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Schedule 5 - Appendix A - Surgically Implanted Prostheses

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<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

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