plate narrow 10-22 Holes<br />
Set<br />
ST003 Stryker Plating System Screws - Stainless Steel/Titanium Diameter 2.7mm, screw length<br />
Cortical 2.7 & 3.5 8-20mm<br />
ST008 Stryker Plating System Small & Basic Narrow or Broad 2-20 holes, 26-260mm plate length<br />
Fragment - Compression Plate<br />
ST017 Stryker Plating System Small & Basic Stainless Steel or Titanium 50-60mm<br />
Fragment - Calcaneal Plate<br />
ST025 Stryker Plating System Small Fragment Stainless Steel 4-9 Holes<br />
Set<br />
ST036 Stryker Plating System Small & Basic Oblique T Plate or T Plate, Stainless 42-86mm Length<br />
Fragment - T Plate Steel or Titanium, Oblique<br />
ST037 Stryker Plating System SmallFragment One Third Tubular Plate with Collar 2-8 Holes<br />
Set<br />
ST038 Stryker Plating System - Reduction 4.5mm Diameter, Stainless Steel One size only<br />
ST039 Stryker Plating System Small & Basic Stainless Steel or Titanium, Left or 3-20 Holes, 67-339mm Plate<br />
Fragment - L Plate Right<br />
ST040 Stryker Plating System - Washers & Stainless Steel or Titanium Nuts 5.0 or 4.5mm thickness;<br />
Washers 7 - 13mm diameter<br />
ST041 Stryker Plating System Basic Fragment Waisted Compression Plate Broad 6-14 holes<br />
Set<br />
Page 354 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST051 Stryker Plating System Small Fragment Cloverleaf Plate 3-5 Holes<br />
Set<br />
ST060 Matta - Pelvic Curved Straight Stainless Steel 2-9 hole plate<br />
Synphis Pubic Plate<br />
ST671 Leibinger Plates Leibinger scaphoid platinum, One size - left, right, neutral<br />
orientation<br />
ST715 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 4 hole<br />
fragment system, fixation straight<br />
plate, titanium<br />
ST716 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 16 hole<br />
fragment system, fixation straight<br />
plate, titanium<br />
ST717 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 5 holes<br />
fragment system, fixation<br />
plate,T-shape, 90 deg, narrow,<br />
ST718 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 5 holes<br />
fragment system, fixation plate,<br />
T-shape, oblique, right/left, titanium<br />
ST719 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 5 holes<br />
fragment system, fixation plate,<br />
Y-shape, narrow, titanium<br />
ST720 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 2x2 holes<br />
fragment system, fixation plate, 3D<br />
plate, titanium<br />
ST721 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 3x2 holes, 2x2 + 2<br />
fragment system, fixation plate, 3D holes<br />
plate, titanium<br />
ST722 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 4x2 holes<br />
fragment system, fixation plate, 3D<br />
plate, titanium<br />
ST723 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm system, 4x2 holes<br />
fragment system, fixation plate,<br />
replant plate, titanium<br />
Page 355 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST724 Leibinger Titanium Implant System Leibinger profyle hand & small 1.2mm diameter x 4-13mm<br />
fragment system, cross-slot screw,<br />
self-tapping, titanium<br />
ST725 Leibinger Titanium Implant System Leibinger profyle hand & small 1.4x3mm, 1.4x5mm, 1.4x7mm,<br />
fragment system, emergency screw, 1.4x9mm<br />
cross-slot, titanium<br />
ST726 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 4 holes<br />
fragment system, straight plate,<br />
titanium<br />
ST727 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 4 holes<br />
fragment system, fixation straight<br />
plate with bar, titanium<br />
ST728 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 16 holes<br />
fragment system, fixation straight<br />
plate, titanium<br />
ST729 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 6 holes<br />
fragment system, fixation plate,<br />
L-shape, 90 deg, right/left, titanium<br />
ST730 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 6 holes<br />
fragment system, fixation plate,<br />
L-shape, oblique, right/left, titanium<br />
ST731 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 6 holes<br />
fragment system, fixation plate,<br />
T-shape, 90 deg, narrow, titanium<br />
ST732 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7 mm system, 6 holes<br />
fragment system, T-shape, narrow,<br />
oblique, right/left, titanium<br />
ST733 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 7 holes<br />
fragment system, fixation plate,<br />
T-shape, 90 deg, titanium<br />
ST734 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 7 holes<br />
fragment system, Y-shape, narrow,<br />
titanium<br />
Page 356 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST735 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 9 holes<br />
fragment system, Z-shape, titanium<br />
ST736 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 4x2 holes<br />
fragment system, replant plate,<br />
ST737 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 5 holes<br />
fragment system, condylar<br />
compression plate with bar,<br />
right/left, titanium<br />
ST738 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 2x2 holes<br />
fragment system, fixation, 3D plate,<br />
titanium<br />
ST739 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 2x2 + 2 holes<br />
fragment system, fixation, 3D plate,<br />
titanium<br />
ST740 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 3x2 holes<br />
fragment system, 3D plate, titanium<br />
ST741 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm system, 4x2 holes<br />
fragment system, 3D plate, titanium<br />
ST742 Leibinger Titanium Implant System Leibinger profyle hand & small 1.7mm diameter x 5-17mm<br />
fragment system, cross-slot,<br />
self-tapping screws, titanium<br />
ST743 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 1.7mm diameter x 18-24mm<br />
Fragment System, cross-slot,<br />
self-tapping screws, titanium<br />
ST744 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 1.6mm diameter<br />
Fragment System, cross-slot,<br />
self-tapping screws , Titanium<br />
ST745 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 1.9x5mm<br />
Fragment System, emergency,<br />
cross-slot, self-tapping screw,<br />
ST746 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 4 holes<br />
Fragment System, fixation straight<br />
plate and compression plate,<br />
Page 357 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST747 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 4 holes<br />
Fragment System, straight plate and<br />
compression plate, with bar,<br />
ST748 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 5 holes<br />
Fragment System, straight<br />
compression plate, Titanium<br />
ST749 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, straight<br />
compression plate, Titanium<br />
ST750 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 16 holes<br />
Fragment System, fixation straight<br />
plate, Titanium<br />
ST751 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, fixation and<br />
compression plate, L-shape, 90 deg,<br />
right/left, Titanium<br />
ST752 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, fixation and<br />
compression plate, L-shape, oblique,<br />
right/left, Titanium<br />
ST753 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, fixation and<br />
compression plate, T-shape, narrow,<br />
90 deg, Titanium<br />
ST754 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, fixation and<br />
compression plate, T-shape, narrow,<br />
oblique, right/left, Titanium<br />
ST755 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 7 holes<br />
Fragment System, fixation and<br />
compression plate, T-shape, 90 deg,<br />
Titanium<br />
Page 358 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST756 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 7 holes<br />
Fragment System, fixation and<br />
compression plate, Y-shape, narrow,<br />
Titanium<br />
ST757 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 13 holes<br />
Fragment System, fixation plate,<br />
Z-shape, Titanium<br />
ST758 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 5 holes<br />
Fragment System, condylar<br />
compression plate, right/left,<br />
ST759 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, condylar<br />
compression plate, right/left,<br />
ST760 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 4x2 holes<br />
Fragment System, replant plate,<br />
Titanium<br />
ST761 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 2x2 holes<br />
Fragment System, fixation plate, 3D<br />
plate, Titanium<br />
ST762 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 2x2 +2 holes<br />
Fragment System, 3D plate, Titanium<br />
ST763 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 3x2 holes<br />
Fragment System, fixation plate, 3D<br />
plate, Titanium<br />
ST764 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 4x2 holes<br />
Fragment System, fixation plate, 3D<br />
plate, Titanium<br />
ST765 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm diameter x 6-18mm<br />
Fragment System, cross-slot,<br />
self-tapping screw, Titanium<br />
ST766 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm diameter x 19-24mm<br />
Fragment System, cross-slot,<br />
self-tapping screw, Titanium<br />
Page 359 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST767 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.5mm diameter x 6mm<br />
Fragment System, emergency<br />
cross-slot screw, Titanium<br />
ST768 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 4 holes<br />
Fragment System, compression plate<br />
with bar, Titanium<br />
ST769 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 5 holes<br />
Fragment System, compression plate<br />
with bar, Titanium<br />
ST770 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, compression plate<br />
with bar, Titanium<br />
ST771 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 7 holes<br />
Fragment System, compression plate<br />
with bar, Titanium<br />
ST772 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 8 holes<br />
Fragment System, compression plate<br />
with bar, Titanium<br />
ST773 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, compression plate,<br />
90 deg, L-shape, right/lef, Titanium<br />
ST774 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, compression plate,<br />
T-shape, 90 deg, Titanium<br />
ST775 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3mm system, 6 holes<br />
Fragment System, compression plate,<br />
T-shape, oblique, right/left,<br />
ST776 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.3x5mm, 2.3x6mm, 2.3x8mm,<br />
Fragment System, screw and 2.3x9mm, 2.3x10mm, 2.3x12mm,<br />
emergency screw, Titanium 2.3x13mm, 2.3x14mm, 2.3x15mm<br />
ST777 Leibinger Titanium Implant System Leibinger Profyle Hand & Small 2.5mm diameter<br />
Fragment System, screw, Titanium<br />
Page 360 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST778 Leibinger Titanium Implant System Rogachefsky Distal Radius Plates, Palmar Fracture Plate - Medium<br />
Titanium<br />
ST779 Leibinger Titanium Implant System Rogachefsky Distal Radius Plates, Palmar Fracture Plate - Large<br />
Titanium<br />
ST780 Leibinger Titanium Implant System Rogachefsky Distal Radius Plates, Dorsal Fracture Plate Medium Left<br />
Titanium and Right<br />
ST781 Leibinger Titanium Implant System Rogachefsky Distal Radius Plates, Dorsal Fracture Plate Large Left<br />
Titanium and Right<br />
ST782 Leibinger Titanium Implant System Rogachefsky Distal Radius Screws, 2.7mm diameter - 12mm-38mm in 2<br />
Titanium mm increments,<br />
ST783 Leibinger Titanium Implant System Leibinger Forefoot Reconstruction 2.3x8mm, 2.3x10mm, 2.3x12mm,<br />
System, screw, Titanium 2.3x14mm<br />
ST784 Leibinger Titanium Implant System Leibinger Forefoot Reconstruction 2.7x12mm, 2.7x14mm, 2.7x16mm,<br />
System, screw, Titanium 2.7x18mm, 2.7x20mm,2.7x22mm<br />
ST785 Leibinger Titanium Implant System Leibinger Forefoot Reconstruction 3.0x14mm, 3.0x16mm, 3.0x18mm<br />
System, emergency screw, Titanium<br />
ST786 Leibinger Titanium Implant System Leibinger Forefoot Reconstruction 4 holes<br />
System, straight plate, Titanium<br />
ST787 Leibinger Titanium Implant System Leibinger Forefoot Reconstruction 6 holes<br />
System, straight plate, Titanium<br />
ST788 Leibinger Titanium Implant System Leibinger Forefoot Reconstruction 4 holes<br />
System, curved plate, Titanium<br />
ST789 Leibinger Titanium Implant System Leibinger Plates - Wrist 8 and 12 holes<br />
Arthrodesis Plates, partial and total,<br />
right/left, Titanium<br />
ST790 Alpha Stryker cervical plates Reflex anterior cervical plate, 12 - 84mm (2mm increments)<br />
Molybdenum, zirconium and iron<br />
ST791 Alpha Stryker cervical plates Reflex anterior cervical plate, 4mm x 10mm - 18mm (2mm<br />
Molybdenum, zirconium and iron, increments) 4.5mm x 12 - 16mm<br />
bone screw (2mm increments)<br />
ST983 Stryker Plating System DuPont Distal Humeral Plate 7,9,11,13 holes<br />
Page 361 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST984 Stryker Plating System Epi-Union Peri- Articular Plating 2-4 holes<br />
System Distal Radius (Universal)<br />
ST985 Stryker Plating System Epi-Union Peri- Articular Plating 5-7 holes<br />
System Distal Radius (Universal)<br />
ST986 Matta Pelvic System Straight Pelvic Plate 10-14 Holes<br />
ST987 Matta Pelvic System Straight Pelvic Plate 15-20 Holes<br />
ST988 Stryker Plating System Epi-Union Peri- Articular Plating 4 Holes<br />
System Distal Radius T-Plate<br />
ST989 Stryker Plating System Epi-Union Peri- Articular Plating 6-8 Holes<br />
System Humeris-Distal- Lateral<br />
ST990 Stryker Plating System Epi-Union Peri- Articular Plating 10-12 Holes<br />
System Humeris-Distal- Lateral<br />
ST992 Stryker Plating System Epi-Union Peri- Articular Plating 3-6 Holes<br />
System Tibia-Proximal -Medial<br />
ST993 Stryker Plating System Epi-Union Peri- Articular Plating 7-11 Holes<br />
System Tibia-Proximal -Medial<br />
ST994 Stryker Plating System Epi-Union Peri- Articular Plating 4, 6, 8 Holes<br />
System Lateral -Malleolus<br />
ST995 Stryker Plating System Epi-Union Peri- Articular Plating 3, 5, 8 Holes<br />
System Proximal Humerus<br />
ST996 Stryker Plating System Epi-Union Peri- Articular Plating 7-9 Holes<br />
System Tibia-Distal -Anterolateral<br />
ST997 Stryker Plating System Epi-Union Peri- Articular Plating 10-13 Holes<br />
System Tibia-Distal -Anterolateral<br />
ST998 Stryker Plating System Epi-Union Peri- Articular Plating 56mm<br />
System Calcaneal Plate<br />
ST999 Stryker Plating System Epi-Union Peri- Articular Plating 5 Holes<br />
System Tibia-Distal -Medial<br />
<strong>Prostheses</strong>, Femoral Head<br />
ST569 Unipolar head system Neck extention, vitallium alloy -4 TO +12mm<br />
Page 362 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST570 Unipolar head system UNITRAX vitallium alloy and 38-64mm OD 2mm increments<br />
polyethylene<br />
ST571 Unipolar head system Osteonics unipolar, cobalt chrome 40-61mm in 2mm increments<br />
ST821 Titanium Adapter Sleeve For use with V40 One size only<br />
ST927 Titanium Adapter Sleeve Composition - titanium, Morse taper Use with C-taper alumina heads 28,<br />
32 and 36mm dia<br />
<strong>Prostheses</strong>, Joint<br />
ST818 Osteonics Solar Elbow System - Titanium alloy with polyethylene Standard, large<br />
humeral assembly bushing<br />
ST819 Osteonics Solar Elbow System - long Titanium alloy with polyethylene Standard, large<br />
humeral assembly bushing<br />
ST820 Osteonics Solar Elbow System - ulna Titanium alloy Small, standard, large<br />
component<br />
<strong>Prostheses</strong>, Joint, Hip<br />
SK010 ABGII Cup with Hydroxyapatite Alumina Ceramic Insert 5x sizes in 28mm ID, 3x sizes in<br />
32mm ID<br />
SK011 PCA Revision Femoral Head Composition - Alumina Ceramic 32mm OD with a std, +5mm neck<br />
with preassembled titanium sleeve length options<br />
SK012 Osteonics Hip <strong>Prostheses</strong> C-taper Alumina Ceramic Head 28,32,35mm Diameter<br />
SK022 Modular Revision System Fluted Composition - Titanium Alloy Ti 3 lengths 165, 205, 255mm,<br />
Distal Stems A16 V4 with Arc Deposited Plasma diameter 11mm - 26mm<br />
Spray Coating<br />
SK056 Stryker Modular Revision Hip System Milled Proximal Body Titanium Dia 19-25mm with 2 mill Depths;<br />
Plasma Spray 27-29mm with 3 Mill Depths<br />
SK058 Stryker Modular Revision Hip System Porous Distal Stems Titanium Lengths 165, 205, 255mm, diameter<br />
Plasma Spray 11-26mm<br />
SK059 Stryker Modular Revision Hip System Porous Distal Stems Titanium Lengths 305, 355mm, diameter<br />
Plasma Spray 11-26mm<br />
SK060 Stryker Modular Revision Hip System Broached Proximal Body Titanium 1-8<br />
Plasma Spray<br />
Page 363 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SK061 Stryker Modular Hip System Cone Proximal Body Titanium Dia 19-31mm, Heights<br />
Plasma Spray +0,+10,+20,+30<br />
SK062 Stryker Modular Revision Hip System Calcar Proximal Body Titanium Diameter 19-29mm, 3 Heights each<br />
Plasma Spray<br />
SK092 ABG Cup with Hydroxyapatite ABGII Acetabular HA Shell with 52,54mm OD<br />
32mm ID ceramic insert<br />
ST001 Restoration T3 Revision Hip System - Titanium Alloy S,M,L<br />
Proximal Sleeve<br />
ST009 Restoration T3 Revision Hip System - Titanium Alloy 265mm<br />
Distal Stem 265mm<br />
ST011 Restoration T3 Revision Hip System - Titanium Alloy S,M,L<br />
Proximal Body<br />
ST012 Restoration T3 Revision Hip System - Titanium Alloy 225mm<br />
Distal Stem 225mm<br />
ST014 Hip - Head - Bipolar Crosslinked Enhanced Polyethylene/ Cobalt 40-72mm Outer Diameter<br />
Chrome<br />
ST015 Hip - Stem - ODC EON Cobalt Chrome Size 5-14<br />
ST016 Hip - Stem - OMNIFIT EON Cobalt Chrome Size 5-14<br />
ST799 ABG Hip System PEEK Composite inserts to be used To fit ABG 11 cup sizes OD 50, 52,<br />
with the ABG acetabular shell. All 54, 56, 58mm<br />
inserts have a 28mm internal<br />
ST928 ABG 1 Revision Femoral Head Composition - Alumina ceramic with 32mm with OD with a std (0mm)<br />
pre assembled titanium sleeve #465700 and (+5mm) #465703<br />
neck length options<br />
ST929 V40 LFIT CoCr Femoral Heads Composition - Ion <strong>Implanted</strong> V40 Dia 22mm: Std (0), +3mm, +8mm<br />
Chrome Cobalt Heads neck lengths. Dia 26mm: -3mm, Std<br />
(0), +4mm, +8mm, +12mm, +16mm<br />
neck lengths. Dia 28mm: -4mm, Std<br />
(0), +4mm, +6mm, +8mm, +12mm,<br />
+16mm. 32mm: -4mm, Std (0), +4mm,<br />
+8mm, +12mm, +16mm<br />
Page 364 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST930 System 12 +4mm Acetabular Insert Composition - Duration stabilized 28 and 32mm ID with a 10 degree<br />
polyethylene hood to fit all sizes of System 12<br />
shells<br />
ST931 System 12 Crossfire Insert Composition - Crossfire Fits 46 - 72mm System 12 shells in<br />
28 and 32mm ID with 0 and 10<br />
degree insert orientation<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
SK013 Trident Acetabular Component System Elevated Rim Inserts - Crossfire Fits 50-70mm with 28,32 and 36mm<br />
Polyethylene ID Options<br />
ST013 Hip - Trident All Polyethelene Cup Enhanced Polyethylene 40-64mm(Outer Diameter)<br />
ST546 Trident acetabular component system Leteralised cup insert, enhanced 26, 28 & 32mm<br />
polyethylene<br />
ST547 Restoration acetabular gap ring Titanium 48-72mm OD in 2mm increments<br />
ST548 Trident acetabular component system Trident shell, titanium - HA coated 40-74mm OD in 2mm increments<br />
ST549 Trident acetabular component system Trident polyethlene liner, enhanced 22, 26, 28, 32mm dia<br />
polyethlene<br />
ST550 Trident acetabular component system Trident ceramic liner, alumina and 28, 32, 36mm dia<br />
titanium<br />
ST557 Restoration gap II acetabular shell GAP CUP II titanium anatomic (left 48-72mm OD in 2mm increments<br />
& right)<br />
ST565 Alumina acetabular inserts Ceramic insert, alumina 28, 32 & 36mm dia<br />
ST932 Trident Constrained Acetabular Insert Two pre assembled components: Match with 6x Trident shell sizes<br />
Outer insert component and a E, F, G, H, I, J. Insert sizes E and F<br />
captured UHR (Universal Head) require a 22mm head size. Insert<br />
component. Composition - Cobalt sizes G, H, I, J require a 28mm head<br />
chrome alloy and UHMWPE (ultra size.<br />
high molecular weight<br />
polyethylene) with a Titanium<br />
ST933 Trident Multi-Hole Acetabular Shell Composition - Titanium Shell sizes: 42 - 74mm OD<br />
(Ti-6AL-4V) with Arc Deposit<br />
Surface and Pruefix HA Coating<br />
Page 365 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
ST573 Omnifit hip stem OMNIFIT - HA titanium - HA Stem sizes 4-14<br />
ST652 Unicompartmental Knee (Femoral Femoral component cobalt chrome 1, 2, 3, 4<br />
Component)<br />
ST653 Unicompartmental Knee (Tibial Tibial insert polyethylene 1, 2, 3, 4 in 8, 10, 12, 15mm<br />
ST654 Unicompartmental Knee (Tibial Tray) Tibial tray cobalt chrome 1, 2, 3, 4<br />
ST655 Unicompartmental Knee (Femoral Femoral component cobalt chrome 1, 2, 3, 4<br />
Component) with HA coating<br />
ST656 Unicompartmental Knee (Tibial Tibial insert polyethylene 1, 2, 3, 4 in 8, 10, 12, 15mm<br />
ST657 Unicompartmental Knee (Tibial Tray) Tibial tray cobalt chrome with HA 1, 2, 3, 4<br />
coating<br />
ST801 Accolade C Femoral Hip System Distal modular PMMA spacer Small, medium, large<br />
ST802 Accolade C Femoral Hip System Forged CoCr cemented hip system Stem sizes 2 - 7<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
ST539 Constrained acetabular insert Polyethylene & cobalt chrome 22, 26, 28, 32mm dia<br />
ST540 Osteonocs cementalbe polyethylene Polyethylene used with ABC scurfit 22, 26, 28 & 32mm dia<br />
inserts shell<br />
ST541 Osteonics secur-fit plus hip system Titanium - HA coated 127 Degree Stem sizes 7-14<br />
Offset<br />
ST545 Osteonics hip prostheses Cancellous bone screw, Titanium 6.5mm & 5.5mm dia<br />
ST551 Osteonics hip prostheses Dome hole plug titanium One size only<br />
ST552 Osteonics hip prostheses All poly cup polyethylene OD: 46-61mm. ID: 22, 26, 28,<br />
ST554 Osteonics secur-fit - HA PSL Secur-fit PSL shell titanium - HA OD: 40-72mm in 2mm increments<br />
acetabular shell coated<br />
ST555 Osteonics secur-fit - HA PSL Secur-fit ABC shell titanium - HA OD: 40-72mm in 2mm increments<br />
acetabular shell coated for use with ceramic liners<br />
ST558 Osteonics secur-fir HA PSL acetabular Secur fit XTRA shell, titanium - HA 48-80mm OD in 2mm increments<br />
shell coated peripheral screw holes<br />
Page 366 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST559 Omnifit cup insert Series II - 0 degree cup insert 22, 26, 28 & 32mm dia<br />
polyethylene<br />
ST560 Omnifit cup insert Series I - 0 degree cup insert, 22, 26, 28 & 32mm dia<br />
polyethylene<br />
ST561 Omnifit cup insert Series II - 10 degree cup insert 22, 26, 28 & 32mm dia<br />
polyethylene<br />
ST562 Omnifit cup insert Series I - 10 degree cup insert 22, 26, 28 & 32mm dia<br />
polyethylene<br />
ST563 Omnifit cup insert Series II -20 degree cup insert, 22, 26, 28 & 32mm dia<br />
polyethylene<br />
ST564 Omnifit cup insert Series I -20 degree cup insert 22, 26, 28 & 32mm dia<br />
polyethylene<br />
ST566 Osteonics hip prostheses Bipolar head, cobalt chrome with ID 22, 26, 28, 32mm dia<br />
polyethylene insert (factory<br />
Assembled)<br />
ST567 Osteonics hip prostheses Femoral head, cobalt chrome 22, 26, 28, 32mm dia<br />
ST568 Osteonics hip prostheses Femoral head - LFIT cobalt chrome 22, 26, 28, 32mm dia<br />
low friction ion treatment<br />
ST572 Osteonics hip prostheses Femoral head - zirconia 22, 26, 28, 32 dia<br />
ST574 Osteonics secur-fit HA hip stem SECUR-FIT femoral stem, titanium - Stem sizes 4-14<br />
HA coated<br />
ST575 Osteonics hip prostheses ACCOLADE STEM titanium - HA Stems sizes 1-8<br />
coated 127 & 132 degree offset<br />
ST576 Omnifit hip system OMNIFIT cemented femoral Stem sizes 4-11<br />
component - normalised cobalt<br />
ST577 Omnifit hip system OMNIFIT 'C' stem - cemented cobalt Stem sizes 4-11<br />
chrome, collared and collarless, 132<br />
degree offset<br />
ST578 Omnifit hip system OMNIFIT plus cemented stem, Stem sizes 4-11<br />
cobalt chrome 127 degree offset<br />
Page 367 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST579 Osteonics hip prostheses ODC femoral component, cobalt Stem sizes 5-11<br />
chrome collared<br />
ST581 Osteonics hip prostheses Distal spacer PMMA 8-15mm<br />
ST582 Osteonics hip prostheses Cement restrictor Polyethylene Universal and sizes 1-8<br />
ST584 Osteonics omnifit cemented long stem Long stem - coated, cobalt chrome Stem sizes 5-11, stem length 200,<br />
250 AND 300mm<br />
ST586 Osteonics omnifit head/neck hip stem Head/neck hip stem cobalt chrome Stem sizes 5, 7 & 9<br />
ST587 Osteonics hip prostheses Restoration stem - 155mm titanium - 155mm length - stem sizes 7-12<br />
HA coated<br />
ST588 Osteonics hip prostheses Restoration stem - 205mm titanium - 205mm length - stem sizes 8-12<br />
HA coated<br />
ST589 Osteonics hip prostheses Restoration cacar replacement stem 205mm length - stem sizes 8-14<br />
15mm titanium - HA coated<br />
ST590 Osteonics hip prostheses Restoration calcar replacement stem 205mm length - stem sizes 8-14<br />
30mm titanium - HA coated<br />
ST591 Osteonics hip prostheses Restoration HA long stem titanium - 255mm length - stem sizes 8 - 14,<br />
HA coated anatomic (left & right) left & right<br />
ST596 Osteonics hip prostheses Custom made for extended Custom made per patient<br />
indications titanium, polyethylene,<br />
<strong>Prostheses</strong>, Joint, Knee<br />
ST018 Scorpio Augmentation Femoral / Cobalt Chrome 5mm & 10mm for all sizes of femur<br />
and tibia. 5 degrees for all tibia<br />
ST023 Scorpio Femoral Component Cemented 3, 5, 7, 9, 11, 13<br />
ST024 Scorpio Tibial Insert Revision 8-24mm for all tibia sizes<br />
ST026 Scorpio Offset Adaptor Cobalt Chrome 2mm-8mm<br />
ST028 Scorpio Stem Fluted Femoral / Tibial Titanium Alloy 10-21mm<br />
ST029 Scorpio Tibial Tray Cementless 3,5,7,9,11,13<br />
ST030 Scorpio Femoral Component PA 3,5,7,9,11,13<br />
Page 368 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST031 Scorpio Tibial Tray PA 3,5,7,9,11,13<br />
ST032 Scorpio Tibial Insert Mobile Bearing 8-24mm for all tibia sizes<br />
ST033 Scorpio Femoral Component Cementless 3,5,7,9,11,13<br />
ST034 Scorpio Tibial Tray Revision 3,5,7,9,11,13<br />
ST044 Scorpio Augmentation Locking Screw Cobalt Chrome 5-15mm<br />
ST061 Scorpio Femoral Component Revision 3,5,7,9,11,13<br />
ST066 Scorpio Tibial Tray Cemented 3, 5, 7, 9, 11, 13<br />
ST067 Scorpio Tibial Tray Mobile Bearing Cementless 3, 5, 7, 9, 11, 13<br />
ST069 Scorpio Tibial Tray Mobile Bearing Cemented 3, 5, 7, 9, 11, 13<br />
ST608 Osteonics Knee System Scorpio tibial insert cobalt chrome 8-18mm in 2mm increments<br />
ST609 Osteonics Knee System Scorpio resurfaced patella 26-32mm in 2mm increments 10mm<br />
components cobalt chrome thick<br />
ST611 Osteo Motus Meniscal System Femoral component cobalt chrome Small , Medium, Regular, Large,<br />
Extra Large<br />
ST612 Osteo Motus Meniscal System Meniscal insert cobalt chrome Small , Medium, Regular, Large,<br />
Extra Large in 6-13mm thicknesses<br />
ST613 Osteo Motus Meniscal System Patella polyethylene Small , Medium, Regular, Large,<br />
Extra Large<br />
ST614 Osteo Motus Meniscal System Screw titanium 20-45mm in 5mm increments<br />
ST615 Osteo Motus Meniscal System Tibial component cobalt chrome Small , Medium, Regular, Large,<br />
Extra Large<br />
ST616 Osteo Motus Cemented Prosthesis Femoral component cobalt chrome Small , Medium, Regular, Large,<br />
Extra Large<br />
ST617 Osteo Motus Cemented Prosthesis Tibial component titanium Small , Medium, Regular, Large,<br />
Extra Large<br />
ST618 Osteo Motus Cemented Prosthesis Meniscal insert polythylene Small , Medium, Regular, Large,<br />
Extra Large in 6-13mm thicknesses<br />
Page 369 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST619 Osteo Motus Cemented Prosthesis Patella polyethylene Small , Medium, Regular, Large,<br />
Extra Large<br />
ST620 Osteo Motus Meniscal System Tibial meniscal tray - cementless Small , Medium, Regular, Large,<br />
cobalt chrome Extra Large<br />
ST621 Osteo Motus Meniscal System Tibial meniscal tray - cemented Small , Medium, Regular, Large,<br />
cobalt chrome Extra Large<br />
ST622 Osteo Motus Meniscal System Meniscal insert polythylene Small , Medium, Regular, Large,<br />
Extra Large in 6-13mm thicknesses<br />
ST629 Osteonics Knee System Scorpio tibial component : mobile 3, 5, 7, 9, 11, 13 in 10-24mm in 2mm<br />
bearing tray cobalt chrome increments<br />
ST632 Osteonics Knee System Femoral component posterior 3, 5, 7, 9, 11, 13<br />
stabilised cobalt chrome<br />
ST658 Osteonics Knee System Augmentation - Fem/Tib cobalt 3, 5, 7, 9, 11, 13 in 4mm, 8mm, 10<br />
chrome degree and 20 degree<br />
ST876 Scorpio Tibial Tray Mobile Bearing PA 3, 5, 7, 9, 11, 13<br />
ST912 Duracon Total Knee Tibial Insert Duracon ISA Mobile-Bearing PE Small, medium, large, X-large - left,<br />
Tibial Insert right<br />
ST921 Osteonics Knee <strong>Prostheses</strong> Scorpio Tibial component - 3, 5, 7, 9, 11, 13<br />
cementless - foam. Composition -<br />
cobalt chrome, titanium<br />
ST922 Osteonics Knee <strong>Prostheses</strong> Scorpio Femoral component - 3, 5, 7, 9, 11, 13<br />
cementless - foam. Composition -<br />
cobalt chrome, titanium<br />
ST923 Osteonics Knee <strong>Prostheses</strong> Scorpio Femoral component - basic. 3, 5, 7, 9, 11, 13<br />
Composition - cobalt chrome<br />
ST924 Osteonics Knee <strong>Prostheses</strong> Scorpio Tibial component - mobile 3, 5, 7, 9, 11, 13<br />
bearing - cementless - foam.<br />
Composition - cobalt chrome,<br />
ST925 Scorpio Tibial Bearing Insert Scorpio tibial insert - superflex. 3, 5, 7, 9 , 11, 13 in thickness 8, 10,<br />
Composition - N2VAC UHMWPE 12, 15, 18, 21, 24mm<br />
Page 370 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST926 Scorpio Tibial Bearing Insert Scorpio tibial insert - mobile 3, 5, 7, 9 , 11, 13 in thickness 8, 10,<br />
bearing - superflex. Composition - 12, 15, 18, 21, 24mm<br />
N2VAC UHMWPE<br />
<strong>Prostheses</strong>, Joint, Knee, Femoral Component<br />
ST600 Avon Patello-femoral <strong>Prostheses</strong> Vitallium Small, Medium, Large<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
SK090 Duracon Total Knee System Tibial Insert AP-Lipped - Duration XS,S,M,L,XL Thickness<br />
Polyethylene 9,11,13,16,19,22,25mm<br />
SK091 Duracon Total Knee System Tibial Insert CS-Lipped - Duration XS,S,M,L,XL Thickness<br />
Polyethylene 9,11,13,16,19,22,25mm<br />
ST054 EIUS Tibial Component Polyethylene XS, S, M, L, XL<br />
ST055 EIUS Femoral Component Cobalt Chrome XS, S, M, L, XL<br />
ST601 Duracon total knee system Tibial insert stabiliser revision Extra Small, Small, Medium,<br />
vitallium Medium Large, Large, Extra Large<br />
ST602 Duracon total knee system Femoral component stabiliser Extra Small, Small, Medium,<br />
revision vitallium Medium Large, Large, Extra Large<br />
ST603 Duracon total knee system Augmentation offset adaptor 4mm, 6mm, 8mm<br />
ST604 Duracon total knee system Augmentation revision vitallium 5mm, 10mm<br />
ST605 Duracon total knee system Revision knee system vitallium Extra Small, Small, Medium,<br />
Medium Large, Large, Extra Large<br />
ST606 Duracon total knee system Stem fluted - femoral/tibia vitallium 10mm-19mm, 21mm, 23mm in 80mm<br />
and 155mm lengths<br />
ST913 Duracon Total Knee System Duracon ISA Mobile-Bearing CoCr Small, medium, large, X-large<br />
Tibial Baseplate<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
ST027 Solar - Dual Offset Humeral Head Cobalt Chrome 40-50mm diameter, 15-21mm<br />
thickness<br />
ST666 Concord Modular Glenoid-cementable, polyethylene Small, medium & large<br />
Page 371 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST667 Concord Modular Glenoid-cement free, polyethylene, Small, medium & large<br />
CoCrMo (chrome cobalt<br />
ST668 Concord Modular CoCrMo (chrome cobalt Small, medium & large<br />
ST669 Concord Modular Humeral head, CoCrMo (chrome Small, medium & large<br />
cobalt molybdenum)<br />
ST670 Concord Modular Shoulder stem, titanium alloy Size 8, 10 - 14<br />
ST672 Osteonics Solar Shoulder <strong>Prostheses</strong> Humeral head polyethylene 40-55mm by 12-34mm<br />
ST673 Osteonics Solar Shoulder <strong>Prostheses</strong> Dual offset humeral head 40,45,50mm Diameter by 15, 18,<br />
21mm Thickness<br />
ST674 Osteonics Solar Shoulder <strong>Prostheses</strong> Humeral stem polyethylene 3,5,7,9,11<br />
ST675 Osteonics Solar Shoulder <strong>Prostheses</strong> Glenoid component polyethylene 5,7,9,11<br />
ST676 Osteonics Solar Shoulder <strong>Prostheses</strong> Solar bipolar humeral inner head, 22mm with 0, +2 and +4mm neck<br />
cobalt chromium lengths<br />
ST817 Solar bipolar humeral outer head Cobalt chromium with a 40, 45, 50, 55mm<br />
preassembled UHMWPE insert and<br />
ST877 Osteonics Solar Shoulder <strong>Prostheses</strong> Solar bipolar humeral outer head, 22mm with 0, +2 and +4mm neck<br />
cobalt chromium lengths<br />
<strong>Prostheses</strong>, Tibial<br />
ST056 Unix Unicompartmental Tibial All polyethylene 1, 2, 3, 4, 5<br />
ST634 Osteonics Knee System Femoral component cemented cobalt 3, 5, 7, 9, 11, 13<br />
chrome<br />
ST635 Osteonics Knee System Femoral component extended 3, 5, 7, 9, 11, 13<br />
indications - modular cobalt chrome<br />
ST636 Osteonics Knee System Patella polyethylene 3, 5, 7, 9, 11, 13<br />
ST638 Osteonics Knee System Total knee cemented - LFIT cobalt 3, 5, 7, 9, 11, 13<br />
chrome<br />
ST639 Osteonics Knee System Total knee microstructured cobalt 3, 5, 7, 9, 11, 13<br />
chrome<br />
Page 372 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST640 Osteonics Knee System Total knee hybrid cobalt chrome 3, 5, 7, 9, 11, 13<br />
ST641 Osteonics Knee System Total knee custom made extended 3, 5, 7, 9, 11, 13<br />
indications cobalt chrome<br />
ST642 Osteonics Knee System Stem extension cobalt chrome 55mm and 105mm 10-20mm in 2mm<br />
increments<br />
ST643 Osteonics Knee System Tibial insert primary polyethylene 3, 5, 7, 9, 11, 13 in 8, 10, 12, 15, 18,<br />
21,24mm<br />
ST644 Osteonics Knee System Tibial insert posterior stabilised - 3, 5, 7, 9, 11, 13 in 8, 10, 12, 15, 18,<br />
PSI polyethylene 21,24mm<br />
ST645 Osteonics Knee System Tibial insert posterior stabilised - 3, 5, 7, 9, 11, 13 in 8, 10, 12, 15, 18,<br />
PSII polyethylene 21,24mm<br />
ST646 Osteonics Knee System Tibial insert posterior stabilised - 3, 5, 7, 9, 11, 13 in 8, 10, 12, 15, 18,<br />
PSIII polyethylene 21,24mm<br />
ST647 Osteonics Knee System Tibial component All polyethylene 3, 5, 7, 9, 11, 13<br />
cobalt chrome<br />
ST648 Osteonics Knee System Tibial component H/A cobalt 3, 5, 7, 9, 11, 13<br />
chrome with HA coating<br />
ST649 Osteonics Knee System Tibial component porous coated 3, 5, 7, 9, 11, 13<br />
cobalt chrome<br />
ST650 Osteonics Knee System Tibial component cemented cobalt 3, 5, 7, 9, 11, 13<br />
chrome<br />
ST651 Osteonics Knee System Tibial component extended 3, 5, 7, 9, 11, 13<br />
indications - modular cobalt chrome<br />
ST934 Osteonics HA tibial Scorpio Tibial Tray - Mobile bearing 3, 5, 7, 9, 11, 13<br />
cementless - PA. Composition -<br />
Coablt chrome - precipitated HA<br />
Screws, Bone<br />
SK023 ACL Wedge Interference Screw Threaded titanium screw for Dia 7 - 12mm, length 20 - 40mm<br />
ligament/tendon fixation<br />
Page 373 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SK024 Stryker Cross-screw Threaded titanium screw for 8mm x 40-60mm<br />
ligament/tendon fixation<br />
SK026 Leibinger screws Profyle titanium hand and small Dia 1.2mm, length 14 - 20mm<br />
fragment system screws<br />
SK027 Leibinger screws Profyle titanium hand and small Dia 1.9mm, length 8 - 12mm<br />
fragment system screws<br />
SK028 Leibinger screws Profyle titanium hand and small Dia 2.3mm, length 26 - 38mm<br />
fragment system screws<br />
SK029 Leibinger screws Profyle titanium hand and small Dia 2.5mm, length 8 - 12mm<br />
fragment system screws<br />
SK030 Leibinger screws Profyle titanium hand and small Dia 3.0mm, length 8 - 34mm<br />
fragment system screws<br />
SK046 Stryker Wedge Interference Screw Threaded bioabsorbable screw for Dia 7 - 12mm, length 20 - 40mm<br />
ligment/tendon fixation<br />
SK047 Stryker Wedge Interference Screw Threaded biosteon screw for Dia 7 - 12mm, length 20 - 40mm<br />
ligment/tendon fixation<br />
SK053 Stryker Plating System Screws - 6.5mm Diameter, full and partial Length 55-95mm<br />
Cancellous<br />
SK054 Stryker Plating System Screws - 6.5mm Diameter, full and partial Length 100-150mm<br />
Cancellous<br />
ST004 Stryker Plating System Screws - Titanium or Stainless Steel 10-20mm<br />
Cortical 4.5mm<br />
ST005 Stryker Plating System Screws - 6.5mm Stainless Steel or Titanium 20-50mm<br />
Cancellous<br />
ST006 Stryker Plating System Screws - Stainless Steel or Titanium, Full or 10-60mm Screw Length<br />
Cancellous 4.0mm Partial Thread<br />
ST068 Connector - Multi Axial Titanium 29-99mm<br />
ST598 Peritia Metal head cobalt chrome 12-14 and 28 & 32mm dia<br />
14-16 taper<br />
ST708 Dimso/Stryker Connector Offset sacral connector titanium One size only<br />
Page 374 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST709 Dimso/Stryker Connector Offset connector titanium One size only<br />
ST710 Dimso/Stryker Connector Multi axial connector titanium 29-31mm,31-35mm,35-39mm,38-43<br />
mm,42-51mm,50-67mm, 66-99mm<br />
ST830 Stryker Wedge Interference Screw Titanium 7.0 x 20mm<br />
ST831 Stryker Wedge Interference Screw Titanium 7.0 x 25mm<br />
ST832 Stryker Wedge Interference Screw Titanium 8.0 x 20mm<br />
ST833 Stryker Wedge Interference Screw Titanium 8.0 x 25mm<br />
ST834 Stryker Wedge Interference Screw Titanium 9.0 x 20mm<br />
ST835 Stryker Wedge Interference Screw Titanium 9.0 x 25mm<br />
ST866 Leibinger 2.7mm Profyle Modular Titanium screws for fixation of hand 2.7 x 8, 10, 12mm<br />
fractures<br />
ST867 Leibinger 2.7mm Profyle Modular Titanium screws for fixation of hand 2.7 x 14, 16, 18mm<br />
fractures<br />
ST868 Leibinger 2.7mm Profyle Modular Titanium screws for fixation of hand 2.7 x 20, 22, 24mm<br />
fractures<br />
ST869 Leibinger 2.7mm Profyle Modular Titanium screws for fixation of hand 2.7 x 26, 28, 30mm<br />
fractures<br />
ST870 Leibinger 2.7mm Profyle Modular Titanium screws for fixation of hand 2.7 x 32, 34, 36, 38mm<br />
fractures<br />
ST871 Leibinger 3.0mm Profyle Modular Titanium screws for fixation of hand 3.0 x 8, 10, 12mm<br />
fractures<br />
ST872 Leibinger 3.0mm Profyle Modular Titanium screws for fixation of hand 3.0 x 14, 16, 18mm<br />
fractures<br />
ST873 Leibinger 3.0mm Profyle Modular Titanium screws for fixation of hand 3.0 x 20, 22, 24mm<br />
fractures<br />
ST874 Leibinger 3.0mm Profyle Modular Titanium screws for fixation of hand 3.0 x 26, 28, 30mm<br />
fractures<br />
ST875 Leibinger 3.0mm Profyle Modular Titanium screws for fixation of hand 3.0 x 32, 34mm<br />
fractures<br />
Page 375 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ST991 ACL Wedge Interference Screw Threaded titanium screw with cross Dia 7-12mm, length 20-40mm<br />
pin for ligament/tendon fixation<br />
Sulzer Medica Australia Pty Ltd<br />
Cement, Orthopedic<br />
SZ019 Sulcem Bone Cement 1 & 3 Bone cement 25g pack of Powder and Soln<br />
SZ020 Sulcem Bone Cement 1 & 3 Bone cement 50g pack of Powder and Soln<br />
SZ021 Sulcem Bone Cement 1 & 3 Plus Bone cement 60g pack of Powder and Soln<br />
SZ022 Sulcem Bone Cement 1 & 3 Bone cement with gentamicin 25g pack of Powder and Soln<br />
SZ023 Sulcem Bone Cement 1 & 3 Bone cement with gentamicin 50g pack of Powder and Soln<br />
SZ024 Sulcem Bone Cement 1 & 3 Plus Bone cement with 60g pack of Powder and Soln<br />
gentamicin<br />
SZ065 Bone cement Duracem 3 - PMMA 25gm pack<br />
SZ066 Bone cement Duracem 3 - PMMA 50gm pack<br />
Mesh<br />
SZ248 Easy Glide Ligament Mesh Biosorbable mesh for ligament One size only<br />
reconstruction, Polyactide polymer,<br />
with carrier cylinder<br />
Plugs<br />
SZ042 Medullary Plug, MS 30 Centring Plug, cement restrictor, hip 1 to 7<br />
- PE<br />
SZ257 Allofit screw hole plugs Sterile, 7 per set One size only<br />
<strong>Prostheses</strong>, Femoral Head<br />
SZ030 Ceramic Femoral head for hip Femoral Head - Biolox Ceramic 28 to 32mm<br />
SZ041 Cerasul - Ceramic Ceramic Femoral Head 28mm<br />
SZ068 Bipolar Femoral Ballhead Ballhead - CoCr alloy/ PE 26/42 to 26/60<br />
SZ069 Unipolar Femoral Ballhead Ballhead - CoCr alloy 46 to 77<br />
Page 376 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ097 Ceramic Head - Sulox Head - Ceramic 22 to 32mm<br />
SZ098 Femoral Head Head - Metasul - special metal alloy 28 to 40mm alloy<br />
<strong>Prostheses</strong>, Joint, Elbow<br />
SZ026 GSB Cemented Elbow GSB Humerus - CoCr alloy/PE 76,86,86L<br />
SZ027 GSB Cemented Elbow GSB Humeral Medullary Plug - PE One size only<br />
SZ028 GSB Cemented Elbow GSB Ulna Component - CoCr alloy 12/71,12/61,16/71,16/61<br />
SZ029 GSB Cemented Elbow GSB Washer - PE 2/12,4/12,6/12,2/16,4/16,6/16<br />
<strong>Prostheses</strong>, Joint, Hip<br />
SZ005 Bone Save System Femoral Component, CoCr alloy Sizes 38D - 56V<br />
SZ006 Bone Save System Cup Component, CoCr shell, Sizes 44D - 62V<br />
Titanium VPS coating<br />
SZ007 Natural Hip System Femoral Stem, CoCr 140 - 160mm<br />
SZ008 Natural Hip System Femoral Stem Porous, Titanium 140 - 160mm<br />
SZ009 Uncemented Metasul Cup - Artek Ti/CoCr alloy 46 - 58mm<br />
SZ010 Press Fit - Uncemented Metasal Cup Protek, Metal alloy/PE 48 - 64mm<br />
SZ011 Uncemented Cup - Fitmore PE Insert UHMWPE Sizes 42 - 68mm<br />
SZ025 Uncemented Cup - Fitmore Titanium Diameter 42 - 68mm<br />
SZ258 MS-30 Stem Proximal Positioner PMMA co-polymer, standard offset, 6-16<br />
lateral offset<br />
SZ261 MS-30 Cemented Hip System Polished stem, high offsets, special Stem 6-16<br />
Protasul alloy<br />
SZ262 Natural Hip System - Femoral Ballhead Metasul Femoral Head, special 42-44mm<br />
metasul alloy<br />
SZ263 Natural Knee Patella Titanium metal backed, Durasul 0-3<br />
UHMWPE<br />
SZ264 Converge Acetabular System, Durasul UHMWPE highly cross-linked Dia 28-32mm<br />
Protusio Insert<br />
Page 377 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ265 Converge Acetabular System Porous Ti alloy Dia 39-71mm<br />
Shell<br />
SZ266 Converge Acetabular System, PE PE One size only<br />
Insert for Cup<br />
SZ267 Converge Acetabular System, Protusio Ti alloy 39-81mm<br />
Porous Shell<br />
SZ268 Converge Acetabular System, Ti alloy One size only<br />
Screw-Hole Plugs<br />
SZ269 Converge Acetabular System, Durasul UHMWPE highly cross-linked 22-38mm<br />
Insert<br />
SZ270 Converge Acetabular System, 28-32mm<br />
Protrusio PE Insert<br />
SZ271 Converge Acetabular System, Dome Ti alloy One size only<br />
SZ272 Converge Acetabular System, Screw Ti alloy One size only<br />
Hole Plugs<br />
SZ273 Converge Acetabular System, Metasul Special metal alloy/PE 28-32mm<br />
Insert<br />
SZ274 Converge Acetabular System, Metasul Special metal alloy/PE 34-44mm<br />
Insert<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
SZ040 Alpha Cerasul Insert Cerasul Acetabular Cups Inserts - 52 to 70mm<br />
Ceramic / PE<br />
SZ043 Alpha Durasul Inserts Durasul Acetabular Cup Inserts - 22mm x 42 to 38mm x 68<br />
Special UHMWPE<br />
SZ046 Inter-Op Durasul Insert - Special UHMWPE 22/39 to 38/81mm<br />
SZ047 Inter-Op Durasul Protusio Insert - Special 28/48 to 32/81<br />
UHMWPE<br />
SZ048 Inter-Op Metasul Insert - special metal alloy / 28/49 to 32/81mm<br />
PE<br />
SZ049 Inter-Op Protrusio PE Insert 28/49 to 32/81mm<br />
Page 378 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ050 Inter-Op Protrusio Porous Shell - Ti alloy 39 mm to 81mm<br />
SZ051 Inter-Op Revision Porous Shell - Ti alloy 39 to 81mm<br />
SZ052 Inter-Op Screw-Hole Plugs - Ti alloy One size only<br />
SZ070 InterOp Acetabular Cup Porous - Ti alloy 39 to 71<br />
SZ071 InterOp Acetabular Cup Dome Plug - Ti alloy One size only<br />
SZ072 InterOp Acetabular Cup PE Insert 22/39 to 38/81<br />
SZ078 Alloclassic Hip Stem Stem - Ti alloy Size 01 to 12 (types SL, SLA)<br />
SZ079 Alloclassic Revision Stem SLL revision stem - Ti alloy 3 to 11<br />
SZ080 Lor Acetabular Cup Oblong Revision Shell, cementless - 52/58 to 72/84<br />
Ti alloy<br />
SZ081 Lor Acetabular Cup P/E Insert 28, 32<br />
SZ115 Variall Screw Cup System Durasul Insert - special UHMWPE II28 to NN28mm<br />
SZ116 Variall Screw Cup System Cerasul Insert - Ceramic II28 to NN28mm<br />
SZ117 Variall Screw Cup System Metasul Insert - special metal alloy II28 to NN28mm<br />
SZ118 Variall Screw Cup System Sulene Insert - PE II28 to NN28mm<br />
SZ119 Variall Screw Cup System Titanium Shell - Ti alloy 46 to 62mm<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
SZ120 Variall Screw Cup System Variall Stem - Ti alloy sizes 0 to 11,<br />
SZ163 MOST System - metal alloy / PE Total system<br />
SZ251 Anatomique Cementless Stem Titanium Alloy with Hydroxy 11-002 to 11-009 (left) and Sizes<br />
Apatite Coating 12-002 to 12-009 (right)<br />
SZ255 Revitan Hip Stem Cemented and cementless 7 - 16, with different offsets<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
SZ031 Femoral Head Femoral Head - Unipolar - CoCr 42 to 60<br />
alloy / PE<br />
SZ032 Head - Femoral Cobalt Chrome 22mm<br />
Page 379 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ033 Thrust Plate Prosthesis Allopro Thrust Plate - Ti alloy 38 to 44mm<br />
SZ034 Thrust Plate Prosthesis Allopro Lateral Plate - Ti alloy Std & Long (15 & 25 deg)<br />
SZ035 Thrust Plate Prosthesis Allopro Threaded bolt - CoCr alloy 70 to 89mm<br />
SZ036 Thrust Plate Prosthesis Allopro Cortical Screw - SS 36, 60mm<br />
SZ037 Allofit Cup Allopro/Allofit Finned Cup - 46 - 68mm<br />
Titanium alloy<br />
SZ038 APR Hip System Femoral Stem HA - Ti alloy / HA 10.5 to 18.0<br />
SZ039 APR Hip System Femoral Stem - CoCr alloy 10.5 to 18.0<br />
SZ044 Durasul Ballhead for Inserts Femoral Metal Ball Head - CoCr 22, 28, 32<br />
SZ045 Durasul Ballhead for Inserts Femoral Metal Ball Head - CoCr 34 - 38mm<br />
SZ053 Natural Hip System Eccentric Ball Heads - CoCr alloy 28/14 (S,M,L)<br />
SZ054 Natural Hip System Femoral Stem - Ti /CoCr alloy 0 0 to 7 (left & right)<br />
SZ055 Natural Hip System Femoral Head - CoCr alloy 32 to 40mm<br />
SZ056 Natural Hip System Femoral Head - Ceramic 28 & 32mm<br />
SZ057 Natural Hip System Femoral Head Chrome Cobalt alloy 22 to 32mm<br />
SZ058 Natural Hip System Femoral HA - Ti alloy / HA 00 to 7<br />
SZ059 APR Shell Hip Replacement APR Insert -Std - PE 39 to 71<br />
SZ060 APR Shell Hip Replacement APR Insert -Hooded - PE 39 to 71<br />
SZ061 APR Shell Hip Replacement APR Insert -Metasul Insert - Metal 49 to 71<br />
alloy / PE<br />
SZ062 Natural Hip System Distal Centraliser - PE 10 to 19<br />
SZ063 Armour Cup Armor Cup P/E Insert 22 to 32mm, FF to 66QU<br />
SZ064 Apollo Hip System Apollo Hooded Cement Acetabular 28/46mm to 28/62mm<br />
Cup - PE<br />
SZ067 Natural Hip System Revision Stem - CoCr alloy Sizes 1-10 to 3-30 - CoCr alloy<br />
SZ074 Acetabular Reinforcement Rings & Revision - Ti alloy XS to XL<br />
Page 380 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ075 Alloclassic Zweymuller Cup Acetabular Cup Insert - Metasul 52 to 76<br />
(Allopro) - metal alloy / PE<br />
SZ076 Alloclassic Zweymuller Cementless Shell - Ti alloy 46 to 76<br />
SZ077 Alloclassic Zweymuller Cementless Insert - PE 46 to 76<br />
SZ082 Muller Long Stem - metal alloys 7.5 to 20mm<br />
SZ083 Muller Mid Stem - metal alloys 7.5 to 20mm<br />
SZ084 MS-30 Hip prosthesis Cemented Stem:MS-30 (Protek) - 6 to 16<br />
metal alloys<br />
SZ085 MS-30 Hip prosthesis Centralizer for Cemented Stems 8 to 18<br />
(Protek) - metal alloys<br />
SZ086 Muller Stem Muller Straight Stem Modular 7.5 to 20mm<br />
Cemented - metal alloys<br />
SZ087 Muller Stem Muller Straight Stem Long 7.5 to 20mm<br />
Cemented - metal alloys<br />
SZ088 Muller Stem Muller Straight Stem Lateralised 7.5 to 20mm<br />
Cemented - metal alloys<br />
SZ089 Medullary Plug Medullary Plug for stem (Muller) - 1 to 7<br />
SZ090 CLS cementless Hip Prosthesis Uncemented Stems CLS - Ti alloy 5 to 20mm<br />
SZ091 Cone Hip prosthesis Uncemented Stems - Cone - Ti alloy 13 to 24mm<br />
SZ092 Wagner Revision Hip Prosthesis Uncemented Stem Wagner Revision 190/14 to 385/25<br />
- Ti alloy<br />
SZ093 PFM Hip series Uncemented Stem -PFM Revision 55 to 85<br />
(Proximal Section) - Ti/CoCr alloy<br />
SZ094 PFM Hip series Uncemented Stems, PFM Revision 140 to 260 x 14 to 24<br />
(Distal Section) - Ti alloy<br />
SZ095 PFM Hip series Uncemented Stems: Special XS to XL<br />
Revision - Ti alloy<br />
SZ096 Femoral Head Head - Metal (zweymuller Allopro) - 22 to 38mm<br />
CoCr alloy<br />
Page 381 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ099 Resurfacing hip prosthesis Head resurfacing - CoCr alloy 38/D to 56/B<br />
SZ100 MS30 Hip - Cups Cemented Low Profile with Metasul - PE with 38 to 58mm<br />
special metal alloy<br />
SZ101 MS30 Hip - Cups Cemented Low Profile - PE 22/36 to 32/64<br />
SZ102 CLS, CLW Prosthesis - Cups Uncemented Cup for CLS & CLW - 46 to 62mm<br />
Ti alloy<br />
SZ103 Fitmore Cup Uncemented Cup - Fitmore - Ti alloy 42 to 68mm<br />
SZ104 Uncemented Cup- Metasul Press Fit Metasul - CoCr /PE/Ti Press Fit 48 to 64mm, Artek 46mm<br />
alloy - & Artek Metasul Ti/CoCr to 58mm<br />
SZ105 Resurfacing - Uncemented Cups Resurface cup - special metal alloys 44/D to 62/V<br />
SZ107 Press Fit - Uncemented Cup Uncemented Press fit Cup - PE / Ti 22/40 to 32/64mm<br />
alloy<br />
SZ108 Inserts for Cups PE (CLS, CLW, Fitmore, Allofit) 22, 28, 32mm Size 46 to 62<br />
SZ109 Inserts for Cups Metasul (CLS, CLW, Fitmore, 48 to 68mm<br />
Allofit) - PE / CoCr - special alloy<br />
(Metasul)<br />
SZ110 Acetabular Reinforcement Roof Ring - Ti alloy 44 to 58mm<br />
SZ111 Acetabular Reinforcement Roof Ring with Hook - Ti alloy 36/23 to 64/23mm<br />
SZ112 Acetabular Reinforcement Protrusio Cage - Ti alloy 44 to 50mm (left and right)<br />
SZ114 Acetabular Reinforcement Revision XS to XL, Ti alloy<br />
SZ121 Wagner Acetabular Reinforcement Cage - Ti 5 x 52 to 6 x 68mm<br />
/CoCr alloy<br />
SZ122 Wagner PE Insert suitable for Wagner 28/52 to 32/68mm<br />
Reinforcement Cage - PE<br />
SZ123 Wagner Acetabular Cage Metasul Insert - 52 to 68mm<br />
special metal alloy / PE<br />
<strong>Prostheses</strong>, Joint, Knee<br />
SZ001 SAL Knee <strong>Prostheses</strong> Porous Femur, CoCrMo, left and A, B, C, D, E<br />
Page 382 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ125 SAL Knee -Tibial Plate Standard - Ti / CoCr alloy XS to XL<br />
SZ126 SAL Knee -Tibial Plate Special Size/Shape - Ti / CoCr alloy XS to XL<br />
SZ127 High Tibia Osteotomy High Tibia Osteotomy - Ti alloy L shaped steel alloy plate;<br />
Standard & Long<br />
SZ149 Natural Knee System Tibial Spacers - special metal alloy 4 to 8mm Size 00 to 5<br />
SZ150 Natural Knee System Spacer Screw/Peg - special metal One size only<br />
SZ167 SAL Knee Prosthesis Total - metal alloy / PE Sizes O, A to E/ 60/AOA to 92E<br />
SZ168 Natural Knee All Poly Tibia - PE 00 to 5<br />
SZ169 Natural Knee Constrained Tibial Insert - PE 00 to 5<br />
SZ170 Natural Knee Tibial Spacer Screw - Ti alloy One size only<br />
SZ171 Natural Knee Tibial Spacer Peg - Ti alloy One size only<br />
SZ172 Natural Knee PE Insert Mobile Bearing 00 to 22mm<br />
SZ173 Natural Knee PE Tibial Baseplate Insert - P.S. 00 to 22mm<br />
SZ174 Natural Knee PE Tibial Baseplate Insert 00 to 22mm<br />
SZ175 Natural Knee PE Tibial Baseplate Insert -Ultra 9 to 22mm<br />
Congruent<br />
SZ176 Natural Knee Primary Tibial Baseplate Insert with Size 00 to 5<br />
Stem Porous - Ti alloy<br />
SZ177 Natural Knee Primary Tibial Baseplate - without Size 00 to 5<br />
Stem (Resurfacing) Porous - Ti alloy<br />
SZ178 Natural Knee Primary Tibial Baseplate -with Stem Size 00 to 5<br />
Cemented - Ti alloy<br />
SZ179 Natural Knee Primary Tibial Baseplate - Mobile Size 00 to 5<br />
Bearing Porous - CoCr alloy<br />
SZ180 Natural Knee Primary Tibial Baseplate - Mobile Size 00 to 5<br />
Bearing Non Porous - CoCr alloy<br />
SZ181 Natural Knee Revision -Tibial Baseplate - Ti alloy 0 to 5<br />
Page 383 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ182 Natural Knee Revision -Tibial Stem - Ti alloy 60 to 215mm<br />
SZ183 Natural Knee Primary Femur - Porous - Ti/CoCr Size 00 to 5<br />
alloy<br />
SZ184 Natural Knee Primary Femur - Porous P.S. - Size 00 to 5<br />
Ti/CoCr alloy<br />
SZ185 Natural Knee Primary Femur - Cemented - CoCr Size 00 to 5<br />
alloy<br />
SZ186 Natural Knee Primary Femur - Cemented P.S. - Size 00 to 5<br />
CoCr alloy<br />
SZ187 Natural Knee Constrained Femoral Component - Size 00 to 5<br />
CoCr alloy<br />
SZ188 Natural Knee Femoral Spacer Lug - Ti alloy 4 to 12mm<br />
SZ189 Natural Knee Revision - Constrained Femoral One size only<br />
Adaptor - Ti alloy<br />
SZ190 Natural Knee Revision - Femur Porous -Ti/CoCr Size 00 to 4 (left & right),<br />
alloy<br />
SZ191 Natural Knee Revision - Femur Non Porous - Size 00 to 4 (left & right)<br />
CoCr alloy<br />
SZ192 Natural Knee Revision - Femur Stem, Ti alloy 10.5mm/125mm to 16.5mm/250mm<br />
SZ193 Natural Knee Revision - Femoral Spacers Non Size 0 to 4<br />
Porous - metal alloy<br />
SZ194 Natural Knee Femoral Stem Screw - metal alloy One size only<br />
SZ195 Natural Knee Revision Posterior Stabilising Bar - One size only<br />
CoCr alloy<br />
SZ196 Natural Knee Unicompartmental - Femur - Ti/CoCr Size 1 to 7<br />
alloy<br />
SZ197 Natural Knee Unicompartmental - Tibia PE Insert 1,2 x 9mm to 5,6 x 13mm<br />
SZ198 Natural Knee Unicompartmental -Tibia Baseplate - Por 1 to Por 6<br />
Ti alloy<br />
Page 384 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ199 Natural Knee Patella -Metal Back - PE / Ti alloy Size 0 to 3<br />
SZ200 Natural Knee Patella -PE Size 0/7mm to 3/10 mm<br />
SZ201 SAL Knee Patella - PE 25mm & 30mm<br />
SZ202 SAL Knee PE Insert - Mobile Bearing Mobile Bearing - 0/1 to E/16<br />
SZ203 SAL Knee Primary Femur Cemented - CoCr O to E<br />
SZ204 SAL Knee Tibial Baseplate - CoCr alloy 60/AOA to 92/E<br />
SZ256 Natural Knee PE Insert Highly crossed linked Durasul PE One size only<br />
SZ277 Natural Knee Patella Durasul UHMWPE, highly crossed 0 to 3<br />
linked<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
SZ130 Allegretto Unicompartmental Knee Femur - CoCr alloy Size 1 to 3, Size 1+ to 3+<br />
SZ131 Allegretto Unicompartmental Knee Tibia Allpoly - PE 9/38 to 15/48mm<br />
SZ132 Allegretto Unicompartmental Knee Tibial Baseplate Monoblock - Ti 7.5/38 to 15/48mm<br />
alloy / PE<br />
SZ133 Apollo Knee Femoral Spacers - metal alloy 4mm Size 0 to 12mm Size 4<br />
SZ134 Apollo Knee Femur Cemented - CoCr alloy Size 0 to 5<br />
SZ135 Apollo Knee Femur Cemented P.S. - CoCr alloy Size 1 to 5<br />
SZ136 Apollo Knee Femur Constrained - CoCr alloy Size 0 to 4 (left & right)<br />
SZ137 Apollo Knee Femur Porous - CoCr / Ti alloy Size 0 to 5<br />
SZ138 Apollo Knee Femur Porous P.S. - CoCr / Ti alloy Size 0 to 5<br />
SZ139 Apollo Knee PE Patella Size 0 - 3<br />
SZ140 Apollo Knee All PE Tibia Size 0 - 5<br />
SZ141 Apollo Knee PE Tibial Insert 9mm Size 0 to 16mm Size 5<br />
SZ142 Apollo Knee PE Tibial Insert P.S. 9mm Size 0 to 16mm Size 5<br />
SZ143 Apollo Knee PE Tibial Insert Constrained 11mm Size 0 to 30mm Size 5<br />
Page 385 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ144 Apollo Knee Constrained Modular Tibial Size 0 to 5<br />
Baseplate - CoCr alloy<br />
SZ145 Apollo Knee Tibial Spacer Screw - CoCr alloy 4,8,12mm<br />
SZ146 Apollo Knee Tibial Baseplate - CoCr alloy Size 0 to 5<br />
SZ147 Apollo Knee Offset Tibial Stem - special metal 12.5/15 to 20.5/155mm<br />
SZ148 Apollo Knee Fluted Revision Stem - special metal 12.5/175 to 22.5/175mm<br />
alloy<br />
SZ151 I.O.I. Apollo Knee System Tibial Spacers 6 to 16mm, Size 0 to 5<br />
SZ250 Innex Knee System Modular Knee System, Fixed and Primary System Total<br />
Mobile Components, Titanium<br />
Alloy, PE<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
SZ205 Anatomical Shoulder System - CoCr / Ti alloy A to E<br />
SZ206 Anatomical Humeral Stem Cemented - CoCr alloy Sizes 7,9,12,14<br />
SZ207 Anatomical Humeral Stem Cementless - Ti alloy Sizes 7,9,12,14<br />
SZ208 Anatomical Revision Humeral Stem - CoCr alloy Sizes 7,9,12,14<br />
SZ209 Anatomical Revision Humeral Stem Cementless - Sizes 7,9,12,14<br />
Ti alloy<br />
SZ210 Anatomical Humeral Head -CoCr alloy 14 to 28mm<br />
SZ211 Anatomical Glenoid - PE S, M, L<br />
SZ212 Select Shoulder Humeral Head Eccentric - CoCr 44/19 to 56/32<br />
SZ213 Select Shoulder Glenoid - PE S, M, L, XL<br />
SZ214 Intermedics Select Shoulder Stem - Ti alloy 7mm Short to 14.5mm<br />
SZ215 BiPolar Head Humeral Head used with Select 26/42 to 26/60<br />
Shoulder Humeral Stem - CoCr<br />
alloy/ PE<br />
SZ216 Intermedics Select Shoulder UniPolar Head -metal alloy 40 x 16mm to 56 x 32mm<br />
Page 386 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SZ217 Intermedics Select Shoulder Long Stem - Ti alloy 7 to 14.5mm<br />
<strong>Prostheses</strong>, Tibial<br />
SZ259 Natural Knee 2C Tibial Insert Baseplate for insert, Co/Cr alloy Sizes 0 - 5<br />
SZ275 Natural Knee 2C Tibial Insert PE Insert, Sizes 0 to 5 Sizes 0 to 5<br />
Restrictors, Orthopedic Cement<br />
SZ220 Cemlock Medullary Plug Polylactide One size only<br />
Rods<br />
SZ003 Polypin Resorbable Bone Pin Polylactide 1.5, 2.0, 2.7mm<br />
Screws<br />
SZ218 Bioresorbable Screw Polylactide One size only<br />
Screws, Bone<br />
SZ004 Interference Screw - Ti Sulzer Medica, Titanium alloy Length 20 - 30mm, 7 - 9mm<br />
SZ073 Cancellous Screws Orthopaedic Screws - Ti alloy 20 to 60<br />
SZ106 Cancellous Screws Orthopaedic Screws - Ti alloy 15 to 60mm<br />
SZ113 Acetabular Reinforcement Screws 15 to 60mm, Ti alloy<br />
SZ128 Intermedics Screws- Cancell - Ti alloy 6.5/15 to 6.5/70mm<br />
SZ129 Intermedics Screws- Cortical - Ti alloy 4.5/30 to 60mm<br />
SZ219 Cannulated Screw Ti alloy One size only<br />
Tissue Reconstructive Materials<br />
SZ276 Collagen Meniscus Implant Porous collagen-glycosaminoglcan 7.5mm, 9mm<br />
matrix<br />
Unknown / Unassigned<br />
SZ260 Unispacer Knee System Spacer - special alloy insert Size 0 to 5, with 4 thicknesses<br />
Page 387 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Surgical House<br />
Orthopedic Internal Fixation Systems<br />
SU168 Fast-Flap Neuro Fixation System Mesh Plates, rigid for fixation of 74 x 50mm<br />
cranial flaps, composition - titanium<br />
Orthopedic Internal Fixation Systems, Other<br />
SU118 Fast-Flap Neuro Fixation System Auto-drive screws for fixation of Diameter 1.6mm, length 4.0mm (5.0,<br />
cranial flaps, composition -titanium 6.0mm)<br />
alloy (screws)<br />
SU119 Fast-Flap Neuro Fixation System Safety screws for fixation of cranial Diameter 1.9mm, length 4.0mm<br />
flaps, composition - titanium alloy<br />
SU120 Fast-Flap Neuro Fixation System Plates for fixation of cranial flaps, 8mm square<br />
composition - titanium<br />
SU121 Fast-Flap Neuro Fixation System Plates for fixation of cranial flaps, Straight 2 hole short, medium, long<br />
composition - titanium<br />
SU122 Fast-Flap Neuro Fixation System Plates for fixation of cranial flaps, Straight 5 hole<br />
composition - titanium<br />
SU123 Fast-Flap Neuro Fixation System Plates for fixation of cranial flaps, Straight 10 hole<br />
composition - titanium<br />
SU124 Fast-Flap Neuro Fixation System Plates for fixation of cranial flaps, Double Y<br />
composition - titanium<br />
SU125 Fast-Flap Neuro Fixation System Plates for fixation of cranial flaps, Bur hole plate small, large<br />
composition - titanium<br />
SU126 Fast-Flap Neuro Fixation System Mesh Plates for fixation of cranial 36 x 50mm<br />
flaps, composition - titanium<br />
SU127 Fast-Flap Neuro Fixation System Mesh Plates for fixation of cranial 74 x 50mm<br />
flaps, composition - titanium<br />
SU128 Fast-Flap Neuro Fixation System Mesh Plates for fixation of cranial 111 x 191mm<br />
flaps, composition - titanium<br />
Page 388 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Orthopedic Internal Fixation Systems, Spinal<br />
SU001 Songer Cable System - 2 Crimps Titanium One size only<br />
SU002 Rod 3.5mm CVD Titanium alloy; component of the 120mm<br />
Olerud Cervical System<br />
SU003 Rod 3.5mm CVD Titanium alloy; component of the 40mm<br />
Olerud Cervical System<br />
SU004 Rod 3.5mm CVD Titanium alloy; component of the 80mm<br />
Olerud Cervical System<br />
SU066 Global spinal stabilization system Band implant 15-42.5mm<br />
SU067 Global spinal stabilization system Diabolo band protector 5.0, 7.5, 10.0mm<br />
SU068 Global spinal stabilization system Median pedicle implant titanium 6-7mm diam 40-45mm<br />
SU069 Global spinal stabilization system Median implant cap One size only<br />
SU070 Global spinal stabilization system Pedicle implant 5m, 6m, 7m 35-45mm<br />
SU071 OGP posterior lumbar rigid screw OGP pedicle screw 6.5 x 35mm , 6.5 x 40mm, 6.5 x 45mm<br />
fixation system<br />
SU072 OGP posterior lumbar rigid screw OGP clamp 10,12,14,16,18mm<br />
fixation system<br />
SU073 Olerud spinal system: PF blocks Hook/screw & rod spinal system With or without thread, smooth<br />
component<br />
SU074 Olerud spinal system: Threaded rod Hook/screw & rod spinal system 35mm - 180mm x 7mm<br />
component<br />
SU075 Olerud spinal system: pedicle screw Hook/screw & rod spinal system 45-70mm<br />
5mm, 6mm, 7mm component<br />
SU076 Cerclage wire Hook/screw & rod spinal system 45-70mm<br />
component<br />
SU077 Cross bar clamp Hook/screw & rod spinal system For 7mm rod, for 6mm rod<br />
component<br />
SU078 Cross bar Hook/screw & rod spinal system 30,45 & 60mm<br />
component<br />
Page 389 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU079 Lumbar plates Hook/screw & rod spinal system 80mm<br />
component<br />
SU080 Lumbar plates Hook/screw & rod spinal system 90mm<br />
component<br />
SU081 Bone screw Hook/screw & rod spinal system Diam 4,5,6mm 55-70mm<br />
component<br />
SU082 Double loop Hook/screw & rod spinal system Left & right, 3.5 & 5.0mm<br />
component<br />
SU083 Rod straight 40mm Hook/screw & rod Spinal system 3.5mm diam<br />
component<br />
SU084 Rod straight 80mm Hook/screw & rod spinal system 3.5mm diam<br />
component<br />
SU085 Rod straight 120mm Hook/screw & rod spinal system 3.5mm diam<br />
component<br />
SU086 U-Rod 40mm Hook/screw & rod spinal system 3.5mm diam<br />
component<br />
SU087 U-Rod 80mm Hook/screw & rod spinal system 3.5mm diam<br />
component<br />
SU088 U-Rod 120mm Hook/screw & rod spinal system 3.5mm diam<br />
component<br />
SU089 Occiput rod 120mm Hook/screw & rod spinal system 3.5mm diam<br />
component<br />
SU090 Screw link Hook/screw & rod spinal system 0 degrees, 15 degrees, 30 degrees<br />
component<br />
SU091 Bone screw Hook/screw & rod spinal system 3.5 & 4mm diam, leng 16-65mm<br />
component<br />
SU092 Occiput screw Hook/screw & rod spinal system 4mm diam, length14-18 mm<br />
component<br />
SU093 Lamina hook short Hook/screw & rod spinal system Short & long<br />
component, left & right<br />
Page 390 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU094 Lamina compression hook Hook/screw & rod spinal system c1-claw<br />
component<br />
SU095 Songer cable system Double loop titanium spinal cable One size only<br />
plus crimps<br />
SU096 Hartshill: Ransford Occipito-cervical - titanium loop 100 degree 9mm-20mm<br />
SU097 Hartshill: Ransford Extra long cross linked - titanium 100 degree 45cm x 15mm<br />
SU098 Hartshill Rectangle Stainless steel posterior lumbar 5mm diam 3-5cm length<br />
fusion system<br />
SU099 Hartshill Rectangle Stainless steel posterior lumbar 5mm diam 6-8cm length<br />
fusion system<br />
SU100 Hartshill Rectangle Stainless steel posterior lumbar 5mm diam 9-11cm length<br />
fusion system<br />
SU101 Hartshill Rectangle Stainless steel posterior lumbar 5mm diam 12-14cm length<br />
fusion system<br />
SU102 Hartshill Rectangle Stainless steel posterior 6mm diam 15-19cm length<br />
thoracic/thoracolumbar fusion<br />
SU103 Hartshill Rectangle Stainless steel posterior 6mm diam 20-24cm length<br />
thoracic/thoracolumbar fusion<br />
SU104 Hartshill Rectangle Stainless steel posterior 6mm diam 25-30cm length<br />
thoracic/thoracolumbar fusion<br />
SU105 Hartshill Rectangle Stainless steel posterior 6mm diam 31-36cm length<br />
thoracic/thoracolumbar fusion<br />
SU106 Hartshill Rectangle Stainless steel posterior 6mm diam 37-44cm length<br />
thoracic/thoracolumbar fusion<br />
SU107 Hartshill Cervical Posterior occipito-cervical fixation 25-35mm<br />
system<br />
SU108 Hartshill Cervical Posterior occipito-cervical fixation 45-55mm<br />
system<br />
SU109 Hartshill Cervical Posterior occipito-cervical fixation 65-85mm<br />
system<br />
Page 391 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU110 Hartshill Wire (packet 10) stainless steel 1.2mm diam & 0.9mm diam<br />
SU111 Hartshill Horseshoe lumbar interbody fusion 37mm diam - 11-15mm height,<br />
device-titanium 41mm diam - 11-15mm height,<br />
45mm diam - 11-15mm height<br />
SU112 Hartshill Cancellous bone screws for 6.5mm diam - 30mm length, 5.5mm<br />
horseshoes each diam - 25mm length<br />
SU132 PACH Anterior Stabilisation Plate Secured anterior lumbar plate - Size 1 - 2<br />
Titanium<br />
SU133 PACH Anterior Stabilisation Plate Secured anterior sacral plate - Size 1 - 2<br />
SU134 KLA Cage KLA anterior lumbar cage (PEEK) Lordotic 5 degrees 9, 11, 13mm<br />
SU135 KLA Cage KLA anterior lumbar cage (PEEK) Lordotic 9 degrees 11, 13, 15mm<br />
SU136 KLA Cage KLA anterior lumbar cage (PEEK) Lordotic 13 degrees 13, 15mm<br />
SU137 Secuplate Anterior cervical osteosynthesis Secuplate 1 level 21, 26mm<br />
plate - Titanium<br />
SU138 Secuplate Anterior cervical osteosynthesis Secuplate 2 level 34, 44mm<br />
plate - Titanium<br />
SU139 Secuplate Anterior cervical osteosynthesis Secuplate 3 level 47, 62mm<br />
plate - Titanium<br />
SU140 Secuplate Anterior cervical osteosynthesis Secuplate 4 level 60, 80mm<br />
plate - Titanium<br />
SU141 Secuplate Anterior cervical osteosynthesis Secuplate 5 level 103mm<br />
plate - Titanium<br />
SU142 Isobar TTL Spinal Osteosynthesis Pedicle U-screws - Titanium - Dorsal dia 4.5mm length 25, 30,<br />
comprising rigid or semi-rigid rods 35mm - dia 5.5 length 30, 35, 40,<br />
fixed to the spine by a variety of 45mm; High lumbar dia 6.2mm<br />
pedicle screws or hooks that are length 35, 40, 45, 50mm; High<br />
attached to the rods directly or via sacrum dia 7.0mm length 30, 35, 40,<br />
clamps 45, 50, 55, 60, 65, 70mm;<br />
Spondylo dia 6.2mm length 40mm;<br />
Polyaxial dia 6.2mm length 35, 40,<br />
45, 50mm - dia 7.0mm length 35, 40,<br />
Page 392 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU143 Screws/Screws Sterile Titanium Dia 4.0mm, length 9 - 22mm<br />
SU144 Screws/Screws Sterile Titanium Dia 4.5mm, length 12, 14, 16, 18mm<br />
SU145 PCB Cervical System PCB cage - plate (Titanium) 12 x 16 x 4.5mm, 12 x 16 x 5.5mm,<br />
12 x 16 x 7mm, 15 x 16 x 7mm, 15 x<br />
16 x 8mm, 15 x 16 x 10mm<br />
SU146 Anterior Cervical Cage CBK CBK Cage - Titanium 4.5, 5.5, 6.2, 7.0,. 8.0, 9.0mm<br />
SU147 CO Cages Open lumbar cages - PEEK Parallel 8 - 14mm<br />
SU148 CO Cages Open lumbar cages - PEEK Lordotic 9 - 14mm<br />
SU149 CC Cages Isomorphic lumbar cages - PEEK Parallel 8 - 16mm<br />
SU150 CC Cages Isomorphic lumbar cages - PEEK Lordotic 6, 9 - 15mm<br />
SU152 Intext Cervical Plate/Intext Screws Intext cervical plate, including Plates - width 13mm, height 4, 5, 6,<br />
(2-part) fixation screws 7mm - width 17mm, height 5.5, 6.5,<br />
7.5, 8.5mm<br />
SU153 Intext Cervical Plate/Intext Screws Intext cervical plate, including Screws - dia 4.4mm, length 12, 14,<br />
(2-part) fixation screws 16mm<br />
SU157 Isobar TTL Spinal Osteosynthesis Pedicle screws - Titanium - High dorsal hemispherical dia<br />
comprising rigid or semi-rigid rodes 4.5mm length 25, 30, 35mm - dia<br />
fixed to the spine by a variety of 5.5mm length 30, 35, 40, 45mm;<br />
pedicle screws or hooks that are High lumbar hemispherical dia<br />
attached to the rods directly or via 6.2mm length 35, 40, 45, 50mm;<br />
High sacrum hemispherical dia<br />
7.0mm length 30, 35, 40, 45, 50mm;<br />
Rounded headed dia 5.0mm length<br />
35, 40, 55, 60, 65mm<br />
SU158 Isobar TTL Spinal Osteosynthesis Rods - Titanium - comprising rigid Dia 5.5mm, smooth, length 45, 55,<br />
or semi-rigid rods fixed to the spine 65, 75, 85, 95, 110, 130, 150, 170,<br />
by a variety of pedicle screws or 190, 210, 230mm<br />
hooks that are attached to the rods<br />
directly or via clamps<br />
Page 393 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU159 Isobar TTL Spinal Osteosynthesis Rods - Titanium - comprising rigid Dia 5.5mm, smooth, length 400,<br />
or semi-rigid rods fixed to the spine 450, 500, 600mm<br />
by a variety of pedicle screws or<br />
hooks that are attached to the rods<br />
directly or via clamps<br />
SU160 Isobar TTL Spinal Osteosynthesis Hemispherical Nut and Blocker Nut One size only<br />
- Titanium - comprising rigid or<br />
semi-rigid rods fixed to the spine by<br />
a variety of pedicle screws or hooks<br />
that are attached to the rods directly<br />
or via clamps<br />
SU161 Isobar TTL Spinal Osteosynthesis Connecting elements - Titanium - Length 45, 60, 80, 100mm<br />
comprising rigid or semi-rigid rods<br />
fixed to the spine by a variety of<br />
pedicle screws or hooks that are<br />
attached to the rods directly or via<br />
clamps<br />
SU162 Isobar TTL Spinal Osteosynthesis Straddler (including straddler nut) - For 5.5mm rod<br />
Titanium - comprising rigid or<br />
semi-rigid rods fixed to the spine by<br />
a variety of pedicle screws or hooks<br />
that are attached to the rods directly<br />
or via clamps<br />
SU163 Isobar TTL Spinal Osteosynthesis Clamp - Titanium - comprising rigid Snap on, Long Monobloc, Short<br />
or semi-rigid rods fixed to the spine Monobloc for 5.5mm rod<br />
by a variety of pedicle screws or<br />
hooks that are attached to the rods<br />
directly or via clamps<br />
SU164 Isobar TTL Spinal Osteosynthesis Sacrum clamp - Titanium - Left, right<br />
comprising rigid or semi-rigid rods<br />
fixed to the spine by a variety of<br />
pedicle screws or hooks that are<br />
attached to the rods directly or via<br />
Page 394 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU165 Isobar TTL Spinal Osteosynthesis Rod joint connector - Titanium - One size only<br />
comprising rigid or semi-rigid rods<br />
fixed to the spine by a variety of<br />
pedicle screws or hooks that are<br />
attached to the rods directly or via<br />
clamps<br />
SU166 Isobar TTL Spinal Osteosynthesis Semi-rigid rods - Titanium - Dia 5.5mm length 65, 85, 150,<br />
comprising rigid or semi-rigid rods 200mm<br />
fixed to the spine by a variety of<br />
pedicle screws or hooks that are<br />
attached to the rods directly or via<br />
clamps<br />
SU167 Isobar TTL Spinal Osteosynthesis Hooks - Titanium - comprising rigid Dorsal, supralaminar, transverse<br />
or semi-rigid rods fixed to the spine left, transverse right, pedicle;<br />
by a variety of pedicle screws or Lumbar sublaminar, height 6, 8,<br />
hooks that are attached to the rods 10mm; Infra lamino-laminar claw<br />
directly or via clamps right/left; Supra laminar counter<br />
short/long; pedicle transverse<br />
right/left; Transverse counter short<br />
SU170 Screws/Screws Sterile Titanium Dia 5mm, length 12-18mm<br />
Pins, Bone<br />
SU010 K-Wire (Kirschner) Stainless steel 70mm, 100mm, 200mm length<br />
SU011 Tac-Pin (Threaded) Compression pin-titanium 1.7mm diam 15-25mm length<br />
Plates, Bone<br />
SU169 Hallu-Fix Plates Composition - titanium, Hallu-C Hallu-C Plate left and right<br />
Plate: left and right, Hallu-S Plate: 40,45,50mm; Hallu-S Plate right<br />
left and right 50,55mm, left 60mm<br />
<strong>Prostheses</strong>, Femoral Head<br />
SU025 Furlong Femoral Head Bi-polar cobalt chrome 40-58mm head<br />
SU026 Furlong Femoral Head Ceramic 28 & 32mm short, medium, long<br />
SU027 Furlong Femoral Head Metallic, cobalt chrome or stainless Short, medium, long, extra long<br />
steel<br />
Page 395 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU154 ACCIS Head Solid femoral head. Composition: Diam 38, 42, 46, 50mm<br />
Chrome cobalt alloy (CrCoMo) base<br />
metal, coated with Titanium<br />
Niobium (TiNiob) ceramic<br />
<strong>Prostheses</strong>, Femoral, Upper<br />
SU016 Furlong Acetabular Cup Polyethylene cemented Muller type inner diam 22, 28 & 32mm outer<br />
diam 34mm - 62mm<br />
SU017 Furlong Acetabular Cup H-AC cementless (CSF, FRF, 41-70mm<br />
Threaded & Tri-Fix)<br />
SU018 Furlong Acetabular Cup Insert: ceramic cup (CSF, threaded, 28mm & 32mm inner diam<br />
FRF & Trifix)<br />
SU020 Furlong Acetabular Cup Insert polyethylene 22, 28, & 32mm inner diam 44mm -<br />
70mm outer diam<br />
SU021 Furlong Straight Stem Cemented titanium 126-150mm<br />
SU022 Furlong Coned Straight Stem H-AC cementless revision 200mm 10-18mm<br />
SU023 Furlong Coned Straight Stem H-AC cementless revision 250mm 10-18mm<br />
SU024 Furlong Coned Straight Stem Supravit H-AC cementless 10-18mm<br />
SU028 Furlong Modular LOL Stem - Stainless steel 8mm-18mm<br />
cemented standard<br />
SU050 JRI cement restrictor Polyethylene 10-20mm<br />
SU065 Supravit hydroxapatite granules - 30g<br />
<strong>Prostheses</strong>, Finger/Thumb<br />
SU049 LPM finger joint prostheses Co Cr Alloy ceramic coated Small, medium & large<br />
<strong>Prostheses</strong>, Foot Arch<br />
SU009 Kalix Flat foot implant titanium/UHWP 9-14mm diam<br />
<strong>Prostheses</strong>, Joint, Ankle<br />
SU113 Hintegra Total Ankle Prosthesis Tibial implant Right and left, sizes 1 - 5<br />
SU114 Hintegra Total Ankle Prosthesis Talar implant Right and left, sizes 1 - 5<br />
Page 396 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU115 Hintegra Total Ankle Prosthesis Sliding insert Sizes 1 - 5, thickness 5 - 9mm<br />
SU116 Hintegra Total Ankle Prosthesis Cortical fixation screw, Composition Length 12 - 42mm<br />
- Stainless Steel<br />
SU117 Hintegra Total Ankle Prosthesis Spongious fixation screw, Length 26 - 42mm<br />
Composition - Stainless Steel<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
SU155 ACCIS Cup - Cemented One piece acetabular cup. Outside diameter: 46 - 62mm (in<br />
Composition: Cobalt Chrome alloy 2mm increments)<br />
(CrCoMo) base metal, coated with<br />
Titanium Niobium (tiNiob) ceramic<br />
SU156 ACCIS Cup - Cementless One piece acetabular cup. Outside diameter: 46 - 62mm (in<br />
Composition: Chrome Cobalt alloy 2mm increments)<br />
(CrCoMo) base metal, coated with<br />
Titanium Niobium (tiNiob) ceramic.<br />
The rear of the cup is HA coated to<br />
enable cementless fixation in the<br />
acetabulum.<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
SU014 Austin Moore Chrome cobalt hip prosthesis 39-56mm head<br />
SU015 Thompson Chrome cobalt hip prosthesis 39-55mm head<br />
<strong>Prostheses</strong>, Joint, Knee<br />
SU031 Insall-Burstein II Posterior Stabilized H-Ac cementless femoral component 54 - 74mm<br />
Co Cr Mo alloy<br />
SU032 Insall-Burstein II Posterior Stabilized H-Ac cementless tibial component, 54 - 74mm<br />
titanium alloy<br />
SU033 Insall-Burstein II Posterior Stabilized Tibial inserts UHMPE 8.5-10.0mm<br />
SU034 Insall-Burstein II Posterior Stabilized Tibial inserts UHMPE 12.5-15.0mm<br />
SU035 Insall-Burstein II Posterior Stabilized Tibial inserts UHMPE 17.5-22.5mm<br />
SU036 Insall-Burstein II Posterior Stabilized Titanium Screw 20, 25, 30mm<br />
SU037 Insall-Burstein II Femoral Component Tibial/femoral stem titanium alloy 10-24mm<br />
Page 397 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU038 Insall-Burstein II Femoral Component Tibial tray titanium alloy 54-74mm<br />
SU039 Insall-Burstein II Femoral Component CCK Co Cr Mo alloy 54-69mm<br />
SU040 Insall-Burstein II Femoral Component PSK Co Cr Mo alloy 54-74mm<br />
SU041 Insall-Burstein II Femoral Component Patella button polyethylene 32-40mm<br />
SU042 Articulating Surface CCK UHMPE 54-69mm 10-22.5mm<br />
SU043 Articulating Surface CCK (Extra Thick) UHMPE 54-59mm 25mm<br />
SU044 Augmentation Distal titanium alloy 5-8mm<br />
SU045 Augmentation Posterior/distal titanium alloy 54-69mm<br />
SU046 Wedge Full titanium alloy 7.5, 15, 22.5, degree<br />
SU047 Wedge Half titanium alloy 18 & 28 degree<br />
<strong>Prostheses</strong>, Joint, Toe<br />
SU129 Reflexion 1st MPJ Implant System Reflexion metatarsal stems, 3 part 1st Small, medium, large<br />
MPJ reconstruction system, 2 part<br />
composition - titanium/cobalt<br />
chrome, 1 part composition -<br />
titanium/UHMWPE,<br />
SU130 Reflexion 1st MPJ Implant System Reflexion metatarsal heads, 3 part 1st Standard, long, extra-long<br />
MPJ reconstruction system, 2 part<br />
composition - titanium/cobalt<br />
chrome, 1 part composition -<br />
titanium/UHMWPE,<br />
SU131 Reflexion 1st MPJ Implant System ReflexionPhalangeal Bases, 3 part Small, medium, large<br />
1st MPJ reconstruction system, 2<br />
part composition - titanium/cobalt<br />
chrome, 1 part composition -<br />
titanium/UHMWPE,<br />
<strong>Prostheses</strong>, Ligament<br />
SU059 Surgicraft Cruciate prosthesis carbon 12.5cm-18.5cm<br />
fibre/polyester<br />
SU060 Surgicraft Cruciate augmentation device 15-25cm<br />
Page 398 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU061 Surgicraft Repair tow 100cm<br />
SU062 Surgicraft Fixation bollard One size only<br />
SU063 Surgicraft Eyelett washer for synthetic One size only<br />
ligament ends<br />
SU064 Surgicraft Mayday Soffix ACL repair polyester 15.5, 17.0, 18.5cm<br />
<strong>Prostheses</strong>, Tendon<br />
SU051 Cartilage repair system, carbon fibre Cartilage repair-carbon fibre implant 8mm ea<br />
(Medicarb)Cleveland repair pad<br />
SU052 Cartilage repair system, carbon fibre Cartilage repair-carbon fibre implant 10mm, 13mm, & 16mm ea<br />
(Medicarb)Cleveland repair pad<br />
SU053 Cartilage repair system, carbon fibre Cartilage repair-carbon fibre implant 19 & 22mm ea<br />
(Medicarb)Cleveland repair pad<br />
SU054 Cartilage repair system, carbon fibre Cartilage repair-carbon fibre implant 32mm<br />
(Medicarb)Cleveland repair pad<br />
SU055 Gateshead rod (Arthrotomy set) -pack Cartilage repair-carbon fibre implant 3 x 12.5mm<br />
of 3<br />
SU056 Gateshead rod (Arthrotomy set) -pack Cartilage repair-carbon fibre implant 3 x 12.5mm<br />
of 5<br />
SU057 Gateshead rod (Arthroscopic set) Cartilage repair-carbon fibre implant 3 x 12.5mm<br />
-pack of 1<br />
SU058 Gateshead rod (Arthroscopic set) Cartilage repair-carbon fibre implant 3 x 12.5mm<br />
-pack of 3<br />
SU151 Medicarb Gateshead Mini-rods Carbon fibre Dia 3mm, length 5mm (pack of 5)<br />
Screws, Bone<br />
SU006 Bold Compression Screw Cannulated titanium 3mm diam 10-34mm length<br />
SU007 ICOS Screw: Ideal Compression Screw Cannulated titanium 4mm diam 26-60mm length, 6.5mm<br />
diam 40-90mm length<br />
Page 399 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
SU008 Spin Screw: Snap Off Screw Titanium Diameter 2mm, Length 11-14mm;<br />
Diameter 2.7mm, Various Lengths;<br />
Diameter 3.0mm, Various Lengths<br />
SU019 Furlong Acetabular Cup Titanium screw 2.5 & 3.5 AF 15mm-50mm<br />
SU029 Interference screws (Femoral & Tibial) sterile stainless 7-9mm diam 20 - 35mm length<br />
steel<br />
SU030 Interference Screws (Femoral & Tibial) Non sterile 7 & 9mm diam 20 - 35mm length<br />
stainless steel<br />
Staples, Bone<br />
SU012 Solustaple Standard Staple Stainless steel 90 deg & 26 degree 8 & 10mm length<br />
SU013 Uni-Clip Compression Staple Stainless steel Width 11mm - 20mm, Length 13mm<br />
- 20mm; Notched - Width 11mm -<br />
20mm, Length 13mm - 20mm;<br />
Wires, Bone, Implantable<br />
SU048 The Bone Tie Stainless steel wire & tie One size only<br />
Taylor Bryant Pty Ltd<br />
Cement, Orthopedic<br />
TB180 Aminofix Bone Cement Bone cement for joint replacement<br />
TB206 VITOSS - Synthetic cancellous bone Beta-tricalcium phosphate 1.2cc dowel<br />
void filler<br />
TB207 VITOSS - Synthetic cancellous bone Beta-tricalcium phosphate 15cc morsels<br />
void filler<br />
TB208 VITOSS - Synthetic cancellous bone Beta-tricalcium phosphate 20cc dowel<br />
void filler<br />
TB209 VITOSS - Synthetic cancellous bone Beta-tricalcium phosphate 30cc morsels and 30cc dowels<br />
void filler<br />
TB210 VITOSS - Synthetic cancellous bone Beta-tricalcium phosphate 10cc morsels and 10cc dowels<br />
void filler<br />
Page 400 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB211 CORTOSS - Synthetic cortical bone - 10cc CORTOSS kit<br />
void filler<br />
TB212 CORTOSS - Synthetic cortical bone - 20cc CORTOSS kit<br />
void filler<br />
TB214 VITOSS - Synthetic Cancellous bone Beta-tricalcium phosphate 5cc morsels<br />
void filler<br />
Orthopedic Internal Fixation Systems, Other<br />
TB215 Spine Solutions Prodisc Artificial mechanical disc, superior 6 Degree, 11 Degree, Medium,<br />
plate component<br />
TB216 Spine Solutions Prodisc Artificial mechanical disc, 10,12,14mm, Medium, Large<br />
polyethylene inlay<br />
TB217 Spine Solutions Prodisc Artificial mechanical disc, inferior Medium, Large<br />
plate component<br />
Orthopedic Internal Fixation Systems, Spinal<br />
TB002 Silhouette Spinal System Implants Rod 5.5mm dia x 47cm length<br />
TB003 Silhouette Spinal System Implants Nut, connector, transverse<br />
TB004 Silhouette Spinal System Implants Transverse, connector, insert<br />
TB005 Silhouette Spinal System Implants Nut, locking, polyaxial<br />
TB006 Silhouette Spinal System Implants Connector, transverse, solid 12 - 90mm<br />
TB010 Varilift System Cage Body, PLIF, Titanium Alloy 11 x 24mm, 13 x 24mm, 15 x 24mm<br />
TB013 Varilift System Cage Cap, PLIF, Titanium alloy 11mm<br />
TB014 Silhouette Spinal System Implants Rod 5.5mm dia x 10cm length<br />
TB015 Spintech Proximity Implants Proximity Cage, Titanium alloy 9 x 20mm<br />
TB019 Silhouette Spinal System Implants Rod 5.5mm dia x 20cm length<br />
TB029 Varilift System Cage Cap, PLIF, Titanium alloy 13, 15mm<br />
TB030 Advanced Spine - Titanium System C-Spacer (various lengths) Titanium 5/0mm x 5/0mm to 7/5mm x 6/0mm<br />
TB031 Advanced Spine - Titanium System Hex Bolt Titanium 20mm, 25mm, 30mm<br />
Page 401 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB032 Advanced Spine - Titanium System Support Rod 5mm x12.0", 18.0", 22.0"<br />
TB033 Advanced Spine - Titanium System Aluminium Master Rod 12", 22"<br />
TB034 Advanced Spine - Titanium System Varigrip Lower Hook Titanium Zone 1/2/3<br />
(Zone 1, 2, 3)<br />
TB035 Advanced Spine - Titanium System Varigrip Upper Hook Titanium Zone 1/2/3<br />
(Zone 1, 2, 3)<br />
TB036 Advanced Spine - Titanium System Clamp Bolt Titanium One size only<br />
TB037 Upper Clamp Single Rod - 1mm<br />
TB038 Upper Clamp Double Rod - 1mm<br />
TB039 D Spacer - 5/0mm x 5/0mm to 7/5mm x 6/0mm<br />
TB040 Spine-tech Proximity Spinal Cage Spinal Cage 11 x 20mm, 13 x 20mm, 13 x 24mm,<br />
Proximity Cage 15 x 20mm, 15 x 24mm, 17 x 24mm,<br />
17 x 28mm, 19 x 24mm, 19 x 28mm<br />
TB049 Spine-Tech BAK Cervical Implant Cervical Cage 6 x 12mm, 8 x 12mm, 10 x 12mm, 12<br />
x 12mm<br />
TB051 Spinetech BAK "L" Cage Lumbar Cage 9 x 20mm, 9 x 24mm, 11 x 20mm, 13<br />
x 20mm, 13 x 24mm, 15 x 20mm, 15 x<br />
24mm, 17 x 24mm, 17 x 28mm<br />
TB059 Varilift System (Implant and Varilift Cage and Cap 11/13/15mm Cages<br />
Instrumentation)<br />
TB078 Spine-Tech Cervi-Lok Cervical Cervical Plate 19mm wide x 24, 26, 27, 28, 30, 33,<br />
Fixation System 36, 39mm long x 2mm thick<br />
TB083 Spine-Tech Cervi-Lok Cervical Cervical Plate 19mm wide x 42, 46 ,50, 51, 54mm<br />
Fixation System long x 2mm thick<br />
TB087 Spine-Tech Cervi-Lok Cervical Cervical Plate 19mm wide x 62/67/72mm long x<br />
Fixation System 2mm thick<br />
TB090 Spine-Tech Cervi-Lok Cervical Cervical Plate 19mm wide x 78/83/88mm long x<br />
Fixation System 2mm thick<br />
Page 402 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB093 Screws Locking Bone Screw 4mm diameter x 16mm, 4mm diameter<br />
x 20mm, 4mm diameter x 24mm all<br />
w/head<br />
TB096 Advanced Spine - Titanium System 200 Ser Ti Screws/Titanium 5/8 x (40, 45, 50, 55mm)<br />
TB097 Advanced Spine - Titanium System 200 Ser Ti Screws/Titanium 6/5 x (35, 40, 45, 50, 55mm)<br />
TB098 Advanced Spine - Titanium System 200 Ser Ti Screws/Titanium 7/5 x (35, 40, 45, 50, 55mm)<br />
TB099 Advanced Spine - Titanium System 200 Ser Ti Screws/Titanium 5/0 x (30, 35, 40, 45mm)<br />
TB100 Advanced Spine - Titanium System Lower Saddle 1mm<br />
TB101 Advanced Spine - Titanium System Lower Saddle 14 Degree Left/Right<br />
TB102 Advanced Spine - Titanium System Lower Saddle 7 Degree Left/Right<br />
TB103 Advanced Spine - Titanium System Lower Saddle 2mm, 4mm, 6mm Increment<br />
TB104 Advanced Spine - Titanium System Lower Saddle 30 Degree Left/Right<br />
TB105 Low Pro Upper Clamp Upper Clamp 1mm<br />
TB106 Low Pro Upper Clamp Upper Clamp 14 Degree Left/Right<br />
TB107 Low Pro Upper Clamp Upper Clamp 7 Degree Left/Right<br />
TB108 Low Pro Upper Clamp Upper Clamp 2mm, 4mm, 6mm Increment<br />
TB109 Low Pro Upper Clamp Upper Clamp 30 Degree Left/Right<br />
TB110 Support Rod 8inch Rod-Titanium 8 inch - Titanium<br />
TB111 Locking cap Locking cap One size only<br />
TB112 Varilift System Sleeve nut One size only<br />
TB113 Varilift System Lower Saddle 4mm<br />
TB114 Varilift System Lower Saddle 6mm<br />
TB115 Low Pro Upper Clamp Cross Link Assembly 200 Ser 7/0cm, 8/0cm, 9/0cm<br />
TB172 SL Upper Hook Composition - Titanium Zone 5<br />
TB173 SL Lower Hook Composition - Titanium Zone 5<br />
Page 403 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB181 Rabea Peek Vertebral Body Fusion Composition - peek, spinal implant 4, 5, 6, 7 x 12 x 14mm, 8 x 12 x<br />
Implant 16mm<br />
TB182 Tetris Lumbar Fusion Implant System Titanium or peek, spinal implant 8-12mm x 11mm<br />
TB192 Blackstone Medical Inc Anterior Titanium alloy plate 4.4mm Diameter x 14mm length<br />
Cervical Plate System<br />
TB193 Blackstone Top Locking Plate Holds bone screws and anterior One size only<br />
cervical plate in place<br />
TB194 Blackstone Medical Inc Anterior Bone Screw, Primary Screw 12, 14, 16mm<br />
Cervical Plate System<br />
TB195 Blackstone Medical Inc Anterior Bone Screw, Rescue Screw 12, 14, 16mm<br />
Cervical Plate System<br />
Plates, Bone<br />
TB176 Integra Epiphysis Plate Used for fracture of the femur One size only<br />
TB190 Plate for fixation of tronchanteric flap Stainless steel, short hook One size only<br />
TB191 Plate for fixation of tronchanteric flap Stainless steel, long hook One size only<br />
Plugs<br />
TB018 Air Plug Biodegradable Cement Plug - Sizes 8 -18<br />
<strong>Prostheses</strong>, Femoral, Upper<br />
TB184 12/14 Modular U Necks Standard straight/Varus Antecerted<br />
Nalgise<br />
<strong>Prostheses</strong>, Finger/Thumb<br />
TB197 SR Hand Implant System SR Hand MCP Implant - 12, 13, 14, 16, 17mm<br />
CoCr-UHMWPE<br />
TB198 SR Hand Implant System SR Hand PIP Implant - 9, 11, 12, 13mm<br />
CoCr-UHMWPE<br />
TB199 SR Hand Implant System SR Hand TMC (Basal Thumb) 10, 11, 12, 13mm<br />
Implant - CoCr-UHMWPE<br />
Page 404 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB202 SR Hand Implant System SR Hand PIP Implant - 7.5, 8.6, 10, 11.5, 13.2mm<br />
CoCr-Titanium Alloy-UHMWPE<br />
<strong>Prostheses</strong>, Joint<br />
TB200 Proximal Interphalangeal Joint Implant Silastic PIP Joint Implant 7, 8, 9, 10, 11mm<br />
TB201 Metacarpophalangeal Implant Silastic MCP Joint Implant 9, 10, 11, 12, 13, 15, 16mm<br />
TB203 Trapezium Implant Silastic 12, 13, 14mm<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
TB064 Groupe Lepine Bipolar Heads 42 - 60mm in 1mm increments<br />
TB066 Groupe Lepine Total Hip Replacement Liner Hooded/Flat 44 - 64mm in 2mm increments<br />
TB068 Groupe Lepine Total Hip Replacement MBA Acetabular Cup 46 - 64mm in 2 mm increments<br />
TB070 Groupe Lepine Total Hip Replacement Tetras Acetabular Cup 44 - 64mm in 2mm increments<br />
TB174 GL - U Hooded Liner Acetabular component for total hip 46, 48, 50, 52, 54, 56, 58, 60, 62,<br />
system 64mm<br />
Page 405 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB175 B2C Espace Acetabular Cup Acetabular component for revision Espace Shell 0 degrees peak, diam<br />
hip system 50mm, with plastic insert, Espace<br />
Shell 0 degrees peak, diam 54mm,<br />
with plastic insert, Espace Shell 0<br />
degrees peak, diam 58mm, with<br />
plastic insert, Espace Shell 0<br />
degrees peak, diam 62mm, with<br />
plastic insert, Espace Shell 20<br />
degrees peak, diam 50mm, with<br />
plastic insert, Espace Shell 20<br />
degrees peak, diam 54mm, with<br />
plastic insert, Espace Shell 20<br />
degrees peak, diam 58mm, with<br />
plastic insert, Espace Shell 20<br />
degrees peak, diam 62mm, with<br />
plastic insert, Espace Shell 8mm<br />
extension, diam 50mm, with plastic<br />
insert, Espace Shell 8mm extension,<br />
diam 54mm, with plastic insert,<br />
Espace Shell 8mm extension, diam<br />
58mm, with plastic insert, Espace<br />
Shell 8mm extension, diam 62mm,<br />
with plastic insert, Espace Shell<br />
14mm extension, diam 50mm, with<br />
plastic insert, Espace Shell 14mm<br />
extension, diam 54mm, with plastic<br />
insert, Espace Shell 14mm<br />
extension, diam 58mm, with plastic<br />
insert, Espace Shell 14mm<br />
extension, diam 62mm, with plastic<br />
insert, Espace Shell 20mm<br />
extension, diam 50mm, with plastic<br />
insert, Espace Shell 20mm<br />
extension, diam 54mm, with plastic<br />
insert, Espace Shell 20mm<br />
extension, diam 58mm, with plastic<br />
insert, Espace Shell 20mm<br />
TB177 GL - Alumina U Liner Acetabular component for total hip 50mm, 52mm, 54mm, 56mm, 58mm,<br />
system, polyethylene 60mm<br />
Page 406 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB218 Polyethylene Insert with 10 Degree UHMWPE: Composition 46, 48, 50, 52, 64, 56, 58, 60, 62,<br />
64mm<br />
TB219 Biota Alumina Acetabular Liner Acetabular Liner 46, 48, 50, 52, 54, 56, 58, 60, 62,<br />
64mm<br />
TB221 Pavi Acetabular Cup Acetabular Cup 46, 48, 50, 52, 54, 56, 58, 60, 62,<br />
64mm<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
TB009 Lyderic II Monotige Femoral Stem HA - Titanium alloy - Cemented - Sizes 6 - 11<br />
Stainless steel<br />
TB060 Groupe Lepine Exel Cemented Femoral Stem Size 2,3,4,5,6,<br />
TB061 Groupe Lepine Integra Revision Stem 160mm/200mm/240mm/280mm in<br />
11, 13, 15 dia.<br />
TB063 Groupe Lepine U Neck Straight/anteverted/retroverted/<br />
valgus/varus<br />
TB065 Groupe Lepine Total Hip Replacement Stainless Steel Head .-5mm/0mm/+5mm/ +10mm<br />
TB067 Groupe Lepine Total Hip Replacement Lyderic II Modular Stem Size 6, 7, 9, 9, 10, 11<br />
TB069 Groupe Lepine Total Hip Replacement MBA Stem 1 - 8<br />
TB071 Groupe Lepine Total Hip Replacement Zirconia Head .-5mm/0mm/5mm<br />
TB073 Bipolar Cup Bipolar Cup 42 - 60mm in 1mm increments<br />
TB074 Primaloc Collarless Stem Collarless Stem 9 - 18mm dia-144-187mm lengths<br />
TB075 Headloc Ceramic Zirconia Head .-5/0/+5mm<br />
TB076 Headloc Cobalt Chrome Head .-5/0/+5/+10mm<br />
TB077 Headloc Ceramic Alumina Head .-5/0/+5mm<br />
TB178 Headloc Ceramic Alumina Ceramic Femoral Head Replacement Small, Medium, Large<br />
for total hip system<br />
Page 407 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB179 Primaloc HA Coated Stem Femoral implant for total hip system 9mm x 15mm, 9mm x 17mm, 10mm x<br />
15mm, 10mm x 17mm, 10mm x 19mm,<br />
11mm x 15mm, 11mm x 17mm, 11mm<br />
x 19mm, 12mm x 17mm, 12mm x<br />
19mm, 12mm x 21mm, 12mm x 23mm,<br />
13mm x 17mm, 13mm x 19mm, 13mm<br />
x 21mm, 14mm x 21mm, 14mm x<br />
23mm, 14mm x 25mm, 16mm x 23mm,<br />
16mm x 25mm, 16mm x 27mm, 18mm<br />
x 25mm, 18mm x 27mm<br />
TB183 Lyderic II HA Modular Stem Forged titanium alloy, double layer Size 6-11<br />
coating<br />
TB220 12/14 Alumina Head BOTA Alumina Head 28mm (-3.5mm, 0mm, +3.5mm);<br />
32mm (-4mm, 0mm, +4mm)<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
TB072 Groupe Lepine Total Hip Replacement Integra Proximal Segment 28/40/60/80/100/120mm<br />
<strong>Prostheses</strong>, Joint, Knee<br />
TB020 PS Femoral Non Porous Balanced Knee System Sizes 1 - 6<br />
TB024 PS Tibial Insert Balanced Knee System Sizes 1 - 6<br />
TB025 CR Tibial Insert Balanced Knee System Sizes 1 - 6<br />
TB028 Tibial Tray Non Porous Balanced Knee System Sizes 1 - 6<br />
<strong>Prostheses</strong>, Joint, Knee, Femoral Component<br />
TB021 CR Femoral Non Porous Balanced Knee System Sizes 1 - 6<br />
TB022 PS Femoral Porous Balanced Knee System Sizes 1 - 6<br />
TB023 CR Femoral Porous Balanced Knee System Sizes 1 - 6<br />
TB027 Tibial Tray Porous Balanced Knee System Sizes 1 - 6<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
TB026 Patella Balanced Knee System, UHMWPE 29mm<br />
Page 408 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Joint, Toe<br />
TB145 Great Toe M-P Joint Metallic Hemiarthroplasty Small 17mm, medium 20mm, large<br />
resurfacing prostheses for the hallux 23mm<br />
metatarsophalangeal joint<br />
TB196 Sutter Hinged Great Toe Joint Implant Silastic La Porta hinged 16.5, 17.5, 18.5, 19.6mm<br />
<strong>Prostheses</strong>, Radial/Ulna Head<br />
TB204 Ulnar Head/Radial Head Implants Ulna Head - CoCr Stem 4.5, 5.5, 6.5mm Head 14.5, 16,<br />
17.5mm<br />
TB205 Ulnar Head/Radial Head Implants Radial Head - CoCr Stem 18, 20, 23mm, Head 18, 21,<br />
24mm<br />
Screws, Bone<br />
TB007 Silhouette Spinal System Implants Polyaxial screw assembly with tabs 5.5 x 25mm to 8.5 x 60mm<br />
TB008 Silhouette Spinal System Implants Fixed screw with tab extensions 5.5 x 25mm to 8.5 x 60mm<br />
TB016 Cancellous Bone Screws Balanced Knee System 6.5 x 15mm<br />
TB062 Groupe Lepine Acetabular Screws 5.5mm dia in 15mm-60mm length<br />
5mm increments<br />
TB185 Vis Canula Titanium alloy 3.5mm x 12-30mm, 4.5mm x<br />
20-50mm, 6.5mm x 30-70mm, 8.5mm<br />
x 50-100mm<br />
Staples, Bone<br />
TB058 Prosthetic Disc Nucleus Anterior Rectangle/Wedge 5 x 25mm, 7 x 25mm, 9 x 25mm<br />
Posterior Rectangle/Wedge<br />
TB186 EIS System Sterile unicortical staples, designed 10, 14, 16mm x 10mm, drill size<br />
for forefoot surgery 1.8mm<br />
TB187 EIS System Sterile bicortical staples, designed 10mm x 15/13mm, 10 x 17/15mm, 12<br />
for forefoot surgery x 19/16mm, 12 x 21/20mm, drill<br />
size 1.8mm<br />
TB188 EIS System Sterile compression screw, designed Overall length 10-28mm in 2mm<br />
for forefoot surgery increments<br />
Page 409 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
TB189 EIS System Sterile self-drilling screw, designed Overall length 10-18mm in 2mm<br />
for forefoot surgery increments<br />
Technology For Life Pty Ltd<br />
Bone Matrix Implants, Artificial<br />
TE016 Ceraform Cementek Bone Substitute Composite hyclroxy apitite 20-40 gram<br />
Trewavis Surgical Instruments Pty Ltd<br />
Pins, Bone<br />
TS002 Trewavis Surgical Steinmann Pins Composition: Stainless Steel, Dia 3.0 - 5.0mm<br />
Model Nos: 200 - 950-L to<br />
W L Gore & Associates<br />
<strong>Prostheses</strong>, Meningeal<br />
GT054 Preclude Spinal Membrane ePTFE 0.7mm Thickness 6 x 6cm<br />
GT055 Preclude Spinal Membrane ePTFE 0.7mm Thickness 6cm x 12cm<br />
William A Cook Aust Pty Ltd<br />
Procedure Trays, Surgical<br />
WC135 Vertebroplasty Procedure Pack Bone cement, biopsy needle and 40g bone cement; needle guage 11 -<br />
preparation kit 13, length 10 - 15cm<br />
Zimmer<br />
Anchor, Fixation<br />
ZI161 Zimmer Internal Fixation Systems: Cable-Ready Stainless Steel 1.3 mm<br />
Cable System<br />
ZI162 Zimmer Internal Fixation Systems: Cable-Ready Co-Cr 1.8 mm<br />
Cable System<br />
ZI163 Zimmer Internal Fixation Systems: Cable-Ready Plate Cable Stainless 610 mm long<br />
Cable System Steel<br />
Page 410 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI164 Zimmer Internal Fixation Systems: Cable-Ready GTR Distal end Cable - 635 mm long<br />
Cable System Cobalt Chrome<br />
ZI166 Zimmer Internal Fixation Systems: Cable-Ready Trochanter Grip CoCr 50cm long<br />
Cable System<br />
ZI167 Zimmer Internal Fixation Systems: Cable-Ready 6 Hole Plate - 187mm long<br />
Cable System Stainless Steel<br />
ZI168 Zimmer Internal Fixation Systems: Cable-Ready 8 Hole Plate - 246mm long<br />
Cable System Stainless Steel<br />
ZI169 Zimmer Internal Fixation Systems: Cable-Ready 10 Hole Plate - 305mm long<br />
Cable System Stainless Steel<br />
ZI170 Zimmer Internal Fixation Systems: Cable-Ready Pin - Stainless Steel 35, 40, 45, 65mm long<br />
Cable System<br />
ZI171 Zimmer Internal Fixation Systems: Cable-Ready Stainless Steel Cable - 914mm long<br />
Cable System Long (914mm)<br />
ZI172 Zimmer Internal Fixation Systems: Cable-Ready Cobalt Chrome Cable - 914mm long<br />
Cable System Long (914mm)<br />
ZI173 Zimmer Internal Fixation Systems: Cable-Ready GTR Cable - Proximal 635mm long<br />
Cable System<br />
ZI174 Zimmer Internal Fixation Systems: Cable-Ready Stainless Steel Cable 1.8mm<br />
Cable System<br />
ZI175 Zimmer Internal Fixation Systems: Cable-Ready Long GTR - Tivanium 120cm long<br />
Cable System<br />
ZI234 Cable System Cable Ready, Cable Button 2,5mm - 5,0mm<br />
Cement, Orthopedic<br />
ZI187 Zimmer Bone Cement Systems Regular 40/20 - PMMA Double Mix<br />
ZI189 Zimmer Bone Cement Systems Osteobond Cement 20/10 - PMMA Single Mix<br />
ZI190 Zimmer Bone Cement Systems Osteobond Cement 40/20 - PMMA Double Mix<br />
ZI191 Zimmer Bone Cement Systems Osteobond Cement 80/40 - PMMA 4 Mix Pack<br />
ZI226 Zimmer ECT Plates/Miscellaneous Allen Medullary Plug 8 - 23mm<br />
Page 411 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI232 Palacos "R" bone cement Double mix PMMA 80g x 40ml<br />
Grafts, Bone<br />
ZI265 Continuum hip system Hedrocel AVN Rod 3mm - 12mm block<br />
ZI269 Cancellous bone Screw Hedrocel tantulum 10 - 120mm<br />
ZI270 Hedrocel block Hedrocel tantulum 2 x 4 x 4mm<br />
ZI271 Hedrocel button Hedrocel tantulum Small and medium x 10mm thick<br />
ZI272 Hedrocel cylinder Hedrocel tantulum 10mm long<br />
ZI273 Hedrocel half tube Hedrocel tantulum 10mm long<br />
ZI274 Hex Dowell Hedrocel tantulum 10mm long<br />
ZI275 Hedrocel tube Hedrocel tantulum 15mm long<br />
ZI276 Hedrocel strut Hedrocel tantulum 10mm long<br />
Hydroxyapatite<br />
ZI192 Bone Graft Substitute Triosite Granules (0.5 - 1.0 mm grain 1 g Tube<br />
sizes)- HATCP<br />
ZI193 Bone Graft Substitute Triosite Granules (2 - 3mm grain 5g Tube<br />
size) - HATCP<br />
ZI194 Bone Graft Substitute Triosite Block 5 x 5 x 10mm Box of 4 10mm<br />
- HATCP<br />
ZI195 Bone Graft Substitute Triosite Block 5 x 5 x 20mm Box of 4 20mm<br />
- HATCP<br />
ZI196 Bone Graft Substitute Triosite Block 5 x 5 x 10mm Box of 2 10mm<br />
- HATCP<br />
ZI197 Bone Graft Substitute Triosite Block 5 x 5 x 20mm Box of 2 20mm<br />
- HATCP<br />
ZI198 Bone Graft Substitute Triosite Oesteotomy Wedges - 6 - 12mm<br />
Page 412 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Orthopedic Internal Fixation Systems, Fracture<br />
ZI149 Periarticular Plates Periarticular 6.5mm Cancellous 16mm Thread - 35-90mm Long,<br />
Screws - Stainless Steel 32mm Thread - 45-90mm Long,<br />
Fully Threaded - 25-90mm Long<br />
ZI150 Periarticular Plates Periarticular 4.0mm Cancellous Part thread - 30-60 mm, Full thread<br />
Screws - Stainless Steel 30-110 mm<br />
ZI151 Periarticular Plates Periarticular 4.5mm Self Tapping 26 - 90mm<br />
Screws - Stainless Steel<br />
ZI152 Periarticular Plates Periarticular 3.5mm Self Tapping 10 - 80mm<br />
Screws - Stainless Steel<br />
ZI153 Periarticular Plates Periarticular Tibial Plateau Plates - 2 holes - 14 holes Left & Right<br />
Stainless Steel<br />
ZI154 Periarticular Plates Periarticular Femoral Condylar 4 holes - 18 holes Left & Right<br />
Plates - Stainless Steel<br />
ZI157 Zimmer Internal Fixation Systems: Freelock/Versa-fx tube plate - 2 holes - 20 holes<br />
Compression Hip Screw Stainless Steel<br />
ZI158 Zimmer Internal Fixation Systems: Freelock/Versa-fx lag screw - 50 mm - 150 mm long<br />
Compression Hip Screw Stainless Steel<br />
ZI159 Zimmer Internal Fixation Systems: Freelock locking pin - Short Locking Pin Long Locking<br />
Compression Hip Screw Polyethylene, Stainless Steel<br />
ZI236 Intramedullary Nails End Caps - Stainless Steel 0 - 15mm<br />
ZI237 Intramedullary Nails Humeral Nail - Stainless Steel 6 - 13mm<br />
ZI238 Intramedullary Nails Retrograde Nail - Stainless Steel 9 - 14mm<br />
ZI239 Intramedullary Nails Tibial Nails - Stainless Steel 6 - 15mm<br />
ZI240 Intramedullary Nails Femoral/Recon Nails - Stainless 8 - 16mm<br />
ZI241 Intramedullary Nails Locking Screws - Stainless Steel 20 - 130mm<br />
ZI242 Intramedullary Nails Nuts - Stainless Steel 6.5 mm<br />
ZI243 Periarticular Plates Stainless Steel 2 - 20 Hole<br />
Page 413 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
Orthopedic Internal Fixation Systems, Other<br />
ZI184 Distal Radial Plating System Forte Dorsal Plate - Stainless Steel Small, Medium and Large<br />
ZI185 Distal Radial Plating System Forte Cortical Screw - Stainless 10 mm - 40 mm<br />
Plates, Bone<br />
ZI124 NexGen Knee Tibial Components Porous HA/TCP - Titanium 1 - 10<br />
Stemmed<br />
ZI130 NexGen Knee Tibial Components Fluted - Ti 1 - 10<br />
Stemmed<br />
ZI209 Zimmer ECT Plates/Miscellaneous Nut Small & Large<br />
ZI210 Zimmer ECT Plates/Miscellaneous Washer/Spiked washer Small & Large<br />
ZI211 Zimmer ECT Plates/Miscellaneous 1/3 Tube Plate 3 - 8 Hole<br />
ZI212 Zimmer ECT Plates/Miscellaneous Small Narrow Plate 3 - 8 Hole<br />
ZI213 Zimmer ECT Plates/Miscellaneous Small Broad Plate 3 - 12 Hole<br />
ZI214 Zimmer ECT Plates/Miscellaneous Mini Plates 3 - 8 Hole<br />
ZI215 Zimmer ECT Plates/Miscellaneous Small SCP plate 3 - 12 Hole<br />
ZI216 Zimmer ECT Plates/Miscellaneous SCP Forearm plate 4 - 12 Hole<br />
ZI217 Zimmer ECT Plates/Miscellaneous Buttress Plate 4 - 6 Hole<br />
ZI218 Zimmer ECT Plates/Miscellaneous Spoon Plates 5 - 6 Hole<br />
ZI219 Zimmer ECT Plates/Miscellaneous T Plate 68 - 147mm<br />
ZI220 Zimmer ECT Plates/Miscellaneous Cloverleaf plates 88 - 104mm<br />
ZI221 Zimmer ECT Plates/Miscellaneous Small straight plate 3 - 8 Hole<br />
ZI222 Zimmer ECT Plates/Miscellaneous Epiphysis plate 2 - 6 Hole<br />
ZI223 Zimmer ECT Plates/Miscellaneous 1/4 Tubular Plate 3 - 8 Hole<br />
ZI224 Zimmer ECT Plates/Miscellaneous Narrow Plate 2 - 12 Hole<br />
ZI225 Zimmer ECT Plates/Miscellaneous Broad Plate 5 - 14 Hole<br />
Page 414 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI227 Zimmer ECT Plates/Miscellaneous 3.5mm Straight Recon Plates 6 Hole<br />
ZI228 Zimmer ECT Plates/Miscellaneous 3.5mm Curved Recon Plates 6 Hole<br />
ZI230 Zimmer ECT Plates/Miscellaneous 4.5mm Straight Recon Plate 6 Hole<br />
ZI231 Zimmer ECT Plates/Miscellaneous Recon Bridge Plate 4 Hole<br />
<strong>Prostheses</strong>, Joint, Elbow<br />
ZI003 Coonrad-Morrey Elbow Ulna - Titanium Petite, Left, Right<br />
ZI004 Coonrad-Morrey Elbow Humerus - Titanium 4, 6, 8 inch, Left & Right<br />
ZI005 Coonrad-Morrey Elbow Bushing - Polyethylene, Titanium 1 & 2<br />
<strong>Prostheses</strong>, Joint, Hip<br />
ZI286 Zimmer Acetabular Cup Multipolar (Bipolar) Cup-Co Chr Outer Diameter 38 - 72mm, Inner<br />
W/WHMWPE Diameter 22,28, or 32mm<br />
ZI287 Zimmer Cemented Hip <strong>Prostheses</strong> Thompson Hip Length 38 - 63mm<br />
ZI288 Harris/Galante Porous Hip <strong>Prostheses</strong> HGII XLPE Liner Outer Dia 38 - 80mm, Inner<br />
Diameter 22, 26, 28 or 32<br />
ZI292 Zimmer Modular Revision Hip System HA/TCP Coated Porous Proximal Size A - F, Offset 40mm or 46mm<br />
Body<br />
ZI296 VerSys Hip System Femoral Stems Anatomic II stem Sizes 9 - 19<br />
ZI301 CPT Hip System CPT hip stem - extra long Sizes 1 - 4<br />
ZI302 VerSys Hip System Femoral Stems Minimally invasive hip stem Sizes 9 - 19<br />
ZI303 Trilogy Acetabular System Minimally invasive acetabular cup 40 - 80mm outer diameter<br />
<strong>Prostheses</strong>, Joint, Hip, Acetabular Component<br />
ZI001 Zimmer Acetabular Cup Roof ring 46 - 60mm<br />
ZI002 Zimmer Acetabular Cup Acetabular Cage - Left, right 52, 58, 64mm OD<br />
ZI028 Acetabular Cup Zimmer Flanged Cup (ZFC) - 47 - 61<br />
Polyethylene<br />
Page 415 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI245 Hedrocel acetabular cup Stainless steel, ceramic and 22 and 28mm diameter<br />
polyethlyene<br />
ZI246 Hedrocel metal bearing Stainless steel, and polyethlyene 22 and 28mm diameter<br />
ZI249 Continuum hip system Acetabular cups - elliptical Primary 22 and 28mm diameter<br />
ZI250 Continuum hip system Acetabular cups - elliptical 22 and 28mm diameter<br />
<strong>Prostheses</strong>, Joint, Hip, Femoral Component<br />
ZI006 Mayo Hip Titanium Small, medium, large and extra large.<br />
ZI023 Zimmer Hip Systems Femoral Stem Heritage - Cobalt Chrome 11 - 17<br />
<strong>Prostheses</strong>, Joint, Hip, Total<br />
ZI007 Zimmer Hip Systems Femoral Stem Titanium Anatomic BR HA/TCP Sizes 12 - 19<br />
ZI008 Zimmer Hip Systems Femoral Stem Austin Moore - Stainless Steel Sizes 38 - 60<br />
ZI009 Zimmer Hip Systems Femoral Stem CPT Zimaloy - Co Cr Sizes 1 - 5<br />
ZI010 Zimmer Hip Systems Femoral Stem CPT Zimtron - Stainless Steel Sizes 1 - 5<br />
ZI011 Zimmer Hip Systems Femoral Stem CPT Zimtron Long Stem Stainless Sizes 2 & 3<br />
Steel<br />
ZI012 Zimmer Hip Systems Femoral Stem CPT Zimtron Petite Stem Stainless Size 0<br />
Steel<br />
ZI013 Zimmer Hip Systems Femoral Stem CPT PMMA Centraliser PMMA Size 1<br />
ZI014 Zimmer Hip Systems Femoral Stem Epoch - Titanium 14 - 18 mm<br />
ZI015 Zimmer Hip Systems Femoral Stem VerSys Cemented - Cobalt Chrome 11 - 17<br />
ZI016 Zimmer Hip Systems Femoral Stem VerSys Fiber metal - Titanium 9 - 18<br />
ZI017 Zimmer Hip Systems Femoral Stem VerSys Fiber metal HA/TCP - 9 - 18<br />
Titanium<br />
ZI018 Zimmer Hip Systems Femoral Stem VerSys Enhanced Taper - Titanium 9 - 18<br />
ZI019 Zimmer Hip Systems Femoral Stem VerSys Enhanced Taper HA - 9 - 18<br />
ZI020 Zimmer Hip Systems Femoral Stem VerSys Proximal Centraliser - 11 - 17<br />
Page 416 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI021 Zimmer Hip Systems Femoral Stem VerSys Distal Centraliser - PMMA 10 - 18<br />
ZI022 Zimmer Hip Systems Femoral Stem VerSys Beaded Fullcoat - Cobalt 11 - 20<br />
Chrome<br />
ZI024 Zimmer Hip Systems Femoral Stem VerSys Cemented Revision One size only<br />
Stem-Modular Calcar Block<br />
ZI025 Zimmer Hip Systems Femoral Stem VerSys CRC Cemented Revision 13 - 19<br />
Stem- Standard - Cobalt Chrome<br />
ZI026 Acetabular Cup HGP II Poly liner - Polyethylene - A - P<br />
Trilogy family<br />
ZI027 Acetabular Cup Zimmer Cemented Acet. (ZCA) - 47 - 61<br />
Polyethylene<br />
ZI030 Acetabular Cup Trilogy Constrained Liner - 50 - 80<br />
Polyethylene<br />
ZI031 Acetabular Cup Trilogy Eccentric Liner - 36-70<br />
ZI032 Acetabular Cup Trilogy Endo Liner - Polyethylene 36-70<br />
ZI033 Acetabular Cup Trilogy Oblique Liner - 38 - 62<br />
ZI034 Acetabular Cup Trilogy Shell - Titanium 38 - 80<br />
ZI035 Acetabular Cup Trilogy HATCP Shell - Titanium 38 - 80<br />
ZI036 Acetabular Cup Trilogy Bone Screw - Titanium 15 - 60<br />
ZI037 Acetabular Cup Trilogy Liner - Titanium 38 - 80 in 22, 28, 32<br />
ZI040 Acetabular Cup Trilogy AB HA-TCP Multi-Hole 38 - 80<br />
Shell - Titanium<br />
ZI041 Acetabular Cup Trilogy AB HA/TCP Cluster Hole 38 - 80<br />
Shell - Titanium<br />
ZI042 Acetabular Cup Trilogy AB Multi-Hole Shell - 48 - 70<br />
Titanium<br />
ZI043 Acetabular Cup Trilogy AB Cluster Hole Shell - 48 - 70<br />
Titanium<br />
Page 417 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI044 Acetabular Cup Trilogy AB Ceramic Liner - Titanium 48 - 70<br />
ZI045 Acetabular Cup Longevity XLPE Polyethylene 46 - 70<br />
Liner 7mm Offset<br />
ZI046 Acetabular Cup Longevity XLPE Polyethylene 38 - 80<br />
Liner 20 Degree<br />
ZI047 Acetabular Cup Longevity XLPE Polyethylene 38 - 80<br />
Liner 10 Degree<br />
ZI048 Acetabular Cup Longevity XLPE Polyethylene 38 - 80<br />
Liner 0 Degree<br />
ZI049 Modular Revision Hip System - ZMR Taper System - Titanium A - F<br />
Proximal<br />
ZI050 Modular Revision Hip System - Distal ZMR Porous System - Titanium 12.5 - 22.5mm<br />
ZI051 Femoral Head Zimaloy - Co Cr 22 - 32mm<br />
ZI052 Femoral Head Zimtron - Stainless Steel 22 - 32mm<br />
ZI053 Femoral Head Ceramic (Zirconia) 22 - 28mm<br />
ZI054 Femoral Head Endo Head 38 - 63mm<br />
ZI055 Femoral Head Trilogy AB Ceramic Head 12/14 28 - 32mm<br />
Taper (Alumina)<br />
ZI188 Zimmer Bone Cement Systems Poly Medullary Plug - PMMA 8 - 23 mm<br />
<strong>Prostheses</strong>, Joint, Knee<br />
ZI057 NexGen Articulating Surfaces LPS Polyethylene Sizes 9 - 23mm<br />
ZI058 NexGen Articulating Surfaces LPS Polyethylene Sizes 9 - 23mm<br />
Mobile<br />
ZI059 NexGen Replacement (total) - special As required Custom manufactured implant<br />
size/shape<br />
ZI060 NexGen Tibial Component - Fluted Titanium Sizes 1 - 10<br />
Mobile Precoat<br />
Page 418 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI061 NexGen Tibial Components Stemmed - Titanium Sizes 1 - 10<br />
Fluted Mobile Option<br />
ZI062 NexGen Femoral Components PS LPS Flex Precoat - Co Cr A - H<br />
ZI063 NexGen Femoral Components PS LPS Flex Option - Co Cr A - H<br />
ZI064 Insall-Burstein II Articulating Surface CCK - UHMWPE 10 - 25mm<br />
ZI065 Insall-Burstein II Articulating Surface CCK (extra thick) - UHMWPE 30, 35mm<br />
ZI066 Insall-Burstein II Articulating Surface PSK - UHMWPE 8 - 25mm<br />
ZI067 Insall-Burstein II Augmentation Distal - TI, Co Cr 5, 10mm<br />
ZI068 Insall-Burstein II Augmentation Posterior/Distal - Ti, Co Cr 5, 10mm<br />
ZI069 Insall-Burstein II Femoral Component CCK - Co Cr 54 - 74mm<br />
ZI070 Insall-Burstein II Femoral Component PSK - Co Cr 54 - 74mm<br />
ZI071 Insall-Burstein II Femoral Component Patella Button - UHMWPE 32 - 41mm<br />
ZI072 Insall-Burstein II Femoral Component Tibial/Femoral Stem - Ti 10 - 24mm<br />
ZI073 Insall-Burstein II Femoral Component Tibial Tray - Ti 54 - 74mm<br />
ZI075 Insall-Burstein II Wedge Full - Ti 7 - 20mm<br />
ZI076 Insall-Burstein II Wedge Half - Ti 16, 26mm<br />
ZI077 Miller Galante I Articulating Surface - UHMWPE 8 - 22mm<br />
ZI079 Miller Galante I Bone Screw - Ti 20 - 60mm<br />
ZI080 Miller Galante I Stemmed Precoat Femoral - Co Cr Sml, Med, Lge<br />
ZI084 Pegged Tibial Tray:Porous Ti Sml, Med, Lge<br />
ZI085 Pegged Tibial Tray:Precoat Ti Sml, Med, Lge<br />
ZI086 Stemmed Tibial Tray:Porous Ti A - K<br />
ZI087 Stemmed Tibial Tray:Precoat Ti A - K<br />
ZI088 Miller Galante II Articulating Surface - UHMWPE 9 - 23mm<br />
ZI089 Miller Galante II Bone Screw - Ti 20 - 80mm<br />
Page 419 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI090 Miller Galante II Femoral Component: Porous - Co Cr 1 - 8<br />
ZI092 Miller Galante II Precoat - Co Cr 1 - 8<br />
ZI093 Miller Galante II Patella Button: Poly -UHMWPE 32 - 41mm<br />
ZI095 Miller Galante II Stem: Long - Ti 12 - 18mm<br />
ZI096 Miller Galante II Stem: Regular - Ti 12 - 18mm<br />
ZI102 Miller Galante II Stemmed Tibial Tray:Precoat - Ti A - K<br />
ZI103 Miller Galante II Other Tibial Tray:Porous Wedged - A - K<br />
ZI104 Miller Galante II Other Tibial Tray:Porous Flat A - K<br />
(revision) - Ti<br />
ZI105 Miller Galante Unicompartmental Articulating Surface - UHMWPE 8 - 14 mm<br />
ZI106 Miller Galante Unicompartmental Femoral Component - Co Cr 42 - 60 mm<br />
ZI107 Miller Galante Unicompartmental Tibial Tray - Ti 40 - 56 mm<br />
ZI108 Miller Galante Unicompartmental All Poly Tibial Tray - UHMWPE 40 - 56 mm<br />
ZI120 NexGen Knee Tibial Components Porous - Titanium 1 - 10<br />
ZI121 NexGen Knee Tibial Components Porous HA/TCP - Titanium 1 - 10<br />
ZI122 NexGen Knee Tibial Components Precoat - Titanium 1 - 10<br />
ZI123 NexGen Knee Tibial Components Porous - Titanium 1 - 10<br />
Stemmed<br />
ZI125 NexGen Knee Tibial Components Precoat - Titanium 1 - 10<br />
Stemmed<br />
ZI126 NexGen Knee Tibial Components Precoat AP Wedge - Ti 1 - 10<br />
Stemmed<br />
ZI127 NexGen Knee Tibial Components All Poly - Ti 1 - 10<br />
Stemmed<br />
ZI132 NexGen Knee High Tibial Osteotomy Plate - Ti 1 - 10<br />
System<br />
Page 420 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI133 NexGen Knee High Tibial Osteotomy Screw - Ti 4.5 - 10 - 80 mm, 6.5 - 10 - 80 mm<br />
System<br />
ZI134 NexGen Knee Articulating Surfaces Standard - UHMWPE 9 - 23 mm<br />
ZI135 NexGen Knee Articulating Surfaces Ant. Constr. - UHMWPE 9 - 23mm<br />
ZI136 NexGen Knee Articulating Surfaces PS - UHMWPE 9 - 23mm<br />
ZI137 NexGen Knee Articulating Surfaces CCK - UHMWPE 10 - 35mm<br />
ZI138 NexGen Knee Articulating Surfaces MBK - UHMWPE 9 - 23mm<br />
ZI139 NexGen Knee Articulating Surfaces Anatomically Rotated - UHMWPE 9 - 23mm<br />
ZI140 NexGen Knee Tibial Augments Half Wedge - Ti 1 - 10<br />
ZI141 NexGen Knee Tibial Augments Full Wedge - Ti 1 - 10<br />
ZI142 NexGen Knee Tibial Augments One Third Wedge - Ti 1 - 10<br />
ZI143 NexGen Knee Tibial Augments Half Block - Ti 1 - 10<br />
ZI144 NexGen Knee Femoral Augments Dist.,Ant or Post - Ti A - H<br />
ZI291 XLPE CR Standard Articulatiing Highly Cross-linked Ultra High 9, 10, 12, 14, 17, 20mm<br />
Molecular Weight Polyethylene<br />
(UHMWPE), Purple, Striped<br />
Purple, Yellow, Striped Yellow,<br />
Green, Striped Green, Blue, Striped<br />
ZI295 NexGen CR Tibial Component Porous coated, monoblock Length 42 - 54mm, width 66 -<br />
<strong>Prostheses</strong>, Joint, Knee, Femoral Component<br />
ZI109 NexGen Knee Femoral Components Porous - Co Cr A - H (L&R)<br />
ZI110 NexGen Knee Femoral Components Porous HA/TCP - Co Cr A - H (L&R)<br />
ZI111 NexGen Knee Femoral Components Precoat - Co Cr A - H (L&R)<br />
ZI112 NexGen Knee Femoral Components MBK Porous - Co Cr A - H (L&R)<br />
ZI113 NexGen Knee Femoral Components Precoat - Co Cr A - H (L&R)<br />
ZI115 NexGen Knee Femoral Components PS Porous - Co Cr A - H (L&R)<br />
Page 421 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI116 NexGen Knee Femoral Components PS Porous HA/TCP - Co Cr A - H (L&R)<br />
ZI117 NexGen Knee Femoral Components PS Precoat - Co Cr A - H (L&R)<br />
ZI119 NexGen Knee Femoral Components PS Option - Co Cr A - H (L&R)<br />
ZI145 NexGen Knee Femoral Augments Dist + Post 1 - 10<br />
ZI146 NexGen Knee Stem Extensions Titanium Length - 35 - 155mm, Diameters -<br />
10 - 24 mm<br />
ZI147 NexGen Knee Patella Button Porous - Polyethylene Tantulum 26 - 41<br />
ZI148 NexGen Knee Patella Button Polyethylene 26 - 41<br />
<strong>Prostheses</strong>, Joint, Knee, Patellar Component<br />
ZI266 Continuum knee system Hedrocel augment - patella Small, medium, large and x-large<br />
<strong>Prostheses</strong>, Joint, Knee, Total<br />
ZI129 NexGen Knee Tibial Components MBK - Co Cr 1 - 10<br />
Stemmed<br />
ZI305 Nexgen Rotating Hinge Femur Cobalt chrome femoral component for B-F<br />
rotating hinge knee, available left to<br />
right<br />
ZI306 Tibial Augment Implant Set Tibial block augments 10mm full block sizes 1-6<br />
ZI307 Nexgen Rotating Hinge Articulating Ultra high molecular weight 12-26mm, sizes B-F<br />
Surface polyethylene articulating tibial<br />
ZI308 Nexgen Rotating Hinge Tibia Cobalt chrome rotating platform 1-6<br />
tibial plate<br />
ZI309 Nexgen Rotating Hinge Replacement Rotating hinge replacement bushing B-F<br />
Hinge for hinge<br />
<strong>Prostheses</strong>, Joint, Shoulder<br />
ZI155 Bigliani/Flatow Total Shoulder - Cobalt Chrome 6 - 16mm stems, 40/46/52 mm<br />
Polyethylene heads 40/46/52 mm Glenoids<br />
ZI156 Bigliani/Flatow Hemiarthroplasy - Cobalt Chrome 6 mm - 16 mm stems, 40/46/52 mm<br />
heads<br />
Page 422 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI289 Bigliani Shoulder System Cobalt Chrome Lengths 130 - 200mm, Thickness 6<br />
- 16mm<br />
ZI300 Bigliani Shoulder System Bigliani-Flatow Shoulder - Heads 40, 46, 52, 52mm diameters<br />
(Cobalt chrome)<br />
ZI304 Bigliani Shoulder System Bigliani-Flatow shoulder - Glenoid 40, 46 and 52mm diameters<br />
(UHMWPE)<br />
<strong>Prostheses</strong>, Ligament<br />
ZI182 Zimmer Internal Fixation Systems: Soft Statak/Mini-Statak - Suture, 2, 5 mm - 5, 0mm<br />
Tissue Re-attachment Device Stainless Steel<br />
Screws<br />
ZI183 Zimmer Internal Fixation Systems: Soft Bio-Statak - PLLA, Suture 2, 5 mm - 5, 2mm<br />
Tissue Re-attachment Device<br />
Screws, Bone<br />
ZI176 Zimmer Internal Fixation Systems: Magna-FX - Stainless Steel 16 mm Thread - 30-30 mm; 32 mm<br />
Cannulated Screw Thread - 40-120 mm; Fully<br />
Threaded - 30-130 mm Long<br />
ZI177 Zimmer Internal Fixation Systems: Mini Magna-FX - Stainless Steel 4 & 5mm diameters<br />
Cannulated Screw<br />
ZI178 Zimmer Internal Fixation Systems: Scaphiod - Titanium Scaphoid - 12 - 30mm length<br />
Herbert Bone Screw<br />
ZI179 Zimmer Internal Fixation Systems: Herbert/Whipple - Titanium 12 mm - 30 mm<br />
Herbert Bone Screw<br />
ZI180 Zimmer Internal Fixation Systems: Cannulated 4.5mm - Titanium 30 - 70mm<br />
Herbert Bone Screw<br />
ZI181 Zimmer Internal Fixation Systems: Cannulated 6.5mm - Titanium 25 mm - 100mm<br />
Herbert Bone Screw<br />
ZI199 Zimmer ECT Screws 1.5mm Cortical Screws 6 - 18mm<br />
ZI200 Zimmer ECT Screws 2.0mm Cortical Screws 6 - 24mm<br />
ZI201 Zimmer ECT Screws 2.7mm Cortical Screws 6 - 50mm<br />
Page 423 of 638
ORTHOPAEDIC<br />
Billing Code Product Further Size Notations<br />
ZI202 Zimmer ECT Screws 3.5mm Cortical Screws 10 - 130 mm<br />
ZI203 Zimmer ECT Screws 4.0mm Cancellous Screws 10 - 60 mm<br />
ZI204 Zimmer ECT Screws 4.5mm Cortical Screws 14 - 120mm<br />
ZI205 Zimmer ECT Screws 4.5mm Self tapping Cortical Screws 14 - 70mm<br />
ZI206 Zimmer ECT Screws 4.5 Malleo Screw 25 - 70mm<br />
ZI207 Zimmer ECT Screws 6.5mm Cancellous Screws 25 - 110mm<br />
ZI263 Continuum hip system Acetabular Bone screw - Implex 20-65mm lengths<br />
Washers, Bone Screw<br />
ZI279 Washer system Hedrocel tantulum 12mm x 15mm<br />
Wires, Bone, Implantable<br />
ZI290 Cable Ready Cable Grip System Titanium - comes with two cables 23 x 53mm, 1.8 x 635mm<br />
(Co Cr), Integral Crimps<br />
ZI297 Cable Ready Cable Grip System Titanium 5 hole GTR with 4 cables<br />
ZI298 Cable Ready Cable Grip System Titanium 2 hole GTR with 4 cables<br />
ZI299 Cable Ready Cable Grip System Titanium 4 hole GTR with 4 cables<br />
ZI310 Stayfuse Titanium inter-digital fusion device Screw 2.8-3.8mm or 3.8 x 6mm, 4.3 x<br />
6mm, 5.0 x 5mm, 5.0 x 6mm; Hex<br />
2.5-3.0mm<br />
Page 424 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Advanced Surgical Technologies<br />
Plates, Absorbable<br />
AD003 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 System Plate - 1.0mm thick x 5.5mm wide x 4 Hole Only to be funded where<br />
Scalloped used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD004 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 System Plate - 1.0mm thick x 5.5mm wide x 4 Hole Only to be funded where<br />
Scalloped x 10mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD005 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 System Plate - 1.0mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
Straight x 10mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD006 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 System Plate - 1.0mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
Scalloped used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD007 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 & 2.0 System Plate - 1.0 & 1.2mm thick x 5.5mm wide x 7 Only to be funded where<br />
L Plate Left & Right Hole x 12mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD008 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 & 2.0 System Plate - 1.0mm thick x 5.5mm wide x 7 Hole Only to be funded where<br />
L Plate Left & Right x 6mm Gap, 1.2mm thick x 5.5mm used in a service for<br />
wide x 7 Hole x 7mm Gap which a Medicare Benefit<br />
is payable<br />
AD009 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 System Plate - X 1.0mm thick x 5.5mm wide x 7 Hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD010 Bionx Implants - Plates, Absorbable Biosorb FX 2.0 System Plate - 1.2mm thick x 5.5mm wide x 4 Hole Only to be funded where<br />
Scalloped used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 425 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
AD011 Bionx Implants - Plates, Absorbable Biosorb FX 2.0 System Plate 1.2mm thick x 5.5mm wide x 4 Hole Only to be funded where<br />
-Scalloped x 8mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD012 Bionx Implants - Plates, Absorbable Biosorb FX 2.0 System Plate - 1.2mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
Straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD013 Bionx Implants - Plates, Absorbable Biosorb FX 2.0 System Plate - 1.2mm thick x 5.5mm wide x 8 Hole Only to be funded where<br />
Straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD014 Bionx Implants - Plates, Absorbable Biosorb FX 2.0 System Plate - 1.2mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
Straight x 8mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD015 Bionx Implants - Plates, Absorbable Biosorb FX 2.0 System Plate - C 1.2mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD016 Bionx Implants - Plates, Absorbable Biosorb FX 2.0 System Plate - C 1.2mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
x 8mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD017 Bionx Implants - Plates, Absorbable Biosorb FX 2.0 System Plate - 1.2mm thick x 5.5mm wide x 16 Only to be funded where<br />
Scalloped used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD018 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 System Plate - 1.0mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
Scalloped C Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 426 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
AD019 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 System Plate - 1.0mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
Scalloped C Plate x 8mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD020 Bionx Implants - Plates, Absorbable Biosorb FX 1.5 System Plate - 1.0mm thick x 5.5mm wide x 6 Hole Only to be funded where<br />
Scalloped C Plate x 10mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD021 Bionx Implants - Plates, Absorbable Biosorb FX 2.4 System Plate - 2.4mm thick x 8mm wide x 4 and 6 Only to be funded where<br />
Straight Hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD022 Bionx Implants - Plates, Absorbable Biosorb FX 2.4 System Plate - 1.4mm thick x 8mm wide x 6 Hole x Only to be funded where<br />
Straight 8 & 12mm Gap used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD023 Bionx Implants - Plates, Absorbable Biosorb FX 2.4 System Plate - 1.4mm thick x 8mm wide x 8 & 10 Only to be funded where<br />
Straight Hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD090 Bionx Implants - plates Biosorb system mesh plate 0.6mm and 0.8mm thick, 10 hole by Only to be funded where<br />
5 hole configuration used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD091 Bionx Implants - plates Biosorb system mesh plate 0.6mm and 0.8mm thick, 5 hole by 5 Only to be funded where<br />
hole configuration used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AD092 Bionx Implants - plates Biosorb system mesh plate 0.6mm and 0.8mm thick, 10 hole by Only to be funded where<br />
10 hole configuration used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 427 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Screws<br />
AD024 Bionx Implants - Screws Bisorb FX 1.5 & 2.0 System Center 1.5mm Dia x 4,5,6,7,8mm & 2.0mm Only to be funded where<br />
Drive and Cruciform Drive Screw - Dia x 4,6,8,10,12,14mm used in a service for<br />
Pack of one which a Medicare Benefit<br />
is payable<br />
AD025 Bionx Implants - Screws Bisorb FX 1.5 & 2.0 System Center 1.5mm Dia x 4,5,6,7,8mm & 2.0mm Only to be funded where<br />
Drive and Cruciform Drive Screw - Dia x 4,6,8,10,12,14mm used in a service for<br />
Pack of four which a Medicare Benefit<br />
is payable<br />
AD027 Bionx Implants - Screws Biosorb FX 2.4 System Center Drive 2.4mm & 2.8mm Dia x Only to be funded where<br />
and Cruciform Drive Screw - Pack of 6,8,10,12,14,16,18,20,24,28,32,36, used in a service for<br />
one 40mm which a Medicare Benefit<br />
is payable<br />
AD028 Bionx Implants - Screws Biosorb FX 2.4 System Center Drive 2.4mm & 2.8mm Dia x Only to be funded where<br />
and Cruciform Drive Screw - Pack of 6,8,10,12,14,16,18,20,24,28,32,36, used in a service for<br />
four 40mm which a Medicare Benefit<br />
is payable<br />
Aus Systems Pty Ltd<br />
Plates, Bone<br />
AU001 Aus Systems Titanium Miniplates 2hole x 2hole Strip Plate Stiff 1.2mm profile, 4, 6, 8mm length Only to be funded where<br />
(Bone Plates) between inner holes used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AU002 Aus Systems Titanium Miniplates Low profile 2 & 4 hole Short, medium, long Only to be funded where<br />
(Bone Plates) used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AU005 Aus Systems Titanium Miniplates Low profile condensed 8 hole Only to be funded where<br />
(Bone Plates) used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 428 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
AU006 Aus Systems Titanium Miniplates Low profile 19 hole Only to be funded where<br />
(Bone Plates) used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AU007 Aus Systems Titanium Miniplates Low profile pre-shaped - Square, T, Short, medium, Long, 4 & 5 hole Only to be funded where<br />
(Bone Plates) L, Y, Y Double & X used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AU014 Aus Systems Titanium Miniplates Low profile burr hole cover 10mm, 14mm, 18mm, 22mm Only to be funded where<br />
(Bone Plates) used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AU018 Aus Systems Titanium Miniplates Strip plates, Titanium (M10 series) 1mm profile, 4 holes Only to be funded where<br />
(Bone Plates) used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AU019 Aus Systems Titanium Miniplates 16 & 19 hole 0.7mm & 1mm profile Only to be funded where<br />
(Bone Plates) used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AU022 Aus Systems Titanium Miniplates Pre-shaped L, T, T Double, Y & Y Small, Medium, Long, 4 & 5 hole Only to be funded where<br />
(Bone Plates) Double used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Screws, Bone<br />
AU035 Aus Systems Titanium Bone Screws Screws 2mm & 2.3mm diameter 4mm - 15mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AU043 Aus Systems Titanium Bone Screws Screws 1.5mm & 1.8mm diameter 3mm - 11mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 429 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Austramedex (VIC) Pty Ltd<br />
Grafts, Bone, Synthetic<br />
AR001 Nova Bone Bonegraft particulate 6cc/8g Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AR002 Nova Bone Bonegraft particulate 3cc/4g Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Reconstruction Sheeting, Plastic Surgery<br />
AR003 Enophthalmos Wedge Regular left and right. Large left and Regular: 22 x 31 x 7mm. Large: 28 x Only to be funded where<br />
right. (Models 9541 - 9544) 40 x 7.5mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AR004 Orbital rim Porus Polyethylene. Orbital rims, 47 x 40 mm Only to be funded where<br />
left and right extended. Models used in a service for<br />
9539, 9540. which a Medicare Benefit<br />
is payable<br />
AR005 Complete Orbital Shape Porus Polyethylene. Complete and 2 Inferior: 83 x 78mm. Complete 61 x Only to be funded where<br />
/ 3 orbit shapes. Inferior 2 / 3 left 76mm used in a service for<br />
and right. Models 9567, 9568; which a Medicare Benefit<br />
Complete left and right. Models is payable<br />
AR006 Chins Porus Polyethylene. Extended chin Extended chin: small 45 x 47 x Only to be funded where<br />
implants: Round RZ (Models 8313 - 3mm, medium 45 x 47 x 5mm, large used in a service for<br />
8315) and extended square RZ 45 x 47 x 7mm; Two pidce chin: which a Medicare Benefit<br />
(Models 8316 8318). Two piece small 56 x 33 x 5mm, medium 56 x is payable<br />
chin design (Models 8320 - 8322). 33 x 7mm, large 56 x 33 x 9mm;<br />
Single piece chin design, contoured Single piece chin: small 65 x 37 x<br />
(Models 7520 - 7522). Additional 5mm, medium 65 x 37 x 7mm, large<br />
chin shapes (Models 6341 - 6344). 65 x 37 x 10mm. Additional chins:<br />
53 x 22 x 13mm, 74 x 35 x 10 mm, 50<br />
x 28 x 7 mm, 40 x 23 x 4mm.<br />
Page 430 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
AR007 Genioplasty Wedge Porus Polyethylene. Genioplasty Small 60 x 25 x 5mm, medium 60 x Only to be funded where<br />
wedges, models 8340 - 8343. 25 x 7.5mm, large 60 x 25 x 10mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AR008 Prejowl Shape Porus Polyethylene. Model 8319. 45 x 41 x 4mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AR009 Mandibular Angle Porus Polyethylene. RZ mandibular RZ mandibular angles: 65 x 35 x 3 x Only to be funded where<br />
angles left and right (Models 9955 - 6.5 x 3 x 3mm, 65 x 35 x 7 x 6.5 x 3 x used in a service for<br />
9960). Lateral augmentation onlay 3mm, 65 x 35 x 11 x 6.5 x 3 x 3mm. which a Medicare Benefit<br />
shapes, mandibular angle left and Lateral augmentation onlay: 47 x is payable<br />
right (Models 7535, 7536). 37 x 3 x 6.5 x 3 x 3mm.<br />
Reconstructive onlay shapes, ramus Reconstructive onlay shapes: E-5<br />
with inf ridge E-5 and E-10, left and 79 x 32 x 5 x 7 x 5 x 10mm, E-10 79<br />
right (Models 7537 - 7540). x 32 x 10 x 7 x 10 x 10mm. Aesthetic<br />
Aesthetic onlay shapes, ramus with onlay shapes: ES-5 79 x 32 x 5 x 5<br />
inf ridge ES-5 and ES-10, left and x 5 x 4mm, ES-10 79 x 32 x 10 x 5 x<br />
right (Models 7541 - 7544). 10 x 4mm.<br />
AR010 Malar Shape Porus Polyethylene. Design RZ Design RZ malar shapes: super Only to be funded where<br />
malar shapes, super petite and petite, petite 50 x 19 x 3mm, petite 50 x 19 used in a service for<br />
left and right (Models 9501 - 9504). x 5mm. Design malar shapes: small which a Medicare Benefit<br />
Design M malar shapes, left and 64 x 19 x 3mm, medium 64 x 19 x is payable<br />
right (Models 9507 - 9512). 4.5mm, large 64 x 19 x 7mm.<br />
Additional malar shapes, extended Additional malar shapes: small 45 x<br />
contoured left and right (Models 24 x 3mm, medium 50 x 26 x 4mm,<br />
large 55 x 27 x 5mm.<br />
Page 431 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
AR011 Nasal Shape or Rhinoplasty Shape Porus Polyethylene. Nasal Arch Nasal arch shapes: small 70 x 13 x Only to be funded where<br />
shapes, nasal arch and nasal sheet 2mm, medium 70 x 15 x 2mm, large used in a service for<br />
(Models 9533 - 9536). Nasal dorsum 70 x 15 x 2mm, sheet 40 x 9 x 1.1mm. which a Medicare Benefit<br />
shapes, design A and design B Nasal dorsum shapes: design A is payable<br />
(Models 7516 - 7518). Nasal valve small 53 x 5mm, design A large 66 x<br />
support, lateral nasal valve support 8mm, design B 67 x 6.5mm. Nasal<br />
and ext. nasal valve batten. Nasal valve support: lateral nasal valve<br />
shell shapes, regular, shell and shell 13 x 0.85 x 3.5mm, ext. nasal valve<br />
insert. Para nasal shapes, petite batten 25mm x 11 x 0.85mm. Nasal<br />
paranasal and large paranasal, left shell shapes: regular 38 x 19 x<br />
and right (Models 9519 - 9522). 18mm, insert 30 x 4 x 9mm, shell<br />
insert 38 x 25 x 9mm. Para nasal<br />
shapes: petite 27 x 25 x 4.5mm,<br />
large 30 x 28 x 7mm.<br />
AR012 Micro Thin Sheet Porus Polyethylene. Model 8438. 30 x 50 x 0.4mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AR013 Ultra Thin Sheet Porus Polyethylene. Models 7210, 38 x 50 x 0.85mm, 50 x 76 x 0.85mm, Only to be funded where<br />
7212, 7214, 7216. 76 x 127 x 0.85mm, 127 x 178 x used in a service for<br />
0.85mm which a Medicare Benefit<br />
is payable<br />
AR014 Sheet Porus Polyethylene. Models 6330, Sheets: 38 x 50 x 1.5mm, 50 x 76 x Only to be funded where<br />
6331, 8662, 9562. Micro single 1.5mm, 76 x 127 x 1.5mm, 38 x 50 x used in a service for<br />
channel sheet, model 9528. 3mm. Microplate single channel: 38 which a Medicare Benefit<br />
Miniplate channel sheet, model x 50 x 0.85mm. Miniplate channel: is payable<br />
9529. Microplate channel sheet, 40 x 52 x 2.3mm. Mircoplate<br />
model 9530. Barrier microplate channel: 40 x 52 x 2.3mm. Barrier<br />
single channel sheet, model 9527. microplate single channel: 38 x 50<br />
Barrier miniplate channel sheet, x 0.85mm. Barrier miniplate<br />
model 9531. Barrier microplate channel: 40 x 52 x 2.3mm. Barrier<br />
microplate channel: 40 x 52 x<br />
2.3mm<br />
AR015 Barrier Sheet Porus Polyethylene. Orbital floor Orbital Floor: 38 x 50 x 1mm, 38 x Only to be funded where<br />
implant, models 8305 and 9305. 50 x 1.6mm. Rectangle 50 x 76 x used in a service for<br />
Rectangle, models 8312, 9312. 1mm, 50 x 76 x 1.6mm which a Medicare Benefit<br />
is payable<br />
Page 432 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
AR016 Block Porus Polyethylene. Models 6332 - 13 x 38 x 3 - 9.5mm, 25 x 50 x 3 Only to be funded where<br />
6340. 9.5mm, 38 x 63 x 3 - 9.5mm. used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
AR017 Burr Hole Cover Porus Polyethylene. Burr hole Cover: 15 x 3 x 5mm, 29 x 7 x 14mm. Only to be funded where<br />
cover, models 7511 and 7512. Burr Disk 14 x 15mm. used in a service for<br />
hole disk, model 7514. which a Medicare Benefit<br />
is payable<br />
AR018 Flexblock Porus Polyethylene. Flexblock, Flexblock: 56 x 91 x 4mm. Only to be funded where<br />
model 6314. Flexblock cranial grid Flexblock cranial grid: 97 x 107 x used in a service for<br />
implant, model 9524. Flexblock TF 6mm. Flexblock TF: small 70 x 70 x which a Medicare Benefit<br />
implant, models 9521 - 9523. 10mm, medium 88 x 86 x 15mm, is payable<br />
Flexblock TF2 implant, left and large 98 x 95 x 18mm. Flexblock<br />
right, models 9857 - 9862. TF2: small 61 x 78 x 18mm, medium<br />
74 x 93 x 20mm, large 82 x 105 x<br />
AR019 Sphere Porus Polyethylene. Sphere, models Sphere: 14 - 22mm. COI implant: 4 Only to be funded where<br />
6316, 6326, 6327, 6317 and 6322. and 5mL. MCOI: 3, 4.2 and 5.6mL, used in a service for<br />
COI implant, models 7222 and 7223. 16, 18 and 20mm which a Medicare Benefit<br />
MCOI implant, models 7207 - 7209. is payable<br />
AR020 Ear Reconstruction Porus Polyethylene. Ear base left Ear base: 29 x 55 x 13mm, 32 x 65 x Only to be funded where<br />
and right, models 7542 and 7525 - 16mm. Ear base extended: 30 x used in a service for<br />
7527. Ear base extended left and 60mm. Helical rim: 37 x 62mm. which a Medicare Benefit<br />
right, models 8330 and 8331. is payable<br />
Helical rim, models 8328 and 8329.<br />
B Braun Australia Pty Ltd<br />
Pins, Bone, Absorbable<br />
BB028 Isosorb Mandibular Screw Absorbable, Lactic acid base 3.5mm diameter, 14mm-20mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 433 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Biomet Australia Pty Ltd<br />
Bone Matrix Implants, Artificial<br />
BI487 Mimix Calcium Phosphate Bone Void Calcium Phosphate 5 grams Only to be funded where<br />
Filler used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI488 Mimix Calcium Phosphate Bone Void Calcium Phosphate 10 grams Only to be funded where<br />
Filler used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI489 Mimix Calcium Phosphate Bone Void Calcium Phosphate 20 grams Only to be funded where<br />
Filler used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Orthopedic External Fixation Systems, Other<br />
BI812 Blue Device Multivector Distraction Blue device frame, aluminium & One size only Only to be funded where<br />
System carbon fiber used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
BI813 Blue Device Multivector Distraction Blue device, pre-stretched wire, 12 inches, 18-24 gauge In strict accordance with<br />
System titanium the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
BI814 Blue Device Multivector Distraction Attachment plates, titanium 4-6 Hole Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
BI815 Blue Device Multivector Distraction Distraction assembly, aluminium One size only Only to be funded where<br />
System and carbon fiber used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 434 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI816 Blue Device Multivector Distraction Cranial screw, titanium 45mm Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
BI817 Blue Device Multivector Distraction Threaded fixation screw, titanium 2.0mm system, 15-25mm Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Orthopedic Internal Fixation Systems, Fracture<br />
BI492 Small Fragment Titanium System Plate, Rectangle, 1.2mm, 1.7mm, 2 x 2 hole x (0.6mm or 1) mm height Only to be funded where<br />
2.3mm System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI493 Small Fragment Titanium System Plate, Rectangular, Parallelogram, 4 x 2 hole x (0.6mm, 1mm) height Only to be funded where<br />
Trapezoid; 1.2mm or 1.7mm or 2.3mm used in a service for<br />
system which a Medicare Benefit<br />
is payable<br />
BI495 Small Fragment Titanium System Plate, Y or L or T; 1.2mm System, (5-9) hole x 0.6mm height Only to be funded where<br />
1.7mm System; Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI496 Small Fragment Titanium System Plate, Straight, Std or Compression; (0.6mm or 1mm height) x (4-6 hole) Only to be funded where<br />
1.7mm or 2mm or 2.3mm System; used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
BI497 Small Fragment Titanium System Plate, Straight, 1.2mm or 1.7mm 16 hole x 0.6mm height Only to be funded where<br />
System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI499 Small Fragment Titanium System Washer, Lag Screw 1.2,1.7, 2.3mm 0.6mm or 1mm height Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 435 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI512 Small Fragment Titanium System Bone Screw, Titanium 1.4mm x (4 - 10) mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI515 Small Fragment Titanium System Bone Screw, Titanium 1.2mm x (7 - 19) mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI520 Small Fragment Titanium System Bone Screw, Titanium 1.7mm x (5 - 10) mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI523 Small Fragment Titanium System Bone Screw, Titanium 1.7mm x (11 - 27) mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI525 Small Fragment Titanium System Bone Screw, Emergency Titanium (1.9mm or 2.5mm) x (5-6mm) Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI528 Small Fragment Titanium System Bone Screw, Titanium 2.3mm x (6 - 23) mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI530 Small Fragment Titanium System Bone Screw, Titanium 22.3mm x (25 - 33) mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI532 Small Fragment Titanium System Plate, Straight, Compression; (4-6 hole) x 1.25mm height Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 436 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI538 Small Fragment Titanium System Plate, Condylar, Left or Right, (5 or 7 hole) x (0.6mm or 1) mm Only to be funded where<br />
1.7mm or 2.3mm System height used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI541 Small Fragment Titanium System Y Plate, 2.3mm System, Titanium (7 or 9 hole) x (1.0 or 1.25) mm Only to be funded where<br />
height used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI544 Small Fragment Titanium System Plate, T or L, 2.3mm System, (6 - 9 hole) x (1.0 or 1.25) mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI546 Small Fragment Titanium System Plate, T or L, Compression, 2.3mm 6 hole x (1.00 or 1.25) mm height Only to be funded where<br />
System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI551 Small Fragment Titanium System Z Plate, 2.3mm System, Titanium 13 hole, 1mm height Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI723 Mandibular Fracture System Screw, High Torque 2.0/2.4 2.7 x (6-20)mm Only to be funded where<br />
Mandibular Fracture, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI726 Mandibular Fracture System Screw, High Torque (HT), Dia 2.3mm x 4.0, 5.0, 7.0, 9.0, 11.0, Only to be funded where<br />
Emergency, 2.0/2.4 Mandibular 13.0, 15.0mm Lengths used in a service for<br />
Fracture System, Titanium which a Medicare Benefit<br />
is payable<br />
BI731 Mandibular Fracture System Washer, for High Torque (HT) Lag 2.0 (dia), 2.4 (dia) Only to be funded where<br />
Screw, 2.0/2.4 Mandibular Fracture used in a service for<br />
System, titanium which a Medicare Benefit<br />
is payable<br />
Page 437 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI744 Mandibular Fracture System Screw, High Torque 2.0/2.4 2.0 x (9-17)mm Only to be funded where<br />
Mandibular Fracture, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI747 Mandibular Fracture System Screw, High Torque (HT), Lag, Dia 2.0 x 19, 21.0, 23, 25, 27, 29mm Only to be funded where<br />
2.0/2.4 Mandibular Fracture System, Lengths used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
BI748 Mandibular Fracture System Screw, High Torque (HT), 2.0/2.4 Dia 2.4 x 6.0mm, 8.0, 10.0, 12.0, Only to be funded where<br />
Mandibular Fracture System, 14.0, 16.0, 18.0mm Lengths used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI749 Mandibular Fracture System Screw, High Torque (HT), 2.0/2.4 Dia 2.4 x 20.0mm Lengths Only to be funded where<br />
Mandibular Fracture System, used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI750 Mandibular Fracture System Plates, Angled or Curved, 2.0 4-10 hole Only to be funded where<br />
Mandibular System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI751 Mandibular Fracture System Screw, High Torque (HT), Lag, 2.4mm Dia, 24, 28, 32, 36, 40mm Only to be funded where<br />
2.0/2.4 Mandibular Fracture, Lengths used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI753 Mandibular Fracture System Plates, Matrix Shape, 2.0 2 x (2, 4, 6, 8) hole Only to be funded where<br />
Mandibular System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI754 Mandibular Fracture System Plates, Compression, 2.0 4 hole Only to be funded where<br />
Mandibular Fracture System, used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 438 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI755 Mandibular Fracture System Plates, Y Shapek, 2.0 Mandibular 5 hole long, 5 hole medium, 5 hole Only to be funded where<br />
Fracture System, Titanium regular used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI756 Mandibular Fracture System Plates, Compression, 2.0 6 hole, 8 hole Only to be funded where<br />
Mandibular Fracture System, used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI759 Mandibular Fracture System Plates, Matrix Shape, 2.0 5 hole long, 5 hole medium, 5 hole Only to be funded where<br />
Mandibular Fracture System, regular used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI761 Mandibular Fracture System Plates, V Shape, 2.0 Mandibular 6-10 hole Only to be funded where<br />
Fracture System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI762 Mandibular Fracture System Plates, 2.4 Mandibular Fracture 16 hole Only to be funded where<br />
System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI764 Mandibular Fracture System Plates, 2.4 Mandibular Fracture 4, 6, 8 hole Only to be funded where<br />
System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI767 Mandibular Fracture System Plates, Straight, 2.0 Mandibular 4 hole, 6 hole, 8 hole Only to be funded where<br />
Fracture System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Orthopedic Internal Fixation Systems, Other<br />
BI348 W Lorenz Osteosynthesis System L-Plate, 2mm System, Left or Right. 2 x 2 hole, Mini or Low Profile Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 439 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI349 W Lorenz Osteosynthesis System Plate, Compression Straight, 2mm 4 hole Only to be funded where<br />
System. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI351 W Lorenz Osteosynthesis System L-Plate, 2mm System, Left or Right. 2 x 2 hole, long Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI352 W Lorenz Osteosynthesis System T-Shape 90 degrees , 2mm System. One size only Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI353 W Lorenz Osteosynthesis System Plate, Burr Hole, 1mm, 1.5mm, 2mm Small, Large Only to be funded where<br />
system used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI359 W Lorenz Osteosynthesis System Plate, Straight, mini, 2.0mm System, 4 - 8 hole Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI360 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive, 2.0mm x (4 - 7) mm Only to be funded where<br />
Std or Self Drilling; Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI365 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 2.0mm x (9 - 19) mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI375 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 2.7mm x (8 - 18) mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 440 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI381 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 2.7mm x (22 - 28) mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI383 W Lorenz Osteosynthesis System Plate, Straight, 2.4mm, 2.7mm 4 hole (35mm) or 6 hole (40mm) Only to be funded where<br />
System; Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI385 W Lorenz Osteosynthesis System Plate, Angled or Straight, 2.4mm or 4-8 hole Only to be funded where<br />
2.7mm System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI390 W Lorenz Osteosynthesis System Plate, Angled 45 degrees, 2.4mm or 4 hole (35 or 40mm) Only to be funded where<br />
2.7mm system, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI392 Lactosorb Resorbable Lactosorb Plates, 1.5mm System, All 4 - 20 hole Only to be funded where<br />
Craniomaxillofacial Fixation System sizes, shapes PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI428 Lorenz 2.4mm Locking Add on Plate, Parallel, Arched, Y, 3 to 6 hole, 12x2 hole Only to be funded where<br />
Reconstruction System Symphysis used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI435 Lorenz 2.4mm Locking Holding Screw Head, 1.5mm Add-on 1.5mm Only to be funded where<br />
Reconstruction System Plates. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI436 Lorenz 2.4mm Locking Holding Screw modular head, 1.5mm 2.4mm Only to be funded where<br />
Reconstruction System Add-On plates. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 441 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI439 Lorenz 2.4mm Locking Plate, Low Profile, Angled, 2.4mm 5 x (22 -24) hole Only to be funded where<br />
Reconstruction System System Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI440 Lorenz 2.4mm Locking Plate, Angled, 2.4mm System 5 x 22 hole Only to be funded where<br />
Reconstruction System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI443 Lorenz 2.4mm Locking Plate, Low Profile, Angled, 2.4mm 5 x 11 hole Only to be funded where<br />
Reconstruction System System Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI445 Lorenz 2.4mm Locking Plate, Angled, 2.4mm System 5 x 11 hole Only to be funded where<br />
Reconstruction System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI447 Lorenz 2.4mm Locking Plate, Curved, Std Thickness, 2.4mm 8 or 20 hole Only to be funded where<br />
Reconstruction System System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI448 Lorenz 2.4mm Locking Plate, low profile, curved. titanium 20 hole Only to be funded where<br />
Reconstruction System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI450 Lorenz 2.4mm Locking Plate, low profile. Curved. 2.4mm 8 hole Only to be funded where<br />
Reconstruction System System. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI452 Lorenz 2.4mm Locking Plate, Straight, Std or low profile, 16 hole Only to be funded where<br />
Reconstruction System 2.4mm System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 442 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI454 Lorenz 2.4mm Locking Plate, Straight, Std or low profile, 8 hole Only to be funded where<br />
Reconstruction System 2.4mm System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI455 Lorenz 2.4mm Locking Plate, Double Angled, 2.4mm 5 x (22 or 24) x 5 hole Only to be funded where<br />
Reconstruction System System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI457 Lorenz 2.4mm Locking Screw, Locking Reconstruction 2.4 x (6-18)mm Only to be funded where<br />
Reconstruction System Modular. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI464 Lorenz 2.4mm Locking Screw, Locking Reconstruction 2.7 x (6-18)mm Only to be funded where<br />
Reconstruction System Modular. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI471 Lorenz 2.4mm Locking Screw Head, Plate Locking Modular 2.4mm Only to be funded where<br />
Reconstruction System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI472 Lorenz Pectus Bar Pectus Bar, Stainless Steel 178-432mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI483 Lorenz Pectus Bar Stabilizer, Triangular or Elongated, One size only Only to be funded where<br />
Stainless Steel used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI485 Distraction Technology System Drive Screw with Flex Connect. 20 - 30mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 443 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI574 Distraction Technology System Distractor, Solid Shaft, Facial, 1- 2 inch Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI591 W Lorenz Osteosynthesis System Chin Plates, Paulus, 2mm System, 4 - 12mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI603 W Lorenz Osteosynthesis System Sheet, 1mm System Titanium 202x127x0.2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI604 W Lorenz Osteosynthesis System Sheet, 1mm System. Titanium 85x50x0.2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI605 W Lorenz Osteosynthesis System Plate, Matrix, 1.5mm System, 2 x 3 or 2 x 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI617 W Lorenz Osteosynthesis System Plate, Straight, 1mm System. 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI620 W Lorenz Osteosynthesis System Plate, Straight, low profile, 2.0mm 4 - 8 hole Only to be funded where<br />
System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI621 W Lorenz Osteosynthesis System Plate, L , 2.5mm or 2m system, 2 x2 or 3x3 hole Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 444 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI622 W Lorenz Osteosynthesis System Z-Shape Plate, Left or Right, 1.5mm 2 x 2 hole Only to be funded where<br />
or 2mm System. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI623 W Lorenz Osteosynthesis System T-Plate, Left or Right, 1.5mm System. 3x3 hole, 7x7 hole Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI624 W Lorenz Osteosynthesis System T-Plate 90 degrees, Left or Right, 2x5hole, 3x3hole, 2x3hole Only to be funded where<br />
2mm System. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI625 W Lorenz Osteosynthesis System Plate, Y, Double Y, X, 1.5mm System One size only Only to be funded where<br />
or 2.0mm System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI627 W Lorenz Osteosynthesis System Plate, Straight, 1.5mm System, 4 or 6 hole Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI628 W Lorenz Osteosynthesis System Plate, Straight, 1.5mm System or 16 hole Only to be funded where<br />
2mm System. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI629 W Lorenz Osteosynthesis System Plate Straight, 1.0mm, 1.5mm, 2.0mm 24 hole Only to be funded where<br />
System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI630 W Lorenz Osteosynthesis System L Plate, Left or Right, 2mm System. 3x2 hole Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 445 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI631 W Lorenz Osteosynthesis System L Plate, Left or Right, 1mm System. 5x3 hole Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI633 W Lorenz Osteosynthesis System T Plate 90 degrees, 1mm System, 5 hole, Regular Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI634 W Lorenz Osteosynthesis System T Plate 90 degreesrees,1mm System. 7 hole, Regular Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI635 W Lorenz Osteosynthesis System Plate, DoubleT, Double Y; 1mm, 6,7,11 hole Only to be funded where<br />
2mm system, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI636 W Lorenz Osteosynthesis System Plate, Y-Shape, 1mm System, 2mm Regular, medium, long, xlong, Only to be funded where<br />
System .Titanium nasal. 6 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI638 W Lorenz Osteosynthesis System Plate, Orbital. 1mm System, Titanium One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI639 W Lorenz Osteosynthesis System Plate, Square. 1mm System. Titanium 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI640 W Lorenz Osteosynthesis System Plate, Matrix. 1mm System. Titanium 2 x 3 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 446 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI641 W Lorenz Osteosynthesis System Plate, Matrix. 1mm System, 1.5mm 2 x 4 hole Only to be funded where<br />
System. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI644 W Lorenz Osteosynthesis System Mesh panel, 1mm System. Titanium 83 x 51mm x 0.6mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI645 W Lorenz Osteosynthesis System Mesh panel. 1.5mm System Titanium 83 x 51mm x 0.3mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI656 W Lorenz Osteosynthesis System Plate, Orbital; 1.5mm, 2.0mm 6 or 8 hole Only to be funded where<br />
System; Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI658 W Lorenz Osteosynthesis System Plate, Orbital. 1.5mm System, 2mm 10 hole Only to be funded where<br />
System. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI659 W Lorenz Osteosynthesis System Plate, Square, 1.5mm System. 2 x 2 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI660 W Lorenz Osteosynthesis System Plate, H-Shape, 1.5mm System, One size only Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI662 W Lorenz Osteosynthesis System Mesh Panel, 1.5mm System. Titanium Small (85x53x0.6mm) Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 447 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI666 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 1.5mm x (3.5 - 15) mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI671 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 1.8mm x (3.5 - 7) mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI677 W Lorenz Osteosynthesis System Plate, Neuro Straight, 1.5mm System, 2 hole (medium or long) Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI681 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 1.0mm x (2 - 7) mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI684 W Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 1.2mm x (3 - 5) mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI733 W.Lorenz Osteosynthesis System Bone Screw, Self Drilling, Cross 1.5 mm (dia) x 6.0, 7.0mm [lengths] Only to be funded where<br />
Drive, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI734 W.Lorenz Osteosynthesis System Bone Screw, Self Drilling, Cross 1.5 mm (dia) x 3.5, 4.0, 5.0mm, Only to be funded where<br />
Drive, Titanium [lengths] used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI735 W.Lorenz Osteosynthesis System Bone Screw, Cross or Centre Drive; 2.3mm x (5 - 9) mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 448 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI738 W.Lorenz Osteosynthesis System Orbital Floor Plate; Titanium 1.5mm system, Large Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI739 W.Lorenz Osteosynthesis System Orbital Floor Plate; Titanium 1.5mm system, Medium Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI740 W.Lorenz Osteosynthesis System Orbital Floor Plate (Small) or NOE Small or NOE plate Only to be funded where<br />
plate, 1.5mm System, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI774 W Lorenz Osteosynthesis System Lefort plate, 1.5mm system, 0.6mm Flat, 2-11mm Only to be funded where<br />
thickness, titanium used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
BI784 Lorenz 2.4mm Locking Condyle screw, titanium One size only Only to be funded where<br />
Reconstruction System used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
BI786 Lorenz 2.4mm Locking Screw, bending inserts, titanium One size only Only to be funded where<br />
Reconstruction System used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
BI792 Lorenz 2.4mm Locking Condyle left or right, chrome cobalt One size only Only to be funded where<br />
Reconstruction System (CoCr) used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
<strong>Prostheses</strong>, Joint, Mandible<br />
BI559 TMJ System Mandibular Component, Left or (40 - 60mm), 5-13 hole Only to be funded where<br />
Right, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 449 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI569 TMJ System Fossa Component, Left or Right; Small, Medium Large Only to be funded where<br />
Titanium, UHMWPE used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI570 TMJ System Screw, Cross Drive, Fossa; Titanium (2.0 or 2.3) x (5 - 13) mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
<strong>Prostheses</strong>, Joint, Mandibular Condyle<br />
BI742 TMJ System Screw, Cross Drive Emergency, 3.2 mm (dia) x 8, 10, 12mm (lengths) Only to be funded where<br />
Mandibular Component, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI745 TMJ System Screw, Cross Drive, Mandibular 2.7 mm (dia) x 8, 10, 12mm (lengths) Only to be funded where<br />
Component, Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Screws<br />
BI397 Lactosorb Resorbable Bone Screw, Lactosorb 1.5mm, 2mm (1.5, 2.0, 2.5, 2.8) x (3 - 17mm) Only to be funded where<br />
Craniomaxillofacial Fixation System system; pkt 2, PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI399 Lactosorb Resorbable Cover, solid. Lactosorb PGA/PLA (0.25, 0.5, 0.75mm) x 25x25mm Only to be funded where<br />
Craniomaxillofacial Fixation System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI400 Lactosorb Resorbable Cover, Solid Lactosorb PGA/PLA (0.25, 0.5, 0.75mm) x 38x38mm Only to be funded where<br />
Craniomaxillofacial Fixation System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI401 Lactosorb Resorbable Cover, Solid Lactosorb PGA/PLA (0.25, 0.5, 0.75mm) x 50x50mm Only to be funded where<br />
Craniomaxillofacial Fixation System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 450 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI412 Lactosorb Resorbable Cover, Solid Lactosorb PGA/PLA (0.25, 0.5, 0.75mm) x 75x75mm Only to be funded where<br />
Craniomaxillofacial Fixation System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI413 Lactosorb Resorbable Cover, Solid Lactosorb PGA/PLA (0.25, 0.5, 0.75mm) x 100x100mm Only to be funded where<br />
Craniomaxillofacial Fixation System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI414 Lactosorb Resorbable Lactosorb Plates, 2mm System, All 4 - 16 hole Only to be funded where<br />
Craniomaxillofacial Fixation System sizes, shapes PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI415 Lactosorb Resorbable Bone Screw, 2 Pack, Endobrow, 2 x 5mm Only to be funded where<br />
Craniomaxillofacial Fixation System Lactosorb. PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI416 Lactosorb Resorbable Panel, Lactosorb. 2mm System. 42 x 42mm (10x10 hole) Only to be funded where<br />
Craniomaxillofacial Fixation System PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI417 Lactosorb Resorbable Panel, Lactosorb. 1.5mm System. 25 x 25mm (5 x 5 hole) Only to be funded where<br />
Craniomaxillofacial Fixation System PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI418 Lactosorb Resorbable Panel, Lactosorb. 1.5mm System. 25 x 50mm (5 x 10hole) Only to be funded where<br />
Craniomaxillofacial Fixation System PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI419 Lactosorb Resorbable Panel, Lactosorb. 1.5mm System. 50 x 50mm (10 x 10 hole) Only to be funded where<br />
Craniomaxillofacial Fixation System PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 451 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BI424 Lactosorb Resorbable Mesh, Mandibular Lactosorb 2.5mm 12x30mm, 12x35mm Only to be funded where<br />
Craniomaxillofacial Fixation System System PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI426 Lactosorb Resorbable Mesh, Mandibular Lactosorb 2.5mm 16 x 40mm Only to be funded where<br />
Craniomaxillofacial Fixation System System. PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI427 Lactosorb Resorbable Mesh, Mandibular Lactosorb 2.5mm 42 x 42mm Only to be funded where<br />
Craniomaxillofacial Fixation System System. PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI598 Lactosorb Resorbable Panel, Lactosorb, with strut, 2mm 2 x 6 hole, 2 x 5 hole Only to be funded where<br />
Craniomaxillofacial Fixation System System, 2.5mm System. PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI602 Lactosorb Resorbable Bone Screw, Lactosorb, 4 pack. (1.5, 2.0mm) x (3, 4, 5 ,7mm) Only to be funded where<br />
Craniomaxillofacial Fixation System PGA/PLA used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BI791 Lactosorb Resorbable Screw, 1.5mm System, PLLA/PGA Length 3-5mm (pack 10) Only to be funded where<br />
Craniomaxillofacial Fixation System used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Branemark Osseointegration Centre Australia Pty<br />
Orthopedic Internal Fixation Systems, Other<br />
BR001 OPRA System Central screw - titanium One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BR002 OPRA System Healing cylinder - titanium One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 452 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
BR003 OPRA System Healing screw - titanium One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BR004 OPRA System Fixture - titanium 16 - 20mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BR005 OPRA System Abutment - titanium Length 47 - 77mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
BR006 OPRA System Abutment screw - titanium Length 57 - 87mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
De Puy Australia<br />
Orthopedic Internal Fixation Systems, Fracture<br />
DY216 Small Fragment Titanium System T Plate or Y Plate 1.2mm System, 9 Hole, 0.6mm Height Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Device Technologies Australia Pty Ltd<br />
Elastomers, Silicone Rubber<br />
DE022 SF Medical Pharmelast Silicone Sheeting .005 x 6 x 8 inches Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
DE023 SF Medical Pharmelast Silicone Sheeting .010 x 6 x 8 inches Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 453 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
DE024 SF Medical Pharmelast Silicone Sheeting .020 x 6 x 8 inches Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
DE025 SF Medical Pharmelast Silicone Sheeting .040 x 6 x 8 inches Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
<strong>Prostheses</strong>, Chin<br />
DE026 Chin Implant Silicone 4.8 - 6.3 cm x 0.4 - 0.9 cm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
<strong>Prostheses</strong>, Mammary, Internal<br />
DE001 Saline Filled Mammary Implant McGhan Style 68RTV 9 x 3cm to 16.4 x 5.6cm In strict accordance with<br />
the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE100 McGhan Style 150 Biodimensional Full height, Short Height 9.5 - 16cm width x 8 - 17cm height In strict accordance with<br />
Biocell Textured Expand Gel/Saline x 4.2 - 7.1cm projection the requirements of the<br />
Filled Mammary Implant, Low Pole Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE102 McGhan Style 110 & 120 Biocell Round: Moderate or high profile 90 - 650 grams In strict accordance with<br />
Textured Gel-Filled Mammary Implant the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
Page 454 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
DE104 McGhan Style 40 & 45 Intrashiel Round: standard or high profile 120 400 grams In strict accordance with<br />
Gel-Filled Round Mammary Implant the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE106 CUI Type MLP, Microcell Textured Low or High profile, textured surface 100 - 410 grams In strict accordance with<br />
DRIE Gel-Filled Mammary Implant the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE109 CUI Type CML, Microcell Textured, Round 80 - 800 grams In strict accordance with<br />
DRIE Low Profile Gel-filled Mammary the requirements of the<br />
Implant Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE120 McGhan Style 410 Biodimensional Full, moderate or low height, Full, 125 - 740 grams In strict accordance with<br />
Biocell Textured Cohesive Gel-filled moderate or low projection the requirements of the<br />
Mammary Implant Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
<strong>Prostheses</strong>, Mammary, Internal, Gel-Filled<br />
DE108 CUI Type RLD, RHD DRIE, Round, Low or High Profile 100 -800 ccs In strict accordance with<br />
Smooth Gel-filled Mammary Implant the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
Page 455 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
DE110 CUI Type SLD, SHD DRIE, Round, Low or High Profile 100 - 500 grams In strict accordance with<br />
Smooth Gel-filled Mammary Implant the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
<strong>Prostheses</strong>, Mammary, Internal, Inflatable<br />
DE030 Style 468 Biodimensional Silicone shell filled with saline 195 - 205 cm3 x 620 - 650 cm3 In strict accordance with<br />
Saline-filled Mammary Implant the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE031 Style 363 Biodimensional Low Silicone shell filled with saline, for 230 - 240 cm3 x 650 - 685 cm3 In strict accordance with<br />
Anatomical Saline-Filled Mammary Reconstruction the requirements of the<br />
Implant Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE032 Style 163 Biodimensional Full Silicone shell filled with saline, for 360 - 380 cm3 x 780 - 820 cm3 In strict accordance with<br />
Anatomical Saline-Filled Mammary Reconstruction the requirements of the<br />
Implant Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE033 Style 168 Biocell Textured Mammary Silicone shell filled with saline 120 - 150 cm3 x 510 - 540 cm3 In strict accordance with<br />
Implant the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
Page 456 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
DE121 Mammary Prosthesis Smooth Surface - Saline 120 to 510cc In strict accordance with<br />
the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
DE122 Mammary Prosthesis Textured Surface - Saline 90 to 510cc In strict accordance with<br />
the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
<strong>Prostheses</strong>, Maxillofacial<br />
DE029 Malar Implant Silicone 4 - 5.2cm x 2.2 - 2.8cm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
<strong>Prostheses</strong>, Nasal, Dorsal<br />
DE027 Nasal Implant Nasal Dorsum, Silicone 2.8 x 5.35cm x 0.75 - 0.90cm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
DE028 Nasal Implant Rhinoplasty, Silicone 4.7 - 5 cm x 1 - 1.2 cm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Endotherapeutics Pty Ltd<br />
Tissue Reconstructive Materials, Solid<br />
ET014 BioPlastique Sterile, textured, highly cross linked 1.0 cc unit Only to be funded where<br />
polydimethylsiloxane elastomer used in a service for<br />
implants suspended in a which a medicare benefit<br />
bio-excretable carrier gel. is payable.<br />
Page 457 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Health Care Surgical Pty Ltd<br />
<strong>Prostheses</strong>, Dental, Implantable<br />
HC001 Maestro Implant System Titanium dental implant 3.5,4,5mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
HC002 Maestro Implant System Abutment 3.5,4,5mm Endosseous Implants -<br />
(Not to be included for<br />
dental treatment except as<br />
a secondary procedure<br />
when partial or complete<br />
resection of a mandible or<br />
maxilla has been<br />
undertaken for removal of<br />
an extensive tumour or<br />
cyst).<br />
HC003 Maestro Implant System Cover Screw 3.5,4,5mm Endosseous Implants -<br />
(Not to be included for<br />
dental treatment except as<br />
a secondary procedure<br />
when partial or complete<br />
resection of a mandible or<br />
maxilla has been<br />
undertaken for removal of<br />
an extensive tumour or<br />
cyst).<br />
Page 458 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
J Wisbey & Associates Pty Ltd<br />
Mesh, Metallic<br />
JW062 Screws Micro & Maxi 1.2mm x 2, 3,4, 6 & 8mm; 1.2mm x Only to be funded where<br />
10, 12, 14 Micro & 3mm Safety; used in a service for<br />
2.4mm x 4, 6 & 8mm Maxi Screw; which a Medicare Benefit<br />
2.4mm x 10, 12, 14 & 16mm Maxi is payable<br />
Screw; 2.4mm x 20 & 22mm Maxi<br />
Screw; 2.7mm x 8mm Maxi Safety<br />
Screw; 2.7mm x 12 & 16mm Maxi<br />
Safety Screw<br />
JW065 Screws Mini 2.0mm x 4, 6 & 8mm; 2.0mm x 10, Only to be funded where<br />
12, 14 & 16mm; 2mm x 18, 20 & used in a service for<br />
22mm which a Medicare Benefit<br />
is payable<br />
Orthopedic Internal Fixation Systems, Other<br />
JW001 Plates Micro & Mini Micro: "Y" Plate - one size only, Only to be funded where<br />
"Y" Plate - 11 Hole; "H" Plate; 5 used in a service for<br />
Hole Straight Plate; Quad Plate; which a Medicare Benefit<br />
Quad Plate - Short; 13mm & 16mm is payable<br />
"L" Plate - Left & Right; 19mm "T"<br />
Plate; "X" Plate; Mini: Mesh - 2<br />
JW004 Osteomed M3 Micro Plates Micro, Mini, BSSO, TR BSSO Micro 16 Hole Straight Plate; Only to be funded where<br />
Micro 12 Hole Curved Plate; Micro used in a service for<br />
10 Hole Straight Plate; Micro which a Medicare Benefit<br />
Calvarium Plate - Small & Large; is payable<br />
Mini Calvarium Plate; 4 Hole<br />
BSSO Plate Short, Medium, Long;<br />
TR BSSO Plate Short, Long<br />
JW010 Plates Micro, Maxi Micro Mesh 15mm x 37mm; Maxi Only to be funded where<br />
Straight Reconstruction used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 459 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
JW011 Plates Micro, Mini Micro Mesh Sheet 100mm x 74mm; Only to be funded where<br />
Mini Mesh 18 Row used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JW017 Plates Mini 15mm, 18mm & 23mm "L" Plate Only to be funded where<br />
Right & Left; 26mm "Y" Plate; "Y" used in a service for<br />
Plate - 13 Hole; 15mm & 20mm "Z" which a Medicare Benefit<br />
Plate Right & Left; 24mm Straight is payable<br />
Plate; 16mm "I" Plate; 22mm "T"<br />
Plate; Mesh 1 Row; Rigid 15mm,<br />
18mm & 23mm "L" Plate Right &<br />
Left; Rigid 26mm "Y" Plate; 15mm<br />
& 20mm "Z" Plate Right & Left;<br />
Rigid 24mm Straight Plate; Rigid<br />
16mm "I" Plate; Rigid Double "Y"<br />
Plate<br />
JW025 Plates Mini & Maxi Mini 10 Hole Straight Plate; Mini Only to be funded where<br />
4 Hole Compression Plate; Mini used in a service for<br />
Rigid 10 Hole Straight Plate; Mini which a Medicare Benefit<br />
Chin Plate 4,6,8,10 & 12mm; Maxi is payable<br />
33mm 4 Hole Semi Comp Plate;<br />
Maxi 28mm 4 Hole Fracture Plate<br />
JW026 Plates Mini & Maxi Mini 16 & 18 Hole Straight Plate; Only to be funded where<br />
Mini 5 Hole Compression Plate; used in a service for<br />
Mini 5 & 7 Hole Curved Plate; which a Medicare Benefit<br />
Mini 9 Hole Curved Plate; Maxi is payable<br />
33mm 4 Hole EDC Plate; Maxi<br />
48mm 6 Hole EDC Plate; Maxi<br />
38mm 4 Hole EDC Plate; Maxi<br />
Angled EDC Plate; Maxi Angled<br />
Long EDC Plate; Maxi 40mm 6<br />
JW058 Plates Maxi Angled Reconstruct Left & Right Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 460 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Johnson & Johnson Medical Pty Ltd<br />
Covers, Burr Hole<br />
JJ209 Bioplate Burr Hole Cover Titanium cranial fixation system - 1.5mm diam, 12mm length Only to be funded where<br />
burr hole, 6 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ210 Bioplate Burr Hole Cover Titanium cranial fixation system - 1.5mm diam, 18mm length Only to be funded where<br />
burr hole, 6 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Plates, Bone<br />
JJ204 Bioplate Bone Plate Titanium cranial fixation system - 1.5mm diam, 11mm length; pack of 5 Only to be funded where<br />
straight plate, 2 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ205 Bioplate Bone Plate Titanium cranial fixation system - 1.5mm diam, 19mm length Only to be funded where<br />
straight plate, 4 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ206 Bioplate Bone Plate Titanium cranial fixation system - Y 1.5mm diam, 17mm length Only to be funded where<br />
plate, 5 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ207 Bioplate Bone Plate Titanium cranial fixation system - X 1.5mm diam, 17mm length Only to be funded where<br />
plate, 6 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ208 Bioplate Bone Plate Titanium cranial fixation system - T 1.5mm diam, 15mm length Only to be funded where<br />
plate, 5 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 461 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
JJ211 Bioplate Bone Plate Titanium cranial fixation system - 1.5mm diam, 10 x 10mm Only to be funded where<br />
box car, 4 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ212 Bioplate Bone Plate Titanium cranial fixation system - 1.5mm diam, 8 x 17mm Only to be funded where<br />
box car 6 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ213 Bioplate Bone Plate Titanium cranial fixation system - 1.5mm diam, 10 x 24mm Only to be funded where<br />
box car, 8 hole used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ214 Bioplate Bone Plate Titanium mesh for cranial fixation 1.5mm diam, 32 x 44mm Only to be funded where<br />
system, 48 holes used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ216 Bioplate Bio-100 Plate Titanium cranial fixation system, 2 1.5mm diam; pack of 5 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Screws, Bone<br />
JJ201 Bioplate Bone Screw Titanium cranial fixation system 1.5mm diam, 3-6mm length; pack of Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ202 Bioplate Bone Screw Titanium cranial fixation system 1.5mm diam; 10mm length; pack of Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
JJ203 Bioplate Bone Screw Titanium cranial fixation system 1.5mm diam; 8mm length; pack of 5 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 462 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
JJ215 Bioplate Bio-100 Screw Titanium cranial fixation system 2.4mm diam; pack of 5 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Mathys Australia<br />
Jaw Fracture Fixation Devices<br />
MA257 AO/ASIF Facio-maxillary Plates 1.0mm Micro Straight Micro Adaption Plate, 100mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA258 AO/ASIF Facio-maxillary Plates 1.0mm Micro - Shaped, L, Y, T, X & 6-13 hole Only to be funded where<br />
H Plates, Double, Burr Hole Cover used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA259 AO/ASIF Facio-maxillary Plates 1.0mm Orbital - Micro, Left, Right, 1.0mm Only to be funded where<br />
Medial Wall, Universal Orbital used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA260 AO/ASIF Facio-maxillary Plates 1.5mm Mini Straight, Adaption 20 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA261 AO/ASIF Facio-maxillary Plates 1.5mm Mini - Shaped, Straight, L, Y, 2 - 9 hole Only to be funded where<br />
T, X Plates, Shaft, Burr Hole Cover, used in a service for<br />
Right & Left which a Medicare Benefit<br />
is payable<br />
MA262 AO/ASIF Facio-maxillary Plates 1.5mm Mini Orbital – Universal 8-12 hole Only to be funded where<br />
Floor, Left & Right used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA263 AO/ASIF Facio-maxillary Plates 2.0mm Mini Straight – Zygomatic 4-30 hole Only to be funded where<br />
DCP, Adaption, Lock, W /Centre used in a service for<br />
Spaces, which a Medicare Benefit<br />
is payable<br />
Page 463 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MA264 AO/ASIF Facio-maxillary Plates 2.0mm Mini Shaped, TI Maxillary, 2 - 20 hole & 3x3 hole/ 3mm - 29mm Only to be funded where<br />
Chin, Straight, Shaped, Double, used in a service for<br />
Single, Offset, Curved, Lock, which a Medicare Benefit<br />
Zygometic, L, Y, X, H, Z, Burr Hole is payable<br />
Cover, Left & Right, Short & Long<br />
MA265 AO/ASIF Facio-maxillary Plates Plate 2.7mm DCP/EDCP, Wide 2-6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA266 AO/ASIF Facio-maxillary Plates TI Plate 2.7 Mm Straight 6 - 24 hole Only to be funded where<br />
Reconstruction used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA267 AO/ASIF Facio-maxillary Plates Plate 2.7mm Angled Reconstruction 2+2 hole - 6+18 hole Only to be funded where<br />
- Left & Right. Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA268 AO/ASIF Facio-maxillary Plates Plate 2.7mm Mandible 26 -32 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA269 AO/ASIF Facio-maxillary Plates Plate 2.7mm TMJ Condylar 3+2 hole - 3+3 hole / 16+3 hole - Only to be funded where<br />
Prosthesis, Reconstruction - Left & 20+5 hole / L40mm - 50mm used in a service for<br />
Right, Long which a Medicare Benefit<br />
is payable<br />
MA270 AO/ASIF Facio-maxillary Plates TI Plate Straight Thorpe 6 - 24 hole / 15+5 - 24+6 hole Only to be funded where<br />
Reconstruction - Right & Left used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA271 AO/ASIF Facio-maxillary Plates TI Plate 2.0mm Mandible Mini - 2-20 hole / 70 Degree Only to be funded where<br />
W/Centre Space, Twisted Left & used in a service for<br />
Right, Lc-Mandible which a Medicare Benefit<br />
is payable<br />
Page 464 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MA272 AO/ASIF Facio-maxillary Plates TI Plate 2.4mm Mandible - Tension 2 - 24 hole / 3+3 - 21+6 holes/ Only to be funded where<br />
Band Plate, LC-DCP, Eccentric, 4+20+4 - 6+24+6 Holes used in a service for<br />
Crescent Centre, Straight & Angled which a Medicare Benefit<br />
Universal Fracture, Straight & is payable<br />
Angled Unilock, Double , Single<br />
Curved, Straight, Reconstruction,<br />
Broad, Left & Right<br />
MA273 AO/ASIF Facio-maxillary Plates 2.0mm Mini Orbital - Lock, Curved, 8-12 hole Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA274 AO/ASIF Facio-maxillary Plates 1.3mm Plates Pure Titanium - 2-24 hole / 1.3 - 100mm Only to be funded where<br />
Adaption, Orbital, L, Y, T, X, H, used in a service for<br />
Burr Hole Cover , Left & Right, which a Medicare Benefit<br />
Straight & Curved, Screen, Box is payable<br />
Plate, Square & Rectangle<br />
MA275 AO/ASIF Facio-maxillary Plates Mesh - Plate, Strut Plate, TI, Mesh 1.0 - 1.3mm / 6 - 100mm Only to be funded where<br />
Screen, Contourable, Malleable, used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MA276 AO/ASIF Facio-maxillary Plates Dysgnathia Plate & Slider - Split, 2.0mm - 12mm / Bar / 4-10 hole Only to be funded where<br />
Curved, Low Profile, Straight, used in a service for<br />
Splitfix Plate, Glider which a Medicare Benefit<br />
is payable<br />
Plates, Bone<br />
MA386 AO/ASIF Facio-Maxillary Plates Flapfix - Plates for fixation of cranial 10 - 20mm Only to be funded where<br />
bone flaps used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 465 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Medical & Optical Instruments Australia Pty Ltd<br />
Orthopedic Internal Fixation Systems, Other<br />
MO001 Titan Mesh Mesh Panel, Titanium Thickness 0.1mm, 0.2mm, 0.3mm, Only to be funded where<br />
0.6mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO002 Martin Mandibular Fracture System Plate Straight, Titanium 8 to 16 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO003 Martin Mandibular Fracture System Plate Angled - left and right, 5 + 8 hole to 5 + 16 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO004 Martin Mandibular Fracture System Total Mandible, Titanium 5 + 17 + 5 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO007 Champy Maxillo-Facial L Plate Titanium 4 to 10 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO008 Champy Maxillo-Facial Orbital Plate Titanium 8 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO009 Champy Maxillo-Facial Orbital Plate Titanium 10 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO010 Champy Maxillo-Facial Orbital Plate Titanium 12 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 466 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO011 Champy Maxillo-Facial Multi Fragment Plate Titanium 4 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO012 Champy Maxillo-Facial Sagittal Split Plate Titanium 4 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO013 Champy Maxillo-Facial Straight Plate Titanium 4 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO014 Champy Maxillo-Facial Straight Plate Titanium 6 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO015 Champy Maxillo-Facial Straight Plate Titanium 8 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO016 Champy Maxillo-Facial Straight Plate Titanium 16 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO017 Champy Maxillo-Facial T Plate, Double T Plate Titanium 4 to 6 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO018 Champy Maxillo-Facial Y Plate, Double Y Plate Titanium 4 to 6 hole Only to be funded where<br />
Osteosynthesis System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 467 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO023 Martin Microplate Osteosynthesis Lindorf Plate 0 to11mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO024 Martin Mandibular Fracture System Condylar Implant - left or right 5cm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO025 Martin Mandibular Fracture System Screw Titanium 3.5mm diameter, 10 to 14mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO026 Martin Mandibular Fracture System Screw Titanium 3.5mm diameter, 16 to 20mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO028 Martin Mandibular Fracture System Screw Titanium 2.7mm diameter, 8 to 12mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO029 Martin Mandibular Fracture System Screw Titanium 2.7mm diameter, 14 to 16mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO030 Martin Mandibular Fracture System Screw Titanium 2.7mm diameter, 18 to 20mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO031 Martin Mandibular Fracture System Screw Titanium 2.7mm diameter, 22 to 24mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 468 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO032 Martin Mandibular Fracture System Screw Titanium 2.7mm diameter, 26 to 28mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO033 Martin Mandibular Fracture System Screw Titanium 2.7mm diameter, 30mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO034 Martin Mandibular Fracture System Screw Emergency Titanium 3.2mm diameter, 12 to 16mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO035 Martin Mandibular Fracture System Screw Emergency Titanium 3.2mm diameter, 20 to 24mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO036 Martin Mandibular Fracture System Screw Titanium 2.3mm diameter, 5 to 9mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO037 Martin Mandibular Fracture System Screw Titanium 2.3mm diameter,10 to 11m length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO038 Martin Mandibular Fracture System Screw Titanium 2.3mm diameter, 12 to 13mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO039 Martin Mandibular Fracture System Screw Titanium 2.3mm diameter,14 to 15m length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 469 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO040 Martin Mandibular Fracture System Screw Titanium 2.3mm diameter, 16 to 19mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO041 Martin Mandibular Fracture System Screw Titanium 2.3mm diameter, 20 to 32mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO042 Martin Mandibular Fracture System Screw Titanium 2.5mm diameter, 9mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO043 Martin Mandibular Fracture System Screw Titanium 2.5mm diameter, 13mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO044 Martin Mandibular Fracture System Screw Titanium 2.5mm diameter, 17mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO045 Martin Mandibular Fracture System Straight Plate Titanium 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO046 Martin Mandibular Fracture System Straight Plate Titanium 6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO047 Martin Mandibular Fracture System Straight Plate Titanium 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 470 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO048 Martin Mandibular Fracture System Straight Plate Titanium 16 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO049 Martin Mandibular Fracture System Angled Plate Titanium 6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO050 Martin Mandibular Fracture System Angled Plate Titanium 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO051 Martin Mandibular Fracture System Curved Plate Titanium 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO052 Martin Miniplate Osteosynthesis L Plate Titanium 4 to 6 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO053 Martin Miniplate Osteosynthesis Multi Fragment 4 to 8 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO054 Martin Miniplate Osteosynthesis Straight Plate Titanium 2 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO055 Martin Miniplate Osteosynthesis Straight Plate Titanium 4 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 471 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO056 Martin Miniplate Osteosynthesis Straight Plate Titanium 6 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO057 Martin Miniplate Osteosynthesis Straight Plate Titanium 8 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO058 Martin Miniplate Osteosynthesis Straight Plate Titanium 16 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO059 Martin Miniplate Osteosynthesis H & Y Plate 4 to 6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO060 Martin Miniplate Osteosynthesis T Plate Titanium 4 to 6 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO062 Martin Miniplate Osteosynthesis X Plate Titanium 6 hole, 1mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO069 Martin Miniplate Osteosynthesis Screw Titanium 2mm diameter, 4 to 10mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO070 Martin Miniplate Osteosynthesis Screw Titanium 2mm diameter, 4 to 10mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 472 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO071 Martin Miniplate Osteosynthesis Screw Titanium 2mm diameter, 15 to 19mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO072 Martin Miniplate Osteosynthesis Screw Drill Free Titanium 2mm diameter, 5 to 7mm length Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO073 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 2 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO074 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 4 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO075 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 6 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO076 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 8 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO077 Martin Miniplate Osteosynthesis Straight Plate Low Profile Titanium 16 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO078 Martin Miniplate Osteosynthesis L Plate Low Profile Titanium 4 to 6 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 473 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO079 Martin Miniplate Osteosynthesis H Plate Low Profile Titanium 4 to 6 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO080 Martin Miniplate Osteosynthesis T Plate Low Profile Titanium 4 to 7 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO081 Martin Miniplate Osteosynthesis Y Plate Low Profile Titanium 4 to 6 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO082 Martin Miniplate Osteosynthesis Multi Fragment Plate Low Profile 10 to 12 hole, 0.6mm profile Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO083 Martin Miniplate Osteosynthesis Z Plate Low Profile Titanium 4 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO084 Martin Miniplate Osteosynthesis Orbital Plate Low Profile Titanium 6 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO085 Martin Miniplate Osteosynthesis Orbital Plate Low Profile Titanium 8 hole, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO086 Martin Miniplate Osteosynthesis Burr Hole Cover 12 to 17mm , 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 474 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO087 Martin Miniplate Osteosynthesis Chin Plate Titanium 2 to 8mm, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO088 Martin Miniplate Osteosynthesis Chin Plate Titanium 10 to14mm, 0.6mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO090 Martin Micro Plate Osteosynthesis 1mm Screw System Titanium 1mm diameter, 2-4mm length Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO092 Martin Micro Plate Osteosynthesis 1mm Screw System Titanium 1mm diameter, 5 - 6mm length Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO093 Martin Micro Plate Osteosynthesis 1mm system, Screw Titanium 1mm diameter, 7mm length Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO094 Martin Micro Plate Osteosynthesis 1mm system, Screw Emergency 1.2mm diameter,3 to 5mm length Only to be funded where<br />
System Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO095 Martin Micro Plate Osteosynthesis 1mm system, Straight Plate Titanium 4 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO096 Martin Micro Plate Osteosynthesis 1mm system, Straight Plate Titanium 8 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 475 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO097 Martin Micro Plate Osteosynthesis 1mm system, Straight Plate Titanium 12 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO098 Martin Micro Plate Osteosynthesis 1mm system, Straight Plate Titanium 16 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO099 Martin Micro Plate Osteosynthesis 1mm system, Straight Plate Titanium 24 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO100 Martin Micro Plate Osteosynthesis 1mm system, Orbital Plate Titanium 8 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO101 Martin Micro Plate Osteosynthesis 1mm system, L Plate Titanium 5 to 8 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO102 Martin Micro Plate Osteosynthesis 1mm system, T Plate Titanium 5 to 7 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO103 Martin Micro Plate Osteosynthesis 1mm system, H Plate Titanium 11 hole 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO104 Martin Micro Plate Osteosynthesis 1mm system, Y, Double Y Plate 6 to 7 hole 0.6mm profile Only to be funded where<br />
System Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 476 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO105 Martin Micro Plate Osteosynthesis 1mm system, Burr Hole Cover 12 to 15mm 0.6mm profile Only to be funded where<br />
System Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO106 Martin Micro Plate Osteosynthesis 1mm system, Burr Hole Cover 17 to 20mm 0.6mm profile Only to be funded where<br />
System Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO107 Martin Micro Plate Osteosynthesis 1.5mm system L, Double L Plate 4 to 6 hole, 0.6mm profile Only to be funded where<br />
System Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO108 Martin Micro Plate Osteosynthesis 1.5mm system Orbital Plate Titanium 6 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO109 Martin Micro Plate Osteosynthesis 1.5mm system Orbital Plate Titanium 8 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO110 Martin Micro Plate Osteosynthesis 1.5mm system Orbital Plate Titanium 10 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO111 Martin Micro Plate Osteosynthesis 1.5mm system Straight Plate 2 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO112 Martin Micro Plate Osteosynthesis 1.5mm system Straight Plate 4 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 477 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO113 Martin Micro Plate Osteosynthesis 1.5mm system Straight Plate 6 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO114 Martin Micro Plate Osteosynthesis 1.5mm system Straight Plate 8 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO115 Martin Micro Plate Osteosynthesis 1.5mm system Straight Plate 16 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO116 Martin Micro Plate Osteosynthesis 1.5mm system Straight Plate 20 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO117 Martin Micro Plate Osteosynthesis 1.5mm system T Plate Titanium 6 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO118 Martin Micro Plate Osteosynthesis 1.5mm system Y Plate Titanium 5 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO119 Martin Micro Plate Osteosynthesis 1.5mm system H Plate Titanium 12 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO120 Martin Micro Plate Osteosynthesis 1.5mm system X Plate Titanium 4 to 6 hole, 0.6mm profile Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 478 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO121 Martin Micro Plate Osteosynthesis 1.5mm system Burr Hole Cover 12 to 17mm, 0.6mm profile Only to be funded where<br />
System Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO122 Martin Micro Plate Osteosynthesis 1.5mm Screw Titanium 1.5mm diameter, 3.5 to 8mm length Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO123 Martin Micro Plate Osteosynthesis 1.5mm Screw Titanium 1.5mm diameter, 9mm length Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO124 Martin Micro Plate Osteosynthesis 1.5mm Screw Titanium 1.5mm diameter, 11 to 13mm length Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO125 Martin Micro Plate Osteosynthesis 1.5mm Screw Titanium 1.5mm diameter, 15mm length Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO126 Martin Micro Plate Osteosynthesis 1.5mm Screw Emergency Titanium 1.8mm diameter, 3 to 7mm length Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO127 Titan Mesh Mesh Sheet Titanium 13 hole 1, 1.5, 2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO128 Titan Mesh Mesh Plates Titanium 2 hole strip 1, 1.5, 2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 479 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MO129 Titan Mesh Mesh Plates Titanium 1 x 2 holes 1, 1.5, 2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO130 Titan Mesh Mesh Plates Titanium 2 x 2 holes 1, 1.5, 2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO131 Titan Mesh Mesh Plates Titanium 3 x 2 holes 1, 1.5, 2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO132 Titan Mesh Mesh Plates Titanium 4 x 2 holes 1, 1.5, 2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO133 Titan Mesh Mesh Plates Titanium 6 x 4 holes 1, 1.5, 2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO197 Titan Mesh Orbital Floor Plate Titan mesh - contoured orbital floor 1.5mm 0.3 profile; 6 hole large/ 5 Only to be funded where<br />
repair mesh plate hole small used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO198 Titan Mesh (Martin) Mesh panel - titanium 4 x 2 hole mesh plate; 1.0, 1.5 and Only to be funded where<br />
2.0mm dia, 0.6 and 1.0 profile used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO199 Martin Mandibular Fracture System Insert spacer screw, titanium 2.7 x 3mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 480 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Plates, Absorbable<br />
MO185 Resorb-X Plates Resorb-X Osteosynthesis System, 4 - 8 hole Only to be funded where<br />
Resorbable straight plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO186 Resorb-X Plates Resorb-X Osteosynthesis System, L, Y, X, T, Orbital Only to be funded where<br />
Resorbable shaped plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO187 Resorb-X Mesh Plate 25 x 25mm Resorb-X Osteosynthesis System, 25 x 25mm - 0.3, 0.6, 1.0mm profile Only to be funded where<br />
Resorbable mesh plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MO188 Resorb-X Mesh Plate 50 x 50mm Resorb-X Osteosynthesis System, 50 x 50mm - 0.3, 0.6, 1.0mm profile Only to be funded where<br />
Resorbable mesh plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Screws<br />
MO189 Resorb-X Bone Screw Resorb-X Osteosynthesis System, 1.6, 2.1, 2.4mm Dia, 4 - 9mm lengths Only to be funded where<br />
Resorbable bone screw used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Medical Device Alliance Pty Ltd<br />
<strong>Prostheses</strong>, Chin<br />
MP010 Facial Implant Chin Anotomical chin Small, medium, large/left, right Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP012 Facial Implant Chin Chin Small, medium, large/left, right Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 481 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Ear<br />
MP034 Facial Implant - Ear One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
<strong>Prostheses</strong>, Finger/Thumb<br />
MP011 Phalangeal Joint Implant Flexible monoblock implant to 00-7 Only to be funded where<br />
restore finger articulation, 2001 used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
<strong>Prostheses</strong>, Maxillofacial<br />
MP007 Facial Implant Malar Malar Small, medium, large/left or right Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP035 Facial Implant Malar Malar Anatomical Small, medium, large/left or right Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
<strong>Prostheses</strong>, Muscle<br />
MP005 Calf Implants Asymmetrical shape, silicone gel 85-180cc Only to be funded where<br />
smooth surface used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP008 Calf Implant Silicone elastomer - smooth surface, 70-175cc Only to be funded where<br />
asymmetrical shape, used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP014 Calf Implant Silicone elastomer - smooth surface, 15-105cc Only to be funded where<br />
symmetrical shape used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 482 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MP016 Calf Implants Symmetrical shape, silicone gel 12-140cc Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP017 Gluteal Implants filled with Gel Oval Shape, Silicone Gel, Smooth 100-300cc Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP018 Gluteal Implants filled with Gel Oval Shape, Silicone Gel, Textured 200-400cc Only to be funded where<br />
Surface used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP019 Gluteal Implants filled with Gel Round Shape, Silicone Gel, Smooth 200-300cc Only to be funded where<br />
Surface used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP020 Gluteal Implants filled with Elastomer Oval Shape, Silicone Elastomer, 95-260cc Only to be funded where<br />
Smooth Surface used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP021 Gluteal Implants filled with Elastomer Oval Shape, Silicone Elastomer, 225-420cc Only to be funded where<br />
Textured Surface used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP022 Gluteal Implants filled with Elastomer Round Shape, Silicone Elastomer, 250-340cc Only to be funded where<br />
Smooth Surface used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP032 Suspension Sheet for Mammoplasty Silicone sheet - textured 0.3mm, 29cm x 17cm; Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 483 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Nasal, Dorsal<br />
MP003 Facial Implant Nasal "L" Shaped White, pink 1.9 x 4.1 x 2.8cm, 1.8 x 4 x 2.9cm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP009 Facial Implant Nasal Nasal dorsum Small, large Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP013 Facial Implant Nasal Zygomatic Right, left Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
<strong>Prostheses</strong>, Testicle<br />
MP004 Testicular Implant Filled with 5.3-45.8cc Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP006 Testicular Implant Silicone gel 3200 5-38cc Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP015 Testicular Implant Silicone with holes for fixation 3230 5-38cc Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Reconstruction Sheeting, Plastic Surgery<br />
MP023 Silicone Sheets Sheet standard-small with 100mm Only to be funded where<br />
reinforcement used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 484 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MP024 Silicone Sheets Sheet standard - large with 200mm Only to be funded where<br />
reinforcement used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP025 Silicone Sheets Sheet standard - small without 100mm Only to be funded where<br />
reinforcement used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP026 Silicone Sheets Sheet standard - large without 200mm Only to be funded where<br />
reinforcement used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP027 Silicone Sheets Sheet extra strength small 100mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP028 Silicone Sheets Sheet extra strength large 200mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP029 Silicone Sheets Block standard super soft Soft, Medium, Hard Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP030 Silicone Sheets Block coloured, single consistency, One size only Only to be funded where<br />
white/pink used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
MP031 Silicone Sheets Block coloured, double consistency, One size only Only to be funded where<br />
white/pink used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 485 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Unknown / Unassigned<br />
MP033 Suspension Sheet for Mammoplasty Silicone sheet - polyurethane coated 3mm, 29cm x 17cm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Medtronic Sofamor Danek Australia Pty Ltd<br />
Bone Matrix Implants, Artificial<br />
SD182 Macropore Z Plates 10 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD183 Macropore Cranial Recon 29 - 64mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD184 Macropore Cranial Recon 65 - 165mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD185 Macropore Rectangle Plates 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD186 Macropore Protective Disc 25mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD187 Macropore Rectangle Plates 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 486 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
SD188 Macropore Oblong Plates 6 - 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD189 Macropore CraniDisk 23 - 28mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD190 Macropore Oblique Plates 6 - 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD191 Macropore Protective Sheets 50 x 50 x 0.5mm - 50 x 50 x 1.0mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD192 Macropore Protective Sheets 25 x 25 x 0.5mm - 25 x 25 x 1.0mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD193 Macropore Orbital Floor Liner 30mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD194 Macropore L Plates 8 hole, Left & Right Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD195 Macropore Protective Sheets 60 x 80 x 0.5mm - 60 x 80 x 1.0mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 487 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
SD196 Macropore Protective Sheets 100 x 100 x 0.5mm - 100 x 100 x Only to be funded where<br />
1.0mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD197 Macropore Y Plates 7 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD198 Macropore Straight Plates 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD199 Macropore Straight Plates 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD200 Macropore Straight Plates 20 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD201 Macropore C Plates 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD202 Macropore Clover Leaf Plates 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD203 Macropore Bur Hole Cover 25mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 488 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
SD204 Macropore Screws 2.0 x 4mm - 2.7 x 14mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD205 Macropore Tacks 1.5 x 4mm - 2.0 x 6mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD215 Macropore Locks 2 - 20mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Orthopedic Internal Fixation Systems, Other<br />
SD143 TiMesh Maxillary Prosthesis One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD144 TiMesh Full Mandible One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD145 TiMesh Mandibular Angle, Left/Right One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD146 TiMesh Hemimandible, Left/Right One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD147 TiMesh Mandibular Symphysis One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 489 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
SD148 TiMesh Mandibular "J" Plate One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD149 TiMesh Titanium Mesh Panel 121 x 72mm - 125 x 125mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD150 TiMesh Squareplate 4 holes x 1mm - 4 holes x 2.2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD151 TiMesh X Plate 4 holes x 1mm - 4 holes x 2.2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD152 TiMesh Naso-Orbital-Ethmoid 1mm - 2.2mm; Complex 1, Complex Only to be funded where<br />
2, Complex 3 used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD153 TiMesh Curved Plate: Standard, Rigid, Left, 1mm x 12 holes Only to be funded where<br />
Right used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD154 TiMesh Square-rectangular Gridmesh Panel 1.0 x 4mm - 2.2 x 4mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD155 TiMesh Isogrid Panel One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 490 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
SD156 TiMesh Sugar Mesh Panel / Grid 11 x 7.5cm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD157 TiMesh Surgical Mesh: Anterior, Posterior, One size only Only to be funded where<br />
Modified used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD158 TiMesh Lateral Mesh: Left, Right One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD159 TiMesh Cranial Custom Mesh 121 x 72mm - 125 x 125mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD206 Timesh 12 Point Screws 3 - 20mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD207 Timesh Internal Drive Screws 3 - 6mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD208 Timesh Rescue Screws 3 - 7mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD209 Timesh X-Drive Screws 2 - 15mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 491 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
SD210 Timesh Rigid Straight Plates 1-20 Hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD211 Timesh Double Y Plates 3 Hole - 2.5mm - 7mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Orthopedic Internal Fixation Systems, Spinal<br />
SD015 TiMesh Rigid Fixation Bone Grafting Titanium, Square Grid Mesh Large Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD016 TiMesh Rigid Fixation Bone Grafting Titanium, Square Grid Mesh Medium Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD017 TiMesh Rigid Fixation Bone Grafting Titanium, Square Grid Mesh Small Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Plates, Bone<br />
SD001 TiMesh Rigid Fixation Bone Grafting Titanium, Universal Plate 12h Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD002 TiMesh Rigid Fixation Bone Grafting Titanium, Plate Mesh, Fan blades 11 - 18mm, Ohata Only to be funded where<br />
and Plating System 8.4 - 10mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD011 TiMesh Rigid Fixation Bone Grafting Titanium, Y Plate Double and 5 - 8 hole Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 492 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
SD013 TiMesh Rigid Fixation Bone Grafting Titanium, Straight Plate 2 - 20 hole Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD014 TiMesh Rigid Fixation Bone Grafting Titanium, T Plate 4 - 8 hole Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD019 TiMesh Rigid Fixation Bone Grafting Titanium, L Plate (Left and right 4 - 10 hole Only to be funded where<br />
and Plating System configurations) used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD020 TiMesh Rigid Fixation Bone Grafting Titanium, H Plate 6 - 11 hole Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
SD021 TiMesh Rigid Fixation Bone Grafting Titanium, Z Plate Left and Right 4 hole - 5mm, 9.5mm Only to be funded where<br />
and Plating System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Screws, Bone<br />
SD018 TiMesh Rigid Fixation Bone Grafting Titanium, Screw - Cruciate Head, 12 Diameter 1.0mm - 2.4mm, length 2 - Only to be funded where<br />
and Plating System point Flat Head 19mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 493 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Mentor Medical Systems<br />
<strong>Prostheses</strong>, Chin<br />
MN020 Implantech Facial Implants - Chin Implantech Anatomical Extra small, Small, Medium, Large, Only to be funded where<br />
<strong>Prostheses</strong> Chin;Flowers Mandibular Extra Large used in a service for<br />
Glove;Terino Extended Anatomical which a Medicare Benefit<br />
Chin;Terino Square Chin Style is payable.<br />
I;Mittleman Pre-Jowl;Glasgold<br />
Wafer for Pre-Jowl Chin;Mittleman<br />
Pre-Jowl Chin;Glasgold Wafer for<br />
Extended Anatomical Chin;Silicone<br />
Chin;Terino Square Chin II<br />
Composition Implant Grade Silicone<br />
Elastomer<br />
<strong>Prostheses</strong>, Mammary, Internal<br />
MN018 Smooth High Profile Gel-filled Mammary prostheses 125cc-Model 350-1254BC; In strict accordance with<br />
Mammary <strong>Prostheses</strong> 150cc-Model 350-1504BC; the requirements of the<br />
175cc-Model 350-1754BC; Medicare Benefits<br />
200cc-Model 350-2004BC; <strong>Schedule</strong> Items Number<br />
225cc-Model 350-2254BC; 45524, 45527, 45528,<br />
250cc-Model 350-2504BC; 45542, 45552, 45554,<br />
275cc-Model 350-2754BC; 45555 only.<br />
300cc-Model 350-3004BC;<br />
325cc-Model 350-3254BC;<br />
350cc-Model 350-3504BC;<br />
375cc-Model 350-3754BC;<br />
400cc-Model 350-4004BC;<br />
425cc-Model 350-4254BC;<br />
450cc-Model 350-4504BC;<br />
500cc-Model 350-5004BC;<br />
550cc-Model 350-5504BC,<br />
600cc-Model 350-6004BC;<br />
Page 494 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MN019 Siltex High Profile Gel-filled Mammary <strong>Prostheses</strong> 125cc-Model 354-4125; In strict accordance with<br />
Mammary <strong>Prostheses</strong> 150cc-Model 354-4150; the requirements of the<br />
175cc-Model 354-4175; Medicare Benefits<br />
200cc-Model 354-4200; <strong>Schedule</strong> Items Number<br />
225cc-Model 354-4225; 45524, 45527, 45528,<br />
250cc-Model 354-4250; 45542, 45552, 45554,<br />
275cc-Model 354-4275; 45555 only.<br />
300cc-Model 354-4300;<br />
325cc-Model 354-4325;<br />
350cc-Model 354-4350;<br />
375cc-Model 354-4375;<br />
400cc-Model 354-4400;<br />
425cc-Model 354-4425;<br />
450cc-Model 354-4450;<br />
500cc-Model 354-4500;<br />
<strong>Prostheses</strong>, Mammary, Internal, Gel-Filled<br />
MN013 Mentor Siltex Becker 150, 200, 250, 300, 350, 400, 500, In strict accordance with<br />
Expander/Mammary <strong>Prostheses</strong> 600, 700. 800cc the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
MN014 Mentor Medical Systems Smooth Low 100,125,150,175,200,225,250,275, In strict accordance with<br />
Bleed Gel-Filled, Mammary 300,325,400,450,500,550,600,700, the requirements of the<br />
<strong>Prostheses</strong> Breast, Permanently 800cc Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
MN015 Mentor Siltex Low Bleed Gel-Filled 100,125,150,175,200,225,250,275, In strict accordance with<br />
(Moderate Profile) Mammary 300,325,350,375,400,500,550,600, the requirements of the<br />
<strong>Prostheses</strong> Breast, Permanently 700,800cc Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
Page 495 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MN016 Mentor Siltex Low Bleed Gel-Filled 75, 200, 225, 250, 275, 300, 325, In strict accordance with<br />
(High Profile) Mammary <strong>Prostheses</strong> 350, 400, 450, 500, 550cc the requirements of the<br />
Breast, Permanently Implantable Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
MN017 Mentor Medical Systems Contour 120,135,155,180,215,245,280,315, In strict accordance with<br />
Profile Gel-filled Mammary 355,395,440,480,530,640,775cc the requirements of the<br />
<strong>Prostheses</strong>, Breast, Permanently Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
<strong>Prostheses</strong>, Mammary, Internal, Inflatable<br />
MN004 Mentor Siltex Spectrum Saline Tissue Saline Mammary <strong>Prostheses</strong> Volume 275cc - 650cc In strict accordance with<br />
Expander the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
MN010 Mentor Saline-Filled Anterior Mammary Prothesis - Smooth 125 to 700cc In strict accordance with<br />
Diaphragm Valve Mammary Prosthesis the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
MN011 Mentor Saline Siltex Anterior Mammary Prothesis - Textured 125 to 475cc In strict accordance with<br />
Diaphragm ValveMammary Prosthesis the requirements of the<br />
Medicare Benefits<br />
<strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
Page 496 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Maxillofacial<br />
MN003 Terino Malar Shell Implants Solid-silicone, Implantech Small, medium, large, xlarge Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
<strong>Prostheses</strong>, Nasal, Dorsal<br />
MN021 Implantech Facial Implants - Nasal Implantech Shirakabe Nasal Implant; Extra Small, Small, Medium, Large, Only to be funded where<br />
<strong>Prostheses</strong> Implantech Flowers Dorsal Nasal Extra Large used in a service for<br />
Implant; Implantech Dorsal which a Medicare Benefit<br />
Columella Implant; Implantech is payable.<br />
Brink Peri-Pyriform Implant;<br />
Implantech Rizzo Dorsal Nasal<br />
Implant; Composition: Implant<br />
Mondeal Medical Systems Pty Ltd<br />
Plates, Cranioplasty<br />
MD002 Mondeal Medical Systems Implant & Plate Straight 2-6 hole Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD004 Mondeal Medical Systems Implant & Plate Straight 8 hole Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD005 Mondeal Medical Systems Implant & Plate Straight 16 hole Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD007 Mondeal Medical Systems Implant & Plate L Shape Right & Left Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
Page 497 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MD008 Mondeal Medical Systems Implant & Plate T Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD009 Mondeal Medical Systems Implant & Plate Y Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD011 Mondeal Medical Systems Implant & Plate T Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD015 Mondeal Medical Systems Implant & Plate Straight 4-6 hole Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD019 Mondeal Medical Systems Implant & Plate Straight 8 hole & L Shape - Right Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction & Left used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD021 Mondeal Medical Systems Implant & Plate T Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD022 Mondeal Medical Systems Implant & Plate Y Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD024 Mondeal Medical Systems Implant & Plate T, Y, Orbital Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 2000 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
Page 498 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MD038 Mondeal Medical Systems Implant & Plate Straight 4 - 6 hole Only to be funded where<br />
<strong>Prostheses</strong>, Mini 1700 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD041 Mondeal Medical Systems Implant & Plate Straight 16 hole, Y Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 1700 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD042 Mondeal Medical Systems Implant & Plate Orbital Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 1700 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD043 Mondeal Medical Systems Implant & Plate T, Y, Z Shape Only to be funded where<br />
<strong>Prostheses</strong>, Mini 1700 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD047 Mondeal Medical Systems Implant & Plate L Shape Right & Left Only to be funded where<br />
<strong>Prostheses</strong>, Mini 1700 Reconstruction used in a service for<br />
System which a Medicare Benefit<br />
is payable<br />
MD058 Mondeal Medical Systems Implant & Plate L, T Shape Only to be funded where<br />
<strong>Prostheses</strong>, Micro 1200 used in a service for<br />
Reconstruction System which a Medicare Benefit<br />
is payable<br />
MD059 Mondeal Medical Systems Implant & Plate L, Y Shape Only to be funded where<br />
<strong>Prostheses</strong>, Micro 1200 used in a service for<br />
Reconstruction System which a Medicare Benefit<br />
is payable<br />
MD062 Mondeal Medical Systems Implant & Plate H Shape Only to be funded where<br />
<strong>Prostheses</strong>, Micro 1200 used in a service for<br />
Reconstruction System which a Medicare Benefit<br />
is payable<br />
Page 499 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MD070 Mondeal Medical Systems Implant & Mesh Micro 50 x 30mm Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD071 Mondeal Medical Systems Implant & Mesh Micro 100 x 60mm Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD072 Mondeal Medical Systems Implant & Mesh Micro 100 x 30mm, 50 x 60mm Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD104 Mondeal Medical Systems Implant & Chin Plate 4mm - 12mm Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Screws, Cranioplasty Plate<br />
MD029 Mondeal Medical Systems Implant & Screw 2000 Standard 4mm - 19mm Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD035 Mondeal Medical Systems Implant & Screw 2000 Cross Fit, Lock Drive 4mm - 19mm Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD051 Mondeal Medical Systems Implant & Screw 1700 Cross Fit, Lock Drive 3mm - 17mm Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD066 Mondeal Medical Systems Implant & Screw 1000/1200 Cross Fit, Lock Drive 3mm - 15mm Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 500 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
MD117 Mondeal Medical Systems Implant & Bone Screw, Titanium, Lock Drive 2.7mm (8-14mm) Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD118 Mondeal Medical Systems Implant & Bone Screw, Titanium, Lock Drive 2.7mm (16mm-22mm) Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD119 Mondeal Medical Systems Implant & Emergency Screw, Titanium 3.0mm (8-14mm) Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
MD120 Mondeal Medical Systems Implant & Transport Screw, Titanium 2.0mm (7-11mm) Only to be funded where<br />
<strong>Prostheses</strong> used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
National Surgical Corporation Pty Ltd<br />
Orthopedic Internal Fixation Systems<br />
NI137 Osteosynthesis System for Hand 6-Hole Compression Plate "T" 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Orthopedic Internal Fixation Systems, Other<br />
NI020 Medicon Hein1 Mini Plates and Plate, Titanium 1mm x 0-12mm, 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI021 Medicon Hein1 Mini Plates and Plate, Titanium 1mm x 0-7.5mm, 5 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 501 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI022 Medicon Hein1 Mini Plates and Plate, Titanium 1mm x 0-12mm, 6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI023 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI024 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 10 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI025 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 12 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI026 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 14 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI027 Medicon Hein1 Mini Plates and Plate, Titanium 1mm Thickness, 16 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI028 Medicon Hein1 Mini Plates and Plate - L-plate. Titanium 1 x 0-15mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI029 Medicon Hein1 Mini Plates and Plate - T-short. Titanium 1mm x 0-8mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 502 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI030 Medicon Hein1 Mini Plates and Plate - T-plate. Titanium 1 x 0-15mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI031 Medicon Hein1 Mini Plates and Plate - double-T. Titanium 1 x 0-9mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI032 Medicon Hein1 Mini Plates and Plate - Y-plate. Titanium 1 x 0-15mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI033 Medicon Hein1 Mini Plates and Plate - double-Y. Titanium 1 x 0-12mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI034 Medicon Hein1 Mini Plates and Plate - Nasal. Titanium 1mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI035 Medicon Hein1 Mini Plates and Plate - Mandibular Angle. Titanium 1mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI036 Medicon Hein1 Mini Plates and Plate - Orbital. Titanium 1mm x 0-15mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI037 Medicon Hein1 Mini Plates and Plate - Str. Compression. Titanium 1mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 503 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI038 Medicon Hein1 Mini Plates and T-Compression. Titanium 1mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI039 Medicon Hein1 Mini Plates and Plate - Orbital -Compression. 1mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI040 Medicon Hein1 Mini Plates and Chin. Titanium 0.6mm x 0-12mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI041 Medicon Hein1 Mini Plates and Positioning plates. Titanium 2 x 60-80mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI042 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 1 hole 5 x 180mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI043 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 2 hole 8 x 180mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI044 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 3 hole 11 x Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI045 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 4 hole 15 x Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 504 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI046 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 5 hole 18 x Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI047 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 10 hole 36 x Only to be funded where<br />
180mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI048 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 9 hole 75 x Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI049 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 18 hole 75 x Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI050 Medicon Hein1 Mini Plates and Mesh, Titanium 0.5mm Thickness, 21 hole 75 x Only to be funded where<br />
180mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI051 Medicon Hein1 Mini Plates and Mesh Performing, Titanium 0.2mm Thickness, 75 x 180mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI052 Medicon Hein1 Mini Plates and Screws. Titanium 2mm x 5.5-17mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI053 Medicon Hein1 Micro Plates and Plates, Titanium 0.6mm x 0-12mm, 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 505 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI054 Medicon Hein1 Micro Plates and Plates, Titanium 0.6mm x 0-12mm, 6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI055 Medicon Hein1 Micro Plates and Plates, Titanium 0.6mm Thickness, 8 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI056 Medicon Hein1 Micro Plates and Plates, Titanium 0.6mm Thickness, 12 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI057 Medicon Hein1 Micro Plates and Plates, Titanium 0.6mm Thickness, 16 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI058 Medicon Hein1 Micro Plates and Plates: L-plate. Titanium 0.6mm x 0-15mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI059 Medicon Hein1 Micro Plates and Plates:T-plate. Titanium 0.6mm x 0-12mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI060 Medicon Hein1 Micro Plates and Plates:H-plate. Titanium 0.6mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI061 Medicon Hein1 Micro Plates and Plates:Y-plate. Titanium 0.6mm x 0-15mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 506 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI062 Medicon Hein1 Micro Plates and Plates:double-Y. Titanium 0.6mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI063 Medicon Hein1 Micro Plates and Plates:Orbital. Titanium 0.6mm 0-12mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI064 Medicon Hein1 Micro Plates and Plates:Vario. Titanium 1mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI065 Medicon Hein1 Micro Plates and Screws, Titanium 1.5 x 3.5-9mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI066 Medicon Hein1 Micro Plates and Screws, Titanium 1.5 x 10-24mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI067 Square/Rectangular Plates Titanium 0.1mm Thickness, 2x2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI068 Square/Rectangular Plates Titanium 0.1mm Thickness, 3x2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI069 Square/Rectangular Plates Titanium 0.1mm Thickness, 4x2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 507 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI070 Medicon Leipzig Mandibular Plates Straight Plates, Titanium 3 hole 100mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI071 Medicon Leipzig Mandibular Plates Straight Plates, Titanium 4 hole 100mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI072 Medicon Leipzig Mandibular Plates Straight Plates, Titanium 5 hole 120mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI073 Medicon Leipzig Mandibular Plates Straight Plates, Titanium 6 hole 130mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI074 Medicon Leipzig Mandibular Plates Straight Plates, Titanium 8 hole 150mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI075 Medicon Leipzig Mandibular Plates Straight Plates, Titanium 9 hole 160mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI076 Medicon Leipzig Mandibular Plates Straight Plates, Titanium 11 hole 180mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI077 Medicon Leipzig Mandibular Plates Angled Plates Left and Right, 85mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 508 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI078 Medicon Leipzig Mandibular Plates Angled Plates Left and Right, 105mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI079 Medicon Leipzig Mandibular Plates Angled Plates Left and Right, 135mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI080 Medicon Leipzig Mandibular Plates Angled Plates Left and Right, 165mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI081 Medicon Leipzig Mandibular Plates Total Reconstruction Plates, 100mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI082 Medicon Leipzig Mandibular Plates Total Reconstruction Plates, 130mm, 2mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI083 Medicon Leipzig Mandibular Plates Condylar Implants: Short & Long. 40mm-48mm Only to be funded where<br />
and Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI084 Medicon Leipzig Mandibular Plates Fracture Plates: Titanium 4 hole, 1.7mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI085 Medicon Leipzig Mandibular Plates Fracture Plates: Titanium 6 hole, 1.7mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 509 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI086 Medicon Leipzig Mandibular Plates Fracture Plates: Titanium 8 hole, 1.7mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI087 Medicon Leipzig Mandibular Plates Fracture Plates: Titanium 16 hole, 1.7mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI088 Medicon Leipzig Mandibular Plates Fracture Plates: short angled. 4 hole. 1.7mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI089 Medicon Leipzig Mandibular Plates Fracture Plates: long angled. 4 hole. 1.7mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI090 Medicon Leipzig Mandibular Plates Fracture Plates: angled. Titanium 6 hole. 1.7mm Thickness Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI091 Medicon Leipzig Mandibular Plates Screws: Condylar. Titanium 2.7mm diameter, 7mm-23mm length Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI092 Medicon Leipzig Mandibular Plates Screws, Titanium 2.7 x 7 - 15mm Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI093 Medicon Leipzig Mandibular Plates Screws, Titanium 2.7 x 17 - 23mm and emergency Only to be funded where<br />
and Screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 510 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI094 Medicon Salyer CMS System Plates, Titanium 0.4mm Thickness, 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI095 Medicon Salyer CMS System Plates, Titanium 0.4mm Thickness, 6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI096 Medicon Salyer CMS System Plates, L-plate, Titanium 0.4mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI097 Medicon Salyer CMS System Plates, T-plate, Titanium 0.4mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI098 Medicon Salyer CMS System Plates, Y-plate, Titanium 0.4mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI099 Medicon Salyer CMS System Plates,. Double-Y, Titanium 0.4mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI100 Medicon Salyer CMS System Plates, Titanium 9mm burr hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI101 Medicon Salyer CMS System Plates, Titanium 13mm burr hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 511 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI102 Medicon Salyer CMS System Plates, Titanium 16mm burr hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI103 Medicon Salyer CMS System Plates, Titanium 0.5mm Thickness, 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI104 Medicon Salyer CMS System Plates, Titanium 0.5mm Thickness, 6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI105 Medicon Salyer CMS System Plates, Titanium 0.5mm Thickness, 16 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI106 Medicon Salyer CMS System Plates, L-plate, Titanium 0.5mm Thickness, 4 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI107 Medicon Salyer CMS System Plates, L-plate, Titanium 0.5mm Thickness, 6 hole Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI108 Medicon Salyer CMS System Plates, H-Plate, Titanium 0.5mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI109 Medicon Salyer CMS System Plates, T-Plate, Titanium 0.5mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 512 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI110 Medicon Salyer CMS System Plates,. Y-Plate, Titanium 0.5mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI111 Medicon Salyer CMS System Plates, Double-Y, Titanium 0.5mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI112 Medicon Salyer CMS System Plates, Double-Y with Bar. Titanium 0.5mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI113 Medicon Salyer CMS System Plates, Orbital. Titanium 0.5mm Thickness Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI114 Medicon Salyer CMS System Mesh Plates, Titanium 80mm, 0.1-0.2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI115 Medicon Salyer CMS System Mesh Plates, Titanium 130mm, 0.1-0.2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI116 Medicon Salyer CMS System Osteosynthesis Plates: Titanium 8mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI117 Medicon Salyer CMS System Osteosynthesis Plates: Titanium 10mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 513 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI118 Medicon Salyer CMS System Osteosynthesis Plates: Titanium 12mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI119 Medicon Salyer CMS System Screws, Titanium 2 - 12mm x 0.9mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI120 Medicon Salyer CMS System Screws, Titanium 2mm-12mm x 1.2mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI121 Osteosynthesis system for Hand Ti-Bone Screws 1.2mm x 6-17mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI122 Osteosynthesis system for Hand Ti-Bone Screws 1.6mm x 6-25mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI123 Osteosynthesis system for Hand Ti-Bone Screws 2.7mm x 8-20mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI124 Osteosynthesis system for Hand Ti-Washers for Screws 1.2mm x 2.7mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI125 Osteosynthesis system for Hand 4-Hole Plate 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 514 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI126 Osteosynthesis system for Hand Ti-Bone Screws 2.3 mm x 6-25mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI127 Osteosynthesis system for Hand 4-Hole Compression Plate 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI128 Osteosynthesis system for Hand 6-Hole Plate 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI129 Osteosynthesis system for Hand 6-Hole Compression Plate 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NI130 Osteosynthesis system for Hand 6-Hole "T" Plate 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI131 Osteosynthesis system for Hand 7-Hole Plate "Y" 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI132 Osteosynthesis system for Hand 7-Hole Compression Plate "Y" 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI133 Osteosynthesis system for Hand 12-Hole Plate 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 515 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NI134 Osteosynthesis system for Hand 12-Hole Plate "FIR" 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI135 Osteosynthesis system for Hand Bone Plate "Z" 8-16 holes 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
NI136 Osteosynthesis system for Hand Condylar Bone Plate 1mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Nobel Biocare<br />
<strong>Prostheses</strong>, Dental, Implantable<br />
NR001 Branemark Abutments Abutment, complete 3.5, 4.5, 5.0, 6.0, 7.0mm Diameter Endosseous Implants -<br />
(Not to be included for<br />
dental treatment except as<br />
a secondary procedure<br />
when partial or complete<br />
resection of a mandible or<br />
maxilla has been<br />
undertaken for removal of<br />
an extensive tumour or<br />
cyst.)<br />
NR002 Branemark Cover Screws Cover screw 3, 3.3, 3.75, 4, 4.3, 5, 5.5, 6mm Endosseous Implants -<br />
(Not to be included for<br />
dental treatment except as<br />
a secondary procedure<br />
when partial or complete<br />
resection of a mandible or<br />
maxilla has been<br />
undertaken for removal of<br />
an extensive tumour or<br />
cyst.)<br />
Page 516 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
NR003 Branemark Fixtures Titanium Fixture 3, 4, 5mm Endosseous Implants -<br />
(Not to be included for<br />
dental treatment except as<br />
a secondary procedure<br />
when partial or complete<br />
resection of a mandible or<br />
maxilla has been<br />
undertaken for removal of<br />
an extensive tumour or<br />
cyst.)<br />
NR004 Healing Abutment Complete Abutment Coping One Size Only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NR005 Dental implants Titanium Fixtures - SteriOss Dia 3.25 - 6.0mm Length 7 - 18mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NR006 Branemark Novum System Titanium - Kit Fixture System One size only Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
NR007 Branemark Titanium Fixture Zygomaticus Fixture 30, 35, 42.5, 40, 45, 47.5, 50, Only to be funded where<br />
52.5mm Length used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Pacific Medical<br />
Grafts, Bone, Synthetic<br />
PM001 Perioglas: Bioglass granules 0.5cc Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 517 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
PM002 Perioglas: Bioglass granules 1.5cc Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
PM003 Perioglas: Bioglass granules 3.0cc Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Rudolf Gunz Co. Pty Ltd<br />
<strong>Prostheses</strong>, Dental, Implantable<br />
RU001 3i Abutment Complete Titanium 3.25 - 6mm diameter Endosseous Implants -<br />
(Not to be included for<br />
dental treatment except as<br />
a secondary procedure<br />
when partial or complete<br />
resection of a mandible or<br />
maxilla has been<br />
undertaken for removal of<br />
an extensive tumour or<br />
cyst.)<br />
RU002 3i Self Tapping Threaded Implants and Osseotite/Ice 3.25 - 6mm diameter Endosseous Implants -<br />
3i Coverscrew (Not to be included for<br />
dental treatment except as<br />
a secondary procedure<br />
when partial or complete<br />
resection of a mandible or<br />
maxilla has been<br />
undertaken for removal of<br />
an extensive tumour or<br />
cyst.)<br />
Page 518 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
Stryker Australia Pty Ltd<br />
Cement, Orthopedic<br />
ST071 Bonesource Hydroxyapatite Cement Leibinger Bonesource HA Cement 5g pack Only to be funded where<br />
with Sodium Phosphate Hydroxyapatite With Sodium used in a service for<br />
Phosphate which a Medicare Benefit<br />
is payable<br />
ST073 Bonesource Hydroxyapatite Cement Leibinger Bonesource HA Cement 10g pack Only to be funded where<br />
with Sodium Phosphate Hydroxyapatite With Sodium used in a service for<br />
Phosphate which a Medicare Benefit<br />
is payable<br />
ST075 Bonesource Hydroxyapatite Cement Leibinger Bonesource HA Cement 25g pack Only to be funded where<br />
with Sodium Phosphate Hydroxyatatite With Sodium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Mesh, Polyglycolic Acid<br />
ST526 Stryker Leibinger Resorbable Fixation Resorbable Mesh Tripolymer 55x55mm Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Orthopedic Internal Fixation Systems, Fracture<br />
ST369 Luhr Fixation System Luhr Mandibular Compression Curved: 30,38, 45mm, Straight: 30, Only to be funded where<br />
System: curved, straight, metacarpal 40, 50, 60, 80mm, metacarpal: 41, used in a service for<br />
plate Vitallium 45mm which a Medicare Benefit<br />
is payable<br />
ST370 Luhr Fixation System Luhr Mandibular Compression 4 holes, 42mm and 50mm Only to be funded where<br />
System: 3D plate, condensed plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST371 Luhr Fixation System Luhr Mandibular Compression 6 holes, 63mm and 75mm Only to be funded where<br />
System: 3D plate, condensed plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
Page 519 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST372 Luhr Fixation System Luhr Mandibular Compression 8 holes, 84mm and 100mm Only to be funded where<br />
System: 3D plate, condensed plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST373 Luhr Fixation System Luhr Mandibular Compression 10 holes, 120mm Only to be funded where<br />
System: 3D plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST374 Luhr Fixation System Luhr Mandibular Compression 12 holes, 150mm Only to be funded where<br />
System: 3D plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST375 Luhr Fixation System Luhr Mandibular Compression 14 holes, 170mm Only to be funded where<br />
System: 3D plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST376 Luhr Fixation System Luhr Mandibular Compression 16 holes, 200mm Only to be funded where<br />
System 3D plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST378 Luhr Fixation System Luhr Mandibular Compression and 2.7x6-34mm, emergency: Only to be funded where<br />
Reconstruction System Screws: 3.0x10-14mm used in a service for<br />
self-tapping and MCS emergency which a Medicare Benefit<br />
screws Vitallium is payable<br />
ST379 Luhr Fixation System Luhr Mandibular Reconstruction 23 holes, 40x124mm Only to be funded where<br />
System: 3D plate, angled, extra long, used in a service for<br />
right/left Vitallium which a Medicare Benefit<br />
is payable<br />
ST380 Luhr Fixation System Luhr Mandibular Reconstruction 17 holes, 40x86mm Only to be funded where<br />
System: 3D plate, angled, long, used in a service for<br />
right/left Vitallium which a Medicare Benefit<br />
is payable<br />
Page 520 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST381 Luhr Fixation System Luhr Mandibular Reconstruction 16 holes, 40x61mm Only to be funded where<br />
System: 3D plate, angled, medium, used in a service for<br />
right/left Vitallium which a Medicare Benefit<br />
is payable<br />
ST382 Luhr Fixation System Luhr Mandibular Reconstruction 12 holes, 40x36mm Only to be funded where<br />
System: 3D plate, angled, short, used in a service for<br />
right/left Vitallium which a Medicare Benefit<br />
is payable<br />
ST383 Luhr Fixation System Luhr Mandibular Reconstruction 40mm Only to be funded where<br />
System: MRS connecting plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST384 Luhr Fixation System Luhr Mandibular Reconstruction 11 holes, 2.7x80mm Only to be funded where<br />
System: straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST385 Luhr Fixation System Luhr Mandibular Reconstruction 12 holes, 2.7x100mm Only to be funded where<br />
System: straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST386 Luhr Fixation System Luhr Mandibular Reconstruction 15 holes, 2.7x130mm Only to be funded where<br />
System: straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST387 Luhr Fixation System Luhr Mandibular Reconstruction 19 holes, 2.7x160mm, 23 holes, Only to be funded where<br />
System: straight plate Vitallium 2.7x190mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST388 Luhr Fixation System Luhr Mandibular Reconstruction Ramus 40mm Body 124mm Only to be funded where<br />
System: ramus joint plate, used in a service for<br />
extra-long, left Vitallium which a Medicare Benefit<br />
is payable<br />
Page 521 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST389 Luhr Fixation System Luhr Mandibular Reconstruction 8mm Only to be funded where<br />
System: ramus joint screw Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST390 Luhr Fixation System Luhr Micro and Pan Fixation 40x60mm Only to be funded where<br />
Systems: Micro mesh Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST391 Luhr Fixation System Luhr Micro and Pan Fixation 60x100mm Only to be funded where<br />
Systems: Micro mesh Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST392 Luhr Fixation System Luhr Micro Fixation System: micro 6 holes, 6x7mm Only to be funded where<br />
double-T-shape plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST393 Luhr Fixation System Luhr Micro Fixation System: micro 7 holes, 10x10mm Only to be funded where<br />
double-T-shape plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST394 Luhr Fixation System Luhr Micro Fixation System: micro 11 holes, 10/18mm Only to be funded where<br />
double-T-shape plate, Y-shape plate, used in a service for<br />
ladder plate Vitallium which a Medicare Benefit<br />
is payable<br />
ST395 Luhr Fixation System Luhr Micro Fixation System: micro 5 holes, 14x2.5mm, 14x4mm, 7 Only to be funded where<br />
L-shape plate Vitallium holes, 22x4mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST396 Luhr Fixation System Luhr Micro Fixation System: micro 4 holes, 14mm Only to be funded where<br />
straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 522 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST397 Luhr Fixation System Luhr Micro Fixation System: micro 6 holes, 22mm Only to be funded where<br />
straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST398 Luhr Fixation System Luhr Micro Fixation System: micro 8 holes, 30mm Only to be funded where<br />
straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST399 Luhr Fixation System Luhr Micro Fixation System: micro 10 holes, 40mm Only to be funded where<br />
straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST400 Luhr Fixation System Luhr Micro Fixation System: micro 15 holes, 60mm Only to be funded where<br />
straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST401 Luhr Fixation System Luhr Micro Fixation System: micro 22 holes, 90mm Only to be funded where<br />
straight plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST402 Luhr Fixation System Luhr Micro Fixation System: micro 6 holes, 14mm, 8 holes, 22mm Only to be funded where<br />
T-shape plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST403 Luhr Fixation System Luhr Pan Fixation System: micro 6 holes Only to be funded where<br />
T-shape plate, custom Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST404 Luhr Fixation System Luhr Micro Fixation System: ladder 10 Holes, 6 x 8mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 523 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST405 Luhr Fixation System Luhr Micro Fixation System: 8 Holes, 22mm Only to be funded where<br />
double-Y-shape plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST406 Luhr Fixation System Luhr Micro Fixation System: 1.0x8-12mm Pack of 6 Only to be funded where<br />
emergency screws Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST407 Luhr Fixation System Luhr Micro Fixation System: 0.8x2-8mm Pack of 6 Only to be funded where<br />
cortical screws Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST408 Luhr Fixation System Luhr Micro Fixation System: 1.0x2-6mm Only to be funded where<br />
emergency screws Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST409 Luhr Fixation System Luhr Mini Fixation System: 4 holesx22mm, 15 holesx45mm Only to be funded where<br />
compression, T-shape, zig-zag plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST410 Luhr Fixation System Luhr Mini Fixation System: 4 holes x 21mm, 5 holes x 27mm, 7 Only to be funded where<br />
compression mini curved plate holes x 38mm, 9 holes x 50mm used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST411 Luhr Fixation System Luhr Mini Fixation System: 4 holes x 22mm, 4 holes x 37mm Only to be funded where<br />
compression mini T-shape plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST412 Luhr Fixation System Luhr Pan Fixation System: 4 holes x 12mm, 6 holes x 18mm, 12 Only to be funded where<br />
condensed, straight plate Vitallium holes x 36mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 524 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST413 Luhr Fixation System Luhr Pan Fixation System: 4 holes, 12mm Only to be funded where<br />
double-T-shape plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST414 Luhr Fixation System Luhr Pan Fixation System: ladder 10 holes, 39 x 9mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST415 Luhr Fixation System Luhr Pan Fixation System: L-shape 4 holes, 16 x 9mm, 22 x 9mm Only to be funded where<br />
plate, 90 deg Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST416 Luhr Fixation System Luhr Pan Fixation System: L-shape 4 holes, 16 x 9mm, 22 x 9mm Only to be funded where<br />
plate, 110 deg Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST417 Luhr Fixation System Luhr Pan Fixation System: straight 4 holes, 21mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST418 Luhr Fixation System Luhr Pan Fixation System: straight 6 holes, 33mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST419 Luhr Fixation System Luhr Pan Fixation System: straight 8 holes, 45mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST420 Luhr Fixation System Luhr Pan Fixation System: straight 16 holes, 93mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 525 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST421 Luhr Fixation System Luhr Pan Fixation System: X-shape 4 holes, 18mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST422 Luhr Fixation System Luhr Pan Fixation System: Y-shape 4 holes, 16, 22mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST423 Luhr Fixation System Luhr Pan Fixation System: T-shape 4 Holes, 22mm Only to be funded where<br />
plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST424 Luhr Fixation System Luhr Mini Fixation System: mini 4 holes, 21mm Only to be funded where<br />
curved plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST425 Luhr Fixation System Luhr Mini Fixation System: mini 5 holes, 27mm Only to be funded where<br />
curved plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST426 Luhr Fixation System Luhr Mini Fixation System: mini 7 holes, 38mm Only to be funded where<br />
curved plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST427 Luhr Fixation System Luhr Mini Fixation System: mini 11 holes, 50mm Only to be funded where<br />
curved, compression plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST428 Luhr Fixation System Luhr Mini Fixation System: mini 4 holes, 15mm Only to be funded where<br />
double-T-shape plate, used in a service for<br />
non-compression plate Vitallium which a Medicare Benefit<br />
is payable<br />
Page 526 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST429 Luhr Fixation System Luhr Mini Fixation System: mini 4 holes x 20mm Only to be funded where<br />
double-T-shape plate, used in a service for<br />
non-compression plate Vitallium which a Medicare Benefit<br />
is payable<br />
ST430 Luhr Fixation System Luhr Mini Fixation System: Z 4 holes x 25mm Only to be funded where<br />
shaped plate Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST431 Luhr Fixation System Luhr Mini Fixation System: mini 9 holes, 30mm Only to be funded where<br />
double-T-shape plate, used in a service for<br />
non-compression plate Vitallium which a Medicare Benefit<br />
is payable<br />
ST432 Luhr Fixation System Luhr Mini Fixation System: mini 8 holes, 60mm Only to be funded where<br />
fragmentation plate, used in a service for<br />
non-compression plate Vitallium which a Medicare Benefit<br />
is payable<br />
ST433 Luhr Fixation System Luhr Mini Fixation System: mini 12 holes, 90mm Only to be funded where<br />
fragmentation plate, used in a service for<br />
non-compression plate Vitallium which a Medicare Benefit<br />
is payable<br />
ST434 Luhr Fixation System Luhr Mini Fixation System: 4 holes, 2.0x17.5mm, 2.0x22mm Only to be funded where<br />
non-compression mini L-shape used in a service for<br />
plate, right/left, 90/110 deg which a Medicare Benefit<br />
is payable<br />
ST435 Luhr Fixation System Luhr Mini Fixation System: 4 holes, 2.0x22mm Only to be funded where<br />
compression mini L-shape plate, used in a service for<br />
right/left, 90/110 deg Vitallium which a Medicare Benefit<br />
is payable<br />
ST436 Luhr Fixation System Luhr Mini Fixation System: 6 holes, 2.0x37mm Only to be funded where<br />
non-compression mini L-shape used in a service for<br />
plate, 90/110 deg, right/left which a Medicare Benefit<br />
is payable<br />
Page 527 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST437 Luhr Fixation System Luhr Mini Fixation System: 2.0 x 37mm Only to be funded where<br />
compression mini L-shape plate, used in a service for<br />
right/left, 90/110 deg Vitallium which a Medicare Benefit<br />
is payable<br />
ST439 Luhr Fixation System Luhr Mini Fixation System: 4 holes, 2.0 x 21mm, 2.0 x 29mm, 2.0 Only to be funded where<br />
non-compression mini straight plate x 37mm used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST440 Luhr Fixation System Luhr Mini Fixation System: 4 holes, 2.0 x 22mm Only to be funded where<br />
non-compression mini Y-shape plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST441 Luhr Fixation System Luhr Mini Fixation System: 6 holes, 2.0 x 28mm Only to be funded where<br />
non-compression mini Y-shape plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST442 Luhr Fixation System Luhr Mini Fixation System: 4 holes, 2.0 x 17mm, 2.0 x 22mm Only to be funded where<br />
non-compression mini Z-shape plate used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST443 Luhr Fixation System Luhr Mini Fixation System: 6mm, 8mm, 10mm, 12mm Pack of 6 Only to be funded where<br />
emergency screws Vitallium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST444 Luhr Fixation System Luhr Mini/ Pan Fixation System: 3-20mm. Pack of 6 Only to be funded where<br />
emergency and standard screws used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
ST445 Luhr Fixation System Luhr Mini Fixation System: small 3, 4, 6, 8, 10, 12, 14, 16, 18, 20mm Only to be funded where<br />
fragment and emergency screws Pack of 6 used in a service for<br />
Vitallium which a Medicare Benefit<br />
is payable<br />
Page 528 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST850 Dynamic Mesh Titanium cranio maxillofacial mesh 0.6 x 200 x 200mm for 1.0 - 1.4mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST851 Dynamic Mesh Titanium cranio maxillofacial mesh 0.3 x 120 x 120mm for 1.0 - 1.4mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST852 Dynamic Mesh Titanium cranio maxillofacial mesh 0.6 x 120 x 120mm for 1.0 - 1.4mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST853 Dynamic Mesh Titanium cranio maxillofacial mesh 0.3 x 120 x 120mm for 1.7 - 1.9mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST854 Dynamic Mesh Titanium cranio maxillofacial mesh 0.6 x 120 x 120mm for 1.7 - 1.9mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST855 Dynamic Mesh Titanium cranio maxillofacial mesh 0.3 x 120 x 120mm for 2.0 - 2.3mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST856 Dynamic Mesh Titanium cranio maxillofacial mesh 0.6 x 120 x 120mm for 2.0 - 2.3mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST857 Dynamic Mesh Titanium cranio maxillofacial mesh 0.6 x 200 x 200mm for 1.7 - 1.9mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 529 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST858 Dynamic Mesh Titanium cranio maxillofacial mesh 0.6 x 200 x 200mm for 2.0 - 2.3mm Only to be funded where<br />
for the fixation of fractures screws used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST859 Quik Disk, cranial clamp Cranio and maxillofacial mesh for the 14 and 20mm Only to be funded where<br />
fixation of fractures used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST860 Neuroclip Used for permanent fixation of 1.7mm Only to be funded where<br />
cranial bone flaps used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST861 Auto Pilot Cross Pin Self-drilling Used for permanent fixation of Dia 1.9 x length 4mm Only to be funded where<br />
cranial bone flaps used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST862 Auto Pilot Cross Pin Self-drilling Used for permanent fixation of Dia 1.7 x length 4 - 7mm Only to be funded where<br />
cranial bone flaps used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST863 Auto Pilot Cross Pin Self-drilling Used for permanent fixation of Dia 2.0 x length 4 - 8mm Only to be funded where<br />
cranial bone flaps used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST864 Auto Pilot Cross Pin Self-drilling Used for permanent fixation of Dia 2.3 x lengths 4 and 6mm Only to be funded where<br />
cranial bone flaps used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Plates, Bone<br />
ST076 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.0mm, 4 holes Only to be funded where<br />
System: mini bone plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 530 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST077 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.0mm, 6 holes Only to be funded where<br />
System: mini bone plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST078 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.0mm, 16 holes Only to be funded where<br />
System: mini bone plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST079 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.0mm, 5 holes Only to be funded where<br />
System: mini compression plate used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST080 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.0mm, 4x2 holes Only to be funded where<br />
System: mini 3D plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST081 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.0mm, 3x2 holes Only to be funded where<br />
System: mini 3D plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST086 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x4 holes Only to be funded where<br />
System: straight plate, short used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST087 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x4 holes Only to be funded where<br />
System: straight plate, medium used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST088 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x4 holes Only to be funded where<br />
System: straight plate, long used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 531 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST089 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x6 holes Only to be funded where<br />
System: straight plate, short used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST090 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x6 holes Only to be funded where<br />
System: straight plate, medium used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST091 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x6 holes Only to be funded where<br />
System: straight plate, long used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST092 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x8 holes Only to be funded where<br />
System: straight plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST093 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x14 holes Only to be funded where<br />
System: straight plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST094 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x6 holes Only to be funded where<br />
System: angled plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST095 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x4 holes Only to be funded where<br />
System: C-shape plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST096 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x4 holes Only to be funded where<br />
System: straight EDCP plate, short used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
Page 532 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST097 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x4 holes Only to be funded where<br />
System: straight EDCP plate, used in a service for<br />
medium Titanium which a Medicare Benefit<br />
is payable<br />
ST098 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.3x6-22mm Only to be funded where<br />
System: screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST099 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.7mm, 8 holes Only to be funded where<br />
System: bridging plate, straight used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST100 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.7mm, 11 holes Only to be funded where<br />
System: bridging plate, straight used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST101 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.7mm, 14 holes Only to be funded where<br />
System: bridging plate, straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST102 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 2.7mm, 17 holes Only to be funded where<br />
System: bridging, plate, straight used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST103 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 4+ 8 holes Only to be funded where<br />
System: bridging plate, angled, used in a service for<br />
right/left Titanium which a Medicare Benefit<br />
is payable<br />
ST104 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 4+ 11 holes Only to be funded where<br />
System: bridging plate, angled, used in a service for<br />
right/left Titanium which a Medicare Benefit<br />
is payable<br />
Page 533 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST105 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 4+ 14 holes Only to be funded where<br />
System: bridging plate, right/left used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST106 Leibinger Titanium Implant System Leibinger COM/MAND Fixation 4 + 8 holes Only to be funded where<br />
System: bridging plate, right used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST119 Leibinger Titanium Implant System Leibinger M-TAM Mesh System: 20x30mm Only to be funded where<br />
micro augmentation mesh Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST120 Leibinger Titanium Implant System Leibinger M-TAM Mesh System: 40x40mm Only to be funded where<br />
micro augmentation mesh Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST121 Leibinger Titanium Implant System Leibinger M-TAM Mesh System: 55x55mm Only to be funded where<br />
micro augmentation mesh Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST122 Leibinger Titanium Implant System Leibinger M-TAM Mesh System: 60x120mm Only to be funded where<br />
micro augmentation mesh Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST123 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 4 holes Only to be funded where<br />
Straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST124 Leibinger Titanium Implant System Leibinger Bone plate: LEAD plate 4 holes Only to be funded where<br />
Titanium Transport and base plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 534 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST125 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 6 holes Only to be funded where<br />
Straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST126 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 8 holes Only to be funded where<br />
Straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST127 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 12 holes Only to be funded where<br />
Straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST128 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 16 holes Only to be funded where<br />
Straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST129 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 24 holes Only to be funded where<br />
Straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST130 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 5 holes Only to be funded where<br />
straight, L-shape, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST131 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 8 holes Only to be funded where<br />
straight, L-shape, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST132 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 5 holes Only to be funded where<br />
T-shape, 90 deg Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 535 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST133 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 7 holes Only to be funded where<br />
T-shape, 90 deg Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST134 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 7 holes Only to be funded where<br />
double-T-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST135 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 9 holes Only to be funded where<br />
double-T-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST136 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 14 holes Only to be funded where<br />
double-T-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST137 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 6 holes Only to be funded where<br />
Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST138 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 6 holes Only to be funded where<br />
double-Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST139 Leibinger Titanium Implant System Leibinger Micro Plus Bone plate: 7holes Only to be funded where<br />
double-Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST140 Leibinger Titanium Implant System Leibinger Micro, Micro Plus and 8 holes Only to be funded where<br />
Low Profile Bone plate: orbital used in a service for<br />
plate, curved Titanium which a Medicare Benefit<br />
is payable<br />
Page 536 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST141 Leibinger Titanium Implant System Leibinger Burr Hole Cover: curved 7, 10, 14mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST142 Leibinger Titanium Implant System Leibinger 3D plate Titanium 1.2x2-6mm, 0.55mm height Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST143 Leibinger Titanium Implant System Leibinger 3D plate Titanium 1.2x7-10mm, 0.55mm height Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST144 Leibinger Titanium Implant System Leibinger 3D plate Titanium 1.2x11-12mm, 0.55mm height Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST151 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, 0.55mm height Only to be funded where<br />
plate: regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST152 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, 6mm, 8mm, 10mm bar, Only to be funded where<br />
plate: with bar Titanium 0.55mm height used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST153 Leibinger Titanium Implant System Leibinger Steinhauser plate: long 4 holes, 0.55mm height Only to be funded where<br />
with bar Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST154 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 6 holes, 0.55mm height Only to be funded where<br />
plate: regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 537 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST155 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 6 holes, 12mm, 0.55mm height Only to be funded where<br />
Plate: with bar Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST156 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 8 holes, 0.55mm height Only to be funded where<br />
plate: regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST157 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 16 holes, 0.55mm height Only to be funded where<br />
plate: regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST158 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 30 holes, 6mm bar, 0.55mm height Only to be funded where<br />
plate: regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST159 Leibinger Titanium Implant System LeibingerSteinhauser plate: regular 30 holes, 6mm bar, 0.55mm height Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST160 Leibinger Titanium Implant System Leibinger Mini Bone plate: regular, 4 holes, 0.55mm height Only to be funded where<br />
L-shape, 90 deg, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST161 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, 6mm bar, 0.55mm height Only to be funded where<br />
plate: L-shape, 90 deg, with bar, used in a service for<br />
right/left Titanium which a Medicare Benefit<br />
is payable<br />
ST162 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, 8mm bar, 0.55mm height Only to be funded where<br />
plate: L-shape, 90 deg, with bar, used in a service for<br />
right/left Titanium which a Medicare Benefit<br />
is payable<br />
Page 538 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST163 Leibinger Titanium Implant System Leibinger Steinhauser plate: 5 holes, 8mm bar, 0.55mm height Only to be funded where<br />
L-shape, right/left, with bar used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST164 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, 10mm bar, 0.55mm height Only to be funded where<br />
plate: L-shape, 90 deg, with bar, used in a service for<br />
right/left Titanium which a Medicare Benefit<br />
is payable<br />
ST165 Leibinger Titanium Implant System Leibinger Steinhauser plate: 7 holes, 10mm bar, 0.55mm height Only to be funded where<br />
L-shape, right/left, with bar used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST166 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 5 holes, 12mm bar, 0.55mm height Only to be funded where<br />
plate: L-shape, 90 deg, with bar, used in a service for<br />
right/left Titanium which a Medicare Benefit<br />
is payable<br />
ST167 Leibinger Titanium Implant System Leibinger Steinhauser plate: 9 holes, 12mm bar, 0.55mm height Only to be funded where<br />
L-shape, right/left, with bar used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST168 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, 8mm bar, 0.55mm height Only to be funded where<br />
plate: T-shape, narrow, with bar used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST169 Leibinger Titanium Implant System Leibinger Steinhauser plate: 4 holes, 8mm bar, 0.55mm height Only to be funded where<br />
T-shape, with bar Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST170 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, with 12mm bar, 0.55mm Only to be funded where<br />
plate: T-shape, narrow, with bar height used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 539 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST171 Leibinger Titanium Implant System Leibinger Steinhauser plate: 8 holes, 12mm bar, 0.55mm height Only to be funded where<br />
T-shape, with bar Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST172 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 6 holes, 0.55mm height Only to be funded where<br />
plate: regular, T-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST173 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 6 holes, 0.55mm height Only to be funded where<br />
regular, T-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST174 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 5 holes, 10mm bar, 0.55mm height Only to be funded where<br />
plate: T-shape, with bar Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST175 Leibinger Titanium Implant System Non-compression Hand plate: 5 holes, 10mm bar, 0.55mm height Only to be funded where<br />
regular, T-shape, 70 right/left used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST176 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 6 holes, 0.55mm height Only to be funded where<br />
plate: double-T-shape, narrow used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST177 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 5 holes, 0.55mm height Only to be funded where<br />
plate: regular, Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST178 Leibinger Titanium Implant System Non-compression Hand plate: 5 holes, 0.55mm height Only to be funded where<br />
regular, Y-shape, short, long used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 540 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST179 Leibinger Titanium Implant System Non-compression Hand plate: 5 holes, 0.55mm height Only to be funded where<br />
regular, Y-shape, long, regular used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST180 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 5 holes, 8mm bar, 0.55mm height Only to be funded where<br />
plate: Y-shape, with bar used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST181 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 5 holes, 12mm bar, 0.55mm height Only to be funded where<br />
plate: Y-shape, with bar Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST182 Leibinger Titanium Implant System Leibinger Steinhauser plate: 5 holes, 12mm bar, 0.55mm height Only to be funded where<br />
Y-shapeTitanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST183 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 6 holes, 0.55mm height Only to be funded where<br />
plate: double-Y-shape, regular used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST184 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 6 holes, 8mm bar, 0.55mm height Only to be funded where<br />
plate: double-Y-shape, with bar used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST185 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 7 holes, 0.55mm height Only to be funded where<br />
plate: double-Y-shape, regular used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST186 Leibinger Titanium Implant System Leibinger Steinhauser plate: 7 holes, 0.55mm height Only to be funded where<br />
double-Y-shape, with bar Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 541 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST187 Leibinger Titanium Implant System Leibinger E-Z Flap Bone Fixation 1.7mm for 7mm, 10mm, 14mm burr Only to be funded where<br />
plate Titanium holes, 2.0mm for 7mm, 10mm burr used in a service for<br />
holes, 0.55mm height which a Medicare Benefit<br />
is payable<br />
ST188 Leibinger Titanium Implant System Leibinger Mini Wurzburg Orbita 4 holes, 6mm bar, 0.55mm height Only to be funded where<br />
Bone plate: curved, with bar used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST189 Leibinger Titanium Implant System Leibinger Mini Wurzburg Orbita 6 holes, 8mm bar, 0.55mm height Only to be funded where<br />
Bone plate: curved, with bar used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST190 Leibinger Titanium Implant System LeibingerSteinhauser Orbita Bone 6 holes, 0.55mm height Only to be funded where<br />
plate: curved Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST191 Leibinger Titanium Implant System Leibinger Mini Wurzburg Orbita 8 holes, 0.55mm height Only to be funded where<br />
Bone plate: curved Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST192 Leibinger Titanium Implant System Leibinger Steinhauser Orbita Bone 8 holes, 0.55mm height Only to be funded where<br />
plate: curved Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST193 Leibinger Titanium Implant System Leibinger Mini Wurzburg Orbita 10 holes, 0.55mm height Only to be funded where<br />
Bone plate: curved Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST194 Leibinger Titanium Implant System Leibinger Steinhauser Orbita Bone 10 holes, 0.55mm height Only to be funded where<br />
plate: curved Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 542 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST195 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, 0.55mm height Only to be funded where<br />
plate: L-shape, 110 deg, regular, used in a service for<br />
right/left Titanium which a Medicare Benefit<br />
is payable<br />
ST196 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 holes, with 6mm, 8mm, 10mm bar, Only to be funded where<br />
plate: L-shape, 110 deg, regular, 0.55mm height used in a service for<br />
with bar, right/left Titanium which a Medicare Benefit<br />
is payable<br />
ST197 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 4 & 5 holes, with 12mm bar, Only to be funded where<br />
plate: L-shape, 110 deg, regular, 0.55mm height used in a service for<br />
with bar, right/left Titanium which a Medicare Benefit<br />
is payable<br />
ST198 Leibinger Titanium Implant System Leibinger Mini Wurzburg 3D Bone 2x2 holes, 0.55mm height Only to be funded where<br />
plate: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST199 Leibinger Titanium Implant System Leibinger Mini Wurzburg 3D Bone 3x2 holes, 0.55mm height Only to be funded where<br />
plate: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST200 Leibinger Titanium Implant System Leibinger Mini Wurzburg 3D Bone 4x2 holes, 0.55mm height Only to be funded where<br />
plate: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST201 Leibinger Titanium Implant System Leibinger Mini Wurzburg 3D Bone 4x4 holes, 0.55mm, 0.55mm height Only to be funded where<br />
plate: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST202 Leibinger Titanium Implant System Leibinger Mini Wurzburg 3D Bone 6x4 holes, 0.55mm height Only to be funded where<br />
plate: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 543 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST203 Leibinger Titanium Implant System Leibinger Mini Wurzburg 3D 4x2 holes, 0.55mm height Only to be funded where<br />
Zygoma Bone plate: rectangular used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST204 Leibinger Titanium Implant System Leibinger Mini Wurzburg Bone 2 holes, 0.55mm height Only to be funded where<br />
plate: straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST205 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes Only to be funded where<br />
straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST206 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes, with 6mm, 8mm, 10mm bar Only to be funded where<br />
straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST207 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 6 holes Only to be funded where<br />
straight, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST208 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 6 holes, with 12mm bar Only to be funded where<br />
straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST209 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 8 holes Only to be funded where<br />
straight, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST210 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 16 holes Only to be funded where<br />
straight, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 544 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST211 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 30 holes, with 6mm bar Only to be funded where<br />
straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST212 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes Only to be funded where<br />
L-shape, 90 deg, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST213 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes, with 6mm bar Only to be funded where<br />
L-shape, 90 deg, 110 deg, right/left used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST214 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes, with 8mm bar Only to be funded where<br />
L-shape, 90 deg, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST215 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes, with 10mm bar Only to be funded where<br />
L-shape, 90 deg, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST216 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes, with 12mm bar Only to be funded where<br />
L-shape, 90 deg, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST217 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes, with 8mm Only to be funded where<br />
T-shape, narrow Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST218 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 12mm bar Only to be funded where<br />
T-shape, narrow Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 545 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST219 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 5 holes, with 10mm bar Only to be funded where<br />
T-shape, narrow Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST220 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 6 holes Only to be funded where<br />
double-T-shape, narrow Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST221 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 5 holes Only to be funded where<br />
Y-shape, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST222 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 5 holes, with 8mm bar Only to be funded where<br />
Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST223 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 5 holes, with 12mm bar Only to be funded where<br />
Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST224 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 6 holes Only to be funded where<br />
double-Y-shape, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST225 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 6 holes, with 8mm bar Only to be funded where<br />
double-Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST226 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 7 holes Only to be funded where<br />
double-Y-shape, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 546 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST227 Leibinger Titanium Implant System Leibinger Mini Wurzburg Orbita 4 holes, with 6mm bar Only to be funded where<br />
Flexplate: curved Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST228 Leibinger Titanium Implant System Leibinger Mini Wurzburg Orbita 6 holes, with 8mm bar Only to be funded where<br />
Flexplate: curved Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST229 Leibinger Titanium Implant System Leibinger Mini Wurzburg Orbita 8 holes Only to be funded where<br />
Flexplate: curved, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST230 Leibinger Titanium Implant System Leibinger Mini Wurzburg Orbita 10 holes Only to be funded where<br />
Flexplate: curved, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST231 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes Only to be funded where<br />
L-shape, 110 deg, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST232 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 4 holes, with 6mm, 8mm, 10mm bar Only to be funded where<br />
L-shape, 110 deg, right/left used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST233 Leibinger Titanium Implant System Leibinger Mini Wurzburg Flexplate: 5 holes, with 12mm bar Only to be funded where<br />
L-shape, 110 deg, right/left used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST234 Leibinger Titanium Implant System Leibinger Mini Wurzburg 4 holes, with 6 x 1mm bar Only to be funded where<br />
Compression Bone plate: L-shape, used in a service for<br />
C-shape Titanium which a Medicare Benefit<br />
is payable<br />
Page 547 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST235 Leibinger Titanium Implant System Leibinger Mini Wurzburg 6 holes, with 8 x 1mm bar Only to be funded where<br />
Compression Bone plate: L-shape, used in a service for<br />
C-shape Titanium which a Medicare Benefit<br />
is payable<br />
ST245 Leibinger Titanium Implant System Leibinger Mesh Implants Titanium 75 x 12 x 0.5mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST246 Leibinger Titanium Implant System Leibinger Mesh Implants Titanium 75 x 18 x 0.5mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST247 Leibinger Titanium Implant System Leibinger Mesh Implants Titanium .75 x 27 x 0.5mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST248 Leibinger Titanium Implant System Leibinger Mesh Implants Titanium 132.5 x 82.5 x 0.5mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST249 Leibinger Titanium Implant System Leibinger Micro Mesh Implants 0.2 x 60 x 60mm, 0.1 x 60 x 60mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST250 Leibinger Titanium Implant System Leibinger Micro Mesh Implants 0.1 x 60 x 120mm, 0.2 x 60 x 120mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST251 Leibinger Titanium Implant System Leibinger Micro Mesh Implants 0.1x120x120mm, 0.2x120x120mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 548 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST252 Leibinger Titanium Implant System Leibinger Dynamic Mesh Implants 0.3x40x40mm Only to be funded where<br />
Titanium. To be used with 1 - 1.4mm used in a service for<br />
screws which a Medicare Benefit<br />
is payable<br />
ST253 Leibinger Titanium Implant System Leibinger Dynamic Mesh Implants 0.3x85x85mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST254 Leibinger Titanium Implant System Leibinger Dynamic Mesh Implants 0.3x40x40mm Only to be funded where<br />
Titanium. To be used with 1.7 - used in a service for<br />
1.9mm screws which a Medicare Benefit<br />
is payable<br />
ST255 Leibinger Titanium Implant System Leibinger Dynamic Mesh Implants 0.3x90x90mm Only to be funded where<br />
Titanium. To be used with screw 1.7 used in a service for<br />
- 1.9mm which a Medicare Benefit<br />
is payable<br />
ST256 Leibinger Titanium Implant System Leibinger Dynamic Mesh Implants 0.3x40x40mm Only to be funded where<br />
Titanium. To be used with screw 2 - used in a service for<br />
2.3mm which a Medicare Benefit<br />
is payable<br />
ST257 Leibinger Titanium Implant System Leibinger Dynamic Mesh Implants 0.3x90x90mm, 0.6x90x90mm Only to be funded where<br />
Titanium. To be used with screw 2 - used in a service for<br />
2.3mm which a Medicare Benefit<br />
is payable<br />
ST263 Leibinger Titanium Implant System Leibinger Bridging plate: straight 8 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST264 Leibinger Titanium Implant System Leibinger Bridging plate: straight 11 holes Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 549 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST265 Leibinger Titanium Implant System Leibinger Bridging plate: straight 14 holes Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST266 Leibinger Titanium Implant System Leibinger Bridging plate: straight 17 holes Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST267 Leibinger Titanium Implant System Leibinger Bridging plate: angled, 4 +8 holes Only to be funded where<br />
right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST268 Leibinger Titanium Implant System Leibinger Bridging plate: angled, 4 +11 holes Only to be funded where<br />
right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST269 Leibinger Titanium Implant System Leibinger Bridging plate: angled, 4 +14 holes Only to be funded where<br />
right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST270 Leibinger Titanium Implant System Leibinger Full Mandibular Bridging 4 +17 + 4 holes Only to be funded where<br />
plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST271 Leibinger Titanium Implant System Leibinger Full Mandibular Bridging 4 +19 + 4 holes Only to be funded where<br />
plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST289 Leibinger Titanium Implant System Titanium Osteosynthesis and 8 holes, pack of 1 Only to be funded where<br />
Reconstruction plate: straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 550 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST290 Leibinger Titanium Implant System Titanium Osteosynthesis and 12 holes, pack of 1 Only to be funded where<br />
Reconstruction plate: straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST291 Leibinger Titanium Implant System Titanium Osteosynthesis and 16 holes, pack of 1 Only to be funded where<br />
Reconstruction plate: straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST292 Leibinger Titanium Implant System Titanium Osteosynthesis and 10 Hole, pack of 1 Only to be funded where<br />
Reconstruction plate: straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST293 Leibinger Titanium Implant System Titanium Osteosynthesis and 14 Hole, pack of 1 Only to be funded where<br />
Reconstruction plate: straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST294 Leibinger Titanium Implant System Titanium Osteosynthesis and 5 + 8 holes, pack of 1 Only to be funded where<br />
Reconstruction plate: angled used in a service for<br />
left/right Titanium which a Medicare Benefit<br />
is payable<br />
ST295 Leibinger Titanium Implant System Titanium Osteosynthesis and 5 + 16 holes, pack of 1 Only to be funded where<br />
Reconstruction plate: straight used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST296 Leibinger Titanium Implant System Titanium Osteosynthesis and 5 + 12 Holes, pack of 1 Only to be funded where<br />
Reconstruction plate: angled used in a service for<br />
left/right Titanium which a Medicare Benefit<br />
is payable<br />
ST297 Leibinger Titanium Implant System Titanium Osteosynthesis and Full Mandible 5 + 20 + 5 Holes, Only to be funded where<br />
Reconstruction plate: angled pack of 1 used in a service for<br />
left/right Titanium which a Medicare Benefit<br />
is payable<br />
Page 551 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST301 Leibinger Titanium Implant System Temporary Condylar Implants: 4 Hole Only to be funded where<br />
connector cover/base plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST306 Leibinger Titanium Implant System Leibinger Low Profile 3-D Plating 2x2 holes, 0.6mm Only to be funded where<br />
System: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST307 Leibinger Titanium Implant System Leibinger Low Profile 3-D Plating 2x3 holes, 0.6mm Only to be funded where<br />
System: square Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST308 Leibinger Titanium Implant System Leibinger Low Profile 3-D Plating 4x2 holes, 0.6mm Only to be funded where<br />
System: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST309 Leibinger Titanium Implant System Leibinger Low Profile 3-D Plating 4x4 holes, 0.6mm Only to be funded where<br />
System: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST310 Leibinger Titanium Implant System Leibinger Low Profile 3-D Plating 6x4 holes, 0.6mm Only to be funded where<br />
System: square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST311 Leibinger Titanium Implant System Plate - Leibinger Low Profile 4 holes Only to be funded where<br />
Osteosynthesis System: mini, used in a service for<br />
non-compression / compression, which a Medicare Benefit<br />
straight, regular / extended, medium / is payable<br />
long Titanium<br />
ST312 Leibinger Titanium Implant System Plate - Leibinger Low Profile 8 holes Only to be funded where<br />
Osteosynthesis System: mini, used in a service for<br />
non-compression, compression, which a Medicare Benefit<br />
straight, regular / extended, medium / is payable<br />
long Titanium<br />
Page 552 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST313 Leibinger Titanium Implant System Plate - Leibinger Low Profile 16 holes Only to be funded where<br />
Osteosynthesis System: mini, used in a service for<br />
non-compression, compression, which a Medicare Benefit<br />
straight, regular / extended, medium / is payable<br />
long Titanium<br />
ST314 Leibinger Titanium Implant System Leibinger Low Profile 4 holes Only to be funded where<br />
Osteosynthesis System: L-shape, used in a service for<br />
right/left, regular, medium, long which a Medicare Benefit<br />
is payable<br />
ST315 Leibinger Titanium Implant System Leibinger Low Profile 5 holes Only to be funded where<br />
Osteosynthesis System: L-shape, used in a service for<br />
right/left, long, extended Titanium which a Medicare Benefit<br />
is payable<br />
ST316 Leibinger Titanium Implant System Leibinger Low Profile 5, 6 holes Only to be funded where<br />
Osteosynthesis System: used in a service for<br />
double-T-shape, 90deg, regular, which a Medicare Benefit<br />
is payable<br />
ST317 Leibinger Titanium Implant System Leibinger Low Profile 4, 6 holes Only to be funded where<br />
Osteosynthesis System: T-shape: used in a service for<br />
90deg, 80deg, right/left, regular, which a Medicare Benefit<br />
is payable<br />
ST318 Leibinger Titanium Implant System Leibinger Low Profile 4 Hole Only to be funded where<br />
Osteosynthesis System: X-shape used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST319 Leibinger Titanium Implant System Leibinger Low Profile 5, 6 holes Only to be funded where<br />
Osteosynthesis System: Y-shape: used in a service for<br />
regular, long Titanium which a Medicare Benefit<br />
is payable<br />
ST320 Leibinger Titanium Implant System Leibinger Low Profile 6, 8 holes Only to be funded where<br />
Osteosynthesis System: used in a service for<br />
double-Y-shape: regular, long, which a Medicare Benefit<br />
is payable<br />
Page 553 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST321 Leibinger Titanium Implant System Leibinger Low Profile 6 holes Only to be funded where<br />
Osteosynthesis System: Plate, used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST322 Leibinger Titanium Implant System Leibinger Low Profile 6, 8 holes Only to be funded where<br />
Osteosynthesis System: orbita plate, used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST323 Leibinger Titanium Implant System Leibinger Low Profile 4 Hole Only to be funded where<br />
Osteosynthesis System: Z-plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST324 Leibinger Titanium Implant System Leibinger Mandible Burr Hole 1.7x14mm, 1.7x7mm Only to be funded where<br />
Cover Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST326 Leibinger Titanium Implant System Leibinger Micro 3D Plating System: 2x2 holes, 0.55mm profile Only to be funded where<br />
square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST327 Leibinger Titanium Implant System Leibinger Micro 3D Plating System: 2x3 holes, 0.55mm profile Only to be funded where<br />
square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST328 Leibinger Titanium Implant System Leibinger Micro 3D Plating System: 2x4 holes, 0.55mm profile Only to be funded where<br />
square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST329 Leibinger Titanium Implant System Leibinger Micro 3D Plating System: 4x4 holes, 0.55mm profile Only to be funded where<br />
square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 554 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST330 Leibinger Titanium Implant System Leibinger Micro 3D Plating System: 4x6 holes, 0.55mm profile Only to be funded where<br />
square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST331 Leibinger Titanium Implant System Leibinger Micro Bone plate 4 holes, 0.55mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST332 Leibinger Titanium Implant System Leibinger Micro Bone plate 6 holes, 0.55mm profile Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST333 Leibinger Titanium Implant System Leibinger Low Profile Bone Plate: 6 holes, 0.55mm profile Only to be funded where<br />
straight titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST334 Leibinger Titanium Implant System Leibinger Low Profile Bone Plate: 8 holes, 0.55mm profile Only to be funded where<br />
straight titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST335 Leibinger Titanium Implant System Leibinger Low Profile Bone Plate: 16 holes, 0.55mm profile Only to be funded where<br />
straight titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST336 Leibinger Titanium Implant System Leibinger Low Profile Bone Plate: 24 holes, 0.55mm profile Only to be funded where<br />
straight titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST337 Leibinger Titanium Implant System Leibinger Low Profile Bone Plate: 5 holes, 0.55mm profile Only to be funded where<br />
L-shape, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 555 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST338 Leibinger Titanium Implant System Leibinger Low Profile Bone Plate: 8 holes, 0.55mm profile Only to be funded where<br />
L-shape, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST339 Leibinger Titanium Implant System Leibinger Low Profile Bone Plate: 5, 7, 9 holes, 0.55mm profile Only to be funded where<br />
T-shape, double-T-shape, right/left, used in a service for<br />
90 deg Titanium which a Medicare Benefit<br />
is payable<br />
ST340 Leibinger Titanium Implant System Leibinger Steinhauser Bone Plate: 4, 8, 9 holes, 0.55mm profile Only to be funded where<br />
X-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST341 Leibinger Titanium Implant System Leibinger Micro Bone Plate: 6 holes, 0.55mm profile Only to be funded where<br />
Y-shape, double-Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST342 Leibinger Titanium Implant System Leibinger Steinhauser Bone Plate: 8 holes, 0.55mm profile Only to be funded where<br />
Y-shape Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST343 Leibinger Titanium Implant System Leibinger 3D Plating System: micro 3 holes Only to be funded where<br />
triangular plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST344 Leibinger Titanium Implant System Leibinger 3D Plating System: micro 8 holes Only to be funded where<br />
circular plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST347 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where<br />
large mandibular segment, right/left used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
Page 556 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST348 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where<br />
short mandibular segment, right/left used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST349 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where<br />
angled mandibular segment Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST350 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where<br />
chin segment Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST351 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: One size only Only to be funded where<br />
full mandibular segment Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST352 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: 132.5x82.5x 0.5mm, Only to be funded where<br />
plain mesh, mesh with small holes used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST353 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: 0.2x120x120mm Only to be funded where<br />
flat mesh micro Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST354 Leibinger Titanium Implant System Leibinger Dumbach Mesh System: 0.2x60x60mm Only to be funded where<br />
flat mesh micro Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST356 Leibinger Titanium Implant System Paulus Chin plate Titanium 2, 4, 6, 8, 10, 12, 14mm bar, 0.6mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 557 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST447 Wurzburg Bone Plates Wurzburg Mandibular Fracture 4 holes, 40mm Only to be funded where<br />
plate: 45 deg plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST448 Wurzburg Bone Plates Wurzburg Mandibular Fracture 4 holes, 50mm Only to be funded where<br />
plate: 45 deg Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST449 Wurzburg Bone Plates Wurzburg Mandibular Fracture 8 holes, 60mm Only to be funded where<br />
plate: straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST450 Wurzburg Bone Plates Wurzburg Mandibular Fracture 8 holes, 70mm Only to be funded where<br />
plate: straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST451 Wurzburg Bone Plates Wurzburg Mandibular Fracture 16 holes, 120mm Only to be funded where<br />
plate: straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST452 Wurzburg Bone Plates Wurzburg Mandibular Fracture 6 holes Only to be funded where<br />
plate: angled, 60 deg Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST466 Leibinger Titanium Implant System Dynamic Mandibular Bar 33mm Length 97.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST467 Leibinger Titanium Implant System Dynamic Mandibular Bar 48mm Length 112.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 558 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST468 Leibinger Titanium Implant System Dynamic Mandibular Bar 63mm Length 127.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST469 Leibinger Titanium Implant System Dynamic Mandibular Bar 78mm Length 142.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST470 Leibinger Titanium Implant System Dynamic Mandibular Bar 93mm Length 157.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST471 Leibinger Titanium Implant System Dynamic Mandibular Bar 108mm Length 172.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST472 Leibinger Titanium Implant System Dynamic Mandibular Bar 123mm Length 187.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST473 Leibinger Titanium Implant System Dynamic Mandibular Bar 138mm Length 202.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST474 Leibinger Titanium Implant System Dynamic Mandibular Bar 153mm Length 217.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST475 Leibinger Titanium Implant System Dynamic Mandibular Bar 168mm Length 232.5mm Only to be funded where<br />
Reconstruction Bridging Plate used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 559 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST476 Wurzburg Bone Plates Wurzburg Mini Bone plate: 4 holes Only to be funded where<br />
straight, medium/regular/long, used in a service for<br />
with/without bar Titanium which a Medicare Benefit<br />
is payable<br />
ST477 Wurzburg Bone Plates Wurzburg Mini Bone plate: 6 holes Only to be funded where<br />
straight, regular/long, with/without used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST478 Wurzburg Bone Plates Wurzburg Mini Bone plate: 8 holes Only to be funded where<br />
straight, long Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST479 Wurzburg Bone Plates Wurzburg Mini Bone plate: 16 holes Only to be funded where<br />
straight, regular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST480 Wurzburg Bone Plates Wurzburg Mini Bone plate: H and 10, 12 holes Only to be funded where<br />
Y-shape nasal plate Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST481 Wurzburg Bone Plates Wurzburg Bone plate: 4, 6 holes Only to be funded where<br />
double-T-shape, with/without bar, used in a service for<br />
90 deg, regular/short Titanium which a Medicare Benefit<br />
is payable<br />
ST482 Wurzburg Bone Plates Wurzburg Bone plate: 6, 8 holes Only to be funded where<br />
double-Y-shape , with/without bar, used in a service for<br />
short/long/long extended Titanium which a Medicare Benefit<br />
is payable<br />
ST483 Wurzburg Bone Plates Wurzburg Bone plate: 7 holes Only to be funded where<br />
double-Y-shape, no bridge Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 560 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST484 Wurzburg Bone Plates Wurzburg Bone plate: L-shape, 4 holes Only to be funded where<br />
regular/long/medium, right/left, used in a service for<br />
with/without bar Titanium which a Medicare Benefit<br />
is payable<br />
ST485 Wurzburg Bone Plates Wurzburg Bone plate: L-shape, long 5 holes Only to be funded where<br />
bar/ extended long, right/left used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST486 Wurzburg Bone Plates Wurzburg Bone plate: T-shape, 5, 6 holes Only to be funded where<br />
with/without bar, 90 deg, used in a service for<br />
regular/long Titanium which a Medicare Benefit<br />
is payable<br />
ST487 Wurzburg Bone Plates Wurzburg Bone plate: T-shape, 5 holes Only to be funded where<br />
long, 80 deg, long, right/left used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST488 Wurzburg Bone Plates Wurzburg Bone plate: Y-shape 5 holes Only to be funded where<br />
plate, regular/long Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST489 Wurzburg Bone Plates Wurzburg Bone plate: Z-shape plate, 4 holes Only to be funded where<br />
100/110 deg, right/left Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST490 Wurzburg Bone Plates Wurzburg Bone Screws: 2x4-19mm, 2.3x7-9mm. Pack of 10 Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST491 Wurzburg Bone Plates Leibinger 3D Plating System: 2x2 holes Only to be funded where<br />
square Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 561 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST492 Wurzburg Bone Plates Leibinger 3D Plating System: 2x2 holes, 1mm thick Only to be funded where<br />
rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST493 Wurzburg Bone Plates Leibinger 3D Plating System: 3x2 holes, 1mm thick Only to be funded where<br />
square Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST494 Wurzburg Bone Plates Leibinger 3D Plating System: 4x2 holes, 1mm thick Only to be funded where<br />
square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST495 Wurzburg Bone Plates Leibinger 3D Plating System: 4x4 holes, 1mm thick Only to be funded where<br />
rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST496 Wurzburg Bone Plates Leibinger 3D Plating System: 6x4 holes, 1mm thick Only to be funded where<br />
square, rectangular Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST497 Wurzburg Bone Plates Wurzburg Mandibular 2 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
straight bridging plate Titanium which a Medicare Benefit<br />
is payable<br />
ST498 Wurzburg Bone Plates Wurzburg Mandibular 3 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
straight bridging plate Titanium which a Medicare Benefit<br />
is payable<br />
ST499 Wurzburg Bone Plates Wurburg Mandibular 4 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
straight bridging plate Titanium which a Medicare Benefit<br />
is payable<br />
Page 562 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST500 Wurzburg Bone Plates Wurburg Mandibular 5 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
straight bridging plate Titanium which a Medicare Benefit<br />
is payable<br />
ST501 Wurzburg Bone Plates Wurzburg Mandibular 6 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
straight bridging plate Titanium which a Medicare Benefit<br />
is payable<br />
ST502 Wurzburg Bone Plates Wurzburg Mandibular 7 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST503 Wurzburg Bone Plates Wurzburg Mandibular 3 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
angled bridging plate, right/left which a Medicare Benefit<br />
is payable<br />
ST504 Wurzburg Bone Plates Wurzburg Mandibular 5 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
angled bridging plate, right/left which a Medicare Benefit<br />
is payable<br />
ST505 Wurzburg Bone Plates Wurzburg Mandibular 7 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
angled bridging plate, right/left which a Medicare Benefit<br />
is payable<br />
ST506 Wurzburg Bone Plates Wurzburg Mandibular 9 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
angled bridging plate, right/left which a Medicare Benefit<br />
is payable<br />
ST507 Wurzburg Bone Plates Wurzburg Mandibular 9 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
total mandible bridging plate which a Medicare Benefit<br />
is payable<br />
Page 563 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST508 Wurzburg Bone Plates Wurzburg Mandibular 11 holes Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
template set for bridging plate, which a Medicare Benefit<br />
is payable<br />
ST509 Wurzburg Bone Plates Wurzburg Mandibular 14mm, 22mm Only to be funded where<br />
reconstruction Plating System: used in a service for<br />
Condylar Implant plate, right/left which a Medicare Benefit<br />
is payable<br />
ST516 Stryker Leibinger Resorbable Fixation Resorbable plate: blank panel 55x55mm Only to be funded where<br />
System Tripolymer used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST517 Stryker Leibinger Resorbable Fixation Resorbable plate: box shape 2x2 holes Only to be funded where<br />
System Tripolymer used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST518 Stryker Leibinger Resorbable Fixation Resorbable plate: curved plate 8 holes Only to be funded where<br />
System Trypolymer used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST519 Stryker Leibinger Resorbable Fixation Resorbable plate: L-shape plate, 110 7 holes Only to be funded where<br />
System deg, right/left Tripoymer used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST520 Stryker Leibinger Resorbable Fixation Resorbable plate: ladder shape plate 2x5 holes Only to be funded where<br />
System Tripolymer used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST521 Stryker Leibinger Resorbable Fixation Resorbable plate: straight 14 holes Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 564 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST524 Stryker Leibinger Resorbable Fixation Resorbable plate: Y-shape 6 holes Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST525 Stryker Leibinger Resorbable Fixation Resorbable plate: Y-shape 8 holes Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Screws<br />
SK078 Stryker Leibinger Resorbable Fixation Delta resorbable mesh for fixation of 122mm x 122mm Only to be funded where<br />
System facial fractures and congenital used in a service for<br />
deformity which a Medicare Benefit<br />
is payable.<br />
ST527 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 1.7x4-5mm Pack of 10 Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST528 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 1.7x3-6mm Pack of 2 Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST529 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 1.7x3-6mm Pack of 4 Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST530 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 2.2x4mm, 2.2x6mm (pack of 1) Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST531 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 2.2x4mm, 2.2x6mm (pack of 2) Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 565 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST532 Stryker Leibinger Resorbable Fixation Resorbable Screws Trypolymer 2.2x4mm, 2.2x6mm (pack of 4) Only to be funded where<br />
System used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST822 Delta Resorbable Plating System Resorbable plates and screw fixation Mesh 55 x 55 (1mm thickness) Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST823 Delta Resorbable Plating System Resorbable plates and screw fixation Ladder plate 2 x 5 holes Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST824 Delta Resorbable Plating System Resorbable plates and screw fixation L plate 110 degree 9 hole right; L Only to be funded where<br />
system for the fixation of facial plate 110 degree 9 hole left used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST825 Delta Resorbable Plating System Resorbable plates and screw fixation Y plate 9 holes Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST826 Delta Resorbable Plating System Resorbable plates and screw fixation Double Y plate 12 holes Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST827 Delta Resorbable Plating System Resorbable plates and screw fixation Curved plate 8 holes Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST828 Delta Resorbable Plating System Resorbable plates and screw fixation Straight plate 4 - 21 hole Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
Page 566 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST829 Delta Resorbable Plating System Resorbable plates and screw fixation 2.6 x 4mm bone screw - 2 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST836 Delta Resorbable Plating System Resorbable plates and screw fixation 2.6 x 6mm bone screw - 2 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST837 Delta Resorbable Plating System Resorbable plates and screw fixation 2.6 x 8mm bone screw - 2 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST838 Delta Resorbable Plating System Resorbable plates and screw fixation 2.6 x 10mm bone screw - 2 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST839 Delta Resorbable Plating System Resorbable plates and screw fixation 2.2 x 8mm bone screw - 2 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST840 Delta Resorbable Plating System Resorbable plates and screw fixation 2.2 x 10mm bone screw - 2 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST841 Delta Resorbable Plating System Resorbable plates and screw fixation 2.2 x 6mm bone screw - 4 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST842 Delta Resorbable Plating System Resorbable plates and screw fixation 2.2 x 8mm bone screw - 4 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
Page 567 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST843 Delta Resorbable Plating System Resorbable plates and screw fixation 2.2 x 4mm bone screw - 10 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST844 Delta Resorbable Plating System Resorbable plates and screw fixation 2.2 x 6mm bone screw - 10 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST845 Delta Resorbable Plating System Resorbable plates and screw fixation 2.6 x 4mm bone screw - 1 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST846 Delta Resorbable Plating System Resorbable plates and screw fixation 2.6 x 6mm bone screw - 1 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST847 Delta Resorbable Plating System Resorbable plates and screw fixation 2.6 x 8mm bone screw - 1 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST848 Delta Resorbable Plating System Resorbable plates and screw fixation 2.6 x 10mm bone screw - 1 per pack Only to be funded where<br />
system for the fixation of facial used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
ST849 Delta Resorbable Plating System Resorbable plates and screw fixation Mesh and Panel 55 x 55 (1.4mm Only to be funded where<br />
system for the fixation of facial thickness) used in a service for<br />
fractures which a Medicare Benefit<br />
is payable<br />
Screws, Bone<br />
ST082 Leibinger Screws Leibinger IMF: cross-slot screws 2.0x8mm, 2.0x14mm, 2.0x20mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 568 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST083 Leibinger Screws Leibinger Steinhauser Screw 2.0x4-12mm Only to be funded where<br />
System: cross-slot screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST084 Leibinger Screws Leibinger Steinhauser Screw 2.0x13-22mm Only to be funded where<br />
System: cross-slot screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST085 Leibinger Screws Leibinger COM/MAND Fixation 2.3x6-9mm Only to be funded where<br />
System: emergency screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST107 Leibinger Screws Micro Bone Screws: square fit, 1.0 x 2-9mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST108 Leibinger Screws Micro Plus Bone Screws: square fit, 1.2 x 2-12mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST109 Leibinger Screws Autopilot Screws: square fit, 1.2 x 4-7mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST110 Leibinger Screws Micro Plus Bone Emergency 1.4x3-11mm Only to be funded where<br />
Screws: square fit, self-tapping used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST111 Leibinger Screws Leibinger Mini Wurzburg Bone 1.7x3-12mm Only to be funded where<br />
Screws: square fit, self-tapping used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
Page 569 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST112 Leibinger Screws Leibinger Mini Wurzburg 1.7x4-7mm Only to be funded where<br />
Autopilot Bone Screws: square fit, used in a service for<br />
self-tapping Titanium which a Medicare Benefit<br />
is payable<br />
ST113 Leibinger Screws Leibinger Mini Wurzburg Bone 1.9x5mm, 1.9x7mm Only to be funded where<br />
Screws: square fit, self-tapping used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST114 Leibinger Screws Leibinger Mini Wurzburg Bone 2.0x4-19mm Only to be funded where<br />
Screws: square fit, self-tapping used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST115 Leibinger Screws Leibinger Mini Wurzburg Bone 2.3x6-9mm Only to be funded where<br />
Screws: square fit, self-tapping used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST116 Leibinger Screws Leibinger Wurzburg COM/MAND 2.7x6-16mm Only to be funded where<br />
Fixation System: emergency screws used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST117 Leibinger Screws Leibinger Wurzburg COM/MAND 2.7x18-22mm Only to be funded where<br />
Fixation System: emergency screws used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST118 Leibinger Screws Leibinger Wurzburg COM/MAND 3.0x8-22mm Only to be funded where<br />
Fixation System: emergency screws used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST145 Leibinger Screws Leibinger Micro Plus Screws: 1.2x2-6mm Only to be funded where<br />
cross-slot, self tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 570 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST146 Leibinger Screws Leibinger Micro Plus Screws: 1.2x7-10mm Only to be funded where<br />
cross-slot, self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST147 Leibinger Screws Leibinger Micro Plus Screws: 1.2x11-12mm Only to be funded where<br />
cross-slot, self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST148 Leibinger Screws Leibinger Micro Plus Screws: 1.4x3mm, 1.4x5mm Only to be funded where<br />
cross-slot, self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST149 Leibinger Screws Leibinger Micro Plus Screws: 1.4x7mm, 1.4x9mm Only to be funded where<br />
cross-slot, self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST150 Leibinger Screws Leibinger Micro Plus Screws: 1.4x11mm Only to be funded where<br />
cross-slot, self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST236 Leibinger Screws Leibinger Mini Wurzburg Bone 1.7 diameter X 3-4mm Only to be funded where<br />
Screws: cross-fit, self-tapping used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST237 Leibinger Screws Leibinger Mini Wurzburg Bone 1.7 diameter X 5-6mm Only to be funded where<br />
Screws: cross-fit, self-tapping used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST238 Leibinger Screws Leibinger Autopilot Bone Screws 1.7x7-8mm Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 571 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST239 Leibinger Screws Leibinger Mini Wurzburg Bone 1.7x7-8mm Only to be funded where<br />
Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST240 Leibinger Screws Leibinger Mini Wurzburg 1.9 x 5mm Only to be funded where<br />
Emergency Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST241 Leibinger Screws Leibinger Bone Screws: hex fit, 2.0 x 4-5mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST242 Leibinger Screws Leibinger Bone Screws: hex fit, 2.0x 6-7mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST243 Leibinger Screws Leibinger Bone Screws: hex fit, 2.0 x 9-10mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST244 Leibinger Screws Leibinger Bone Screws: hex fit, 2.0 x 11mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST258 Leibinger Screws Leibinger Dynamic bone Screws: 2.7 x 8mm, 12mm, 14mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST259 Leibinger Screws Leibinger Dynamic bone Screws: 2.7x16m, pack of 5 Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 572 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST260 Leibinger Screws Leibinger Dynamic bone Screws: 2.7x18mm, pack of 5 Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST261 Leibinger Screws Leibinger Dynamic bone Screws: 2.7x20mm, pack of 5 Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST262 Leibinger Screws Leibinger Dynamic bone Screws: 2.7x22mm, pack of 5 Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST276 Leibinger Screws Leibinger Locking Screw 2.7 x 10mm, pack of 5 Only to be funded where<br />
Mandibular Reconstruction System used in a service for<br />
Titanium Screws: self-tapping which a Medicare Benefit<br />
is payable<br />
ST277 Leibinger Screws Leibinger Locking Screw 2.7 x 12mm, pack of 5 Only to be funded where<br />
Mandibular Reconstruction System used in a service for<br />
Titanium Screws: self-tapping which a Medicare Benefit<br />
is payable<br />
ST278 Leibinger Screws Leibinger Locking Screw 2.7 x 14mm, pack of 5 Only to be funded where<br />
Mandibular Reconstruction System used in a service for<br />
Titanium Screws: self-tapping which a Medicare Benefit<br />
is payable<br />
ST279 Leibinger Screws Leibinger Locking Screw 2.7 x 16mm, pack of 5 Only to be funded where<br />
Mandibular Reconstruction System used in a service for<br />
Titanium Screws: self-tapping which a Medicare Benefit<br />
is payable<br />
ST280 Leibinger Screws Locking Screw Mandibular 3.5 x 8mm Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
expandable head, cross-slot, which a Medicare Benefit<br />
self-tapping Titanium is payable<br />
Page 573 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST281 Leibinger Screws Locking Screw Mandibular 3.5 x 10mm Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
expandable head, cross-slot, which a Medicare Benefit<br />
self-tapping Titanium is payable<br />
ST282 Leibinger Screws Locking Screw Mandibular 3.5 x 12mm Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
expandable head, cross-slot, which a Medicare Benefit<br />
self-tapping Titanium is payable<br />
ST283 Leibinger Screws Locking Screw Mandibular 3.5 x 14mm Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
expandable head, cross-slot, which a Medicare Benefit<br />
self-tapping Titanium is payable<br />
ST284 Leibinger Screws Locking Screw Mandibular 3.5 x 16mm Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
expandable head, cross-slot, which a Medicare Benefit<br />
self-tapping Titanium is payable<br />
ST285 Leibinger Screws Locking Screw Mandibular 3.5 x 18mm Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
expandable head, cross-slot, which a Medicare Benefit<br />
self-tapping Titanium is payable<br />
ST286 Leibinger Screws Locking Screw Mandibular 3.5 x 20mm Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
expandable head, cross-slot, which a Medicare Benefit<br />
self-tapping is payable<br />
ST287 Leibinger Screws Locking Screw Mandibular 3.5 x 22mm Only to be funded where<br />
Reconstruction Plating System: used in a service for<br />
expandable head, cross-slot, which a Medicare Benefit<br />
self-tapping Titanium is payable<br />
ST288 Leibinger Screws Locking Screw Mandibular 3mm length, 3.5mm diameter, pack Only to be funded where<br />
Reconstruction Plating System: of 5 used in a service for<br />
expansion bolt, for locking screw which a Medicare Benefit<br />
Titanium is payable<br />
Page 574 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST304 Leibinger Screws Emergency Bone Screws: hexagon 3x8-20mm, pack of 5 Only to be funded where<br />
socket, self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST305 Leibinger Screws Emergency Bone Screws: hexagon 3x22mm, pack of 5 Only to be funded where<br />
socket, self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST325 Leibinger Screws Leibinger Low Profile Screws: low 1.5x4-13mm, 2.0x4-20mm, 2x21mm, Only to be funded where<br />
profile head, self-tapping screws 2x24mm. Pack of 5 used in a service for<br />
Titanium. which a Medicare Benefit<br />
is payable<br />
ST345 Leibinger Screws Leibinger Micro Screws: cross-slot, 1.0x2-6mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST346 Leibinger Screws Leibinger Micro Screws: cross-slot, 1.2x2mm, 1.2x5mm Only to be funded where<br />
self-tapping Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST355 Leibinger Screws Leibinger Dumbach Mesh System: 2x5-15mm Only to be funded where<br />
bone screws Titanium. Pack of 10 used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST357 Leibinger Screws Leibinger - Salzburg Lag Screw 10mm Only to be funded where<br />
System: biconcave washer Titanium. used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST358 Leibinger Screws Leibinger - Salzburg Lag Screw 2 holes Only to be funded where<br />
System: locking plate, Titanium, used in a service for<br />
with biconcave washers which a Medicare Benefit<br />
is payable<br />
Page 575 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST359 Leibinger Screws Leibinger - Salzburg Lag Screws 2x7mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST360 Leibinger Screws Leibinger - Salzburg Lag Screws 2x9mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST361 Leibinger Screws Leibinger - Salzburg Lag Screws 2x11mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST362 Leibinger Screws Leibinger - Salzburg Lag Screws 2x13mm, 2x15mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST363 Leibinger Screws Leibinger - Salzburg Lag Screws 2x17mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST364 Leibinger Screws Leibinger - Salzburg Lag Screws 2x19mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST365 Leibinger Screws Leibinger - Salzburg Lag Screws 2x21mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST366 Leibinger Screws Leibinger - Salzburg Lag Screws 2x24mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 576 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST367 Leibinger Screws Leibinger - Salzburg Lag Screws 2x30mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST368 Leibinger Screws Leibinger - Salzburg Lag Screws 2x33mm. Pack of 10 Only to be funded where<br />
Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST377 Leibinger Screws Leibinger Forefoot Screws: 2.3x16mm, 2.3x18mm, 2.3x20mm, Only to be funded where<br />
hexagonal fit, self-tapping Titanium 2.3x22mm used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST446 Wurzburg Bone Plates Wurzburg Mandibular Fracture 4 hole x 35mm Only to be funded where<br />
plate: straight Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST453 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x10mm Only to be funded where<br />
Screws: non-self-tapping / used in a service for<br />
self-tapping screws Titanium which a Medicare Benefit<br />
is payable<br />
ST454 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x12mm Only to be funded where<br />
Screws: non-self-tapping / used in a service for<br />
self-tapping screws Titanium which a Medicare Benefit<br />
is payable<br />
ST455 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x14mm Pack of 10 Only to be funded where<br />
Screws: non-self-tapping screws used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST456 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x16mm Pack of 10 Only to be funded where<br />
Screws: non-self-tapping screws used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
Page 577 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST457 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x18mm Pack of 10 Only to be funded where<br />
Screws: non-self-tapping screws used in a service for<br />
Titanium which a Medicare Benefit<br />
is payable<br />
ST458 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x20mm Pack of 10 Only to be funded where<br />
Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST459 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x22mm Pack of 10 Only to be funded where<br />
Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST460 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x24mm, 2.7x26mm, 2.7x28mm. Only to be funded where<br />
Screws Titanium Pack of 10 used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST461 Wurzburg Titanium Bone Screws Wurzburg Mandibular Fracture 2.7x30mm. Pack of 10 Only to be funded where<br />
Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST462 Wurzburg Titanium Bone Screws Wurzburg: Mandibular Emergency 3.2x12mm Only to be funded where<br />
Fracture Screws: self-tapping used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST463 Wurzburg Titanium Bone Screws Wurzburg: Mandibular Fracture 3.2x16mm Only to be funded where<br />
Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST464 Wurzburg Titanium Bone Screws Wurzburg: Mandibular Fracture 3.2x20mm Only to be funded where<br />
Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 578 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
ST465 Wurzburg Titanium Bone Screws Wurzburg: Mandibular Fracture 3.2x24mm Only to be funded where<br />
Screws Titanium used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST510 Wurzburg Titanium Bone Screws Wurzburg Bone Screws Titanium 3.5x10mm Pack of 10 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST511 Wurzburg Titanium Bone Screws Wurzburg Bone Screws Titanium 3.5x12mm Pack of 10 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST512 Wurzburg Titanium Bone Screws Wurzburg Bone Screws Titanium 3.5x14mm Pack of 10 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST513 Wurzburg Titanium Bone Screws Wurzburg Bone Screws Titanium 3.5x16mm Pack of 10 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST514 Wurzburg Titanium Bone Screws Wurzburg Bone Screws Titanium 3.5x18mm Pack of 10 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
ST515 Wurzburg Titanium Bone Screws Wurzburg Bone Screws Titanium 3.5x20mm Pack of 10 Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Surgiplas Medical<br />
<strong>Prostheses</strong>, Chin<br />
SP004 Chin Prosthesis Silicone elastomer Small / Medium / Large / X-Large Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 579 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Mammary, Internal, Inflatable<br />
SP011 Nagosil SFS-LP-Saline Filled Low Smooth surface 100 to 600cc In strict accordance with<br />
Profile Smooth Surface Breast the requirements of the<br />
<strong>Prostheses</strong>, Nagosil SFS-HP-Saline Medicare Benefits<br />
Filled High Profile Smooth Surface <strong>Schedule</strong> Items Number<br />
Breast <strong>Prostheses</strong> 45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
SP012 Nagotex SFX-LP-Saline Filled Low Textured surface 100 to 600cc In strict accordance with<br />
Profile Textured Surface, Nagotex the requirements of the<br />
SFX-HP-Saline Filled High Profile Medicare Benefits<br />
Textured Surface Breast <strong>Prostheses</strong>es <strong>Schedule</strong> Items Number<br />
45524, 45527, 45528,<br />
45542, 45552, 45554,<br />
45555 only.<br />
<strong>Prostheses</strong>, Nasal, Dorsal<br />
SP005 Nasal Dorsal Prosthesis Dorsal or dorsal columnella; Small / Medium / Large Only to be funded where<br />
silicone elastomer used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
<strong>Prostheses</strong>, Zygomatic<br />
SP003 Zygomatic Malar Prosthesis Silicone elastomer Small / Medium / Large Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Technology For Life Pty Ltd<br />
<strong>Prostheses</strong>, Maxillofacial<br />
TE015 Spectrum Designs Implantable Silicone implantable blocks Block I-IV, 12-17.5cm Only to be funded where<br />
Prosthesis Blocks used in a service for<br />
which a Medicare Benefit<br />
is payable.<br />
Page 580 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
TiMax Surgical Pty Ltd<br />
Plates, Bone<br />
TI001 TiMax Titanium Plates Mini, Straight Long 8 - 16 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI003 TiMax Titanium Plates Mini, L Shape, right and left 4 - 5 holes, 6 - 12mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI009 TiMax Titanium Plates Mini, Square Double 3 x 2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI010 TiMax Titanium Plates Mini, Double T Shape 9 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI011 TiMax Titanium Plates Mini, Square Triple 4 x 2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI012 TiMax Titanium Plates Fracture, Curved and Angled 4 - 6 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI013 TiMax Titanium Plates Mini, Straight Short 4 holes - 6, 8mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI014 TiMax Titanium Plates Mini, T Shape 5 holes - 10mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 581 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
TI015 TiMax Titanium Plates Mini, Y Shape 5 holes - 8mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI016 TiMax Titanium Plates Standard, Y Shape 8 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI017 TiMax Titanium Plates Standard, L Shape, right and left 4 - 9 holes, 9 - 13mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI018 TiMax Titanium Plates Standard, Double Y Shape 6 holes, 13mm - 6 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI019 TiMax Titanium Plates Standard, Straight Short 4, 6 holes, 9,13mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI020 TiMax Titanium Plates Standard, Straight Long 16 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI021 TiMax Titanium Plates Mini, Square Single 2 x 2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI022 TiMax Titanium Plates Micro, Curved 8 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 582 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
TI023 TiMax Titanium Plates Maxillary <strong>Prostheses</strong> Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI024 TiMax Titanium Plates Hemi Mandible, right and left Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI025 TiMax Titanium Plates Full Mandible Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI026 TiMax Titanium Plates Custom Mesh Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI027 TiMax Titanium Plates Burr Hole Cover Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI028 TiMax Titanium Plates Micro, Straight Short 8 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI029 TiMax Titanium Plates Micro, Straight Long 24 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI030 TiMax Titanium Plates Micro, Double T Shape 9 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 583 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
TI031 TiMax Titanium Plates Mini, Double Y Shape 6, 7 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI032 TiMax Titanium Plates Micro, L Shape, right and left 5, 8 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI033 TiMax Titanium Plates Mesh, Strap, J Plate Mesh 125 x 125mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI034 TiMax Titanium Plates Micro, Square Double 3 x 2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI035 TiMax Titanium Plates Micro, Square Single 2 x 2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI036 TiMax Titanium Plates Micro, Square Triple 4 x 2 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI037 TiMax Titanium Plates Micro, T Shape 5, 7 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI038 TiMax Titanium Plates Micro, Y Shape 6 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 584 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
TI039 TiMax Titanium Plates Mini, Curved 4, 6 holes, 6 - 8mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI040 TiMax Titanium Plates Fracture, Straight Long 14 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI041 TiMax Titanium Plates Fracture, Straight Short 4 - 8 holes, 8 - 14mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI042 TiMax Titanium Plates Micro, Double Y Shape 6, 7 holes Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Screws, Bone<br />
TI002 TiMax Titanium Bone Screws Self-tapping Dia 2.0mm, length 4 - 18mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI004 TiMax Titanium Bone Screws Self-tapping Dia 2.2mm, length 6 - 22mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI005 TiMax Titanium Bone Screws Self-tapping Dia 1.9mm, length 5mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI006 TiMax Titanium Bone Screws Self-tapping Dia 1.7mm, length 3 - 12mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 585 of 638
PLASTIC AND RECONSTRUCTIVE<br />
Billing Code Product Further Size Notations<br />
TI007 TiMax Titanium Bone Screws Self-tapping Dia 1.2mm, length 3, 5mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
TI008 TiMax Titanium Bone Screws Self-tapping Dia 1.0mm, length 2 - 6mm Only to be funded where<br />
used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
W L Gore & Associates<br />
<strong>Prostheses</strong>, Soft Tissue<br />
GT129 Goretex Sam Facial Implant Strands - Thyroplasty (Eptfe) 0.6mm Thickness, 0.75cm Width x Only to be funded where<br />
50cm length used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
GT130 Goretex Sam Facial Implant Strands - Thyroplasty 0.6mm Thickness 0.4-0.75 x Only to be funded where<br />
20-40cm Length used in a service for<br />
which a Medicare Benefit<br />
is payable<br />
Page 586 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
American Medical Systems<br />
Anchor, Fixation<br />
AM009 Influence In-Tac Anchor Titanium bone anchor with One size only<br />
polypropylene monofilament No.1<br />
suture.<br />
Mesh, Polymeric<br />
AM013 Triangle Sling with surgical mesh Silicone Coated sling with surgical 10 x 10cm - 144 x 144cm<br />
mesh, used in sling procedures for<br />
treatment of stress urinary<br />
incontinence.<br />
AM014 Sparc Sling System Polypropylene mesh sling, two One size only<br />
needles with rotating handles, two<br />
cystoscopy aids<br />
Procedure Trays, Surgical<br />
AM016 In-Fast Kit and InteMesh Sling System Items included in kit - inserter, 2 One size only<br />
screws with sutures, silicone coated<br />
sling mesh<br />
<strong>Prostheses</strong>, Bladder Support<br />
AM012 Triangle Sling Gelatin Coated Polyester sling, 18 x 55 mm<br />
used in sling procedures for<br />
treatment of stress urinary<br />
<strong>Prostheses</strong>, Penile<br />
AM004 Penile Implant - Inflatable Ambicor, 700CX, 700CXM, 700 Reservoir: 65 & 100ml Cylinders When provided in<br />
Ultrex, 700 Ultrex Plus; range: 12 - 21cm association with<br />
anti-microbial coating Medicare Benefits<br />
<strong>Schedule</strong> Item 37429,<br />
AM005 Penile Implant - Malleable AMS 600M, AMS 650 Cylinders range: 12 -20cm When provided in<br />
association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 37429,<br />
Page 587 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Testicle<br />
AM015 AMS Testicular <strong>Prostheses</strong> Solid silicone elastomer with suture Small, Medium, Large When provided in<br />
hole association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 45051<br />
preparatory to a<br />
subsequent surgical<br />
service not precluded from<br />
<strong>Prostheses</strong>, Urethral<br />
AM003 Urolume Plus TM Endo Urethral Endourethral wall stent for urethral Range: 1.5 - 4.0cm When provided in<br />
prostheses strictures, DESD and BPH association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item Number<br />
<strong>Prostheses</strong>, Urethral Sphincter<br />
AM001 Artificial Urinary Sphincter Cuff, Pump, Pressure Regulating Cuff range: 4 - 11cm Balloon range:<br />
Balloon, Accessory Package, 51 - 80cm<br />
Deactivation Package<br />
AM006 Urovive TM Self Detachable Balloon Uretheral delivery system for Balloon Capacity: 0.9cc<br />
System treatment of urinary stress<br />
incontinence due to ISD<br />
Prosthesis, Bowel Sphincter<br />
AM002 Artificial Bowel Sphincter Cuff, Pump, Pressure Regulating Narrow cuff range: 7 - 14cm,<br />
Balloon, Accessory Package, Standard cuff range: 8 - 14cm<br />
Deactivation Package Balloon range: 71 - 100cm<br />
Screws, Bone<br />
AM010 Influence Bone Screw Bone screw with pre-attached 5.5 x 1.7 mm<br />
polypropylene monofilament suture.<br />
For incinsionless tranvaginal sling<br />
procedure. Loop Screw Bone Screw<br />
AM011 Influence Bone Screw Bone screw with pre-attached 5.5 x 1.7 mm<br />
polypropylene monofilament suture.<br />
For incinsionless tranvaginal sling<br />
procedure. In-Fast Bone Screw<br />
Page 588 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
Unknown / Unassigned<br />
AM017 InVance Male Sling System with Kit includes inserter with shaft, 2 x Shaft 8cm, mesh 4 x 7cm<br />
Silicone-Coated Mesh self tapping bone screws,<br />
silicone-coated sling, surgical mesh<br />
AM018 Straight-In Sacral Colpopexy System Kit includes inserter, 2 x loop Shaft 28cm<br />
screws, "Y" shaped sling graft<br />
Auto Suture Company, Australia T/A Tyco<br />
Tunnelers, Other<br />
AS093 IVS Tunneller Stainless steel tunneller and woven One size only<br />
synthetic tape<br />
Bard Australia Pty Ltd<br />
Collagen, Injectable<br />
BA041 Contigen Cross Linked Collagen Contigen Bard Collagen Implant for 2.5cc per syringe<br />
Stress Urinary Incontinence<br />
Stents<br />
BA042 Memotherm Prostatic Stents Memotherm Prostatic Urethral wall 36Fr, 20mm to 60mm in 5mm When provided in<br />
Stent increments; 42Fr, 20mm to 60mm in association with<br />
5mm increments Medicare Benefits<br />
<strong>Schedule</strong> Item Number<br />
Stents, Ureteral<br />
BA043 Ureteral Stent Angiomed Urosoft Double J with or 4.7Fr- 20, 22, 24, 26, 28cm, 6Fr- 20,<br />
without guide wire 22, 24, 26, 28cm, 7Fr- 20, 22, 24,<br />
26, 28cm, 8Fr- 20, 22, 24, 26, 28cm<br />
BA044 Ureteral Stent Bard Inlay Hydrophilic coated (Inlay) 4.7Fr 14, 20, 22, 24, 26,<br />
Pigtail Ureteric stent without 28cm. 6Fr- 14, 20, 22, 24, 26, 28cm<br />
guidewire; Bard Flouro 4 Silicone 7Fr 14, 20, 22, 24, 26, 28cm 8Fr-<br />
Multilength ureteric stent with 14, 20, 22, 24, 26, 28cm. (Flouro)<br />
guidewire; Urinary Diversion Stent Multilength 4,6,7,and 8fr.<br />
(Diversion) 7Fr x 90cm & 8Fr x<br />
90cm.<br />
Page 589 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
Boston Scientific Pty Ltd<br />
Stents, Ureteral<br />
BS038 Ureteric Stent Plastic Stents: Percuflex, Percuflex French size x Length between<br />
Plus , Percuflex Tail Plus , Contour, pigtails: Percuflex & Percuflex Plus<br />
Contour Closed, Contour VL, 4.8Fr x 20-30cm, 6Fr x 20-30cm,<br />
Stretch VL, Retromax Plus 7Fr x 20-30cm, 8Fr x 20-30cm,<br />
Percuflex Tail Plus: 6 Tapers to 3<br />
French x 30cm / 32cm / 34cm / 36cm<br />
/ 38cm, 7 Tapers to 3 French x 30cm<br />
/ 32cm / 34cm / 36cm / 38cm,<br />
Contour 6Fr x 20-30cm, 7Fr x<br />
20-30cm, 8Fr x 20-30cm, Contour<br />
Closed 4.8Fr x 20cm, 6Fr x 20cm,<br />
7Fr x 20cm, 8Fr x 20-30cm, 6Fr x<br />
22-30cm, 7Fr x 22-30cm, 8Fr x<br />
22-30cm, Contour VL 4.8Fr x<br />
22-30cm, 6.0Fr x 22-30cm, 7.0Fr x<br />
22-30cm, Stretch VL 4.8Fr x<br />
22-30cm, 6.0Fr x 22-30cm, 7Fr x<br />
22-30cm, Retromax Plus: 14Fr<br />
tapers to 7Fr x 22cm - 32cm<br />
Stents, Urethral<br />
BS037 Microvasive Ultraflex - urethral stent Self expanding, Nitinol, metallic 20mm - 50mm<br />
system<br />
BS068 Polaris with Hydroplus Coating Each stent contains a ureteral stent French Size: 5 Fr to 8 Fr; Length<br />
with attached suture and a stent between pigtails: 10cm to 30cm<br />
positioner. If packaged as a set, the<br />
set will contain the ureteral stent,<br />
stent positioner and guidewire.<br />
Device Technologies Australia Pty Ltd<br />
<strong>Prostheses</strong>, Urethral Sphincter<br />
DE021 Pri-Med Urinary Incontinence Valve Medical grade gold plated surgical Long and short<br />
steel<br />
Page 590 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
Stents, Ureteral<br />
DE014 Ureteral Stents Single J Ureteric Stent, silicone 7 - 8.5 F x 90cm<br />
DE015 Ureteral Stents Double J Ureteric Stent, silicone 6-8.5 F, 12 - 24 cm<br />
DE016 Ureteral Stents Diversion Stent, silicone 7 - 8.5 F x 90cm<br />
DE017 Ureteral Stents Nephro Stent, silicone 6 - 8.5 F, 25-58cm<br />
DE165 Quadra-Coil Multi Length Ureteral Tecoflex polymer, hydrophilic 4.5F-8.5F x length 22 - 28cm<br />
coating/PTFE coating<br />
EMT Healthcare Pty Ltd<br />
Mesh, Polymeric<br />
EM011 Intramesh Reinforcement Mesh Polypropylene or polyester + 10 x 420mm, 11 x 400mm<br />
silicone sub-urethral reinforcement<br />
Endotherapeutics Pty Ltd<br />
<strong>Prostheses</strong>, Testicle<br />
ET028 Promedon Testicular Prosthesis Silicone Elastomer Small - 31 x 23 mm, Medium - 37 x When provided in<br />
28 mm, Large - 42 x 32 mm, Xlarge association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 45051<br />
preparatory to a<br />
subsequent surgical<br />
service not precluded from<br />
<strong>Prostheses</strong>, Tibial<br />
ET034 ACT Device Adjustable continence therapy 6-9cm<br />
patient pack with two implantable<br />
devices, periurethral implantable<br />
prosthetic with a two lumen<br />
extrusion and an hydraulically<br />
expandable balloon on each distal<br />
end with an injectable port on<br />
Page 591 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
Stents, Ureteral<br />
ET012 Optimed Ureteric Stents Soft-Polyurethane. Ureteral. Ureteral 4.5 x 28,30,32 cm; 6 x<br />
Paediatric Ureteral. Renal 26,28,30,32 cm; 7 x 26,28,30,32 cm.<br />
Transplantation. Urinary Diversion. Paediatric Ureteral 8 x 28,30,32<br />
cm. Renal Transplantation 4 x<br />
10,12,14,16 cm; 6 x 12,14,16 cm; 7<br />
x 12,14,16 cm. Urinary Diversion 8<br />
x 12,14,16 cm.<br />
Stents, Urethral<br />
ET009 Urocoil Uretheral Stent Bio-compatible alloy Urocoil - 30 x 40, 50, 60, 70, 80mm;<br />
Urocoil -S - 30 x 40, 50, 60, 70,<br />
80mm; Urocoil Twin - 30 x 40/40,<br />
40/50,50/50, 50/40mm<br />
ET010 Horizon Prostatic Stent Nitinol 2.0, 2.5, 3.0, 3.5, 4.0 cm<br />
Tissue Reconstructive Materials, Solid<br />
ET011 Macroplastique Sterile, textured, highly cross linked 1.3 ml & 2.5 ml<br />
polydimethylsiloxane elastomer<br />
implants suspended in a<br />
bio-excretable carrier gel.<br />
Urinary Catheterization/Collection Kits<br />
ET013 Optimed Nephrostomy Catheter PigTail & Loop, polymer 70 x 6,7,8,9 cm; 25 x 8.3 F; 30 x<br />
6,7,8, 9 F; 40 x 7, 8, 9, 10, 11, 12,<br />
13, 14 F<br />
Endovision Pty Ltd<br />
Stents, Ureteral<br />
ED001 Memokath Ureteric Stent Dual Expansion. Model 049USD, Length 60mm<br />
Thermoexpandable, Nickel - titanium<br />
ED002 Memokath Ureteric Stent Model 051CW, Thermoexpandable, Lengths 30mm - 100mm<br />
Nickel - Titanium<br />
Page 592 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
ED003 Memokath Urethral Stent Dual Expansion. Models 045T, Lengths 10 - 70mm<br />
045W, 045TTW, Thermoexpandable,<br />
Nickel - titanium<br />
ED006 Memokath Ureteric Stent Model 051CW, Thermoexpandable, Length 100mm - 200mm<br />
Nickel-Titanium<br />
Stents, Urethral<br />
ED004 Memokath Urethral Stent - Single Models: 028S, 028SW, 028T, Length 30 - 90mm<br />
Expansion 028TW, 044T, 044TW<br />
Nickel-Titanium, Thermoexpandable<br />
Incision Pty Ltd<br />
<strong>Prostheses</strong>, Soft Tissue<br />
IP004 Durasphere - Injectable Bulking Pyrolitic carbon coated beads in a 1ml<br />
Agent, Incision Grafts Implants & beta glucan carrier gel, 15 inch 18G<br />
<strong>Prostheses</strong>, Non animal origin sterile needle, 3.5 inch 128G needle, 1.5<br />
inch 18G bent tip needle<br />
Johnson & Johnson Medical Pty Ltd<br />
<strong>Prostheses</strong>, Bladder Support<br />
JJ070 TVT (Tension-Free Vaginal Tape) Undyed Prolene (polypropylene) 11 x 450mm<br />
Single use device nonabsorbable tape<br />
Medical Device Alliance Pty Ltd<br />
<strong>Prostheses</strong>, Penile<br />
MP002 Malleable Penile Implant Consists of a membrane, filler 14-23cm When provided in<br />
product and silicone tube association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 37429,<br />
<strong>Prostheses</strong>, Urethral<br />
MP001 Inflatable Periurethral Constrictor Consists of a membrane, filler One size only<br />
product and silicone tube<br />
Page 593 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
Medtronic Australasia Pty Ltd<br />
Electrodes, Dorsal Column<br />
MC180 Sacral Nerve Stimulation Unilateral Interstim Temporary test stimulation 28 cm<br />
lead. (Medtronic model # 3080 and<br />
3886 Sacral Nerve Stimulation<br />
Lead). Platinum / Iridium,<br />
Electrodes, Neuromuscular Stimulator<br />
MC175 Neo-anal sphincter stimulator implant Implantable intramuscular assist 35-50 cm<br />
lead, Dynamic Graciloplasty Lead.<br />
Platinum iridium, polyurethane,<br />
Stimulators, Neuromuscular, Functional<br />
MC186 Sacral Nerve Stimulation Accessories Model 041827-002 Auxiliary One size only; 9-12.5cm Only to be used with<br />
screener cable kit. Polypropylene. Medtronic Itrel II pulse<br />
OR Model 041828-002 Foramen generator, model 7424.<br />
Needle (box of 6). Sterile individual<br />
units. Stainless steel.<br />
Stimulators, Urinary<br />
MC188 Sacral Nerve Stimulation Unilateral Activator. Model 3031. One size only Only to be used with<br />
Medtronic Itrel II pulse<br />
generator, model 7424.<br />
Mentor Medical Systems<br />
Anchor, Fixation<br />
MN009 CINCH Bladder Neck Suspension Anchor fixation device 4mm Anchors<br />
Anchor<br />
<strong>Prostheses</strong>, Penile<br />
MN005 Inflatable Penile <strong>Prostheses</strong>-Implant Saline filled penile implant 10cm,12,14,16,18,20,22. When provided in<br />
Start-Up Pack association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 37429,<br />
Page 594 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
MN006 Malleable Penile <strong>Prostheses</strong> Malleable rod implant 9ml,11ml and 13ml When provided in<br />
association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 37429,<br />
<strong>Prostheses</strong>, Testicle<br />
MN007 # Testicular Prosthesis Saline and gel filled implant Small, Medium, Large When provided in<br />
association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 45051<br />
preparatory to a<br />
subsequent surgical<br />
service not precluded from<br />
<strong>Prostheses</strong>, Urethral Sphincter<br />
MN008 Urethrin Teflon Paste Kit Female or male kit One size only<br />
Monarch Medical<br />
Stents, Ureteral<br />
MH002 Ureteral Stents Soft vertex, hydrophilically coated 7/10F only, length 20, 22, 24, 26,<br />
with radiopaque markers 28, 30cm<br />
N Stenning & Co Pty Ltd<br />
Stents, Ureteral<br />
NG001 Ureteric Stent Ureteric Stent Set with Guidewire 5Fr 22-30cm, 6Fr 22-30cm, 7Fr<br />
and Pusher 22-30cm, 8Fr 22-30cm<br />
NG002 Ureteric Stent Ureteric Stent Set with Guidewire 4.7Fr: 22, 24, 26, 28, 30cm, 4Fr: 22,<br />
and Pusher; 24, 26, 28, 30cm, 5Fr: 22, 24, 26,<br />
28, 30cm, 6Fr: 22, 24, 26, 28, 30cm,<br />
7Fr: 22, 24, 26, 28, 30cm, 8Fr: 22,<br />
24, 26, 28, 30cm, 9Fr: 22, 24, 26,<br />
28, 30cm, 10Fr: 22, 24, 26, 28,<br />
NG003 Ureteric Stent Ureteric Stent and Pusher only; 5Fr 22-30cm, 6Fr 22-30cm, 7Fr<br />
aliphatic polyurathane 22-30cm, 8Fr 22-30cm<br />
Page 595 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
NG028 DD Ureteric Tumor Stent Set Open/Closed end with introducer 20 - 28cm<br />
and guide wire, Polyurethane<br />
NG029 DD Ureteric Valve Stent Set Open end with introducer and guide 22 - 30cm<br />
wire, Polyurethane<br />
NG030 Paediatric Ureteric Valve Stent Set Open end with introducer and 12 - 22cm<br />
guidewire, Polyurethane<br />
NG031 Paediatric Ureteric Integral Stent Set Open end with introducer and guide 12 - 22cm<br />
wire, Polyurethane<br />
NG032 DD Ureteric Stent Set Open end with introducer and guide 22 - 30cm<br />
wire<br />
Surgiplas Medical<br />
<strong>Prostheses</strong>, Testicle<br />
SP001 Testicular Implant Gel Filled Small / Medium / Large When provided in<br />
association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 45051.<br />
SP002 Testicular Implant Silicone Elastomer Small / Medium / Large When provided in<br />
association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 45051.<br />
Technology For Life Pty Ltd<br />
<strong>Prostheses</strong>, Testicle<br />
TE003 # Micro Textured Testicular Implant Silicone Enhanced Small, Medium, Large, Ex-large When provided in<br />
association with<br />
Medicare Benefits<br />
<strong>Schedule</strong> Item 45051.<br />
Page 596 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
William A Cook Aust Pty Ltd<br />
Catheters, Nephrostomy<br />
WC060 Ulrathane Cope Nephroureterostomy Uro-Radiology, ultrathane French Sizes 8.5,10.2 Distal French<br />
Catheters Size 6.0,7.0,8.5,10.2 Distance<br />
Between Pigtails 22,24,26,28 cm<br />
Tip Configuration<br />
Stents<br />
WC126 Cook Urethral Stents Firlit-Kluge uretheral stent French 8 - 10, length 30cm<br />
WC136 Cook Urethral Stent Kaontz urethral stent French 8 - 10, length 12cm<br />
Stents, Ureteral<br />
WC002 Sof-Flex Double Pigtail Stent Set - 3 - 8.2Fr, Length 6 - 36cm;<br />
Multilengths 6, 7, 8; Pediatric:<br />
Large Diam<br />
WC003 Sof-Flex Double Pigtail Stent Set with Options - positioner, retrieval 4 - 8.2Fr, Length 8 - 32cm<br />
Options tether, without ureteral catheter<br />
WC009 Sof-Flex AQ Double Pigtail Stent Set Options - retrieval tether, 4.7 - 6Fr, Length 22 - 32cm<br />
with Options multi-length, slip coat removable<br />
core wire, stent positioner, without<br />
WC018 C-Flex Endoureteratomy Stent Set - 6 - 7Fr, Length 22 - 28cm<br />
WC020 Towers Peripheral Ureteral Stent Set - 6, 7Fr, Length 20, 22 - 32cm<br />
WC021 C-Flex Double Pigtail Stent Set with - 3.7 - 8Fr, Length 8 - 32cm<br />
Options<br />
WC022 C-Flex Double Pigtail Stent Set - 3.7 - 8Fr, Length 8 - 30cm:<br />
Multi-length 22 - 32cm<br />
WC023 Greene Renal Transplant Stent Set - 5 - 8.5Fr, Length 8 - 20, 32cm<br />
WC024 Ultrathane Endoureteratomy Stent Set - 6, 7Fr, Length 18 - 26cm<br />
WC026 Multi-length Endosof Ureteral Stent - 6Fr, Length 22 - 32cm<br />
WC027 Polyurethane Double Pigtail Stent Set - 4 - 8Fr, Length 8 - 30cm<br />
Page 597 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
WC028 Black Silicone Stent Set with Options - 6 - 8Fr, Length 20 - 30cm<br />
WC029 Black Silicone Double Pigtail Stent - 6 - 8Fr, Length 20 - 30cm<br />
WC030 Polyurethane Double Pigtail Stent Set - 4 - 8Fr, Length 12 - 30cm<br />
with Options<br />
WC031 Bander Ureteral Diversion Stent Set Left, right 7, 8Fr, Length 75, 90cm<br />
WC032 Rutner AQ Ureteral Stent Set With/without positioner - With 6Fr<br />
radiopaque band<br />
WC034 Sof-Flex AQ Double Pigtail Stent Set - 4.7 - 7Fr, Length 22 - 32cm;<br />
multi-lengths 22 -32 cm<br />
WC035 Multi-length Endosof Ureteral Stent With hydrophilic coating and with 6Fr, Length 22 - 32cm<br />
P options<br />
WC059 Urinary Diversion Stents Ureteral or Urethral Stent, ultrathane French Sizes 8.5,10.2 Length 60,<br />
65, 70 cm<br />
WC086 Cook Ureteral Stents Composition - Stent is Polyethylene - French 3fr, length 6<br />
polyethalene/teflon, Kit includes - 14cm; Teflon - French 3fr - 4fr, 6 -<br />
Stent, Stent Pusher & Wireguide 14cm<br />
WC087 Cook Ureteral Stents Composition Silicone, Items French 5.0, length 8 - 20cm; French<br />
Included in Set: Wireguide, Stent 6.0, Length 8 - 20cm, French 7.0,<br />
Pusher Ureteric Catheter Length 22 - 32cm, French 8.5,<br />
Length 22 - 32cm, French 7.0,<br />
Length 8 - 20cm, French 8.5,<br />
Length 8 - 20cm, French 5.0,<br />
WC088 Cook Ureteral Stents Composition Silicone Stent. Items French 5.0 - 7.0, length 8 - 20cm;<br />
Included: Stent Pushing Catheter French 8.5, Length 8 - 20cm, French<br />
5.0 - 7.0, Length 22 - 32cm, French<br />
8.5, Length 22 - 32cm<br />
WC104 Cook Ureteral Stent - Sof-Flex Double Radiopaque Sof-Flex Stent, Stainless French 4.7, 6, 7, length 8-22cm, -<br />
Pigtail Stent Set - Special Steel Wire Guide, Radiopaque 4-12cm<br />
Polyurethane Catheter and<br />
Radiolucent Vinyl Positioner<br />
WC125 Cook Ureteral Stent Towers peripheral ureteral stent and French 6 - 7, length 22 - 32cm<br />
positioner only<br />
Page 598 of 638
UROGENITAL<br />
Billing Code Product Further Size Notations<br />
WC127 Cook Ureteral Stent Polyurethane double pigtail stent French 4 - 6, length 8 - 30cm<br />
WC128 Cook Ureteral Stent Bander ureteral diversion left and French 4.7 - 8, length 75cm<br />
right stents<br />
WC129 Cook Ureteral Stent C-flex multilength stent set - special French 3.7, length 8 - 20cm<br />
WC130 Cook Ureteral Stent Endo-sof double pigtail stent French 5 - 7, length 20 - 28cm<br />
WC131 Cook Ureteral Stent Endo-sof double pigtail stent with French 5 - 7, length 20 - 28cm<br />
sideholes<br />
WC132 Cook Ureteral Stent Silicone double pigtail stent French 6 - 8, length 24 - 28cm<br />
Page 599 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
B Braun Australia Pty Ltd<br />
Filters, Vena Cava<br />
BB147 Venatech LP Vena Cava Filter Phynox, Introducer Sheath, Max of 43mm length, maximum of<br />
Guidewire, Scalpel, Puncture 35mm Diameter<br />
BB169 Vena Cava Filter PHYNOX Introducer system, 'J' Diameter 28 mm<br />
Guidewire, Seldinger needle,<br />
disposable scalpel<br />
Grafts, Vascular, Synthetic<br />
BB017 Vascular Patch Vascular patch 12x9 to 3x4<br />
BB018 Vascular Uni - Graft Vascular graft 100cm<br />
BB019 Vascular Uni - Graft Vascular graft 60cm<br />
BB020 Vascular Uni - Graft Vascular graft 50cm<br />
BB021 Vascular Uni - Graft Vascular graft 40cm<br />
BB022 Vascular Uni - Graft Vascular graft 30cm<br />
BB023 Vascular Uni - Graft Vascular graft 20cm<br />
BB024 Vascular Uni - Graft Vascular graft 15cm<br />
BB025 Vascular Uni - Graft Vascular graft 10cm<br />
BB026 Vascular Uni - Graft - Tapered Vascular graft 12x6 to 24x12<br />
BB027 Vascular Uni - Graft - Bifurcated Vascular graft 12x7 to 12x12<br />
BB119 Vascugraft PTFE, Straight Standard Wall Dia 4 - 10mm, length 40 - 50cm<br />
BB120 Vascugraft Straight Standard Wall with Helix Dia 6 - 10mm, length 10 - 50cm<br />
Support<br />
BB121 Vascugraft Straight Standard Wall with Helix Dia 6 - 10mm, length 60 - 80cm<br />
Support<br />
BB122 Vascugraft Straight Standard Wall with Helix Dia 5 - 8mm, length 90cm<br />
Support<br />
BB123 Vascugraft PTFE - Straight Standard Wall Dia 5 - 10mm, length 80cm<br />
Page 600 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BB124 Vascugraft PTFE - Straight Standard Wall Dia 5 - 8mm, length 90 - 100cm<br />
BB125 Vascugraft Thin Wall Straight Dia 3 - 8mm, length 70 - 100cm<br />
BB126 Vascugraft Thin Wall Straight Dia 3 - 8mm, length10 - 40cm<br />
BB127 Vascugraft Thin Wall Straight Dia 3 - 8mm, length 10 - 40cm<br />
BB128 Vascugraft Straight Standard Wall with Helix Dia 6mm x length 100cm<br />
Support<br />
BB129 Vascugraft Straight Standard Wall with Helix Dia 5 - 8mm, length 80 - 90cm<br />
Support<br />
BB130 Vascugraft Straight Standard Wall with Helix Dia 4 - 6mm, length 50 - 70cm<br />
Support<br />
BB131 Vascugraft Thin Wall Tapered Dia 4 - 8mm, length 40 - 90cm<br />
BB132 Vascugraft Thin Wall Centre Helix Dia 6mm, length 45cm<br />
BB133 Vascugraft Thin Wall Centre Helix Dia 5 - 6mm, length 45 - 50cm<br />
BB134 Vascugraft Thin Wall Centre Helix Dia 4 - 8mm, length 70 - 80cm<br />
BB136 Vascugraft Standard Tapered Dia 4 - 8mm, length 70 - 90cm<br />
BB137 Vascugraft Standard with Centred Helix Dia 4 - 8mm, length 70 - 90cm<br />
BB138 Vascugraft Standard with Short Taper Dia 4 - 8mm, length 30 - 70cm<br />
BB139 Vascugraft Standard with Short Taper Dia 4 - 8mm, length 80cm<br />
BB141 Vascugraft Easy Glide - Standard Wall Straight Dia 6mm, length 70 - 80cm<br />
BB142 Vascugraft Easy Glide - Standard Wall Straight Dia 6mm, length 40 - 60cm<br />
BB143 Vascugraft Easy Glide - Standard Wall with Dia 6 - 8mm, length 40 - 70cm<br />
Helix Short Taper<br />
BB144 Vascugraft Easy Glide - Thin Wall Straight Dia 6 - 8mm, length 40 - 70cm<br />
BB145 Vascugraft Thin Wall Centred Helix Tapered Dia 4 - 7mm, length 70cm<br />
BB146 Vascugraft Easy Glide - Thin Wall Straight Dia 6 - 8mm, length 40 - 80cm<br />
with Helix Support<br />
Page 601 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BB155 Vascugraft Standard Tapered Dia 4 - 7mm, length 30 - 70cm<br />
BB156 Vascugraft Standard Wall with Tapered Centre Dia 4 - 8mm, length 40 - 45cm<br />
Helix<br />
BB157 Vascugraft Standard Wall Stepped Taper Dia 4 - 8mm, length 40 - 45cm<br />
Injection/Infusion Ports, Implantable<br />
BB170 Celsite Access Port for pain relief Composition - polysulphone. Kit Diameter of septum:11.7mm.<br />
includes tunnelling rod, filter, Height: 11.5mm. Dimension: 25.8<br />
connectors, needles, syringe, tuohy<br />
needle<br />
Unknown / Unassigned<br />
BB171 Coroflex Coronary Stent System Electropolished stainless steel 2.5 x 8mm; 3.0 x 8mm; 3.5 x 8mm;<br />
316L; Laser cut slotted tube. 4.0 x 8mm; 2.5 x 13mm; 3.0 x 13mm;<br />
Product includes: Coronary stent 3.5 x 13mm; 4.0 x 13mm; 2.5 x<br />
mounted on delivery balloon 16mm; 3.0 x 16mm; 3.5 x 16mm; 4.0<br />
x 16mm; 2.5 x 19mm; 3.0 x 19mm;<br />
3.5 x 19mm; 4.0 x 19mm; 2.5 x<br />
25mm; 3.0 x 25mm; 3.5 x 25mm; 4.0<br />
x 25mm<br />
Bard Australia Pty Ltd<br />
Filters, Vena Cava<br />
BA009 Simon Filter Femoral - 2110F, Simon Nitinol self expanding vena cava 28mm Filter, 7Fr delivery<br />
Filter Jugular - 2210J, Simon Filter filter - "Simon Nitinol Filter"<br />
Anticubital - 2310A<br />
Filtration Systems<br />
BA010 Recovery Filter Femoral System Nitinol self expanding vena cava 28mm Filter, 7Fr delivery<br />
filter - "Recovery Vena Cava Filter"<br />
Grafts, Vascular, Synthetic<br />
BA019 Impra PTFE Vascular Grafts ePTFE graft - radially supported, 4mm - 8mm diameter<br />
thin wall, 10 - 50cm long<br />
BA020 Impra PTFE Vascular Grafts ePTFE graft - thin wall, 10 - 50cm 3mm - 10mm diameter<br />
Page 602 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BA021 Impra PTFE Vascular Grafts ePTFE graft - radially supported, 4 - 8mm diameter<br />
thin wall, greater than 50cm long<br />
BA022 Impra PTFE Vascular grafts ePTFE graft - radially supported, 4 - 19mm diameter<br />
regular wall, 10-50cm long<br />
BA023 Impra PTFE Vascular grafts ePTFE graft - radially supported, 4 - 10mm diameter<br />
regular wall, greater than 50cm long<br />
BA024 Impra PTFE Vascular grafts ePTFE graft - thin wall, greater than 3 - 10 diameter<br />
50cm long<br />
BA025 Impra PTFE Vascular grafts ePTFE graft - regular wall, 10-50cm 3 - 19mm diameter<br />
long<br />
BA026 Impra PTFE Vascular grafts ePTFE graft - regular wall, greater 3 - 10mm diameter<br />
than 50cm long<br />
BA027 Impra PTFE Vascular Grafts Distaflo ePTFE graft with preformed 6-10mm diameter, 40 - 80cm length<br />
cuff<br />
BA028 Impra PTFE Vascular Grafts Distaflo ePTFE Graft, with 6-10mm diameter, 40 - 80cm length<br />
preformed cuff and flex support<br />
BA029 Impra PTFE Vascular Grafts Venaflo ePTFE graft with preformed 4mm - 8mm diameter, 10cm - 50cm<br />
cuff length<br />
BA030 Impra PTFE Vascular Grafts Venaflo ePTFE graft, with preformed 4mm - 8mm diameter, 10cm - 50cm<br />
cuff and flex support length<br />
<strong>Prostheses</strong>, Blood Vessel, Artificial<br />
BA011 Grafts Vascular Polyester soft-woven graft - 13mm - 25mm diameter aortic<br />
diameter, 6.5mm - 12.5 mm<br />
Iliac/Femoral diameter<br />
BA012 Grafts Vascular Polyester knitted grafts - bifurcated 12mm - 24mm Aortic diameter, 6mm<br />
- 12mm Iliac/Femoral diameter<br />
BA014 Grafts Vascular Axillo-bifemoral polyester graft 8mm-10mm diameter, 50cm- 100cm<br />
length<br />
BA015 Grafts Vascular Intraluminal polyester graft 20mm - 29mm diameter, 4cm - 8cm<br />
length<br />
Page 603 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BA017 Grafts Vascular Polyester grafts - straight 5mm - 25mm diameter, 50cm-75cm<br />
length<br />
BA018 Exs Bionit Vascular Grafts Polyester graft - EXS 8mm - 10mm diameter, 35cm length<br />
BA031 Grafts Vascular Polyester soft tissue patch 1mm 5cm x 10cm<br />
BA032 Grafts Vascular Polyester soft tissue patch 1mm 10cm x 15cm<br />
BA033 Grafts Vascular Polyester soft tissue patch 1mm 15cm x 20cm<br />
BA034 Grafts Vascular Polyester soft tissue patch 1mm 20cm x 30cm<br />
BA035 Grafts Vascular PTFE Felt 2mm thick 5cm x 10cm<br />
BA036 Grafts Vascular PTFE Felt 2mm thick 10cm x 15cm<br />
BA037 Grafts Vascular PTFE Felt 2mm thick 15cm x 20cm<br />
BA038 Grafts Vascular PTFE Felt 2mm thick 20cm x 30cm<br />
BA039 Grafts Vascular Polyester pledgets Rectangle, Oval, Circle, Square<br />
2.9mm-8mm x 6mm - 9.5mm<br />
Stents, Vascular<br />
BA001 Memotherm Vascular Stents Memotherm nitinol self-expanding 4mm - 20mm diameters, 2cm - 12 cm<br />
stent lengths<br />
BA002 Pura Vario Stent Saxx balloon expandable stainless 3mm - 14mm diameter, 13mm - 80mm<br />
steel stent length<br />
BA003 Saxx Premounted Balloon Expandable Pura vario stainless steel stent 3mm - 16mm diameter, 13mm - 80mm<br />
Stent length<br />
BA004 Encapsulated Carbon Lined Stent AV access PTFE covered nitinol 4mm - 10mm diameter, 3cm - 8cm<br />
self-expanding stent length<br />
BA005 Encapsulated Carbon Lined Stent Iliac / SFA PTFE covered nitinol 4mm - 10mm diameter, 3cm - 12cm<br />
self-expanding stent length<br />
BA006 Endologix Endoluminal <strong>Prostheses</strong> Power link endoliminal stent graft 25mm - 32mm Proximal diameter, 16<br />
- 20mm Limb diameter, 130mm -<br />
220mm length<br />
Page 604 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BA007 Endologix Endoluminal <strong>Prostheses</strong> Power link limb extension 16mm x 55mm, 16mm x 88mm, 20mm<br />
x 55mm<br />
BA008 Endologix Endoluminal <strong>Prostheses</strong> Power link proximal cuff 25mm x 55mm, 28mm x 55mm, 28mm<br />
x 75mm (55mm covered)<br />
Unknown / Unassigned<br />
BA040 VitaCuff, Hickman Catheter Dialysis/Apheresis catheter, dual 36-45cm overall length<br />
lumen, silicone<br />
Baxter Healthcare Pty Ltd<br />
<strong>Prostheses</strong>, Blood Vessel, Artificial<br />
BX062 PTFE Vascular Graft Expanded, reinforced 5-10mm x 10cm<br />
Polytetrafluoroethylene. Straight,<br />
Regular Wall<br />
BX063 PTFE Vascular Graft Expanded, reinforced 5-10mm x 20cm<br />
Polytetrafluoroethylene. Straight,<br />
Regular Wall<br />
BX064 PTFE Vascular Graft Expanded, reinforced 5-10mm x 50cm<br />
Polytetrafluoroethylene. Straight,<br />
Regular Wall<br />
BX065 PTFE Vascular Graft Expanded, reinforced 5-10mm x 80cm<br />
Polytetrafluoroethylene. Straight,<br />
Regular Wall<br />
BX066 PTFE Vascular Graft Expanded, reinforced 5-10mm x 10cm<br />
Polytetrafluoroethylene. Straight,<br />
Regular Wall, Spiral Externally<br />
Supported<br />
BX067 PTFE Vascular Graft Expanded, reinforced 5-10mm x 20cm<br />
Polytetrafluoroethylene. Straight,<br />
Regular Wall, Spiral Externally<br />
Supported<br />
Page 605 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BX068 PTFE Vascular Graft Expanded, reinforced 5-10mm x 50cm<br />
Polytetrafluoroethylene. Straight,<br />
Regular Wall, Spiral Externally<br />
Supported<br />
BX069 PTFE Vascular Graft Expanded, reinforced 5-10mm x 80cm<br />
Polytetrafluoroethylene. Straight,<br />
Regular Wall, Spiral Externally<br />
Supported<br />
BX070 PTFE Vascular Graft Expanded, reinforced 5-10mm x 10cm<br />
Polytetrafluoroethylene. Straight,<br />
Thin Wall<br />
BX071 PTFE Vascular Graft Expanded, reinforced 5-10mm x 20cm<br />
Polytetrafluoroethylene. Straight,<br />
Thin Wall<br />
BX072 PTFE Vascular Graft Expanded, reinforced 5-10mm x 50cm<br />
Polytetrafluoroethylene. Straight,<br />
Thin Wall<br />
BX073 PTFE Vascular Graft Expanded, reinforced 5-10mm x 80cm<br />
Polytetrafluoroethylene. Straight,<br />
Thin Wall<br />
BX074 PTFE Vascular Graft Expanded, reinforced 5-10mm x 10cm<br />
Polytetrafluoroethylene. Straight,<br />
Thin Wall, Spiral Externally<br />
BX075 PTFE Vascular Graft Expanded, reinforced 5-10mm x 20cm<br />
Polytetrafluoroethylene. Straight,<br />
Thin Wall, Spiral Externally<br />
BX076 PTFE Vascular Graft Expanded, reinforced 5-10mm x 50cm<br />
Polytetrafluoroethylene. Straight,<br />
Thin Wall, Spiral Externally<br />
BX077 PTFE Vascular Graft Expanded, reinforced 5-10mm x 80cm<br />
Polytetrafluoroethylene. Straight,<br />
Thin Wall, Spiral Externally<br />
Page 606 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BX078 PTFE Vascular Graft Expanded, reinforced 4-7mm x 50cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Stepped<br />
BX079 PTFE Vascular Graft Expanded, reinforced 4-7mm x 50cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Stepped - 5cm Centre Spiral<br />
BX080 PTFE Vascular Graft Expanded, reinforced 4-7mm x 50cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Stepped - Centre Spiral<br />
BX081 PTFE Vascular Graft Expanded, reinforced 4-7mm x 40cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Quick Taper<br />
BX082 PTFE Vascular Graft Expanded, reinforced 4-7mm x 50cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Quick Taper<br />
BX083 PTFE Vascular Graft Expanded, reinforced 4-7mm x 45cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Quick Taper - 5cm Center<br />
BX084 PTFE Vascular Graft Expanded, reinforced 4-7mm x 45cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Quick Taper - Center Spiral<br />
BX085 PTFE Vascular Graft Expanded, reinforced 4-7mm x 70cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Gradual Taper - Spiral<br />
BX086 PTFE Vascular Graft Expanded, reinforced 4-7mm x 70cm<br />
Polytetrafluoroethylene. Regular<br />
Wall, Gradual Taper<br />
BX087 PTFE Vascular Graft Expanded, reinforced 4-7mm x 70cm<br />
Polytetrafluoroethylene. Thin Wall,<br />
Gradual Taper<br />
BX088 PTFE Vascular Graft Expanded, reinforced 4-7mm x 70cm<br />
Polytetrafluoroethylene. Thin Wall,<br />
Gradual Taper - Spiral<br />
Page 607 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Bio Nova International Pty Ltd<br />
<strong>Prostheses</strong>, Blood Vessel, Biological<br />
BN001 Bio Nova Vascular Graft Flonova One size only<br />
BN002 Omniflow II Vascular Prosthesis - - 5 - 10 mm x 65 cm<br />
Straight<br />
BN003 Omniflow II Vascular Prosthesis - - 5 - 10 mm x 55 cm<br />
Straight<br />
BN004 Omniflow II Vascular Prosthesis - - 3 - 4 mm x 20 cm<br />
Straight<br />
BN005 Omniflow II Vascular Prosthesis - Vascular Patch One size only<br />
Straight<br />
Vascular <strong>Prostheses</strong>, Human or Animal Origin<br />
BN006 Omniflow II Vascular Prosthesis - AV Access One size only<br />
BN007 Bio Nova Omniflow II Soft Tissue 2mm thick 5cm x 10cm<br />
Patches<br />
BN008 Bio Nova Omniflow II Soft Tissue 2mm thick 10cm x 15cm<br />
Patches<br />
BN009 Bio Nova Omniflow II Soft Tissue 2mm thick 15cm x 20cm<br />
Patches<br />
BN010 Bio Nova Omniflow II Soft Tissue 2mm thick 20cm x 30cm<br />
Patches<br />
Biotronik Australia Pty Ltd<br />
Stents, Vascular<br />
BT034 PHILON Flexible coated stent, self expanding Dia 7-9mm, length 30-80mm<br />
BT035 PEIRON Flexible coated stent with delivery Dia 5-8mm, length 18-38mm<br />
system<br />
Stents, Vascular, Coronary<br />
BT033 PHAINON Flexible coated stent Dia5-8mm, length 11-56mm<br />
Page 608 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Boston Scientific Pty Ltd<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
BS014 Detachable Silicone Balloon (DSB) Balloon (permanent implant) with Deflated O.D.: Low Detachment -<br />
and delivery system co-axial delivery system .85mm, 1.5mm, 1.8mm Medium<br />
Detachment - .85mm, 1.5mm, 1.8mm<br />
High Detachment - 1.5mm, 1.8mm;<br />
Delivery system: 6.3/4.2Fr;<br />
7.3/5.0Fr; 8.0/5.6Fr; 9.0/6.3Fr;<br />
90/110cm; 3.6Fr both 120cm;<br />
BS018 Berenstein Liquid Coil Platinum, Helical coil 2.8mm x 1.5-30cm, 2.5mm x<br />
1.5-30cm<br />
BS021 Complex Helical Fibered Platinum Platinum coil covered with dacron Coils 2-30mm x3-60mm; 150cm<br />
Coil Braided Occlusion Device (BOD) fibres. Delivery systems with nitinol length for all delivery systems<br />
Vortx-35 fibered platinum coil with braid, Polypropylene proximal,<br />
delivery system Polyethylene distal<br />
BS026 Braided Occlusion Device (BOD) Platinum coil covered with dacron Coils 2-30mm x3-60mm<br />
Fibered Platinum Coil fibres<br />
BS027 Guglielmi Detachable Coil (GDC) Platinum Coil. 2-20mm x 4-30cm<br />
BS031 PVA for embolization and delivery Polyvinyl alcohol foam and delivery 45-150 micron, 150-250 micron,<br />
system system; Microcatheter for PVA 250-355 micron, 355-500 micron,<br />
delivery; Delivery systems with 500-710 micron, 710-1000 micron,<br />
nitinol braid, Polypropylene 1000-1180 micron,<br />
promixal, Polyethylene distal.<br />
Contour Embolisation Particles,<br />
FasTracker, Tracker, TurboTracker.<br />
BS034 PVA Particles (contour embolisation) Polyvinyl alcohol foam 45-150 micron, 150-250 micron,<br />
250-355 micron, 355-500 micron,<br />
500-710 micron, 710-1000 micron,<br />
1000-1180 micron<br />
BS058 GDC Trispan 3 nitinol loops (or petal) with Dia 6 - 10, 12, 14, 16mm<br />
platinum wire wrapped around each<br />
petal, a 018 catheter delivery wire<br />
Page 609 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Filters, Vena Cava<br />
BS006 Greenfield Vena Cava Filter & Jugular System / Femoral System 12 Fr<br />
Delivery System (single package) (Titanium or stainless steel)<br />
Grafts, Vascular, Synthetic<br />
BS057 Exxcel Soft PTFE Vascular Graft PTFE, thin wall and standard wall Standard Wall Vascular Grafts -<br />
ringed (supported) and unringed Straight diameter 4 - 8mm, length<br />
(unsupported). Standard Wall 20 - 80cm; Straight externally<br />
Vascular Grafts types -straight, supported diameter 6 - 8mm, length<br />
straight externally supported, 50 - 80cm; Straight centrally<br />
straight centrally supported, short supported diameter 6mm, length 40<br />
taper, short taper centrally - 50cm; Short taper centrally<br />
supported, step, step centrally supported diameter 4 - 7mm, length<br />
supported. Thin Wall Vascular 40 - 45cm; Step diameter 4 - 7mm,<br />
Grafts types - straight, straight length 45cm; Step centrally<br />
externally supported. supported diameter 4 - 7mm, length<br />
45cm; Thin wall vascular grafts -<br />
Straight diameter 4 - 10mm, length<br />
10 - 90cm; Straight externally<br />
supported diameter 5 - 10mm,<br />
length 40 -80cm<br />
Injection/Infusion Ports, Implantable<br />
BS065 Vaxcel Implantable Vascular Access Polyurethane Catheter Material with 16 French catheter tapering to a 14<br />
System dual lumens and a staggered distal French, lengths 19, 23, 28cm<br />
tip; polyester cuff which provides<br />
catheter security and tissue growth;<br />
clear extension tubes with clamps<br />
Page 610 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Patches, Myocardial<br />
BS019 Cardiovascular Fabrics and Felts LARS Polyester Mesh, Cooley LARS Polyester Mesh 15cm x15cm,<br />
Knitted Polyester Fabric, Weavenit Cooley Knitted Polyester Fabric<br />
Polyester Fabric, Meadox Stretch 10cm x 10cm, Weavenit Polyester<br />
Polyester Fabric, Woven Minicrimp Fabric 10cm x 10cm, Meadox<br />
Polyester Fabric, Knitted Minicrimp Stretch Polyester Fabric, Woven<br />
Polyester Fabric, Cooley Low Minicrimp Polyester Fabric 5cm x<br />
Porosity Polyester Fabric, Surgical 10cm, Knitted Minicrimp Polyester<br />
Supported Polyester Felt Fabric 5cm x 10cm, Cooley Low<br />
(unsupported), Cooley Double Porosity Polyester Fabric<br />
Velour Polyester Fabric, Cooley 10cmx10cm, Surgical Supported<br />
Single Velour Polyester Fabric, Polyester Felt (unsupported),<br />
Trelex Natural Mesh (Material Cooley Double Velour Polyester<br />
Composition: Polypropylene) Fabric 10cm x 10cm, 15cm x 15cm<br />
Cooley Single Velour Polyester<br />
Fabric, Trelex Natural Mesh<br />
2.5-25cm x 10-35.6cm<br />
<strong>Prostheses</strong>, Blood Vessel, Artificial<br />
BS004 Cooley Veri-Soft Vascular Grafts Straight (Unsealed, woven textile Diameter: 6-38mm, Length:<br />
BS005 Cooley Double Velour Vascular Grafts Bifurcated (Unsealed, woven textile Diameter: 12-24mm x 6-12mm,<br />
graft) Length: 40cm, 100cm x 60cm (side)<br />
Stents, Vascular<br />
BS013 Symphony Nitinol Stent Self-expanding stents with Diameter x Length: 6-14mm x<br />
radiopaque markers 22-60mm<br />
BS035 Expandable Endovascular Wallstent Wallstent - Easy Wallstent, Iliac Stent Diameter x Stent Length:<br />
Wallstent (A self-expanding stent 6-16mm x 18-70mm<br />
that has a cylindrical braided<br />
structure composed of 24 wires with<br />
core of either tantalum or platinum).<br />
BS036 Schneider Endovascular Grafts: A self expanding, flexible Size: 6-16mm, 30-90mm<br />
endoprosthesis, made of medium<br />
porosity PET graft material with<br />
radiopaque tracer wire<br />
Page 611 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BS056 Carotid Wall Stent Model SCH64371, SCH64377, Fully open diameter 6.0 - 10.0mm,<br />
SCH64378, SCH64379, SCH64382, Fully open length 22 - 37mm<br />
SCH64383, SCH64384, Elgiloy<br />
(cobalt chromium), flexible low<br />
profile, self expanding<br />
BS059 Express Biliary LD Stent, Express LD 316L stainless steel stent mounted Dia 6 - 10mm, length 20, 40, 60mm<br />
Stent on a balloon. The balloon shaft is<br />
polyurethane with coextrusion<br />
balloon on a distal end where stent<br />
is crimped to.<br />
BS060 Transhepatic Biliary Permalume Elgiloy (cobalt chromium), 8 x 60mm, 8 x 80mm, 10 x 40mm, 10<br />
Covered Wallstent permalume (silicone coating), self x 60mm, 10 x 80mm<br />
expanding, flexible, Model numbers:<br />
4356, 4357, 4358, 4359<br />
BS063 Wallstent RP Wallstent TIPS endoprosthesis, 6mm x 24, 36, 46, 59mm; 7mm x 23,<br />
wallstent biliary endoprosthesis, 34, 55, 67mm; 8mm x 20, 38, 47,<br />
wallstent iliac endoprosthesis, 66mm; 9mm x 18, 35, 52, 61mm;<br />
wallstent endoprosthesis 10mm x 20, 39, 49, 69mm<br />
tracheobronchial with unistep plus<br />
delivery sytem, stent composition -<br />
biomedical superalloy wire, braided<br />
in mesh, unistep delivery system<br />
composition - blue polyimid<br />
material, stainless steel<br />
Vascular <strong>Prostheses</strong>, Human or Animal Origin<br />
BS007 Hemashield Microvel Double Velour Microvel Double Velour Straight Diameter: 6-24mm, Length:<br />
Straight Vascular Grafts (Cryogenic) (Sealed, knitted textile graft)<br />
BS008 Hemashield Woven Double Velour Woven Double Velour Straight Diameter: 6-38mm, Length:<br />
Straight Vascular Grafts (Cryogenic) (Sealed, woven textile graft)<br />
BS009 Hemashield Microvel Double Velour Microvel Double Velour Bifurcated Diameter: 12-24mm x 6-12mm,<br />
Bifurcated Grafts (Cryogenic) (Sealed, knitted textile graft) Length: 40cm, 100cm x 60cm (side)<br />
BS010 Hemashield Woven Double Velour Woven Double Velour Birfurcated Diameter: 12-24mm x 6-12mm,<br />
Bifurcated Vascular Grafts (Sealed, woven textile graft) Length: 40cm<br />
Page 612 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
BS011 Hemashield Vantage Vascular Grafts Woven polyester graft with single Length x Diameter: 40-100cm x<br />
Straight velour, impregnanted with purified 6-10mm<br />
bovine collagen<br />
BS012 Hemashield Finesse Vascular Patch Ultra Thin Tapered End; Ultra Thin Length: 6-25mm x 75-150mm<br />
Straight End; Sealed patch suitable<br />
for carotid or other vessel patching<br />
BS020 Cardiovascular Fabrics and Felts Hemashield Microvel Fabric, Hemashield Microvel Fabric 8mm x<br />
Hemashield Woven Double Velour 75mm, 2.5-5cm x 7.5-15cm.<br />
Fabric (Material Composition: PET Hemashield Woven Double Velour<br />
fabric impregnated with bovine Fabric 2.5-5cm x 7.5-15cm<br />
collagen)<br />
Device Technologies Australia Pty Ltd<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
DE006 Onyx System DSMO/Liquid Embolic Material 6 - 8 % (strength)<br />
Stents, Vascular<br />
DE002 Jostent SelfX Expanding Stent Nitinol Shaft length 15 - 180cm, stent<br />
length 32 - 92mm<br />
DE003 Jostent Renal Premounted Balloon expandable Stent length 12 - 17mm, diameter 5 -<br />
7 mm<br />
DE011 JOStent Peripheral Stent Stainless Steel 4 - 12 mm x 12 - 58m mm<br />
DE012 JOStent Peripheral Stent Graft Stainless Steel/PTFE 4 - 12 mm x 12 - 58m mm<br />
DE013 JOStent Standard Carotid Stent Surgical Steel 21mm - 46mm<br />
DE097 Jostent Wavemax Stainless steel Dia 5 - 12mm, length 12 - 58mm<br />
Endotherapeutics Pty Ltd<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
ET006 Embospheres - 2ml per implant<br />
ET007 Embospheres - 1ml per implant<br />
Page 613 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
ET008 Embospheres - .5ml per implant<br />
ET033 Nit-Occlud Coil System System for transcatheter occlusions Dia 4 x 4mm - 14 x 6mm<br />
of PDA with spiral coils. Includes<br />
Nit-Occlud spiral coil with<br />
deployment handle<br />
Occluders, Vascular<br />
ET027 Duct-Occlud Spiral Coil Stainless Steel Spiral Coil Standard - 4 x 3,4, 5mm; Standard -<br />
5 x 6,7 mm; Standard - 6 x 7 mm;<br />
Reinforced - 5 x 7mm; Reinforced - 6<br />
x 9,11 mm<br />
Stents<br />
ET023 IntraStent Expandable Stent Stainless Steel 2.8 x 10,16,26,36,56, 76 mm<br />
ET029 Vivant Z Stent Coronary stent made of alloyed Dia 2.5 - 4.0mm, length 9 - 28mm<br />
medical grade stainless steel<br />
Stents, Vascular<br />
ET022 Intracoil Stent Nickel titanium alloy 40 x 4,5,6,7,8 mm<br />
ET024 Optimed Tips Sinus Stent Sinus-wave nitinol stent 10-12mm x 50-90 mm<br />
ET025 Optimed Iliac Sinus Stent Sinus-wave nitinol stent 4-12mm x 30-100mm<br />
ET026 Optimed Femoral Sinus Stent Sinus-wave nitinol stent 4-12mm x 30-100mm<br />
ET030 Aspire Covered Stent Expandible Nitinol Stent covered Dia 6-14mm, Length 2.5-10cm<br />
with ePTFE<br />
ET037 SX-Ella Endovascular Stent Uncovered, self-expanding nitinol Dia 6-16mm, length 22-77mm<br />
Five Corners Pty Ltd<br />
Stents, Vascular<br />
FC001 Endoluminal Stent Graft and Delivery Multiple sizes of stent graft on Dia 15-27mm, Length 87-189mm<br />
System pre-loaded catheter shaft for delivery<br />
and deployment, comprised of Pet &<br />
Nitinol<br />
Page 614 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Getz Bros. & Co. (Aust) Pty Ltd<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
GB084 Micrus ACT Platinum Microcoil Platinum/tungsten alloy wire Spherical 2 - 20mm, Helical 2mm x<br />
Delivery System 2cm - 10mm x 30cm<br />
Filters, Vena Cava<br />
GB027 Amplatzer Vena Cava Filter Blood filter One size only<br />
Grafts, Vascular, Synthetic<br />
GB009 Intervascular Vascular Grafts Ultra Low Porosity Woven - 6mm x 40cm - 38mm x 40cm<br />
GB010 Intervascular Vascular Grafts Ultra Low Porosity Woven 12mm x 6mm - 24mm x 12mm<br />
GB011 Intervascular Vascular Grafts Low Porosity Woven Straight 6mm x 60 cm - 24mm x 40cm<br />
GB012 Intervascular Vascular Grafts Low Porosity Woven Bifurcated 12mm x 6mm - 24mm x 12mm<br />
GB013 Intervascular Vascular Grafts Ochsner 200 Woven Straight 8mm x 60cm - 22mm x 60cm<br />
GB014 Intervascular Vascular Grafts Ochsner 200 Woven Bifurcated 16mm x 8mm - 22mm x 11mm<br />
GB015 Intervascular Vascular Grafts Micron Knitted Graft Bifurcated 16mm x 8mm<br />
GB016 Micron Carotid Patches Synthetic 6 x 75mm - 14 x 75mm<br />
<strong>Prostheses</strong>, Blood Vessel, Biological<br />
GB017 Intergard W Woven Straight 6mm x 30cm - 38mm x 30cm<br />
GB018 Intergard W Woven Bifurcated 18mm x 9mm - 24mm x 12mm<br />
GB019 Intergard W Woven Aortic Arch 24mm x 10mm x 8mm x 8mm x 50cm -<br />
30mm x 10mm x 8mm x 8mm<br />
GB020 Intergard K Knitted Straight 6mm x 40cm - 24mm x 40cm<br />
GB021 Intergard K Knitted Bifurcated 12mm x 6mm - 24mm x 12mm<br />
GB022 Intergard K Knitted Radially Supported 6mm x 70cm - 8mm x 60cm<br />
GB023 Intergard K Knitted Axillobifemoral Diameter (mm) Length (cm) 8 x 8<br />
100/60; 10 x 10 100/60; 8 x 6 x 6<br />
85/55; 8 x 8 85/55; 8 x 8 100/55<br />
Page 615 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Stents<br />
GB026 Antares Endovascular Stent System Stents Length: 10 / 18 / 38 (mm)<br />
Stents, Vascular<br />
GB024 Antares Coronary Stent System Stent Length: 8mm - 32mm Diameter:<br />
2.5mm -4.0mm<br />
GB025 Antares Endovascular Stent Stents Length: 10 / 18 / 38 (mm)<br />
GB085 Antares Starflex Coronary System Stainless steel Bare stent lengths 8, 12, 16, 20, 24,<br />
32mm; Expansion range 2.5 - 4.0mm<br />
Stent Delivery System, stent<br />
lengths 8mm, 12mm, 16mm, 20mm,<br />
24mm, 32mm<br />
Balloon 2.5mm, 3.0mm, 3.5mm,<br />
GB094 Antares Renal Twin Stent System Stainless steel stent on a Stent Delivery System - 80cm &<br />
rapid-exchange PTA catheter 135cm; Stent lengths 11 & 17mm;<br />
Balloon diameters 4.5-7mm<br />
Stents, Vascular, Coronary<br />
GB095 Lunar Starflex Coronary Stent System Niobium alloy stent coated with Balloon 2.25-4.0mm, stent 8-20mm<br />
layer of homogenous iridiumoxide<br />
Guidant Australia Pty Ltd<br />
Stents<br />
GU071 ACCULINK Peripheral Stent System Nickel-Titanium Intra-vascular stent 4-10mm diameter, 13-56mm length<br />
Stents, Vascular<br />
GU058 Dynalink Peripheral Self Expanding - Lengths 80cm and 120cm, Sizes<br />
Stent System range from 5mm x 28mm to 10mm x<br />
56mm<br />
Imthage Pty Ltd<br />
Grafts, Vascular, Synthetic<br />
IM001 Venous Valve Ring Dacron/silicone variable diameter 52mmx15mmx0.09 mm<br />
Page 616 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Jacobs Medical Australia Pty Ltd<br />
Stents, Vascular<br />
JM001 Angiodynamics Angiostent Balloon Platinum wire 5mm to 10mm<br />
Expandable Stent System (Vistaflex)<br />
Johnson & Johnson Medical Pty Ltd<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
JJ062 Trufill PVA Embolization Particles Polyvinyl alcohol particles 45 - 2000 micrometres<br />
Filters, Vena Cava<br />
JJ067 Trapease Vena Cava Filter and Nitinol filter Suitable for 18-30 mm vessels<br />
Introduction kit<br />
Occluders, Vascular<br />
JJ223 TruFill DCS Detachable coil Platinum detachable coil of complex Size .012" outer diameter. Complex<br />
and helical shapes. Embolic coil shape - 2 -12mm (dia), 2 - 30cm<br />
and delivery tube. lengths; helical shape - 2 - 30mm<br />
(dia), lengths 2 - 30cm<br />
JJ224 TruFill Pushable coil Platinum pushable coil of 1. Size .014" outer diameter. Size 2 -<br />
Straight, 2. C, 3. Flat spiral and 4. 10mm and length 2 - 100mm<br />
Complex shapes. Embolic coil and<br />
delivery tube.<br />
Stents, Vascular<br />
JJ057 Palmaz Balloon Expandable Stent Stainless steel stent Diameter 4-12mm, length 20-30mm<br />
JJ058 Palmaz Balloon Expandable Stent Stainless steel stent Extra-large<br />
JJ059 Palmaz Balloon Expandable Stent Corinthian stainless steel stent Diameter 4-10mm; Length 12 - 79<br />
mm<br />
JJ063 Smart Peripheral Stent System Nitinol vascular stent 6 - 14 mm<br />
JJ064 Duo Via Main Endograft Leg and Nitinol abdominal aortic aneurysm 13F, 16-28 mm<br />
Delivery System device leg extension<br />
Page 617 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
JJ065 Duo Via Bioseal and Delivery System Nitinol abdominal aortic aneurysm 13F, 16-28 mm<br />
device<br />
JJ066 Cordis Covered Nitinol Stent and Nitinol stent 6 - 12 mm<br />
Delivery System<br />
JJ068 SMART .018" Peripheral Stent System Nitinol carotid stent and delivery 6 - 10 mm<br />
system<br />
JJ069 Palmaz Corinthian IQ Peripheral Stent Stainless steel hypotube stent 12 - 80 mm<br />
JJ230 Palmaz Corinthian IQ Peripheral Stent Laser cut from 316L stainless steel Corinthian IQ M3 (available in 15<br />
and Delivery System hypotube. Cells connected by and 18mm stent diameteres)<br />
omega shaped hinges. Stent mounted on 5 - 7 mm rapid<br />
mounted on a rapid exchange<br />
balloon, a very low profile .014<br />
JJ235 SMART Peripheral stent system Laser cut nitinol tube. Available in Dia 6 - 8mm, length 120mm<br />
long stents to treat large vessel<br />
JJ236 SMART Peripheral stent system Laser cut nitinol tube. Added to the Dia 6 - 10mm, length 26, 40, 60,<br />
stent ends are Tantalum 80mm. Delivery system 80 and 120<br />
Micromarkers for enhanced SDS<br />
JJ304 Palmaz Genesis Peripheral Stent and Stainless steel balloon expandable Diameter 4-8mm, length 12-39mm<br />
Delivery System on Slalom stent mounted on a slalom balloon<br />
JJ305 Palmaz Genesis Peripheral Stent and Stainless steel balloon expandable Diameter 4-8mm, length 12-39mm<br />
Delivery System on Opta Pro stent mounted on an Opta Pro<br />
JJ306 Palmaz Genesis Peripheral Stent Stainless steel peripheral stent Diameter 4-12mm, length 11-79mm<br />
Page 618 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Kendall Australasia Pty Ltd T/A Tyco Healthcare Pty<br />
Catheterization Kits, Central Venous<br />
KA007 Mahurkar Subclavian Catheter Kit Chronic haemodialysis, long term 36, 40cm<br />
vascular access for haemodialysis<br />
and apheresis. Constructed of<br />
radiopaque silicone rubber. Kit<br />
contains: Catheter, 18ga Introducer<br />
Needle, J/Straight 0.038" Guidewire,<br />
10cc Syringe, Tunnelling Stylet,<br />
Pull-Apart Sheath/Dilator, (4)<br />
Gauze Sponges, (2) Wound<br />
Dressings, (2) Injection Sealing<br />
Caps.<br />
KA012 Mahurkar Subclavian Catheter Kit Acute haemodialysus, short term 11.5 Fr, 13.5cm Straight Extension,<br />
vascular access. Catheters 11.5 Fr, 16cm Straight Extension,<br />
constructed of radiopaque 11.5 Fr 19.5cm Straight Extension,<br />
polyurethane. Tips are made of 10 Fr 12cm Curved Extension, 10<br />
polyvinyl chloride and are more Fr 15cm Curved Extension, 11.5 Fr<br />
radiopaque than the rest of the 16cm Curved Extension, 11.5 Fr<br />
catheter. Kit contains: 10 or 11.5 Fr 16cm Curved Extension, 11.5 Fr<br />
Catheter, 18ga Introducer Needle, 19.5cm Curved Extension<br />
J/Straight Guidewire, 10 Fr Dilator,<br />
12 Fr Dilator, 2 x Adhesive Wound<br />
Dressings.<br />
Catheters, Hemodialysis<br />
KA008 Single Lumen Right Atrial Catheter Central Venous Catheters 84cm, 1.3mm OD, 94cm 2.2mm OD,<br />
constructed of radiopaque silicone 94cm 3.2mm OD<br />
KA009 RAAF Dual Lumen Catheter Central Venous Catheter constructed 4.5mm (Catheter), 95cm (Catheter<br />
of radiopaque silicone rubber Overall Length); 3.2mm (Catheter),<br />
102cm (Catheter Overall Length)<br />
KA010 Triple Lumen Right Arterial Catheter Central Venous Catheter constructed 3.9mm<br />
of radiopaque silicone rubber<br />
Page 619 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
KA011 Permcath Dual Lumen Catheter Chronic Haemodialysis, long term 36cm, 40cm<br />
vascular access for haemodialysis<br />
and aphaeresis. Constructed of<br />
radiopaque silicone rubber. Kit<br />
contains: Catheter, 18ga Introducer<br />
Needle, J/Straight 0.038" Guidewire,<br />
10cc Syringe, 10Fr. Dilator (28cm<br />
only), 12Fr. Dilator (except 28cm),<br />
#11 Scalpel, Tunnelling Stylet, Oval<br />
Pull-Apart Sheath/Dilator, (4)<br />
Gauze Sponges, (2) Wound<br />
Dressing, (2) Injection Sealing<br />
Caps.<br />
KA013 Permcath Dual Lumen Catheter Chronic haemodialysis, long term 28, 36, 40cm<br />
vascular access for haemodialysis<br />
and aphaeresis. Constructed of<br />
radiopaque silicone rubber.<br />
Procedure Trays, Surgical<br />
KA014 Mahurkar Maxid Catheters Catheters constructed of radiopaque Size, 38, 43, 48, 53cm<br />
polyurethans, high kink resistant.<br />
The arterial lumen is shorter than the<br />
venous lumen at the catheter's distal<br />
end in order to reduce recirculation<br />
during haemodialysis<br />
Medical Specialties Australia Pty Ltd<br />
Shunts, Arteriovenous<br />
MS001 Carotid Artery Shunt Polyurethane 8F, 9F, 6", 12"<br />
Page 620 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Medtronic Australasia Pty Ltd<br />
Catheters, Vessel Dilation Balloon<br />
MC197 Medtronic AVE S660 Balloon S/Steel: Includes S660 Coronary 2.5 x 9-24mm, 2.5 x 8-24mm,<br />
Dilation Catheter, S670 Coronary Stent S660-2509XD. S/Steel: 3.0-4.0mm x 9-30mm, 3.0-4.0mm x<br />
Stent, S7 Coronary Stent, BeStent2 S670-3009X, S670-3012X, 9-30mm, 2.5-4mm x 9-30mm<br />
S670-3015X, S670-3018X,<br />
S670-3024X, S670-3030X,<br />
S670-3509X, S670-3512X,<br />
S670-3515X, S670-3518X,<br />
S670-3524X, S670-3530X,<br />
S670-4009X, S670-4012X,<br />
S670-4015X, S670-4018X,<br />
S670-4024X, S670-4030X. S/Steel:<br />
S7-3009X, S7-3012X, S7-3015X,<br />
S7-3018X, S7-3024X, S7-3030X,<br />
S7-3509X, S7-3512X, S7-3515X,<br />
S7-3518X, S7-3524X, S7-3530X,<br />
S7-4009X, S7-4012X, S74015X, S7<br />
Coronary Stent, S7-4024X,<br />
S7-4030X. S/Steel: BE22509X,<br />
BE22512X, BE22515X, BE22518X,<br />
BE22524X, BE23009X,<br />
BE23012X, BE23015X, BE23018X,<br />
BE23024X, BE23030X,<br />
BE23509X, BE23512X, BE23515X,<br />
BE23518X, BE23524X,<br />
Stents, Vascular<br />
MC004 INX Neurovascular Stent Delivery Neurovascular over the wire stent 2.5 x 6mm - 4 x 18mm<br />
System delivery system. Stainless steel.<br />
MC142 Medtronic Stents, Sterile Medtronic AneuRx Straight Stent 20-40mm x 6-12cm, 20-28mm x<br />
Graft - Nitinol / Polyester: 12-16mm x 7-9.5cm<br />
MC143 Medtronic Stents, Sterile Medtronic AneuRx Aortic / Illiac 20-28mm x 12-16mm x 13-16.5cm<br />
Stent - Nitinol / Polyester:<br />
MC144 Medtronic Aust Stents, Sterile Medtronic AneuRx Illiac Stent - 12-16mm x 8.5-11.5cm<br />
Nitinol / Polyester.<br />
Page 621 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
MC145 Medtronic Aust Stents, Sterile Medtronic AneuRx Aortic or Iliac 12-28mm x 3.75-5.5cm<br />
Cuff Stent - Nitinol / Polyester.<br />
MC146 Medtronic Australasia Stents Stainless Steel Carotid Stent - 2.5 - 4mm x 6 - 18mm, 6 - 8mm x 20 -<br />
Sterile/Medtronic Sterile Stents; Nitinol; Flexible Iliac Stainless 40mm, 6 - 10mm x 20 - 100mm, 5 -<br />
Carotid Self Expanding Stent Delivery Steel Bridge Stent; Extra Support 7mm x 10 - 17mm, 75 - 120cm shaft;<br />
System; Bridge Se - Self Expanding Renal Plus Stainless Steel Bridge 6-8mm x 20-40mm; 6-10mm x<br />
Stent or S/Steel Bridge; Nitinol; 18-19mm, 6-10mm x 36-39mm,<br />
6-10mm x 54-58mm<br />
MC147 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 22-32 x 12-16 x 145mm, 20-36 x<br />
Bifurcated System. Nitinol / 10-20 x 155-170mm<br />
Polyester or Talent Endoluminal<br />
stent-graft system Aorto Uni Iliac<br />
MC148 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 18-36 x 8-18 x 140-170mm<br />
Bifurcated System. Nitinol /<br />
MC149 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 16-50mm<br />
Bifurcated System. Nitinol /<br />
Polyester. Open Web. Custom<br />
MC150 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 16-50mm<br />
Bifurcated System. Nitinol /<br />
Polyester. FreeFlo. Custom Sizing<br />
MC151 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 50-180mm<br />
Straight Abdominal Aortic Custom<br />
System. Nitinol / Polyester. Open<br />
Web. Custom Sizing<br />
MC152 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 50-180mm<br />
Straight Abdominal Aortic Custom<br />
System. Nitinol / Polyester.<br />
FreeFlo. Custom Sizing<br />
MC153 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 16-50mm<br />
Aorto-Unilliac Tapered Custom<br />
System. Nitinol / Polyester. Custom<br />
MC154 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 50-180mm<br />
Descending Thoracic Aortic Custom<br />
System. Nitinol / Polyester. Open<br />
Web. Custom Sizing<br />
Page 622 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
MC155 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 50-180mm<br />
Descending Thoracic Aortic Custom<br />
System. Nitinol / Polyester. Freeflo.<br />
Custom Sizing<br />
MC156 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 16-50mm<br />
Trombone Aortic Custom System.<br />
Nitinol / Polyester. Open<br />
Web/Open Web. Custom Sizing<br />
MC157 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 16-50mm<br />
Trombone Aortic Custom System.<br />
Nitinol / Polyester. Free Flo/Open<br />
Web. Custom Sizing<br />
MC158 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 18 - 36mm x 28 - 32mm long (60mm)<br />
System Nitinol / Polyester<br />
MC159 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 26 - 46mm x 130mm, 32 - 46mm x<br />
System Nitinol / Polyester; Talent 80mm<br />
Endoluminal Stent Graft System<br />
FreeFlo, Open Web. Nitinol /<br />
MC160 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 8-20mm x 65-81mm (95mm)<br />
System Nitinol / Polyester<br />
MC161 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 5-6cm<br />
System Nitinol / Polyester.<br />
MC162 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 7-8cm<br />
System Nitinol / Polyester.<br />
MC163 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 9-10cm<br />
System Nitinol / Polyester.<br />
MC164 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 11-12cm<br />
System Nitinol / Polyester.<br />
MC165 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 13-14cm<br />
System Nitinol / Polyester.<br />
MC166 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 5-6cm<br />
System Nitinol / Polyester. One<br />
bare spring.<br />
Page 623 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
MC167 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 7-8cm<br />
System Nitinol / Polyester. One<br />
bare spring.<br />
MC168 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 9-10cm<br />
System Nitinol / Polyester. One<br />
bare spring.<br />
MC169 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 11-12cm<br />
System Nitinol / Polyester. One<br />
bare spring.<br />
MC170 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 5-6cm<br />
System Nitinol / Polyester. Two<br />
bare spring.<br />
MC171 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 7-8cm<br />
System Nitinol / Polyester. Two<br />
bare spring.<br />
MC172 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 9-10cm<br />
System Nitinol / Polyester. Two<br />
bare spring.<br />
MC173 Medtronic Aust Stents, Sterile Talent Endoluminal Stent Graft 11-12cm<br />
System Nitinol / Polyester. Two<br />
bare spring.<br />
MC199 Talent Occluder System Nitinol stents attached to polyester Custom sizes - 8 x 31mm to 14 x<br />
graft sealed both ends 33mm<br />
MC203 Talent Occluder System Nitinol stents attached to polyester Standard sizes - 16 x 33mm to 24 x<br />
graft sealed both ends 35mm<br />
MC204 Medtronic Aust Stents Sterile Aneurx Occluder, Nitinol/Polyester 12-16mm x 3-4cm<br />
MC205 Cerebrence Over-the-Wire Stainless Steel 2.5-4mm x 6-25mm<br />
Neurovascular Stent System<br />
MC206 Medtronic Aust Stents Sterile Talent thoracic stent graft system, 26-46mm x 26-46mm x 130mm<br />
freeflo, bare spring, nitinol/polyester<br />
MC207 Aneurx Femoral/Illiac Stent Graft Medtronic AneuRx Aorto-Uni-Iliac 20-28mm x 12-16mm x 13.5-16.5mm<br />
(AUI), nitinol/polyester<br />
Page 624 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
National Surgical Corporation Pty Ltd<br />
<strong>Prostheses</strong>, Blood Vessel, Artificial<br />
NI001 Atrium PTFE Vascular Graft Radially Supported (Ringed) PTFE 4mm x 10cm - 10mm x 100cm<br />
Standard Wall<br />
NI002 Atrium PTFE Vascular Graft Straight PTFE Standard Wall 6mm x 10cm - 10mm x 90cm<br />
NI003 Atrium PTFE Vascular Graft Tapered PTFE Standard Wall 4-6mm x 30cm - 6-8mm x 90cm<br />
NI004 Atrium PTFE Vascular Graft Vascular Access Graft PTFE 4mm x 10cm - 10mm x 100cm<br />
Standard Wall<br />
NI012 Atrium PTFE Vascular Graft Radially Supported (Ringed) PTFE 4mm x 10cm - 10mm x 100cm<br />
Thin Wall<br />
NI013 Atrium PTFE Vascular Graft Straight PTFE Thin Wall 6mm x 10cm - 10mm x 90cm<br />
NI014 Atrium PTFE Vascular Graft Tapered PTFE Thin Wall 4-6mm x 30cm - 6-8mm x 90cm<br />
NI015 Atrium PTFE Vascular Graft Vascular Access Graft PTFE Thin 4mm x 10cm - 10mm x 100cm<br />
NI016 Atrium Ultramax PET Grafts Bifurcate Polyster Graft 12mm x 24mm - 6mm x 12mm x 40cm<br />
NI017 Atrium Ultramax PET Grafts Axillo-bifemoral Polyster Graft 8mm - 10mm 100 x 60cm<br />
NI018 Atrium Ultramax PET Grafts Straight Polyster Graft 6mm x 15cm - 24mm x 30cm<br />
NI019 Atrium Ultramax PET Grafts Straight Polyster Graft 6mm x 40cm - 8mm x 100cm<br />
Pacing Importers Pty Ltd<br />
Catheters, Angioplasty, Laser<br />
PI001 Excimer Laser Stent Polyester Fibre optic catheter 2.5 and 2.2mm<br />
Stents, Vascular<br />
PI003 Med-X-Flexy Stent Tubular Stent, Stainless steel 316L, Dia 5 - 9mm length: 20 - 100mm<br />
Gold markers<br />
PI004 Stentself Stent Phynox construction, adapted sizes Dia 5 - 9mm Length: 20 - 100mm<br />
& diameters<br />
Page 625 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Sulzer Medica Australia Pty Ltd<br />
Grafts, Vascular, Synthetic<br />
SZ017 Twillweave Graft Straight, Polyester, Woven, 6-24mm x 50-60cm<br />
SZ018 Twillweave Graft Bifurcate, Polyester, Woven, 12mm x 6mm x 45cm to 24mm x<br />
12mm x 45cm<br />
<strong>Prostheses</strong>, Blood Vessel, Artificial<br />
SZ221 Fluoropassiv Graft Straight Graft - Thin Wall, Crimped. 6 to10mm x 30cm<br />
Fluoropolymer/polyester, Knitted<br />
SZ222 Fluoropassiv Graft Straight Graft - Thin Wall, Crimped. 6 to10mm x 40 to 70cm<br />
Fluoropolymer/polyester, Knitted<br />
SZ223 Fluoropassiv Graft Straight Graft, Thin Wall, Externally 6 to10mm x 30cm<br />
Reinforced.<br />
Fluoropolymer/polyester, Knitted<br />
SZ224 Fluoropassiv Graft Straight Graft, Thin Wall, Externally 6 to10mm x 40 to 70cm<br />
Reinforced.<br />
Fluoropolymer/polyester, Knitted<br />
SZ225 Fluoropassiv Patch Thin wall, Fluoropolymer/polyester, 0.6 x 7.5cm to 1.5 x 7.5cm<br />
Knitted<br />
SZ226 Gelweave Graft Bifurcated, Polyester, Woven 12mmx 6mmx 45 cm to 24mmx12mm<br />
x 45cm<br />
SZ227 Gelsoft Plus Graft Bifurcated, Polyester, Knitted 12mmx6mmx45cm to<br />
24mmx12mmx45cm<br />
SZ228 Gelsoft Plus Graft Polyester, Externally Reinforced, 6 to 10mm x 40cm<br />
Knitted<br />
SZ229 Gelsoft Plus Graft Polyester, Externally Reinforced, 6 to 10mm x 75m<br />
Knitted<br />
SZ230 Gelsoft Plus Graft Polyester, Externally Reinforced, 6 to 10mm x 100cm<br />
Knitted<br />
SZ231 Gelsoft Plus Graft Axillofemoral, Polyester, Knitted 8x8mm/100x60cm;<br />
8x7mm/90x40cm; 10x8mm/90x40cm<br />
Page 626 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
SZ232 Gelsoft Plus Graft Femorofemoral, Polyester, Knitted 6mmx40cm, 8mmx40cm<br />
SZ233 Gelsoft Plus Graft Straight, Polyester, Knitted 6 - 24mm x 12.5 - 30cm<br />
SZ234 Gelsoft Plus Graft Straight, Polyester, Knitted 6-24mm x 50-60cm<br />
SZ235 Gelweave Graft Straight, Polyester, Woven 10-34mm x 20-30cm<br />
SZ236 Gelweave Graft Straight, Polyester, Woven 10-34mm x 40-60cm<br />
SZ237 Gelsoft Patch Polyester, Knitted 0.5 x 1.5cm to 10 x 1.5cm<br />
SZ238 SEALPTFE Graft Thin Wall, Straight, Sealed, PTFE 6 to 8mm x 10 to 40cm<br />
SZ239 SEALPTFE Graft Thin Wall, Straight, Sealed, PTFE 6 to 8mm x 50 to 80cm<br />
SZ240 SEALPTFE Graft Standard Wall, Straight, Sealed, 6 to 8mm x 10 to 40cm<br />
SZ241 SEALPTFE Graft Standard Wall, Straight, Sealed, 6 to 8mm x 50 to 70cm<br />
SZ242 SEALPTFE Graft Standard Wall, Straight, Sealed, 6 to 10mm x 10 to 40cm<br />
Externally Reinforcement, PTFE<br />
SZ243 SEALPTFE Graft Standard Wall, Straight, Sealed, 6 to 10mm x 50 to 70cm<br />
Externally Reinforcement, PTFE<br />
SZ244 SEALPTFE Graft Thin Wall, Straight, Sealed, 6 to 10mm x 10 to 40cm<br />
Externally Reinforced, PTFE<br />
SZ245 SEALPTFE Graft Thin Wall, Straight, Sealed, 6-10mm x 60-80cm<br />
Externally Reinforced, PTFE<br />
SZ246 SEALPTFE Graft Standard Wall, Tapered, Sealed, 4 to 7mm Taper x 40 to 50cm<br />
SZ247 SEALPTFE Graft Standard Wall, Tapered, Sealed, 4 to 7mm Taper x 40 to 50cm<br />
Central Reinforced, PTFE<br />
SZ249 SEALPTFE Graft Thin Wall, Straight, Sealed 6 - 10mm x 50cm<br />
externally Reinforced, Vascular<br />
Artificial Arteries/<strong>Prostheses</strong> of<br />
PTFE, Sealed with Gelatin<br />
SZ252 Gelweave Valsalva Graft Woven vascular prosthesis, Diameter 26 - 32 mm, Overall<br />
polyester, gelatin sealed length 18.6 - 19.2 cm<br />
Page 627 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
SZ253 Gelweave Plexus Graft Multi Branched, for Aortic Arch 22 - 34 mm x 40 cm<br />
reconstruction, Polyester, Woven,<br />
gelatin sealed<br />
SZ254 Gelweave Graft Straight Thoracic Graft, with antiflo 22-34 mm x 20-40 cm<br />
side branch, Polyester, woven,<br />
gelatin sealed<br />
Stents, Vascular<br />
SZ013 Anaconda Endovascular Graft System Bifurcated Aortic System, 18 - 32mm<br />
Polyester/Nitinol<br />
SZ014 Anaconda Endovascular Graft System Aortic Extension Cuff, 18 - 32mm<br />
Polyester/Nitinol<br />
SZ015 Anaconda Endovascular Graft System Iliac Extension Cuff, 8 - 16mm<br />
SZ016 Anaconda Endovascular Graft System Iliac Leg, Polyester/Nitinol 8 - 16mm<br />
Tag Medical<br />
Grafts, Vascular, Synthetic<br />
TM004 Vectra Vascular Access Graft Straight 5mm x 40cm<br />
TM005 Vectra Vascular Access Graft Straight 6mm x 40cm<br />
Tekmed Pty Ltd<br />
Catheters, Hemodialysis<br />
TK005 Medcomp Long Term Catheter sets for ASH, TESIO-BioFlex with cuff 10, 14 French 24,28,32 & 36cm<br />
Haemodialysis lengths<br />
TK006 Medcomp Long Term Catheter sets for HemoFlow HFS-Carbothane with 14.5 French 24,28,32 & 36cm<br />
Haemodialysis lengths<br />
Page 628 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Tuta Healthcare Pty Ltd<br />
Spring Infusor, Ambulatory<br />
TT001 Paragon Ambulatory Drug Infusion The top of the Paragon infuser is Infuser - 100mL Administration<br />
System made of acetyl with stainless steel Sets - 0.50mL, 1mL, 2mL, 4mL,<br />
parts; the bottom is made of clear 10mL, 50mL, 100mL, or 200mL/hr<br />
polycarbonate. Diam: 10cm Height:<br />
5.8cm. Administration Sets - made<br />
from PVC and acrylic components.<br />
TT003 Sidekick Ambulatory Disposable Spring infusor made from high Infuser - 50mL or 100mL,<br />
Delivery System impact plastics. Administration Sets Administration Sets - 50mL,<br />
- made from PVC and acrylic 100mL or 200mL/hr<br />
W L Gore & Associates<br />
Grafts, Vascular, Synthetic<br />
GT002 Gore-Tex Axillo-Bifemoral Vascular ePTFE 70 - 40cm Length 8 x 8mm Diameter<br />
Graft<br />
GT003 Gore-Tex Axillo-Bifemoral Vascular ePTFE 70 - 40cm Length 8 x 8mm Diameter<br />
Graft with Removable Rings<br />
GT006 Gore-Tex Bifurcated Graft ePTFE 12x6mm to 24x12mm 40-50cm long<br />
GT007 Gore-Tex Vascular Ring Graft Ringed Grafts Fixed THIN WALL 6-10mm Diameter x 30-70cm<br />
STRETCH (ePTFE) Lengths - Ringed Section 20-50cm<br />
Lengths<br />
GT008 Gore-Tex Vascular Ring Graft Ringed Grafts REMOVABLE THIN 6-8mm Diameter x 80cm Length -<br />
WALL STRETCH (ePTFE) Ringed Section 70cm Length<br />
GT009 Gore-Tex Vascular Grafts Vascular Grafts - Aorto -Pulmonary 3.5-5mm Diameter x 15-20cm<br />
& Systemic-Pulmonary Shunts<br />
GT010 Gore-Tex Vascular Graft THIN Wall Grafts TAPERED 4.5-6.5 & 6-8mm Diameter x<br />
80-90cm Lengths<br />
GT020 Hemobahn Endovascular Prosthesis Graft/System Sterile pre-mounted 6-13mm Diameter, 5cm Length<br />
peripheral endoluminal<br />
GT021 Hemobahn Endovascular Prosthesis Sterile pre-mounted peripheral 6-13mm Diameter, 10cm Length<br />
endoluminal Graft/System<br />
Page 629 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
GT022 Hemobahn Endovascular Prosthesis Sterile pre-mounted peripheral 6-13mm Diameter, 15cm Length<br />
endoluminal Graft/System<br />
GT023 Excluder Endovascular <strong>Prostheses</strong> Thoracic Stent Graft Nitinol & 26-40mm Diameter x 15-20cm<br />
Lengths<br />
GT131 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) Diameter 6 - 10mm, Length 70cm<br />
GT132 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) Diameter 4 - 8mm, Length 10cm<br />
GT133 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) Diameter 6 - 10mm, Length 20 -<br />
GT134 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) Diameter 6 - 10mm, Length 50cm<br />
GT135 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) Diameter 6 - 10mm, Length 60cm<br />
GT136 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) Diameter 4 - 10mm, Length 80cm<br />
GT137 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) Diameter 4 - 10mm, Length 90 -<br />
100cm<br />
GT138 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 4 - 8mm, Length 10cm<br />
GT139 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 6 - 10mm, Length 20 -<br />
GT140 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 6 - 10mm, Length 40cm<br />
GT141 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 6 - 10mm, Length 50cm<br />
GT142 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 6 - 10mm, Length 60cm<br />
GT143 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 6 - 10mm, Length 70cm<br />
GT144 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 4 - 10mm, Length 80cm<br />
GT145 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 4 - 10mm, Length 90 -<br />
100cm<br />
GT146 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 12 - 24mm, Length 20cm<br />
GT147 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 12 - 24mm, Length 30cm<br />
GT148 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 12 - 24mm, Length 40cm<br />
GT149 Gore-tex Vascular Grafts Thin Wall Grafts (ePTFE) Diameter 4 - 10mm, Length 10cm<br />
GT150 Gore-tex Vascular Grafts Thin Wall Grafts (ePTFE) Diameter 6 - 10mm, Length 20cm<br />
Page 630 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
GT151 Gore-tex Vascular Grafts Thin Wall Grafts (ePTFE) Diameter 6 - 10mm, Length 30cm<br />
GT152 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 6 - 10mm, Length 40cm<br />
GT153 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 6 - 10mm, Length 50cm<br />
GT154 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 6 - 10mm, Length 60cm<br />
GT155 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 6 - 10mm, Length 70cm<br />
GT156 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 4 - 10mm, Length 80cm<br />
GT157 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 4 - 10mm, Length 90 -<br />
100cm<br />
GT158 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 4 - 10mm, Length 10cm<br />
GT159 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 6 - 10mm, Length 20cm<br />
GT160 Gore-tex Vascular Grafts Thin Wall Grafts Stretch (ePTFE) Diameter 6 - 10mm, Length 30cm<br />
GT161 Gore-tex Vascular Grafts Thin Wall Grafts (ePTFE) Diameter 6 - 10mm, Length 40cm<br />
GT162 Gore-tex Vascular Grafts Thin Wall Grafts (ePTFE) Diameter 4 - 10mm, Length 50cm<br />
GT163 Gore-tex Vascular Grafts Thin Wall Grafts (ePTFE) Diameter 3 - 10mm, Length 60cm<br />
GT164 Gore-Tex Vascular Grafts Thin wall grafts (ePTFE) Dia 3 - 10mm, length 70cm<br />
GT165 Gore-tex Vascular Grafts Thin Wall Grafts (ePTFE) Diameter 4 - 10mm, Length 80cm<br />
GT166 Gore-tex Vascular Grafts Thin Wall Grafts (ePTFE) Diameter 4 - 10mm, Length 90 -<br />
100cm<br />
GT167 Gore-tex Vascular Grafts Vascular Grafts - Aorto-Pulmonary Diameter 3.5 - 5mm, Length 5cm<br />
& Systemic-Pulmonary Shunts<br />
(ePTFE) Stretch & Non Stretch<br />
GT168 Gore-tex Vascular Grafts Vascular Grafts - Aorto-Pulmonary Diameter 3.5 - 5mm, Length 10cm<br />
& Systemic-Pulmonary Shunts<br />
(ePTFE) Stretch & Non Stretch<br />
GT171 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 4-6mm & 4-7 mm, Length<br />
Tapered (ePTFE) 45 - 48cm<br />
GT172 Gore-tex Vascular Grafts Standard Wall Grafts Stretch Diameter 4-7 mm, Length 70cm<br />
Tapered (ePTFE)<br />
Page 631 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
GT173 Gore-tex Vascular Grafts Standard Wall Grafts Tapered Diameter 4-7 mm & 6-8mm, Length<br />
40 - 60cm<br />
GT174 Gore-tex Vascular Grafts Ringed Grafts Removable Standard 4-7 mm x 45cm - Rings 10cm<br />
Wall/Stretch Wall Tapered (ePTFE)<br />
GT175 Gore-tex Vascular Grafts Ringed Grafts Removable Standard 4-7 mm x 70cm - Rings 30cm<br />
Wall Tapered (ePTFE)<br />
GT176 Gore-tex Vascular Ring Graft Ringed Grafts Fixed Standard & Diameter 6 - 10mm x 30 - 70cm<br />
Thin Wall (ePTFE) Length ,Ringed Section 20 - 50cm<br />
Lengths<br />
GT177 Gore-tex Vascular Ring Graft Ringed Grafts Fixed Thin Wall & Diameter 6 - 10mm x 30 - 70cm<br />
Ringed Standard Wall (ePTFE) Length, Ringed Section 20 - 50cm<br />
Lengths<br />
GT178 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 6 - 8mm x 60 - 70cm<br />
(ePTFE) Length, Ringed Section 30cm<br />
GT179 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 5 - 6mm x 70cm Length,<br />
(ePTFE) Ringed Section 60cm Length<br />
GT180 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 5 - 6mm x 80cm Length,<br />
(ePTFE) Ringed Section 60cm Length<br />
GT181 Gore-tex Vascular Ring Graft Ringed Grafts Fixed Standard Wall Diameter 6 - 10mm x 30 - 70cm<br />
& Stretch Standard Wall (ePTFE) Lengths, Ringed Section 20 - 50cm<br />
Lengths<br />
GT182 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 6mm, Lengths 80 - 90 cm,<br />
(ePTFE) Ringed Section 60cm Length<br />
GT183 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 8mm, Lengths 80 - 90 cm,<br />
(ePTFE) Ringed Section 70cm Length<br />
GT184 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 6 - 8mm x 70cm Length,<br />
Stretch (ePTFE) Ringed Section 30cm Length<br />
GT185 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 6mm x 80cm Length,<br />
Stretch (ePTFE) Ringed Section 30cm Length<br />
GT186 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 6mm x 70cm Length,<br />
Stretch (ePTFE) Ringed Section 60cm Length<br />
Page 632 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
GT187 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Diameter 6 - 8mm x 70cm Length,<br />
Stretch (ePTFE) Ringed Section 60 - 70cm Length<br />
GT192 Gore-tex Vascular Grafts Standard Wall Grafts Tapered 4.5-6.5mm & 6-8mm Diameter x<br />
70-90cm Lengths<br />
GT193 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) 6-10mm Diameter x 40cm Length<br />
GT194 Gore-tex Vascular Graft Standard wall grafts, tapered Diameter 4.5-7mm, lengths 40-50cm<br />
GT195 Gore-tex Vascular Graft Standard wall grafts (ePTFE) Diameter 6mm x 20cm length<br />
GT196 Gore-tex Vascular Ring Graft Ringed grafts fixed standard/thin Diameter 4-6mm x 10-15cm, ringed<br />
wall (ePTFE) section 2.5-5cm lengths<br />
GT197 Gore-tex Vascular Ring Graft Ringed grafts fixed standard/thin Diameter 8mm x 30cm, ringed<br />
wall (ePTFE) section 20cm length<br />
GT198 Gore-tex Vascular Ring Graft Ringed grafts fixed standard/thin Diameter 5-8mm x 60-70cm, ringed<br />
wall (ePTFE) section 20-30cm lengths<br />
GT199 Gore-tex Vascular Ring Graft Ringed grafts fixed thin wall stretch Diameter 6-8mm x 60-80cm, ringed<br />
(ePTFE) section 20-30cm lengths<br />
GT200 Gore-tex Vascular Graft Standard wall grafts stretch (ePTFE) Diameter 6-12mm x 20cm length<br />
GT211 Gore-Tex Intering Vascular Graft ePTFE integrated rings in the wall Dia 6-8mm, 40cm radial supported<br />
of a stretch thin walled graft length x 40cm length<br />
GT212 Gore-Tex Intering Vascular Graft ePTFE integrated rings in the wall Dia 6-8mm, 60cm radial supported<br />
of a stretch thin walled graft length x 60cm length<br />
GT213 Gore-Tex Intering Vascular Graft ePTFE integrated rings in the wall Dia 6-8mm, 80cm radial supported<br />
of a stretch thin walled graft length x 80cm length<br />
GT214 Gore-Tex Intering Vascular Graft ePTFE integrated rings in the wall Dia 6mm, 5cm radial supported<br />
of a stretch and non-stretch walled length x 45cm length - stretch<br />
GT215 Gore-Tex Intering Vascular Graft ePTFE integrated rings in the wall Dia 6mm, 5cm radial supported<br />
of a stretch and non-stretch walled length x 45cm length - non-stretch<br />
GT216 Gore-tex Axillobifemoral Vascular Stretch vascular graft with Diameter 8mm<br />
removable rings (ePTFE)<br />
Page 633 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
<strong>Prostheses</strong>, Blood Vessel, Artificial<br />
GT011 Diastat Vascular Access Graft Dyalysis Grafts (ePTFE) 4-7mm & 6mm Diameter x 40-45cm<br />
Lengths<br />
GT169 Diastat Vascular Access Graft Dialysis Grafts - Standard & Stretch Diameter 6mm, Length 45 - 50cm<br />
Ringed (ePTFE)<br />
GT170 Diastat Vascular Access Graft Dialysis Grafts (ePTFE) Diameter 4 - 7mm, Length 30 - 35cm<br />
Stents, Vascular<br />
GT024 Excluder Endovascular <strong>Prostheses</strong> Abdominal Stent Graft Nitinol & 23-28.5mm Diameter, 14-18cm<br />
ePTFE - Trunk - Ipsilateral Leg Length<br />
GT029 Gore Tips Endoprosthesis ePTFE 8-12mm Diameter 4-8cm<br />
Graft-Lined Length 2cm Unlined<br />
GT188 Excluder Endovascular <strong>Prostheses</strong> Abdominal Stent Graft Nitinol & Diameter 12 - 14.5mm x 10 x 14cm<br />
ePTFE - Contralateral Leg Length<br />
GT189 Excluder Endovascular <strong>Prostheses</strong> Abdominal Stent Graft Nitinol & Diameter 23 - 28.5mm, Length<br />
ePTFE - Aortic Extender<br />
GT190 Excluder Endovascular <strong>Prostheses</strong> Abdominal Stent Graft Nitinol & Diameter 10 - 14.5mm, Length 7cm<br />
ePTFE - Iliac Extender<br />
GT191 Excluder Endovascular <strong>Prostheses</strong> Thoracic Stent Graft Nitinol & Diameter 26-40mm x 10cm Length<br />
Tissue Reconstructive Materials, Solid<br />
GT012 Soft Tissue Patch ePTFE 1mm Thickness 5 x 10cm<br />
GT013 Soft Tissue Patch ePTFE 1mm Thickness 10 x 15cm<br />
GT014 Soft Tissue Patch ePTFE 1mm Thickness 15 x 20cm<br />
GT015 Soft Tissue Patch ePTFE 1mm Thickness 20 x 30cm<br />
GT016 Soft Tissue Patch ePTFE 2mm Thickness 5 x 10cm<br />
GT017 Soft Tissue Patch ePTFE 2mm Thickness 10 x 15cm<br />
GT018 Soft Tissue Patch ePTFE 2mm Thickness 15 x 20cm<br />
GT019 Soft Tissue Patch ePTFE 2mm Thickness 20 x 30cm<br />
Page 634 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
William A Cook Aust Pty Ltd<br />
Catheterization Kits, Central Venous<br />
WC111 Cook Central Venous Catheterisation Single lumen peripherally inserted Fr 3, 4, 5 and Length 50 and 60cm<br />
catheter set, includes catheter,<br />
needle, J-wire and introducer<br />
WC112 Cook Central Venous Catheterisation Double lumen peripherally inserted Fr 6, 7 and Length 50cm<br />
catheter set, includes catheter,<br />
needle, wire or J-wire and introducer<br />
WC113 Cook Central Venous Catheterisation Single lumen peripherally inserted Fr 3, 4, 5 and Length 50 and 60cm<br />
catheter set, includes catheter,<br />
needle, J-wire, MPIS wire and<br />
WC114 Cook Central Venous Catheterisation Double lumen peripherally inserted Fr 6, 7 and Length 58 and 60cm<br />
catheter set, includes catheter,<br />
needle, J-wire, MPIS wire and<br />
Embolization <strong>Prostheses</strong>, Intravascular<br />
WC036 Coil - Jackson Embolisation IMWCE Embolization & Occlusion Extended Embolus Diameter .038<br />
inch (0.97mm) Length 4,5,6 cm<br />
Coiled Embolus Diameter<br />
3,4,5,8,10,12mm<br />
WC037 Coil - Embolisation MWCE Embolization & Occlusion Extended Embolus Diameter .025,<br />
.035, .038, .052 inch Length<br />
1.2,2,2.5,3,4,5,8,10,15 cm Coiled<br />
Embolus Diameter 2, 3, 4, 5, 6, 7, 8,<br />
10, 11, 12, 13, 15, 20, 25, 45 mm<br />
WC038 Coil - Embolisation Coils Embolization & Occlusion Extended Embolus Diameter<br />
MWCE-TORNADO .018,.038,.035 inch Length<br />
3,4,6,7,8,12,13,14 cm Coiled<br />
Embolus Tapering Diameter<br />
3-10mm different variations<br />
WC039 Coil - Hilal Embolisation IMWCE Embolization & Occlusion Extended Embolus Diameter .018<br />
inch Length 1,1.5,2,2.1,3,4,6 cm<br />
Coiled Embolus Diameter<br />
2,3,4,5,6,7,10mm Single Curl<br />
Multiple Curl<br />
Page 635 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
WC089 Embolization Coils Additional MWCE Standard Coil Ext Length 1 - 20cm, Coil Length 2<br />
- 45mm<br />
WC090 Embolization Coils Additional MWCE Hilal Coil Ext Length 0.5 - 6.0cm, Coil<br />
Length 0 - 10mm<br />
WC091 Detach Embolisation Coil Additional MWCE Jackson Coil Ext Length 4 - 6cm, Coil Length 3 -<br />
12mm<br />
WC092 Embolization Coils Additional MWCE Tornado Coil Tapering Dia 3 - 10mm, 2 - 10mm<br />
Filters, Vena Cava<br />
WC043 Inferior Vena Cava Filter Birds Nest Vena Cava Filter Filter Catheter French Size 11.0<br />
Length 40, 75 cm Introducer Sheath<br />
Assembly French Size 12.0<br />
Femoral/Jugular Approach<br />
WC044 PVA Embolisation particles Embolization & Occlusion Particle Size Ranges (microns)<br />
50-100, 100-200,<br />
200-300,300-500, 500-700,<br />
700-1000, 1000-1500, 1500-2000,<br />
Grafts, Vascular, Synthetic<br />
WC133 Zenith Flex AAA Endovascular Graft - Stainless steel Dia 22 - 32mm, length 82 - 140mm<br />
body only<br />
WC134 Zenith Flex AAA Endovascular Graft Three components consisting of a Body - Dia 22 - 32mm, length 82 -<br />
body and 2 legs (ipsilateral iliac leg 140mm; Iliac leg extensions Dia 8 -<br />
and contralateral leg) 24mm, length 37 - 139mm<br />
Injection/Infusion Ports, Implantable<br />
WC093 Cook Implantable Injection/Infusion Standard Polysulfone Single 5fr - 9.5fr<br />
Ports Chamber Vital Port with Introducer<br />
Set, Attached/Detached<br />
WC094 Cook Implantable Injection/Infusion Standard Titanium Single Chamber 6.5fr - 9.5fr<br />
Ports Vital Port with Introducer Set,<br />
attached/detached<br />
WC095 Cook Implantable Injection/Infusion Petite Titanium Single Chamber 6.5fr<br />
Ports Vital port with Introducer Set,<br />
Attached/Detached<br />
Page 636 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
WC115 Cook Implantable Injection/Infusion Mini titanium single chamber vital One size only<br />
Occluders<br />
WC103 Zenith Iliac Plug Zenith AAA Endovascular Graft Diameter 14, 16, 18, 20, 22, 24mm -<br />
<strong>Prostheses</strong>, Blood Vessel, Artificial<br />
WC056 Pips Strecker Implantable Port System Catheters 24.0 Fr Dilator Polyurethane<br />
(PIPS-100) Catheter Inner Diam 0.74mm Outer<br />
Diam 1.37mm Length 100cm<br />
Dimensions of Titanium Port<br />
Length 38mm Diameter 9.5mm<br />
Weight 5g Septum Diam 10mm<br />
Stents, Vascular<br />
WC041 Cook Endostent - Bifurcated Zenith-AAA-Endovascular-Graft-C Neck 20-32mm Length 74-276mm<br />
ustom-Crafted<br />
WC042 Cook Endostent - Bifurcated Cook Zenith-AAA-Endovascular-Graft-C Neck 20-32mm Length 74-276mm<br />
Endostent Aurotouni - Iliac ustom-Crafted<br />
WC045 Cook H & L-B - Endostent Converter Diameter 20 thru 36 Length 80-85<br />
WC047 Cook H & L-B - Endostent Leg Extensions Diameter 18 thru 24 Length 55<br />
WC048 Cook H & L-B - Endostent Body Extensions Diameter 22 thru 36<br />
WC049 Cook H & L-B - Endostent - Tri-Fab Body Extension Diameter 22-32 mm Length<br />
112-239mm<br />
WC051 Cook H & L-B - Endostent - Tri-Fab Leg Extension Diameter 10-12 Length 36-71<br />
WC052 Cook H & L-B - Endostent - Tri-Fab System Neck 22-32mm Length 112-239mm<br />
WC055 Peripheral Vascular Stent (ZA Stent); Vascular Stent Introducer Catheter Length 60 - 80<br />
Zilver Stent cm, Diameter 6 - 10 mm, Length 1 -<br />
8cm<br />
Page 637 of 638
VASCULAR<br />
Billing Code Product Further Size Notations<br />
Woodstock Biomedical Pty Ltd<br />
Stents, Vascular<br />
WO001 Coronary Stent OC/AS Premounted HXT 3.0 *11,15,18,22,28mm; 3.5 * 11,<br />
15,18, 22, 28mm; 4.0 *<br />
11,15,18,22,28mm<br />
WO002 Coronary Stent SV Premounted SVP 2.0 * 7,10,15,18mm; 2.25 *<br />
7,10,15,18mm; 2.5 * 7,10,15,18mm<br />
Page 638 of 638