Changed Prostheses List - Private Healthcare Australia

Transcription

Changed Prostheses List - Private Healthcare Australia
Changed Items for Prostheses List
Billing Code Product Name
February 2012
Further Description
Size
Explanation of Change
Abbott Australasia Pty Ltd
10 - Vascular
AY015
Xact/ Xact Flex Carotid Stent
Nitinol Self-Expanding stent on rapid exchange
delivery system
Diameter 7-10mm Length 20 + 30mm Straight;
Diameter 8-6, 9-7, 10-8mm Length 20 + 30mm
Tapered
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY017
Starclose
6 Fr Exchange Sheath, Dilator, Guidewire,
implantable nitinol clip pre-mounted on a Clip
Applier
6 Fr
Changed Product Group, Product Sub Group,
Benefit.
AY018
Emboshield
Embolic Protection Device, including delivery
system, device specific procedural wire, filter for
capturing embolic matter and retrieval system
Large and small. Two wire lengths: 190cm for
Monorail system and 315cm for Over the wire
Changed Product Group, Product Sub Group,
Benefit.
AY021
Nitinol Self Expanding Peripheral Stent
Nitinol
Diameter 3-10mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY022
Cobalt Chromium Balloon Expandable Peripheral
Stent
Cobalt Chromium
Diameter 4-10mm, Length 12-58mm
Changed Product Group, Product Sub Group,
Benefit.
AY024
Omnilink Stainless Steel Balloon Deployable
Peripheral Stent
Stainless Steel Balloon Expandable Peripheral
Stent on 018/035 system
018 & 035 system: 5-10mm diameter by 12, 16,
18, 28, 38, 58mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY030
Accunet
Embolic Protection Device, including delivery
system, device specific procedural wire, filter for
capturing embolic matter and retrieval system.
4.5 - 7.5; 190cm, 300cm length catheter
Changed Product Group, Product Sub Group,
Benefit.
AY031
Xpert
Xpert is a laser cut nitinol self expanding stent,
used to treat peripheral vessel disease, Xpert is a
low profile system designed for small vessels and
is 4 french.
3 - 8mm in diameter, 20 - 80mm in length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY032
ACCULINK Peripheral Stent System
Nickel-Titanium Intra-vascular stent
4-10mm diameter, 13-56mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY033
Proglide
Suture Mediated Closure Device
5 - 8 French
Changed Product Group, Product Sub Group,
Benefit.
AY034
Prostar
Suture Mediated Closure Device - Closure of
Large holes
Up to 24 French
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY035
Absolute Pro (Long Length)
Laser cut nitinol self expanding stent <150mm
Diameter 5mm to 10mm; length 120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY036
Absolute Pro (Long Length)
Laser cut nitinol self expanding stent ≥150
Diameter 5mm to 10mm; length 150mm,
170mm, 200mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
Composition - biocompatible silicone tube. Items
included in kit/product - Sliding retention disc,
Insertion wire, Gastrostomy tube with attached
Dilator Catheter, seldinger needle 14g, magna
port connector, scalpel, Snare (in kit with snare)
20F
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
AY002
Flexiflo inverta PEG kit Basic, Flexiflo inverta
PEG kit with snare
Changed Items for Prostheses List Report
Page 1 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AY005
Composition - biocompatible silicone. Items
included in kit/product - sliding retention disc
and opened edged feeding port
16 french, 18 french, 20 french
Changed Product Group, Product Sub Group,
Benefit.
Flexiflo balloon gastrostomy tube
8 - Cardiac
AY012
JoStent Coronary Stent Graft
Stainless Steel/PTFE
9 - 26 mm x 2.5 - 5 mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY023
Xience Everolimus Eluting Stent System
Everolimus Eluting Stent System
2.25mm to 4.0mm widths, 8mm to 28mm lengths
Changed Product Group, Product Sub Group,
Benefit.
AY028
Multilink Coronary Stent System - Vision
Cobalt chrome stent
2.25mm to 4.0mm widths, 8mm to 38mm lengths
Changed Product Group, Product Sub Group,
Benefit.
AY037
Xience PRIME LL Everolimus Eluting Coronary
Stent; Xience PRIME Everolimus Eluting
Coronary Stent; Xience PRIME SV Everolimus
Eluting Coronary Stent
Coronary Artery Stent, Drug Eluting
XIENCE PRIME LL 2.50; 2.75; 3.00; 3.50; 4.0 x
33MM; XIENCE PRIME LL 2.50; 2.75; 3.00;
3.50; 4.0 x 38MM; XIENCE PRIME SV 2.25 x
08; 12; 15; 18; 23; 28MM; XIENCE PRIME
2.50 x 08; 12; 15; 18; 23; 28MM; XIENCE
PRIME 2.75 x 08; 12; 15; 18; 23; 28MM;
XIENCE
Changed Size, Product Group, Product Sub
Group, Benefit.
AY038
Coherex FlatStent EF PFO Closure System
In-tunnel PFO closure device and delivery system
13mm & 19mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AY039
MULTI-LINK 8 Coronary Stent System, MULTILINK 8 SV Coronary Stent System and MULTILINK 8 LL Coronary Stent System
The MULTI-LINK 8, MULTI-LINK 8 SV,
MULTI-LINK 8 LL Coronary Stent System
(CSS) is comprised of two main components: the
cobalt chromium (CoCr) stent and the balloon
expandable delivery system.
MULTI-LINK 8: Diam: 2.5, 2.75, 3.0, 3.5,
4.0mm, Stent Length: 8, 12, 15, 18, 23, 28mm;
MULTI-LINK 8 SV CSS: Diam: 2.25mm, Stent
Length: 8, 12, 15, 18, 23, 28mm; MULTI-LINK 8
LL CSS: Diam: 2.5, 2.75, 3.0, 3.5, 4.0mm, Stent
Length: 33 and 38mm
Changed Product Group, Product Sub Group,
Benefit.
Advanced Biomedical Pty Ltd
3 - General Miscellaneous
AB003
BioGlue Surgical Adhesive - 5ml Syringe System
Model No BG3515-5-A (BioGlue Surgical
Adhesive)
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AB004
BioGlue Surgical Adhesive - 10ml Syringe
System
Model No BG3510-5-A (BioGlue Surgical
Adhesive)
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AB008
BioGlue Surgical Adhesive - Syringe Standard
Applicator Tip
Model No BGAT-SY (BioGlue Surgical
Adhesive)
Standard Applicator Tip
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
AB009
BioGlue Surgical Adhesive - Syringe 10cm
Extender
Model No BGAT-10-SY (BioGlue Surgical
Adhesive)
10cm Extender
Changed Product Name, Size, Product Group,
Product Sub Group, Suffix, Benefit.
AB010
BioGlue Surgical Adhesive - Syringe 27CM
Extender
Model No BGAT-27-SY (BioGlue Surgical
Adhesive)
27cm Extender
Changed Product Name, Size, Product Group,
Product Sub Group, Suffix, Benefit.
AB012
Peri-Strips Dry
Model No PSD 4506
One size only
Changed Product Group, Product Sub Group,
Benefit.
AB013
Peri-Strips Dry
Model No PSD 6006
One size only
Changed Product Group, Product Sub Group,
Benefit.
AB018
Peri-Strips Dry
Model No PSD 4506
One size only
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 2 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AB020
Peri-Strips Dry
Model No PSD 8006
One size only
Changed Product Group, Product Sub Group,
Benefit.
AB065
BioGlue Surgical Adhesive - Syringe 34cm Rigid
Extender Tip
Model No BGAT-RT-SY (BioGlue Surgical
Adhesive)
34cm Extender
Changed Product Name, Size, Product Group,
Product Sub Group, Suffix, Benefit.
9 - Cardiothoracic
AB066
Supple Peri-Guard (10 x 16cm)
Model No PC1016SN - 10 x 16 Bovine
pericardium patch
10 x 16cm
Changed Product Group, Product Sub Group,
Benefit.
AB067
Supple Peri-Guard (8 x 14cm)
Nodel No PC0814SN - 8 x 14 Bovine
pericardium patch
8 x 14cm
Changed Product Group, Product Sub Group,
Benefit.
AB068
Supple Peri-Guard (6 x 8cm)
Model No PC0608SN -6 x 8cm Bovine
pericardium patch
6 x 8cm
Changed Product Group, Product Sub Group,
Benefit.
AB069
Supple Peri-Guard (4 x 4cm)
Model No PC0404SN - 4 x 4cm Bovine
pericardium patch
4 x 4cm
Changed Product Group, Product Sub Group,
Benefit.
AB074
FLEXIGRIP (Various Sizes)
Nitinol Sternal Closure Clips - various sizes
20mm - 40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Advanced Bionics Australia Pty Ltd
2 - Ear, Nose & Throat
BD006
Harmony ™ HiResolution® Bionic Ear System HiRes 90K Implant Cochlear Stimulator with
HiFocus 1j Electrode
The HiRes 90K with HiFocus 1j Electrode is the
implanted component of the HiResolution Bionic
Ear System. It receives information through an
RF transmission coil, processes the information
and then sends the resulting signal to an electrode
array implanted in the cochlea. It consists of
receiving/transmitting coil, Stimulator electrodes
and HiFocus 1j Electrode array.
Straight array (1j). 56.0mm (L) x 28.0mm (W) x
3.0mm (D)
Changed Product Group, Product Sub Group,
Benefit.
BD007
Harmony ™ HiResolution® Bionic Ear - HiRes
90K Implant Cochlear Stimulator with HiFocus
Helix Electrode
The HiRes 90K with HiFocus Helix Electrode is
the implanted component of the HiResoulution
Bionic Ear System. It receives information
through an RF tranmission coil, precesses the
information and then sends the resulting signal to
an electrode array implanted in the cochlea. It
consists of receiving/transmitting coil, Stimulator
electronics and HiFocus Helix Electrode array
Helix (coiled) electrode array - 56.0mm (L) x
28.0mm (W) x 3.0mm (D)
Changed Product Group, Product Sub Group,
Benefit.
BD008
Harmony™ HiResolution® Bionic Ear System Behind The Ear Sound Processor - Auria
Harmony Sound Processor (INITIAL Order)
The Auria Harmony Processor is an external
component of the HiRes Bionic Ear System. This
processor is intended to deliver HiResolution
sound to a cochlear implant by converting sound
waves (received via a microphone) into an
electrical signal which is then transmitted to the
implant via a headpiece. This listing includes
sound processor, headpiece, earhooks, powercels,
rechargers, cables and essential accessories.
Sound Processor Size 54 mm (H) x 13mm (TH) x
21 mm (w). Headpiece Diameter: 28.1 mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 3 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BD009
Harmony™ HiResolution® Bionic Ear System Behind The Ear Sound Processor - Auria
Harmony Sound Processor (REPLACEMENT
Order)
The Auria Harmony Processor is an external
component of the HiRes Bionic Ear System. This
processor is intended to deliver HiResolution
sound to a cochlear inplant by converting sound
waves (received via a microphone) into an
electrical signal which is then transmitted to the
implant via a headpiece. This listing Processor
only.
Sound Processor - one size 54 mm (H) x 13mm
(TH) x 21 mm (W)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BD010
Harmony ™ HiResolution® Bionic Ear System Behind the Ear Sound Processor Auria Harmony
Essential Accessory Kit
1x HPwcable; 1x direct connect
earhook; 1x standard earhook;
1x audio cable; 1x monitor
earphone.
various
Changed Product Group, Benefit.
BD011
Harmony™ HiResolution® Bionic Ear System Body worn sound processor - Platinum Series
Processor (PSP) INITIAL Order
The Platinum Sound Processor is a body worn
component of the HiRes Bionic Ear System. This
processor is intended to deliver HiResolution
sount to a cochlear implant by converting
soundwaves (received via a microphone in the
Platinum Headpiece) into an electrical signal that
is then transmitted to the implant via the
headpiece. This listing consists of the sound
processor, headpiece, connecting cables, and
essential accessory kit.
PSP only one size; 2.69' x 2.19" x
0.81"
Headpiece cable : options
18, 24, 32, 42 and 48 inches
Changed Product Group, Product Sub Group,
Benefit.
BD012
Harmony™ HiResolution® Bionic Ear System Body worn Platinum Sound Processor (PSP)
REPLACEMENT Order
The Platinum Sound Processor is a body worn
component of the HiRes Bionic Ear System. This
processor is intended to deliver HiResolution
sount to a cochlear implant by converting
soundwaves (received via a microphone in the
Platinum Headpiece) into an electrical signal that
is then transmitted to the implant via the
headpiece. This listing comes with the processor
only.
PSP: one size; 2.69' x 2.19" x 0.81"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BD013
Harmony ™ HiResolution® Bionic Ear System Body worn Sound Processor - Platinum Series
Processor (PSP) Essential Accessory Kit
1x HP cable; 1x Auxiliary
microphone; 1x telephone
adaptor; 1x monitor earphone
various
Changed Product Group, Benefit.
Advanced Surgical Design & Manufacture Ltd
6 - Specialist Orthopaedic
AE012
ASDM Bone Screw
Titanium
2.0 - 6.5mm dia, length 4-150mm
Changed Product Group, Product Sub Group,
Benefit.
AE036
Opening Wedge Tibial Ostectomy Plate
Titanium
6mm - 20mm
Changed Product Group, Product Sub Group,
Benefit.
AE068
ASDM Clavicle Compression System
Clavicle Compression Pin Titanium Screw,
Double Threaded
3.2 & 4.0 mm x 50mm - 130mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AE080
Carpal Fusion System Screw
316L Stainless Steel, Low Profile Custom Thread
Screw
2 - 7 mm Diameter 12 - 24mm Length
Changed Product Group, Product Sub Group,
Benefit.
AE126
Carpal Fusion Compression Plate
316L Stainless Steel Compression Plate, 2 hole
and 3 hole
2 Hole; and 3 Hole Plates
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 4 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
Titanium
1.0 - 2.7mm dia, length 2 - 40mm
Changed Product Group, Product Sub Group,
Benefit.
7 - Plastic and Reconstructive
AE007
MF-Cortex Screw
Allergan Australia Pty Limited
3 - General Miscellaneous
AW001
Lap-Band Adjustable Gastric Banding (LAGB)
System
-
AP-small and AP-large
Changed Product Group, Benefit.
AW002
Lap-Band Access Port
For use with the Lap-Band Adjustable Gastric
Banding System
Standard, low profile
Changed Product Group, Benefit.
AW003
Rapid Port Tack
Implantable acetal copolymer disk assembly,
rotor assembly with three stainless steel
fasteners. The fasteners, when deployed by
rotating the rotor, extend about 3mm below the
undersurface of the Tack
Outside diameter for the tack 30.5mm diameter
by 5.6mm Height. The wires extend 3mm below
the bottom surface.
Changed Product Group, Product Sub Group,
Benefit.
AW016
Lap-Band AP with RapidPort EZ
Adjustable gastric banding system with Rapid
Port EZ access port. The Rapid Port EZ access
port allows for a sutureless fixation of the port of
the Lap-Band to the stomach fascia or muscle
AP small and AP large
Changed Product Group, Benefit.
AW017
RapidPort EZ (replacement port)
Replacement port for use with the Lap-Band
adjustable gastric banding system
Access port assembly
Access port 3cm diameter x 1.2cm
Septum 1.4cm diameter
Changed Description, Product Group, Benefit.
7 - Plastic and Reconstructive
AW004
Style 510 Dual Gel Breast Prosthesis
Anatomical textured implant with dual gel for
projection of nipple/areola complex, concave
base and tapered edges for minimisation of
edge/thoracic wall palpability.
LX sizes from 130-575 grams, MX sizes from
145-600 grams, FX sizes from 165-630 grams
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AW005
Allergan Type MLP, MHP, TRL, TRM, TRF,
TRX Low, Medium, High & Extra High Profile
Gel-Filled Mammary Implant
Low, Medium, High & Extra High profile,
textured surface
80 - 800 grams
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AW007
McGhan Style 410 & 410 Soft Touch
Biodimensional Biocell Textured Cohesive Gelfilled Mammary Implant
Full, moderate or low height, Extra Full, Full,
moderate or low projection
125 - 775 grams
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AW008
Allergan Type SLD, SHD, SRL, SRM, SRF, SRX
Smooth Silicone Gel-filled Mammary Implant
Low, Medium, High or Extra High Profile
100 - 800 grams
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AW009
Allergan styles CML, CMH, TSL, TSM, TSF,
TSX
Silicone Cohesive Gel-Filled Breast Implant
80 - 800 grams
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AW010
Allergan Style 40, 45, SSL, SSM, SSF, SSX
Intrashiel Gel-Filled Round Mammary Implant
Round: low, medium, high & extra high profile
110 - 800 grams
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AW011
McGhan Style 110 & 120 Biocell Textured,
Intrasheild barrier Gel-Filled Mammary Implant
Round: Moderate or high profile
90 - 650 grams
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AW012
McGhan Style 150 Biodimensional Biocell
Textured Expand Gel/Saline Filled Mammary
Implant, Low Pole
Full height, Short Height, t
9.6 -16cm width x 8 - 17cm height x 4.2 - 7.1cm
projection
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 5 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AW013
Silicone Elastomer. Saline filled.
150-950 cm3
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Allergan Biospan Tissue Expander
Alliance Surgical
3 - General Miscellaneous
AA008
Bioring Gastric Band Replacement Port
Bioring gastric band access port with catheter
and connector
Diameter 34mm; height 10.4mm
Changed Product Group, Benefit.
AA009
Bioring Gastric Band
Adjustable gastric banding kit
Small, Large and Extra Large
Changed Size, Product Group, Benefit.
Allied Medical Limited
3 - General Miscellaneous
AH004
AMBIT Infusion Pump
The AMBIT PCA is an external programmable
electronic ambulatory infusion pump used for the
delivery of fluid and medications via intravenous,
epidural, subcutaneous or regional routes. It can
be programmed with different delivery profiles
which include basal rate only, basal rate with
PCA (Patient Controlled Analgesia) or PCA
Bolus Only. It is operated in conjunction with a
AMBIT disposable administration cassette
55mm x 36mm x 175mm
Changed Product Group, Product Sub Group,
Benefit.
AH005
AMBIT Infusion Pump Cassette
Single use sterile disposable administration set
for use with the AMBIT Infusion Pump. The
cassette contains a rotary mechanism that pumps
the infusion solution at an accurate and
controlled rate. The cassette includes an
administration line with a solution bag spike and
an inline air filter
20mm x 10mm x 15mm
Changed Product Group, Product Sub Group,
Benefit.
Dacron/silicone variable diameter ring
52mmx15mmx0.09 mm
Changed Product Group, Product Sub Group,
Benefit.
AllVascular Pty Ltd
10 - Vascular
VA001
Venous Valve Ring
American Medical Systems
3 - General Miscellaneous
AM002
Acticon Artificial Bowel Sphincter Cuff
Occlusive Cuff
9, 10, 11, 12, 13, 14cm (available in both 2.0cm
& 2.9cm widths)
Changed Product Group, Product Sub Group,
Benefit.
AM032
Acticon Artificial Bowel Sphincter Pump
Control Pump
One Size
Changed Product Group, Product Sub Group,
Benefit.
AM033
Acticon Artificial Bowel Sphincter Pressure
Regulating Balloon
Pressure Regulating Balloon
81-90cm, 91-100cm, 101-110cm, 111-120cm
Changed Product Group, Product Sub Group,
Benefit.
AM034
Acticon Artificial Bowel Sphincter Accessory Kit
Accessory Kit
One Size
Changed Product Group, Product Sub Group,
Benefit.
5 - Urogenital
Changed Items for Prostheses List Report
Page 6 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AM001
AMS 800 Artificial Urinary Sphincter Cuff
Occlusive Cuff
13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4,
4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM003
Urolume Plus TM Endo Urethral
prostheses
Endourethral wall stent for urethral strictures,
DESD and BPH
Range: 1.5 - 4.0cm
Changed Product Group, Product Sub Group,
Benefit.
AM004
AMS 700 Series Inflatable Penile Prostheses with
Inhibizone Cylinders
700 Series with InhibiZone
12, 14, 15, 16, 18, 21cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM010
Influence Bone Screw
Bone screw with pre-attached polypropylene
monofilament suture. For incinsionless
tranvaginal sling procedure. Loop Screw Bone
Screw
5.5 x 1.7 mm
Changed Product Group, Product Sub Group,
Benefit.
AM014
Sparc Sling System
Polypropylene mesh sling, two needles with
rotating handles, two cystoscopy aids
One size only
Changed Product Group, Product Sub Group,
Benefit.
AM015
AMS Testicular Prostheses
Solid silicone elastomer with suture hole
Small, Medium, Large
Changed Product Group, Benefit.
AM017
InVance Male Sling System
Kit includes inserter with shaft, 6 bone screws
with suture and silicone-coated sling surgical
mesh
One Size
Changed Product Group, Product Sub Group,
Benefit.
AM019
MONARC Sling System
Product includes - mesh and two needles with
handles attached
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
AM021
AMS 800 Artificial Urinary Sphincter Cuff
Silicone cuff for artificial urinary sphincter. For
the implantation of the second cuff for the AMS
800
13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4,
4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM022
AMS 700 Series Inflatable Penile Prostheses
Cylinders
700 Series (Non InhibiZone)
12, 14, 15, 16, 18, 21cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM023
IntePro Large Pore Polypropylene Y-Sling
Large pore polypropylene mesh
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM026
Perigee Transobturator Anterior Prolapse Repair
System
4 helical shaped needles with handles, 4 synthetic
graft arms enclosed in plastic with a centre
"cape" mesh.
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM027
Apogee Vault Suspension System
2 stainless steel curved needles with handles, a
large pore polypropylene mesh attached in the
centre of a polypropylene mesh enclosed in
plastic sheaths and two dilating conectors.
One size
Changed Product Group, Product Sub Group,
Benefit.
AM028
AMS 800 Artificial urinary sphincter Pressure
Regulating Balloon
Pressure Regulating Balloon
51 - 60cm, 61 -70cm, 71 - 80cm
Changed Product Name, Product Group,
Product Sub Group, Suffix, Benefit.
AM029
AMS 800 Artificial Urinary Sphincter Pump
Control Pump
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM030
AMS 800 Artificial Urinary Sphincter Accessory
Kit
Accessory Kit
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM036
AMS 700 Series Inflatable Penile Prostheses with
InhibiZone Pump
700 Series with InhibiZone
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM037
AMS 700 Series Inflatable Penile Prostheses with
InhibiZone Pump & Cylinders Preconnected
700 Series with InhibiZone
12, 14, 15, 16, 18, 21cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM038
AMS 700 Series Inflatable Penile Prostheses
InhibiZone Reservoir
700 Series InhibiZone
50, 65, 100ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 7 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AM040
AMS 700 Series Inflatable Penile Prostheses with
InhibiZone Deactivation Package
700 Series with InhibiZone
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM041
AMS Ambicor
AMS Ambicor Inflatable Penile Prostheses
AMS Ambicor Inflatable Penile Prostheses
12.5mm in 14, 16 & 18cm length, 14mm in 16,
18 & 20cm length, 15.5mm in 18, 20 & 22cm
length
Changed Product Group, Product Sub Group,
Benefit.
AM042
AMS 700 Series Inflatable Penile Prostheses
Pump
700 Series (Non InhibiZone)
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM043
AMS 700 Series Inflatable Penile Prostheses
Pump & Cylinders Preconnected
700 Series (Non InhibiZone)
12, 14, 15, 16, 18, 21cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM044
AMS 700 Series Inflatable Penile Prostheses
Reservoir non Inhibizone
700 Series (Non InhibiZone)
50, 65, 100ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM045
AMS 700 Series Inflatable Penile Prostheses
Accessory Kit
700 Series (Non InhibiZone)
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM046
AMS 700 Series Inflatable Penile Prostheses
Deactivation Package
700 Series (Non InhibiZone)
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM048
AMS AdVance XP Male Sling System
Sub-urethral sling implant for treatment of male
stress urinary incontinence. Made from
polypropylene monofilament mesh
Arm width: 1.2cm, Centre width: 3.55cm, Total
Length: 35.5cm, 43.5cm
Changed Product Group, Product Sub Group,
Benefit.
AM049
Mini ArcTM Single-Incision Sling System
The MiniArcTM Single Incision Sling System is
intended for the placement of a suburethral sling
for the treatment of female stress urinary
incontinence (SUI) resulting from urethral
hypermobility and/or intrinsic sphincter
deficiency.
8.5cm
Changed Description, Product Group, Product
Sub Group, Benefit.
The MiniArc sling
AM050
Urinary Control System Pump
Pump with InhiboZone Antibiotic Surface
Treatment
One size only.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM051
AMS 800 Urinary Control System with
InhibiZone - cuff
Occlusive Cuff with InhibiZone Antibiotic
Surface Treatment
13 Cuff sizes from 3.5 to 11.0 cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AM052
Elevate Anterior & Apical Prolapse Repair System
IntePro Lite Mesh and single use instuments for
mesh placement.
One size only.
Changed Product Group, Product Sub Group,
Benefit.
AM053
Elevate Apical & Posterior Prolapse Repair
System
IntePro Lite mesh and single use instruments for
mesh placement
one size only
Changed Product Group, Product Sub Group,
Benefit.
AM054
AMS Spectra Concealable Penile Prosthesis
AMS Spectra Concealable Penile Prosthesis
9.5 mm x 12cm AMS Spectra
9.5 mm x 16cm AMS Spectra
9.5 mm x 20cm AMS Spectra
12 mm x 12cm AMS Spectra
12 mm x 16cm AMS Spectra
12 mm x 20cm AMS Spectra
14 mm x 12cm AMS Spectra
14 mm x 16cm AMS Spectra
14 mm x 20cm AMS Spectra
9.5mm Spectra Rear
Changed Size, Product Group, Product Sub
Group, Benefit.
Changed Items for Prostheses List Report
Page 8 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AM055
The MiniArc Precise Single-Incision Sling
System (MiniArc Precise System) is intended for
the placement of a suburethral sling for the
treatment of female stress urinary incontinence
(SUI) resulting from urethral hypermobility
and/or intrinsic sphincter d
Short Centre-Length Sling
Total: 8.5cm
Centre (mid section): 2.0cm
Long Centre-Length Sling
Total: 8.5cm
Centre (mid section): 5.5cm
Changed Description, Product Group, Product
Sub Group, Benefit.
MiniArc Precise Single-Incision Sling System
AMO Australia Pty Ltd
1 - Ophthalmic
AO009
Healon 5, Intraocular Viscoelastic Fluid
HEALON5- Sodium hyaluronate 23mg/ml .
0.6ml
Changed Benefit.
AO010
Healon GV Intraocular Viscoelastic Fluid
Sodium Hyaluronate 14mg/mL
0.5mm and 0.85ml
Changed Benefit.
Anatomics Pty Ltd
7 - Plastic and Reconstructive
AT055
E-POR Biomaterial/ Orbital Wall and Floor
Porous Polyethylene Titanium Mesh Composite
(large)
Orbital Wall and Floor Porous Polyethylene
Titanium Mesh Composite
41 x 42 x 0.6-1.0mm
Changed Product Group, Product Sub Group,
Benefit.
AT061
E-POR Biomaterial/ Contour Porous Polyethylene
Contour Porous Polyethylene
One Size 56mm x 91mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AT063
E-POR Biomaterial/ Patient Specific Cranial
Implant, Porous Polyethylene
Patient Specific Cranial Implant, Porous
Polyethylene
Cranial Shape - Customised
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AT064
E-POR Biomaterial/ Cranial Temporal, Porous
Polyethylene Titanium Mesh Composite
Cranial Temporal, Porous Polyethylene Titanium
Mesh Composite
Left, Right, 130mm x 130mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AT072
E-POR Biomaterial
Block
Preform - various 3D 13mm - 63mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AT073
E-POR Biomaterial
Contoured Mandible Shape
Various Dimensional Angles
Changed Product Group, Product Sub Group,
Benefit.
Applied Medical Australia Pty Ltd
5 - Urogenital
MH003
Acucise RP35 Procedural Pack
Composition: Polypropylene & Titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MH007
Acucise RP35 Procedural Starter Pack
Polypropylene and Titanium
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MH010
Silhouette Ureteral Stent
The Silhouette Ureteric Stent is manufactured
with a soft material that provides superior
comfort. It has superior column strength through
a coil-reinforced body providing effortless
placement. The tight coils prevent migration.
The smaller outside dia
Multiple French Sizes & Lengths
Changed Description, Product Group, Product
Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 9 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MH012
Silhouette System Ureteral Stent Set
Coil reinforced body. SL-6 hydrophilic coating.
UroWire 0.035" 3-in-1 guidewire with kink
resistant nitinol core. Design divided into 3
sections: silver section (front end) floppy SL - 6
hydrophilic coating; Blue section (mid) super
stiff PTFE (not hydrophicaly coated); and Green
section (back) flexible
Mulitple French Sizes & Lengths
Changed Product Group, Product Sub Group,
Benefit.
MH013
Paediatric Silhouette System Set
Coil reinforced body. SL-6 hydrophilic coating.
UroWire 0.035" 3-in-1 guidewire with kink
resistant nitinol core. Design divided into 3
sections: silver section (front end) floppy SL - 6
hydrophilic coating; Blue section (mid) super
stiff PTFE (not hydrophilicaly coated); and Green
section (back) flexible
4F, 8 - 12cm
Changed Description, Product Group, Product
Sub Group, Benefit.
AstraTech Pty Ltd
7 - Plastic and Reconstructive
AZ001
Astra Tech Cover Screws
Cover Screw
Diameter 3.0mm, 3.5mm, 4.0mm, 4.5/5.0mm
Short, 4.5/ 5.0mm Long
Changed Product Group, Product Sub Group,
Benefit.
AZ002
Astra Tech MicroThread Fixtures and
MicroThread Osseospeed Fixtures
Titanium fixture with microthreaded cervical neck
Diameter 3.0 - 5.0mm, Length 8-19mm
Changed Product Group, Product Sub Group,
Benefit.
AZ003
Astra Tech Healing Abutments
Healing Abutments, Healing Abutments
Healing Abutments 3.0,1.5, 3.0, 4.5, 6.0mm;
Healing Abutment 5.5mm Ultra, Short, Long;
7.0mm Short, Long; ST Short, Long; ST 5.5mm
Short, Long; ST 7.0mm Short, Long; Temporary
Abutment 3.5, 4.0 4.0/5.0mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
AZ004
Astra Tech Abutments
Temporary Abutment
Diam 3.0 - 5.0mm
Changed Product Group, Product Sub Group,
Benefit.
Atrium Australia - Pacific Rim Pty Limited
10 - Vascular
AC003
Atrium PTFE Vascular Graft
Tapered PTFE Standard Wall
4-6mm x 30cm - 6-8mm x 90cm
Changed Product Group, Product Sub Group,
Benefit.
AC014
Atrium PTFE Vascular Graft
Tapered PTFE Thin Wall
4-6mm x 30cm - 6-8mm x 90cm
Changed Product Group, Product Sub Group,
Benefit.
AC016
Atrium Ultramax PET Grafts
Bifurcate Polyster Graft
12mm x 24mm - 6mm x 12mm x 40cm
Changed Product Group, Product Sub Group,
Benefit.
AC017
Atrium Ultramax PET Grafts
Axillo-bifemoral Polyster Graft
8mm - 10mm 100 x 60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AC018
Atrium Ultramax PET Grafts
Straight Polyster Graft
6mm - 24mm 30cm-40cm
Changed Size, Product Group, Product Sub
Group, Benefit.
AC019
Atrium Ultramax PET Grafts
Straight Polyster Graft
6mm - 10mm 60cm - 100cm
Changed Size, Product Group, Product Sub
Group, Benefit.
AC023
Advant PTFE V12 Stent Graft System
Balloon Expandable PTFE Encapsulated
Stainless Steel Peripheral Vascular Stent
5mm - 12mm Diameter
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 10 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AC026
Advanta SST
Bifurcated PTFE Graft
12mm - 24mm X 6mm - 12mm Length 40cm
Changed Product Group, Product Sub Group,
Benefit.
AC041
Atrium Ultramax Patches
Knitted Double Velour Vascular Patch
6 sq cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AC042
Atrium Ultramax Patches
Knitted Double Velour Vascular Patch
19 – 76 sq cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AC044
Advantra PTFE Vascular Graft
Trilaminate PTFE Aortic Graft with hydrostatic
membrane
12mm - 24mm diameter 30cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AC045
Advantra PTFE Vascular Graft
Trilaminate PTFE Graft with Graft Deployment
System
4 - 8mm diameter 50cm - 100cm lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AC046
Advantra PTFE Vascular Graft
Tapered Trilaminate PTFE Graft with Graft
Deployment System
4mm - 8mm diameter 50cm - 80cm lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AC047
Advantra PTFE Vascular Graft
Tapered Trilaminate PTFE Graft with Graft
Deployment System
4mm - 8mm diameter, 10 - 40cm lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AC049
Advantra PTFE Vascular Graft with Graft
Deployment System
Trilaminate PTFE. Vascular Access Graft
4mm - 8mm diameter. 50 - 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Polypropolene mesh plug
Small, Medium, Large and Extra Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
The Cinatra Cobalt Chromium Coronary Stent
System consists of a balloon expandable Cobalt
Chromium stent premounted on a rapid exchange
system
Diameter range: 2.5mm - 3.5mm. Length range:
8mm - 25mm
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
AC011
Atrium polypropolene mesh - surgical mesh
8 - Cardiac
AC030
Cinatra Cobalt Chromium Coronary Stent System
General Miscellaneous
AC031
C-QUR Mesh
Sterile, knitted polypropylene monofilament
mesh material for tissue reinforcement with a
coating derived from a biological oil composed of
fatty acids, lipids and glycerides (BAO Bioabsorbable Oil Coating)
0 - 100 sq cm
Changed Suffix, Benefit.
AC032
C-QUR Mesh
Sterile, knitted polypropylene monofilament
mesh material for tissue reinforcement with a
coating derived from a biological oil composed of
fatty acids, lipids and glycerides (BAO Bioabsorbable Oil Coating)
101 - 200 sq cm
Changed Suffix, Benefit.
AC033
C-QUR Mesh
Sterile, knitted polypropylene monofilament
mesh material for tissue reinforcement with a
coating derived from a biological oil composed of
fatty acids, lipids and glycerides (BAO Bioabsorbable Oil Coating)
201 - 300 sq cm
Changed Suffix, Benefit.
AC034
C-QUR Mesh
Sterile, knitted polypropylene monofilament
mesh material for tissue reinforcement with a
coating derived from a biological oil composed of
fatty acids, lipids and glycerides (BAO Bioabsorbable Oil Coating)
301 - 400 sq cm
Changed Suffix, Benefit.
Changed Items for Prostheses List Report
Page 11 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AC035
C-QUR Mesh
Sterile, knitted polypropylene monofilament
mesh material for tissue reinforcement with a
coating derived from a biological oil composed of
fatty acids, lipids and glycerides (BAO Bioabsorbable Oil Coating)
401 - 500 sq cm
Changed Suffix, Benefit.
AC036
C-QUR Mesh
Sterile, knitted polypropylene monofilament
mesh material for tissue reinforcement with a
coating derived from a biological oil composed of
fatty acids, lipids and glycerides (BAO Bioabsorbable Oil Coating)
501 - 600 sq cm
Changed Suffix, Benefit.
Aurora BioScience Pty Ltd
4 - Neurosurgical
RA001
VNS Therapy Pulse/Pulse Duo
Model 102/102R Generator
One size only
Changed Product Group, Product Sub Group,
Benefit.
RA002
VNS Therapy Lead
Model 302
One size only
Changed Product Group, Product Sub Group,
Benefit.
Aus Systems Pty Ltd
7 - Plastic and Reconstructive
AU007
Aus Systems Titanium Miniplates (Bone Plates)
Plate Titanium
0.7mm profile 4-7 holes
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
AU014
Aus Systems Titanium Miniplates (Bone Plates)
Low profile burr hole cover
10mm, 14mm, 18mm, 22mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AU019
Aus Systems Titanium Miniplates (Bone Plates)
Plate Titanium
1mm & 1.2mm profile 16 & 19 hole
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
Austofix
13 - Spinal
AX057
Capless LI Pedicle screw system - X Link cross
connector - Variable
Titanium, lowprofile transverse dual articulation
crossconnector
Low profile, Multiple sizes, 37-80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AX058
Capless LI Pedicle screw system - X Link cross
connector - Fixed
Titanium, lowprofile transverse crossconnector
low profile, multiple sizes, 25-35mm
Changed Product Group, Product Sub Group,
Benefit.
AX059
Capless Li Pedicle screw system - rod
Titanium rod. Straight and pre- bent
Straight and pre- bent, multiple sizes, 40-300mm
Changed Product Group, Product Sub Group,
Benefit.
AX060
Spider Cervical Plating System - Spider Screw
Titanium, Self Tapping and Self Drilling
4.0 - 4.25mm, lengths 12-16mm
Changed Product Group, Product Sub Group,
Benefit.
AX061
Spider Cervical Plating System - Spider Plate
Titanium, Anterior Cervical Plate System -
22-54mm
Changed Product Group, Product Sub Group,
Benefit.
AX062
Spider Cervical Plating System - Spider Plate
Titanium, anterior cervical plate system
56-77mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AX067
Calix Interbody Spacer
Cervical cage, PEEK
Heights 5-12mm. Lordotic and Convex
Changed Product Group, Product Sub Group,
Benefit.
AX084
Fortex Pedicle Screw system - Pedicle Screw
Polyaxial pedicle screw
4.75, 5.5, 6.5, 7.5, 8.25mm diameter. 30, 35, 40,
45, 50, 55mm lengths
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 12 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AX085
Pedicle Screw Set
3.1mm height
Changed Product Group, Suffix, Benefit.
Fortex Pedicle Screw Set Screw
6 - Specialist Orthopaedic
AX003
Austofix Intramedullary Screws
Humeral Head Screw, stainless steel
4.3mm
Changed Product Group, Product Sub Group,
Benefit.
AX027
Austofix Femoral & Tibial Nailing System
Washer for screws; s-s
Dia 11mm & 13mm
Changed Product Group, Product Sub Group,
Benefit.
AX040
VRP Distal Radius Fixation System, Volar Distal
Radius Plate - Non-standard
Volar Distal Radius Plate - Non-standard
Wide, narrow, long, short sizes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AX041
VRP Distal Radius Fixation System Volar Distal
Radius Plate - Standard
Volar Distal Radius Plate - Standard
Standard, 3 and 4 hole, left and right
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AX042
VRP Distal Radius Fixation System, 3.5mm
Cortical Screw, Titanium
3.5mm Cortical Screw, Titanium
3.5mm diameter, 10mm-20mm lengths
Changed Product Group, Product Sub Group,
Benefit.
AX043
VRP Distal Radius Fixation System, Threaded,
mpm-threaded, partially threaded locking, nonlocking screw, peg, Titanium
Threaded, non-threaded, partially threaded
locking, non-locking screw, peg, titanium
2.0, 2.5, 2.6mm diameter, 14mm-30mm lengths
Changed Product Group, Product Sub Group,
Benefit.
AX051
Tectona Hip Plate - Cortical Screw
Cortical Screw, self tapping
4.5mm, lengths 28-46mm
Changed Product Group, Product Sub Group,
Benefit.
AX052
Tectona Hip Plate - Compression Screw
Comprssion screw, sterile packed
Length 36mm. For compression with Tectona
Lag Screw
Changed Product Group, Product Sub Group,
Benefit.
AX053
Tectona Hip Plate - Locking Screw
Locking screw, self tapping
5.0mm, lengths 28-46mm
Changed Product Group, Product Sub Group,
Benefit.
AX054
Tectona Hip Plate - Standard Lag Screw
Hip Lag Screw, sterile packed
12.5mm, 14.5mm
Changed Product Group, Product Sub Group,
Benefit.
AX055
Tectona Hip Plate - Lag Screw HA coated
Hip Lag Screw HA coated, sterile packed
12.5mm - lengths 50-145mm
Changed Product Group, Product Sub Group,
Benefit.
AX056
Tectona Hip Plate
Hip plate, locking with removable targeting jig,
sterile packed
135 degree, 3 hole
Changed Size, Product Group, Product Sub
Group, Benefit.
AX083
VRP Distal Radius Fixation System - VRP VA
locking Screw
Variable Angle Locking Screw, Cobalt Chrome
2.5mm, 10-30mm
Changed Benefit.
AX086
Austofix Proximal Humeral Plating System Austofix PHP Locking Screw
Locking Screw Titanium
3.5mm, 20-100mm
Changed Benefit.
AX087
Austofix Proximal Humeral Plating System Austofix Cortical Screw
Cortical Screw, Titanium
3.5mm, 20-40mm
Changed Benefit.
AX088
Austofix Proximal Humeral Plating System Austofix Proximal Humeral Plate
Anatomic Periarticular Humeral Variable Angle
Locking Plate, Titanium
3-15 Hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AX089
Austofix Proximal Humeral Plating System Austofix VA Locking Screw
Variable Angle Locking Screw, Cobalt Chrome
3.5mm 20-100mm
Changed Benefit.
AX090
Austofix Proximal Humeral Plating System Austofix PHP Cancellous Screw
Cancellous Screw, Titanium
4mm 20-40mm
Changed Benefit.
Australasian Medical & Scientific Ltd
10 - Vascular
Changed Items for Prostheses List Report
Page 13 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AN010
Spiral laminar flow graft
70cm length x 7mm diameter 80cm length x
7mm diameter 70cm length x 8mm diameter
80cm length x 8mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Tayflow TFT SLF Graft
3 - General Miscellaneous
AN003
Animas Insulin Infusion Sets
(INFUSION SET, COMFORT, 23", HOSP 10,
INFUSION SET, COMFORT 43", HOSP 10.
Inset II, 6mm and 9mm. Inset 30, 13mm) Needle
guard, soft cannula, adhesive tape, introducer
needle, cannula housing, tubing, connector
needle, circular protective cap and disconnect
cover.
Packs of 10
Changed Product Group, Product Sub Group,
Benefit.
AN004
Animas Insulin Infusion Set
(INFUSION SET, COMFORT, 23", STD 5/5
AND INFUSION SET, COMFORT, 43" STD
5/5) Needle guard, soft cannula, adhesive tape,
introducer needle, cannula housing, tubing,
connector needle, circular protective cap and
disconnect cover.
Packs of 10
Changed Product Group, Product Sub Group,
Benefit.
AN006
Animas IR 1200/2020 Insulin Infusion Cartridge
(Insulin Infusion Pump IR1200/2020 Series)
Sterile, indicated as reservoir for insulin by the
Animas Infusion Pump, not intended for use with
any other infusion device.
Cartridge Capacity - 2.0mL or 200 units. Packs
of 10
Changed Product Group, Product Sub Group,
Benefit.
AN008
Collatamp G
Biodegradable collagen implant with gentamicin
10cm x 10cm x 0.5cm, 20cm x 5cm x 0.5cm
Changed Product Group, Product Sub Group,
Benefit.
AN009
Collatamp G
Biodegradeable collagen implant with gentamicin
5cm x 5cm x 0.5cm
Changed Product Group, Product Sub Group,
Benefit.
Calcium hydroxylapatite spheres suspended in an
aqueous gel carrier, Coaptite is an injectable
synthetic tissue reconstructive material
1 ml syringe
Changed Product Group, Product Sub Group,
Benefit.
5 - Urogenital
AN007
Coaptite
Australian Surgical Innovations Pty Ltd
7 - Plastic and Reconstructive
AI004
ASI Plates and Screws
Plate
Straight, Left, Right, X, T and Y shaped
Changed Product Group, Product Sub Group,
Benefit.
AI005
ASI Plates and Screws
Mesh
.
Changed Product Group, Product Sub Group,
Benefit.
AI006
ASI Plates and Screws
Custom Mesh
.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AI007
ASI Plates and Screws
Screw
Width 1.0 - 3.0mm. Length 3.0 - 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Cervical interbody PEEK cage for anterior
cervical surgery
Height 4mm - 10mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Austspine Pty Ltd
13 - Spinal
AJ009
Kasios KAGE
Changed Items for Prostheses List Report
Page 14 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AJ020
Vigor PEEK Lumbar Interbody Fusion Cage
Rotatable posterior lumbar interbody fusion cage
Heights: 10mm, 11mm, 12mm, 14mm, 16mm
and Lengths: 24mm and 26mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AJ021
Smartloc Spinal Fixation System / Fixation Rod
Fixation Rod for Smartloc Spinal Fixation System
40mm - 80mm
Changed Product Group, Product Sub Group,
Benefit.
AJ022
Smartloc Spinal Fixation System/Polyaxial
Pedicle Screw & Reduction Screw
Polyaxial Pedicle Screw and Reduction screw
Length 30mm - 50mm Diameter 4.5mm, 5.5mm,
6.5mm, 7.0mm, 8.0mm
Changed Product Group, Product Sub Group,
Benefit.
AJ023
Smartloc Spinal Fixation System/Transverse Link
Cross link for Smartloc Spinal Fixation System
Telescopes to 70mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AJ024
Smartloc Spinal Fixation System / Set Screw
Set screw for poyaxial pedicle screw
8mm diameter, 5mm height
Changed Product Group, Suffix, Benefit.
B Braun Australia Pty Ltd
10 - Vascular
BB017
Vascular Patch
Vascular patch
12x9 to 3x4
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB018
Vascular Uni - Graft
Vascular graft
100cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB019
Vascular Uni - Graft
Vascular graft
60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB020
Vascular Uni - Graft
Vascular graft
50cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB021
Vascular Uni - Graft
Vascular graft
40cm
Changed Product Group, Product Sub Group,
Benefit.
BB022
Vascular Uni - Graft
Vascular graft
30cm
Changed Product Group, Product Sub Group,
Benefit.
BB023
Vascular Uni - Graft
Vascular graft
20cm
Changed Product Group, Product Sub Group,
Benefit.
BB024
Vascular Uni - Graft
Vascular graft
15cm
Changed Product Group, Product Sub Group,
Benefit.
BB025
Vascular Uni - Graft
Vascular graft
10cm
Changed Product Group, Product Sub Group,
Benefit.
BB026
Vascular Uni - Graft - Tapered
Vascular graft
12x6 to 24x12
Changed Product Group, Product Sub Group,
Benefit.
BB027
Vascular Uni - Graft - Bifurcated
Vascular graft
12x7 to 12x12
Changed Product Group, Product Sub Group,
Benefit.
BB106
Temporary Vena Cava System
Phynox/ combination of various metals inc.
Nickel,Copper, Molubden,Steel
One size, expands to Max length 38mm/Max
diameter 30mm
Changed Product Group, Product Sub Group,
Benefit.
BB119
Vascugraft
PTFE, Straight Standard Wall
Dia 4 - 10mm, length 40 - 50cm
Changed Product Group, Product Sub Group,
Benefit.
BB120
Vascugraft
Straight Standard Wall with Helix Support
Dia 6 - 10mm, length 10 - 50cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB121
Vascugraft
Straight Standard Wall with Helix Support
Dia 6 - 10mm, length 60 - 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB122
Vascugraft
Straight Standard Wall with Helix Support
Dia 5 - 8mm, length 90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 15 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BB123
Vascugraft
PTFE - Straight Standard Wall
Dia 5 - 10mm, length 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB124
Vascugraft
PTFE - Straight Standard Wall
Dia 5 - 8mm, length 90 - 100cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB125
Vascugraft
Thin Wall Straight
Dia 3 - 8mm, length 70 - 100cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB126
Vascugraft
Thin Wall Straight
Dia 3 - 8mm, length10 - 40cm
Changed Product Group, Product Sub Group,
Benefit.
BB127
Vascugraft
Thin Wall Straight
Dia 3 - 8mm, length 10 - 40cm
Changed Product Group, Product Sub Group,
Benefit.
BB128
Vascugraft
Straight Standard Wall with Helix Support
Dia 6mm x length 100cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB129
Vascugraft
Straight Standard Wall with Helix Support
Dia 5 - 8mm, length 80 - 90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB130
Vascugraft
Straight Standard Wall with Helix Support
Dia 4 - 6mm, length 50 - 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB131
Vascugraft
Thin Wall Tapered
Dia 4 - 8mm, length 40 - 90cm
Changed Product Group, Product Sub Group,
Benefit.
BB132
Vascugraft
Thin Wall Centre Helix
Dia 6mm, length 45cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB133
Vascugraft
Thin Wall Centre Helix
Dia 5 - 6mm, length 45 - 50cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB134
Vascugraft
Thin Wall Centre Helix
Dia 4 - 8mm, length 70 - 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB136
Vascugraft
Standard Tapered
Dia 4 - 8mm, length 70 - 90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB137
Vascugraft
Standard with Centred Helix
Dia 4 - 8mm, length 70 - 90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB138
Vascugraft
Standard with Short Taper
Dia 4 - 8mm, length 30 - 70cm
Changed Product Group, Product Sub Group,
Benefit.
BB139
Vascugraft
Standard with Short Taper
Dia 4 - 8mm, length 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB141
Vascugraft
Easy Glide - Standard Wall Straight
Dia 6mm, length 70 - 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB142
Vascugraft
Easy Glide - Standard Wall Straight
Dia 6mm, length 40 - 60cm
Changed Product Group, Product Sub Group,
Benefit.
BB143
Vascugraft
Easy Glide - Standard Wall with Helix Short
Taper
Dia 6 - 8mm, length 40 - 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB144
Vascugraft
Easy Glide - Thin Wall Straight
Dia 6 - 8mm, length 40 - 70cm
Changed Product Group, Product Sub Group,
Benefit.
BB145
Vascugraft
Thin Wall Centred Helix Tapered
Dia 4 - 7mm, length 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB146
Vascugraft
Easy Glide - Thin Wall Straight with Helix
Support
Dia 6 - 8mm, length 40 - 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 16 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BB155
Vascugraft
Standard Tapered
Dia 4 - 7mm, length 30 - 70cm
Changed Product Group, Product Sub Group,
Benefit.
BB156
Vascugraft
Standard Wall with Tapered Centre Helix
Dia 4 - 8mm, length 40 - 45cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB157
Vascugraft
Standard Wall Stepped Taper
Dia 4 - 8mm, length 40 - 45cm
Changed Product Group, Product Sub Group,
Benefit.
BB169
Vena Cava Filter System
PHYNOX Introducer system, 'J' Guidewire,
Seldinger needle, disposable scalpel
Diameter 28 mm
Changed Product Group, Product Sub Group,
Benefit.
BB170
Celsite Access Port for pain relief
Composition - polysulphone. Kit includes
tunnelling rod, filter, connectors, needles,
syringe, tuohy needle
Diameter of septum:11.7mm. Height: 11.5mm.
Dimension: 25.8 x 37.8mm
Changed Product Group, Product Sub Group,
Benefit.
BB244
Coroflex Blue
Cobalt Chromium Alloy L605
2-4mm diameter, 8-25mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
13 - Spinal
BB002
Aesculap Hook System
Laminar Hook, Left & Right
Thick & Thin
Changed Product Group, Product Sub Group,
Benefit.
BB011
Spine System Evolution
Screw
Dia 5 - 8mm, length 30 - 55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB064
Socon Spinal System
Socon Clamps
One size only
Changed Product Group, Suffix, Benefit.
BB067
Caspar Cervical Plate
Titanium and Steel
24mm-90mm
Changed Product Group, Product Sub Group,
Benefit.
BB068
Caspar Screws
Stainless Steel
10mm-28mm
Changed Product Group, Product Sub Group,
Benefit.
BB069
Caspar Screws
Titanium
10mm-28mm
Changed Product Group, Product Sub Group,
Benefit.
BB070
Prospace Block
Titanium
9mm-11mm
Changed Product Group, Product Sub Group,
Benefit.
BB135
Aesculap Cervical System
Titanium, rigid
Medium 34 - 64mm length
Changed Product Group, Product Sub Group,
Benefit.
BB140
Aesculap Cervical System
Titanium, rigid
Large 67 - 103mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB153
Aesculap Cervical System
Titanium, rigid
Small 20 - 32mm Length
Changed Product Group, Product Sub Group,
Benefit.
BB158
Aesculap Cervical System
Titanium with locking mechanism
Dia 4 - 4.5mm, length 10 - 28mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB167
MACS Stabilisation Plates
Titanium, rigid
Length 45 - 100mm
Changed Product Group, Product Sub Group,
Benefit.
BB211
KLA Anterior Lumbar Cage System
Anterior Lumbar Cage - PEEK
9mm x 5 degrees, 11mm x 5 degrees, 13mm x 5
degrees, 11mm x 9 degrees, 13mm x 9 degrees,
15mm x 9 degrees, 13mm X 13 degrees, 15mm X
13 degrees
Changed Product Group, Product Sub Group,
Benefit.
BB215
Adonys Posterior Lumbar Cage System
Posterior Lumbar Cage - PEEK - Standard
8mm x 4 degrees, 12mm x 4 degrees, 8mm x 10
degrees, 12mm x 10 degrees
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 17 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BB216
Adonys Posterior Lumbar Cage System
Posterior Lumbar Cage - Short
8mm x 4 degrees, 10mm x 4 degrees, 12mm x 4
degrees, 8mm x 10 degrees, 10mm x 10 degrees,
12mm x 10 degrees
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB217
Samarys Anterior Cervical Cage System
Anterior Cervical Cage - PEEK
L15 x w17 x h5mm, L15 x w17 x h6mm, L15 x
w17 x h7mm, L15 x w17 x h8mm, L13 x w17 x
h5mm, L13 x w17 x h6mm, L15 x w20 x h5mm,
L15 x w20 x h6mm
Changed Product Group, Product Sub Group,
Benefit.
BB219
S4 Spinal System
S4 Straight Rod - Titanium
30 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
BB220
S4 Spinal System
S4 Straight Rod - Titanium
70mm - 180mm
Changed Product Group, Product Sub Group,
Benefit.
BB221
S4 Spinal System
S4 Straight Rod - Titanium
200mm - 500mm
Changed Product Group, Product Sub Group,
Benefit.
BB222
S4 Spinal System
S4 Pre-bent Rod - Titanium
35mm - 55mm
Changed Product Group, Product Sub Group,
Benefit.
BB223
S4 Spinal System
S4 Pre-bent Rod - Titanium
60 - 240mm
Changed Product Group, Product Sub Group,
Benefit.
BB224
S4 Spinal System
Polyaxial Screw - titanium various sizes
All sizes
Changed Product Group, Product Sub Group,
Benefit.
BB225
S4 Spinal System
Polyaxial Screw - Titanium various sizes
Diameter 6.0mm, 7.0mm & 8.0mm - all lengths
25 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
BB226
S4 Spinal System
Monoaxial Screw - titanium various sizes
Diameter 4.5mm & 5mm - all lengths 25 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
BB227
S4 Spinal System
Monoaxial Screw - titanium various sizes
Diameter 6.0mm, 7.0mm & 8.0mm - all lengths
25 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
BB228
S4 Spinal System
S4 Cross & Lateral Offset Connector
Rigid 7 - 41mm
Changed Product Group, Product Sub Group,
Benefit.
BB229
S4 Spinal System
S4 Cross, Rod & Cable Connector - Titanium
Variable 28 - 75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB230
S4 Spinal System
Set Screw - titanium
one size
Changed Product Group, Suffix, Benefit.
BB248
PACH Plate
Titanium
28 & 32mm
Changed Product Group, Product Sub Group,
Benefit.
BB252
T. Lif Intervertebral Cage System
T.Lif PEEK Intervertebral Cage
All sizes
Changed Product Group, Product Sub Group,
Benefit.
BB278
Aesculap Interbody Cage
Interbody cage
All sizes
Changed Product Group, Product Sub Group,
Benefit.
BB288
Aesculap Vertebral Body System
Vertebral Body System, Titanium Alloy
All sizes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
3 - General Miscellaneous
BB082
Celsite Epoxy Single Access Port
Epoxy/titanium
Standard/small/baby
Changed Product Group, Product Sub Group,
Benefit.
BB083
Celsite Epoxy Dual Access Port
Epoxy/titanium
Standard/small/baby
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 18 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BB084
Celsite Single Access Port
MBS/PSU
Standard/small
Changed Product Group, Product Sub Group,
Benefit.
BB086
Celsite Epoxy Peritoneal Port
Epoxy/titanium
32x27x13mm
Changed Product Group, Product Sub Group,
Benefit.
BB104
Premilene Mesh
Self Forming Plug
All sizes, small, medium, large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB192
Premilene Mesh
Premilene Nonabsorbable Polypropylene Surgical
Suture Material Low Profile.
Self-Forming Plug-Small, 5 pieces
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB193
Premilene Mesh
Premilene Nonabsorbable Polypropylene Surgical
Suture Material Low Profile.
Self-Forming Plug-Medium, 5 pieces
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB194
Premilene Mesh
Premilene Nonabsorbable Polypropylene Surgical
Suture Material Low Profile.
Self-Forming Plug-Large, 5 pieces
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB195
OPTILENE MESH
Polypropylene Mesh
Self-Forming Plug-Large, 5 pieces
Changed Product Group, Product Sub Group,
Suffix, Benefit.
4 - Neurosurgical
BB015
Neuro-Patch
Polyesterurethane
12 x 14cm
Changed Product Group, Benefit.
BB108
Aneurysm Clip
Yasargil
4.5mm x 150g to 25.0mm x 200g
Changed Product Group, Benefit.
BB109
Aneurysm Clip
Yasargil Phynox Mini
2.8mm x 110g to 7.0mm x 130g
Changed Product Group, Benefit.
BB110
Aneurysm Clip
Yasargil Titanium
4.9mm x 150g to 20.0mm x 200g
Changed Product Group, Benefit.
BB111
Aneurysm Clip
Yasargil Titanium Mini
2.8mm x 110g to 7.0mm x 110g
Changed Product Group, Benefit.
BB112
Aneurysm Clip
Yasargil Reinforcing, Titanium/Phynox
One size only
Changed Product Group, Benefit.
BB113
Neuropatch Dura Substitute
Polyurethane
6 x 14cm
Changed Product Group, Benefit.
BB114
Neuropatch Dura Substitute
Polyurethane
6 x 8cm
Changed Product Group, Benefit.
BB115
Neuropatch Dura Substitute
Polyurethane
4 x 10cm
Changed Product Group, Benefit.
BB116
Neuropatch Dura Substitute
Polyurethane
4 x 5cm
Changed Product Group, Benefit.
BB117
Neuropatch Dura Substitute
Polyurethane
2 x 10cm
Changed Product Group, Benefit.
BB118
Neuropatch Dura Substitute
Polyurethane
1.5 x 3cm
Changed Product Group, Benefit.
BB175
Yasargil Aneurysm Clip System
Phynox temporary clips are manufactured from
phynox.
3mm - 20mm length, phynox temporary clips.
Changed Product Group, Benefit.
BB176
Yasargil Aneurysm Clip System
Titanium temporary clips are manufactured from
titanium
3mm- 25mm length, titanium temporary clips.
Changed Description, Product Group, Benefit.
BB218
Kopitnik Microneurosurgical AVM Clips
Composition: Phynox (Cobalt-base-alloy)
2mm, 3mm, 4mm, 5mm - straight. 2mm, 3mm,
4mm, 5mm - curved.
Changed Product Group, Benefit.
BB290
T-Bar Yasargil Aneurysm Clip
T-Bar Yarsargil Aneurysm Clip, Titanium,
Permanent Standard Fenestrated
5mm-9mm, 45 Deg
Changed Product Group, Suffix, Benefit.
BB291
T-Bar Yasargil Aneurysm Clip
T-Bar Yarsargil Aneurysm Clip, Titanium,
Permanent Standard Fenestrated
5mm-13mm, 90 Deg
Changed Product Group, Suffix, Benefit.
BB292
T-Bar Yasargil Aneurysm Clip
T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt
Alloy, Permanent Standard Fenestrated
5mm-9mm, 45 Deg
Changed Product Group, Suffix, Benefit.
BB293
T-Bar Yasargil Aneurysm Clip
T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt
Alloy, Permanent Standard Fenestrated
5mm-13mm, 90 Deg
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 19 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
6 - Specialist Orthopaedic
BB052
BRAUN AUST Intramedullary Nails
Compression Screw
4.5mmx64mm-4.5mmx102mm
Changed Product Group, Product Sub Group,
Benefit.
BB056
BRAUN AUST Intramedullary Nails
Fixation Screws
Dia 4.5mm-6mm,Length 20mm-96mm
Changed Product Group, Product Sub Group,
Benefit.
BB057
BRAUN AUST Intramedullary Nails
Closure Screws
Length 8mm-10mm
Changed Product Group, Product Sub Group,
Benefit.
BB059
BRAUN AUST Intramedullary Nails
Huckstep Fine Thread Screw
4.5mmx19mm-4.5mmx57mm
Changed Product Group, Product Sub Group,
Benefit.
BB271
Aesculap Schanz Screw
Stainless steel
All sizes
Changed Product Group, Product Sub Group,
Benefit.
BB303
Position HTO Implant System - Locking Screws
Titanium cancellous and cortical screw, locking
head for solid plate fixation.
30mm-78mm x 4.5mm & 6.0mm diameter.
Changed Product Group, Product Sub Group,
Benefit.
BB311
Position HTO Implant System - HTO Plate
Titanium Osteotomy Plate, internal fixation plate
used in proximal tibial repositioning osteotomy.
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB312
Position HTO Implant System - Spacer Block
with Fixation Screw
Osteotomy Spacer Block, solid titanium. Consists
of block and fixation screw.
5mm - 16mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
7 - Plastic and Reconstructive
BB072
Craniofix Titanium Clamps
Titanium
11mm
Changed Product Group, Product Sub Group,
Benefit.
BB073
Craniofix Titanium Clamps
Titanium
16mm
Changed Product Group, Product Sub Group,
Benefit.
BB168
Craniofix
Titanium skull fixation clamp
20mm
Changed Product Group, Product Sub Group,
Benefit.
BB289
CranioFix Absorbable
Double sided Cranial clamp, absorbable polyester
11mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BB304
Aesculap CranioPlate System/ Plate Neuro, 2
hole straight
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates
Plate Neuro, 2 hole 11 & 16mm straight
Changed Product Group, Product Sub Group,
Benefit.
BB305
Aesculap CranioPlate System/Plate Neuro, 6 hole
rectangular
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Plate Neuro, 6 hole 10 x 17 mm rectangular
Changed Product Group, Product Sub Group,
Benefit.
BB306
Aesculap CranioPlate System/ Plate Neuro, 4
hole square
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Plate Neuro, 4 hole 10mm square
Changed Product Group, Product Sub Group,
Benefit.
BB307
Aesculap CranioPlate System/ Plate Neuro, 4
hole straight
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Plate Neuro, 4 hole 17 & 20 mm straight
Changed Product Group, Product Sub Group,
Benefit.
BB308
Aesculap CranioPlate System/ Plate Neuro, 6
hole double Y
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Plate Neuro, 6 hole 15 & 17mm, double Y shape
Changed Product Group, Product Sub Group,
Benefit.
BB309
Aesculap CranioPlate System/ Plate neuro, 5 hole
Y
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates
Plate Neuro, 5 hole 17mm, Y shape
Changed Product Group, Product Sub Group,
Benefit.
BB310
Aesculap CranioPlate System/ Plate Neuro, 8
hole rectangular
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Plate Neuro, 8 hole 10 x 24 mm rectangular
Changed Product Group, Product Sub Group,
Benefit.
BB313
Aesculap CranioPlate System/ Plate Neuro, Burr
hole cover 12 & 16mm
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Plate Neuro, 6 hole x 16 & 20mm Burr hole cover
Changed Product Group, Product Sub Group,
Benefit.
BB314
Aesculap CranioPlate System/ Screws Neuro
Emergency, self tapping, 1.8mm x 3 & 5mm
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Screws Neuro, Emergency, self tapping,
magazine of 8, 1.8mm x 3 & 5mm lengths
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 20 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BB315
Aesculap CranioPlate System/Plate Neuro, 65 x
90mm, 0.6mm mesh
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Plate Neuro, 65 x 90 mm, 0.6mm Mesh
Changed Product Group, Product Sub Group,
Benefit.
BB316
Aesculap CranioPlate System/Screws Neuro, selfdrilling, 1.5 x 3, 4 & 5mm
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
screws neuro, self drilling, magazine of 8, 1.5mm
x 3, 4 & 5 mm lengths
Changed Product Group, Product Sub Group,
Benefit.
BB317
Aesculap CranioPlate System/ Plate Neuro, 16
hole straight
Cranial fixation system, internal fracture, non
biodegradable. Consists of screws, plates.
Plate Neuro, 16 hole 63mm straight
Changed Product Group, Product Sub Group,
Benefit.
Bard Australia Pty Ltd
10 - Vascular
BA010
Bard Inferior Vena Cava Filter
Nitinol self expanding vena cava filter
For IVC with a diameter less than or equal to
28mm diameter
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
BA019
Impra PTFE Vascular Grafts
ePTFE graft - radially supported, thin wall, 10 50cm long
4mm - 8mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA020
Impra PTFE Vascular Grafts
ePTFE graft - thin wall, 10 - 50cm long
3mm - 10mm diameter
Changed Product Group, Product Sub Group,
Benefit.
BA021
Impra PTFE Vascular Grafts
ePTFE graft - radially supported, thin wall.
4 - 8mm diameter, greater than 50cm long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA022
Impra PTFE Vascular Grafts
ePTFE graft - radially supported, regular wall, 1050cm long
4 - 19mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA023
Impra PTFE Vascular Grafts
ePTFE graft - radially supported, regular wall.
4 - 10mm diameter, greater than 50cm long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA024
Impra PTFE Vascular Grafts
ePTFE graft - thin wall, greater than 50cm long
3 - 10 diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA025
Impra PTFE Vascular Grafts
ePTFE graft - regular wall, 10-50cm long
3 - 19mm diameter
Changed Product Group, Product Sub Group,
Benefit.
BA026
Impra PTFE Vascular Grafts
ePTFE graft - regular wall, greater than 50cm long
3 - 10mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA028
Impra PTFE Vascular Grafts
Distaflo ePTFE graft with preformed cuff and
flex support
6-10mm diameter, 40 - 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA029
Impra PTFE Vascular Grafts
Venaflo ePTFE graft with preformed cuff
4mm - 8mm diameter, 10cm - 50cm length
Changed Product Group, Product Sub Group,
Benefit.
BA031
Grafts Vascular
Polyester soft tissue patch 1mm thick
5cm x 10cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA032
Grafts Vascular
Polyester soft tissue patch 1mm thick
10cm x 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA033
Grafts Vascular
Polyester soft tissue patch 1mm thick
15cm x 20cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA034
Grafts Vascular
Polyester soft tissue patch 1mm thick
20cm x 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA035
Grafts Vascular
PTFE Felt 2mm thick
5cm x 10cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA036
Grafts Vascular
PTFE Felt 2mm thick
10cm x 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 21 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BA037
Grafts Vascular
PTFE Felt 2mm thick
15cm x 20cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA038
Grafts Vascular
PTFE Felt 2mm thick
20cm x 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA039
Grafts Vascular
Polyester pledgets
Rectangle, Oval, Circle, Square 2.9mm-8mm x
6mm - 9.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA040
VitaCuff, Hickman Catheter
Dialysis/Apheresis catheter, dual lumen, silicone
36-45cm overall length
Changed Product Group, Product Sub Group,
Benefit.
BA049
Broviac Catheters
Without VitaCuff, silicone
2.4 - 6.6 French Catheter
Changed Product Group, Product Sub Group,
Benefit.
BA050
Hickman Catheters Single
Without VitaCuff, silicone
7 - 14.4F French Catheter
Changed Product Group, Product Sub Group,
Benefit.
BA056
Subcutaneous Ports
Titanium or MRI Implantable Port, Open-Ended
Catheter Single Chamber
6FR - 9.6Fr
Changed Product Group, Product Sub Group,
Benefit.
BA057
Groshong Subcutaneous Ports
Titanium or MRI Implatable Port, Closed-Ended
Catheter, Single Chamber
7Fr - 8 Fr
Changed Product Group, Product Sub Group,
Benefit.
BA059
Dual Lumen Subcutaneous Ports
Silicone, Polyurethane or ChronoFlex Openended Catheter
7 - 10 French Catheter
Changed Product Group, Product Sub Group,
Benefit.
BA060
Subcutaneous Ports
Low-Profile Titanium or MRI Implantable Port,
Open-Ended Catheter Single Chamber
6 - 6.6 French Catheter
Changed Product Group, Product Sub Group,
Benefit.
BA089
Impra PTFE Vascular Grafts
ePTFE Cardiovascular Patch 0.4mm Oval
20 x 90mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA090
Impra PTFE Vascular Grafts
ePTFE Cardiovascular, Patch 0.6mm, Circular
100 x 150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA091
Impra PTFE Vascular Grafts
ePTFE Cardiovascular, Patch 0.6mm, Rectangular
50 x 75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA092
Impra PTFE Vascular Grafts
ePTFE Cardiovascular, Patch 0.6mm, Rectangular
50 x 150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA093
Impra PTFE Vascular Grafts
ePTFE Cardiovascular, Patch 0.6mm,
Rectangular, Patch 0.4 Oval, Rectangular
30 x 30mm, 10 x 90mm, 30 x 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA095
Impra PTFE Vascular Grafts
ePTFE Cardiovascular, Patch 0.6mm, Rectangular
25 x 150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA125
Groshong Central Venous Catheter
Closed-Ended CVC, Single Lumen
5.5Fr - 9.5Fr
Changed Product Group, Product Sub Group,
Benefit.
BA129
Groshong Peripherally Inserted Central Catheter
Closed-Ended PICC, Single Lumen
3Fr - 5Fr
Changed Product Group, Product Sub Group,
Benefit.
BA140
HemoGlide Long Term Haemodialysis Catheter
Dialysis Catheter, Multiple Lumen
14.5 Fr
Changed Product Group, Product Sub Group,
Benefit.
BA159
HemoSplit Long Term Haemodialysis catheter
Dialysis Catheter, Multiple Lumen
14.5Fr - 16Fr
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BA171
Dynaflo AK Bypass Graft
PTFE Graft
7 & 8mm diameter. 50, 60, 70, 80cm lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA178
Luminex Vascular Stent
Luminex nitinol self-expanding stent
4mm - 20mm diameters, 2cm - 12cm lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 22 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BA181
PowerPort
Titanium or MRI implantable port, Open-ended
Catheter, Single Chamber
6Fr - 8Fr
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BA184
PowerPICC
Single Lumen Power Injector Catheter
5F, 55cm length
Changed Product Group, Product Sub Group,
Benefit.
BA199
Lifestent
Laser cut nitinol self expanding stent, used to
treat peripheral disease
Diameter: 6-8mm, Length: 120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA208
PowerPort with Groshong Catheter
Titanium or MRI implantable Port, Closed-Ended
Catheter, Single Chamber
8Fr
Changed Product Group, Product Sub Group,
Benefit.
BA211
Haemodialysis Catheters
Haemodialysis Catheters, multiple lumen
11Fr - 13.5Fr
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
BA047
Gastrostomy Tube
Silicone Tubes and Replacement Tubes
12Fr - 28Fr
Changed Product Group, Product Sub Group,
Benefit.
BA061
Bard Mesh
PerFix Plug
Small, Medium, Large
Changed Product Group, Product Sub Group,
Benefit.
BA088
Memotherm Stents
Colorectal, Nitinol, Self-expanding
25-30mm D, 60-100mm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BA124
Memotherm Biliary Stent
Nitinol. Includes deployment system
Sizes - Diameter 8 - 10mm, Length 40 - 100mm
Changed Product Group, Product Sub Group,
Benefit.
5 - Urogenital
BA041
Contigen Cross Linked Collagen
Contigen Bard Collagen Implant for Stress
Urinary Incontinence
2.5cc per syringe
Changed Product Group, Product Sub Group,
Benefit.
BA042
Memotherm Prostatic Stents
Memotherm Prostatic Urethral wall Stent
36Fr, 20mm to 60mm in 5mm increments; 42Fr,
20mm to 60mm in 5mm increments
Changed Product Group, Product Sub Group,
Benefit.
BA044
Ureteral Stent
Bard Inlay Hydrophilic coated Pigtail Ureteric
stent without guidewire; Bard Flouro 4 Silicone
Multilength ureteric stent with guidewire;
Urinary Diversion Stent All Silicone
(Inlay) 4.7Fr 14, 20, 22, 24, 26, 28cm. 6Fr- 14,
20, 22, 24, 26, 28cm 7Fr 14, 20, 22, 24, 26,
28cm 8Fr- 14, 20, 22, 24, 26, 28cm. (Flouro)
Multilength 4,6,7,and 8fr. (Diversion) 7Fr x
90cm & 8Fr x 90cm.
Changed Product Group, Product Sub Group,
Benefit.
Baxter Healthcare Pty Ltd
3 - General Miscellaneous
BX214
TISSEEL Two Component Fibrin Sealant Syringe
Active ingedients:Sealer Protein Solution &
Thrombin Solution - deep-frozen
2.0 ml (containing 1.0 ml of Sealer Protein
Solution and 1.0 ml of Thrombin Solution)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX215
TISSEEL Two Component Fibrin Sealant Syringe
Active ingedients:Sealer Protein Solution &
Thrombin Solution - deep-frozen
4.0 ml (containing 2.0 ml of Sealer Protein
Solution and 2.0 ml of Thrombin Solution)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX216
TISSEEL Two Component Fibrin Sealant Syringe
Active ingedients:Sealer Protein Solution &
Thrombin Solution - deep-frozen
10.0 ml (containing 5.0 ml of Sealer Protein
Solution and 5.0 ml of Thrombin Solution)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX245
Patient Control Module
Sterile infusor devices, spring or elastomeric
driven
Module 0.5ml dose, Module 2 ml dose
Changed Description, Product Group, Product
Sub Group, Benefit.
BX246
Infusor
Sterile infusor devices, spring or elastomeric
driven
SV Half day, 5ml/hr, 60ml vol. LV 10, 10ml/hr,
240ml vol. SV Single day, 2ml/hr, 48ml vol. LV
5, 5ml/hr, 240ml vol.
Changed Description, Product Group, Product
Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 23 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BX247
Intermate
Sterile infusor devices, spring or elastomeric
driven
SV 200 - 200ml/hr, 100ml vol. SV 100 100ml/hr, 100ml vol. LV 250, 250ml/hr, 275ml
vol. SV 50 - 50ml/hr, 100ml vol. LV 100 100ml/hr, 275ml vol. LV 50, 50ml/hr, 275ml vol
Changed Product Group, Product Sub Group,
Benefit.
BX248
Infusor
Sterile infusor devices, spring or elastomeric
driven
LV 2, 2ml/hr, 275 ml vol; LV 1.5, 1.5ml/hr,
275ml vol; SV Multi day, 0.5ml/hr. 60ml vol; SV
Seven day, 0.5ml/hr, 96ml vol
Changed Description, Product Group, Product
Sub Group, Benefit.
BX249
Multirate with PCM
Sterile infusor devices, spring or elastomeric
driven
Multirate 5, 7 or 12 ml/hr with PCM
Changed Description, Product Group, Product
Sub Group, Benefit.
BX250
Basal/Bolus and Multirate Infusors
Sterile infusor devices, spring or elastomeric
driven
Basal/Bolus 60, Basal 0.5ml/hr, Bolus 0.5ml/hr x
65ml; Basal/Bolus 15, Basal 0.5ml/hr, Bolus
2ml/hr x 65ml; Basal/Bolus infusor, Basal
2ml/hr, Bolus 2ml/hr x 65ml; Multirate 5, 7 or 12
ml/hr x 300 ml; Multirate 2, 4, or 6 ml/hr x 300
ml; Multirate 2, 3, o
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX252
CoSeal Surgical Sealant
Composition: two synthetic polyethelene glycols
(PEG's), COH102 and COH206, premixed and
filled into one syringe, a dilute hydrogen chloride
solution and a sodium phosphate/sodium
carbonate solution
2ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX253
CoSeal Surgical Sealant
Composition: two synthetic polyethelene glycols
(PEG's), COH102 and COH206, premixed and
filled into a syringe, a dilute hydrogen chloride
solution and a sodium phosphate sodium
carbonate solution
4ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX254
CoSeal Surgical Sealant
Composition: two synthetic polyethelene glycols
(PEG's), COH102 and COH206, premixed and
filled into a syringe, a dilute hydrogen chloride
solution and a sodium phosphate sodium
carbonate solution
8ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX258
FloSeal Hemostatic Matrix
FloSeal is a proprietary combination of collagenderived particles and topical thrombin. It is not
sponge, but is a high viscosity gel for
haemostasis. Clinical proven to control bleeding
from capillary oozing to arterial spurting, FloSeal
functions on w
5ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX259
FloSeal Hemostatic Matrix
FloSeal is a proprietary combination of collagenderived particles and topical thrombin. It is not
sponge, but is a high viscosity gel for
haemostasis. Clinical proven to control bleeding
from capillary oozing to arterial spurting, FloSeal
functions on w
10ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX260
ADEPT Adhesion Reduction Solution
ADEPT Adhesion Reduction Solution is a single
use, sterile fluid for intraperitoneal
administration. ADEPT is intended to be used as
an instillate for the reduction of adhesions
following abdominal surgery.
1500ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX261
Tisseel Duplospray MIS Applicator 20cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
A 20cm long dual lumen metal cannula
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 24 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BX262
TISSEEL DUPLOCATH 180cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
A 180cm long double lumen flexible application
catheter
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX263
COSEAL Spray Accessory Kit
A hydrogel that acts as a sealant by adhering to
itself and the tissues it contacts. COSEAL is
designed to completely seal suture lines along
vascular reconstructions to prevent fluids from
leaking.
One size available
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX264
TISSEEL DUPLOTIP 20g x 26.4cm
Two component Fibrin Sealant containing
derived fibrinogen and thrombin.
A 26.4cm long dual umen applicator
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX265
TISSEEL DUPLOTIP 5mm x 31.8cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
A 31.8cm long dual lumen applicator
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX266
TISSEEL DUPLOSPRAY MIS APPLICATOR
REPLACEMENT TIPS
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
Packs of 10 sterile packs each containing 2 tips
and an installation tool
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX267
TISSEEL DUPLOSPRAY MIS APPLICATOR
40 cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
A 40 cm long dual lumen metal cannula
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX268
TISSEEL DUPLOCATH 35cm MIC/MIS
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
A 35cm long double lumen flexible application
catheter
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX269
TISSEEL Easyspray Set
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
One size
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX270
COSEAL Applicator Tips 10 cm
COSEAL, which is listed on the Prostheses List,
is a hydrogel that acts as a sealant by adhering to
itself and the tissues it contacts. COSEAL is
designed to completely seal suture lines along
vascular reconstructions to prevent fluids from
leaking.
A 10cm long applicator tip
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX271
TISSEEL DUPLOTIP 20g x 10.4cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
10.4cm long dual lumen applicator
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX272
TISSEEL DUPLOCATH 25cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
A 25cm long double lumen flexible application
catheter
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX273
Floseal Endoscopic Applicator
Used as an adjunct to haemostasis when control
of bleeding by ligature or conventional surgical
procedures is ineffective or impractical.
A 35cm long disposable cannulated applicator.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX274
TISSEEL DUPLOTIP 20G x 5.3cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
A 5.3 cm long dual lumen applicator.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX275
COSEAL Extended Applicator 22 cm
COSEAL, which is listed on the Prostheses List,
is a hydrogel that acts as a sealant by adhering to
itself and the tissues it contacts. COSEAL is
designed to completely seal suture lines along
vascular reconstructions to prevent fluids from
leaking.
A 22 cm long malleable applicator
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX276
Floseal Curved Applicator TIP 8 cm
FLOSEAL, which is listed on the Prostheses List,
is used as an adjunct to haemostasis when control
of bleeding by ligature or conventional surgical
procedures is ineffective or impractical.
An 8cm long curved metal applicator tip
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX277
TISSEEL DUPLOSPRAY MIS APPLICATOR
30 cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
A 30 cm long dual lumen metal cannula
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 25 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BX278
Floseal Curved Applicator Tip 10 cm
FLOSEAL is used as an adjunct to haemostasis
when control of bleeding by ligature or
conventional surgical procedures is ineffective or
impractical. This applicator is an 10 cm curved
metal tip, which is attached to the FLOSEAL
syringe (sold separately)
A 10cm long curved metal applicator tip
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX279
Coseal Duplospray Applicator 30cm
COSEAL, which is listed on the Prostheses List,
is a hydrogel that acts as a sealant by adhering to
itself and the tissues it contacts. COSEAL is
designed to completely seal suture lines along
vascular reconstructions to prevent fluids from
leaking.
30cm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX280
Coseal Duplospray Applicator 20cm
COSEAL, which is listed on the Prostheses List,
is a hydrogel that acts as a sealant by adhering to
itself and the tissues it contacts. COSEAL is
designed to completely seal suture lines along
vascular reconstructions to prevent fluids from
leaking. This a
20 cm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BX281
Baxter Folfusor
Folfusor SV 0.5mL/hr 120mL (Baxter Code
2C4700K), Folfusor SV 2.5mL/hr 120mL (Baxter
Code 2C4711K), Folfusor SV 5mL/hr 120mL
(Baxter Code 2C4705K). The Baxter Folfusor is a
disposable infusion pump used in an ambulatory
setting for the continuous infusion of intravenous
medications. The codes listed above represent
three separate flow rates specific to
Chemotherapy protocols.
120mL Maximum Volume
Changed Product Group, Product Sub Group,
Benefit.
BX282
Floseal Special Applicator Tips
Floseal Malleable and Trimmable Applicator Tips
specifically designed for use with Floseal
Haemostatic Matrix
14cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX283
ARTISS Fibrin Sealant 2ml
ARTISS is a proprietary fibrin sealant with
4UI/ml human thrombin. It is two-component
fibrin sealant made from pooled human plasma, a
double virus-inactivated (vapour heated and
solvent/detergent treated) and frozen (≤ -20°C)
plasma derived biological agent.
The two components are formulated as two sterile
frozen solutions. Each solution is presented in a
separate pre-loaded chamber (1ml) of a double
chamber syringe. One chamber contains sealer
protein solution with aprotinin while the other
chamber contains thrombin solution with calcium
chloride, resulting in a 2ml total volume of
product for use.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BX284
ARTISS Fibrin Sealant 4ml
ARTISS is a proprietary fibrin sealant with
4UI/ml human thrombin. It is two-component
fibrin sealant made from pooled human plasma, a
double virus-inactivated (vapour heated and
solvent/detergent treated) and frozen (≤ -20°C)
plasma derived biological agent.
The two components are formulated as two sterile
frozen solutions. Each solution is presented in a
separate pre-loaded chamber (2ml) of a double
chamber syringe. One chamber contains sealer
protein solution with aprotinin while the other
chamber contains thrombin solution with calcium
chloride, resulting in a 4ml total volume of
product for use.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Bio Excel Australia Pty Ltd
8 - Cardiac
Changed Items for Prostheses List Report
Page 26 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BE001
Stainless Steel
Diam 2.25-4.0mm Length 8-28mm
Changed Product Group, Product Sub Group,
Benefit.
Gazelle Coronary Stent
Bio Nova International Pty Ltd
10 - Vascular
BN004
Omniflow II Vascular Prosthesis - Straight
Biosynthetic vascular prosthesis for peripheral
revascularisation and vascular access
3 - 4 mm x 20 cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BN020
Omniflow II Vascular Prostheses - Straight
Vascular Patch
1.5cm x 5cm (less than 8 sq. Cm)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BN021
Omniflow II Vascular Prostheses - Straight
Vascular Patch
2.5cm x 10cm (more than 8 sq. cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BN026
Omniflow II Vascular Prosthesis
Biosynthetic vascular prosthesis for peripheral
revascularisation and vascular access
9 and 10mm internal diameter, 20 to 40cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BN027
Omniflow II Vascular Prosthesis
Biosynthetic vascular prosthesis for peripheral
revascularisation and vascular access
5, 6, 7 and 8mm internal diameter; 45 to 65cm
length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BN028
Omniflow II Vascular Prosthesis
Biosynthetic vascular prosthesis for peripheral
revascularisation and vascular access
9 and 10mm internal diameter; 45 to 85cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BN029
Omniflow II Vascular Prosthesis
Biosynthetic vascular prosthesis for peripheral
revascularisation and vascular access
5, 6, 7 and 8mm internal diameter; 20 to 40cm
length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Biomet 3i Australia Pty Ltd
7 - Plastic and Reconstructive
NW001
3i Abutment Complete
Titanium
3.25 - 6mm diameter
Changed Product Group, Product Sub Group,
Benefit.
NW002
3i Self Tapping Threaded Implants and 3i
Coverscrew
Osseotite/Ice
3.25 - 6mm diameter
Changed Product Group, Product Sub Group,
Benefit.
NW005
OsseoGuard Resorbable Collagen Membrane
Dental Resorbable Collagen Membrane
15mm x 20mm, 20mm x 30mm, 30mm x 40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Regenerex Sleeve Augment
Augment, cone or finned sleeve, SSK/OSS
Systems, Ti
(25mm to 40mm, Type A or B) x Extra
small/Large
Changed Description, Size.
Biomet Australia Pty Ltd
12 - Knee
BH063
BI904
Vanguard Total Knee System
Tibial Bearing, PS, PS+. UHMWPE
(59 to 91)mm width x (10 to 24)mm thickness
Changed Size.
BI952
Vanguard Total Knee System
Femoralor Tibial Augments, anatomic, distal or
posterior, Ti alloy
5-15mm x 55-80mm
Changed Description.
BI956
Offset Tibial Tray System
Offset Adapter for connection to tibial stems and
baseplate, titanium
0mm, 2.5mm, 5mm, 7.5mm Offset
Changed Size.
13 - Spinal
BH066
Synergy/Polaris Spinal System
Rods
5cm - 14cm
Changed Product Group, Product Sub Group,
Benefit.
BH067
Synergy/Polaris Spinal System
Rods
30 - 60cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 27 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BH068
Synergy/Polaris Spinal System
Sliders
4.75 - 6.35mm dia
Changed Product Group, Suffix, Benefit.
BH069
Synergy/Polaris Spinal System
Hex Nut / Cap Nut
3mm
Changed Product Group, Suffix, Benefit.
BH070
Synergy/Polaris Spinal System
Open/Closed Screws
5.5 to 8.0mm dia
Changed Product Group, Product Sub Group,
Benefit.
BH071
Synergy Spinal System
Open/Closed Offset Hooks
4mm
Changed Product Group, Product Sub Group,
Benefit.
BH072
Synergy Spinal System
Open/Closed Hooks Pedicle/Laminar
4.75 - 6.35mm dia
Changed Product Group, Product Sub Group,
Benefit.
BH073
Synergy/Polaris Spinal System
Adjustable Transverse Connector With
Rod/Clamp
3 - 6cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH074
Synergy/Polaris Spinal System
Fixed Transverse Connectors
10.5 - 31.5mm
Changed Product Group, Product Sub Group,
Benefit.
BH075
Synergy/Polaris Spinal System
Lateral Connectors (Closed Rod)
4.75 - 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
BH076
Synergy Spinal System
Point/Double Hex Set Screw
4.75 - 6.35mm
Changed Product Group, Suffix, Benefit.
BH077
Synergy Spinal System
C-Ring
4.75 - 6.35mm
Changed Product Group, Benefit.
BH078
Synergy Spinal System
Washers Single/Double
16mm - 21mm
Changed Product Group, Product Sub Group,
Benefit.
BH079
Synergy/Polaris Spinal System
Variable Locking Screws
4.75-8.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH080
Synergy/Polaris Spinal System
Variable Locking Screw Seat
5.5-6.35mm
Changed Product Group, Suffix, Benefit.
BH081
Synergy/Polaris Spinal System
Variable Locking Screw Nut
13.8mm
Changed Product Group, Suffix, Benefit.
BH082
Synergy/Polaris Spinal System
Variable Locking Screw Reduction Seat
4.75-6.35mm
Changed Product Group, Suffix, Benefit.
BH083
Synergy Spinal System
Iliac Screw
6.0 - 10.0mm
Changed Product Group, Product Sub Group,
Benefit.
BH084
Synergy Spinal System
Growth Rod
30 - 60cm
Changed Product Group, Product Sub Group,
Benefit.
BH085
Array Spinal System
Titanium Alloy Modular Spinal System - Alloy
rod
5.5mm x 510mm
Changed Product Group, Product Sub Group,
Benefit.
BH086
Array/Ballista Spinal System
Titanium Alloy Modular Spinal System - PreBent Rod
5.5mm x 30 - 100mm
Changed Product Group, Product Sub Group,
Benefit.
BH087
Array/Ballista Spinal System
Titanium Alloy Modular Spinal System - set
screws
one size
Changed Product Group, Suffix, Benefit.
BH088
Array Spinal System
Titanium Alloy Modular Spinal System - cross
connector
Large, Medium, Small, Xsmall, 24mm, 22mm,
20mm, 18mm, 16mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH089
Array Spinal System
Titanium Alloy Modular Spinal System - laminar
hook and pedicle hook
one size
Changed Product Group, Product Sub Group,
Benefit.
BH090
Altius Occipito-Cervico-Thoracic (OCT) System
Rod
8 to 24cm x 3.5mm Occipital and Curved Rod
Changed Product Group, Product Sub Group,
Benefit.
BH091
Altius Occipito-Cervico-Thoracic (OCT) System
Locking and CAP Nuts
one size only
Changed Product Group, Suffix, Benefit.
BH092
Altius Occipito-Cervico-Thoracic (OCT) System
Domino Adjustable CC Left & Right
One size only
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 28 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BH093
Altius Occipito-Cervico-Thoracic (OCT) System
Connector
15, 30, 45 L&R
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH094
Altius Occipito-Cervico-Thoracic (OCT) System
Screws
8mm to 32mm
Changed Product Group, Product Sub Group,
Benefit.
BH095
Altius Occipito-Cervico-Thoracic (OCT) System
Hook and OC Screws
Hook: 12mm to 14mm (L&R), OC Screws: 6mm
to 20mm
Changed Product Group, Product Sub Group,
Benefit.
BH096
Altius Occipito-Cervico-Thoracic (OCT) System
TI Occipital Plate
35-45mm, 40-50mm, 45-55mm
Changed Product Group, Product Sub Group,
Benefit.
BH097
Array Spinal System
Titanium Alloy Modular Spinal System - fixed
screw
5.5 - 7.5mm x 30 - 55mm
Changed Product Group, Product Sub Group,
Benefit.
BH098
Array/Ballista Spinal System
Titanium Alloy Modular Spinal System multiaxial screw
5.5 - 7.5mm x 30 - 55mm
Changed Product Group, Product Sub Group,
Benefit.
BH099
Synergy Spinal System
Infant Hooks
4.75mm
Changed Product Group, Product Sub Group,
Benefit.
BH100
Interpore Bone Plate System
TPS Bone Plate
20 - 56cm
Changed Product Group, Product Sub Group,
Benefit.
BH101
Interpore Bone Plate System
TPS Screw
14 - 22mm
Changed Product Group, Product Sub Group,
Benefit.
BH102
Interpore Bone Plate System
TPS Locked Nut
3mm
Changed Product Group, Suffix, Benefit.
BH103
Vuelock (Anterior Cervical Plate)
Vuelock (Anterior Cervical Plate)
Level 1-4, 12mm - 92mm
Changed Product Group, Product Sub Group,
Benefit.
BH104
Vuelock (Anterior Cervical Plate)
Vuelock Bone Screws
12mm - 16mm
Changed Product Group, Product Sub Group,
Benefit.
BH105
GEO Structure Vertebral Cage - PLIF
3 dimensional titanium intervertebral cage
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH106
Ibex Interbody Cage
Lumbar Cage
7-17mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH107
Anterior Cervical Plate System
Titanium Locking Plate
20 - 140mm
Changed Product Group, Product Sub Group,
Benefit.
BH108
Anterior Cervical Plate System
Titanium Cancellous Bone Screw
4 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
BH109
ESL Spine System
PLIF Cage
Short 8-14mm, Medium 8-14mm, Long 8-14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH110
C-Thru Anterior Spine System
Cervical Cage - PEEK
Lordotic 5-12mm, Parallel 5-12mm, Convex 512mm
Changed Product Group, Product Sub Group,
Benefit.
BH114
Solitare Anterior Spinal System
Interbody fusion cage
Narrow (28mm), medium (34mm), and wide
(40mm) 12 to 20mm heights. 6 deg and 12 deg
angles
Changed Product Group, Product Sub Group,
Benefit.
BH115
Solitare Anterior Spinal System
Fixation screw
20-35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH116
Polaris Spine System
Polaris, Polyaxial screw, Titanium
(4.75-8.5)mm dia x (30-55) mm length
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
Changed Items for Prostheses List Report
Page 29 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BI280
PMMA, Stainless Steel
30 bead chain
Changed Product Group, Product Sub Group,
Benefit.
Septopal Chain Septopal Beads
6 - Specialist Orthopaedic
BH064
Sternalock
Ladder Plate
12 Hole (2 x 6)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH065
Sternalock
Plate, locking, >6 hole, Various shapes
8-12 hole
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
BI250
SST Small Bone Locking Nail
Set Screw w/holder, Titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI258
BMP Cable System
Dynamic Compression Plate, 3 hole, Stainless
Steel
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI259
BMP Cable System
Dynamic Compression Plate, 5 hole, Stainless
Steel
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI260
BMP Cable System
Dynamic Compression Plate, 7 hole, stainless
steel
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI261
BMP Cable System
Dynamic Compression Plate, 9 hole, Stainless
Steel
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI264
EBI XFIX Dynafix System
Distal Radius Fixator, Dimension, Stainless Steel,
Aluminium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI287
Uniflex Tibial Nail
Tibial Nail Transverse Screw, Titanium
4.0, 5.0mm x (20-70mm)
Changed Product Group, Product Sub Group,
Benefit.
BI768
Mandibular Fracture System
Screw, IMF 2./2.4 Mandibular Fracture, Titanium
2.0 x(5 - 13)mm
Changed Product Group, Product Sub Group,
Benefit.
BI775
EBI XFIX DynaFix System
Distal radius fixator, wristfix, sterile, complete
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI776
EBI XFIX DynaFix System
OptiROM Articulating Fixator Complete
Small and Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI777
EBI XFIX DynaFix System
Mini fixator/lengthener with comp/dist
Small, Medium, Long, 100mm, 150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI819
EBI XFIX Dynafix System
Multi Axial Correction and Metaphyseal Arc
Module complete with T-clamp
4-8cm, Xsmall - Adult
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI827
EBI XFIX Vision System
Rod connectors, stainless steel/aluminium
Dia 9.5mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BI828
EBI XFIX Vision System
Clamp/Rod, stainless steel/aluminium
4mm/6mm, 3-5 hole, 50-150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI830
EBI XFIX Vision System
Ring Connector Assembly, stainless
steel/aluminium
1 or 2 bolt model
Changed Product Sub Group, Suffix, Benefit.
BI831
EBI XFIX Vision System
Post, Bone Screw, Telescoping, stainless steel
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI832
EBI XFIX Vision System
Rods, Bars, stainless steel/aluminium/ or carbon
fibre (radiolucent)
Dia 9.5mm, 150-400mm length
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BI843
EBI XFIX DynaFix System
Plate, VS Osteotomy Ti
4 hole, 6 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 30 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BI849
EBI XFIX DynaFix System
OptiROM Passive Distractor Module
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI850
EBI XFIX DynaFix System
Hip Distractor Aluminium, Stainless Steel,
Titanium
One Size Only
Changed Product Sub Group, Suffix, Benefit.
BI851
EBI XFIX Dynafix System
Rail Clamp (Rotational Serrated T-clamp, Swivel,
Translational, Uniplaner Adjustable)
Ex Small, Small, Adult, 4-6mm
Changed Description, Product Sub Group,
Suffix, Benefit.
BI852
EBI XFIX Dynafix System
Rail Clamp (Rotational Serrated T-clamp, Swivel,
Translational, Uniplaner, Adjustable)
Ex Small, Small, Adult, 4-6mm
Changed Description, Product Sub Group,
Suffix, Benefit.
BI853
EBI XFIX Dynafix System
CD Clicker
Ex Small, Small, Adult, 5-20cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI854
EBI XFIX Dynafix System
Rail Accessory (Adaptor, CD Support,
Dynamization, Bridge)
Ex Small, Small, Adult, 4-6mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI856
EBI XFIX Dynafix System
Monoplanar Transport Rail, radiolucent (carbon
fibre)
100-420mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
BI915
Batcup
6.5mm Ti Cancellous Bone Screws
12mm to 45mm
Changed Product Group, Product Sub Group,
Benefit.
BI922
EBI Paediatric Locking Nail System
Screw Pilot Double Thread - titanium;
20 - 68mm x 4.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI929
Sternalock
Screws Ti
2.4-2.7mm x 8-12mm
Changed Product Group, Product Sub Group,
Benefit.
BI930
Sternalock
Plate, locking, <5 hole, Various shapes
4-5 hole
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
7 - Plastic and Reconstructive
BH001
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Lactosorb Plates, 2mm System, All shapes
PGA/PLA
4 - 7 hole
Changed Product Group, Product Sub Group,
Benefit.
BH002
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Lactosorb Plates, 2mm System, All shapes
PGA/PLA
8 - 15 hole
Changed Product Group, Product Sub Group,
Benefit.
BH003
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Lactosorb Plates, 2mm System, All shapes
PGA/PLA
16-32 hole
Changed Product Group, Product Sub Group,
Benefit.
BH004
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Lactosorb Plates, 2mm System, All shapes
PGA/PLA
>32 hole
Changed Product Group, Product Sub Group,
Benefit.
BH005
Lorenz 2.4mm Locking Reconstruction System
Plate, Straight, 2.4mm System, Locking. Titanium
4-7 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH006
Lorenz 2.4mm Locking Reconstruction System
Plate, Straight, 2.4mm System, Locking. Titanium
8 - 15 hole
Changed Product Group, Product Sub Group,
Benefit.
BH008
W Lorenz Osteosynthesis System
2.3mm Small Fragment System` Plate, all shapes,
Titanium
2.3mm Small Fragment System` Plate, all shapes,
Titanium
Changed Product Group, Product Sub Group,
Benefit.
BH009
W Lorenz Osteosynthesis System
2.3mm Small Fragment System, Plate, All shapes
Titanium
8-15 hole
Changed Product Group, Product Sub Group,
Benefit.
BH010
W Lorenz Osteosynthesis System
1.2, 1.7mm Small Fragment System` Plate, all
shapes, Titanium
4-7 hole
Changed Product Group, Product Sub Group,
Benefit.
BH011
W Lorenz Osteosynthesis System
1.2, 1.7mm Small Fragment System, Plate, All
shapes Titanium
1.2, 1.7mm Small Fragment System, Plate, All
shapes Titanium
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 31 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BH012
W Lorenz Osteosynthesis System
1.2, 1.7mm Small Fragment System, Plate, All
shapes Titanium
1.2, 1.7mm Small Fragment System, Plate, All
shapes Titanium
Changed Product Group, Product Sub Group,
Benefit.
BH013
W Lorenz Osteosynthesis System
Small Fragment Titanium System, Titanium
Screw, 1.2mm diameter, 1.4mm diameter
Changed Product Group, Product Sub Group,
Benefit.
BH014
W Lorenz Osteosynthesis System
Small Fragment Titanium System. Titanium
Screw, 1.7mm diameter
Changed Product Group, Product Sub Group,
Benefit.
BH015
W Lorenz Osteosynthesis System
Small Fragment Titanium System. Titanium
Screw 2.3mm diameter, 2.5mm diameter
Changed Product Group, Product Sub Group,
Benefit.
BH016
TMJ System
Screw, Cross Drive, Fossa. Titanium
2.0mm dia x (5 - 13)mm
Changed Product Group, Product Sub Group,
Benefit.
BH017
TMJ System
Screw, Cross Drive, Fossa. Titanium
2.3mm Dia x (5 - 13)mm
Changed Product Group, Product Sub Group,
Benefit.
BH018
W Lorenz Osteosynthesis System
Sheet 1.5mm System. Titanium
(203-206)mm x (123-127)mm x (0.2-0.3)mm
Changed Product Group, Product Sub Group,
Benefit.
BH019
W Lorenz Osteosynthesis System
Sheet 1.5mm System. Titanium
206 x 123 x 0.6mm
Changed Product Group, Product Sub Group,
Benefit.
BH020
W Lorenz Osteosynthesis System
Bone Screw, Cross Drive or Centre Drive.
Titanium
1.5mm dia x (3.5 - 17)mm
Changed Product Group, Product Sub Group,
Benefit.
BH021
W Lorenz Osteosynthesis System
Bone Screw, Cross Drive or Centre Drive.
Titanium
1.8mm dia x (3.5 - 17)mm
Changed Product Group, Product Sub Group,
Benefit.
BH023
W Lorenz Osteosynthesis System
Panel, Regular or Small Grid. Titanium
(80,85) x 53mm x 0.6mm
Changed Product Group, Product Sub Group,
Benefit.
BH024
W Lorenz Osteosynthesis System
Pre-contoured Neuro Mesh, titanium
163 x 115 x 0.3mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BH026
Mandibular Fracture System
Plates, Angled or Curved, 2.0 Mandibular
System, Titanium
4 - 7 hole
Changed Product Group, Product Sub Group,
Benefit.
BH027
Mandibular Fracture System
Plates, Angled or Curved, 2.0 Mandibular
System, Titanium
8 hole
Changed Product Group, Product Sub Group,
Benefit.
BH028
Manibular Fracture System
Plates, matrix shape, 2.0 mandibular system.
Titanium
4 or 6 hole
Changed Product Group, Product Sub Group,
Benefit.
BH029
Mandibular Fracture System
Plates, matrix shape, 2.0 mandibular system.
Titanium
8 to 16 hole
Changed Product Group, Product Sub Group,
Benefit.
BH042
Metamorfix
Plate, Y, T, straight, hook left, straight or right.
long, standard hook
Changed Product Group, Product Sub Group,
Benefit.
BI348
W Lorenz Osteosynthesis System
L-Plate, 2mm System, Left or Right. Titanium
2 x 2 hole, Mini or Low Profile
Changed Product Group, Product Sub Group,
Benefit.
BI349
W Lorenz Osteosynthesis System
Plate, Compression Straight, 2mm System.
Titanium
4 hole
Changed Product Group, Product Sub Group,
Benefit.
BI351
W Lorenz Osteosynthesis System
L-Plate, 2mm System, Left or Right. Titanium
2 x 2 hole, long
Changed Product Group, Product Sub Group,
Benefit.
BI353
W Lorenz Osteosynthesis System
Plate, Burr Hole, 1mm, 1.5mm, 2mm system
13mm, 17mm, 18.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI360
W Lorenz Osteosynthesis System
Bone Screw, Cross or Centre Drive, Std or Self
Drilling; Titanium
2.0mm x (4 - 7) mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 32 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BI365
W Lorenz Osteosynthesis System
Bone Screw, Cross or Centre Drive; Titanium
2.0mm x (9 - 19) mm
Changed Product Group, Product Sub Group,
Benefit.
BI385
W Lorenz Osteosynthesis System
Plate 2mm System
4-7 hole
Changed Product Group, Product Sub Group,
Benefit.
BI399
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Panel or Sheet, Solid or Holed, PGA/PLA
0.25mm x 25x25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI400
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Cover, Solid or Holed, PGA/PLA
(0.25, 0.5, 0.75mm) x 38x38mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI401
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Cover, Solid or Holed, PGA/PLA
0.25mm x 50x50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI415
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Bone Screw, 2 Pack, Endobrow, Lactosorb.
PGA/PLA
2 x 5mm
Changed Product Group, Product Sub Group,
Benefit.
BI417
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Cover, Solid or Holed, PGA/PLA
(0.5 or 0.8mm) x 25 x 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI418
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Panel, Lactosorb. 1.5mm System. PGA/PLA
25 x 50mm (5 x 10 hole)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI419
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Cover, Solid or Holed, PGA/PLA
(0.5 or 0.8)mm x 50x50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI427
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Mesh, Mandibular Lactosorb 2.5mm System.
PGA/PLA
1.42mm x 42x42mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI447
Lorenz 2.4mm Locking Reconstruction System
Plate, Curved, Std Thickness, 2.4mm System,
Titanium
8 or 15 hole
Changed Product Group, Product Sub Group,
Benefit.
BI448
Lorenz 2.4mm Locking Reconstruction System
Plate, curved, std or low profile, 2.4mm system,
titanium
16-32 hole
Changed Product Group, Product Sub Group,
Benefit.
BI452
Lorenz 2.4mm Locking Reconstruction System
Plate, curved. Std or low profile, 2.4mm System,
Titanium
16 hole
Changed Product Group, Product Sub Group,
Benefit.
BI455
Lorenz 2.4mm Locking Reconstruction System
Plate, Double Angled, 2.0 or 2.4mm System,
Titanium
5 x (22 or 24) x 5 hole
Changed Product Group, Product Sub Group,
Benefit.
BI457
Lorenz 2.4mm Locking Reconstruction System
Screw, Locking Reconstruction Modular.
Titanium
2.4 x (6-18)mm
Changed Product Group, Product Sub Group,
Benefit.
BI472
Lorenz Pectus Bar
Pectus Bar, Stainless Steel
178-432mm
Changed Product Group, Benefit.
BI483
Lorenz Pectus Bar
Stabilizer, Triangular or Elongated, Stainless Steel
One size only
Changed Product Group, Benefit.
BI559
TMJ System
Mandibular Component, Left or Right, Titanium
(40 - 60mm), 5-13 hole
Changed Product Group, Product Sub Group,
Benefit.
BI569
TMJ System
Fossa Component, Left or Right; Titanium,
UHMWPE
Small, Medium Large
Changed Product Group, Product Sub Group,
Benefit.
BI591
W Lorenz Osteosynthesis System
Chin Plates, Paulus, 2mm System, Titanium
4 - 12mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI604
W Lorenz Osteosynthesis System
Sheet, 1mm System. Titanium
85x50x0.2mm
Changed Product Group, Product Sub Group,
Benefit.
BI605
W Lorenz Osteosynthesis System
Plate, Matrix, 1.0 or 1.5mm System, Titanium
6 hole
Changed Product Group, Product Sub Group,
Benefit.
BI617
W Lorenz Osteosynthesis System
Plate, Straight, 1mm System. Titanium
4 hole
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 33 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BI620
W Lorenz Osteosynthesis System
Plate, Straight, low profile, 2.0mm System,
Titanium
4 - 8 hole
Changed Product Group, Product Sub Group,
Benefit.
BI621
W Lorenz Osteosynthesis System
Plate, L , 2.5mm or 2m system, Titanium
2 x2 or 3x3 hole
Changed Product Group, Product Sub Group,
Benefit.
BI622
W Lorenz Osteosynthesis System
Z-Shape Plate, Left or Right, 1.5mm or 2mm
System. Titanium
2 x 2 hole
Changed Product Group, Product Sub Group,
Benefit.
BI623
W Lorenz Osteosynthesis System
T-Plate, Left or Right, 1.5mm System. Titanium
3x3 hole, 7x7 hole
Changed Product Group, Product Sub Group,
Benefit.
BI624
W Lorenz Osteosynthesis System
T-Plate 90 degrees, Left or Right, 2mm System.
Titanium
2x5hole, 3x3hole, 2x3hole
Changed Product Group, Product Sub Group,
Benefit.
BI625
W Lorenz Osteosynthesis System
Plate, Y, Double Y, X, 1.5mm System or 2.0mm
System, Titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI627
W Lorenz Osteosynthesis System
Plate, Straight, 1.5mm System, Titanium
4 or 6 hole
Changed Product Group, Product Sub Group,
Benefit.
BI635
W Lorenz Osteosynthesis System
Plate, DoubleT, Double Y, 1mm, 2mm system,
plate thickness 0.6 or 1mm, Titanium
4-7 Hole
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BI638
W Lorenz Osteosynthesis System
Plate, Orbital. 1mm System, Titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI639
W Lorenz Osteosynthesis System
Plate, Square. 1mm System. Titanium
4 hole
Changed Product Group, Product Sub Group,
Benefit.
BI640
W Lorenz Osteosynthesis System
Plate, Matrix, 1.0 or 1.5mm System, Titanium
6 hole
Changed Product Group, Product Sub Group,
Benefit.
BI641
W Lorenz Osteosynthesis System
Plate, Matrix. 1mm System, 1.5mm System.
Titanium
2 x 4 hole
Changed Product Group, Product Sub Group,
Benefit.
BI644
W Lorenz Osteosynthesis System
Mesh panel, 1.5mm System. Titanium
83 x 51mm x 0.6mm
Changed Product Group, Product Sub Group,
Benefit.
BI645
W Lorenz Osteosynthesis System
Mesh panel. 1.5mm System Titanium
83 x 51mm x(0.3 or 0.2mm)
Changed Product Group, Product Sub Group,
Benefit.
BI656
W Lorenz Osteosynthesis System
Plate, Orbital, 1.5mm, 2.0mm System, Titanium
6 hole
Changed Product Group, Product Sub Group,
Benefit.
BI658
W Lorenz Osteosynthesis System
Plate, Orbital. 1.5mm System, 2mm System.
Titanium
8-10 hole
Changed Product Group, Product Sub Group,
Benefit.
BI677
W Lorenz Osteosynthesis System
Plate, Neuro Straight, 1.5mm System, Titanium
2 hole (medium or long)
Changed Product Group, Product Sub Group,
Benefit.
BI714
RapidFlap Cranial Clamp
Clamp, Burr Hole or Craniotomy Line, Titanium
12, 16, 20mm
Changed Product Group, Product Sub Group,
Benefit.
BI717
W Lorenz Osteosynthesis System
Neuro Gap Plate, Titanium
6 hole, 45mm length
Changed Product Group, Product Sub Group,
Benefit.
BI718
W Lorenz Osteosynthesis System
Neuro Gap Plate, Titanium
6 hole 25mm length
Changed Product Group, Product Sub Group,
Benefit.
BI719
W Lorenz Osteosynthesis System
Neuro Sub-Temporal Plate, Titanium
medium
Changed Product Group, Product Sub Group,
Benefit.
BI720
W.Lorenz Osteosynthesis System
Neuro Gap Plate; titanium
6 hole, 35mm length
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 34 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BI721
W Lorenz Osteosynthesis System
Plate, Burr Hole, 1.5mm System, Titanium
22mm, 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI723
Mandibular Fracture System
Screw, High Torque 2.0/2.4 Mandibular Fracture,
Titanium
2.7 x (6-20)mm
Changed Product Group, Product Sub Group,
Benefit.
BI726
Mandibular Fracture System
Screw, High Torque (HT), Emergency, 2.0/2.4
Mandibular Fracture System, Titanium
Dia 2.3mm x 4.0, 5.0, 7.0, 9.0, 11.0, 13.0,
15.0mm Lengths
Changed Product Group, Product Sub Group,
Benefit.
BI728
W.Lorenz Osteosynthesis System
Neuro Square or Rectangular Plate, titanium
1.5mm system, 4 hole
Changed Product Group, Product Sub Group,
Benefit.
BI733
W.Lorenz Osteosynthesis System
Bone Screw, Self Drilling, Cross Drive, Titanium
1.5 mm (dia) x 6.0, 7.0mm [lengths]
Changed Product Group, Product Sub Group,
Benefit.
BI734
W.Lorenz Osteosynthesis System
Bone Screw, Self Drilling, Cross Drive, Titanium
1.5 mm (dia) x 3.5, 4.0, 5.0mm, [lengths]
Changed Product Group, Product Sub Group,
Benefit.
BI735
W.Lorenz Osteosynthesis System
Bone Screw, Cross or Centre Drive; Titanium
2.3mm x (5 - 9) mm
Changed Product Group, Product Sub Group,
Benefit.
BI738
W.Lorenz Osteosynthesis System
Orbital Floor Plate; Titanium
1.5mm system, Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI740
W.Lorenz Osteosynthesis System
Orbital Floor Plate (Small) or NOE plate, 1.5mm
System, Titanium
Small or NOE plate
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI742
TMJ System
Screw, Cross Drive Mandibular Component,
Titanium
(2.7 - 3.2mm) x (8 - 12mm)
Changed Product Group, Product Sub Group,
Benefit.
BI744
Mandibular Fracture System
Screw, High Torque 2.0/2.4 Mandibular Fracture,
Titanium
2.0 x (9-17)mm
Changed Product Group, Product Sub Group,
Benefit.
BI747
Mandibular Fracture System
Screw, High Torque (HT), Lag, 2.0/2.4
Mandibular Fracture System, Titanium
Dia 2.0 x 19, 21.0, 23, 25, 27, 29mm Lengths
Changed Product Group, Product Sub Group,
Benefit.
BI748
Mandibular Fracture System
Screw, High Torque (HT), 2.0/2.4 Mandibular
Fracture System, Titanium
Dia 2.4 x 6.0mm, 8.0, 10.0, 12.0, 14.0, 16.0,
18.0mm Lengths
Changed Product Group, Product Sub Group,
Benefit.
BI751
Mandibular Fracture System
Screw, High Torque (HT), Lag, 2.0/2.4
Mandibular Fracture, Titanium
2.4mm Dia, 24, 28, 32, 36, 40mm Lengths
Changed Product Group, Product Sub Group,
Benefit.
BI754
Mandibular Fracture System
Plates, Compression, 2.0 Mandibular Fracture
System, Titanium
4 hole
Changed Product Group, Product Sub Group,
Benefit.
BI755
Mandibular Fracture System
Plates, Y Shapek, 2.0 Mandibular Fracture
System, Titanium
5 hole long, 5 hole medium, 5 hole regular
Changed Product Group, Product Sub Group,
Benefit.
BI756
Mandibular Fracture System
Plates, Compression, 2.0 Mandibular Fracture
System, Titanium
4-6 hole
Changed Product Group, Product Sub Group,
Benefit.
BI761
Mandibular Fracture System
Plates, V Shape, 2.0 Mandibular Fracture System,
Titanium
6 hole
Changed Product Group, Product Sub Group,
Benefit.
BI762
Mandibular Fracture System
Plates, 2.4 Mandibular Fracture System, Titanium
16 - 24 Hole
Changed Product Group, Product Sub Group,
Benefit.
BI764
Mandibular Fracture System
Plates, 2.0 / 2.4 Mandibular Fracture System,
Titanium
4-7 hole
Changed Product Group, Product Sub Group,
Benefit.
BI767
Mandibular Fracture System
Plates, Straight, 2.0 Mandibular Fracture System,
Titanium
8-15 hole
Changed Product Group, Product Sub Group,
Benefit.
BI773
W Lorenz Osteosynthesis System
Neuro sub-temporal plate, 1.5 system, titanium
Small
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 35 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BI774
W Lorenz Osteosynthesis System
Lefort plate, 1.5mm system, 0.6mm thickness,
titanium
Flat, 2-11mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI786
Lorenz 2.4mm Locking Reconstruction System
Screw, bending inserts, titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI792
Lorenz 2.4mm Locking Reconstruction System
Condyle left or right, chrome cobalt (CoCr)
One size only
Changed Product Group, Product Sub Group,
Benefit.
BI823
Alveolar Ridge Distraction System - titanium
distraction device, single tooth
10-20mm
Changed Product Group, Product Sub Group,
Benefit.
BI824
Alveolar Ridge Distraction System - titanium
distraction device, multi tooth
10-20mm
Changed Product Group, Product Sub Group,
Benefit.
BI825
Alveolar Ridge Distraction System - titanium
Shim plate, titanium
1-3mm
Changed Product Group, Product Sub Group,
Benefit.
BI870
Neurological Packs
Plate & screws: Neuro pack Burr cover or multi
plate set. Thinflap 4 hole plus plate sets
1.5mm or 2mm system
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI924
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Orbital Floor Plate, 1.5mm System, PGA/PLA
Left or right
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI934
Lactosorb Distraction System
Plate, drive screw and distractor, PGA/PLLA, Ti
Small, Medium, Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI949
Neurological Packs
Plate & screws: Neuro pack - single plate or
thinflip 2 hole plate set
1.5mm or 2mm system
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI985
W Lorenz Osteosynthesis System
Plates Straight, 1.5, 2.0 or 1.0mm System
15 - 32 holes
Changed Product Group, Product Sub Group,
Benefit.
BI986
Lorenz 2.4mm Locking Reconstruction System
Plates Plate, Angled 2.4mm System Ti
5 x (22 -24) hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI987
Lorenz 2.4mm Locking Reconstruction System
Plates Plate, Angled 2.4mm System, Ti
5 x 11 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI988
W Lorenz Osteosynthesis System
Plate Straight 2mm System
4 - 7 hole
Changed Product Group, Product Sub Group,
Benefit.
BI989
W Lorenz Osteosynthesis System
Plate Straight, 2mm System
8 - 15 hole
Changed Product Group, Product Sub Group,
Benefit.
BI990
Lactosorb Resorbable CMF System
Lactosorb Plates, 1.5mm System
4 - 7 hole
Changed Product Group, Product Sub Group,
Benefit.
BI991
Lactosorb Resorbable CMF System
Lactosorb Plates, 1.5mm System
8 - 15 hole
Changed Product Group, Product Sub Group,
Benefit.
BI992
Lactosorb Resorbable CMF System
Lactosorb Plates, 1.5mm System
16 - 32 holes-
Changed Product Group, Product Sub Group,
Benefit.
BI993
Lactosorb Resorbable CMF System
Lactosorb Plates, 1.5mm System
32+ holes-
Changed Product Group, Product Sub Group,
Benefit.
BI994
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Bone Screw Lactosorb, single screw (multiple
screws per pack) PGA/PLA
1.5mm dia
Changed Product Group, Product Sub Group,
Benefit.
BI995
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Bone Screw Lactosorb, single screw (multiple
screws per pack) PGA/PLA
2.0mm dia
Changed Product Group, Product Sub Group,
Benefit.
BI996
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Bone Screw Lactosorb,single screw (multiple
screws per pack) PGA/PLA
2.5mm dia
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 36 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BI997
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Bone Screw Lactosorb, single screw (multiple
screws per pack) PGA/PLA
2.8mm dia
Changed Product Group, Product Sub Group,
Benefit.
BI998
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Panel or Sheet, Solid or Holed, PGA/PLA
0.25mmx100x100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BI999
Lactosorb Resorbable Craniomaxillofacial
Fixation System
Panel or Sheet, Solid or Holed, PGA/PLA
(0.5 or 0.8)mm 100x100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Biotronik Australia Pty Ltd
10 - Vascular
BT072
Astron
Peripheral self expanding nitinol, coated stent
Diameters: 6 - 12mm, Lengths: 30 - 100mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
BT094
Dynamic
PTA Balloon Expandable Stent
Diameters: 5-10mm, Lengths: 15, 25, 38, 56mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
BT103
Astron Pulsar
Self-expanding nitinol stent for peripheral vessel
disease. Stent is 4Fr compatible and a rapid
exhange delivery system
Diameters: 4-12.0mm, Lengths: 20-200mm
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
8 - Cardiac
BT066
Selox ST
Transvenous Bipolar Passive Steroid Ventricular
Pacing Lead, fractal coated
53 and 60cm lengths
Changed Product Group, Product Sub Group,
Benefit.
BT067
Selox JT
Bipolar, passive fixation, steroid eluting pacing
lead with fractal coating and J-shape
Lengths: 45, 53 cm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT070
Corox OTW UP Steroid
Unipolar, steroid eluting coronary sinus pacing
lead
Lengths: 77, 87cm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT082
PRO-Kinetic
Coronary Cobalt Chromium stent system
Diameters: 2 -5mm, Lenghts: 8 - 40mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT083
Setrox S
Bipolar active fixation lead with fractal coated
and steroid eluting electrode
length 45, 53, 60cm
Changed Product Group, Product Sub Group,
Benefit.
BT084
Linox SD
Fractal coated and steroid electrode, active
fixation quadrapolar
65, 75cm length, 16, 18mm elec dis
Changed Product Group, Product Sub Group,
Benefit.
BT085
Stratos LV-T
Multiprogrammable biventricular pacemaker with
Home Monitoring
Size: 55mm x 50mm x 6mm (W x H x D),
Volume: 14 cm3, Mass: 30 g
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
BT086
Lumax 340 DR-T
Dual-chamber ICD with 40 J output and Home
Monitoring
Dimensions: 66mm x 55mm x 13mm, Volume:
37cc, Mass: 92g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT092
Linox TD
Fractal and steroid coated passive fixation
quadripolar ICD lead
65, 74 or 100cm length and 16 or 18mm
electrode spacing
Changed Product Group, Product Sub Group,
Benefit.
BT093
Linox T
Single-shock coil ICD lead with passive fixation
Lengths: 65, 75 cm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT095
Corox OTW BP; Corox OTW-S BP;
Bipolar, steroid eluting coronary sinus pacing
lead with fractal coating
Lengths: 77, 87 cm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT096
Linox S
Single-shock coil ICD lead with active fixation,
fractal coating and steroid elution
Lengths: 65, 75 cm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT097
Dextrus (marketed by Boston Scientific)
Bipolar, silicone, active fixation, steroid eluting,
pacing lead
Lengths: 45, 53 and 60 cm, Diameter: 7Fr
Changed Size, Product Group, Product Sub
Group, Benefit.
Changed Items for Prostheses List Report
Page 37 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BT098
Lumax 340 VR-T XL
Single-chamber ICD with 40 J output, Home
Monitoring and Extended Longevity
Dimensions: 66mm x 55mm x 13mm, Volume:
37cc, Mass: 92g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT100
Lumax 540 VR-T
Single-Chamber ICD with 40 J output with
Advanced Patient Management, Home
Monitoring, Automatic Threshold Monitoring
and Extended Longevity.
Dimensions: 66mm x 55mm x 13mm, Volume:
37cc, Mass: 92g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT101
Lumax 540 DR-T
Dual-Chamber ICD with 40 J output with
Advanced Patient Management, Home
Monitoring, Automatic Ventricular Threshold
Monitoring and Extended Longevity.
Dimensions: 66mm x 55mm x 13mm, Volume:
37cc, Mass: 92g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT102
Lumax 540 HF-T
CRT-ICD with 40 J output with Advanced
Patient Management, Home Monitoring,
Automatic right and left-ventricular Threshold
Monitoring and Extended Longevity.
Dimensions: 66mm x 59mm x 13 mm, Volume:
39.8cc, Mass: 94g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT107
PRO-Kinetic Energy
Balloon-expandable cobalt chromium (CoCr)
stent. The stent surface is fully coated with
amorphous hydrogen-rich silicon carbide
(aSiC:H).
Lengths: 8 - 40mm, Diameters: 2.0 - 5.0mm.
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT108
Entovis SR-T
Fully automatic, single chamber pacemaker with
Closed Loop Stimulation, Home Monitoring and
extended longevity
Size: 53mm x 39mm x 6.5mm (W x H x D),
Volume: 11cc, Mass: 24g
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
BT109
Entovis SR
Fully automatic, single chamber pacemaker with
Closed Loop Stimulation and extended longevity
Size: 53mm x 39mm x 6.5mm (W x H x D),
Volume: 11cc, Mass: 24g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT110
Evia SR-T
Fully automatic, single chamber pacemaker with
Closed Loop Stimulation, Home Monitoring and
extended longevity
Size: 53mm x 39mm x 6.5mm (W x H x D),
Volume: 11cc, Mass: 24g
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
BT111
Entovis DR
Fully automatic, dual chamber pacemaker with
Closed Loop Stimulation, Vp suppression and
extended longevity
Size: 53mm x 43mm x 6.5mm (W x H x D),
Volume: 11cc, Mass: 26g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT112
Evia DR
Fully automatic, dual chamber pacemaker with
Closed Loop Stimulation, Vp suppression and
extended longevity
Size: 53mm x 43mm x 6.5mm (W x H x D),
Volume: 11cc, Mass: 26g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT113
Evia SR
Fully automatic, single chamber pacemaker with
Closed Loop Stimulation and extended longevity
Size: 53mm x 39mm x 6.5mm (W x H x D),
Volume: 11 cm3, Mass: 24 g
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT114
Evia DR-T
Fully automatic, dual chamber pacemaker with
Closed Loop Stimulation, Home Monitoring, Vp
suppression and extended longevity
Size: 53mm x 43mm x 6.5mm (W x H x D),
Volume: 11cc, Mass: 26g
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
BT115
Entovis DR-T
Fully automatic, dual chamber pacemaker with
Closed Loop Stimulation, Home Monitoring, Vp
suppression and extended longevity
Size: 53mm x 43mm x 6.5mm (W x H x D),
Volume: 11cc, Mass: 26g
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
BT116
Siello S
Sub 6F, steroid-eluting, trasvenous, endocardial,
bipolar active-fixation lead with an
extendable/retractable, electrically active screw.
Lengths: 45, 53, 60 cm; Diameter: 5.6Fr
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT117
Siello JT
Sub 6F, steroid-eluting, transvenous, endocardial,
bipolar passive-fixation lead that carries a Jshaped distal end.
Lengths: 45, 53 cm; Diameter: 5.6Fr
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 38 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BT118
Siello T
Sub 6F, steroid-eluting, transvenous, endocardial,
bipolar passive-fixation lead
Lengths: 53, 60 cm; Diameter: 5.6Fr
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT119
Linox SMART TD
Dual-shock coil ICD lead with passive fixation
and hydrophilic coating on lead body.
Lengths: 65, 75 cm, Diameter: 7.8Fr
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT120
Linox SMART SD
Dual-shock coil ICD lead with active fixation
helix and hydrophilic coating on lead body.
Lengths: 60, 65, 75 cm, Diameter: 7.8Fr
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
BT121
Corox OTW-L BP
Corox OTW-L BP is a bipolar coronary sinus
lead, intended for permanent implantation in the
venous system and left ventricular pacing with
appropriate single or multi chamber cardiac
pacemakers or ICDs as part of cardiac
resynchornisation therapy (CRT).
Length: 75, 85cm; Diameter: 5.4F
Changed Description, Product Group, Product
Sub Group, Benefit.
Boston Scientific Australia Pty Ltd
10 - Vascular
BS028
GDC and PVA Delivery Catheters
Microcatheter Delivery Systems
Delivery system lengths up to 175cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS034
Contour PVA, Contour SE
Polyvinyl Alcohol (PVA) embolization particles
spherical-shaped PVA
Up to 1200 micron, volume up to 2ml.
Changed Product Group, Product Sub Group,
Benefit.
BS035
Expandable Endoprosthesis
Biomedical superalloy, self expanding stent
Stent Diameters up to 30mm and lengths up to
100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS056
Carotid Wall Stent
Elgiloy self expanding stent
Stent diameters up to 10mm and lengths up to
40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS059
Express Vascular LD Stent; Express Vascular SD
Stent
Stainless Steel, Balloon Expanding Stent
Stent Diameters up to 10mm and lengths up to
60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS077
Sentinol Nitinol Vascular Stent System
Nitinol Stent with Uniflex Delivery System
Diameter: 5 to 10mm. Length: 20 to 120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS085
Filterwire EZ
Embolic Protection Device
Vessel compatibility 3.5mm - 5.5mm and
delivery system lengths up to 300cm.
Changed Product Group, Product Sub Group,
Benefit.
BS137
EPIC Nitinol Stent
Nitinol self expanding stent
Stent diameters up to 14mm and lengths up to
120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS167
Placehit Wallstent
Biomedical cobalt-based alloy, self expanding
stent
Stent diameters up to 19mm and lengths up to
100mm
Changed Product Group, Product Sub Group,
Benefit.
BS168
Wallstent RP
Tracheobronchial, Iliac, Biomedical Superalloy
Wire, Braided Mesh, Stainless Steel Stent with
Unistep Delivery System
20-24mm; length 18-90mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS189
Adapt Monorail Carotid Stent System
Nitinol self expanding stent
21-40mm length, 4-9mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS196
Innova Self-Expanding Stent
Nitinol, self expanding stent
Diameters up to 8mm, lengths less than 150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS197
Innova Self-Expanding Stent
Nitinol, self expanding stent
Diameters up to 8mm, Lengths greater than
150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Nitinol, self expanding stent
Diameters up to 30mm & lengths up to 150mm
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
BS046
Ultraflex Oesophageal Stent; Ultraflex
Oesophageal NG Stent
Changed Items for Prostheses List Report
Page 39 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BS047
Ultraflex Tracheobronchial Stent
Nitinol, self expanding stent
Diameters up to 25mm & lengths up to 80mm
Changed Product Group, Product Sub Group,
Benefit.
BS051
Wallstent Biliary Stent
Monofilament wire, self-expanding stent
Diameters up to 10mm & lengths up to 100mm
Changed Product Group, Product Sub Group,
Benefit.
BS052
Wallstent Biliary Stent
Monofilament wire, self-expanding stent
Diameters up to 10mm & lengths up to 100mm
Changed Product Group, Product Sub Group,
Benefit.
BS053
Wallstent Enteral Stent
Monofilament wire, self-expanding stent
Diameters up to 30mm & lengths up to 150mm
Changed Product Group, Product Sub Group,
Benefit.
BS054
Flexima Biliary Stent
Polyurethane Biliary Stent
Diameters up to 12Fr & lengths up to 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS055
RX Biliary Stent
Polyurethane Biliary Stent
Diameters up to 12Fr & lengths up to 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS066
Biliary Drainage Stent, Amsterdam Biliary Stent
C-Flex or Polyurethane Biliary Stent
Diameters up to 12Fr & lengths up to 15cm
Changed Product Group, Product Sub Group,
Benefit.
BS070
Wallstent RX Biliary Stent
Monofilament wire, self-expanding stent
Diameters up to 10mm & lengths up to 100mm
Changed Product Group, Product Sub Group,
Benefit.
BS071
Ultraflex Precision Colonic Stent
Nitinol, self expanding stent
Diameters up to 30mm & lengths up to 150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS089
WallFlex Oesophageal Stent
Nitinol, self expanding stent
Diameters up to 30mm & lengths up to 150mm
Changed Product Group, Product Sub Group,
Benefit.
BS090
WallFlex Enteral Stent (Duodenal/Colonic)
Nitinol, self expanding stent
Diameters up to 30mm & lengths up to 150mm
Changed Product Group, Product Sub Group,
Benefit.
BS101
Polyflex Airway Stent
Polyester braided material encapsulated with
silicone, self expanding stent
Diameters up to 25mm & lengths up to 80mm
Changed Product Group, Product Sub Group,
Benefit.
BS102
Polyflex Oesophageal Stent
Polyester braided material encapsulated with
silicone, self expanding stent
Diameters up to 30mm & lengths up to 150mm
Changed Product Group, Product Sub Group,
Benefit.
BS103
Dynamic (Y) Stent
Bifurcated Tracheobronchial stent. Bronchial
Limbs made of silicone and tracheal stem made
of silicone with embedded stainless steel c-shape
rings.
Diameters up to 25mm & lengths up to 120mm
Changed Product Group, Product Sub Group,
Benefit.
BS141
EndoVive Initial Feeding Tube
Silicone enteral feeding tube
Up to 24 Fr
Changed Product Group, Product Sub Group,
Benefit.
BS142
EndoVive Replacement Feeding Tube
Silicone enteral feeding tube
Up to 28 Fr
Changed Product Group, Product Sub Group,
Benefit.
BS173
Advanix Plastic Stent with Naviflex Delivery
System
Plastic stent manufactured pre loaded on a
delivery catheter
5-18cm length, 7-10 FR diameter
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
BS184
Advanix Plastic Stent
Plastic stent manufactured individually
5-18cm length, 7-10 FR diameter
Changed Description, Product Group, Product
Sub Group, Benefit.
4 - Neurosurgical
BS027
Guglielmi Detachable Coil (GDC)
Stretch-Resistant Bare Platinum Coil
2-20mm x 4-30cm
Changed Product Group, Benefit.
BS081
GDC 360 Shaped Detachable Coil
Stretch-Resistant Bare Platinum Coil, 360 Shape
Length: 5cm to 40cm; Diameter: 2mm to 24mm
Changed Product Group, Benefit.
BS098
Neuroform Microdelivery Stent System
Nitinol Self-Expanding Stent, 3fr delivery
catheter, peelable sheath, 2fr stabilising catheter,
rotating haemostasis valve (x2)
Diameter 2.5 - 4.5 mm Length 10 - 30 mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 40 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BS100
Matrix Detachable Coils
PGLA-Coated, Stretch-Resistant, Platinum Coils
Length: 2cm to 40cm, Diameter: 2mm to 24mm
Changed Product Group, Benefit.
BS104
Precision SCS Implantable Pulse Generator
Rechargeable Neurostimulation System
Implantable Pulse Generator.
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS105
Precision SCS External Patient Recharger
External Patient Recharging System: Base
Station, charger, Cradle power supply, charger
base station
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
BS106
Precision SCS External Patients Remote
Programmer
Hand held remote control External Patient
Programmer
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
BS109
Precision SCS Eight Contact Leads
Eight contact percutaneous leads.
30cm to 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS110
Precision SCS 16 Point Leads
16 contact point leads with independent current
controlled.
50cm - 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS111
Precision SCS Lead Extensions
Lead Extensions
25cm to 55cm
Changed Product Group, Product Sub Group,
Benefit.
BS118
Precision SCS Lead Blanks
Lead Blank
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS119
Precision SCS Trial Leads
Trial Leads
30cm - 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS120
Precision SCS Revision Pack
Lead Revision Pack; Hex Wrench, Tunnelling
Tool, Clik Anchor, Insertion Needles in four(4)
sizes
One Size Only
Changed Description, Product Group, Product
Sub Group, Benefit.
BS121
Precision SCS IPG Port
IPG Port Plug
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS122
Wingspan Stent System
Wingspan Self Expanding Nitonol Stent and
delivery catheter
Stent diameters: 2.5mm to 4.5mm; Stent lengths:
9.0mm to 20.0mm
Changed Product Group, Product Sub Group,
Benefit.
BS143
Precision SCS External Patient Recharger System
External Patient Recharging System: Base
Station, Charger, Cradle power supply, charger
base station.
One size only
Changed Product Group, Product Sub Group,
Benefit.
BS158
Precision Connector M1
Lead extension for Precision SCS System
35. 55. 70 cm length
Changed Product Group, Benefit.
BS169
Precision SCS Splitter 2 x 4
Lead extension for connection of multiple leads
2 configurations
Changed Product Group, Benefit.
BS172
InZone Detachment System
InZone Detachment System is specifically
designed for use with the Target Detachable Coils
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS177
Target Detachable Coils
Detachable GDC coils
2mm-15mm diameter 1cm to 40cm length
Changed Product Group, Benefit.
BS190
Neuroform EZ Stent System
Self expanding Nitinol stent with delivery system
2.5-4.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS191
Neuro Renegade Hi-Flo Microcatheter
Microcatheter for deployment of neuroform stent
system
2.5-4.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
5 - Urogenital
BS038
Polaris Ureteral Stents
Dual durometer ureteral stent with attached suture
Diameters up to 14Fr & lengths up to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS078
Advantage Transvaginal Mid-Urethral Sling
System
Polypropylene mesh sling
One size only
Changed Product Group, Product Sub Group,
Benefit.
BS086
Polaris Ultra Ureteral Stent
Dual durometer ureteral stent with attached suture
Diameters up to 14Fr & lengths up to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 41 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BS091
Percuflex; Percuflex Plus; Percuflex Tail;
Percuflex Tail Plus Ureteral Stents; Ureteral Stent
System Kit
Ureteral stent with attached suture
Diameters up to 14Fr & lengths up to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS092
Contour Ureteral Stent
Ureteral stent with attached suture
Diameters up to 14Fr & lengths up to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS093
Retromax Plus Ureteral Stent
Ureteral stent
Diameters up to 14Fr & lengths up to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS094
Contour VL; Stretch VL Flexima; Ureteral Stents
Ureteral stent with attached suture
Diameters up to 14Fr & lengths up to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS095
Urinary Diversion Stents
Percuflex urinary diversion stent
Diameters up to 14Fr & lengths up to 95cm
Changed Product Group, Product Sub Group,
Benefit.
BS096
Lynx Suprapubic Mid-Urethral Sling System
Polypropylene mesh Sling
One size only
Changed Product Group, Product Sub Group,
Benefit.
BS097
Obtryx Transoburator Mid-Urethral Sling System
Polypropylene mesh sling
One size only
Changed Product Group, Product Sub Group,
Benefit.
BS116
Polaris Loop Ureteral Stent
Dual durometer ureteral stent with attached suture
Diameters up to 14Fr & lengths up to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS127
Polyform Synthetic Mesh
Synthetic Polypropylene mesh
Width Up to 15cm & lengths up to 20cm
Changed Product Group, Product Sub Group,
Benefit.
BS131
Pinnacle PFR Kit
Synthetic Polypropylene mesh assembly and
fixation device
One configuration
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS140
Advantage Fit Transvaginal Mid-Urethral Sling
System
Polypropylene mesh sling
One size only
Changed Product Group, Product Sub Group,
Benefit.
BS154
Solyx SIS System
Polypropylene mesh sling
One size only
Changed Product Group, Product Sub Group,
Benefit.
BS155
Uphold Vaginal Support System
Synthetic polypropylene mesh assembly and
fixation device
One configuration
Changed Product Group, Product Sub Group,
Benefit.
BS156
Pinnacle PFR Kit Posterior
Synthetic polypropylene mesh assembly and
fixation device
One configuration
Changed Product Group, Product Sub Group,
Benefit.
BS157
Pinnacle Duet PFR Kit
Synthetic polypropylene mesh assemblies and
fixation device
Two configurations
Changed Product Group, Product Sub Group,
Benefit.
BS185
Xenform Soft Tissue Repair Matrix 2x7cm
Graft derived from fetal dermal bovine tissues
2x7cm
Changed Product Group, Product Sub Group,
Benefit.
BS186
Xenform Soft Tissue Repair Matrix 4x7cm
Graft derived from fetal dermal bovine tissues
4x7cm
Changed Product Group, Product Sub Group,
Benefit.
BS187
Xenform Soft Tissue Repair Matrix 6x10cm
Graft derived from fetal dermal bovine tissues
6x10cm
Changed Product Group, Product Sub Group,
Benefit.
BS188
Xenform Soft Tissue Repair Matrix 8x12cm
Graft derived from fetal dermal bovine tissues
8x12cm
Changed Product Group, Product Sub Group,
Benefit.
BS192
Percuflex® Helical
Ureteral Stent with Hydro Plus™ Coating
6fr to 8fr and 10cm to 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS193
PFR Kit - Pinnacle™ LITE Anterior/Apical
Synthetic polypropone mesh assemblies and
fixation device
One configeration
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
BS194
Pinnacle™ Lite - PFR Kit Posterior
Synthetic polypropylene mesh assemblies and
fixation device
One configuration
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 42 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BS198
Synthetic polypropylene mesh assemblies and
fixation device
One configuration
Changed Product Group, Product Sub Group,
Benefit.
Uphold™ LITE Vaginal Support System
8 - Cardiac
BS069
Liberte Coronary Stent System
Consists of a balloon expandable stent, premounted on a Maverick 2 Monorail delivery
catheter.
Stent lengths: 8,12,16,20,24,28 & 32 mm Stent
diameters: 2.25, 2.5, 2.75, 3.0, 3.5, 4.0, 4.5 & 5.0
mm
Changed Product Group, Product Sub Group,
Benefit.
BS099
Taxus Liberte Paclitaxel-Eluting Coronary Stent
System
316L Stainless Steel Stent with Translute
Polymer and Paclitaxel
2.0mm-5.0mm & 8.0mm-38mm
Changed Product Group, Product Sub Group,
Benefit.
BS123
Insignia AVT 882
Dual chamber VDD pacemaker
10.0cc, 23.5g
Changed Product Group, Product Sub Group,
Benefit.
BS124
Insignia AVT 1192
Single chamber rate responsive pacemaker
10cc, 23.4g
Changed Product Group, Product Sub Group,
Benefit.
BS125
Promus Everolimus Coronary Stent System
Cobalt chromium alloy stent coated with a
blended polymer mixed with Everolimus.
2.25mm to 4.0mm diameter, 8mm to 28mm
length
Changed Product Group, Product Sub Group,
Benefit.
BS126
Insignia AVT 1292
Dual chamber rate responsive pacemaker
10.8cc, 25.4g
Changed Product Group, Product Sub Group,
Benefit.
BS128
Confient RF HE
Dual chamber ICD, high energy with RF
44cc, 87.5g
Changed Product Group, Product Sub Group,
Benefit.
BS129
LIVIAN CRT-D
CRT-D with RF
40cc, 79.5g, 14.5mm
Changed Product Group, Product Sub Group,
Benefit.
BS130
LIVIAN CRT-D HE
CRT-D, high energy with RF
44cc, 87.5g, 14.5mm
Changed Product Group, Product Sub Group,
Benefit.
BS132
Teligen 100 HE VR 4-SITE
Single chamber ICD, high energy with RF
30.5cc, 9.9mm
Changed Product Group, Product Sub Group,
Benefit.
BS133
Acuity Spiral
Unipolar passive fixation
80, 90 & 100cm
Changed Product Group, Product Sub Group,
Benefit.
BS134
TELIGEN 100 HE DR 4-SITE
Dual Chamber ICD, high energy with RF IS4
31.55cc, 9.9mm
Changed Product Group, Product Sub Group,
Benefit.
BS135
Teligen 100 DR DF-1/IS-1
Dual chamber ICD, high energy with RF
31.5cc, 9.9mm
Changed Product Group, Product Sub Group,
Benefit.
BS136
TELIGEN 100 HE VR DF-1/IS-1
Single chamber ICD, High Energy with RF
31.5cc, 9.9mm
Changed Product Group, Product Sub Group,
Benefit.
BS138
COGNIS 100 HE 4-SITE
CRT-D high energy with RF IS4
32cc, 9.9mm
Changed Product Group, Product Sub Group,
Benefit.
BS139
COGNIS 100 HE (DF-1/IS-1 & DF-1/LV-1)
CRT-D high energy with RF
32.5cc, 9.9mm
Changed Product Group, Product Sub Group,
Benefit.
BS144
Altrua 20 DR
Dual chamber rate responsive pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
BS145
Altrua 20 SR
Single chamber rate responsive pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
BS146
Altrua 40 DR
Dual chamber rate responsive pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
BS147
Altrua 40 SR
Single chamber rate responsive pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 43 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
BS148
Altrua 50 DR
Dual chamber rate responsive pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
BS149
Altrua 50 SR
Single chamber rate responsive pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
BS150
Altrua 50 VDD
Dual chamber VDD pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
BS151
Altrua 60 DR
Dual chamber rate responsive pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
BS152
Altrua 60 SR
Single chamber rate responsive pacemaker
10cc - 15cc
Changed Product Group, Product Sub Group,
Benefit.
BS153
Myopore
Bipolar sutureless myocardial pacing lead
25-54cm
Changed Product Group, Product Sub Group,
Benefit.
BS170
Endotak Reliance S 4-SITE
Passive fixation single coil defibrillation leads &
4-SITE connector.
50-70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS174
Endotak Reliance SG 4-SITE
Active fixation single coil defibrillation leads
with ePTFE covered coil & 4-SITE connector.
50-70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS175
PROMUS Element
Platinum chromium alloy stent coated with a
blended polymer mixed with everolimus.
8mm to 38mm with a reference vessel diameter
of 2.25mm - 4.0mm.
Changed Product Group, Product Sub Group,
Benefit.
BS176
Taxus Element
Platinum chromium alloy stent coated with a
blended polymer mixed with Paclitaxel
(8mm to 38mm) with a reference vessel diameter
of 2.25mm - 4.5mm
Changed Product Group, Product Sub Group,
Benefit.
BS178
Endotak Reliance 4-SITE
Active fixation dual coil defibrillation leads with
4-SITE connector
50-70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS179
Endotak Reliance S 4-SITE
Active fixation single coil defibrillation leads & 4SITE connector
50-70mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS180
Endotak Reliance G 4-SITE
Passive fixation dual coil defibrillation leads with
ePTFE covered coils & 4-SITE connector
50-70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS181
Endotak Reliance SG 4-SITE
Passive fixation single coil defibrillation leads
with ePTFE covered coil & 4-SITE connector
50-70
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS182
Endotak Reliance G 4-SITE
Active fixation dual coil defibrillation leads with
ePTFE covered coils & 4-SITE connector.
50-70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
BS183
Endotak Reliance 4-SITE
Passive fixation dual coil defibrillation leads with
4-SITE connector
50-70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Cranial Loop is a smart system for fixing Bone
Flaps resulting from craniotomies. Its instrument
free, made from Peek - Optima, allows the
surgeon complete control not artifacts seen on
MRI/CT, its fast and easy and takes less than a
minute for the bone to be fixed in place
One size - is suitable for 1.5mm up to 24mm
bone thickness as it is adjustable
Changed Product Group, Product Sub Group,
Benefit.
Cantley Medical Services
7 - Plastic and Reconstructive
CF005
Cranial Loop
CareFusion 316 Pty Ltd
3 - General Miscellaneous
Changed Items for Prostheses List Report
Page 44 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ZQ004
Pleurx
Pleurx Peritoneal Catheter Mini Kit
Catheter 71.0cm x 15.5 Fr
Changed Product Group, Product Sub Group,
Benefit.
ZQ005
Pleurx
Pleurx Pleural Catheter Mini Kit
Catheter 24cm x 15.5Fr
Changed Product Group, Product Sub Group,
Benefit.
Carl Zeiss Pty Ltd
1 - Ophthalmic
CZ011
CT ASPHINA 603P
Aspheric, pre-loaded, hydrophilic acrylic, single
piece, trihaptic IOL with square edge design, for
use with SkyJet injector
6.0mm Optic x 10.5mm Overall Diameter
Changed Description.
CZ012
Z-HYALIN Viscoelastic
Cohesive Viscoelastic Solution - sodium
hyaluronate 10mg/ml. (previously called
Ophthalin)
Volume 1.0ml
Changed Product Name, Description, Suffix,
Benefit.
CZ013
Z-HYALIN Plus Viscoelastic
Cohesive Viscoelastic Solution - sodium
hyaluronate 15mg/ml. (previously called
Opthalin Plus)
Volume 1.0ml
Changed Product Name, Description, Suffix,
Benefit.
CZ015
AT LISA 809M
ZEISS micro incision, aspheric multifocal IOL.
Diffractive bifocal anterior surface with
asymmetric light distribution (65% distance /
35% near), 3.75D addition for near focus.
6mm optic, 11mm diameter. Diopter range 0.0D
to +32.0D (0.5D steps)
Changed Description, Size.
CZ016
CT ASPHINA 409M
ZEISS Micro Incision Aaspheric (aberration
neutral) IOL: Foldable, square-edged, single piece
IOL for capsular bag fixation
6mm optic, 11mm overall diameter. Diopter
range 0.0 to +32.0D (0.5D steps from 10.0 to
30.0D, 1.0D outside this range)
Changed Description, Size, Suffix.
CZ017
CT ASPHINA 509M
ZEISS Micro Incision Aspheric (aberration
correcting) IOL: Foldable, square-edged, single
piece IOL for capsular bag fixation
6mm Optic, 11mm overall diameter. Diopter
range 0.0 to +32.0D (0.5D steps from 10.0 to
30.0D, 1.0D outside this range)
Changed Description, Size, Suffix.
CZ019
TWINVISC Viscoelastic
TWINVISC includes a cohesive and a dispersive
viscoelastic in one syringe, separated by a valve.
Dispersive: sodium hyaluronate (2.2%).
Cohesive: sodium hyaluronate (1%)
Total volume 1.4 ml
Changed Description.
CZ020
AT TORBI 709M
STANDARD RANGE BITORIC - ZEISS Micro
Incision Aspheric (abberation neutral) IOL:
Foldable, square-edged, single piece IOL for
capsular bag fixation
6mm optic, 11mm overall diameter. Diopter
range: Sph +6.0 to +32.0D, Cyl +1.0 to 6.5D (all
0.5D steps)
Changed Description, Size.
CZ022
VISTHESIA 1.5%
VISCOANAESTHETIC syringe contains sodium
hyaluronate (NaHA, 1.5%) and lidocaine
hydrochloride (1%). Also contains two topical
ampoules with NaHA (0.3%) and lidocaine (2%)
0.8ml syringe & 2x0.3ml ampoules
Changed Description, Size.
CZ024
AT LISA toric 909M
ZEISS micro incision, multifocal toric IOL
(standard cyl range). Aspheric toric anterior
surface, diffractive bifocal posterior surface with
asymmetric light distribution (65% distance /
35% near), 3.75D addition for near focus.
6mm optic, 11mm diameter. Diopter range: Sph 10.0D to +32.0D, Cyl +7.0 to 12.0D (all 0.5D
steps)
Changed Description, Size.
Changed Items for Prostheses List Report
Page 45 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
CZ025
AT LISA toric 909M
ZEISS micro incision, multifocal toric IOL
(standard cyl range). Aspheric toric anterior
surface, diffractive bifocal posterior surface with
asymmetric light distribution (65% distance /
35% near), 3.75D addition for near focus.
6mm optic, 11mm diameter. Diopter range: Sph 10.0D to +32.0D, Cyl +1.0 to 6.5D (all 0.5D
steps)
Changed Description, Size.
CZ026
AT TORBI™709M
LOW SPHERE BITORIC - ZEISS Micro Incision
Aspheric (aberration neutral) IOL: Foldable,
square-edged, single piece IOL for capsular bag
fixation
6mm optic, 11mm overall diameter. Diopter
range: Sph -10.0 to +5.5D, Cyl +1.0 to 6.5D (all
0.5D steps)
Changed Description, Size.
CZ027
AT TORBI 709M
HIGH CYLINDER BITORIC - ZEISS Micro
Incision Aspheric (aberration neutral) IOL:
Foldable square edged, single piece IOL for
capsular bag fixation
6mm optic, 11mm overall diameter. Diopter
range: Sph -10.0 to +32.0D, +7.0 to 12.0D (all
0.5D steps)
Changed Description, Size.
CK Surgitech Pty Ltd
3 - General Miscellaneous
AK002
Stent, oesophageal, dudodenal, rectal, biliary
self expandable nitinol stent with introducer
system
20,30,40,50,60,70,80,90,100,110,120mm
Changed Product Group, Product Sub Group,
Benefit.
AK003
Biliary Stents
Biliary stent, straight, curved, bended, pigtails
and double pigtail
5.0 to 11.5 french
Changed Product Group, Product Sub Group,
Benefit.
CMS Alphatech Pty Ltd
3 - General Miscellaneous
CL001
Advantage I-125 Pre-load
Advantage I-125 Pre-load consists of stranded
Advantage I-125 seeds pre-loaded on prescription
into brachytherapy needles specifically for
treatment of an individual patient. They arrive
sterile and pre-packaged ready for use in theatre
Stranded seeds are pre-loaded in brachytherapy
needles in a prescribed configuration; up to 120
seeds
Changed Product Group, Product Sub Group,
Benefit.
CL002
Advantage I-125 Seed
Advantage I-125 seeds are sealed radioactive
sources containing Iodine-125 for interstitial
brachytherapy
3mm x 0.5mm silver rod within 4.5 x 0.8mm
sealed titanium capsule, up to 120 seeds
Changed Product Group, Product Sub Group,
Benefit.
CL003
Advantage I-125 Seed
The Advantage I-125 seed is a sealed radioactive
source containing Iodine-125 for interstitial
brachytherapy
3mm x 0.5mm silver rod within 4.5 x 0.8mm
sealed titanium capsule
Changed Product Group, Product Sub Group,
Benefit.
Cochlear Limited
2 - Ear, Nose & Throat
CO019
ESPrit 3G Speech Processor - Replacement
Speech processor, Generation 3
Cable lengths: 6, 8, 10, 20, 28cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO020
Nucleus Cochlear Implant Accessory Kit - ESPrit
3G Speech Processor
Accessory set consists of accessory adapter cable,
lapel microphone & lapel clip, battery cover set
and accessory case
Lapel microphone comes in lengths of 40-150cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 46 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
CO021
Nucleus Freedom Implant with Contour Advance
Electrode
Model C124RE (CA), Generation 4 Cochlear
implant with perimodiolar electrode array.
Titanium casing, removable magnet, 22 halfbanded platinum electrodes, moulded in a durable
silicone seal
one size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO022
Nucleus Freedom Speech Processor - Initial
Speech processor (modular) and accessories
One size only
Changed Product Group, Product Sub Group,
Benefit.
CO023
Nucleus Freedom Speech Processor
Speech processor, and accessories REPLACEMENT
one size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO024
Nucleus Freedom Implant with Straight Electrode
Speech processor and accessories - Initial
One size only
Changed Product Group, Product Sub Group,
Benefit.
CO025
Baha Abutment Snap Coupling
Titanium abutment delivered with a gold screw
and holder, individually packaged and sterile.
The 5/5mm is for standard use and the 8.5mm for
patients that have persistent regrowth of
subcutaneous tissue
5.5mm - 9035, 8.5mm - 90410
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO028
BAHA - Cover screw unigrip
Titanium cover screws, individually packaged
and delivered sterile. The cover screws are used
to prevent bone overgrowth of the implant.
One size only
Changed Description, Product Group, Product
Sub Group, Benefit.
CO030
Self tapping fixture with pre-mounted fixture
mount
Self tapping titanium flange fixture pre-mounted
with a disposable fixture mount. Available in
two sizes: 3mm and 4mm. Used in two stage
surgical procedures.
Self Tapping 4mm and 3mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
CO032
Flange fixture - self tapping fixture with premounted abutment
Self tapping titanium flange fixture with
abutment in two sizes: 3mm and 4mm
Self Tapping 4mm and 3mm with BAHA
Abutment
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO033
Baha Cordelle II sound processor
A powerful sound processor for the Baha hearing
system with a bodyworn unit and a head worn
transducer. Available in three colours. Body
worn sound processor for the Baha hearing
system.
One Size
Changed Product Group, Product Sub Group,
Benefit.
CO040
Baha Divino sound processor
Head worn digital sound processor for the Baha
hearing system. Available in four colours and left
and right side orientations.
One Size
Changed Product Group, Product Sub Group,
Benefit.
CO041
Baha Intenso sound processor
Head worn digital sound processor for the Baha
hearing system. Available in four colours.
One size
Changed Product Group, Product Sub Group,
Benefit.
CO043
Nucleus Hybrid L 24 Implant
A Nucleus Freedom cochlear implant featuring a
special 16mm, 22 contact point electrode array
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO044
Freedom Hybrid Sound Processor (Initial)
The modular sound processor of the Cochlear
Hybrid system provides dual electrical and
acoustic processing within a single device.
Acoustic amplication is delivered through the
acoustic component and electrical stimuation via
the Nucleus Hybrid L24 implant.
One size
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 47 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
CO045
Freedom Hybrid Sound Processor (Replacement)
The modular sound processor of the Cochlear
Hybrid system provides dual electronic and
acoustic processing within a single device.
Acoustic amplication is delivered through the
acoustic component and electrical stimulation is
delivered via the Nucleus Hybrid L24 implant.
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO046
Cochlear™ Nucleus® CI512 Cochlear Implants
with Contour Advance Electrode
Model CI512, 5th generation cochlear implant
with perimodiloar electrode array. Titanium
casing, removable magnet, 22 half-banded
platinum electrodes, moulded in a durable
silicone seal.
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO047
Cochlear™ Baha® BP100 sound processor
Fully programmable head worn sound processor
for the Baha implantable bone conduction
hearing system
One size - 30 x 21 x 12mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO048
Cochlear™ Nucleus® CP810 Sound Processor INITIAL
The ear level sound processor of the Nucleus 5
cochlear implant system with multiple wearing
options and a remote control.
One size
Changed Product Group, Product Sub Group,
Benefit.
CO049
Cochlear™ Nucleus® CP810 Sound Processor REPLACEMENT
The ear level sound processor of the Nucleus 5
cochlear implant system with multiple wearing
options and a remote control.
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO050
Baha BA210 Abutment
Titanium abutments compatible with hexagonal
coupling Baha implants
5.5mm and 8.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO051
Baha BI300 implants
Titanium self-tapping fixture of the Baha BI300
implant system with TiObaslt surface.
3mm and 4mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO052
Baha BA300 abutment.
Titanium abutment of the Baha BI300 implant
system.
6mm and 9mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO053
Baha BIA300 implants with abutments
Pre-mounted self tapping titanium implant and
abutment of the BI300 implant system, for the
Baha FAST surgery.
3mm implant with 6mm abutment, 4mm implant
with 6mm abutment, 4mm implant with 9mm
abutment.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO054
Baha Cover Screw conical
Titanium cover screw of the Baha BI300 implant
system used in the two-stage surgery.
One size
Changed Product Group, Product Sub Group,
Benefit.
CO055
Cochlear Nucleus Cl513 cochlear implant with
Contour Advance Electrode
Model Cl513, 5th generation cochlear implant
with enhanced perimodiolar electrode array.
Titanium casing, removable magnet. 22 platinum
intracochlear electrodes, moulded with a silicone
elastomer carrier, and spaced over a 15mm active
array. Diameter of electrodes: 0.8mm at the basal
end, tapering to 0.5mm at the apical electrode
band.
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO056
Cochlear™ Baha® BP110 sound processor
Fully programmable head worn sound processor
for the Baha implantable bone conduction
hearing system
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
7 - Plastic and Reconstructive
CO035
Face to Face
Cover Screw with Internal Hexagon
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO036
Standard Abutments
Abutment Complete - Titanium
3.0mm - 90780, 4.0mm - 90778, 5.5mm - 90776,
7.0mm - 90774
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 48 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
CO037
Face to Face
Console Abutment Unigrip - Titanium
30, 60, 90, 110 Degrees
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CO038
Face to Face
Healing Abutment Unigrip - Titanium
7mm
Changed Product Group, Product Sub Group,
Benefit.
CO042
Vistafix™ Fixture ST
Titanium self-tapping fixtures for the retention of
midface and orbital prostheses.
3mm and 4mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Two-piece inflatable penile prosthesis (Resist
Coated)
Cylinder lengths 10,12,14,16,18,20,22cm & six
rear-tip extenders (two each 1, 2 & 3cm)
Changed Product Group, Product Sub Group,
Benefit.
Coloplast Pty Ltd
5 - Urogenital
CT001
Excel Inflatable Penile Prosthesis (Resist Coated)
CT003
Saline Filled Testicular Prosthesis
Testicular Prosthesis
Extra Small, Small, Medium, Large
Changed Product Group, Benefit.
CT004
Soft Solid Testicular Prosthesis
Gel filled Testicular Prosthesis
Small, Medium, Large & Extra Large
Changed Product Group, Benefit.
CT005
Titan Inflatable Penile Prosthesis (Resist
Coated) - Assembly Kit
Assembly kit for three component penile
prosthesis (Resist Coated)
Standard & Narrow -base
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CT007
Genesis Penile Prosthesis (Resist Coated)
Malleable Penile Prosthesis (Resist Coated)
Dia 9mm (14 - 23cm lengths), Dia: 11mm (16 25cm lengths), Dia: 13mm (18 - 27cm lengths)
Changed Product Group, Product Sub Group,
Benefit.
CT008
Titan Inflatable Penile Prosthesis (Resist
Coated) - Cylinders
Cylinders for three component penile prosthesis
(Resist Coated)
10, 12, 14, 16, 18, 20, 22cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CT009
Titan Inflatable Penile Prosthesis (Resist
Coated) - Cylinders & Pump Preconnected
Preconnected Cylinders & pump for three
component penile prosthesis (Resist Coated)
10, 12, 14, 16, 18, 20, 22cm (in both infrapubic
& scrotal models)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CT010
Titan Inflatable Penile Prosthesis (Resist
Coated) - Lock-out Valve Reservoir
Reservoir for three component penile prosthesis
(Resist Coated)
60, 75, 100ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CT011
Titan Inflatable Penile Prosthesis (Resist
Coated) - Pump
Pump for three component penile prosthesis
(Resist Coated)
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CT012
Titan Inflatable Penile Prosthesis (Resist
Coated) - True-lock Plug
True Lock Plug for deactivation of three
component penile prosthesis (Resist Coated)
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CT013
Aris Transobturator Sling System
Sling System for female stress urinary
incontinence
One Size
Changed Product Group, Product Sub Group,
Benefit.
CT014
NovaSilk Polypropylene Mesh
knitted monofilament polypropylene mesh
15cm x 15cm - One Size
Changed Product Group, Product Sub Group,
Benefit.
ConMed Linvatec Australia Pty Ltd
6 - Specialist Orthopaedic
LV011
Soft Tissue Anchoring Implant - Spiked Washer
Soft Tissue Re-attachment - Titanium
1.3 x 14mm - 2.5 x 20mm
Changed Product Group, Product Sub Group,
Benefit.
LV012
Soft Tissue Anchoring Implant - Flat Washer
Soft Tissue Re-attachment - Titanium
14, 17mm
Changed Product Group, Product Sub Group,
Benefit.
LV013
Soft Tissue Anchoring Implant - Cortical Screw
Soft Tissue Re-attachment - Titanium
30 - 80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV014
Soft Tissue Anchoring Implant - Cancellous
Screw
Soft Tissue Re-attachment - Titanium
25 - 65mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV022
EndoPearl Bio-Absorbable Implant - ACL
Fixation
ACL Fixation - PLLA
7mm - 9mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 49 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LV055
Bionx Implants - Screws
PLA Full Thread
3.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV056
Bionx Implants - Screws
PLA Full Thread
4.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV057
Bionx Implants - Screws
PLA Cannulated
4.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV058
Bionx Implants - Screws
PLLA Lag Screw
3.5mm x 10-28mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV059
Bionx Implants - Screws
PLLA Lag Screw
3.5mm x 30-45mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV060
Bionx Implants - Screws
PLLA Lag Screw
4.5mm x 25-70mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV061
Bionx Implants - Screws
PLLA Lag Screw
6.3mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV066
Bionx Implants - screws
Biofix PLA full threaded crosshead screw
Dia 2mm, length 6 - 10mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV067
Bionx Implants - screws
Biofix PLA full threaded crosshead screw
Dia 2mm, length 12 - 20mm; Dia 2.7mm, length
6 -24mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV075
BioCuff C Screw
Self-Reinforced 96L/4D PLA Screw
6.0mm O.D x 28, 32 & 36mm L
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV107
Pinn-ACL CrossPin System
Bioabsorbable, transverse femoral fixation device
of soft tissue grafts in ACL and PCL repairs.
40mm/45mm/50mm Self-Reinforcved PLLA
Crosspin, 8mm/9mm PLLA Graft Harness
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LV110
SmartScrew 2
Self Reinforced 96L/4D Copolymer
length 10-70mm, diameter 2 to 4.5mm, shape
fully/partial threaded, cannulated/non-cannulated
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Titanium Endoscopic Clip Applier
Medium/Large, 10mm, 20 Clips
Changed Product Name, Description, Size.
General Miscellaneous
LV076
Reflex ELC 530 Automatic Clip Applier
Cook Medical Australia Pty Ltd
10 - Vascular
WC044
PVA Embolisation particles
Embolisation & Occlusion
Particle Size Ranges (microns) 50-100, 100-200,
200-300,300-500, 500-700, 700-1000, 10001500, 1500-2000, 2000-2800
Changed Product Group, Product Sub Group,
Benefit.
WC045
Zenith Endovascular Graft
Converter
Diameter 20 through 36
Length 80-85
Changed Product Group, Product Sub Group,
Benefit.
WC047
Zenith Endovascular Graft
Leg Extensions
Diameter 18 through 24 Length 55
Changed Product Group, Product Sub Group,
Benefit.
WC048
Zenith Endovascular Graft
Body Extensions
Diameter 22 through 36
Changed Product Group, Product Sub Group,
Benefit.
WC093
Cook Implantable Injection/Infusion Ports
Petite or Standard, single or multiple chamber
Polysulfone Port which may include
micropuncture or standard introducer set
3 - 12 Fr pre-attached or detached catheter or
valve system
Changed Product Group, Product Sub Group,
Benefit.
WC094
Vital-Port
Mini or Petite or Standard, single or multiple
chamber titanium Port which may include
micropuncture or standard introducer set
3 - 12 Fr pre-attached or detached catheter or
valve system
Changed Product Name, Product Group,
Product Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 50 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
WC096
Cook Vena Cava Filter
Universal Filter
Diameter up to 40mm, Length up to 60mm
Changed Product Group, Product Sub Group,
Benefit.
WC103
Zenith Iliac Plug
Zenith AAA Endovascular Graft
Diameter 14, 16, 18, 20, 22, 24mm
Changed Product Group, Product Sub Group,
Benefit.
WC111
Cook Central Venous Catheterisation Kit
Single lumen peripherally inserted catheter set,
which may include catheter, standard or
micropuncture introducer set
3 - 6 Fr, 40 - 80cm
Changed Product Group, Product Sub Group,
Benefit.
WC113
Cook Central Venous Catheterisation Kit
Single lumen peripherally inserted catheter set,
includes catheter, needle, J-wire, MPIS wire and
introducer
Fr 3, 4, 5 and Length 50 and 60cm
Changed Product Group, Product Sub Group,
Benefit.
WC115
Cook Implantable Injection/Infusion Port
Mini, single or multiple chamber titanium Port
which may include micropuncture introducer set
3 - 12 Fr pre-attached or detached catheter or
valve system
Changed Product Group, Product Sub Group,
Benefit.
WC116
Cook Central Venous Long Term Catheter
Cook TPN single lumen catheter
Fr 3, length 55, 65cm; Fr 4, length 65cm, Fr 6.5,
9.5, length 90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC117
Cook Central Venous Long Term Catheter
Cook TPN single lumen catheter set
Fr 3, length 55; Fr 4, length 65cm, Fr 6.5 length
65, 90cm, Fr 9.5, length 90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC133
Zenith Flex AAA Endovascular Graft - body only
Stainless steel
Dia 22 - 32mm, length 82 - 140mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC160
Zenith TAA Endovascular Graft
Thoracic Proximal Extension
Dia 22 Length 77; Dia 24 Length 77;Dia 26
Length 77; Dia 28 Length 80; Dia 30 Length 80;
Dia 32 Length 80; Dia 34 Length 77; Dia 36
Length 77; Dia 38 Length 77; Dia 40 Length 81
Diameter 42 Length 81
Changed Product Group, Product Sub Group,
Benefit.
WC164
Cook Implantable Injection/Infusion Ports
Dual or Multiple Chamber Titanium Port which
may include micropuncture or standard
introducer set
3 - 12 Fr pre-attached or detached catheter or
valve system
Changed Product Group, Product Sub Group,
Benefit.
WC168
Cook Vascular/Biliary Stent
Vascular/Biliary stent
5/6 Fr delivery system, 4 - 14mm diameter, 2 8cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC188
Zenith Thoracic Endovascular Graft
Thoracic Body Extension
22mm to 42mm diameter; 77mm to 81mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC201
Cook Central Venous Catherisation Kits
Turbo-Flo Peripherally Inserted Central Venous
Catheter Set, Single Lumen Polyurethane with
Micropuncture Peel-Away Sheath Introducer and
Wire Guide
4Fr - 60cm and 5Fr - 60cm
Changed Product Group, Product Sub Group,
Benefit.
WC202
Cook Central Venous Catheterisation Kits
Turbo-Flo Peripherally Inserted Central Venous
Catheter Set, Single Lumen Polyurethane with
Peel Away Sheath Introducer and Wire Guide
5Fr - 60cm
Changed Product Group, Product Sub Group,
Benefit.
WC204
Cook Central Venous Catheterisation Kits
Turbo-Flo Over-The-Wire Peripherally Inserted
Central Venous Catheter Set, Single Lumen
Polyurethane with Micropuncture Peel-Away
Sheath Introducer and Wire Guide
4Fr - 60cm and 5Fr -60cm
Changed Product Group, Product Sub Group,
Benefit.
WC206
Cook Central Venous Catheterisation Kits
PICC Peripherally Inserted Central Venous
Catheter Set, Single Lumen Silicone with
Micropuncture Peel-Away Sheath Introducer and
Nitinol Wire Guide
3Fr - 50cm and 4Fr and 5Fr - 60cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 51 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
WC207
Cook Central Venous Catheterisation Kits
PICC Peripherally Inserted Central Venous
Catheter Set, Catheter without Clamp, Single
Lumen Silicone with Micropuncture Peel-Away
Sheath Introducer and Wire Guide
3Fr - 50cm and 4Fr and 5Fr - 60cm
Changed Product Group, Product Sub Group,
Benefit.
WC232
Zenith Renu AAA Ancillary Graft - Main Body
Extension
Stent graft indicated for the repair of in situ AAA
stent grafts
Proximal diameter 22 - 36mm, Length (covered
section) 43 - 100mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WC233
Zenith Branch Endovascular Graft - Iliac
Bifurcation
Bifurcated branch vessel stent graft with
openings to connect the common iliac,
sidebranch, and external iliac segments. Made of
stainless steel and nitinol z-stents and woven
polyester, mounted on H&LB one shot delivery
system
Common iliac lengths 45 or 61mm, external iliac
lengths 41 or 58mm and distal cuff diameters 10
or 12mm
Changed Product Group, Product Sub Group,
Benefit.
WC234
Formula 414 Rx Renal Stent System
Balloon Expandable Vasc/Biliary Stent
Rapid exchange 014/018, 80-135cm delivery
system. Diameters 4-10mm, lengths 0.8 - 4cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC235
Zenith Renu AAA Ancillary Graft - Converter
Stent graft indicated for the repair of in situ AAA
stent grafts
Proximal diameter 22-36mm, distal diameter
12mm, lengths 91-161mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WC238
Zenith Thoracic Endovascular Graft
Thoracic Proximal Graft
22mm to 42mm diameter, 115mm to 179mm
Length
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
WC239
Zenith Thoracic Endovascular Graft
Thoracic Proximal Grft
22mm to 42mm diameter, 180mm to 216mm
Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC240
Zenith Thoracic Endovascular Graft
Thoracic Distal Graft
26mm to 42mm diameter, 127mm to 179mm
Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC241
Zenith Thoracic Endovascular Graft
Thoracic Distal Graft
26mm to 42mm diameter, 180mm to 207mm
Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC259
Zenith AAA Endovascular Graft
Contralateral/Ipsilateral Iliac Legs
Leg extension with Captor valve
Diameters from 8 to 24mm, lengths from 37 to
122mm
Changed Product Group, Product Sub Group,
Benefit.
WC261
Zenith Fenestrated AAA Endovascular Graft with
Flexor
Distal Bifurcated Body with Flexor sheath
Diameter 12 - 24mm, 1st length 28 - 62mm, 2nd
length 76 - 121mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC263
Zenith Fenestrated AAA Endovascular Graft with
Flexor
Proximal Fenestrated body with Flexor sheath
1 or 2 internal stents, 24 - 36mm Diameter, 73 129mm Length
Changed Product Group, Product Sub Group,
Benefit.
WC274
Zenith TX2 TAA Endovascular Graft with ProForm and the Z-Trak Plus Introduction System
(thoracic body extension)
Thoracic Proximal Extension
Diameter - 22mm - 42mm Length - 77mm 81mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC275
Zenith TX2 TAA Endovascular Graft with
Pro_Form and the Z-Trak Plus Introduction
System - Short Proximal Component
Short Thoracic Proximal Graft
Diameter 22mm - 42mm. Length 115mm 162mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC276
Zenith TX2 TAA Endovascular Graft with ProForm and the Z-Trak Plus Introduction System Long Proximal Component
Long Thoracic Proximal Endovascular Graft
Diameter 28mm-42mm Length 197mm-216mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC277
Zenith Flex AAA Endovascular Graft with the ZTrak Introduction System - main body
Zenith Flex with Z-trak main body - AAA
endovascular graft
Diameter - 22mm - 36mm. Length 82mm 149mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC278
Zilver Vascular Stent with Rapid Exchange
Delivery System
Zilver Stent Vascular Design, self-expandable
nitinol stent. Preloaded in a 5.0 French Rapid
Exchange delivery catheter.
Delivery System 5Fr, 125cm. Stent diameter
4mm-10mm. Stent length 2cm-8cm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 52 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
WC279
Turbo-Ject Peripherally Inserted Central Catheter
Set ( Single Lumen)
3/4/5/6 Fr Single Lumen Polyurethane PICC with
Micropuncture Peel-Away Sheath Introducer and
Echogenic needle
3, 4, 5, 6 French, 4a and 60 cm catheter length,
single lumen catheter
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
WC283
Vena Cava Filter with NavAlign Delivery System
The filter consists of a non-magnetic filter (30mm
diameter, 48mm long) preloaded on a femoral
filter introducer and/or a jugular filter introducer,
an 8.5 French coaxial introducer system
(compatible with a .035 inch wire guide) for
introduction and a hydrophilic coated dilator.
Filter measures 30mm in diameter and 48mm long
Changed Product Group, Product Sub Group,
Benefit.
WC285
Zilver® Flex35™ Vascular Stent
The Zilver® Flex35™ Stent (ZFV) is a selfexpandable stent made of nitinol. The special
laser-cut pattern of the nitinol tube provides a
construction with a strong radial force and high
flexibility. The stent has radiopaque markers at
both ends.
Diameter: 5-8mm; Length:170mm and 200mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC286
Zenith® Spiral-Z AAA lliac Legs with Z-Trak™
Introduction System
Zenith® Spiral-Z AAA lliac Leg
Proximal Diameter - 13mm
Distal Diameter - 9mm to 24 mm
Working Length - 39 mm to 122 mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC287
Zilver® Flex 35™ Vascular Stent
The Zilver® Flew 35™ Stent (ZFV) is a selfexpandable stent made of nitinol. The special
laser-cut pattern of the nitinol tube provides a
construction with a strong radial force and high
flexibility. The stent has radiopaque markers at
both ends. The stent is supplied preloaded in a
6.0 French inducer catheter. A radiopaque marker
on the distal tip of the sheath is used to visualize
deployment of the stent. Stent deployment is
controlled by means of a hand held device.
The Zilver® Flex 35™ Stent is available in the
following sizes: stent outer diameters of 5 -10mm
and stent lengths of 20 -140mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC288
Zenith Dissection Endovascular Stent
The Zenith Dissection Endovascular Stent with
the H&L-B One-Shot Introduction System is
indicated for the endovascular treatment of
patients with aortic dissection distal to the left
subclavian artery.
Diameter: 46mm (designed for vessel diameters
24-38mm). Length: 82, 123, 164mm
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
WC001
Cotton-Huibregste Biliary Stent Set
.
7 - 11.5Fr, Length 5 - 15cm
Changed Description, Product Group, Product
Sub Group, Benefit.
WC006
Cotton-Leung Biliary Stent Only
.
6 - 11.5Fr, Length 3 - 20cm
Changed Description, Product Group, Product
Sub Group, Benefit.
WC008
Cotton-Huibregste Biliary Stent Only
.
7 - 11.5Fr, Length 5 - 21cm
Changed Description, Product Group, Product
Sub Group, Benefit.
WC012
Zimmon Biliary Stent Only
.
5 - 11.5Fr, Length 3 - 18cm
Changed Product Group, Product Sub Group,
Benefit.
WC013
Zimmon Biliary Stent Set
Double pigtail plastic biliary stent with delivery
system
5 - 11.5Fr, Length 2 - 18cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC017
Cotton-Leung Biliary Stent Set
Set includes stent, positioning sleeve to collapse
the duodenal flap, 170cm pushing catheter and
320cm guiding catheter. 7Fr stents do not include
guiding catheter.
7 - 11.5Fr, Length 5 - 18cm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 53 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
WC064
Tannenbaum Biliary Stent only
Plastic biliary stent with proximal and distal flaps
Diameter: 8.5,10,11.5 FR. Length Between Flaps:
5 -->15 cm
Changed Product Group, Product Sub Group,
Benefit.
WC068
Esophageal Anti-reflux Stent
Self Expanding Metal Stent with Polyurethane
coating and Dua anti-reflux valve
Flared End Diameter: 25mm
Shaft Diameter: 18mm
Length: 8, 10, 12, 14cm
Changed Product Group, Product Sub Group,
Benefit.
WC070
Gastrostomy Tube
PEG Balloon Replacement Tube - Single
14, 18, 24fr
Changed Product Group, Product Sub Group,
Benefit.
WC072
Passport Low Profile Device
Enteral/Gastrostomy
FEEDING TUBE French Sizes: 20.0, 24.0
Length: 1.2,1.7,2.4,3.4,4.4 cm
Changed Product Group, Product Sub Group,
Benefit.
WC078
Cook Biliary Stents
Composition Plastic, includes Stent, Wireguide &
Positioner
French 7.0, length 4cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC079
Zimmon Pancreatic Stent
Single pigtail with radio-opaque band
Diameter 4 - 10FR, Length 2 - 18cm
Changed Product Group, Product Sub Group,
Benefit.
WC098
Cook Jejunostomy Catheters
Composition - Catheter Radiopaque Stripe,
includes Wireguide, Airplug, Fixation Device
12fr, length 60cm
Changed Product Group, Product Sub Group,
Benefit.
WC099
Cook Jejunostomy Catheters
Composition - Catheter Radiopaque Stripe,
includes Wireguide, Airplug, Fixation Device
9fr, Length 60cm
Changed Product Group, Product Sub Group,
Benefit.
WC100
Colonic Z Stent with Introduction System
Composition of Stent Stainless Steel, includes
Stent Introducer Set
Dia 25mm, length 4, 6, 8, 10, 12cm
Changed Product Group, Product Sub Group,
Benefit.
WC106
Cotton-Leung Biliary Stent Set
Polyethylene Stent preloaded on an Oasis
Introduction System
Diameter 7 - 11.5 FR, length 5 - 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC108
Geenan Pancreatic Stent Set
Radiopaque Polyethylene Stent with or without
ductal flaps - includes pushing catheter
Diameter 3 - 11.5 FR, Length 2 - 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC122
Cook Central Venous Long Term Catheter
Cook TPN triple lumen catheter set
Fr 8, length 90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC123
Geenen Pancreatic Stent
Straight plastic pancreatic stent with or without
ductal flaps
Diameter 3 - 11.5 FR, length 2 - 20cm
Changed Product Group, Product Sub Group,
Benefit.
WC166
Solus Biliary Stent Set
Double Pigtail with OASIS introducer. Sof-flex
material - with radiopaque bands.
Diameter 10 FR, Length:1 - 15 cm Between
pigtails
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC174
Zilver Biliary Stent System
Self expanding Metal Biliary Stent System
Diameters: 6, 8, 10mm; Lengths: 4, 6,8cm
Changed Product Group, Product Sub Group,
Benefit.
WC185
Percutaneous Endoscopic Gastrostomy (PEG)
System
PEG Enteral Feeding Kit - Push or Pull System
18, 20, 24 FR
Changed Product Group, Product Sub Group,
Benefit.
WC197
Cook Irrigation Catheter
Chait Percutaneous Cecostomy Catheter
10fr, Standard or Extra Long
Changed Product Group, Benefit.
WC199
Cook Gastronomy Tubes
Russell Gastronomy Set
14fr, 17cm
Changed Product Group, Product Sub Group,
Benefit.
WC200
Fusion Zilver Biliary Stent System
Self expanding Metal Biliary Stent with Fusion
Introducer System
Diameters: 6, 8 & 10mm; length: 4, 6 & 8cm
Changed Product Group, Product Sub Group,
Benefit.
WC212
Zimmom Pancreatic Stent
Single pigtail radio-opaque Polyethylene Stent
with or without ductal flaps
Diameter 3 - 7 FR, Length 3 - 18cm
Changed Product Group, Product Sub Group,
Benefit.
WC216
Fanelli Laparoscopic Endobiliary Stent Set
Fanelli stent (double flange white polyehtylene),
tracer Hybrid .035"X150cm Guide (slippery
wire), 8.5 Fr Introducer and Pusher Catheter
(TFE) System with four radiopaque accuracy
markers, two way terminal adapter
7.0 French diameter x 6cm length double flange
stent loaded in an 8.5 fr delivery system.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 54 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
WC228
Tannenbaum Biliary Stent Set preloaded on the
OASIS Introduction System
Plastic Biliary Stent
8.5 - 11.5 Fr, 5 - 15 cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC243
Surgisis Biodesign Anal Fistula Plug
Surgisis Biodesign Anal Fistula Plug is a small
intestine submucosal porcine derived, rolled and
shaped collagen matrix, non cross-linked, that
signals the body and provides support for native
tissue remodeling, healing and closure of anal
fistulas
0.6cm Width Tapering to 0.2cm Width x 9.5cm
Length. Conical Shape
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC245
Surgisis Biodesign Recto-Vaginal Fistula Plug
Small intestine submucous porcine collagen
matrix, non-crosslinked, supports native tissue
remodelling, healing and closure of recto-vaginal
fistulas. Conical shape with attached button.
2mm width x 5.5cm length; 4mm wide tapering
to 2mm wide x 5.5cm length; 7mm wide tapering
to 2mm wide x 5.5 length.
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
WC246
Evolution Oesophageal Metal Stent
Oesophogeal Self Expanding Metal Stent with
controlled release delivery system
8, 10, 12.5 and 15cm Lengths, 25mm flared ends
with 20mm body or 23mm flared ends with
18mm body
Changed Product Group, Product Sub Group,
Benefit.
WC267
Cotton-Leung Biliary Stent Only
Cotton-Leung Biliary Stent Only
6 - 11.5 Fr; Length 3 - 20cm
Changed Product Group, Product Sub Group,
Benefit.
WC268
Evolution Enteral Metal Stent
Enteral Metal Stent
Diameter 22 to 25mm body; 27 to 30mm flanges.
Length: 6 to 12cm
Changed Product Group, Benefit.
WC269
Fusion Marathon Biliary Stent
Biliary Plastic Stent with anti-reflux sleeve
preloaded on the OASIS delivery device
Stent diameter: 10FR; Lengths 5 to 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC270
Zilver Biliary Stent System
Self expanding metal biliary stent system
Diameters 6, 8, 10mm; Lengths 4, 6, 8 cm
Changed Product Group, Product Sub Group,
Benefit.
WC271
Geenen Pancreatic Stent
Straight plastic pancreatic stent with or without
ductal flaps
Diameter 3 - 10 Fr; length 2 - 15cm
Changed Product Group, Product Sub Group,
Benefit.
Microembolisation Coils - Platinum
011/018 2-20mm diameter, 2 - 50cm length
Changed Product Group, Benefit.
4 - Neurosurgical
WC061
Detachable Coil System
5 - Urogenital
WC002
Sof-Flex Multi-length Ureteric Stent Set
Set includes Stent, Wire, Positioner
Multiple French Sizes, Multi-length
Changed Product Group, Product Sub Group,
Benefit.
WC003
Sof-Flex Multi-length Ureteric Stent Set
Stent and Positioner only
Multiple French Sizes, Multi-length
Changed Product Group, Product Sub Group,
Benefit.
WC018
C-Flex Endoureteratomy Stent Set
C-Flex Endoureteratomy Stent Set
6.0/10.0 Fr, & 7.0/14.0 Fr, Multiple Length
Changed Description, Product Group, Product
Sub Group, Benefit.
WC020
Towers Peripheral Ureteral Stent Set
Towers Peripheral Ureteral Stent Set
Multiple French Sizes Multi-length
Changed Description, Product Group, Product
Sub Group, Benefit.
WC022
C-Flex Double Pigtail Ureteric Stent Set
Set includes: Stent, Wire, Positioner
Multiple French Sizes, Multi-length
Changed Product Group, Product Sub Group,
Benefit.
WC023
Greene Renal Transplant Stent Set
Transplant stent set
Multiple French Sizes, Multi-length
Changed Product Group, Product Sub Group,
Benefit.
WC024
Ultrathane Endoureteratomy Stent Set
Ultrathane Endoureteratomy Stent Set
6/9.5 Fr & 7/14.0Fr , Multiple Length
Changed Description, Product Group, Product
Sub Group, Benefit.
WC027
Polyurethane Double Pigtail Stent Set
Polyurethane Double Pigtail Stent Set
Multiple French Sizes and Lengths
Changed Description, Product Group, Product
Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 55 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
WC031
Bander Ureteral Diversion Stent Set
Left or right stent
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC035
Ureteric Stent Set
Set includes Aqueous Coated (AQ) firm
multilength ureteric stent, positioner, with or
without wire guide
Multiple French Sizes, Multi-Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC104
Cook Ureteral Stent - Sof-Flex Double Pigtail
Stent Set - Special
Radiopaque Sof-Flex Stent, Stainless Steel Wire
Guide, Radiopaque Polyurethane Catheter and
Radiolucent Vinyl Positioner
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC126
Firlit-Kluge Uretheral Stent
Firlit-Kluge uretheral stent
Multiple French Sizes, Length 30cm
Changed Product Group, Product Sub Group,
Benefit.
WC128
Bander Ureteral Diversion Stent Set
Left and Right Stents
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC130
Ureteric Stent Set
Set includes Aqueous Coated (AQ) firm fixed
length ureteric stent, positioner, with or without
wire guide
Multiple French Sizes, and Lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC131
Endo-sof double pigtail stent Set with AQ
Hydrophilic Coating and Sideholes
Endo-sof double pigtail stent Set with AQ
Hydrophilic Coating and Sideholes
Multiple French Sizes and Lengths
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
WC136
Kaontz Urethral Stent
Kaontz Urethral Stent
Multiple French Sizes, Length 12cm
Changed Product Group, Product Sub Group,
Benefit.
WC137
Pediatric Urethral C-Stent
Pediatric Urethral C-Stent
Multiple French Sizes, Length 15cm
Changed Product Group, Product Sub Group,
Benefit.
WC138
Filiform Double Pugtail Silicone Stent Set
Stent, Wire, Positioner
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC140
Filiform Multi-Length Silicone Stent Set
Stent, Wire, Positioner
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC147
Kwart Retro-Inject Stent Set
Stent, Wire, Inserter, Release Sleeve
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC149
Sof-Flex Double Pigtail Ureteric Stent Set
Stent and Positioner only
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC150
Sof-Flex Double Pigtail Ureteric Stent Set
Set includes: Stent, Wire, Positioner
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC162
Tarkington Urethral Stent Set
Stent, Wire
8 Fr
Changed Product Group, Product Sub Group,
Benefit.
WC169
Universa Firm
Universa Firm Multi-length stent set
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC170
Universa Firm
Universa Firm Double Pigtail Stent and
Positioner only
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC171
Universa Firm
Universa Firm Multi-length Stent and Positioner
only
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC172
Universa Firm
Universa Firm Double Pigtail Stent Set
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WC214
Cook Ureteral Stents
Amplatz Ureteral Stent Set, Ultrathane RB
Design Radioplaque Band and AQ Hydrophilic
Coating Set includes one stent positioner with
flexible stent introducer catheter
8.5Fr - 12,20,22,24,26,28cm and 10.2Fr 22,24,26,28cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 56 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
WC217
Sof-Flex Multilength Ureteric Stent Set
Set includes: Paediatric Stent, Wire, Positioner
3 Fr, Multiple Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC218
C-Flex Multilength Ureteric Stent Set
Set includes: Paediatric Stent, Wire, Positioner
3.7 Fr, Multiple Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC219
C-Flex Double Pigtail Ureteric Stent Set
Set includes: Paediatric Stent, Wire and Positioner
3.7 Fr, Multilple Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC220
Sof-Flex Double Pigtail Ureteric Stent Set
Set includes: Paediatric Stent, Wire, Positioner
3 Fr, Multiple Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC226
RESONANCE Metallic Ureteral Stent Set
Metallic Double Pigtail Stent
6 Fr, Multiple Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC236
Paterson-Forrester Subcutaneous Urinary
Diversion Stent
Subcutaneous Urinary Diversion Stent
Stent 8.5 French, 65cm long
Changed Product Group, Product Sub Group,
Benefit.
WC237
Radiance Ureteric Stent Set
Synthetic Thermosensitive Ureteral Stent Set with
Heparin Coating
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC253
Surgisis Biodesign 4-layer Tissue Graft
Surgisis Biodesign Posterior Pelvic Floor Graft
14cm x 16cm Site Specific Shape
Changed Product Group, Product Sub Group,
Benefit.
WC254
Surgisis Biodesign 4-layer Tissue Graft
Surgisis Biodesign Anterior Pelvic Floor Graft
14cm x 14cm / 7cm x 10 cm (shaped) 9cm x
12cm (Trapezoide)
Changed Size, Product Group, Product Sub
Group, Benefit.
WC272
Ureteric Stent Set
Set includes soft Aqueous Coated (AQ) ureteric
stent, positioner, with or without wire guide
Multiple French Sizes, multi-length
Changed Product Group, Product Sub Group,
Benefit.
WC273
Ureteric Stent Set
Set includes soft Aqueous Coated (AQ) ureteric
stent, positioner, with or without wire guide
Multiple French Sizes and Lengths
Changed Product Group, Product Sub Group,
Benefit.
WC281
Universa Soft Ureteral Stent Set
Universa Soft Ureteral Stent Set, with or without
the TFE WireGuide, fixed length
5, 6, 7 and 8FR in fixed lengths (18 - 30CM)
Changed Product Group, Product Sub Group,
Benefit.
WC282
Universa Soft Ureteral Stent Set
Universa Soft Ureteral Stent Set, with or without
the TFE WireGuide, multi-length
5, 6, 7 and 8FR in multi-length (21-31CM)
Changed Product Group, Product Sub Group,
Benefit.
The Cook-Swartz Implantable Doppler Flow
Probe is an implantable 20MHz Probe with
epoxy-coated Crystal and patented Silicone Cuff
which provides continuous direct vessel
monitoring of microvascular anastomoses. A
30cm wire with external Retention Tabs is
attached to the 1mm diameter Crystal.
Cuff Lengths: 17.4 and 32mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
Nester Platinum
Recommended catheter ID and end hole
diameter: 0.018 and 0.035 inch, Coiled embolus
diameters: 2mm to 20mm, Extended embolus
lengths: 30 to 200mm
Changed Size.
Ventilation tube - Silicone - T-tube, T-tube
grommet
1.1mm; 1.27mm lumen
Changed Product Group, Product Sub Group,
Suffix, Benefit.
7 - Plastic and Reconstructive
WC264
SYSTEM- Doppler Blood Flow Monitoring
System. COMPONENT - Cook-Swartz
Implantable Doppler Flow Probe
Vascular CAG
WC173
Cook Embolisation Coils
CoreMed Pty Ptd
2 - Ear, Nose & Throat
RC002
Ventilation tube
Changed Items for Prostheses List Report
Page 57 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
RC003
Ventilation Tubes - Collar Button
Teflon, w/o wire
1.10mm, 1.25mm, 1.50mm lumen
Changed Product Group, Product Sub Group,
Suffix, Benefit.
RC004
Ventilation Tubes - Collar Button
Teflon w/wire, and titanium w/o wire
0.76mm, 1.00mm, 1.25mm, 1.50mm lumen
Changed Product Group, Product Sub Group,
Suffix, Benefit.
RC005
Ventilation Tubes - Collar Button
Titanium w wire
1.00mm, 1.25mm, 1.50mm lumen
Changed Product Group, Product Sub Group,
Suffix, Benefit.
RC006
Ventilation Tubes - Shepherd
Teflon, w or w/o wire
1.15mm lumen
Changed Product Group, Product Sub Group,
Suffix, Benefit.
RC007
Ventilation Tubes - Shepherd
Titanium, w/o wire
1.00mm, 1.25mm lumen
Changed Product Group, Product Sub Group,
Suffix, Benefit.
RC008
Ventilation Tubes - Shepherd
Titanium with wire
1.00mm, 1.25mm lumen
Changed Product Group, Product Sub Group,
Suffix, Benefit.
RC009
Ventilation Tubes - Silicone
Armstrong Grommet, Donaldson w & w/o Tab,
Paparella 1 and Paparella 2 (1.5mm)
1.1mm & 1.5mm lumen
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Corin Australia Pty Ltd
11 - Hip
CR041
Canal Occluder
Cement plug, UHMWPE, multi-layered
08/10mm, 12/14mm, 16/18mm,20/22mm and
universal.
Changed Product Name, Description, Size,
Product Group.
CR116
Femoral Shaft Locking Screw
Titanium femoral locking screw
4.5 and 6.5 diameters, 13 lengths in 5 mm
increments
Changed Product Name, Description, Size.
Woven polyester prosthetic ligaments
60,80,100,120,160 & Y shaped fibres
Changed Product Name.
6 - Specialist Orthopaedic
CR032
LARS Ligament Augmentation Reconstruction
System
Cosuda Pty Ltd
3 - General Miscellaneous
CU001
BeeLINE MotIV Infusion Pump (275ml)
External infusion pump, spring powered, fixed
flow rate, 275ml set: set includes reservoir,
introducer needle, tubing set, priming/flushing
syringes, saturation catheter, dressing, syringes.
30min - 7 day infusion
275ml infuser reservoir = 19cm (7.5") x 7cm
(2.8")
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CU002
BeeLINE MotIV Infusion Pump (100ml)
External infusion pump, spring powered, fixed
flow rate, 100ml set: set includes reservoir,
introducer needle, tubing set, priming/flushing
syringes, saturation catheter, dressing, syringes.
30min - 7 day infusion
100ml infusor reservoir = 13cm (5.1") x 7cm
(2.8")
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Covidien Pty Ltd
3 - General Miscellaneous
AS052
Chemosite Implantable Venous Access System
Port - Single Lumen (ChemoSite*)
7-9 french; 10.5 french.
Changed Product Group, Product Sub Group,
Benefit.
AS068
Surgipro Non Absorbable Polypropylene Hernia
Mate Plug System
Polypropylene
Medium and Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 58 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
AS124
Parietene-Monofilament Polypropylene mesh
Parietene-Monofilament Polypropylene mesh
Plug and Patch
06 x 12 cm
Changed Product Group, Product Sub Group,
Benefit.
AS130
Parietex-Multifilament Polyester Mesh
Parietex-Multifilament Polyester Mesh Plug
6 cm, 8 cm
Changed Product Group, Product Sub Group,
Benefit.
AS163
Vacuseal Vascular Sealant System
5ml Polymer Kit, Sterile, Single-use
1 kit/box
Changed Product Group, Product Sub Group,
Suffix, Benefit.
AS178
SprayShield Adhesion Barrier System
Polymer Kit with Air Assisted Sprayer, Singleuse.
10ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
4 - Neurosurgical
AS180
Duraseal Dural Sealant
DuraSeal is a Synthetic, absorbable, Polyethylene
Glycon, hydrogel sealant used as an adjunct to
sutured dural repair to achieve watertight closure.
5ml of hydrogel sealant
Changed Product Group, Benefit.
AS181
DuraSeal Xact Spinal Dural Sealant
Xact Dural Sealant for spine )Packaged in sterile
single use disposable tray with MicroMyst
Applicator & precurser syringes)
2ml vial
Changed Product Group, Benefit.
IVS Tunneller System Trans Obuturator with two
stylets and polypropylene mesh
50 cm (mesh)
Changed Product Group, Product Sub Group,
Benefit.
5 - Urogenital
AS120
IVS Tunneller-Intravaginal Tunneller System
General Miscellaneous
AS158
ABSORBATACK ™
Larposcopic Absorbable Fixation Device
5mm, 15 tacks
Changed Size.
AS160
ABSORBATACK ™
Laparoscopic Absorbable Fixation Device
5mm, 30 tacks
Changed Size.
Culpan Medical Pty
4 - Neurosurgical
CB001
Compass Coil
Compass 3D framing and filling coil
Diam: 2-20mm
Length: 3-60cm
Changed Product Name, Description, Size,
Product Group, Benefit.
CB002
HydroFrame Coil
Hydroframe hydrogel 3D framing and filling coil,
progressively sized loops.
Diam: 2-24mm
Length: 2-50cm
Changed Product Name, Description, Size,
Product Group, Benefit.
CB003
Cosmos Coil
Cosmos 3D framing and filling coil,
progressively sized loops.
Diam: 2-24mm
Length: 2-68cm
Changed Product Name, Description, Size,
Product Group, Benefit.
CB004
Hydrosoft Coil
HydroSoft is a hydrogel-based platimum coil
with an inner hydrogel core.
Diam: 1-10mm
Length: 1-30cm
Changed Product Name, Size, Product Group,
Benefit.
CB005
Hydrocoil 14
HES Helical Hydrocoil 14
Diam: 2-10mm
Length: 3-20cm
Changed Product Name, Description, Size,
Product Group, Suffix, Benefit.
CB006
Hydrocoil 10
HES Helical Hydrocoil 10
Diam: 2-6mm
Length: 2-10cm
Changed Product Name, Description, Size,
Product Group, Suffix, Benefit.
CB007
Complex Coils
Complex 3D framing and filling coils
Diam: 2-20mm
Length: 4-50cm
Changed Product Name, Description, Size,
Product Group, Benefit.
CB008
Hydrocoil 18
HES Helical Hydrocoil 18
Diam: 6-20mm
Length: 10-20cm
Changed Product Name, Description, Size,
Product Group, Suffix, Benefit.
CB009
Hypersoft Coils
Hypersoft softer helical finishing coil
Diam: 1-6mm
Length: 1-8cm
Changed Product Name, Description, Size,
Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 59 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
Denward Dell Pty Ltd TA Surimex
10 - Vascular
DW003
Jet Port Plus Set - Vascular Access Port
Implantable injection / infusion port system: port
chamber with silicone membrane; connectable
polyurethane catheter; and introducer kit.
Port: Diameter: 28.0mm, Height: 12.3mm;
Catheter: 6.6 French, Length: 750mm
Changed Product Group, Product Sub Group,
Benefit.
DW004
Jet Port Plus Low Profile Peripheral Set Vascular Access Port
Implantable injection / infusion port system: low
profile port chamber with silicone membrane;
connectable polyurethane catheter; and introducer
kit
Port: Length: 24.0mm, Width: 20.5mm, Height:
10.3mm Catheter: 6.6 French, Length: 750mm
Changed Product Group, Product Sub Group,
Benefit.
DW006
T-Port Contrast set - Vascular access port.
Injection infusion port system: titanium port
chamber with silicone membrane: connectable
polyurethane catheter; introducer kit.
6163653077: Port Base 27mm x 13mm, CD 1.3
x 2.2mm, CL 75cm. 6163652087: PB 27mm x
13mm, CD 1.6 x 2.6mm, CL 75cm. 6163663077:
PB 23mm x 10mm, CD 1.3 x 2.2mm, CL
75cm.6163662087: PB 23mm x 10mm, CD 1.6 x
2.6mm, CL 75cm.
Changed Product Group, Product Sub Group,
Benefit.
DW007
pfm Contrast Port
High pressure injection port system: plastic or
plastic/titanium port with silicone mebrane;
connectable polyurethane catheter; introducer kit
Port: length 32.1mm, width 23.6mm, height
13.2mm. Catheter: 6.6 or 8.4 French, length
750mm
Changed Product Group, Product Sub Group,
Benefit.
8 - Cardiac
DW001
Nit-Occlud PDA Occlusion System
Nitinol spiral coil and delivery system for
transcatheter occlusion of PDA
Distal x Proximal Coil Diameter: 4x4mm,
5x4mm, 6x5mm, 10x6mm, 12x6mm, 14x6mm;
Introducer Sheath: 4F, 5F; Length Introducer:
85cm, 105cm; Coil Length configurated +0.5mm: 3.5mm, 6.0mm, 6.5mm
Changed Product Group, Product Sub Group,
Benefit.
DW002
Nit-Occlud PDA Occlusion System (Medium)
Nitinol spiral coil and delivery system for
transcatheter occlusion of PDA
Distal x Proximal Coil Diameter: 7 x 6mm, 9 x
6mm, 11 x 6mm, 12 x 6mm, 14 x 6mm;
Introducer Sheath: 5F; Length Introducer: 85cm,
105cm; Coil Length configurated +-0.5mm: 4.5;
5.0; 6.0
Changed Product Group, Product Sub Group,
Benefit.
Designed to control severe presacral bleeding
during pelvic surgery.
Two sizes: 10mm and 14mm
Changed Product Group, Benefit.
Plyvinyl Alcohol hydrogel microspheres in preloaded syringe
2ml- (100 - 300, 300 - 500, 500 - 700, 700 - 900,
900 - 1200 microns
Changed Product Group, Product Sub Group,
Benefit.
Design for Vision Pty Ltd
3 - General Miscellaneous
DV024
Haemorrhage Occluder Pin with applicator
Device Technologies Australia Pty Ltd
10 - Vascular
DE294
Bead Block
3 - General Miscellaneous
DE275
DC Bead
Drug delivery embolisation system
100-300, 300-500, 500-700, 700-900 (microns)
Changed Product Group, Product Sub Group,
Benefit.
DE296
Pull PEG System
Initial placement percutaneous endoscopic
gastrostomy kit
20Fr; 60cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 60 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
5 - Urogenital
DE283
Desara Urogenital Sling
Sling for Female Stress Urinary Incontinence and
Vaginal Vault Prolapse
1.1cm x 4.5cm
Changed Product Group, Product Sub Group,
Benefit.
DE300
Ascend Pelvic Floor Repair System
Ascend AC: Anterior Compartment Mesh for
Vaginal Vault Prolapse. Ascend PC: Posterior
Compartment Mesh for Vaginal Vault Prolapse
Width: 5.7 - 8.7 cm, Length 10 - 13 cm.
Changed Product Group, Product Sub Group,
Benefit.
DE313
Inflatable Periurethral Constrictor
Consists of a membrane, filler product and
silicone tube
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DE314
Malleable Penile Implant
Consists of a membrane, filler product and
silicone tube
14-23cm
Changed Product Group, Product Sub Group,
Benefit.
DE324
Testicular Implant
Silicone with holes for fixation 3230
5-38cc
Changed Product Group, Benefit.
6 - Specialist Orthopaedic
DE055
Stainless Steel Square Wedge Tibial Osteotomy
Plate
Steel Square Wedge Tibial Osteotomy Plate with
4 non locking holes
3mm - 17.5mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
DE071
Arthrex Spiked Washer
Titanium alloy
14 - 15mm
Changed Product Group, Product Sub Group,
Benefit.
DE078
Osteotomy Plates
Osteotomy, Femoral - Stainless Steel
7.5mm - 17.5 mm
Changed Product Group, Product Sub Group,
Benefit.
DE094
Anterior Posterior Sloped Stainless Steel Tibial
Osteotomy Plate
Anterior Posterior Sloped Stainless Steel Tibial
Osteotomy Plate with 4 non locking holes
5 - 15mm length
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
DE163
Bio-Post & Washers
PLLA composition
Implant 35mm - 50mm, Washers 16mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DE214
Cortical Screw
Titanium
10-24mm x 2.3mm
Changed Product Group, Product Sub Group,
Benefit.
DE215
Titanium Metatarsal Opening Wedge Osteotomy
Plate
Titanium Metatarsal Opening Wedge Osteotomy
Plate with 4 non locking holes and square wedge
2mm - 8mm
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
DE216
Titanium Anterior Posterior Sloped Tibial
Osteotomy Plate
Titanium Anterior Posterior Sloped Tibial
Osteotomy Plate with 4 variable angle locking
holes and 6 variable angle locking holes
0-17.5mm
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
DE217
Titanium Femoral Osteotomy Plate
Titanium Femoral Osteotomy Plate with 7
Variable Angle Locking Holes
5mm - 17.5mm
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
DE272
Bio-Compression Screw System
Fixation Device
16mm, 18mm, 20mm, 22mm, 24mm, 26mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DE285
Titanium Lapidus Arthrodesis Plate
Titanium Lapidus Arthrodesis Plate with 3
locking holes and 1 compresion slot
One size only
Changed Product Name, Description, Product
Group, Product Sub Group, Benefit.
DE290
Titanium H Plate with or without Wedge
Titanium H Plate with or without wedge with 4
holes containing 2 locking and 2 non locking.
Left and right side specific
Plates, Flat - 38mm x 16mm, left,large, 38mm x
16mm, right,large, 34mm x 16mm, left, medium,
34mm x 16mm, right, medium, 28mm x 16mm
left,
small, 28mm x 16mm,
right,small
Plates, Wedge 38mm x 16mm, 10mm wedge, left, 3
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
7 - Plastic and Reconstructive
Changed Items for Prostheses List Report
Page 61 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DE316
Calf Implants
Asymmetrical shape, silicone gel smooth surface
85-180cc
Changed Product Group, Product Sub Group,
Benefit.
DE320
Facial Implant Chin
Anotomical chin
Small, medium, large/left, right
Changed Product Group, Product Sub Group,
Benefit.
DE321
Facial Implant Chin
Chin
Small, medium, large/left, right
Changed Product Group, Product Sub Group,
Benefit.
DE322
Facial Implant Nasal
Zygomatic
Right, left
Changed Product Group, Product Sub Group,
Benefit.
DE325
Calf Implants
Symmetrical shape, silicone gel
12-140cc
Changed Product Group, Product Sub Group,
Benefit.
DE327
Gluteal Implants filled with Gel
Oval Shape, Silicone Gel, Textured Surface
200-400cc
Changed Product Group, Product Sub Group,
Benefit.
DE328
Gluteal Implants filled with Gel
Round Shape, Silicone Gel, Smooth Surface
200-300cc
Changed Product Group, Product Sub Group,
Benefit.
DE333
Facial Implant Malar
Malar Anatomical
Small, medium, large/left or right
Changed Product Group, Product Sub Group,
Benefit.
DE334
Pectoral Implants
Gel - Smooth surface
190cc - 300cc
Changed Product Group, Product Sub Group,
Benefit.
DE335
Silimed Tissue Expander
Double chamber, textured, magnetic, with suture
tabs. Catalogue number: 20799
470mm-780mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DE336
Silimed Tissue Expander
various shapes, textured, magnetic port
150ml-1000ml
Changed Product Group, Product Sub Group,
Benefit.
DE337
Silimed Tissue Expander
Anatomical superior-pole/inferior-pole shape,
textured, magnetic
200ml-840ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DE338
Silimed Anatomical Textured Mammary Implant
Anatomical shape, textured surface, silicone gel
filled mammary implant
115cc to 600cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DE340
Silimed Polyurethane Breast Implant
Polyurethane coated silicone gel breast implant
40cc to 695cc
Changed Product Group, Product Sub Group,
Benefit.
DE341
Silimed Anatomical Polyurethane Breast Implant
Polyurethane coated silicone gel breast implant
115cc to 640cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Edwards Lifesciences Pty Ltd
9 - Cardiothoracic
EL028
Baxter Sterile Grafts, Implants & Prostheses, NonAnimal Origin Annuloplasty: Ring-Mitral Ring
with Holder; Mitral Cosgrove-Edwards
Annuloplasty System Model 4600; Classic
Annuloplasty Ring-Tricuspid
Carpentier-Edwards Classic Annuloplasty Ring.
Composition: Titanium Alloy; Silicone Rubber;
Polyester Fabric Carpentier-Edwards Physio
Annuloplasty Ring. Composition: Elgiloy Bands;
Polyester Film Strips; Silicone Rubber; Polyester
Cloth, Cosgrove-Edwards
24mm-40mm
Changed Description, Product Group, Product
Sub Group, Benefit.
EL030
CE Supra Annular Aortic Valve Model 2650
Carpentier-Edwards S.A.V Bioprosthesis Model
6650 Mitral Valve
Carpentier-Edwards SAV Bioprosthesis.
Composition: Porcine Valve; Elgiloy Alloy;
Silicone Rubber, Polytetrafluoroethylene
19mm-33mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EL031
Carpentier-Edwards Perimount Pericardial
Bioprosthesis - Models 2900/6900 CarpentierEdwards Perimount Plus Pericardial
Bioprosthesis Mitral - Model 6900P
Carpentier-Edwards Pericardial Bioprosthesis.
Composition: Bovine Pericardium; Elgiloy Alloy;
Silicone Rubber, Polytetrafluoroethylene
Models 2900/6900 19-33mm, Model 6900P 25,
27, 29, 31, 33mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 62 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
EL032
Baxter Edwards Prima Plus Stentless
Bioprosthesis Model 2500P Prosthetic Heart
Valve
Edwards Prima Plus. Porcine Valve; Woven
Polyester Cloth.
19mm-29mm
Changed Product Group, Suffix, Benefit.
EL033
Baxter Augmentation / Substitution Material,
Human or Animal Origin, Sterile Pericardial
Patch.
Edwards Pericardial Patch. Bovine Pericardium.
10cm x 16cm
Changed Product Group, Product Sub Group,
Benefit.
EL039
Edwards Perimount Magna Model 3000
Carpentier-Edwards Perimount Magna
composition: Glutaraldehyde treated bovine
pericardium/elgiloy wireform stent/polyester
band/silicone rubber suture
ring/polytetrafluoroethylene cloth/polyester cloth.
19MM Aortic Pericardial Tissue Valve; 21MM
Aortic Pericardial Tissue Valve; 23MM Aortic
Pericardial Tissue Valve; 25MM Aortic
Pericardial Tissue Valve; 27MM Aortic
Pericardial Tissue Valve; 29MM Aortic
Pericardial Tissue Valve
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EL049
McCarthy-Edwards IMR Etlogix Annuloplasty
Ring (Model: 4100)
Rigid mitral annuloplasty ring with an assymetric
design
24mm, 26mm, 28mm, 30mm, 32mm, 34mm,
36mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
EL050
Edwards MC3 Tricuspid Ring Annuloplalsty
System (Model: 4900)
3D rigid annuloplasty ring with a tricuspid
specific design
26mm, 28mm, 30mm, 32mm, 34mm, 36mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
EL056
Carpentier-Edwards PERIMOUNT Magna Mitral
Bioprosthesis (Model: 7000TFX)
Stented Bovine Pericardial Mitral Tissue Valve
with a reduced profile height and assymetric
sewing band design
25mm, 27mm, 29mm, 31mm, 33mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
EL057
Geoform
Geoform annuloplasty ring Model 4200 with
Holder
26, 28, 30 and 32mm
Changed Product Group, Product Sub Group,
Benefit.
EL058
Carpentier-Edwards PERIMOUNT Magna Ease
Aortic Bioprosthesis (Model: 3300TFX)
Stented Bovine Pericardial Aortic Tissue Valve
with a reduced profile height
19mm, 21mm, 23mm, 25mm, 27mm and 29mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
EL059
Carpentier-Edwards PHYSIO ll Mitral
Annuloplasty Ring
PHYSIO II is a semi rigid mitral annuloplasty
ring, with an improved saddle shape and global
disease based design
24, 26, 28, 30, 32, 34, 36, 38, 40mm
Changed Product Group, Product Sub Group,
Benefit.
Emergo Asia Pacific Pty Ltd
13 - Spinal
ER010
Denali Spinal System / Offset Fixation Connector
Offset connector for linking rods
Varied
Changed Product Group, Product Sub Group,
Benefit.
ER011
Denali Spinal System / In-Line Fixation
Connector
In-line connector for linking rods
Varied
Changed Product Group, Product Sub Group,
Benefit.
ER012
Denali Spinal System / Closed Hook
Thoracic and Lumbar Closed Hooks
Various blade and throat sizes
Changed Product Group, Product Sub Group,
Benefit.
ER013
Denali Spinal System / Open Hook
Thoracic and Lumbar Open Hooks
Various blade and throat sizes
Changed Product Group, Product Sub Group,
Benefit.
ER014
Denali Spinal System / Polyaxial Pedicle Screw
Polyaxial Pedicle Screw
Diameter: 4.5, 5.5, 6.5, 7.5, 8.5mm and Length:
25,30,35,40,45,50,55,60,65mm
Changed Product Group, Product Sub Group,
Benefit.
ER015
Denali Spinal System / ATR Set Screw
Set Screw
8mm diameter and 4mm height
Changed Product Group, Suffix, Benefit.
ER016
Pyrenees Cervical Plate System / bone Screw
Self-drilling, self-tapping and bone reduction
screws for fixating the Pyrenees plate to bone
Diameter: 4.0, 4.35 and 4.5mm. Length:
10,12,14 and 16mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ER017
Mesa Spinal System / Polyaxial Pedicle Screw
Polyaxial Pedicle Screw
4.5, 5.5, 6.5, 7.5, 8.5mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 63 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ER018
Mesa Spinal System / Rod
Straight and contoured 5.5mm diameter rods
Straight: 30mm - 500mm and Contoured:
35mm - 150mm
Changed Product Group, Product Sub Group,
Benefit.
ER019
Mesa Spinal System / Natural Bridge Transverse
Connector
Transverse Connector
Mini: 14mm-22mm, Small: 38mm-43mm,
Medium: 43mm-53mm, Large: 53mm-73mm, XLarge: 73mm-93mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ER020
Aleutian AN PLIF
An insert-and-rotate posterior lumbar interbody
spacer designed to stabilise and maintain the
intervertebral space
22mm and 28mm long, 8.5mm wide in a range of
heights from 6mm to 17mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ER021
Aleutian ALIF
An anterior lumbar interbody spacer designed to
stabilise and maintain the intervertebral space
24mm Long, 30mm wide; 28mm Long, 36mm
wide; 18mm Long, 45mm, 50mm, 55mm, 60mm
wide; 22mm Long, 45mm, 50mm, 55mm, 60mm
wide;
in a range of heights from 8mm to 21mm
Changed Size, Product Group, Product Sub
Group, Benefit.
ER022
Aleutian TLIF
A tranforaminal posterior lumbar interbody
spacer designed to stabilise and maintain the
intervertabral space
27mm Long, 10mm wide; 24mm Long, 8.5mm
wide; 28mm Long 8.5mm wide; 32mm Long
8.5mm wide; in a range of heights from 7mm to
17mm and angles of 6, 12 & 18 degree lordosis
Changed Size, Product Group, Product Sub
Group, Benefit.
ER023
Cayman Thoracolumbar Plate System / Bone
Screw
Self tapping screw that lags plate to bone and
forms an autogenic lock with plate. Available in
two diameters and a variety of lengths
Length: 20mm to 54mm Diameter: 6mm and
7mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ER024
Cayman Thoracolumbar Plate System / Plate
A thoracolumbar plate system consisting of plates
of various lengths and sizes and a range of
fixation screws
22mm to 109mm
Changed Product Group, Product Sub Group,
Benefit.
ER025
Denali cannulated polyaxial screw
Cannulated polyaxial pedicle screw
Diameter: 5.5mm, 6.5mm and 7.5mm Length:
35 to 55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ER026
Capsian OCT Spinal System - Mini Mesa
Polyaxial Screw
cervico-thoracic posterior rigid fixation system
Diameter: 3.5mm and 4.0mm screws Length:
10mm - 20mm (2mm increments) 25mm 50mm (5mm increments)
Changed Product Group, Product Sub Group,
Benefit.
ER027
Caspian OCT Spinal System - Rod
cervico-thoracic posterior rigid fixation system Rod
Diameter: 3.5mm Length: 1.80mm - 240mm
Changed Product Group, Product Sub Group,
Benefit.
ER028
Caspian OCT Spinal System - Hook
cervico-thoracic posterior rigid fixation system
3.5mm Posterior Cervical hook
Changed Product Group, Product Sub Group,
Benefit.
ER029
Caspian OCT Spinal System - Set Screw
cervico-thoracic posterior rigid fixation system
one size only
Changed Product Group, Suffix, Benefit.
ER030
Pyrenees Cervical Plate
1 and 2 level cervical plate
18mm to 54mm
Changed Product Group, Product Sub Group,
Benefit.
ER031
Pyrenees Cervical Plate
3, 4 and 5 level cervical plate
57mm to 110mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ER032
ARI Anterior Staple System - Staple
A non-cervical anterolateral thoracolumbar screw
stabilization as an adjunct to fusion.
Single Hole Design and Dual Hole Design:
13mm, Left & Right; 16mm, Left & Right;
18mm, Left & Right.
Changed Product Group, Product Sub Group,
Benefit.
ER033
ARI Anterior Staple System - Washer
The ARI Anterior Staple System - washer
One size only
Changed Product Group, Product Sub Group,
Benefit.
ER034
Caspian OC Plate
Occipital Plate for posterior
occipital/cervical/thoracic fixation
40mm & 50mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 64 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ER035
The Caspian OC screw is used to fixate the
Caspian OC plate to the occiput
4.5mm diameter. 6-16mm length in 1mm
increments 5.25mm diameter. 6-16mm length in
1mm increments
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
Caspian OC screw
4 - Neurosurgical
ER005
Nevro Spinal Cord Stimulation System (SCSS) IPG Kit
The Implantable Pulse Generator (IPG) is a
rechargeable implantable device. It is capable of
stimulating the spinal cord nerves through the
electrodes of the leads connected to any
combination of the output terminals, using one
programmable current source.
N/A
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ER006
Nevro Spinal Cord Stimulation System (SCSS) Lead Kit
The percutaneous lead is intended to be single
use and interfaces with the Implantable Pulse
Generator, lead extender OR cable, and lead
accessories.
Spacing: 1-9mm spacing, 1-9mm in 1mm
increments; Length: 30-90cm in 5cm increments
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ER007
Nevro Spinal Cord Stimulation System (SCSS) Lead Extension Kit
The lead extender is intended to be used when the
implant site for the Implantable Pulse Generator
is too far from the stimulation site to directly
connect the stimulation lead.
Length: 15cm-60cm, in increments of 5cm
Changed Product Group, Benefit.
ER008
Nevro Spinal Cord Stimulation System (SCSS) Charger Kit
The Charger is a battery powered rechargeable
device intended to recharge the Implantable Pulse
Generator (IPG) battery transcutaneously
N/A
Changed Description, Product Group, Product
Sub Group, Benefit.
ER009
Nevro Spinal Cord Stimulation System (SCSS) Patient Remote Kit
The patient remote control is a handheld, battery
operated unit able to communicate via
radiofrequency (RF) with the Implantable Pulse
Generator and trial stimulator
N/A
Changed Product Group, Product Sub Group,
Benefit.
Endocorp Pty Ltd
2 - Ear, Nose & Throat
EC018
Exmoor Plastics Ear Vent Drains - Reuter
Bobbin
Without hole, teflon
1.14 mm lumen dia x 2.54 mm inner flange dia x
2.54 mm outer flange dia x 0.76 inter flange.
1.52mm total length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EC019
Exmoor Plastics Ear Vent Drains - Collar Button
Teflon
1.14 mm lumen dia x 2.24 mm inner flange dia x
2.24 mm outer flange dia x 1.27 inter flange. 1.78
mm total length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EC020
Exmoor Plastics Ear Vent Drains - Collar Button
Teflon
1.14 mm lumen dia x 3.0 mm inner flange dia x
3.0 mm outer flange dia x 1.27 inter flange. 1.78
mm total length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EC021
Exmoor Plastics Ear Vent Drains - Collar Button
Teflon
1.4 mm lumen dia x 2.55 mm inner flange dia x
2.55 mm outer flange dia x 0.85 inter flange. 1.35
mm total length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EC022
Exmoor Plastics Ear Vent Drains - Collar Button
Teflon
1.75 mm lumen dia x 2.85 mm inner flange dia x
2.85 mm outer flange dia x 0.95 inter flange. 1.46
mm total length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EC024
Exmoor Plastics Ear Vent Drains - Shepards Drain
Teflon Shephards Drain
1.14 mm lumen dia x 2.36 mm inner flange dia x
2.36 mm outer flange dia x 1.42 inter flange. 2.41
mm total length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 65 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
EC026
Exmoor Plastics Ear Vent Drains - Teflon
Shephards Drain with wire grasping feature
Teflon Shephards Drain with wire
0.97 mm lumen dia x 2.08 mm inner flange dia x
2.08 mm outer flange dia x 1.42 inter flange. 2.41
mm total length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EC031
Exmoor Plastics Ear Vent Drains - Donaldson
Grommet
With tab, silicone rubber
1.1 mm lumen dia x 2.25 mm inner flange dia x
2.25 mm outer flange dia x 0.76 inter flange. 2.25
mm total length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Endotherapeutics Pty Ltd
10 - Vascular
ET006
Embospheres
-
2ml per implant
Changed Product Group, Product Sub Group,
Benefit.
ET007
Embospheres
-
1ml per implant
Changed Product Group, Product Sub Group,
Benefit.
ET008
Embospheres
-
.5ml per implant
Changed Product Group, Product Sub Group,
Benefit.
ET037
SX-Ella Endovascular Stent
Uncovered, self-expanding nitinol stent
Dia 6-16mm, length 22-77mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ET052
Hepasphere
Expanding microspheres designed for chemic0embolisation with chemotherapeutic agents such
as Ethiodil, Cisplatin, Epirubicin, Mitomycin, etc.
50 - 200 microns
Changed Product Group, Product Sub Group,
Benefit.
2 - Ear, Nose & Throat
ET031
Serenocem Cement
Reaction bonded polymer composite formed by
the neutralisation gelletation of a basic inorganic
ionomer
One size only - box of 2
Changed Product Group, Benefit.
ET032
Serenocem Granules
Reaction bonded polymer composite formed by
the neutralisation gelletation of a basic inorganic
ionomer
0.5 - 1mm granules, 1gm or 5gm; 2 - 3mm
granules, 1gm or 5gm - 3 pouches
Changed Product Group, Benefit.
ET040
Vox Implants
Vox Implants are solid, irregularly textured,
medical grade Polydimethylsiloxane Elastomer
implants suspended in a hydrogel carrier
One size only
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
ET001
Ferx Ella Esophageal Stent
Kit includes esophageal stent, introducer, balloon
catheter
Diam 20mm, Length 80 - 160mm
Changed Product Group, Product Sub Group,
Benefit.
ET038
SX-Ella Biliary Stent
Uncovered, self-expanding nitinol stent
Dia 8-12mm, length 50-77mm
Changed Product Group, Product Sub Group,
Benefit.
ET039
SX-Ella Tips Stent
Uncovered, self-expanding nitinol stent
Dia 10-14mm, length 52-77mm
Changed Product Group, Product Sub Group,
Benefit.
ET042
Soft Gastric Banding System
Sterile long term implant for the treatment of
obesity. Supplied in kit format with catheter,
port and huber needles
One size only
Changed Product Group, Benefit.
ET045
Boubella Esophageal Stent
Self expandable stainless steel wire stent with
anti-reflux valve
Length 90 - 195mm
Changed Product Group, Product Sub Group,
Benefit.
ET056
Soft Basket Band. INFUSION PORT.
TITANIUM PORT
9.8CMS/13.3CMS
Changed Product Group, Benefit.
ET058
Soft Basket Band
Adjustable Gastric Band Implant
115 MM CUFF
Changed Product Group, Benefit.
Changed Items for Prostheses List Report
Page 66 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
5 - Urogenital
ET011
Macroplastique
Sterile, textured, highly cross linked
polydimethylsiloxane elastomer implants
suspended in a bio-excretable carrier gel.
1.3 ml
Changed Product Group, Product Sub Group,
Benefit.
ET028
Promedon Testicular Prosthesis
Silicone Elastomer
Small - 31 x 23 mm, Medium - 37 x 28 mm,
Large - 42 x 32 mm, Xlarge
Changed Product Group, Benefit.
ET043
Safyre Autofixation System
Urinary incontenence sling made of
polydimethysiloxane and polyproplene
One size only
Changed Product Group, Product Sub Group,
Benefit.
ET050
ARGUS
Adjustable Male Sling made of silicone
adjustable self fixating columns and urethral
cushion
One size only
Changed Product Group, Product Sub Group,
Benefit.
ET053
Macroplastique
Sterile, textured, highly cross linked
polydimethylsiloxane elastomer implants
suspended in a bio-excretable carrier gel.
2.5ml Implants
Changed Product Group, Product Sub Group,
Benefit.
ET054
Memokath Prostatic - Urethral Stents
Memokath Models: 028S, 028SW, 028T,
028TW, 044T, 044TW, 045T, 045TW, 045TTW
5mm - 90mm
Changed Product Group, Product Sub Group,
Benefit.
ET055
Memokath Ureteric Stent
Memokath Model 051CW.
30mm - 200mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ET057
Flow Secure Artificial Urinary Sphincter
Artificial Urinary Sphincter with conditional
occlusion, inflatable hydraulic device
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ET059
TOA/TVA SLING, TRANSVAGINAL TRANSOBTURATOR APPROACH
SLING FOR THE TREATMENT OF FEMALE
STRESS URINARY INCONTINENCE WITH
INTRA AND POST-OPERATIV
ADJUSTABILITY
ONE SIZE
Changed Product Group, Product Sub Group,
Benefit.
ET060
Ophira Minisling System
Mini sling system made from monofilament
mesh, held between self anchoring polypropylene
columns in a fishbone design. Supplied with a
retractable insertion guide for sling placement.
Ophira sling has a blue loosening suture inserted
in the base of one
One size.
Changed Description, Product Group, Product
Sub Group, Benefit.
Biolox Delta ceramic acetabular liner
28mm, 32mm, 36mm, 40mm, 44mm, 48mm
Changed Size.
spine Pedicular Screw for sacral-thoraco-lumbar
osteosynthesis
Diameter 4.35 Length 25, Diameter 4.35 Length
30, Diameter 4.35 Length 35, Diameter 5 Length
35, Diameter 5 Length 40, Diameter 5 Length 45,
Diameter 6 Length 40, Diameter 6 Length 45,
Diameter 6.5 Length 40, Diameter 6.5 Length 45,
Diameter 6.5 Length 50, Diameter 7 Length 35,
Diameter 7 Length 40, Diameter 7 Length 45,
Diameter 7 Length 50.
Changed Product Group, Product Sub Group,
Benefit.
ESKA Australia
11 - Hip
EK090
Biolox Delta Acetabular Liner
Euros Orthopaedics Australia Pty Ltd
13 - Spinal
EU001
e.Spine PEDICULAR SCREW
Changed Items for Prostheses List Report
Page 67 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
EU002
e.Spine Rod
Titanium spine straight or pre-bent rod
Diameter 5.5mm; Legths: straight rods 40,50, 60,
70, 80, 90, 100, 130, 160, 220, 440mm; pre-bent
rods: 40, 50,60, 70, 80, 90 mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
EU003
e.Spine Hook
Titanium Spine hook
Transverse process. Pedicular, Lumbar laminar,
Thoracic laminar, Right offset lumbar laminar,
Left offset lumbar laminar and raised body
lumbar laminar hook.
Changed Size, Product Group, Product Sub
Group, Benefit.
EU004
e.Spine Transverse Link
Titanium spine transverse link
Lengths 35, 46, 60, 70 mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ev3 Australia Pty Ltd
10 - Vascular
EE006
Protégé GPS Peripheral Stent
Protégé RX Peripheral Stent
Diameter 6-10mm Length 20-60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EE018
Onyx
DSMO/Liquid Embolic Material
18, 20, 34 (formulations)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EE019
Onyx System
DSMO Liquid Embolic Material
500 Formulation
Changed Product Group, Product Sub Group,
Benefit.
EE022
Spider FX Embolic Protection Device
The Spider FX is a rapid exchange device
percutaneously delivered distal embolic
protection device with components designed to
capture and remove debris from vessels during
interventional procedures in the vasculature.
Filter: 3.0 - 7.0mm; Capture Wire: 190 and
320cm
Changed Product Group, Product Sub Group,
Benefit.
EE024
Protégé EverFlex Peripheral Stent
Protégé EverFlex is a self expanding Nitinol stent
premounted on an OTW delivery system.
Diameter 5-8, Length 20-100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EE025
Protégé EverFlex Peripheral Stent
Protégé EverFlex is a self expanding Nitinol stent
premounted on an OTW delivery system.
Diameter 5-8mm, Length 150-200mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
4 - Neurosurgical
EE026
Solitaire
Solitaire Neurovascular Remodelling Device is a
self-expanding, fully retrievable device which can
be delivered and deployed by a single operator.
Diameter: 3-6mm
Length: 15-40mm
Changed Product Group, Product Sub Group,
Benefit.
EE027
ev3 Micro Catheters
For the delivery of therapeutic agents such as
embolisation coils and liquid embolics. The
Rebar Micro Catheter is the only one on the
market which also delivers liquid embolics.
Length: 135 - 170cm; Diameter: 3.0 - 1.3 Fr
Changed Product Group, Product Sub Group,
Benefit.
EE028
LRS Actuator
LRS Actuator is a sterile, hand held mechanical
unit with a thumb slide that detaches the coil.
When the slider is retracted while the pusher is
loaded, it releases the coil into the targeted
vaculature. Coils cannot be deployed without the
use of the actuator.
Length 5.75", Diameter 1", Weight 28 grams
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 68 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
EE029
Marksman Microcatheters
The MARKSMAN Microcatheter is a variable
stiffness, single lumen catheter designed to access
small, tortuous vascular areas. The outer surface
of the catheter's distal segment is coated with a
hydrophilic material to provide lubricity during
use. The catheter also incorporates a PTFE liner
to facilitate movement of delivery devices passed
through its lumen and has a radiopaque marker at
the distal tip to facilitate fluoroscopic
visualization. The distal tip of the catheter is
shapeable.
Outer Diameter: 2.8F Inner Diameter: 0.027"
Length: 105-150cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EE030
ev3 Occlusion Balloon Catheters
Single lumen balloon catheter to temporarily
occlude the central lumen allowing inflation of
the balloon during neurosurgical and vascular
procedures.
3-7mm diameter; 7-30mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Exactech Australia
6 - Specialist Orthopaedic
EX046
Equinoxe Compression Screw
The compression screw compresses the glenoid
plate to the bone while providing 30 degrees of
angular variability
4.5x18mm white, 4.5x22mm black, 4.5x26mm
orange, 4.5x30mm blue, 4.5x34mm red,
4.5x38mm green, 4.5x42mm yellow, 4.5x46mm
purple
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EX047
Equinoxe Glenosphere Locking Screw
The Locking Screw locks compression screws to
the glenoid plate at a variable angle
one size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EX063
Equinoxe Reverse Shoulder, fracture humeral
adapter tray locking screw.
Locking screw for tray adapter.
One size.
Changed Benefit.
Femcare Australia Pty Ltd
5 - Urogenital
FE001
Filshie Clip
Titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
FE003
Filshie Clips - Sterishot
With Disposable Applicator
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Haemodialysis catheter with a modified antithrombogenic surface (polymer system of
polydimethysilxane blocks) and a non-release
anti-microbial coating (Bismith copolymer film)
on internal and external surfaces of catheter.
109585 - 13Fr x 15cm double lumen: 109584 13FRx 20cm double lumen, 109705 - 13Fr x
25cm double lumen; 109706 - 13Fr x 15cm
curved double lumen; 109707 - 13Fr x 20cm
curved double lumen.
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
20 to 50mm
Changed Description, Product Group, Product
Sub Group, Benefit.
Gambro Pty Ltd
10 - Vascular
GA001
GamCath Dolphin Protect HighFlow
Haemodialysis Catheter Kit
Global Manufacturing Technology Pty Ltd
6 - Specialist Orthopaedic
GM050
Contile Fin II
Changed Items for Prostheses List Report
Bone Screw
Page 69 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GM109
OsteoBridge Interlocking Screw
18m to 56mm
Changed Product Group, Product Sub Group,
Benefit.
OsteoBridge
Global Orthopaedic Technology
12 - Knee
GO193
Apex Knee, Tibial Base Plate - Porous
Tibial Baseplate, Cementless
Size 1 Left & Right, Size 2 Left & Right, Size 3
Left & Right, Size 4 Left & Right, Size 5 Left &
Right, Size 6 Left & Right
Changed Product Name, Description, Size.
GO194
Apex Knee, Tibial Base Plate - Cemented
Tibial Baseplate, Cemented, Non-Porous, Size 1 7 Left & Right
Size 1 Left & Right, size 2 Left & Right, size 3
Left & Right, size 4 Left & Right, size 5 Left &
Right, size 6 Left & Right, size 7 Left & Right.
Changed Product Name.
GO195
Apex Knee, CR Femoral Component Porous
Coated
CR Femoral Component Porous Coated Size 1 to
6 left & Right.
Size 1 Left & Right, size 2 left & Right, size 3
Left & Right, size 4 Left & Right, size 5 left &
Right, size 6 Left & Right
Changed Product Name.
GO196
Apex Knee - Cemented Femoral Component
CR Cemented Femoral Component, Non-Porous,
Size 1 to 6
Size 1 Left & Right, size2 Left & Right, size 3
Left & Right, size 4 left & Right, size 5 Left &
Right, size 6 Left & Right
Changed Product Name.
13 - Spinal
GO105
OctaFix
Occipital Cervical Plating System
Closed Screw 4mm
Changed Product Group, Product Sub Group,
Benefit.
GO121
Incompass
Thoracolumbar Fixation System, Hooks
5.5mm
Changed Product Group, Product Sub Group,
Benefit.
GO201
Cambria Interbody Cage
PEEK Cervical Interbody Cage
13mm x 12mm, 15mm x 13mm, 17mm x 13mm
height - 5mm - 12mm
Changed Product Group, Product Sub Group,
Benefit.
GO202
Malibu Spinal System Polyaxial Screw
Polyaxial screw
4.5mm x 20mm - 8.5mm x 110mm in 5mm
increments
Changed Product Group, Product Sub Group,
Benefit.
GO203
Malibu Spinal System Monoaxial Screw
Monoaxial Bone Screw
4.5mm x 25mm - 9.5mm x 80mm
Changed Product Group, Product Sub Group,
Benefit.
GO204
Malibu Spinal System Locking Cap
Locking cap with integral set screw
5.5mm and 6.35mm
Changed Product Group, Suffix, Benefit.
GO205
Malibu Spinal System Lateral Connector
Lateral Connector
30mm - 60mm
Changed Product Group, Product Sub Group,
Benefit.
GO206
Malibu Spinal System In-line Connector
In-line Connector
5.5mm and 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
GO207
Malibu Spinal System Hooks
Hook
5.5mm x 5.5mm - 9.0mm x 9.5mm
Changed Product Group, Product Sub Group,
Benefit.
GO208
Malibu Spinal System Rods
Rod
5.5mm x 30mm - 600mm 6.35mm x 100mm
Changed Size, Product Group, Product Sub
Group, Benefit.
GO209
Malibu Spinal System ESS CoNiCr Rods
Rod CoNiCr Precontored
5.5mm x 100mm - 600mm
Changed Product Group, Product Sub Group,
Benefit.
GO210
Malibu Spinal System CrossBar
CrossBar
5.5mm and 6.35mm diameter rods 23mm 75mm length options
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 70 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GO211
Malibu Spinal System Polyaxial Reduction Screw
Polyaxial Reduction Screw
4.5mm x 25mm - 40mm in 5mm
increments 5.5mm x 25mm - 50mm in 5mm
increments 6.5mm x 35mm - 55mm in 5mm
increments 7.5mm x 35mm - 55mm in 5mm
increments
Changed Size, Product Group, Product Sub
Group, Benefit.
GO212
Sierra Spinal System Occipital Plate
Occipital Plate
25mm-35mm 30mm-40mm 40mm50mm 45mm-55mm 32mm-40mm
Changed Size, Product Group, Product Sub
Group, Benefit.
GO213
Sierra Spinal System Set Screw
Set Screw
3.5mm
Changed Product Group, Suffix, Benefit.
GO214
Sierra Spinal System, Polyaxial screw
Polyaxial bone screw
3.5mm - 4.5mm diameter 10mm 50mm Length
Changed Product Group, Product Sub Group,
Benefit.
GO215
Sierra Spinal System Occipital Rod
Occipital Rod
60, 75, 90 degrees
Changed Product Group, Product Sub Group,
Benefit.
GO216
Sierra Spinal System Parallel Connector
In-line connector
3.5-3.5 - 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
GO217
Sierra Spinal System Locking Cap
Locking Cap
3.5mm
Changed Product Group, Suffix, Benefit.
GO218
Sierra Spinal System Lateral Connector
lateral connector
3.5mm
Changed Product Group, Product Sub Group,
Benefit.
GO219
Sierra Spinal System Rod
Precurved Rod
3.5mm x 20mm - 100m
Changed Product Group, Product Sub Group,
Benefit.
GO220
Sierra Spinal System Transitional Rod
Transitional Rod
3.5mm diameter / 5.5mm or 6.35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GO221
Sierra Spinal System, Hooks
Hooks
4.0mm and 6.0mm
Changed Product Group, Product Sub Group,
Benefit.
GO222
Sierra Spinal System CrosBar
CrossBar
Small, medium, large, x-large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GO223
Sierra Spinal System Occipital Screw
Occipital Screw
6mm x 14mm
Changed Product Group, Product Sub Group,
Benefit.
GO224
Sonoma Vaiable Bone Screw
Vaiable Bone Screw
4.0mm x 10mm - 20mm 4.5mm x 10mm 18mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
GO225
Sonoma Limited Angle Bone Screw
Limited Angle Bone Screw
4.0mm x 10mm - 18mm 4.5mm x 10mm 18mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
GO226
Sonoma Anterior Cervic Plate
Anterior Cervic Plate
<55
Changed Product Group, Product Sub Group,
Benefit.
GO227
Sonoma Anterior Cervical Plate
Anterior Cervical Plate
>55
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GO228
Pacifica Interbody Cage
PEEK Lumbar Interbody cages std and lordotic
Medium Lateral 9mm - 11mm x A/P 20mm 24mm. Height 7mm - 17mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GO229
Ventura Interbody Cage
PEEK Lumbar Interbody Cage
Medial Lateral 9mm - 1mm x A/P 28mm. Height
7mm - 17mm
Changed Product Group, Product Sub Group,
Benefit.
6 - Specialist Orthopaedic
GO153
Reverse Shoulder System
Bone Screw
3.5 x 15mm to 5 x 30mm
Changed Product Group, Product Sub Group,
Benefit.
GO197
SuperCable Trochanteric Grips and Cable Plate
System
Trochanteric Grips - Titanium
Short 50mm, 2 Hole Plate 135mm, 4 Hole Plate
190mm, 6 Hole Plate Straight, Right, Left 245mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 71 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GO198
SuperCable Trochanteric Grips and Cable Plate
System
Locking Screw Titanium
5.0mm diameter 10mm to 50mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GO199
SuperCable Trochanteric Grips and Cable Plate
System
Compression Screws Titanium
4.5mm Diameter 10mm to 50 mm length
Changed Product Group, Product Sub Group,
Benefit.
Guidant Australia Pty Ltd
8 - Cardiac
GU009
Fineline II Sterox IROX Lead
Bipolar passive fixation
52cm, 58cm
Changed Product Group, Product Sub Group,
Benefit.
GU011
Fineline II Sterox IROX Lead
Bipolar passive fixation
52cm, 58cm
Changed Product Group, Product Sub Group,
Benefit.
GU012
Fineline II Sterox IROX Lead
Bipolar, passive fixation
45cm, 52cm
Changed Product Group, Product Sub Group,
Benefit.
GU013
Fineline II EZ Sterox IROX Lead
Bipolar, active fixation
45cm, 52cm, 58cm
Changed Product Group, Product Sub Group,
Benefit.
GU016
Fineline II EZ Sterox IROX Lead
Bipolar, active fixation
45cm, 52cm, 58cm
Changed Product Group, Product Sub Group,
Benefit.
GU023
Guidant Aust Selute Picotip Steroid Eluting
Bipolar Lead
Model 4035, Model 4064
45cm, 52cm, 59cm
Changed Product Group, Product Sub Group,
Benefit.
GU028
Guidant Aust Selute Picotip VDD Lead
VDD bipolar, passive fixation
.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GU115
Endotak Reliance Lead
Passive Dual Coil
59cm, 64cm, 90cm
Changed Product Group, Product Sub Group,
Benefit.
GU120
Insignia Plus DR Model 1297, Insignia Plus DR
Model 1298
Dual Chamber Rate Responsive Permanent
Pacemaker
One size only
Changed Product Group, Product Sub Group,
Benefit.
GU121
Insignia Entra DR Models 1294,1295,1296
Dual Chamber Rate Responsive Permanent
Pacemaker
One size only
Changed Product Group, Product Sub Group,
Benefit.
GU122
Flextend Lead Models 4086, 4087 & 4088
Bipolar, active fixation
45,52,59cm
Changed Product Group, Product Sub Group,
Benefit.
GU123
Endotak SQ Array XP Lead Model 0085
Sub-Q Array for high DFT
70cm
Changed Product Group, Product Sub Group,
Benefit.
GU124
Insignia Entra SR Models 1195 & 1198
Single Chamber Rate Responsive Permanent
Pacemaker
One size only
Changed Product Group, Product Sub Group,
Benefit.
GU126
Insignia Plus SR Model 1194
Single Chamber Rate Responsive Permanent
Pacemaker
One size only
Changed Product Group, Product Sub Group,
Benefit.
GU138
Easytrak 2, Model 4514, 4515, 4516, 4517,
4518, 4519, 4520
Bipolar, passive fixation
.
Changed Product Group, Product Sub Group,
Benefit.
GU139
Insignia Ultra SR Model 1190
Single Chamber Rate Responsive Pacemaker
One size only
Changed Product Group, Product Sub Group,
Benefit.
GU140
Insignia Ultra DR Model 1291
Dual Chamber Rate Responsive Pacemaker
One size only
Changed Product Group, Product Sub Group,
Benefit.
GU141
Insignia Ultra DR Model 1290
Dual Chamber Rate Responsive Pacemaker
One size only
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 72 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GU142
Contak Renewal TR2 CRT - P Model H140,
Model H145
CRT-P
45x54x8.5mm, 14cc, 26gm
Changed Product Group, Product Sub Group,
Benefit.
GU144
Contak Renewal 4 HE CRT-D Model H197,
Model H199
CRT-D high energy
One size only
Changed Product Group, Product Sub Group,
Benefit.
GU147
Contak Renewal 4 CRT-D Model H190, Model
H195
CRT-D
One Size only
Changed Product Group, Product Sub Group,
Benefit.
GU148
Vitality 2 EL VR - Model T177
Single Chamber ICD
35cc; 90g
Changed Product Group, Product Sub Group,
Benefit.
GU149
Vitality 2 DR - Model T165
Dual Chamber ICD
30cc; 82g
Changed Product Group, Product Sub Group,
Benefit.
GU150
Vitality 2 EL DR - Model T167
Dual Chamber ICD
30cc; 82g
Changed Product Group, Product Sub Group,
Benefit.
GU151
Vitality 2 VR - Model T 175
Single Chamber ICD
30cc; 82g
Changed Product Group, Product Sub Group,
Benefit.
GU153
Easytrak 2 Is-1 Lead - Models 4542, 4543 & 4544
Bipolar, passive fixation
80 to 100cm
Changed Product Group, Product Sub Group,
Benefit.
GU154
Contak Renewal 4 AVT CRT -D - Model M170
and M175
Implantable Cardioverter Defibrillator with
Cardiac Resynchronisation Therapy
37cc; 89g
Changed Product Group, Product Sub Group,
Benefit.
GU155
Contak Renewal 4 AVT HE CRT - D - Model
M177, M179
Implantable Cardioverter Defibrillator with
cardiac resynchronisation Therapy
40cc; 89g
Changed Product Group, Product Sub Group,
Benefit.
GU156
Easytrak 3 Lead - Models 4521, 4522, 4523,
4524, 4525, 4526 and 4527
Bipolar, passive fixation
80 to 100cm
Changed Product Group, Product Sub Group,
Benefit.
GU157
Vitality AVT - Model A155
Dual Chamber ICD with atrial therapies
30cc
Changed Product Group, Product Sub Group,
Benefit.
GU158
Endotak Reliance SG Passive
Passive Single Coil wih GORE ePTFE covered
coils
54cm - 90cm
Changed Product Group, Product Sub Group,
Benefit.
GU159
Endotak Reliance G Passive
Passive Dual Coil with GORE ePTFE covered
coils
54cm - 90cm
Changed Product Group, Product Sub Group,
Benefit.
GU162
Easytrak 3 IS-1 Lead
Bipolar, passive fixation
Sizes 80 to 100cm
Changed Product Group, Product Sub Group,
Benefit.
GU163
ENDOTAK RELIANCE G Active
Active Dual Coil with GORE ePTFE covered coils
59-90cm
Changed Product Group, Product Sub Group,
Benefit.
GU164
ENDOTAK RELIANCE SG Active
Active Single coil with GORE ePTFE covered
coils
59-90cm
Changed Product Group, Product Sub Group,
Benefit.
GU165
Acuity Steerable Lead
Bipolar, passive fixation
80cm, 90cm ,100cm
Changed Product Group, Product Sub Group,
Benefit.
Gytech Pty Ltd
5 - Urogenital
GP001
Cousin Biotech Intramesh L.I.F.T
Polypropylene Mesh
One size only
Changed Product Group, Product Sub Group,
Benefit.
GP004
Essure System (ESS305)
Stainless steel, polyester fibre
One size only, 2 per pack
Changed Product Group, Benefit.
Health Care Surgical Pty Ltd
Changed Items for Prostheses List Report
Page 73 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
13 - Spinal
HC005
Swingo
Lumbar Cage
7-14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HC006
Squale
Cervical Cage
4-10mm
Changed Product Group, Product Sub Group,
Benefit.
HC007
S14 Biospine Rod
Rod
40 - 150mm
Changed Product Group, Product Sub Group,
Benefit.
HC008
S14 Biospine Screw
Polyaxial Screw
3.5-7mm, 25-50mm
Changed Product Group, Product Sub Group,
Benefit.
HC009
S14 Biospine Nut
Nut
One Size Only
Changed Product Group, Suffix, Benefit.
HC010
S14 Biospine Connector
Transverse Telescopic Connector
30 - 75mm
Changed Product Group, Product Sub Group,
Benefit.
Henry Schein-Halas Pty Ltd
7 - Plastic and Reconstructive
HD010
Bio-Gide
Bio-Gide & Bio-Gide Perio are collagen
membranes containing porcine collagen in a
bilayer structure. They are used for guided bone
regeneration and peridontal tissue regeneration in
oral and maxillofacial surgery.
30mm x 40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HD011
Bio-Gide
Bio-Gide & Bio-Gide Perio are collagen
membranes containing porcine collagen in a
bilayer structure. They are used for guided bone
regeneration and peridontal tissue regeneration in
oral and maxillofacial surgery.
25mm x 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HD012
Bio-Gide
Bio-Gide & Bio-Gide Perio are collagen
membranes containing porcine collagen in a
bilayer structure. They are used for guided bone
regeneration and peridontal tissue regeneration in
oral and maxillofacial surgery.
13 x 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HD013
Bio-Gide Perio
Bio-Gide & Bio-Gide Perio are collagen
membranes containing porcine collagen in a
bilayer structure. They are used for guided bone
regeneration and peridontal tissue regeneration in
oral and maxillofacial surgery.
Bio-Gide perio - 16mm x 22mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
The Adiana Permanent Contraceptive System
provides permanent female sterilisation by
occlusion of the fallopian tubes via a
hysteroscopic transuterine approach. The Adiana
Permanent Contraceptive System consists of the
Adiana Radiofrequency Generator and
The Adiana Delivery Catheter and handle is
approx. 58 cm in length, with an attached
connector cable that is 49 cm in length. The
shaft has a maximum shaft OD of 0.060 inches
(+0.005in). The distal tip of the device up to the
depth make, which enters th
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
Hologic (Australia) Pty Ltd
5 - Urogenital
YC001
Adiana Permanent Contraceptive System
Hospira Pty Limited
Changed Items for Prostheses List Report
Page 74 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
3 - General Miscellaneous
HO001
GemStar Infusion Pump
Infusion pump, general purpose
Approx. 14.0 cm H x 9.7 cm W x 5.1cm D
Changed Product Group, Product Sub Group,
Benefit.
HO002
Crono Pump
Ambulatory infusion pump - Models: Crono 50,
Crono PCA and Crono APO-go II
10-50 ml
Changed Product Group, Product Sub Group,
Benefit.
HO003
Gemstar infusion system administration cassette
and set
Administration cassette and set for use with
Gemstar infusion pump series
2.2 micron filter
Changed Product Group, Product Sub Group,
Benefit.
HO005
Crono infusion system syringes
Infusion syringes for use with the Crono pump
10-50 ml
Changed Product Group, Product Sub Group,
Benefit.
Rechargeable battery, docking station, AC
adaptor and carry case for use with the Gemstar
infusion system.
One size
Changed Product Group, Product Sub Group,
Benefit.
The ALN Vena Cava Filter is implanted into the
SVC via the femoral, brachial and jugular vein to
prevent pulmonary emboli (PEs).
One size, diameter up to 32mm
Changed Product Group, Product Sub Group,
Benefit.
4 - Neurosurgical
HO004
Gemstar rechargeable system
Imaxeon Pty Ltd
10 - Vascular
IX004
ALN Vena Cava Filter
8 - Cardiac
IX001
Amazonia CroCo
Balloon expandable intracoronary cobalt
chromium stent premounted onto a rapid
exchange delivery catheter
Lengths: 8mm, 12mm, 16mm, 20mm, 24mm,
28mm, 32, 36, and 40mm. Diameters: 2.25mm,
2.5mm, 2.75mm, 3.0mm, 3.5mm, 4.0mm, 4.50
and 5.00 mm in all lengths
Changed Product Group, Product Sub Group,
Benefit.
IX002
Nile CroCo
Intracoronary stent pre-mounted on two rapid
exchange delivery systems for bifurcation lesions
treatment
Diameter : 2.50 - 3.50mm. MB and 2.003.00mm SB
Lengths 18 mm and 24 mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IX003
Minvasys Nile Delta Coronary Stent System
Balloon expandable Amazonia intracoronary
cobalt chromium stent premounted onto a rapid
exchange delivery catheter with tapered balloon.
Nile Delta 2.50mm diameter x 8mm length; Nile
Delta 3.00mm diameter x 8mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NeuraGen is a semi-permeable Type 1 collagen
tube for peripheral nerve repair. It provides a
protective environment and conduit for axonal
regrowth across a nerve gap. It is biocompatible
and completely resorbed. The open collagen
structure facilitates suture placement. It has a
resilient structure that maintains an open lumen
throughout the process of axonal growth.
2mm x 2cm, 3mm x 2cm, 4mm x 2cm, 5mm x
2cm, 6mm x 2cm, 7mm x 2cm, 1.5mm x 3cm,
2mm x 3cm, 3mm x 3cm, 4mm x 3cm, 5mm x
3cm, 6mm x 3cm, 7mm x 3cm
Changed Product Group, Product Sub Group,
Benefit.
Integra Neurosciences Pty Ltd
3 - General Miscellaneous
IG002
NeuraGen
Changed Items for Prostheses List Report
Page 75 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
IG003
NeuraWrap nerve protector is designed to provide
an interface between the nerve and the
surrounding tissues. NeuraWrap remains in place
during the active phase of tissue healing and is
completely resorbed after tissue response has
resolved. The porous outer layer of NeuraWrap
comprises a tubular matrix that mechanically
resists compression from surrounding tissue and
excludes scar tissue ingrowth. The semipermeable inner membrane allows passage of
small molecules (ie water, ions, metabolites,
nutrients) but prevents the escape of endogenous
growth factors (Nerve Growth Factor).
NeuraWrap provides a new alternative for the
treatment of peripheral nerve injuries.
3mm x 2cm, 3mm x 4cm, 5mm x 2cm, 5mm x
4cm, 7mm x 2cm, 7mm x 4cm, 10mm x 2cm,
10mm x 4cm
Changed Product Group, Product Sub Group,
Benefit.
NeuraWrap
4 - Neurosurgical
IG001
Horizontal-Vertical (H-V) Lumbar valve system
The H-V Lumbar Valve adjusts to changes in
posture to maintain pressure appropriate levels in
both standing and recumbent positions. Has a
unique anti-gravity mechanism automatically
increasing flow resistance when the patient
resumes a standing or sitting position.
903-325A 85-125 205-285 small children, 903335A 85-125 265-365 tall children, adults,
903-345A 85-125 325-445 tall adults, 903320A 50-80 170-240 small children, 903-330A
50-80 230-320 tall children, adults, 903-340A
50-80, 290-400 tall
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
IG004
Spetzler Lumbar-Peritoneal Shunt System
Shunt, CSF Reservoir, In-line valve
Catheter length 80 - 105cm, Reservoir small &
large, Valve pressure range low - high
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG005
Novus Hydrocephalic Shunt Kit
Pressure range low, medium
Standard, mini
Changed Product Group, Product Sub Group,
Benefit.
IG006
Heyer-Schulte Spetzler Lumbar-Peritoneal Low
Pressure Flushing Reservoir
-
Small, large
Changed Product Group, Benefit.
IG007
Heyer-Schulte Connectors for Neurosurgical Use
Pudenz straight, Pudenz right angled, Pudenz
three-way (Y) Threaded straight, Threaded
right angled, Double threaded straight
Each in one size
Changed Product Group, Product Sub Group,
Benefit.
IG008
Heyer-Schulte Ommaya CSF Reservoir
Standard, side-inlet, convertible, mini
1.5 - 2.5cm and mini
Changed Product Group, Benefit.
IG009
Heyer-Schulte Pudenz Ventricular Catheter
-
small, standard, right-angled
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG010
Shunt
Components - catheter: Atrial
55cm - 60cm, Low - High pressure range
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG011
Shunt
Peritoneal
90 - 120cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG012
Shunt
Ventricular
14.5cm - 23cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG013
Shunt
Reservoir
Standard, Large
Changed Product Group, Benefit.
IG014
Heyer Schulte Portnoy Flanged Ventricular
Catheter
Composition - silicone with tantalum markings
Length 18cm, outer diameter 8mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG015
Cordis Omnishunt System, Hakim Valve Series
Hakim Valve System
Drainage Cath 110 cm, F7. Vent. Cath 15cm, F8.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 76 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
IG016
Cordis Standard Valve System Hydrocephalus
Valves
Atlas Valve System
Drainage Cath 110 cm, F7. Vent. Cath 15cm, F8.
Changed Product Group, Product Sub Group,
Benefit.
IG017
Precision Flow-OSV II Valve System
Lumbar peritoneal OSV11-Lumboperitoneal
System Hydrocephalus Shunt
Lumber Catheter 80cm, F5 Peritoneal Catheter
110cm, F7
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG018
Precision Flow-OSV II Valve System
Ventricular/Atrial OSV11-Ventricular /Atrial
Hydrocephalus Shunt
Drainage Cath 110 cm, F7. Ventricular Catheters
7,9,13 & 15 cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG019
Precision Flow-OSV II Valve System
Ventricular/Peritoneal OSV11Ventricular/Peritoneal Hydrocephalus Shunt
Drainage Cath 110 cm, F7. Ventricular Catheters
7,9,13 & 15 cm
Changed Description, Product Group, Product
Sub Group, Benefit.
IG020
Atrial Catheter
Components - catheter: Atrial Atrial Catheters
Hydrocephalux Valve Accessories
Length: 46cm, F7. OD: 2.1mm; ID:1.1mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG021
Peritoneal Catheter
Peritoneal Catheters
Length: 91cm, F7. OD: 2.1mm; ID:1.1mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG022
Connectors
Silicone and Stainless Steel
Straight, right angle, Y, T
Changed Product Group, Product Sub Group,
Benefit.
IG023
Cordis Omnishunt System
Silicone and Synthetic ruby
Very low to very high pressures
Changed Product Group, Product Sub Group,
Benefit.
IG024
Gravity Compensating Accessory
Silicone/Stainless steel
low, medium & high pressures
Changed Product Group, Product Sub Group,
Benefit.
IG025
Right Angle Ventricular Catheter
Silicone, integral right angle
3-11cm
Changed Product Group, Suffix, Benefit.
IG026
Contour-Flex Valves
Silicone encased CSF Valve
Small (24mm Length) or Regular (28mm
Length), low medium or high pressure
Changed Size, Product Group, Product Sub
Group, Benefit.
IG027
Contour Flex Valve Shunt Assemblies
Shunt Assembly: silicone encased valve, silicone
ventricular and peritoneal catheters
Small (24mm Length) or regular (28mm Length);
low, low/medium and medium pressure; various
catheter and valve configurations
Changed Product Group, Product Sub Group,
Benefit.
IG028
Equi Flow Valves
Valve only
Small (35mm length) or Regular (40mm length);
low, low/medium and medium pressure
Changed Product Group, Product Sub Group,
Benefit.
IG029
Equi Flow Shunt Assemblies
CSF Shunt, includes silicone ventricular and
peritoneal catheters, silicone encased
overdrainage control valve
Small (35mm length) or Regular (40mm length);
low, low/medium and medium pressure; various
kit configurations
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG030
Cardiac/Peritoneal Catheters
SiliconDistal Catheter, ID 1.3mm, OD 2.5mm
90cm, barium impregnated silicone catheter,
closed or open ended, with or without slits
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG031
Ventricular Catheters
Silicon Ventricular Catheter
15cm - 25cm, optional flanges or right angle or
endoscopic tip. ID 1.3mm, OD 2.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG032
Burr Hole Valve Shunt Assemblies
Shunt Assembly: silicone encased valve, silicone
ventricular and peritoneal catheters
16mm or 12mm base; low, medium or high
pressure, various kit configurations
Changed Product Group, Product Sub Group,
Benefit.
IG033
Reservoirs
Shunt component
9mm to 25mm, with or without convertible outlet
port, burr hole or flat bottom style
Changed Product Group, Benefit.
IG038
DuraGen
Collagen dural graft matrix
2.5cm x 2.5cm
Changed Product Group, Suffix, Benefit.
IG039
DuraGen Plus
Collagen dural graft matrix
2.5cm x 2.5cm
Changed Product Group, Suffix, Benefit.
IG040
DuraGen
Collagen dural graft matrix
2.5cm x 7.5cm
Changed Product Group, Suffix, Benefit.
IG041
DuraGen Plus
Collagen dural graft matrix
2.5cm x 7.5cm
Changed Product Group, Suffix, Benefit.
IG042
DuraGen Suturable
Collagen dural graft matrix
2.5cm x 7.5cm
Changed Product Group, Suffix, Benefit.
IG043
DuraGen
Collagen dural graft matrix
5cm x 5cm
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 77 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
IG044
DuraGen Plus
Collagen dural graft matrix
5cm x 5cm
Changed Product Group, Suffix, Benefit.
IG045
DuraGen Suturable
Collagen dural graft matrix
5cm x 5cm
Changed Product Group, Suffix, Benefit.
IG046
DuraGen
Collagen dural graft matrix
7.5cm x 7.5cm
Changed Product Group, Suffix, Benefit.
IG047
DuraGen Plus
Collagen dural graft matrix
7.5cm x 7.5cm
Changed Product Group, Suffix, Benefit.
IG048
DuraGen Suturable
Collagen dural graft matrix
7.5cm x 7.5cm
Changed Product Group, Suffix, Benefit.
IG049
DuraGen
Collagen Dural graft matrix
10cm x 12.5cm
Changed Product Group, Suffix, Benefit.
IG051
DuraGen Suturable
Collagen dural graft matrix
10cm x 12.5cm
Changed Product Group, Suffix, Benefit.
IG052
Electa right angle guide
Silicone
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
IG059
DURAGEN PLUS
Collagen Dural Graft Matrix
10cm x 12.5cm
Changed Product Group, Suffix, Benefit.
IG060
DURAGEN PLUS
Collagen Dural Graft Matrix
12.5cm x 17.5cm
Changed Product Group, Suffix, Benefit.
6 - Specialist Orthopaedic
IG057
Kompressor
Titanium compression screw
10-34mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG063
Tibiaxys Distal tibia system
Titanium screw for use with Tibiaxys distal tibia
system
4mm diameter with 6mm head; 40mm - 100mm
length
Changed Product Name, Description, Suffix,
Benefit.
IG064
Integra Total Wrist Fusion System - Plates
Straight (bendable), Standard bend, Short Bend
1 size only of each type of plate:
Straight: 105.5mm length
Standard and short bend: 110mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG065
Integra Total Wrist Fusion System - Cortical
Screw
Cortical screw for use with the integra Total
Wrist Fusion Plates
2.7mm diameter: 10-32mm length
Changed Product Name, Description, Benefit.
IG066
Integra Total Wrist Fusion System
Cortical Screw for use with the Integra Total
Wrist Fusion Plates
3.5mm diameter: 10-32mm length
Changed Product Name, Description, Benefit.
IG067
Surfix screw plus Surfix Lock-Screw
Locking screws with an independent lock-screw
head
2.7mm: 10-32mm
Changed Product Sub Group, Benefit.
IG068
Surfix Screw plus Surfix Lock-Screw
Locking screws with an independent lock-screw
head that screw into fixation plates. This
combination effects dynamic compression.
3.5mm: 10-28mm
Changed Description, Benefit.
IG069
Bold Compression Screw
Cannulated titanium
3mm diam 10-34mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG070
ICOS Screw: Ideal Compression Screw
Cannulated titanium
4.0mm diam 26-60mm length, 6.5mm diam 40150mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG080
Hintegra Total Ankle Prosthesis
Cortical fixation screw, Composition - Stainless
Steel
Length 12 - 42mm
Changed Product Group, Product Sub Group,
Benefit.
IG081
Hallu-Fix Plates
Hallu-C and Hallu-S titanium plates for first MTP
arthrodesis
Length: 40 - 55mm 3 sizes: 1, 2, 3 for left or right
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
IG083
Newdeal Reinforced Bendable Osteosynthesis
Plates
Stainless Steel 2 - 4 Holes
2 holes, 4 holes/77mm, 4 holes/112mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
IG084
Newdeal Bendable Osteosynthesis Plates
Composition - 316L Stainless Steel. To be used
only with Newdeal screws/lock screws.
3-6 holes
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
IG085
Newdeal Bendable Osteosynthesis Plates
Stainless steel bendable plates 7 - 9 holes
7-9 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 78 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
IG086
Newdeal Distal Humeral Plates
Composition - 316L Stainless Steel. To be used
only with Newdeal screws/lock screws
4 holes
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
IG087
Newdeal Femoral Osteosynthesis Plates
Composition - 316L Stainless Steel. To be used
only with Newdeal screws/lock screws
8/9/10 hole, left and right
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG088
Newdeal Distal Femoral Varus Osteotomy Plate
Stainless steel periarticular anatomically shaped
plate fixed with 3 locking screws into femoral
condyle
1 Size
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
IG089
Newdeal Femoral Varus and De-rotation
Osteotomy Plates
Stainless steel periarticular anatomic plate fixed
with locking screws into proximal femur
Newdeal Femoral Varus and De-rotation
Osteotomy Plates - 3 holes, Newdeal Femoral
Varus and De-rotation Osteotomy Plates - 4
holes, Newdeal Reinforced Femoral Newdeal and
De-rotation Osteotomy Plates - left and right
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
IG090
Newdeal Proximal Humeral Plate
Composition - 316L Stainless Steel. To be used
only with Newdeal screws/lock screws
6 holes
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
IG091
Newdeal HTO Plates
Stainless steel anatomically shaped plates for
high tibial osteotomy;4 or 5 holes
Opening wedge HTO plates, left and right.
Closing wedge HTO plates, left and right.
Reinforced closing wedge HTO plates, left and
right
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
IG092
Newdeal Lock Screws
For use with Newdeal bone screws and plates
Diameter 2.7mm - 6.5mm
Changed Product Group, Product Sub Group,
Benefit.
IG093
Newdeal Screws/Lock Screws
Screws - Cancellous, Cancellous cannulated,
cortical, cortical cannulated plus Lock screws
Cancellous/Cancellous cannulated - Diameter
6.5mm, Length 20mm - 100mm + Lock Screw,
Cortical - Diameter 5.0mm, Length 25mm 45mm + Lock Screw, Cortical - Diameter 4.5mm,
Length 14mm - 65mm + Lock Screw, Cortical Diameter 3.5mm, Length 14mm - 32mm + Lo
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG097
Calcenea Fracture Plate
14 hole titanium plate
Small, Medium, Large
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
IG098
Calcanea Locking Screw
Cortical Screw, Titanium
Diameter 3.5mm, Length 20mm to 45mm
Changed Product Group, Product Sub Group,
Benefit.
IG099
Calcanea Variable Angle Screw
Cortical Screw, Titanium
Diameter 3.5mm, Length 20mm to 45mm
Changed Product Group, Product Sub Group,
Benefit.
IG105
Hallu Break-off screw
Titanium with break-off barrel
Diameter 2.7mm, Length 11-14mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
IG106
B-BOP Plantar Basal Osteotomy Plate (Sterile)
Titanium, 4 hole plate for fixation of osteotomy
of the base of the first metatarsal
Moderate Correction(5°) Left, Right. Severe
Correction (10°) Left, Right
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
IG107
Bold Compression Screw
Cannulated Titanium
Diameter 3.0-3.70mm, length 10-34mm
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
IG108
Newdeal Surfix Style Screws
Titanium bone screw +locking screw for the
fixation of specific Newdeal bone plates
Diameter 3.5mm, Length 10-50mm; Diameter
4.5mm, length 14-65mm; Diameter 6.5, length
20-100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG109
Qwix Screw
Self drilling, self tapping, cannulated, titanium
screws.
Diameter 3.0mm-7.5mm, length 10mm-120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
IG113
Bone Screws
Titanium screws (2) for use with the Universal2
Total Wrist System only
4.5mm x (15, 20, 25, 30, 35mm)
Changed Suffix, Benefit.
Changed Items for Prostheses List Report
Page 79 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
7 - Plastic and Reconstructive
IG034
Integra Artificial Skin (IDRT) Terminally Sterile
INTEGRA Dermal Regeneration Template is a
bilayer membrane system for skin replacement
made of a porous matrix of fibers of cross-linked
bovine tendon collagen and glycosaminoglycan
and polysiloxane layer.
5cm x 5cm
Changed Product Group, Product Sub Group,
Benefit.
IG035
Integra Artificial Skin (IDRT) Terminally Sterile
INTEGRA Dermal Regeneration Template is a
bilayer membrane system for skin replacement
made of a porous matrix of fibers of cross-linked
bovine tendon collagen and glycosaminoglycan
and polysiloxane layer.
10cm x 12.5cm
Changed Product Group, Product Sub Group,
Benefit.
IG036
Integra Artificial Skin (IDRT) Terminally Sterile
INTEGRA Dermal Regeneration Template is a
bilayer membrane system for skin replacement
made of a porous matrix of fibers of cross-linked
bovine tendon collagen and glycosaminoglycan
and polysiloxane layer.
10cm x 25cm
Changed Product Group, Product Sub Group,
Benefit.
IG037
Integra Artificial Skin (IDRT) Terminally Sterile
INTEGRA Dermal Regeneration Template is a
bilayer membrane system for skin replacement
made of a porous matrix of fibers of cross-linked
bovine tendon collagen and glycosaminoglycan
and polysiloxane layer.
20cm x 25cm
Changed Product Group, Product Sub Group,
Benefit.
J T Medical Pty Ltd
8 - Cardiac
JT001
Occlutech Figulla Flex ASD Occluder
The Occlutech Figulla® Flex ASD occluder is an
implant for closure of an Atrial Septal Defect of
the heart (ASD II=ASD of the Secundum Type)
and is deployed via a minimally invasive catheter
delivery system.
The Occlutech Figulla® Flex ASD is intended fo
6, 7.5, 9, 10.5, 12, 15, 18, 21, 24, 27, 30, 33, 36,
39, 40
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
JT002
Occlutech Figulla Flex PFO Occluder
The Figulla® Flex PFO is an implant for closure
of a patent foramen ovale (PFO) defect in the
heart and is deployed via a minimally invasive
catheter delivery system. The Figulla® Flex PFO
is intended for patients with substantiated RightLeft-Shunt in t
16/18, 23/25, 27/30 and 31/35
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
Johnson & Johnson Medical Pty Ltd
10 - Vascular
JJ057
Palmaz Balloon Expandable Stent
Stainless steel stent
Diameter 4-12mm, length 20-30mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ058
Palmaz Balloon Expandable Stent
Stainless steel stent
Extra-large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ304
Palmaz Genesis Peripheral Stent and Delivery
System on Slalom
Stainless steel balloon expandable stent mounted
on a slalom balloon
Diameter 3-8mm, length 12-39mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ305
Palmaz Genesis Peripheral Stent and Delivery
System on Opta Pro
Stainless steel balloon expandable stent mounted
on an Opta Pro Balloon
Diameter 4-8mm, length 12-39mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 80 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ306
Palmaz Genesis Peripheral Stent
Stainless steel peripheral stent
Diameter 4-12mm, length 11-79mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ419
SMART Control Peripheral Stent System
SMART Control is a laser cut nitinol self
expanding stent, used to treat peripheral vessel
disease.
Dia 6 – 14mm; Length 20 – 100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ423
OPTEASE retrievable vena cava filter
OPTEASE is a laser cut nitinol vena cava filter,
used to treat patients at high risk of pulmonary
embolisation
Suitable for vessels up to 30mm
Changed Product Group, Product Sub Group,
Benefit.
JJ463
PRECISE RX Nitinol Stent System
Nitinol self expandable stent and repid exchange
delivery system
Stent Lengths 20, 30, 40mm; Stent Diameter: 5,
6, 7, 8, 9, 10mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ479
PALMAZ GENESIS on CORDIS AMIIA RX
.014 Delivery System
Peripheral balloon expandable stent and rapid
exchange delivery system
Lengths: 12, 15, 18, 24mm. Diameter: 4, 4.5, 5,
5.5, 6, 6.5, 7mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ480
Angioguard RX Emboli Capture Guidewire
System
Distal protection device and delivery system
Length 180cm, Diameter 0.014"; basket sizes
4mm, 5mm, 6mm, 7mm and 8mm
Changed Product Group, Product Sub Group,
Benefit.
JJ567
PALMAZ® BLUE™ .018 Peripheral Stent
System
L605 Cobalt Chromium Alloy Balloon
Expandable Stent
12, 15, 18, 24mm length 4, 5, 6, 7mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ592
SMART Nitinol Stent System
Long 120mm Stent, 6F compatible
6-8mm diameter, 120mm stent length, 120cm
delivery system
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ617
SMART Nitinol Stent System
Long 150mm stent, 6F compatible
6-8mm diameter, 150mm length, 120cm delivery
system
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ646
Precise Pro Rx Nitinol Stent System
Nitinol self expanding stent
Diameter: 5, 6, 7, 8, 9, 10mm; Length: 20, 30,
40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ688
Palmaz Blue .014 Renal Stent System (on Aviator
Plus)
CoCr balloon expandable stent
12, 15, 18, 24mm
Lengths
70mm diameters
142cm shaft lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
EXOSEAL (TM) Vascular Closure Device
Vascular Closure Device
5 - 7F
Changed Product Group, Product Sub Group,
Benefit.
SROM Noiles Knee System femoral component
Rotating Hinge, cemented, CoCr femoral
component.
Sizes xxsmall-large
Changed Description.
JJ823
40, 50, 60,
80,
12 - Knee
DP254
13 - Spinal
DP046
VSP System (Titanium)
Pedicle/Sacral Screw
4.75-8.5mm x 25-88mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP049
VSP System (Titanium)
Washers - Standard / Tapered
3 & 5mm
Changed Product Group, Product Sub Group,
Benefit.
DP058
Isola System (Stainless Steel)
Modular Cross Connector Hex Nut
One size only
Changed Product Group, Suffix, Benefit.
DP060
VSP System (Stainless Steel)
Sacral Connector - Left & Right Offset
One size only
Changed Product Group, Product Sub Group,
Benefit.
DP072
Isola System (Titanium)
Modular Cross Connector J-Hooks
4.7-6.35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP073
Isola System (Titanium)
Modular Cross Connector Plates
0 - 70mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP074
Isola System (Titanium)
Modular Cross Connector Hex Nut
One size only
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 81 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DP075
Isola System (Stainless Steel)
Modular Cross Connector Plates
0 - 70mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP076
Isola System (Stainless Steel)
Modular Cross Connector J-Hooks
1/4 & 3/16"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP299
Moss Miami (Stainless Steel)
Hooks - Pedicle
One size only
Changed Product Group, Product Sub Group,
Benefit.
DP300
Moss Miami (Stainless Steel)
Hooks - Laminar as Wide or Narrow or Angled or
Reduced Distance Supra-laminar or Offset or
Extended Body
Various Sizes
Changed Product Group, Product Sub Group,
Benefit.
DP301
Moss Miami (Stainless Steel)
Transverse Connector - Complete
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP304
Moss Miami (Stainless Steel)
Inner Screw and Outer Nut
3 - 5mm
Changed Product Group, Suffix, Benefit.
DP305
Moss Miami (Stainless Steel)
Axial Connector
4/4mm to 5/7mm
Changed Product Group, Product Sub Group,
Benefit.
DP306
Moss Miami (Stainless Steel)
Monoaxial Screws
5 - 8mm x 25 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
DP307
Moss Miami (Stainless Steel)
Polyaxial Screws
4.35 - 8mm x 25 - 90mm
Changed Product Group, Product Sub Group,
Benefit.
DP315
Moss Miami (Stainless Steel)
Pre-Cut Rod
5mm x 30 - 600mm
Changed Product Group, Product Sub Group,
Benefit.
DP329
Moss Miami (Stainless Steel)
Hooks - Translation (Pedicle/Reduced
Distance/Narrow/Wide Blade)
One size only
Changed Product Group, Product Sub Group,
Benefit.
DP394
Moss Miami (Titanium)
Pre-Cut Rod
5.5mm x 30 - 90mm
Changed Product Group, Product Sub Group,
Benefit.
DP400
Moss Miami (Titanium)
Rod - Standard
5.5mm x 12 - 48cm
Changed Product Group, Product Sub Group,
Benefit.
DP407
Moss Miami (Titanium)
Monoaxial Screw
5 - 8mm x 25 - 80mm
Changed Product Group, Product Sub Group,
Benefit.
DP408
Moss Miami (Titanium)
Polyaxial Screw
4.35 - 8mm x 25 - 90mm
Changed Product Group, Product Sub Group,
Benefit.
DP410
Moss Miami (Titanium)
Hooks - Pedicle
3-5 mm
Changed Product Group, Product Sub Group,
Benefit.
DP411
Moss Miami (Titanium)
Hooks - Laminar as Wide or Narrow or Angled or
Reduced Distance Supra-laminar or Offset or
Extended Body
One size only
Changed Product Group, Product Sub Group,
Benefit.
DP412
Moss Miami (Titanium)
Transverse Connector - Complete
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP413
Moss Miami (Titanium)
Axial Connector
5mm/5mm
Changed Product Group, Product Sub Group,
Benefit.
DP418
Moss Miami (Titanium)
Hooks - Translation
One size only
Changed Product Group, Product Sub Group,
Benefit.
DP422
Moss Miami 4mm Anterior System (SS)
12 Sided Outie
One size only
Changed Product Group, Suffix, Benefit.
DP427
Surgical Titanium Mesh System
Various shapes
10- 26 x 15 -150mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 82 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DP430
Moss Miami (Stainless Steel)
Washers - slotted, angled
Slotted/Angled or 3-5mm
Changed Product Group, Product Sub Group,
Benefit.
DP438
Surgical Titanium Mesh System
Mesh - Oblong
12 - 13 x 15 -17mm x 10 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
DP449
Kaneda SR (Smooth Rod) Anterior (TI)
Closed Screw
1/4" - 6.25mm x 25 - 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP450
Kaneda SR (Smooth Rod) Anterior (TI)
Plates
Small/Large - Caudal or Rostral
Changed Product Group, Product Sub Group,
Benefit.
DP451
Kaneda SR (Smooth Rod) Anterior (TI)
Transverse Coupler
1/4" x 13 - 16mm
Changed Product Group, Product Sub Group,
Benefit.
DP452
Kaneda SR (Smooth Rod) Anterior (TI)
Pre Cut Rod
1/4" x 45 - 150mm
Changed Product Group, Product Sub Group,
Benefit.
DP453
Isola Paediatric System (Stainless Steel)
Threadless TRC - Closed or Open Body without
or with Rod
3/16"
Changed Product Group, Suffix, Benefit.
DP454
Isola System (Titanium)
Slotted Connectors Standard or Extended or
Offset or Angled or Open or Twister
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Benefit.
DP459
Isola System (Titanium)
Jaw Clamp
1/4" & 3/16"
Changed Product Group, Suffix, Benefit.
DP460
Isola System (Titanium)
Right Hand Nut
5/16"
Changed Product Group, Suffix, Benefit.
DP461
Isola System (Titanium)
Spinal Rod
1/4" & 3/16" x 18" & 24"
Changed Product Group, Product Sub Group,
Benefit.
DP462
Isola System (Stainless Steel)
Wedding Band
1/4 " & 3/16"
Changed Product Group, Product Sub Group,
Benefit.
DP463
Isola System (Titanium)
Set Screw
6.35mm
Changed Product Group, Suffix, Benefit.
DP464
Isola System (Titanium)
Closed Hooks
1/4" x 3/16" x 5-11mm
Changed Product Group, Product Sub Group,
Benefit.
DP465
Isola System (Titanium)
Open Hook and / or Cap
1/4" & 3/16" x 3.5-11mm
Changed Product Group, Product Sub Group,
Benefit.
DP466
Isola System (Titanium)
Wedding Band
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Benefit.
DP469
Isola System (Stainless Steel)
Slotted Connectors - Standard or Extended or
Offset or Angled or Open or Twister
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Benefit.
DP470
Isola System (Stainless Steel)
Transverse Rod Connector or Dual Rod Connector
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP471
Isola System (Stainless Steel)
Closed Hooks
1/4" & 3/16" x 3.5-11mm
Changed Product Group, Product Sub Group,
Benefit.
DP472
Isola System (Stainless Steel)
Open Hook Cap or Open
1/4" & 3/16" x 5-11mm
Changed Product Group, Product Sub Group,
Benefit.
DP473
Isola System (Stainless Steel)
Iliac Screw
6.25 & 7.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP474
Isola System (Stainless Steel)
Jaw Clamp
1/4" & 3/16"
Changed Product Group, Suffix, Benefit.
DP475
Isola System (Stainless Steel)
Right Hand Nut
5/16"
Changed Product Group, Suffix, Benefit.
DP476
Isola System (Stainless Steel)
Eye Rod
1/4" & 3/16" x 18" - 24"
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 83 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DP477
Isola System (Stainless Steel)
Spinal Rod Standard
1/4" & 3/16" x 18" & 24"
Changed Product Group, Product Sub Group,
Benefit.
DP485
Isola System (Stainless Steel)
Dual Diameter Rod
3/16" to 1/4" x 18 - 24"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP487
Isola Paediatric System (Stainless Steel)
Side Tightening Hook - Opened/Closed
3/16" x 3.5mm - 11mm
Changed Product Group, Product Sub Group,
Benefit.
DP488
Isola Paediatric System (Stainless Steel)
Pre-Bent Rod
3/16 "
Changed Product Group, Product Sub Group,
Benefit.
DP489
Isola Paediatric System (Stainless Steel)
Cable Wire Screw
4.75 - 6.35mm x 25 - 30mm
Changed Product Group, Product Sub Group,
Benefit.
DP490
Isola Paediatric System (Stainless Steel)
Wedding Band
3/16"
Changed Product Group, Product Sub Group,
Benefit.
DP492
Isola System (Titanium)
Iliac Screws
6.25mm & 7.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP494
Isola Paediatric System (Stainless Steel)
Wedding Band
3/16"
Changed Product Group, Product Sub Group,
Benefit.
DP495
Isola Paediatric System (Stainless Steel)
Growth/Tandem Connector
3/16"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP499
Isola System (Titanium)
Transverse Connector or Dual Rod Connector
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP501
Isola System (Stainless Steel)
Set Screw
One size only
Changed Product Group, Suffix, Benefit.
DP505
Anterior Isola System (SS)
Rod with Hex End
1/4" x 18"
Changed Product Group, Product Sub Group,
Benefit.
DP510
Brantigan I/F Cage
PLIF C/F Cage
Straight / Wedge
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP511
Brantigan I/F Cage
ALIF C/F Cage
Small - Large, 21.5 - 29mm
Changed Product Group, Product Sub Group,
Benefit.
DP513
Stackable Corpectomy CFRP Cage System
Stackable Cage Thoracic/Lumbar
Xsmall-Xlarge
Changed Product Group, Product Sub Group,
Benefit.
DP514
Brantigan I/F Cage
Cervical Brantigan Cage
Standard/Large 4-10mm
Changed Product Group, Product Sub Group,
Benefit.
DP515
I/F Ramp
PLIF C/F Ramp
7-15 x 9-17 x 21 - 25 mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP576
Kaneda Anterior Scoliosis System S/S
Open Screw - Standard or Blunt
3/16" - 6.25mm x 25 - 50mm
Changed Product Group, Product Sub Group,
Benefit.
DP577
Kaneda Anterior Scoliosis System S/S
Closed Screw - Standard or Blunt
3/16" - 6.25mm x 25 - 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP580
Kaneda Anterior Scoliosis System S/S
Radiused Caps for Open Screws
3/16"
Changed Product Group, Suffix, Benefit.
DP581
Kaneda Anterior Scoliosis System S/S
Staple Single or Double Hole
Small - Large
Changed Product Group, Product Sub Group,
Benefit.
DP828
Profile Anterior Thoracolumbar Plate System
Plates - Thoracolumbar
50 - 120mm
Changed Product Group, Product Sub Group,
Benefit.
DP829
Profile Anterior Thoracolumbar Plate System
Plates - High Thoracic
40 - 110mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 84 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DP830
Profile Anterior Thoracolumbar Plate System
Cancellous Screw
6mm x 20 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
DP831
Profile Anterior Thoracolumbar Plate System
Cancellous Bolt
7mm x 25 - 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP832
Profile Anterior Thoracolumbar Plate System
Locking Inner Screw
One size only
Changed Product Group, Suffix, Benefit.
DP833
Profile Anterior Thoracolumbar Plate System
Graft Screw
15 - 30mm
Changed Product Group, Product Sub Group,
Benefit.
DP834
Profile Anterior Thoracolumbar Plate System
Locking Outer Nut
One size only
Changed Product Group, Suffix, Benefit.
DP842
Moss Miami (Stainless Steel)
Sacral Extender
5mm x 5 - 20mm length
Changed Product Group, Product Sub Group,
Benefit.
DP843
Moss Miami (Titanium)
Sacral Extender
5.5mm x 5 - 20mm in length
Changed Product Group, Product Sub Group,
Benefit.
DP845
Moss Miami 4mm Anterior System (SS)
Hooks
4mm
Changed Product Group, Product Sub Group,
Benefit.
DP846
Moss Miami 4mm Anterior System (SS)
Rods
4.0mm x 30 - 48cm
Changed Product Group, Product Sub Group,
Benefit.
DP847
Moss Miami 4mm Anterior System (SS)
Screws - Monoaxial
6mm x 25 - 55mm
Changed Product Group, Product Sub Group,
Benefit.
DP848
Moss Miami 4mm Anterior System (SS)
Screws - Polyaxial
6mm x 25 - 55mm
Changed Product Group, Product Sub Group,
Benefit.
DP851
Surgical Titanium Mesh System
Standard & Trapezoidal
10-16mm x 8-17mm Hgt
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY078
Kaneda SR Anterior
Kaneda SR Anterior Open Screw
1/4"-6.25mm x 25-60mm, 3/16"
Changed Product Group, Product Sub Group,
Benefit.
DY087
Surgical Titanium Mesh System
End Plate or Screws or End Cap (Round / Oblong
/ Trapezoidal)
10-33mm
Changed Product Group, Product Sub Group,
Benefit.
DY088
Surgical Titanium Mesh System
Rings (Standard and Angled)
17-26mm x 22-33mm
Changed Product Group, Product Sub Group,
Benefit.
DY094
Isola Paediatric System
Stainless Steel, Slotted Connector Downsized
3/16"
Changed Product Group, Product Sub Group,
Benefit.
DY098
Moss Miami (Titanium)
Pin Nut
One size only
Changed Product Group, Suffix, Benefit.
DY100
Isola System (Stainless Steel)
Threadless TRC - Closed or Open Body with or
without Rod
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Benefit.
DY103
Isola System (Stainless Steel)
Modular Cross Connector Set Screw
One Size Only
Changed Product Group, Suffix, Benefit.
DY105
Isola System (Titanium)
Eye Rod
1/4" x 18"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY106
Isola System (Titanium)
Modular Cross Connector Set Screw
One size only
Changed Product Group, Suffix, Benefit.
DY107
Carbon Fibre Cages
Stackable Cage Titanium Interface Screw Nuts
One size only
Changed Product Group, Suffix, Benefit.
DY108
Isola System
Titanium, Locking Screw
60-120mm
Changed Product Group, Suffix, Benefit.
DY109
Carbon Fibre Cages
Stackable Cage Titanium Protective Sleeve
5-15mm
Changed Product Group, Suffix, Benefit.
DY110
Carbon Fibre Cages
Stackable Cage Titanium Interface Screws
M4 / M5
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 85 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DY121
VSP System (Stainless Steel)
Pedicle Screw & Sacral Screw
4.75-8.5mm x 25-88mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY127
VSP System (Stainless Steel)
Washers - Standard / Tapered
3 & 5mm
Changed Size, Product Group, Product Sub
Group, Benefit.
DY170
Monarch Spinal System
Bolts - Pedicle & Reduction
4.75 - 8.5 mm x 30 - 55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY171
Monarch Spinal System
Pedicle Screws - Polyaxial
4.75 - 8.5 mm x 25 - 80mm
Changed Product Group, Product Sub Group,
Benefit.
DY174
Monarch Spinal System
Bone Plate
½ to 1½ or 2 - 3 or 3½
Changed Product Group, Product Sub Group,
Benefit.
DY176
Monarch Spinal System
Washer
One size only
Changed Product Group, Product Sub Group,
Benefit.
DY178
Monarch Spinal System
Hooks - Closed (Narrow Tapered / wide Blade)
5 - 11 mm
Changed Product Group, Product Sub Group,
Benefit.
DY182
Monarch Spinal System
Rods
6.35 & 5.5mm x 35-600mm
Changed Product Group, Product Sub Group,
Benefit.
DY184
Monarch Spinal System
Dual Rod Connectors End to End or Side by Side
4.75 to 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
DY185
Monarch Spinal System
Plate J-Hooks
3.5 - 11 mm
Changed Product Group, Suffix, Benefit.
DY186
Monarch Spinal System
Band Clamp Connector
6.35 & 5.5mm
Changed Product Group, Product Sub Group,
Benefit.
DY293
Crossover System (Titanium)
Crossover Nut or Ball Screw
One size only
Changed Product Group, Suffix, Benefit.
DY299
Slim-loc Anterior Cervical Plate System
Plates - three level
56-78mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY300
Slim-loc Anterior Cervical Plate System
Screws self tapping
4.5 x 12 - 26mm
Changed Product Group, Product Sub Group,
Benefit.
DY301
Slim-loc Anterior Cervical Plate System
Screws - Large Diameter
4.8 x 12-16mm
Changed Product Group, Product Sub Group,
Benefit.
DY302
Slim-loc Anterior Cervical Plate System
Screws - Self Drilling
4.5 x 12-18mm
Changed Product Group, Product Sub Group,
Benefit.
DY304
Monarch Spinal System
Hooks - Open (Pedicle/Narrow Tapered/Wide
Blade)
5-11mm
Changed Product Group, Product Sub Group,
Benefit.
DY305
VSP System (Titanium)
Sacral Connector - Left & Right Offset
One size only
Changed Product Group, Product Sub Group,
Benefit.
DY306
Isola System (Titanium)
Threadless TRC - open body with or without rod
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY309
Frontier Anterior Scoliosis System (Titanium)
Bone Screws
5.5 x 25-40mm, 6.5 x 25-60mm, 7.5 x 35-60mm
Changed Product Group, Product Sub Group,
Benefit.
DY310
Frontier Anterior Scoliosis System (Titanium)
Spinal Rod
4.75 x 200-450mm
Changed Product Group, Product Sub Group,
Benefit.
DY311
Frontier Anterior Scoliosis System (Titanium)
Twist on Internal Cap
One size only
Changed Product Group, Suffix, Benefit.
DY313
Monarch Spinal System
Rods - Pre Cut/Lordosed
6.35 & 5.5mm x 45 - 95mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 86 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DY318
Isola System (Stainless Steel)
Pre-Cut Rod
3/16" x 35 - 90mm
Changed Product Group, Product Sub Group,
Benefit.
DY322
Carbon Fibre Interbody Fusion Device
Stackable C/F Cage System Wedges
11 Degree Small-Large
Changed Product Group, Product Sub Group,
Benefit.
DY332
Summit Cervical Rod System
Occipital Plates "Y" or "T" or transoral
31-45mm, small - large
Changed Product Group, Product Sub Group,
Benefit.
DY333
Summit Cervical Rod System
Occipital Bone Screw
4.5 - 5.25 Dia x 6 -16mm length
Changed Product Group, Product Sub Group,
Benefit.
DY334
Summit Cervical Rod System
Transition Rod
3.0/4.0/3.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY335
Summit Cervical Rod System
Dual Diameter Rod
3.0/4.75-5.5mm x 150-600mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY336
Summit Cervical Rod System
Cross Connector
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY337
Summit Cervical Rod System
Open Cable Connector
One size only
Changed Product Group, Suffix, Benefit.
DY338
Summit Cervical Rod System
Cortical, Cancellous and Rescue Screws
3.5-4.5mm x 12-48mm
Changed Product Group, Product Sub Group,
Benefit.
DY339
Summit Cervical Rod System
Mini Polyaxial Screw Standard or High
3.5mm x 12-50mm
Changed Product Group, Product Sub Group,
Benefit.
DY340
Summit Cervical Rod System
Mini Polyaxial Outer Nut
One size only
Changed Product Group, Suffix, Benefit.
DY341
Summit Cervical Rod System
Pin Nut with Flange or No Flange
One size only
Changed Product Group, Suffix, Benefit.
DY342
Summit Cervical Rod System
Connectors Left or Right or Neutral
One size only
Changed Product Group, Product Sub Group,
Benefit.
DY343
Summit Cervical Rod System
Rod
3mm x 70-200mm
Changed Product Group, Product Sub Group,
Benefit.
DY344
Summit Cervical Rod System
Transverse Connector Hook
One size only
Changed Product Group, Suffix, Benefit.
DY345
Summit Cervical Rod System
Transverse Connector Screw
One size only
Changed Product Group, Suffix, Benefit.
DY356
In Motion Lumbar Artificial Disc
End Plates Parallel & Oblique
Small, medium, large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY359
In Motion Lumbar Artificial Disc
Sliding Core
7.5mm, 8.5mm, 9.5mm, 10.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY401
Monarch Monoaxial Pedicle Screw
Monarch Monoaxial Pedicle Screw
4.75mm - 8.5mm x 25 to 80mm length
Changed Product Group, Product Sub Group,
Benefit.
DY406
Leopard 5 Lodotic Carbon Fibre Body Fusion
Device
Carbon Fibre cage
7 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
DY407
Leopard Parallel Carbon Fibre Body Fusion
Device
Carbon Fibre Cage
7 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
DY422
Saber Cage
PLIF Cage
Parallel/Wedge
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY432
Expedium Spine System
Si Screw Set
4.35 - 7.5mm
Changed Product Group, Suffix, Benefit.
DY436
Expedium Spine System
Rod - Pre - lordosed or straight
5.5 - 6.35mm diameter x 30-95mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 87 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DY438
Expedium Spine System
Hooks, Right, Left, Angled, Offset, Extended,
Reduced Bladed
4.25 - 12mm including narrow - wide
Changed Product Group, Product Sub Group,
Benefit.
DY440
Expedium Spine System
Di Polyaxial Screw
4 -10mm diameter 20 -100mm length
Changed Product Group, Product Sub Group,
Benefit.
DY441
Expedium Spine System
Monoaxial Screw
4 to 10mm diameter x 20-100mm length
Changed Product Group, Product Sub Group,
Benefit.
DY442
Summit SI System
Polyaxial Screw - Mini Favoured Angle
3.5 or 4mm diameter x 12-48mm length
Changed Product Group, Product Sub Group,
Benefit.
DY443
Summit SI System
Connectors
Various
Changed Product Group, Product Sub Group,
Benefit.
DY452
Swift Spine System
Titanium Anterior Cervical Plate System - 3.8mm
Self-Drilling/Tapping Screw
10 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
DY453
Swift/Eagle Anterior Cervical System
Titanium Self Drilling/Self Tapping Screw
4.2mm x 10-18mm
Changed Product Group, Product Sub Group,
Benefit.
DY454
Swift Spine System
Titanium Anterior Cervical Plate System - 3.8mm
Bicortical Screw
10 - 28mm
Changed Product Group, Product Sub Group,
Benefit.
DY455
Swift Spine System
Titanium Anterior Cervical Plate System - Graft
Screw
10mm
Changed Product Group, Product Sub Group,
Benefit.
DY478
Uniplate ACP System
Rescue Screw
12-18mm
Changed Product Group, Product Sub Group,
Benefit.
DY479
Uniplate ACP System
Primary Screw
12-18mm
Changed Product Group, Product Sub Group,
Benefit.
DY518
Isola System (Stainless Steel)
Domino Connector
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Benefit.
DY519
Isola System (Stainless Steel)
Offset Connector
1/4" & 3/16"
Changed Product Group, Product Sub Group,
Benefit.
DY522
Slim-loc Anterior Cervical Plate System
Plates - various levels
22-55mm
Changed Product Group, Product Sub Group,
Benefit.
DY523
Swift Spine System
Titanium Anterior Cervical Plate System Various size plates
15 - 55mm
Changed Product Group, Product Sub Group,
Benefit.
DY524
Uniplate Spinal System
Titanium Anterior Cervical Plate
13-55mm
Changed Product Group, Product Sub Group,
Benefit.
DY525
Swift Spine System
Titanium Anterior Cervical Plate System Corpectomy Plate
46-55mm
Changed Product Group, Product Sub Group,
Benefit.
DY529
Swift Spine System
Titanium Anterior Cervical Plate System Corpectomy Plate
56 - 115mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY543
VSP System (Stainless Steel)
VSP Bone Plate
1/2 to five slot, single, double or triple
Changed Product Group, Product Sub Group,
Benefit.
DY544
Monarch Spinal System
Slotted Connectors
(Straight/Extended/Offset/Twister/Mini Offset)
One size only
Changed Product Group, Product Sub Group,
Benefit.
DY545
Monarch Spinal System
Threaded Connector
One size only
Changed Product Group, Product Sub Group,
Benefit.
DY554
Expedium Spine System
Rod
4.5 - 7.5 Diameter x 120 - 600mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 88 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DY555
Expedium Spine System
Contoured Scoliosis Rod
4.5 - 7.5 Diameter x - 320 - 455mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY556
Expedium Spine System
Si Polyaxial Screw
4.35 - 11mm x 20 - 100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY557
Expedium Spine System
Si Polyaxial Screw
4.35 - 11mm x 20 - 100mm
Changed Product Group, Product Sub Group,
Benefit.
JJ512
Skyline Cervical Plate System
Skyline anterior cervical screw, titanium
Self drilling 3.8mm, 10-18mm
Changed Product Group, Product Sub Group,
Benefit.
JJ513
Skyline Cervical Plate System
Skyline anterior cervical screw. Titanium
Self tapping 3.8mm, 10-26mm
Changed Product Group, Product Sub Group,
Benefit.
JJ514
Skyline Cervical Plate System
Skyline anterior cervical screw. Titanium
Self Tapping 4.3mm, 10-18mm
Changed Product Group, Product Sub Group,
Benefit.
JJ515
Skyline Cervical Plate System
Skyline anterior cervical screw. Titanium
Bi-cortical 10-18mm
Changed Product Group, Product Sub Group,
Benefit.
JJ518
AEGIS ALP
Curved anterior lumbar plate
4-25mm
Changed Product Group, Product Sub Group,
Benefit.
JJ519
AEGIS ALP
AEGIS ALP Bone Screws, Titanium
24-36mm
Changed Product Group, Product Sub Group,
Benefit.
JJ520
CONCORDE Spine System
Parallel Carbon Fibre Interbody Fusion Device
7 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
JJ521
CONCORDE Spine System
Lordotic Carbon Fibre Interbody Fusion Device
7 - 13mm
Changed Product Group, Product Sub Group.
JJ523
VIPER Spine System
Viper Pre-lordosed Rod, Titanium
35 - 75mm
Changed Product Group, Product Sub Group,
Benefit.
JJ524
VIPER Spine System
Viper Single Innie Set Screw
One size
Changed Product Group, Suffix, Benefit.
JJ527
Eagle/Eagle Plus Anterior Cervical Plate
Anterior Cervical Plate
56-100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ528
Eagle/Eagle Plus Anterior Cervical Plate
Cervical Screw Titanium
3.8mm x 10-20mm
Changed Product Group, Product Sub Group,
Benefit.
JJ529
Eagle/Eagle Plus Anterior Cervical Plate
Cervical Screw Titanium
3.8mm x 10-26mm
Changed Product Group, Product Sub Group,
Benefit.
JJ530
Eagle/Eagle Plus Anterior Cervical Plate
Cervical Screw Titanium
4.3mm x 10-20mm
Changed Product Group, Product Sub Group,
Benefit.
JJ531
Eagle/Eagle Plus Anterior Cervical Plate
Cervical Screw Titanium
Self drilling 4.3mm 10 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
JJ569
Cougar Spine System
Anterior/lateral Lumbar Interbody Fusion Cage,
Carbon Fibre Reinforced Polymer (CFRP)
Small - Large, 10 -65mm
Changed Product Group, Product Sub Group,
Benefit.
JJ586
Expedium
Uni-Planar deformity correction (Titanium)
4.35-10mm Diameter, 20- 100mm Length
Changed Product Group, Product Sub Group,
Benefit.
JJ593
Mountaineer OCT Spinal System
CT Minipolyaxial Screw - Favoured Angle and
Medial/Lateral
3.5-4.35mm x 10 - 50mm
Changed Product Group, Product Sub Group,
Benefit.
JJ594
Mountaineer OCT Spinal System
CT Inner Set Screw
One size only
Changed Product Group, Suffix, Benefit.
JJ595
Mountaineer OCT Spinal System
CT Hook
3.5mm - Small, Medium, Large
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 89 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ596
Mountaineer OCT Spinal System
CT Dual Diameter Rod
3.5 - 4.75mm x 420 - 600 mm, 3.5 - 5.5mm x
420 - 600mm, 3.5 - 6.35mm x 420 - 600mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ597
Mountaineer OCT Spinal System
CT Rod
3.5mm x 60 - 200mm
Changed Product Group, Product Sub Group,
Benefit.
JJ599
Mountaineer OCT Spinal System
Transverse Connector Plate
21 - 56mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ600
Mountaineer Oct Spinal System
Transverse Connector Inner Screw
One size only
Changed Product Group, Suffix, Benefit.
JJ601
Mountaineer Oct Spinal System
Transverse Connector Outer Nut
One size only
Changed Product Group, Suffix, Benefit.
JJ603
McGuire Bone Screw
Cancellous Bone Screw
3.5mm x 8 - 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ607
Expedium Spine System
Lateral Connector, Open or Closed with/without
rod
4.5-6.35mm x 20 -500mm length
Changed Product Group, Product Sub Group,
Benefit.
JJ635
Expedium Spine System – Dual Rod Connector
Dual Rod Connector
4.75, 5.5 & 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
JJ643
Dual Hole Staple - Expendium Anterior Spine
System
Dual Hole Staple - Titanium
Small to Xlarge - 4 sizes
Changed Product Group, Product Sub Group,
Benefit.
JJ644
Extra long rod - Expendium Anterior Spine
System
Rod - Titanium
5.5mm x 450mm
Changed Product Group, Product Sub Group,
Benefit.
JJ645
Monoaxial Screw - Expedium Anterior Spine
System
Monoaxial Screw - Titanium
Diameters 5-7mm x Lengths 20-60mm
Changed Product Group, Product Sub Group,
Benefit.
JJ647
Expedium Spine System - Dual Innie Set Screw
DI Set Screw
one size only
Changed Product Group, Suffix, Benefit.
JJ648
Pre-cut rod - Expedium Anterior Spine System
Rod - Titanium
Diameter 5.5mm x lengths 45-150mm
Changed Product Group, Product Sub Group,
Benefit.
JJ649
Washer & Single Hole Staple - Expedium
Anterior Spine System
Washer and Single Hole Staple - Titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ652
Cross Connector - Expedium Anterior Spine
System
Drop and Lock One Piece Connector-Titanium
13 to 20mm
Changed Product Group, Product Sub Group,
Benefit.
JJ656
SI Set Screw - Expedium Anterior Spine System
Single Innie Set Screw - Titanium
one size only
Changed Product Group, Suffix, Benefit.
JJ657
Single Hole Staple - Expedium Anterior Spine
System
Single Hole Staple - Titanium
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
JJ671
Viper2 Spinal System
Straight, Kyphosed and Lordosed Rods
30-480mm
Changed Product Group, Product Sub Group,
Benefit.
JJ690
Mountaineer OCT Spinal System - OC screw
Occipital - titanium bone screw
4.5 - 5.25 x 6 - 16
Changed Product Group, Product Sub Group,
Benefit.
JJ691
Mountaineer OCT Spinal System - Inner screw
Titanium inner screw
One size only
Changed Product Group, Suffix, Benefit.
JJ692
Mountaineer OCT Spinal System - Lateral Offset,
Cable and J Hook Connector
Lateral Offset, Cable and J Hook Connector
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ693
Mountaineer OCT Spinal System - Pre-bent Rod
Pre-bent Titanium Rod
3.5 x 200 - 85mm or 3.5 x 120 - 85 mm
Changed Product Group, Product Sub Group,
Benefit.
JJ694
Mountaineer OCT Spinal System -Lateral washer
plate
Titanium Occipital - Lateral Washer Plate
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ695
Mountaineer OCT Spinal System - OC Plate
Titanium Occipital Plate
31 - 45mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 90 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ699
Iriom ramp
Carbon fibre fusion ramp
5 degrees and 7.5 degree lordosis, 9-17 mm
anterior heights
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ738
Expedium Spine System
DI Favoured Angle Reduction Tab Polyaxial
Screw
4.35-10mm Diameter 20 - 100mm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ739
Expedium Spine system
Open and closed Polyaxial connectors with or
without end tab
5.5 x 6.35 x 20-200mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ758
Anterior Isola System
Washer
One Size only
Changed Product Group, Product Sub Group,
Benefit.
JJ759
Anterior Isola System
Single hole staple
16 - 22mm
Changed Product Group, Product Sub Group,
Benefit.
JJ760
Moss Miami (Titanium)
Swedge Rod
One Size
Changed Product Group, Product Sub Group,
Benefit.
JJ761
Moss Miami (Titanium)
Slotted Hook
One Size
Changed Product Group, Product Sub Group,
Benefit.
JJ762
Moss Miami (Titanium)
Inner set screw
One Size
Changed Product Group, Suffix, Benefit.
JJ763
Moss Miami (Titanium)
Outer nut
One Size
Changed Product Group, Suffix, Benefit.
JJ764
Moss Miami (Stainless Steel)
Swedge Rod
One Size
Changed Product Group, Product Sub Group,
Benefit.
JJ765
Moss Miami (Stainless Steel)
Slotted Hook
One Size
Changed Product Group, Product Sub Group,
Benefit.
JJ766
Expedium SFX Cross Connector System
Fixed Length Cross Connector
15mm - 36mm Length, 4.5, 5.5, 6.35mm rod
diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ767
Expedium SFX Cross Connector System
Variable Length Cross Connector
26mm - 100 mm Length, 4.5, 5.5, 6.35mm rod
diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ768
Frontier Anterior Scoliosis System
Washer
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ769
Frontier Anterior Scoliosis System
Staple
Single and dual hole
Changed Product Group, Product Sub Group,
Benefit.
JJ770
Expedium Spine System
Washer
Various
Changed Product Group, Product Sub Group,
Benefit.
JJ771
Expedium Spine System
Staple
Various
Changed Product Group, Product Sub Group,
Benefit.
JJ772
Anterior Isola System
Open Monoaxial Screw
20-60mm
Changed Product Group, Product Sub Group,
Benefit.
JJ773
Anterior Isola System
Closed Monoaxial Screw
20-80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ782
X-MESH - Expandable Cage System
Telescoping, vertebral body replacement device
Footprint/diameter 10-40mm, variable height
range
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ791
Expedium Spine System - Unitised Set Screw
Unitised Set Screw
one size
Changed Product Group, Suffix, Benefit.
JJ792
Expedium 4.5 System Tandem Connectors
Expedium extended growth Tandem Connectors
40 - 80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ793
Eagle/Eagle Plus Anterior Cervical Plate
Anterior Cervical Plate
12-55mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 91 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ794
Mountaineer OCT Spinal System
Dual Rod Connectors
3.5 - 3.5mm, 3.5 - 4.75mm, 3.5 - 5.5mm, 3.5 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
JJ795
Mountaineer OCT Spinal System
Adjustable axial Connector
3.5 - 3.5mm, 3.5 - 4.75mm, 3.5 - 5.5mm
Changed Product Group, Product Sub Group,
Benefit.
JJ800
Skyline Cervical Plate System
Skyline anterior cervical plate. Various size
plates, Titanium
12-55mm
Changed Product Group, Product Sub Group,
Benefit.
JJ801
Skyline Cervical Plate System
Skyline anterior cervical plate. Various size
plates. Titanium
56-105mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ809
Viper 2 Spine System - Cobalt Chrome Rods
Cobalt Chrome Rod
100-600mm
Changed Product Group, Product Sub Group,
Benefit.
JJ820
Viper Spinal System - monoaxial screw
Monoaxial screw
30 - 80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ829
Moss Miami (Titanium)
Staple Washer
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ830
Moss Miami (Titanium)
Washers - slotted / angled
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ835
Viper Spine System
Polyaxial and Uniplanar Screw, with and without
tab
30-100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ836
Viper Spine System
Polyaxial screw with cortical fixation
30-60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MN043
VSP System (Titanium)
VSP Bone Plate
1/2 to five slot, single, double or triple
Changed Product Group, Product Sub Group,
Benefit.
MN044
Crossover System (Titanium)
Crossover connector
Size 1 - 12, 18 - 107mm
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
JJ003
Spongostan Absorbable Haemostat
Standard (Box of 20)
70 x 50 x 10mm
Changed Product Group, Product Sub Group,
Benefit.
JJ004
Spongostan Absorbable Haemostat
Film (Box of 20)
200 x 70 x 0.5mm
Changed Product Group, Product Sub Group,
Benefit.
JJ005
Spongostan Absorbable Haemostat
Special (Box of 20)
70 x 50 x 1mm
Changed Product Group, Product Sub Group,
Benefit.
JJ006
Spongostan Absorbable Haemostat
Anal 20s (Box of 20)
80 x 30mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ007
Spongostan Absorbable Haemostat
Anal 5s (Box of 5)
80 x 30mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ008
Surgicel Nu-Knit Absorbable Haemostat
High density, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
7.5 x 10cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ009
Surgicel Fibrillar Absorbable Haemostat
Fibrous fleece, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
2.5 x 5.1cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ012
Surgicel ORIGINAL Absorbable Haemostat
Oxidised regenerated cellulose gauze, the
material is biocompatible and also bactericidal
5-10.2 x 20-35cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ013
Surgicel ORIGINAL Absorbable Haemostat
Oxidised regenerated cellulose gauze, the
material is biocompatible and also bactericidal
5 x 7.5cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 92 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ014
Surgicel ORIGINAL Absorbable Haemostat
Oxidised regenerated cellulose gauze, the
material is biocompatible and also bactericidal
1.25 x 5cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ015
Spongostan Absorbable Haemostat
Dental (Box of 24)
10 x 10 x 10mm
Changed Product Group, Product Sub Group,
Benefit.
JJ023
Surgicel Nu-Knit Absorbable Haemostat
High density, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
2.5 x 2.5cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ029
Surgicel Fibrillar Absorbable Haemostat
Fibrous fleece, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
10.2 x 10.2cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ030
Surgicel Fibrillar Absorbable Haemostat
Fibrous fleece, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
5.1 x 10.2cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ432
SURGICEL Nu knit Absorbable Haemostat
High density , oxidised regenerated cellulose, the
material is biocompatible and also bactericidal.
2.5 x 8.75cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ433
SURGICEL Nu knit Absorbable Haemostat
High density , oxidised regenerated cellulose, the
material is biocompatible and also bactericidal.
15.2 x 22.9cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ444
Ethicon Endo-Surgery Gastric band sutureless
port and applier
Implantable infusion port & locking connector for
adjustable gastric band. Replacement port &
locking connector for use with adjustable gastric
band.
One size only
Changed Product Group, Benefit.
JJ576
Ethicon Omnex Surgical Sealant
Omnex Surgical Sealant
0.5 ml
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ602
ULTRAPRO Plug
Partially Absorbable Synthetic Surgical Mesh
Device
Small- Onlay patch plug: 12cm x 7.5cm, 5cm rim
diameter, 3cm anchor diameter; Medium- Onlay
patch plug: 12cm x 7.5cm, 5cm rim diameter,
4cm anchor diameter; Large- Onlay patch plug:
12cm x 7.5cm, 5cm rim diameter, 5cm anchor
diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ636
Spongostan Absorbable Haemostatic Gelatin
Powder
1 g Porcine Absorbable Haemostatic Gelatin
Powder
1 gram
Changed Product Group, Benefit.
JJ640
Surgiflo Haemostatic Matrix
Absorbable Porcine Gelatin Matrix Pre-packaged
in a Syringe
6ml of gelatin gel per kit. Mixing with 2ml-5ml
of saline or thrombin produces 8ml-11ml of
haemostatic matrix.
Changed Product Group, Product Sub Group,
Benefit.
JJ700
Ethicon Intercoat Absorabable Adhesion Barrier
Gel
Combination of Polyethylene Oxide (PEO) and
Sodium Carboxymethylcellulose stabilised with
Calcium and made isotonic with Sodium
Chloride. Kit contains 2 x 20ml Sterile Syringes,
1 x Applicator
2 x 20ml Sterile Syringes, 1x Applicator
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ831
Ethicon Endo-Surgery curved adjustable gastric
band with sutureless port and applier
Silicone
One size only
Changed Product Group, Benefit.
JJ832
Swedish Adjustable Gastric Band
Silicone
One size only
Changed Product Group, Benefit.
MN041
Endoscopic Applicator
Extender used as an adjunct to haemostasis when
control of bleeding by ligature or conventional
surgical procedures is ineffective or impractical
34cm extender
Changed Product Group, Product Sub Group,
Benefit.
Trufill syringe barrel with a pressure gauge, a
threaded plunger assembly.
One sterile unit.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
4 - Neurosurgical
DY533
Trufill Coil system - Trufill DCS Syringe
Changed Items for Prostheses List Report
Page 93 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ130
Aneurysm Clips
Stainless steel alloy AVM Micro Clip
Blade length 1-5mm
Changed Size, Product Group, Benefit.
JJ131
Aneurysm Clips
Stainless steel Graft Clip (with teflon graft)
Blade 2-5mm diameter, 3-7mm length
Changed Product Group, Suffix, Benefit.
JJ134
Aneurysm Clips
Stainless Steel clip, various shapes including mini
2-20mm
Changed Description, Size, Product Group,
Benefit.
JJ141
Aneurysm Clips
Fenestrated Clips
Length 21-25mm
Changed Description, Size, Product Group,
Suffix, Benefit.
JJ142
Aneurysm Clips
Fenestrated Clips
Length 6-21mm
Changed Description, Size, Product Group,
Suffix, Benefit.
JJ155
Aneurysm Clips
Stainless Steel, various shapes
21-25mm length
Changed Description, Size, Product Group,
Benefit.
JJ156
Hakim Precision Valve System
Precision valve standard with reservoir
Very low to very high including micro
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ157
Hakim Precision Valve System
Precision valve standard with reservoir,
peritoneal and ventricular catheters
Very low to very high including micro
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ158
Hakim Programmable Valve System
Valve only
One size only
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
JJ159
Hakim Programmable Valve System
Standard system. Silicone casing with catheter;
stainless steel ruby ball in cone mechanism with
variable pressure
Peritoneal Catheter length 80 cm, Ventricular
catheter length 14 cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ160
Hakim Catheter Kit with Bactiseal Silicone
Silicone antibiotic impregnated catheter kit
Kit
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
JJ164
Siphonguard CSF Control Device
PET shell anti-siphon device for shunt
One size only
Changed Product Group, Benefit.
JJ218
HOLTER Intracranial Pressure Shunt
HOLTER Ventricular Catheter, packaged sterile,
silicone rubber
3 - 7cm and 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ219
Hakim Programmable Valve System
Fixed pressure hydrocephalus shunt, packaged
sterile, stainless steel and ruby valve mechanism,
silicone rubber ventricular and peritoneal
catheters. In line or right angled with reservoir.
Valve can be reprogrammed non-invasively 18
pressure settings a
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ220
Hakim Precision Valve System
Fixed pressure valve with reservoir, siphonguard,
ventricular and peritoneal catheters
Very low to very high including micro
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ221
Hakim Precision Valve System
Fixed pressure hydrocephalus shunt, packaged
sterile, stainless steel and ruby valve mechanism,
silicone rubber ventricular and peritoneal
catheters. In line or right angled with reservoir.
Opening pressure H20; Very high 130mm, high
100mm, medium 70mm
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ227
Codman Medos Straight Ventricular Catheter
14cm, packaged sterile, silicone rubber
14cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ228
Codman Medos Connector
Codman Medos stainless steel shunt connector
straight
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ229
Codman Medos Peritoneal Catheter
85cm, packaged sterile, silicone rubber
85cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 94 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ261
ACCU-FLO Intracranial Pressure shunt
ACCU-FLO catheter, packaged sterile, silicone
rubber
91cm in length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ262
ACCU-FLO Intracranial Pressure shunt
ACCU-FLO three way connector, packaged
sterile, metal or plastic
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ263
ACCU-FLO Intracranial Pressure shunt
ACCU-FLO barium ventricular catheter,
packaged sterile, silicone rubber
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ264
ACCU-FLO Intracranial Pressure shunt
ACCU-FLO right angle connector, packaged
sterile, metal or plastic
One size only
Changed Product Group, Product Sub Group,
Benefit.
JJ436
Codman Hakim Programmable Valves
Programmable valve with reservoir
One Size Only
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
JJ437
Codman Hakim Programmable Valves with
Siphonguard
18 different pressure settings and
SIPHONGUARD technology
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ440
Codman Hakim Precision Valve, Right Angle
Reservoir
features 5 operating pressures
10, 40, 70, 100, and 130mmH2O
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ488
Prowler Infusion Catheters
Braid/coil catheter
Size: 50cm - 170cm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ650
Cordis Enterprise Vascular Reconstruction
Device and Delivery System
Closed Cell Design Nitinol Neurovascular
4.5 mm in diameter and 4 different lengths:
14mm, 22mm, 28mm and 37mm
Changed Product Group, Benefit.
JJ740
Duraform Dural Graft Implant - 1" x 1"
(2.5x2.5cm)
Collagen-based dural graft implant
1'x1' (2.5x2.5cm)
Changed Product Group, Benefit.
JJ743
Duraform Dural Graft Implant - 3" x 3" (7.5 x
7.5cm)
Collagen-based dural graft implant
3" x 3" (7.5 x 7.5cm)
Changed Product Group, Benefit.
JJ744
Duraform Dural Graft Implant - 4" x 5"
(10x12.5cm)
Collagen-based dural graft implant
4" x 5" (10x12.5cm)
Changed Product Group, Benefit.
5 - Urogenital
JJ070
TVT (Tension-Free Vaginal Tape) Single use
device
Undyed Prolene (polypropylene) nonabsorbable
tape
11 x 450mm
Changed Product Group, Product Sub Group,
Benefit.
JJ442
Gynecare TVT-O
Items included are: Gynecare TVT Obturator
device, Two Gynecare TVT Helical Passers and a
Gynecare TVT Atraumatic Winged Guide. The
device component of the system consists of
undyed or blue Prolene Polypropylene Mesh
1.1x45 cm
Changed Product Group, Product Sub Group,
Benefit.
JJ476
Gynecare Prolift Pelvic Floor Repair System
Pre-cut gynemesh PS and single use instruments
for mesh placement
one size only
Changed Size, Product Group, Product Sub
Group, Benefit.
JJ477
Gynecare Prolift Pelvic Floor Repair System
Pre-cut gynemesh PS and single use instruments
for mesh placement
one size only
Changed Size, Product Group, Product Sub
Group, Benefit.
JJ478
Gynecare Prolift Pelvic Floor Repair System
Pre-cut gynemesh PS and single use instruments
for mesh placement
one size only
Changed Size, Product Group, Product Sub
Group, Benefit.
JJ676
GYNECARE PROSIMA Anterior Pelvic Floor
Repair System
Precut gynaemesh PS and single use instruments
for mesh placement. Includes vaginal support
device
1 x Pieces of GYNECARE GYNEMESH PS*
Mesh (approximately 80mm x 60mm). 1 x
Vaginal Support Device, 1 x Syringe, 1 x
Posterior Inserter
Changed Product Group, Product Sub Group,
Benefit.
JJ679
GYNECARE PROLIFT + M Anterior Pelvic
Floor Repair System
Pre-cut GYNECARE GYNEMESH M* Partially
Absorbable mesh and single use instruments for
mesh placements
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 95 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ745
GYNECARE PROSIMA Combined Pelvic Floor
Repair System
Pre-cut gynemesh PS and single use instruments
for mesh placement
2 x Pieces of GYNECARE GYNEMESH PS*
Mesh (approximately 80mm x 60mm). 1 x
Vaginal Support Device, 1 x Syringe, 1 x
Anterior Inserter, 1 x Posterior Inserter
Changed Product Group, Product Sub Group,
Benefit.
JJ746
GYNECARE PROSIMA Posterior Pelvic Floor
Repair System
Pre - Cut gynemesh PS and single use
instruments for mesh placement
1 x Pieces of GYNECARE GYNEMESH PS*
Mesh (approximately 80mm x 60mm). 1 x
Vaginal Support Device, 1 x Syringe, 1 x
Posterior Inserter
Changed Product Group, Product Sub Group,
Benefit.
JJ747
GYNECARE PROLIFT+M combined Pelvic
Floor Repair System
Pre-cut GYNECARE GYNEMESH M* Partially
Absorbable mesh and single use instuments for
mesh placement
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
JJ748
GYNECARE PROLIFT+M Posterior Pelvic Floor
Repair System
Pre-cut GYNECARE GYNEMESH M* Partially
Absorbable mes and single use instruments for
mesh placement
Once Size Only
Changed Product Group, Product Sub Group,
Benefit.
JJ775
GYNECARE TVT SECUR
The GYNECAGE TVT SECUR System consists
of a device, 2 Inserters (with finger pads and a
release wire), 1 Protective cover, and 1 plastic
delivery tray
Mesh measures 1.1cm x 8cm in length
Changed Product Group, Product Sub Group,
Benefit.
JJ789
GYNECARE GYNEMESH
Pelvic floor reconstructive material, lightweight
mesh
25 x 25 cm
Changed Product Group, Product Sub Group,
Benefit.
JJ790
GYNECARE GYNEMESH PS
Pelvic floor reconstructive material, lightweight
mesh
10 x 15 cm
Changed Product Group, Product Sub Group,
Benefit.
JJ802
BULKAMID Urethral Bulking System
Transparent polyacrylamide gel for female
urinary incontinence. Kit comprises 2 syringe, 2
needles, 1 applicator
2 x 1ml syringes, 2 x BULKAMID 23G needles,
1 x disposable sheath
Changed Product Group, Product Sub Group,
Benefit.
MN039
Gynecare TVT ABBREVO™ Continence System
Implant assembly consisting of mesh sling and
sterile, single-patient use helical passer sheaths.
1.1cm x 12cm
Changed Product Group, Product Sub Group,
Benefit.
6 - Specialist Orthopaedic
DP391
Ace External Fixator
Pin Holder Bolt - Titanium
All sizes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP592
Small / Large Fragment Set
Cannulated Bone Screw Titanium
4.5 - 8mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
DP597
Small / Large Fragment Set
Bone Screw, Titanium
3.5 - 4.0mm diameter
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
DP598
Small / Large Fragment Set
Cannulated Titanium Bone Screw
3.0mm - 4.0mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
DP617
Small / Large Fragment Set
3.5mm Titanium plate
7-14 holes
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
DP618
Small / Large Fragment Set
3.5mm Titanium plates
2 to 6 holes
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
DP627
Small / Large Fragment Set
Bone Screw Titanium
4.5 to 6.5mm diameter
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
DP646
Small / Large Fragment Set
Washer Titanium - Flat/Cup/Countersink
One size only
Changed Product Group, Product Sub Group,
Benefit.
DP664
Small / Large Fragment Set
Cannulated Bone Screw
4.5 to 8.0mm diameter
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 96 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DP759
Small / Large Fragment Set S/S
Washer Spiked, Standard, Cancellous, Cortical &
Fastening Wire
One size only
Changed Product Group, Product Sub Group,
Benefit.
DP868
Barouk Screw System
Barouk Screw - Titanium
10-34mm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP882
Twistoff Screw
TwistOff Screw Titanium
11-14mm Long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP904
Periarticular Plating System
Plate Calcaneal - Titanium
Small - Large
Changed Product Group, Product Sub Group,
Benefit.
DP905
Periarticular Plating System
Fibula Composite Plate - Titanium
5 Hole
Changed Product Group, Product Sub Group,
Benefit.
DP906
Periarticular Plating System
Medial Pilon Plate - Titanium
3 Hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP907
Periarticular Plating System
Meta Plate - Titanium
Sm - Lge 3 to 6 Holes
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
DP914
Periarticular Plating System
Fibula Composite Plate - Titanium
9 Hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DP916
Periarticular Plating System
Tibial Plate - Titanium
7 - 15 Holes
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
DP931
Small / Large Fragment Set
Bone Screw
4.5-6.5mm diameter
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
DY223
Ace External Fixator
Ring, aluminium
1/3 ring small 6" diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY225
Ace External Fixator
Ring, composite
1/3 ring small - large
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
DY226
Ace External Fixator
Ring, composite
1/3 ring medium
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY227
Ace External Fixator
Ring, composite
1/3 ring small
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY228
Ace External Fixator
Threaded Rod, titanium
1/4" x 10cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY229
Ace External Fixator
Threaded Rod, titanium
1/4" x 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY230
Ace External Fixator
Threaded Rod, titanium
1/4" x 20cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY231
Ace External Fixator
Threaded Rod, titanium
1/4" x 10-25cm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
DY234
Ace External Fixator
Titanium half pin thread
15-80mm, 155 x 5mm to 220 x 5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY236
Ace External Fixator
Spacer with bolt, titanium
2.5-5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY237
Ace External Fixator
Ring, aluminium
2/3 ring, Small - Large
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
DY238
Ace External Fixator
Ring, composite
2/3 ring, small - Large
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 97 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DY240
Ace External Fixator
Ring, aluminium
2/3 ring, small 6" diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY241
Ace External Fixator
Ring, composite
2/3 ring, small
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY242
Ace External Fixator
Stainless steel transfix pin
250/300 x 5mm with 40-70mm thread
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY243
Ace External Fixator
Titanium Transfix Pin
250/300 x 5mm with 40-70mm thread
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY245
Ace External Fixator
TIP CapS, polyethylene
3-5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY248
Ace External Fixator
Adaptor rod, titanium
8mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY249
Ace External Fixator
Pin holder adaptor, aluminium
90"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY251
Ace External Fixator
Anchor assembly, titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY252
Ace External Fixator
Articulation, titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY253
Ace External Fixator
Bolt clevis, titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY256
Ace External Fixator
Locking nut, titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
DY257
Ace External Fixator
Nut, stainless steel
One size only
Changed Product Group, Product Sub Group,
Benefit.
DY259
Ace External Fixator
Ring adapter bolt, titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY260
Ace External Fixator
Ring connector, titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY262
Ace External Fixator
Spherical nut and washer, titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
DY263
Ace External Fixator
U rings, aluminium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY264
Ace External Fixator
Universal joint, titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY266
Ace External Fixator
Wire bolt hinge, titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY267
Ace External Fixator
Wire fixation bolt, cannulated or slotted (stainless
steel)
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY268
Ace External Fixator
Connecting rod, aluminium
X-Short, short, medium or long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY271
Ace External Fixator
Ring adaptor, titanium
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY294
Bremer Halo Crown System
Aluminium Crown & Vest
Standard & 3D
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 98 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
DY295
Bremer Halo Crown System
Titanium Skull Pins
Standard & Hi-Fix
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY386
Hoffman Wrist Kit
Hoffman Sterile Wrist Kit
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY400
Neuflex Finger
Neuflex PIP
1 to 20
Changed Product Sub Group, Benefit.
DY412
Hand and Foot Fracture Systems
FRS Screw
10mm to 34mm L x 2.5mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY535
ALPS Foot System
Complex periarticular foot plates
small to large
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
DY536
ALPS Foot System
Calcaneal foot plate
small to large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
DY537
ALPS foot system
periarticular foot, metatarsal and tarsal plates
small to large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ557
DELTA Xtend
Non Locking Canulated Metaglene Screw
4.5mm
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ558
DELTA Xtend
Locking Metaglene Screw Dia 4.5
4.5mm; 24, 30, 36, 42, 48
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ618
Distal Radius Fracture Repair System
DVR titanium radius plates
7 to 15 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ619
Distal Radius Fracture Repair System
DVR-A, distal volar radius locking plate, titanium
16 to 20 holes
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
JJ620
Distal Radius Fracture Repair System
DNP, titanium radius nail plates
7 to 15 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ621
Distal Radius Fracture Repair System
Fragment locking plate, titanium
Right, left, straight, Y
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ623
Distal Radius Fracture Repair System
Non-locking bone screw
3.5mm diameter
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ625
HI S3 Shoulder Fixation System
S3 Shoulder Plate
7 to 15 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ626
HI S3 Shoulder Fixation System
S3 Shoulder Plate
16-20 Hole, Left & Right
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ627
HI S3 Shoulder Fixation System
Peg, Standard Stainless Steel
4mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
JJ628
HI S3 Shoulder Fixation System
Locking Peg
4mm diameter
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
JJ631
HI S3 Shoulder Fixation System
Locking bone screw
3.8 to 4.0mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
JJ633
HI S3 Shoulder Fixation System
Set Screw, 90 Deg Locking
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ680
Polyax Plating System
Titanium Locking Screw
4.5-5.5mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
JJ682
Polyax Plating System
Cannulated Locking Screw, Titanium
4.5 to 8.0mm diameter
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ683
Polyax Plating System
Multidirectional Locking Screw, Titanium
4.5mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 99 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
JJ684
Polyax Plating System
Non-Locking Screw, Titanium
40-100mm
Changed Description, Product Group, Product
Sub Group, Benefit.
JJ685
Polyax Plating System
Locking Bone screws
4.0mm diameter
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
JJ710
ALPS - Anatomic Locked Plating System
3.5mm titanium plate
2-6 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ712
ALPS - Anatomic Locked Plating System
3.5mm Titanium plates
7 to 15 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ713
ALPS Plating System
Non locking Bone Screws
3.0-4.0mm
Changed Product Name, Description, Size,
Benefit.
JJ714
ALPS Plating System
Cancellous titanium Locking Bone Screws
10-100mm
Changed Product Name, Benefit.
JJ715
ALPS Plating System
Cannulated Bone Screws
3.0 to 4.0mm diameter
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
JJ716
ALPS Plating System
Non-locking bone screw
2.5 to 2.7mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
JJ718
ALPS - Anatomic Locked Plating System
3.5mm titanium locking spider plates
Small - large and offset
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
JJ719
ALPS SFS
Flat and cupped Titanium washers
Flat and cupped
Changed Product Group, Product Sub Group,
Benefit.
JJ720
ALPS LFS
4.5mm titanium plates
1-6 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ721
ALPS LFS
4.5mm titanium plates,
7-15 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ724
ALPS Plating System
Non-locking bone screws
4.5 - 6.5mm diameter
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
JJ725
ALPS Plating System
Locking screws
4.5 to 6.5mm diameter
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
JJ727
ALPS LFS
4.5mm Titanium Spider plates
Single hole plate with hooks
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ728
ALPS LFS
Flat and cupped Titanium washers
4.5-6.5mm
Changed Product Group, Product Sub Group,
Benefit.
JJ729
ALPS Anatomic Locked plating system
Distal and Proximal Tibial Plates, Titanium
7 to 15 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ730
ALPS-Anatomic Locked Plating system
Distal and Proximal Tibial Plates, Titanium
16 - 25 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
JJ731
ALPS System
Polyaxial locking screws
3-4.0mm diameter
Changed Product Name, Description, Size,
Product Sub Group, Suffix, Benefit.
JJ806
TEMPFIX External Fixation System -transfixing
pin sterile kit
Sterile pack for external fixation of lower
extremity periarticular fractures
Sterile transfixing pin lower leg frame kits
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ807
TEMPFIX External Fixation System - half pin
sterile kit
Sterile pack for external fixation of lower
extremity periarticular fractures
Sterile half pin lower leg frame kits
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ824
Bristow-Latarjet Instability Shoulder Set - Top
Hat Screw
Cannulated titanium top hat screw
One size only
Changed Size, Suffix, Benefit.
MN040
Bristow-Latarjet Instability Shoulder Set - Screw
Cannulated titanium locking screw
28mm to 48mm
Changed Size, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 100 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
7 - Plastic and Reconstructive
JJ255
BIOPLATE Biomesh
Titanium, lattice, 48 hole, packaged non-sterile
32 x 44mm
Changed Product Group, Product Sub Group,
Benefit.
JJ260
BIOPLATE Biomesh
Titanium cranial biomesh 3ME, packaged nonsterile
20 x 20cm
Changed Product Group, Product Sub Group,
Benefit.
JJ275
BIOPLATE Bone plate
Titanium cranial straight plate, 2 hole, packaged
non-sterile
1.5mm - 1.9mm diam, 14 - 15mm length
Changed Product Group, Product Sub Group,
Benefit.
JJ303
Cranioplastic Kit (Type 1)
Cranioplastic kit containing 2 complete sets.
Consists of 2 bags of sterile powder, 2 vials
sterile liquid, 2 sterile matrix bags
30grams
Changed Product Group, Product Sub Group,
Benefit.
JJ441
Titanium Mesh
Titanium Mesh Sterile
0.2mm thickness, 15cm x 15cm
Changed Product Group, Product Sub Group,
Benefit.
JJ535
BIOPLATE Low Profile
Low Profile 2-hole Straight Plate
11mm - 14mm length
Changed Product Group, Product Sub Group,
Benefit.
JJ543
BIOPLATE Low Profile
Low Profile 8-hole Boxcar Plate
10 x 24mm
Changed Product Group, Product Sub Group,
Benefit.
JJ544
BIOPLATE Low Profile
Low Profile Flex Contoured Burr Hole Cover
Low profile 0.3mm, 1.5mm diam hole, 12 18mm diam plate
Changed Product Group, Product Sub Group,
Suffix, Benefit.
JJ687
PDS Plates
Absorbable synthetic (poly-p-dioxanone) plate/foil
0.25mm x 30mm x
40mm
30mm x 40mm
0.25mm x 40mm x
50mm
40mm x 50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
0.5mm x
0.5mm x
JJ799
BIOPLATE Biomesh
Titanium cranial biomesh, packaged non sterile
127 x 131mm, 0.6mm thickness
Changed Product Group, Product Sub Group,
Benefit.
MN001
Mentor Radovan Tissue Expander
Tissue Expander
Volume 25cc - 1000cc
Changed Description, Product Group, Product
Sub Group, Benefit.
MN002
Mentor Siltex Contour Profile Breast Tissue
Expander
Siltex Contour Tissue Expander
Volume 250cc - 850cc
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
MN013
Mentor Siltex Becker Expander/Mammary
Implant
Textured Becker Expander/Mammary Implant
145 to 800cc
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
MN028
Mentor Spectra Adjustable Gel Breast Implants
Smooth Round Spectra Adjustable Gel Implant
190cc-760cc
Changed Product Name, Description, Product
Group, Product Sub Group, Benefit.
MN029
Mentor Spectra Adjustable Gel Breast Implants
Textured Round Spectra Adjustable Gel Implant
190cc - 760cc
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
MN042
Mentor Siltex Contour Breast Tissue Expander
Siltex Contour Tissue Expander with suture tab
(CPX3)
250-850cc
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
MN045
Mentor Spectrum Saline Tissue
Expander/Adjustable Implant
Smooth, round adjustable implant with posterior
spectrum valve
<500cc
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
MN046
Mentor Spectrum Saline Tissue
Expander/Adjustable Implant
Smooth, round adjustable implant with posterior
spectrum valve
≥500cc
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
Changed Items for Prostheses List Report
Page 101 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MN047
Mentor Spectrum Saline Tissue
Expander/Adjustable Implant
Textured, Contour Profile adjustable implant with
posterior spectrum valve
<500cc
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
MN048
Mentor Spectrum Saline Tissue Expander /
Adjustable Implant
Textured, Contour Profile adjustable implant with
posterior spectrum valve
≥500cc
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
MN049
Mentor Spectrum Saline Tissue
Expander/Adjustable Implant
Textured, round adjustable implant with posterior
spectrum valve
<500cc
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
MN053
Mentor Siltex Round Saline Implant
Textured, round implant
<500cc
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
Cobalt Chromium, bare metal coronary stent
Stent length 8 - 40mm x Stent Diameter 2.5 - 5.0
mm
Changed Product Group, Product Sub Group,
Benefit.
8 - Cardiac
DY534
Presillion Plus CoCr Coronary Stent on RX
System
K2 Surgical
6 - Specialist Orthopaedic
KS001
Foot Motion - self-drilling cannulated
compression screws
Self-drilling auto-compressive cannulated screw
3.0mm diameter, length 8mm-40mm
Changed Suffix, Benefit.
KS002
Foot Motion - weil screws
Weil screw is a titanium self tapping, self-cutting
screw
2.0mm diameter, length 8mm - 15mm
Changed Suffix, Benefit.
Kendall Australasia Pty Ltd TA Covidien Pty Ltd
10 - Vascular
KA001
Tenckhoff Peritoneal Dialysis Catheter
Adult 2 cuff, Adult 1 cuff, Adult 0 Cuff
42cm to 47cm length. All Peritoneal Catheters
excluding the Swan Neck Fast Flow Catheter,
have an internal diameter of 2.67mm and an
external diameter of 4.95 mm.
Changed Product Group, Suffix, Benefit.
KA002
Tenckhoff Peritoneal Dialysis Catheter
Paediatric 2 cuff, Paediatric 1 cuff, Neonatal 1
cuff
31cm to 37 cm length. All Peritoneal Catheters
excluding the Swan Neck Fast Flow Catheter,
have an internal diameter of 2.67mm and an
external diameter of 4.95 mm.
Changed Product Group, Suffix, Benefit.
KA003
Fast Flow Peritoneal Dialysis Catheter
Swan Neck, 2 cuff
Int.diam: 3.2mm; ext diam 5.49mm.All
Peritoneal Catheters excluding the Swan Neck
Fast Flow Catheter, have an internal diameter of
2.67mm and an external diameter of 4.95 mm.
Changed Product Group, Suffix, Benefit.
KA004
Swan Neck Curl Peritoneal Dialysis Catheter
Adult 2 cuff, left
62 cm length. All Peritoneal Catheters excluding
the Swan Neck Fast Flow Catheter, have an
internal diameter of 2.67mm and an external
diameter of 4.95 mm.
Changed Product Group, Suffix, Benefit.
KA005
Swan Neck or Swan neck Tenckhoff Peritoneal
Dialysis Catheter
Adult-left, Adult-right, Adult, 2 cuff-left, Adult, 2
cuff-right
20 to 25cm external segment or 43cm length. All
Peritoneal Catheters excluding the Swan Neck
Fast Flow Catheter, have an internal diameter of
2.67mm and an external diameter of 4.95 mm.
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 102 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
KA006
Tenckhoff Peritoneal Dialysis Catheter, Curl
Adult, 2 cuffs
57 to 62cm length. All Peritoneal Catheters
excluding the Swan Neck Fast Flow Catheter,
have an internal diameter of 2.67mm and an
external diameter of 4.95 mm.
Changed Product Group, Suffix, Benefit.
KA007
Mahurkar Subclavian Catheter Kit
Chronic haemodialysis, long term vascular access
for haemodialysis and apheresis. Constructed of
radiopaque silicone rubber.
36, 40cm
Changed Product Group, Product Sub Group,
Benefit.
KA008
Single Lumen Right Atrial Catheter
Central Venous Catheters constructed of
radiopaque silicone rubber
84cm, 1.3mm OD, 94cm 2.2mm OD, 94cm
3.2mm OD
Changed Product Group, Product Sub Group,
Benefit.
KA011
Permcath Dual Lumen Catheter
Chronic Haemodialysis, long term vascular
access for haemodialysis and aphaeresis.
Constructed of radiopaque silicone rubber.
36cm, 40cm
Changed Product Group, Product Sub Group,
Benefit.
KA012
Mahurkar Subclavian Catheter Kit
Acute haemodialysus, short term vascular access.
Catheters constructed of radiopaque
polyurethane. Tips are made of polyvinyl chloride
and are more radiopaque than the rest of the
catheter.
11.5 Fr, 13.5cm Straight Exten, 11.5 Fr, 16cm
Straight Exten, 11.5 Fr 19.5cm Straight Exten, 10
Fr 12cm Curved Exten, 10 Fr 15cm Curved
Exten, 11.5 Fr 16cm Curved Exten, 11.5 Fr 16cm
Curved Exten, 11.5 Fr 19.5cm Curved Exten
Changed Product Group, Product Sub Group,
Benefit.
KA013
Permcath Dual Lumen Catheter
Chronic haemodialysis, long term vascular access
for haemodialysis and aphaeresis. Constructed of
radiopaque silicone rubber.
28, 36, 40cm
Changed Product Group, Product Sub Group,
Benefit.
KA014
Mahurkar Maxid Catheters
Catheters constructed of radiopaque
polyurethans, high kink resistant. The arterial
lumen is shorter than the venous lumen at the
catheter's distal end in order to reduce
recirculation during haemodialysis
Size, 38, 43, 48, 53cm
Changed Product Group, Product Sub Group,
Benefit.
KA018
Palindrome
Haemodialysis catheter
14.5Fr. 19, 23, 28, 33, 55cm Insertion Lengths,
with 36, 40, 45, 50, 72cm Overall length, with
side slots, symmetric tip
Changed Product Group, Product Sub Group,
Benefit.
KA019
Mahurkar 12Fr Triple Lumen Catheter
Mahurkar 12Fr Triple Lumen Catheter Curved
Extension Kit
12Fr - 13cm, 16cm, 19cm & 24cm lengths
available
Changed Product Group, Product Sub Group,
Benefit.
KA020
Mahurkar 13.5Fr Q-Plus Dual Lumen Catheter
Mahurkar 13.5Fr Q-Plus Curved Extension
Double Lumen Catheter Kit
13.5Fr - 13.5cm, 16cm, 19cm & 24cm lengths
available
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
KA015
Entristar Skin Level Gastrostomy Kits
Skin level non-balloon internal retention bolster
gastrostomy kit, including Entristar gastrostomy
tube, accessory bolus and continuous feeding
tubes, syringes for inflation and flushin. Patient
handbook
12fg x 1.2cm, 12fg x 1.5cm, 12fg x 2.0cm, 12fg
x 2.5cm, 12fg x 3.0cm, 12fg x 3.5cm, 12fg x
4.0cm, 12fg x 4.5cm, 12fg x 5.0cm, 16fg x
1.5cm, 16fg x 1.7cm, 16fg x 2.0cm, 16fg x
2.4cm, 16fg x 2.7cm, 16fg x 3.0cm, 16fg x
3.5cm, 20fg x 1.5cm, 20fg x 2.0cm, 20fg x
2.5cm, 20fg x 3.0cm, 20fg x 3.5cm, 20fg x
4.0cm, 20fg x 4.5cm, 20fg x 5.0cm
Changed Product Group, Product Sub Group,
Benefit.
KA016
Kangaroo Gastrostomy Feeding Tubes
100% silicone gastrostomy with internal retention
balloon
12fg, 14fg, 16fg, 18fg, 20fg, 22fg, 24fg
Changed Product Group, Product Sub Group,
Benefit.
KA017
NutriPort Balloon Skin Level Gastrostomy Kit
Skin level silicone balloon gastrostomy kit,
including NutriPort gastronomy tube, accessory
bolus and continuous feeding tubes, syringes for
inflation and flushing, Patient handbook
12fg x 0.8 - 5.0cm, 14fg x 0.8 - 5.0cm, 16fg x
0.8 - 5.0cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 103 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
Kimberly-Clark Australia Pty Limited
3 - General Miscellaneous
KI001
Kimberly-Clark Aust Pty Ltd Enteral Feeding Kit
68914 MIC Gastrostomy Tubes Model 100 Series
MIC* Percutaneous Endoscopic Gastrostomy
(P.E.G) Feeding Tubes/Kits 14, 20, 24 French
#0630 Series PUSH (OTW) Method &
#0640Series PULL Method
Changed Product Group, Product Sub Group,
Benefit.
KI002
Kimberly-Clark Aust Pty Ltd Enteral feeding kit,
Mic* Percutaneous Endoscopic Gastrostomy
(P.E.G) Feeding Tubes/Kits
68914 MIC Gastrostomy Tubes Model 100 Series
MIC* Percutaneous Endoscopic Gastrostomy
(P.E. G) Feeding BASIC Tubes/Kits 14, 20, 24
French#0644 Series PULL Method
Changed Product Group, Product Sub Group,
Benefit.
KI003
Kimberly-Clark Aust Pty Ltd Enteral feeding kit,
Mic* Percutaneous Endoscopic Gastrostomy
(P.E.G) Feeding Tubes/Kits
68914 MIC Gastrostomy Tubes Model 100 Series
Feeding Adaptors (Universal or Bolus) for use
with 14, 20 &24 F MIC* PEG's#0135 &#0136
Series
Changed Product Group, Product Sub Group,
Benefit.
KI004
Kimberly-Clark Aust Pty Ltd Enteral feeding kit,
MIC-KEY Low Profile Gastrostomy Feeding
Tubes/Kits
68914 MIC Gastrostomy Tubes Model 100 Series
MIC-KEY* Low Profile Gastrostomy Feeding
Tubes/Kits 14 - 24 French, 0.8 cm - 4.5 cm
Changed Product Group, Product Sub Group,
Benefit.
KI005
Kimberly-Clark Aust Pty Ltd Enteral feeding kit,
MIC-KEY Low Profile Gastrostomy Feeding
Tubes/Kits
68914 MIC Gastrostomy Tubes Model 100 Series
SECUR-LOK* Extension Sets & Bolus Feeding
Sets 30.5 cm & 60.9 cm
Changed Product Group, Product Sub Group,
Benefit.
KI006
Kimberly-Clark MIC* Transgastric-Jejunal
Feeding Tubes (Surgical Placement Kits)
Medical Grade Silicone Construction, Silicone
Internal Retention Balloon, SECUR-LOK*
External Retention ring, Universal Jejunal
Feeding Port Connector, Gastric Decompression
Port, Multiple Gastric & Jejunal Exit Ports,
Tungsten Weighted Jejunal Portion, Tapered
Distal Tip, Radiopaque Stripe, Sterile
16-22 French - 45cm jejunal length - 7-10ml
balloon
Changed Product Group, Product Sub Group,
Suffix, Benefit.
KI007
MIC* Gastrostomy Feeding Tube; MIC* Bolus
Gastrostomy Tube
Medical Grade Silicone Construction. Silicone
Internal Inflatable Retention Balloon, SECULOK* External Retention Ring, Universal
Feeding Port Connector, Medication Port, Dual
Exit Ports, Tapered Distal Tip, Radiopaque Strip,
Sterile.
12fr - 3-5ml balloon, 14fr - 3-5ml balloon, 16fr 3-5ml balloon, 18fr - 7-10ml balloon, 20fr - 710ml balloon, 22fr - 7-10ml balloon, 24fr - 710ml balloon, 26fr - 7-10ml balloon, 28fr - 710ml balloon, 30fr - 7-10ml balloon,
Changed Product Group, Product Sub Group,
Benefit.
KI008
MIC-KEY Low Profile Transgastric-Jejunal
Feeding Tube
100% medical grade silicone tube. 40/60
tungsten weighted jejunal post pyloric feeding
tube. Gastric drainage ports, jejunal feeding ports
16, 18 and 22Fr, 1.0 to 3.5cm stomal length, 15
to 45cm jejunal length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
KI009
MIC Transgastric-Jejunal Feeding Tube
100% medical grade silicone tube. 40/60
tungsten weighted jejunal post pyloric feeding
tube. Gastric drainage ports, jejunal feeding ports
16, 18, 22Fr, 15 to 45cm jejunal length, 7-10ml
balloon volume
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Lifehealthcare Pty Ltd
10 - Vascular
LH004
Thoratec, Vectra Vascular Graft - Synthetic
Vectra, Biocompatible Polyurethane Vascular
Access Graft
Length 40cm
Changed Product Group, Product Sub Group,
Benefit.
LH005
Thoratec, Vectra Vascular Graft - Synthetic
Vectra, Biocompatible Polyurethane Vascular
Access graft
Length 50cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH006
Thoratec, Vectra Vascular Graft - Synthetic
Vectra, Biocompatible Polyurethane Vascular
Access Graft
Length 20cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 104 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
13 - Spinal
LH181
Rabea Peek Vertebral Body Fusion Implant
Composition - peek, spinal implant
4, 5, 6, 7 x 12 x 14mm, 8 x 12 x 16mm
Changed Product Group, Product Sub Group,
Benefit.
LH182
Tetris Lumbar Fusion Implant System
Titanium or peek, spinal implant
8-12mm x 11mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH252
Signus - Semial
Composition - PEEK
Height (ant) 7.80, 10.40, 13.20; Diameter 38, 43,
48; Height (post) 5.4, 8.0, 8.1, 10.8; Angle 5.00,
10.40
Changed Product Group, Product Sub Group,
Benefit.
LH303
Nubic
Cervical Fusion Implant in interbody fusion of
the Cervical Spine
4x13x14mm, 5x13x14mm, 6x13x14mm,
7x13x14mm, 8x13x14mm
Changed Product Group, Product Sub Group,
Benefit.
LH316
Magerl/Kimba Cage
Endless Carbon Fibre (ECF) in PEEK-Optima
7, 8, 9, 11, 13, 15mm
Changed Product Group, Product Sub Group,
Benefit.
LH325
Lumbar Screw
ECF in PEEK optima
32, 36, 40, 44, 48, 52, 56, 60, 65mm
Changed Product Group, Product Sub Group,
Benefit.
LH370
Signus Mobis Lumbar TLIF Cage
Peek-Optima Lumbar intervertebral TLIF cage
6, 7, 8, 9, 10, 11, 12, 13, 14, 16, 18mm heights
Changed Product Group, Product Sub Group,
Benefit.
LH382
Signus Anterior Cervical Plate - Bone Screws
Provides stability in patients undergoing anterior
cervical spine fusion procedures. It consists of a
pre-contoured titanium plate, secured onto the
spinal vertebrae by either fixed or variable angle
colour coded screws. These screws have an
integral lock
4.0 & 4.5mm diameter x 12-16mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH386
Blackstone Medical ACP - 3 Level
Titanium Alloy Anterior Cervical Plate - 3 Level
56mm - 90mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH389
Signus Athlet VBR System - Main Body
Peek Vertebral Body Replacement System (Main
body)
12, 18, 24, 30, 36 and 42mm lengths
Changed Product Group, Product Sub Group,
Benefit.
LH397
Signus Athlet VBR System - End Body
Peek Vertebral Body Replacement System (End
body)
4, 6, 8mm heights
Changed Product Group, Product Sub Group,
Benefit.
LH398
Blackstone Medical ACP Bone Screw
Titanium Alloy Bone Screw
4.1mm x 10mm - 18mm. 4.5mm x 10mm - 18mm
Changed Product Group, Product Sub Group,
Benefit.
LH430
Blackstone Medical ACP - Level 1 & 2
Titanium Alloy ACP L1-L2
22mm - 54mm
Changed Product Group, Product Sub Group,
Benefit.
LH431
Signus Anterior Cervical Plate - L1-L2
Pre-contoured titanium plate, secured onto the
spinal vertebrae by either fixed or variable angle
colour coded screws.
22mm - 54mm
Changed Product Group, Product Sub Group,
Benefit.
LH432
Signus Anterior Cervical Plate - L3-L4
Pre-contoured titanium plate, secured onto the
spinal vertebrae by either fixed or variable angle
colour coded screws.
56mm - 100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH450
DSS Pedicle Screw
The DSS Pedicle Screw is a mono-axial pedicle
screw designed for implantation in the posterior
throacolumbar spine for skeletally mature patients
5.0mm diameter x 30, 35, 40, 45, 50, 55, 60mm
length 6.0mm diameter x 30, 35, 40, 45, 50, 55,
60mm length 7.0mm diameter x 30, 35, 40, 45,
50, 55, 60mm length 8.0mm diameter x 30, 35,
40, 45, 50, 55, 60mm length
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 105 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LH451
DSS Spacer
The DSS Spacer is an integral component of the
DSS pedicle screw construct. It is used on the
mono-axial DSS screw and is used each time a
screw is placed. It can not be used on its own.
One size only
Changed Product Group, Product Sub Group,
Benefit.
LH452
DSS Breaking Nut
The DSS Breaking Nut is a set screw that locks
the DSS pedicle screw for final tightening. It is an
integral part of the DSS pedicle screw system, is
used every time and can not be used on its own.
One size only
Changed Product Group, Suffix, Benefit.
LH453
DSS Washer
The DSS Washer is a washer that is an integral
part of the DSS construct. The DSS construct
can not be used without the washer nor can the
washer be used as a separate implant.
One size only
Changed Product Group, Product Sub Group,
Benefit.
LH456
DSS Fusion Coupler Set Screw
The DSS Fusion Coupler set screw locks the
telescoping fusion couplers rigidly in place. This
set screw can only be used for this purpose, is
used every case and can not be used for any other
purpose.
DIA700-04 for 20mm - 22mm fusion
coupler DIA70022-04 for 22mm - 25mm /
25mm - 31mm / 31mm - 43mm fusion couplers
Changed Size, Product Group, Suffix, Benefit.
LH457
DSS Fusion Coupler
The DSS Fusion Coupler is a telescoping coupler
that rigidly joins the DSS pedicle screws.
20mm - 22mm 22mm - 25mm 25mm 31mm 31mm - 43mm
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
LH001
Oxiplex Absorbable Adhesion Barrier Gel
Oxiplex Absorbable Adhesion Barrier gel
(Oxiplex is a co-polymer gel composed of
carboxymethylcellulose and polyethylene.)
3ml in sterile 3ml syringe
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH003
Adjustable Peri Gastric Belt-Midband
Silicon moulded peri gastric band and
implantable chamber
Peri gastric band - 2.2 x 17.5 x 0.8cm,
Implantable chamber - one size only
Changed Product Group, Benefit.
LH405
Gelita-Spon Absorbable Gelatin Sponge-GelitaSpon IR Sponge
Gelita- Spon IR is a sterile, single-use, fully
bioabsorbable gelatin sponge indicated to achieve
rapid haemostasis(e.g. surgically or trauma
induced) by tamponade, and arterial
embolisation. also indicated for use as a vehicle
for a wide range of therapeutic agents including
antibiotics, thrombin and chemotherapeutics
without reduction in the sponge's haemostatic
effect.
GS-322-Gelita-Spon IR Sponge; 200s3x2x2mm
GS344- Gelita- Spon IR Sponge; 100s-4x4x4mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
LH408
Geli Putty(Powder, 1g)
Geli Putty is a single- use, water insoluble, fully
bioabsorbable gelatin powder comprising milled
sponges (Gelita-Spon) made from 100%
pharmaceutical grade porcine gelatin mixed with
sterile liquid (e.g. saline or antibiotic solution)
prior to use.
1 gram
Changed Description, Product Group, Benefit.
LH410
Gelita-Spon Absorbable Gelatin Sponge AnalVaginal Tampon
'Gelita-Spon Anal-Vaginal Tampon is a sterile,
single use, fully bioabsorbable gelatin sponge
indicated to achieve rapid haemostasis by
tamponade, also indicated for use as a vehicle for
a wide range of therapeutic agents, including
antibiotics, thrombin and chemotherapeutics
without reduction in the sponge's haemostatic
effect.
3x8cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 106 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LH411
Gelita-Spon Absorbable Gelatin Sponge - GelitaSpon ENT Sponge
GelitaSpon ENT Sponge is a sterile, single use,
water insoluble, fully bioabsorbable, firm, highdensity gelatin sponge indicated to achieve rapid
haemostasis during ENT surgery .
8x5x1 cm & 1x1x1cm
Changed Product Group, Product Sub Group,
Benefit.
LH412
Gelita-Spon Absorbable Gelatin Sponge-GelitaSpon Dental Cube
Gelita-Spon Dental Cube is a sterile, single-use,
indicated to achieve rapid haemostasis dental
surgery (oral bone and soft tissue), a void filler to
mitigate against the risk of sclerosis created by
tooth extraction, root amputations, and the
removal of cysts, tumours and impacted teeth. its
absorptive capacity being a function of the
amount of gelatin incorporated and, hence, the
physical size of the sponge. also indicated for use
as a vehicle for a wide range of therapeutic agents.
GS-310 - Gelita-Spon Dental Cubes; 50s - 10 x
10 x 10mm
Changed Size, Product Group, Product Sub
Group, Benefit.
LH413
Miband Access Port (replacement)
A device, metallic or non- metallic, implanted in
a patient for a short or long-term delivery of fluid
or medications to the vascular system or other
anatomical region. The device consists of a
housing, self-sealing septum and a catheter
connection mechanism. The device may be
implanted in a variety of anatomical locations.
Port Size - 10.6mm High, 24.7mm Base widthOne Size only
Changed Product Group, Benefit.
LH414
Gelita-Spon Absorbable Gelatin Sponge-GelitaSpon Standard
Gelita-Spon Standard is a sterile, single- use,
fully bioabsorbable gelatin sponge indicated to
achieve rapid haemostasis(e.g. surgically or
trauma induced)by tamponade, and arterial
embolisation . also indicated for use as a vehicle
for a wide range of therapeutic agents, including
antibiotics, thrombin and chemotherapeutics
without reduction in the sponge's haemostatic
effect.
GS-010-Gelita-Spon Standard; 10s80x50x10m
GS-060-Gelita-Spon Standard
Size 12-7; 10s60x20x7mm
GS-060-Gelita-Spon Standard Size 12-7;
10s60x20x7mm
GS-650- Gelita Spon Standard Size 200;
10s125x80x10mm
GS-110-Gelita-Spon Standard Size Special
20; 20s80x50x1mm
GS-950-Gelita-Spon Standard Film; 20s200x70x0.5mm
Changed Product Group, Product Sub Group,
Benefit.
LH423
Gelitacel Oxidised Resorbable Cellulose Gauze
(10)
Gelitacel is a white, single use, non-toxic, sterile,
hydrophilic bioabsorbable, weakly acidic, viscosefree, knitted haemostatic fabric (USP)
5 x 35 cm, 10 x 20 cm
Changed Description, Product Group, Product
Sub Group, Benefit.
LH424
Gelitacel Oxidised Resorbable Cellulose Gauze
(15)
Gelitacel is a white, single-use, non-toxic, sterile,
bioarbsorbable, weakly acidic, viscose-free,
knitted haemostatic fabric (USP)
5 x 7 cm
Changed Description, Product Group, Product
Sub Group, Benefit.
4 - Neurosurgical
LH116
Aneurism Clip
Sugita Clips, Standard Slightly Curved,
One Size Each
Changed Product Group, Benefit.
LH117
Aneurism Clip
Sugita Clip, Temporary Straight/S, Sugita Clip,
Temporary Straight/L
One Size Each
Changed Product Group, Benefit.
LH118
Aneurism Clip
Sugita Clips: Standard Straight-Short #1/Long #2
One Size Each
Changed Product Group, Benefit.
Changed Items for Prostheses List Report
Page 107 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LH119
Aneurism Clip
Sugita Titanium Aneurysm Clips: Standard
Straight/s, Straight-L, Bayonet, Angled, StraightSmall, STD Temp-STD Small, STD TempStraight/Large, STD Temp-Bayonet, STD TempCVD, Mini Straight-Small, Mini Straight/Large,
Mini Curve, Mini Angled, Mini Curve
One Size Each
Changed Description, Product Group, Benefit.
LH147
Aneurism Clip
Sugita Titanium Clips: Standard Slight Angle,
Side CVD, CVD, Angled, Bayonet-Small/Large,
Straight-Medium, Slight CVD, Straight Large, L
Angle-Small/Medium/Large, 45D CVD
Small/Medium/Large, STD Temp Slight CVD,
Temp Mini Straight/Large, Temp Mini Angle,
One Size Each
Changed Product Group, Benefit.
LH148
Aneurism Clip
Sugita Titanium Clips: Standard Side CVD
Bayonet, Small CVD, Side Angled, Slight CVD,
J Angle-Small/Medium/Large, Slight CVD Small,
Temp Mini Straight Slim, Standard L CurvedSmall/Large, Mini Straight Slim, Curve Slim,
One Size Each
Changed Product Group, Benefit.
LH149
Aneurism Clip
Sugita Titanium Clips: Booster
One Size Each
Changed Product Group, Benefit.
LH150
Aneurism Clip
Sugita Clips: Mini Straight Slim, CVD Slim
One Size Each
Changed Product Group, Benefit.
LH151
Aneurism Clip
Sugita Clips: Fenest, Lrg L Shaped W/CVD
One Size Each
Changed Product Group, Benefit.
LH152
Aneurism Clip
Sugita Clips, Mini CVD Slim
One Size Each
Changed Product Group, Benefit.
LH153
Aneurism Clip
Sugita Clips, Long
One Size Each
Changed Product Group, Benefit.
LH154
Aneurism Clip
Sugita Clip, Large Straight/Short
One Size Each
Changed Product Group, Benefit.
LH155
Aneurism Clip
Sugita Clip, Temporary Bayonet, Bent
One Size Each
Changed Product Group, Benefit.
LH156
Aneurism Clip
Sugita Clip, STD Sideward CVD
One Size Each
Changed Product Group, Benefit.
LH157
Aneurism Clip
Sugita Clip, Large Sideward Bent, Bent,
Bayonnet-Short/Large, Straight-Medium/Long
One Size Each
Changed Product Group, Benefit.
LH158
Aneurism Clip
Sugita Clip, Large L ShapedShort/Medium/Large, Large J ShapedShort/Medium/Large, Fenest Large StraightS/M/L, Large Bent-S/M/L, Fenest Large L
Shaped-S/M/L
One Size Each
Changed Product Group, Benefit.
LH159
Aneurism Clip
Sugita Clip, Temporary Mini Straight, Bent, Mini
Straight/Short, Bent, SDEWARD CVD, CVD
5-7mm length x 1.2mm width, closing force
125gms
Changed Product Group, Benefit.
LH160
Aneurism Clip
Sugita Clip, Mini CVD
4mm length x 1.2mm width, closing force 120 &
124gms
Changed Product Group, Benefit.
LH161
Aneurism Clip
Sugita Clip, Mini CVD
5mm length x 1.2mm width, closing force 132gms
Changed Product Group, Benefit.
LH162
Aneurism Clip
Sugita Clip, Large Slightly Crv-Short/Long
One Size Each
Changed Product Group, Benefit.
LH163
Aneurism Clip
Sugita Clip, Large 45 D Angle/s, Slightlyn Crv/s,
Temporary Slighly Crv, Mini Straight Slim,
Large 1/4 CVD, Mini
One Size Each
Changed Product Group, Benefit.
LH164
Aneurism Clip
Sugita Clip, Large Straight, Bayonet, Mini
Bayonet
One Size Each
Changed Product Group, Benefit.
Changed Items for Prostheses List Report
Page 108 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LH165
Aneurism Clip
Sugita Clip, Large L Shaped W/CRV-S/L, 1/4
CVD-S/L
One Size Each
Changed Product Group, Benefit.
LH166
Aneurism Clip
Sugita Clip, Large 45D Angle-M/L
One Size Each
Changed Product Group, Benefit.
LH167
Aneurism Clip
Sugita Clip, Fenest Large L Shaped-L, Bayonet
One Size Each
Changed Product Group, Benefit.
LH168
Aneurism Clip
Sugita Clip, Fenest Large L Shaped W/CVD
One Size Each
Changed Product Group, Benefit.
LH169
Aneurism Clip
Sugita Clips, Standard Bayonnet, Bent, Sideward
Bent, Sideward Curve, Slight Bent
One Size Each
Changed Product Group, Benefit.
LH170
Aneurism Clip
Sugita Clips, Standard Sideward Curve, Curved
One Size Each
Changed Product Group, Benefit.
LH171
Aneurism Clip
Sugita Clips, Standard Slight CVD, CVD
11mm length x 1.2 width, closing force 125160gms; 9mm length x 1.2 width, closing force
120-155gms
Changed Product Group, Benefit.
LH294
Mizuho - Titanium Fenestrated Aneuysm Clips
Straight (S/M/L), Bent (S/ M/L), L-Shaped
(S/M/L), Bayonet, L Shaped curved to left
(S/M/L), L-Shaped curved to right (S/M/L)
Closing Force 95 to 160 gms
Changed Product Group, Benefit.
LH466
Hydrofix Spine Shield Large
The Hydro Fix Spine shield is indicated for use in
specific locations as a cover of the spine to
provide a plane of dissection during revision
surgery
6cmX10cmX1.0mm
6cmX10cmX0.6mm
Changed Product Group, Benefit.
LH467
HydroFix Spine Shield medium
The HydroFix Spine Shield is indicated for use in
specific locations as a cover of the spine to
provide a plane of dissection during revision
surgery.
5cmx6cmx1.0mm
5cmx6cmx0.6mm
Changed Product Group, Benefit.
5 - Urogenital
LH376
Durasphere SUI
Injectable Bulking agent for Stress Urinary
Incontinence
1ml
Changed Product Group, Product Sub Group,
Benefit.
LH379
Durasphere SUI
Injectable Bulking agent for Stress Urinary
Incontinence
3ml
Changed Product Group, Product Sub Group,
Benefit.
6 - Specialist Orthopaedic
LH248
SCS Distal Radius Plate System
Left and Right, Tined
Small and Large 3 hole
Changed Size, Product Group, Product Sub
Group, Benefit.
LH250
Diamond Plate/Carpal Button
Carpal Fusion Plate
Large, Small
Changed Product Group, Product Sub Group,
Benefit.
LH254
Total Wrist Implant System
Carpal Screws
15, 18, 22, 26, 30mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH323
ITS Cancellous Screws
Cancellous Screws
D=3.5mm & 4.2mm, Length = 14mm - 60mm
(with incremental of 2)
Changed Suffix, Benefit.
LH324
ITS Cortical Screws
Cortical Screws
D=3.5mm & 4.2, 4.5mm, Length =14mm - 60
mm (with incremental of 2)
Changed Benefit.
LH327
MiniFix
Finger Mini Fixator System
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH331
RadioFix
Radio Fixator System
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 109 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LH334
Carpal Screw
Titanium
2.5mm diameter in sizes 12mm - 20mm length
Changed Product Group, Product Sub Group,
Benefit.
LH340
Poing Fix
Wrist Fixator System
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH341
Wrist Fixator PFII
Wrist Fixator System
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH342
MicroFix
Finger Mini Fixator System
one size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH343
Percufix
Titanium
Diameter: 2-2.5mm, Length 22-40mm
Changed Product Group, Product Sub Group,
Benefit.
LH358
Screws
Diamond Carpal Screws
12, 14, 16mm
Changed Product Group, Product Sub Group,
Benefit.
LH373
Stability Sigmoid Notch Total DRUJ System /
Sigmoid Notch Screw
The Sigmoid Notch Radial Screw is a low profile
self tapping cortical screw made of implantable
CoCr. It is designed to be placed bi cortical in
the radius and is introduced into the Radial stem
thru a hole. It is placed into the stem and
tightened down
The Sigmoid Notch screw is available in 2mm
increments from 18mm - 32mm and has a
diameter of approx 4mm.
Changed Product Group, Product Sub Group,
Benefit.
LH374
AutoFIX
The SBi AutoFIX Twin Pitch Cannulated
Compression Screw System implants are
indicated in the treatment of fractures,
nonunions, pseudarthrosis and degenerative
changes, as well as corrective osteotomies geared
towards a functionally stable osteosynthesis
2.0mm and 2.5mm Cannulated Compression
Screw
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
LH419
SBi Precise SD Distal Volar Plate
An anatomically contoured locking titanium plate
and titanium alloy screw/peg system intended for
fixation of distal radius fractures via open
reduction
Left Distal Volar Plate, 22 x 52mm (Narrow)
Left Distal Volar Plate, 25 x 52mm (Standard)
Left Distal Volar Plate, 22 x 75mm (NarrowLong)
Left Distal Volar Plate, 25 x 75mm (StandardLong)
Right Distal Volar Plate, 22 x 52mm (Narrow)
Right Distal Vo
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
LH421
SBi Precise SD Smooth Peg (Locking)
An anatomically contoured locking titanium plate
and titanium alloy screw/peg system intended for
fixation of distal radius fractures via open
reduction
1.9mm Smooth Pegs, Locking 12-28mm
Changed Product Group, Product Sub Group,
Benefit.
LH439
Mondeal Locking Screws
2.0 to 6.5mm diameter Locking cancellous bone
screws
2.0 - 2.3mm, 2.7 - 3.0mm, 4.0 - 6.5 mm
diameter, 6 - 40 mm length; 3.5 - 6.5mm
diameter, 10 - 100mm length.
Changed Suffix, Benefit.
LH440
Mondeal Screws
Screws
Diameter = 1.2, 1.7 2.0, 2.3, 2.7, 3.0, 3.5, 4.0,
4.5, and 5.0mm; Length. = 4mm - 24mm
Changed Benefit.
LH443
I.T.S. Distal Humeral Locking Plates
Humeral Plates, Distal
4-7 holes, dorsolateral, left and right; 8-10 holes,
medial, left and right (Screw diameter 3.5mm)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH444
Hinge Pediatric Plating System - Screws
2 screws for articulated growth-correction
fixation plate
4.5 x 35mm, 4.5 x 30mm, 4.5 x 25mm
Changed Product Group, Product Sub Group,
Benefit.
LH445
Hinge Pediatric Plating System - Hinge Plate
Articulated growth-correction fixation plate
12mm, 16mm, 20mm (distance between
anchoring points)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 110 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LH458
I.T.S. Pilon Plate
Locking Pilon Plates
4.6 and 8-holes (Screw diameter: Cancellous
4.2mm; Cortical 4.5mm)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH459
I.T.S. Olecranon Plate
Locking Olecranon Plates
6, 8, 10 and 12-holes (Screw diameter:
Cancellous 4.2mm; Cortical 3.5mm)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LH461
rHead Plating System
Comprehensive plating system: four plate
designs; locking & non-locking screw options
Neck Plate: neck width - 15 or 18mm, plate
width - 6mm, length - 23 or 29mm. Rim Plate:
neck width 13.6 or 16.8mm, plate width 6mm,
length 29.75 or 35.75mm. Bone Screws:
diameter - 2.4 or 2.7mm; length - 8mm - 28mm.
Changed Product Group, Product Sub Group,
Benefit.
Lima Orthopaedics Australia Pty Ltd
6 - Specialist Orthopaedic
LC008
SMR Shoulder System
All Poly Glenoid Cemented
Mini, Small, Small R, Standard, Large
Changed Product Name, Description, Size.
LC037
SMR Total Shoulder
Eccentric/neutral adaptor
Standard & long 0 to +8mm
Changed Product Name, Description, Size.
LC038
SMR Shoulder System
Metal Back Glenoid
Small, Small R, Standard, Large
Changed Product Name, Description, Size.
LC039
SMR Shoulder System
Glenoid Insert
Mini, Small, Standard, Large
Changed Product Name, Description, Size.
LC041
SMR Shoulder
Humeral Body - Finned - Trauma - Reverse
Short/Medium/Long
Changed Product Name, Description, Size.
LC042
SMR Shoulder System
Cemented Stem
Dia 12-20mm x length 80-210mm
Changed Product Name, Description, Size.
LC043
SMR Shoulder System
Uncemented stem
Dia 11-24mm x length 32-180mm
Changed Product Name, Description, Size.
LC050
DiPhos H Plate
Proximal Humeral 3 hole plate
3 hole
Changed Product Group, Product Sub Group,
Benefit.
LC051
DiPhos H Plate
Proximal Humeral 5 hole plate
5 hole
Changed Product Group, Product Sub Group,
Benefit.
LC052
Bone Screw
Bone Screw self tapping cortical
Diameter 3.5mm length 20-100mm
Changed Suffix, Benefit.
LC053
Threaded Head Bone Screw
Threaded Head Bone Screw Cancellous
Diameter 3.5, 4mm, length 10-60mm
Changed Suffix, Benefit.
LC055
S.E.M. II 300 External Radiolucent Fixator
External Radiolucent Fixator with Forearm and
collies fracture
25cm to 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LC056
Self Breaking Screw - Mini
Self Breaking Screw Mini
Diameter 2.7 mm x length 11-22 mm
Changed Suffix, Benefit.
LC057
S.E.M. II 400 External Fixator
External fixator with 2 hole clamps or hinged rod
30mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LC058
S.E.M. II 400 External Fixator -Clamp
Clamp - Left / Right / Threaded / Non Threaded
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LC059
S.E.M. II 400 External fixator -Connector
Connection arch
140° and 180°
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LC060
S.E.M. II 400 External fixator - Threaded Rod
Threaded Rod
Rod length 40 to 100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LC061
S.E.M. II 400 External fixator -Bolt
Bolt
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LC062
HVS BONE SCREW
Self drilling, self threading double threaded
cannulated screw
Length 10-34mm
Changed Product Sub Group, Suffix, Benefit.
LC067
DTS - Double threaded cannulated screw with
guidewire
DTS - Double threaded cannulated screw with
guidewire
Diameter 3, 3.5, x Length 12 to 40mm
Changed Description, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 111 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LC068
DTS - DOUBLE THREADED CANNULATED
SCREW
DTS - DOUBLE THREADED CANNULATED
SCREW
Diameter 4.5 and 6.5mm x Length 30 to 100mm
Changed Suffix, Benefit.
LC071
TNP® Cannulated Self drilling Screw with Ultra
Flathead
TNP® Cannulated Self drilling Screw with Ultra
Flathead
Diameter 4.5, 6mm x 20-120mm Length
Changed Suffix, Benefit.
LC075
F.T.S. BIOCOMPONENT Compression Screw
and Washer
F.T.S. BIOCOMPONENT Compression Screw
and/or Washer
Screw Dia 4.5 / 6mm x L 30-120mm / Washer
Dia 13-19mm
Changed Product Name, Description, Size,
Product Sub Group, Suffix, Benefit.
LC076
Steinmann Pin
Steinmann
Diameter 2 - 5mm x Length 150 - 250mm
Changed Product Group, Product Sub Group,
Benefit.
LC077
Self Breaking Screw - Micro
Self Breaking Screw - Micro
Dia 2.0 mm x Length 7-24 mm
Changed Suffix, Benefit.
LC078
S.E.M. II 400 External Fixator - Self Threading
Pins
Self Threading Pin
Pin Dia 2.5 mm with 10mm thread length
Changed Product Group, Product Sub Group,
Benefit.
LMA PacMed Pty Ltd
2 - Ear, Nose & Throat
PM028
Stapes
Bell/Aerial/Angular Prosthesis/Piston Gold/Titanium
1.75 - 7.00mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PM032
K-Piston
Gold/Titanium
ID 0.4,0.6mm
Changed Product Group, Product Sub Group,
Benefit.
PM033
Montgomery Thyroplasty Implant System
Silicone
6,7,8,9,10,11,12
Changed Product Group, Product Sub Group,
Benefit.
PM057
Provox Voice Prosthesis
Long term indwelling; Silicone
4.5,6,8,10,12.5mm
Changed Product Group, Benefit.
PM065
Tympo Vent
Otological ventilation tubes, short medium term,
Donaldson fluoroplastic/blue
Length 2.2
Changed Product Group, Product Sub Group,
Benefit.
PM066
Tympo Vent
Otological ventilation tubes, straight tube
Length 7.0 - 7.2mm
Changed Product Group, Product Sub Group,
Benefit.
PM068
Tympo Vent
Otological ventilation tubes, short medium term,
star tube, silicone
Length 2.8
Changed Product Group, Product Sub Group,
Benefit.
PM072
Tympo Vent
Otological ventilation tubes, short medium term,
shepard with tail, silicone/blue
Length 12.4
Changed Product Group, Product Sub Group,
Benefit.
PM074
Tympo Vent
Otological ventilation tubes, paparella with tab
Length 2.2mm
Changed Product Group, Product Sub Group,
Benefit.
PM075
Tympo Vent
Otological ventilation tubes, collar button,
tubingen type gold, gilded silver
Length 1.5mm
Changed Product Group, Product Sub Group,
Benefit.
PM079
Tympo Vent
Otological ventilation tubes, t-tube
Length 6 - 12mm
Changed Product Group, Product Sub Group,
Benefit.
PM083
Tympo Vent
Otological ventilation tubes, long term, collar
button - tubingen type, titanium
Length 1.5
Changed Product Group, Product Sub Group,
Benefit.
PM086
Tympo Vent
Otological ventilation tubes, short medium term,
reuter bobbin without holes, titanium
Length 1.6
Changed Product Group, Product Sub Group,
Benefit.
PM088
Tympo Vent
Otological ventilation tubes, donaldson, reuter
bobbin, shepard
Length 1.5mm - 9.8mm
Changed Product Group, Product Sub Group,
Benefit.
PM089
Tympo Vent
Otological ventilation tubes, short medium term,
bevel bobbin, fluoroplastic/blue
Length 1.8
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 112 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
PM090
Tympo Vent
Otological ventilation tubes, armstrong
Length 3.8 - 10.0mm
Changed Product Group, Product Sub Group,
Benefit.
PM091
Tympo Vent
Otological ventilation tubes, short medium term,
collar button, fluoroplastic/blue
Length 2.0
Changed Product Group, Product Sub Group,
Benefit.
PM102
Tracheal Cannula System
Short and long term Cannula (Medical Grade
Silicone)
Diameter 9-13mm; Length 37m & 101mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PM103
Tracheal Cannula System
Cannula Speaking Valves (Medical Grade Plastic)
4-10
Changed Product Group, Product Sub Group,
Benefit.
PM104
Montgomery Safe-T-Tube
Paediatric, Standard, Thoracic, Extra-Long,
Tapered and Hebeler in clear and radiopaque
Paediatric/Standard - Clear/Radioplaque
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PM106
Montgomery Safe-T-Tube
Paediatric, Standard, Thoracic, Extra-Long,
Tapered, Hebeler and HMS, in clear and
radiopaque
ID 8/10, 10/13, 12, 15, 18mm; Length 76, 77, 79,
159, 163mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PM107
Laryngeal Keel
.
12-16mm Keel
Changed Description, Product Group, Product
Sub Group, Benefit.
PM117
Passy-Muir Speaking Valve
Tracheostomy and Ventilator
15mm I.D./ 22 & 23mm O.D.
Changed Product Group, Benefit.
LMT Surgical Pty Ltd
3 - General Miscellaneous
LM017
Neurotube
Bioabsorbable nerve conduit made of
polyglycolic acid
2.3mm - 8mm
Changed Product Group, Product Sub Group,
Benefit.
LM080
Neurolac
A bioresorbable tension-less Nerve repair guide
1.5mm x 3cm to 10.0mm x 3cm
Changed Product Group, Product Sub Group,
Benefit.
6 - Specialist Orthopaedic
LM033
Trimed Wrist Fixation System, Volar Peg Plate
Stainless Steel
Volar Peg Plate 3-hole, Right & Left, 4 and 5
Peg; Volar Peg Plate 5-hole, Right & Left, 4 and
5 Peg
Changed Product Group, Product Sub Group,
Benefit.
LM041
Trimed Bearing Plate, Fixation Pegs
Bearing plate fixation pegs
2.3mm
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
LM050
Biotech Easy Lock Osteosystem
Titanium and PEEK
2-10 holes straight
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LM051
Biotech Easy Lock System
Easy Lock Plating System
Various
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LM052
Ascension Compression Screw
Titanium Compression Screw
2-5mm diameter ; 12 - 40mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LM054
Argo Malleolar Plate
Titanium
7-10 Hole
Changed Product Name, Size, Product Group,
Product Sub Group, Suffix, Benefit.
LM057
Ascension Radial Head Locking Plate and Screws
Titanium pre-formed anatomical radial head plate
small and large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LM060
BioTech Xpode 4
PEEK curved and round plate
Mini 1, 2, 3 & 4
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LM061
Xpode Screws
Xpode screws
2.4mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 113 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
LM063
ArgoMedical Pedofix
Titanium screws
2.7mm x 8 - 28mm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LM064
TriMed Ulnar Osteotomy System
Ulna Osteotomy Plate
7 Holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
LM066
TriMed Olecranon Sled
Washer
one size
Changed Product Group, Product Sub Group,
Benefit.
LM069
Normed Foot screws
Titanium plates, various sizes and shapes
2.7-4.0mm
Changed Size, Product Group, Product Sub
Group, Benefit.
LM074
Elix (plate)
PEEK HTO plate
4 Hole, right and left plate.
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
LM075
Surgicraft Bone Screws
Surgicraft Bone Screws
2-4mm diameter/10-40mm length
Changed Product Group, Product Sub Group,
Benefit.
LM081
Surgicraft Washers
Fixation Washers
0.5-3mm
Changed Product Group, Product Sub Group,
Benefit.
LM082
Fixos Screws
Bone Fixation Screws
2mm diam. X11mm lenth to 2mm x 16mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LM089
BioComposites Little Grafter
An absorbable cannulated compression screw
providing fixation for small bone fractures
4mm diameter varying lengths 13mm to 27mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
LM097
Memometal Anchorage Bone Plates
Osteosynthesis Bone Plate System
Length 41mm, 51.5mm, 53mm Thickness
1.3mm, 1.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
High Density polyethylene (ring); Stainless Steel
(pins)
Diameter 1-3mm
Changed Product Group, Benefit.
7 - Plastic and Reconstructive
LM030
Synovis Coupler
Loxo Medical Pty Ltd
3 - General Miscellaneous
LP004
Accumate 1100 Infusion Pump
Ambulatory infusion pump
One size only
Changed Product Group, Product Sub Group,
Benefit.
LP005
Accumate 1100 Tubing Set
A-type (Luer type) tubing set, B-type (spike type)
tubing set
160.5 cm, 174cm
Changed Product Group, Product Sub Group,
Benefit.
LP006
Accumate 1100 Reservoir Bag
Reservoir bag
150ml, 250ml, 500ml
Changed Product Group, Product Sub Group,
Benefit.
Mayo group
10 - Vascular
CM011
Arrow Peripherally Inserted Central
Catheterisation Sets
Range of Polyurethane single lumen peripherally
inserted central catheters with or without stylet
3 Fr, range of lengths
Changed Product Group, Product Sub Group,
Benefit.
CM012
Arrow Peripherally Inserted Central
Catheterisation Sets
Range of Polyurethane single lumen peripherally
inserted central catheters with or without stylet
4 Fr, range of lengths
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 114 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
CM015
ARROWg+ard Blue Haemodialysis Catheters
Haemodialysis Catheters (of various lengths,
sizes and lumen configurations) with
antimicrobial impregnation (chlorhexidine and
silver sulphadiazine) on the external surface of
the polyurethane catheter material.
CS-22122 - 12Fr 16cm, Dual Lumen CS-22123 –
12Fr 16cm, Triple Lumen CS-25122 – 12Fr x
20cm, Dual Lumen CS-22142CF – 14Fr x 15cm,
Dual Lumen, Curved, Firm CS-22142F – 14Fr x
15cm, Dual Lumen Firm CS-25122 – 12Fr x
20cm, Double Lumen CS-25123 – 12Fr x 20cm,
Triple Lumen CS- 25142CF – 14Fr x 20cm,
Double Lumen, Curve, Firm CS-25142F – 14Fr x
20cm, Double Lumen, Firm CS-26142F – 14Fr x
25cm, Double Lumen, Firm CU-22122 – 12Fr x
16cm, Double Lumen, Curved CU-23122 – 12Fr
x 13cm, Double Lumen, Curved CU-25122 –
12Fr x 20cm, Double Lumen, Curved
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
CM016
ARROWg+ard Blue Single Lumen Central
Venous Catheters
A polyurethane central venous catheter with Blue
FlexTip (of various lengths, sizes and lumen
configurations) with antimicrobial impregnation
(chlorhexidine and silver sulphadiazine) on the
external surface of the polyurethane catheter body.
CS-24301 - 16g x 20cm, Single Lumen, Adult
CS-24306E-16g x 16cm, Single Lumen Adult
CS-24701 - 14g 20 cm, Single Lumen Adult
CS-24706E -14g x 16cm, Single Lumen, Adult
Changed Product Group, Product Sub Group,
Suffix, Benefit.
CM022
Arrow single lumen pressure injectable
peripherally inserted central catheter (PICC) set
Single lumen pressure injectable peripherally
inserted central catheter (PICC) set
4 Fr x 50cm, Single lumen
Changed Product Group, Product Sub Group,
Benefit.
CM023
Arrow Cannon II Plus Chronic Haemodialysis
Catheter Set
Dual Lumen, Retrograde Tunneled, Cuffed, Tip
First, Chronic Haemodialysis Catheter Set
15Fg x 24 - 55cm
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
CM025
ALIMAXX-E Esophageal Stent System
Esophageal stent, radiopaque, self expanding
nitinol covered stent, premounted on a delivery
system
Diameter 18-22mm, Length 70-120mm
Changed Product Group, Product Sub Group,
Benefit.
CM026
AERO Tracheobronchial Stent System
Radiopaque self-expanding nitinol stent and
delivery system
Diameter 10-18mm, length 20-80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MD Solutions Pty Ltd
3 - General Miscellaneous
MB001
Vari-Strand
Vari-Strand consists of variable stranded seed
configurations in pre-loaded needles for the
purpose of delivering radioactive seeds for the
treatment of prostate cancer. Varistrand Multiple
is delivered in a sterilized tray opened in the
operating theatre
Variable (individually prescribed) stranded seed
configurations in pre-loaded needles delivered in
a sterilized tray.
Changed Description, Product Group, Product
Sub Group, Benefit.
MB002
Vari-Strand
Vari-Strand consists of a single stranded seed in a
pre-loaded needle for the purpose of delivering a
radioactive seed for the treatment of prostate
cancer.
Varistrand Single is delivered in a sterilized tray.
Single (individually prescribed) seed in a preloaded needle delivered in a sterilized tray.
Changed Description, Product Group, Product
Sub Group, Benefit.
Dural sealant
6ml
Changed Product Group, Suffix, Benefit.
4 - Neurosurgical
MB007
ADHERUS Dural Sealant
5 - Urogenital
Changed Items for Prostheses List Report
Page 115 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MB003
Adjustable Continence Therapy for Women
ACT Device: Prosthesis designed for the
treatment of female SUI comprising of a single
silicone balloon attached via a conduit to
titanium and rubber ports allowing for post
operative adjustment.
6 - 14cm
Changed Product Group, Product Sub Group,
Benefit.
MB004
Adjustable Continence Therapy device for women
ACT Device: prosthesis designed for the
treatment of female SUI comprising of silicone
balloons x 2 attached via a conduit to titanium
and rubber ports allowing for post operative
adjustment.
6 - 14cm
Changed Product Group, Product Sub Group,
Benefit.
MB005
Adjustable Continence Therapy for Men
ProACT Device: prosthesis designed for the
treatment of male SUI comprising of silicone
balloons x2 attached via a conduit to titanium
and rubber ports allowing for post operative
adjustment.
6 - 14cm
Changed Product Group, Product Sub Group,
Benefit.
MB006
Adjustable Continence Therapy for Men
ProACT Device: Prosthesis designed for the
treatment of male SUI comprising of a single
silicone balloon attached via a conduit to
titanium and rubber ports allowing for post
operative adjustment.
6 - 14cm
Changed Product Group, Product Sub Group,
Benefit.
Quadra Hip Femoral Stem
Titanium, grit blast, fully HA,
Std 0 to 10
Std (shortneck) 00 to 10
Lat 1 to 7
Lat (shortneck) 1 to 7
Changed Size.
GMK cemented standard femur
cemented standard femoral component
sizes 1 to 7, left to right
Changed Size.
Titanium Alloy Screws with Snap-off Grip
FSA 2 part 9-21/14-26
Changed Suffix, Benefit.
Medacta Australia Pty Ltd
11 - Hip
MU003
12 - Knee
MU063
Medartis
6 - Specialist Orthopaedic
EO033
Forefoot Snap off Screws
Medical & Optical Instruments Australia Pty Ltd
6 - Specialist Orthopaedic
MO158
Polarus Humeral Rod System
Polarus Washer
3.5mm
Changed Product Group, Product Sub Group,
Benefit.
MO162
Tension Band Pin
Stainless Steel
50 to 90mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO194
Acumed Congruent Plate System
Elbow plate titanium, locking radial head
Locking radial head, 3 hole std curve 31mm, 5
hole std curve 46mm, 3 hole curve 31mm, 5 hole
curve 46mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO202
Acumed Bone Plate
MCP Fusion Plate - Titanium
4 Hole
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 116 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MO208
Acumed Bone Plate
Wrist Fusion Plate - Titanium
Standard/Mini 7-9 holes.
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
MO243
Polarus Proximal Humeral Plate
Titanium Humeral Plate
≥7 to ≤15 holes.
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
MO278
Acumed Locking Calcaneal Plates
Locking Calcaneal Plates
≥7 to ≤15 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
MO320
Acumed Hexalobe Locking Screws
Acumed Hexalobe Locking Screws
Mini (2.01mm-2.7mm)
Changed Benefit.
MO321
Acumed Hexalobe Non Locking Screws
Acumed Hexalobe Non Locking Screws
Small (2.71mm-4.49mm)
Changed Benefit.
MO322
Acumed Hexalobe Locking Screws
Acumed Hexalobe Locking Screws
Small (2.71mm-4.49mm)
Changed Benefit.
MO323
Acumed Hexalobe Non Locking Screws
Acumed Hexalobe Non Locking Screws
Mini (2.01mm-2.7mm)
Changed Benefit.
7 - Plastic and Reconstructive
MO002
Martin Level One Fixation
Plate, titanium
=>3mm thick, 8 to 15 holes
Changed Product Group, Product Sub Group,
Benefit.
MO004
Martin Level One Fixation
Plate, titanium
=>3mm thick, 16 to 32 holes
Changed Product Group, Product Sub Group,
Benefit.
MO023
Martin Level One Fixation
Plate, titanium
1.0 to 1.99mm thick, 8 to 15 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO024
Martin Level One Fixation
Temporary condylar impant, titanium
5cm
Changed Product Group, Product Sub Group,
Benefit.
MO054
Martin Level One Fixation
Plate, titanium
1 to 1.99mm thick, <4 holes
Changed Product Group, Product Sub Group,
Benefit.
MO121
Martin Level One Fixation
Plate, titanium
<0.5mm thick, 4 to 7 holes
Changed Product Group, Product Sub Group,
Benefit.
MO135
Martin Distraction Osteogenesis
Distractor System, Complete, internal/intraoral,
titanium
10 to 20 mm
Changed Product Group, Product Sub Group,
Benefit.
MO185
Martin Level One Fixation Resorb x &
SonicWeld Rx
Mesh, PDLLA (resorbable)
1.0 to 1.99mm thick, 4 to 7 holes
Changed Product Group, Product Sub Group,
Benefit.
MO188
Martin Level One Fixation Resorb x &
SonicWeld Rx
Mesh, PDLLA (resorbable)
0.20 to 0.49mm thick, 26 to 50cm² area
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO224
Martin Level One Fixation
Plate, titanium
0.5-0.99mm thick, 4-7 holes
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
MO231
Martin Level One Fixation Resorb x &
SonicWeld Rx
Mesh, PDLLA (resorbable)
>0.80mm thick, 11 to 25cm² area
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO233
Martin Distraction Osteogenesis
Distractor System, Complete, other, titanium
1.5mm
Changed Product Group, Product Sub Group,
Benefit.
MO234
Martin Distraction Osteogenesis Rigid External
Distraction (Polley RED II)
Distractor System, Component, Screws/Pins
(other than bone screws), titanium
45-55mm
Changed Product Group, Product Sub Group,
Benefit.
MO236
Martin Distraction Osteogenesis Rigid External
Distraction (Polley RED II)
Distractor System, Complete, External, Midface,
Aluminium, Carbon Fibre
one size only
Changed Product Group, Product Sub Group,
Benefit.
MO239
Martin Distraction Osteogenesis
Distractor System, Complete, other, titanium
15-60 mm distraction length
Changed Product Group, Product Sub Group,
Benefit.
MO240
Martin Distraction Osteogenesis Rigid External
Distraction (Polley RED II)
Distractor System, Component, Other, titanium,
aluminium
1.5-1.58mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 117 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MO242
Martin Distraction Osteogenesis Rigid External
Distraction (Polley RED II)
Distractor System, Component, Footplate,
titanium
1.5mm
Changed Product Group, Product Sub Group,
Benefit.
MO246
Martin Distraction Osteogenesis Rigid External
Distraction (Polley RED II)
Distractor System, Component, Cross Bar,
aluminium.carbon fibre
one size only
Changed Product Group, Product Sub Group,
Benefit.
MO251
Martin Level One Fixation
Mesh, Titanium
0.50 to 0.80mm thick, 51 to 100cm² area
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO283
Martin Micro Plate Osteosynthesis System
1.5mm system Straight Plate Titanium
2 hole, 0.6mm profile
Changed Product Group, Product Sub Group,
Benefit.
MO285
Martin Level One Fixation
Plate Titanium
0.5 to 0.99mm thick, 4 to 7 holes
Changed Product Name, Product Group,
Product Sub Group, Benefit.
MO286
Martin Level One Fixation
Plate, titanium
0.5 to 0.99mm thick, 4 to 7 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO287
Martin Level One Fixation
Screw Titanium
diameter <1.24mm
Changed Product Group, Product Sub Group,
Benefit.
MO290
Martin Level One Fixation
Mesh, Titanium
<0.2mm, 51 to 100cm² area
Changed Product Group, Product Sub Group,
Benefit.
MO291
Martin Level One Fixation
Mesh, Titanium
<0.2mm thick, 1 to 10cm² area
Changed Product Group, Product Sub Group,
Benefit.
MO292
Martin Level One Fixation
Mesh, Titanium
0.2-0.49mm thick, 11-50cm²
Changed Size, Product Group, Product Sub
Group, Benefit.
MO293
Martin Level One Fixation Resorb x &
SonicWeld Rx
Plate, PDLLA (resorbable)
1.0 to 1.99mm thick, 16 to 32 holes
Changed Product Group, Product Sub Group,
Benefit.
MO294
Martin Level One Fixation
Plate, titanium
1.0 to 1.99mm thick, 16 to 32 holes
Changed Product Group, Product Sub Group,
Benefit.
MO295
Martin Level One Fixation
Plate Titanium
1.0 to 1.99mm thick, 16 to 32 holes
Changed Product Group, Product Sub Group,
Benefit.
MO297
Martin Level One Fixation
Plate, titanium
0.5 to 0.99mm thick, 4 to 7 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO298
Martin Level One Fixation
Mesh, Titanium
0.2 to 0.49mm thick, 1 to 10cm² area
Changed Product Group, Product Sub Group,
Benefit.
MO299
Martin Level One Fixation Resorb x & SonicWeld
Mesh PDLLA (resorbable)
0.20 to 0.49mm thick, 1 to 10 cm2 area
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO301
Martin Level One Fixation Resorb x &
SonicWeld Rx
Mesh, PDLLA (resorbable)
0.50 to 0.80mm thick, 1 to 10cm² area
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO302
Martin Level One Fixation Resorb x & SonicWeld
Reconstruction sheet not mesh PDLLA
(resorbable)
25x25mm-0.1mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO303
Martin Level One Fixation
Mesh, Titanium
0.2 to 0.49mm thick, 1 to 10cm² area
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO304
Martin Level One Fixation
Mesh Titanium
0.20 to 0.49mm thick, 11 to 25 cm2 area
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
MO310
Martin Level One Fixation
Mesh, Titanium
0.50 to 0.80mm thick, 11 to 25cm² area
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MO312
Martin Level One Fixation
Screw, titanium
Diameter 2.25 - 2.74mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 118 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MO313
Plate, titanium
1.0 to 1.99mm thick, 8 to 15 holes
Changed Product Group, Product Sub Group,
Benefit.
Martin Level One Fixation
Medical Specialties Australia Pty Ltd
10 - Vascular
MS014
Injection/Infusion Ports Sterile
Plastic/titanium, single lumen
5-15F
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MS015
Injection/Infusion Ports Sterile
Plastic/titanium, dual lumen
10, 10.5, 12F
Changed Product Group, Product Sub Group,
Benefit.
MS016
Injection/Infusion Ports Sterile
Plastic/titanium, paediatric
5, 6, 7,8, 9.6F
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MS052
Relay Thoracic Stent Graft
Duralloy Nitinol Surgical Graft Material Braided
Polyester PFTE impregnated Suture Dual Sheath
Delivery System
Diameter 22 - 46mm, Length 103 - 179mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MS053
Relay Thoracic Stent Graft
Duralloy Nitinol Surgical Graft Material Braided
Polyester PFTE impregnated Suture Dual Sheath
Delivery System
Diamter 22 - 46mm, Length 180 - 271mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MS059
Thalis Inert Stent Implantation System
Balloon-Expandable Peripheral Stent
Implantation System
Diameter: 5-12mm; Length: 18-58mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Armstrong, Collar Button, Shepard, Reuter,
Donaldson, Paparella, Shah
1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm
Changed Product Group, Product Sub Group,
Benefit.
2 - Ear, Nose & Throat
MS057
NeoZoline Otological Ventilation Tubes
3 - General Miscellaneous
MS021
Medical Specialties "Walkmed Infusion Pump
System" Powered Drug Infusion System and
Ancillary Equipment (McKinley, USA)
Ambulatory Infusion Pump System,
Administration Sets and Accessories
Walkmed Infusion Pump System
Changed Product Group, Product Sub Group,
Benefit.
MS022
Medical Specialties "Walkmed Drug
Administration Reservoir" (McKinley, USA)
Ambulatory Infusion Pump System,
Administration Sets and Accessories
Walkmed Drug Administration Reservoirs
Changed Product Group, Product Sub Group,
Benefit.
MS023
Medical Specialties "Walkmed Drug
Administration Sets" (McKinley, USA)
Ambulatory Infusion Pump System,
Administration Sets and Accessories
Walkmed Drug Administration Sets
Changed Product Group, Product Sub Group,
Benefit.
MS039
Medical Specialties "Deltec Cozmo Ancillary
Equipment"
Drug Infusion Reservoir
3ml Cartridges - Box 25
Changed Product Group, Product Sub Group,
Benefit.
MS040
Medical Specialties/Unomedical "Deltec Cozmo
Ancillary Equipment"
Drug Infusion Set
Box of 20
Changed Product Group, Product Sub Group,
Benefit.
MS043
TiPLUG/TiPATCH System
Titanized polypropylene composite. Prosthetic
warp-knitted fabric made of monofilament
polypropylene threads with an encapsulating
titanic coating.
TiPLUG
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Plastic/magnetic. Programmable valve.
Programmer kit and shunts kit.
3, 8 settings
Changed Product Group, Product Sub Group,
Suffix, Benefit.
4 - Neurosurgical
MS003
Sterile Hydrocephalic Shunts
5 - Urogenital
Changed Items for Prostheses List Report
Page 119 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MS055
TiLOOP Male
Tension-free mesh made out of titanized
polypropylene for restoration of male urinary
continence.
65 g/m2 (strong)
Changed Product Group, Product Sub Group,
Benefit.
MS060
TiLOOP Tape
Tension-free non-absorbable titanised tape
light / extralight
Changed Product Group, Product Sub Group,
Benefit.
MS061
TiLOOP Two Kit
Tension-free non-absorbable titanised
polypropylene mesh for posterior pelvic floor
repairs with instruments
light, extralight, small, medium
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
MS062
TiLOOP Four Kit
Tension-free non-absorbable titanised
polypropylene mesh for anterior pelvic floor
repairs with instruments
light, extralight, small, medium
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
Cobalt Chromium Stent Premounted on a Rapid
Exchange Delivery System
Diameter: 2-4mm; Length: 8-38mm
Changed Product Group, Product Sub Group,
Benefit.
8 - Cardiac
MS058
Arthos Pico Stent Implantation System
Medical Vision Australia Pty Ltd
10 - Vascular
MF015
CP Stent
CP Stent Uncovered
16, 22, 28, 24, 39 & 45mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF016
CP Stent
CP Stent Covered
16, 22, 28, 24, 39 & 45mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF017
CP Stent
CP Stent Uncovered, mounted on BIB balloon
16, 22, 28, 24, 39 & 45mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF018
CP Stent
CP Stent Covered, mounted on BIB balloon
16, 22, 28, 24, 39 & 45mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
2 - Ear, Nose & Throat
MF001
Endoxane
Silicone tracheal and bronchial stents - Dumon
10 - 20mm diameter, 20 - 60mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF002
Tracheobronxane Silmet
Nitinol wire - tracheal and bronchial stents Dumon
12 - 20mm diameter, 20 - 90mm length
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
Sterile granules of talc implanted in pleural space
to act as permanent adhesive
3 grams & 4 grams
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
MF003
Steritalc
7 - Plastic and Reconstructive
MF053
PMT Integra tissue expander
Tissue/skin Expander
5cc to 1400cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF059
Cereform Silicone Breast Implant, Anatomical,
Textured Surface
Silicone Gel-Filled Breast Implant
100cc to 500cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF060
Cereform Silicone Breast Implant, Anatomical,
Textured Surface
Silicone Gel-Filled Breast Implant
500cc to 650cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF061
Cereform Silicone Breast Implant, Anatomical,
Textured Surface
Silicone Gel-Filled Breast Implant
650 cc to 850cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 120 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MF062
Cereform Silicone Gel-filled Breast Implant,
Round, Smooth and Textured Surface
Silicone Gel-filled Breast Implant
100cc to 500cc
Changed Product Group, Product Sub Group,
Benefit.
MF063
Cereform Silicone Gel-filled Breast Implant,
Round, Smooth and Textured Surface
Silicone Gel-filled Breast Implant
500cc to 650cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF064
Cereform Silicone Gel-filled Breast Implant,
Round, Smooth and Textured Surface
Silicone Gel-filled Breast Implant
650cc to 850cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MF065
Cereform "Aptima" Silicone Gel Filled Breast
Implant
Silicone gel-filled breast implant with very high
profile and filled with "Aptima" high cohesive gel
100cc to 500cc
Changed Product Group, Product Sub Group,
Benefit.
MF066
Cereform "Aptima" Silicone Gel Filled Breast
Implant
Silicone gel-filled breast implant with very high
profile and filled with "Aptima" high cohesive gel
500cc to 650cc
Changed Product Group, Product Sub Group,
Benefit.
MF067
Cereform "Aptima" Silicone Gel Filled Breast
Implant
Silicone gel-filled breast implant with very high
profile and filled with "Aptima" high cohesive gel
650cc to 850cc
Changed Product Group, Product Sub Group,
Benefit.
Suture Mediated Closure Device
Sheath sizes: 6F and 8F
Changed Product Group, Product Sub Group,
Benefit.
Valve intended to improve lung function in
patients with heterogeneous emphysema by
controlling air flow with a one-way valve and to
treat patients with pulmonary air leak.
4.0 (4 to 7 mm) and 5.5 (5.5 to 8.5mm)
Changed Description, Product Group, Benefit.
Micrus ACT Platinum Microcoil Delivery System
Platinum Coil
Helical Stretch Resistant - 2mm x 1cm - 10mm x
30cm
Changed Product Group, Benefit.
Medtel Australia Pty Ltd
10 - Vascular
ME107
Superstitch
3 - General Miscellaneous
ME190
Pulmonx
4 - Neurosurgical
ME070
ME085
Micrus ACT Platinum Microcoil Delivery System
Platinum Coil
Helical - 2mm x 2cm - 10mm x 30cm
Changed Product Group, Benefit.
ME086
Micrus ACT Platinum Microcoil Delivery System
Platinum Coil
Helical Soft Stretch Resistant - 2mm x 1cm 4mm x 8cm
Changed Product Group, Benefit.
ME087
Micrus ACT Platinum Microcoil Delivery System
Platinum Coil
Spherical - 2mm x 2.5cm - 19mm x 30cm
Changed Product Group, Benefit.
ME088
Micrus ACT Platinum Microcoil Delivery System
Platinum Coil
Straight - 4mm x 10cm - 6mm x 30cm
Changed Product Group, Benefit.
ME133
Micrus ACT Platinum Microcoil Delivery System
Cerecyte
Helical Cerecyte - 2mm x 2cm - 10mm x 30cm
Changed Product Group, Benefit.
ME134
Micrus ACT Platinum Microcoil Delivery System
Cerecyte
Helical Soft Stretch Resistant Cerecyte - 2mm x
1cm - 4mm x 8cm
Changed Product Group, Benefit.
ME135
Micrus ACT Platinum Microcoil Delivery System
Cerecyte
Spherical Cerecyte - 2mm x 2.5cm - 19mm x
30cm
Changed Product Group, Benefit.
ME183
Micrus Presidio Microcoil
Sterile, single use, embolic coil used for the
treatment of cerebral aneurysms
11.5-50cm (length)
Changed Product Group, Benefit.
ME184
Micrus Cashmere Microcoil
Sterile, single use, embolic coil used for the
treatment of cerebral aneurysms
2.5 cm - 30 cm (length)
Changed Product Group, Benefit.
ME185
Pharos Neurovascular Stent
Balloon expandable stent for treatment of
intracranial artery stenosis and aneurysm
Diameter 2.0mm-5.0mm, length 8mm-40mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 121 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ME188
Micrus DELTAPAQ Platinum Coil
DELTAPAQ Platinum Coils for endovascular
embolisation of microcoils, featuring a traingular
wind pattern for increased flexibility and
comformance to shape of aneurysm
Coil Diameter from 1.5mm to 10mm +/- .5mm
Coil Length from 1cm -.1/+0.25 to 25cm +/- 1cm
Changed Product Group, Benefit.
ME189
Micrus DELTAPAQ Cerecyte Coil
DELTAPAQ Cerecyte Coils for endovascular
embolisation of microcoils, featuring a triangular
wind pattern for increased flexibility and
conformance to shape of aneurysm.
Coil Diameter from 1.5mm to 10mm +/- .5mm
Coil Length from 1cm-.1/+0.25 to 25 cm +/- 1cm
Changed Product Group, Benefit.
Medtronic Australasia Pty Ltd
10 - Vascular
MC153
Talent AAA Aorto Uni lliac Stent Graft
Talent Endoluminal Stent Graft System - AUI
Tapered System.
22 - 36mm x 75 - 310mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC158
Talent Aortic Extension Stent Graft
Talent Endoluminal Stent Graft - Aortic Extension
22 - 36mm x 26 - 30mm
Changed Product Group, Product Sub Group,
Benefit.
MC203
Talent Occluder System
Nitinol stents attached to polyester graft sealed
both ends
Standard Sizes, 8 - 24mm x 31 - 35mm
Changed Product Group, Product Sub Group,
Benefit.
MC206
Talent Thoracic Stent Graft
Talent Endoluminal Stent Graft - Thoracic Stent
Graft System
22 - 46mm x 130mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC328
Racer Renal Stent System
Cobalt Alloy
Diameter: 4-7mm; Lengths: 12 &18mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC743
Complete SE Stent
Nitinol
20mm - 80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC744
Complete SE Stent
Nitinol
100mm - 120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC747
Valiant Endovascular Stent Graft
Nitinol and polyester system
22-46mm diameter, 110mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC748
Valiant Endovasculat Stent Graft
Nitinol and polyester system
22-46mm diameter, 150mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC760
Complete SE Stent
Nitinol
150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC773
Assurant Cobalt Stent
Iliac balloon expandable stent system
Diameter: 6 - 10mm , Length: 20 - 80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC809
Valliant Endovascular Stent Graft
Nitinol and polyester system
24 - 46 diameter, up to 179mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC810
Valliant Endovascular Stent Graft
Nitinol and polyester system
24 - 46 diameter, 180 - 227mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC845
Endurant AAA Stent Graft Bifurcation
Endurant Endoluminal Stent Graft System Bifurcated Graft
23 - 36mm x 13 - 20mm x 135 -185mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC846
Endurant AAA Contralateral Iliac Limb
Endurant Endoluminal Stent Graft System Contralateral Iliac Limb
10 - 28mm X 80 - 120mm
Changed Product Group, Product Sub Group,
Benefit.
MC847
Endurant Aorto-Uni-Iliac (AUI)
Endurant Endoluminal Stent Graft System - AUI
23 - 36mm X 120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC848
Endurant AAA Iliac Extension
Endurant Endoluminal Stent Graft System - Iliac
Extension
10 - 28mm x 80mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 122 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC849
Endurant AAA Aortic Extension
Endurant Endoluminal Stent Graft System Aortic Extension
23 - 36mm x 60mm
Changed Product Group, Product Sub Group,
Benefit.
MC850
Endurant AAA Abdominal Tube
Endurant Endoluminal Stent Graft System Abdominal Tube
23 - 36mm X 85mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC952
Valiant Captivia
Valient Stent Graft with Captivia Delivery System
22-46mm diameter, 150mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC954
Mo.Ma Proximal Cerebral Protection Device
Mo.Ma Proximal Cerebral Protection Device.
Protects the brain from embolisation, blocking
antigrade blood flow from the common Carotid
Artery and retrograde blood flow from the
External Carotid Artery.
Minimum sheath size = 8F or 9F, Minimum
diameter of inner working channel =
0.069"/1.76mm (8F sheath) or 0.083"/2.12mm
(9F sheath); 0.035" guide wire compatible
Changed Product Group, Product Sub Group,
Benefit.
MC958
Valiant Captivia
Valiant Stent Graft with Captivia Delivery System
24-46mm diameter, 200mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC959
Hippocampus Renal Stent System
Hippocampus Renal Rapid Exchange Stainless
Steel Stent system, 5F sheath, 0.014" guide wire
compatible
Diameter 4.0mm - 7.00mm Length: 10mm 24mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC960
Valiant Captivia
Valiant Stent Graft with captivia delivery system
22 - 46 mm diameter: 100mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC977
Chromis deep cobalt Chromium, infrapopliteal
OTW stent
Chromis deep - Cobalt Chromium, pre-mounted
balloon expandable, 0.014" compatable stent
Diameter: 2.0 mm 4.0mm Length: 10mm - 76mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC978
Cristallo Ideale Carotid Self Expanding Stent
System
Cristallo Ideale Nitinol, Carotid Self Expanding
Hybrid Stent system, 5F introducer sheath
compatible, Rapid Exchange design, .014" guide
wire compatible.
Cylinder Diameter: 7.0mm - 11.0 mm. Taper
Diameter 6.0/9.0 - 7.0/10.0. Length 20mm - 40
mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI010
Maris Plus Peripheral Self-Expanding Stent
System
Nitinol, self expanding, peripheral stent system
Diameter: 6.0-12.0mm; Length: 30-120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI011
Maris Plus Peripheral Self-Expanding Stent
System
Nitinol, self expanding, peripheral stent system
Diameter: 6.0-12.0mm; Length: 150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
13 - Spinal
MC293
Vertex Spinal System
Occipital Plate
24 - 40 mm length
Changed Product Group, Product Sub Group,
Benefit.
MC294
Vertex Spinal System
Occipital Buttons
Bolt 6 - 30 mm Length
Changed Product Group, Suffix, Benefit.
MC295
Vertex Spinal System
Pre - curved rod
150 - 300 mm length
Changed Product Group, Product Sub Group,
Benefit.
MC296
Vertex Spinal System
Occipital Screws
3.0 - 5.0 mm diameter, 4 - 30 mm length
Changed Product Group, Product Sub Group,
Benefit.
MC299
Centerpiece
TiMesh LP
Open Door (OD) Plate
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC307
Vertex Spinal System
Occipital Buttons
Nut 12mm Diameter
Changed Product Group, Suffix, Benefit.
MC309
Centerpiece
TiMesh LP
French Door (FD) Plate
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC310
Centerpiece
TiMesh LP
Screw
Changed Product Group, Product Sub Group,
Benefit.
MC343
Venture Self Drilling Screws
single or multi level plate construct, titanium alloy
4.0mm x 8mm - 21mm ; 4.5mm x 8mm -21mm
variable Angled
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 123 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC344
Venture Self Drilling Screws
single or multi level plate construct, titanium alloy
4.0mm x 8mm - 21mm, 4.5mm x 8mm - 21mm
Fixed Angled
Changed Product Group, Product Sub Group,
Benefit.
MC346
Venture Anterior Cervical Plate
Single or multi level plate, titanium alloy and
Nitinol
20mm - 50mm
Changed Product Group, Product Sub Group,
Benefit.
MC347
Venture Self tapping Screws
Single or multi level plate construct, titanium
alloy.
4.0mm x 8mm - 21mm; 4.5mm x 8mm - 21mm
Variable Angled
Changed Product Group, Product Sub Group,
Benefit.
MC348
Venture Self tapping Screws
Single or multi level plate construct, titanium
alloy.
4.0mm x 8mm - 21mm; 4.5mm x 8mm - 21mm
Fixed Angled
Changed Product Group, Product Sub Group,
Benefit.
MC375
Colorado Spinal System
Open Hooks
5.5mm - 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
MC376
Colorado Spinal System
Colorado 2 Connector
For 5mm rod and 5.5mm rod
Changed Product Group, Product Sub Group,
Benefit.
MC377
Colorado Spinal System
Colorado 2 Clamp
.
Changed Product Group, Suffix, Benefit.
MC378
Pyramesh
Titanium Surgical Mesh
51 - 500mm
Changed Product Group, Product Sub Group,
Benefit.
MC379
Pyramesh
Titanium Surgical Mesh
5 - 50mm
Changed Product Group, Product Sub Group,
Benefit.
MC382
Colorado Spinal System
Colorado 2 Rod
5.0mm and 5.5mm, length range 50 - 600mm
Changed Product Group, Product Sub Group,
Benefit.
MC384
Colorado 2
Pedicle Screw
Diameter 4.5 - 8.5mm Length 30 - 80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC394
CD Horizon
Set screw
Each in one size
Changed Product Group, Suffix, Benefit.
MC396
TSRH Spinal Implant System
3D - Rod
Diam 4.75 - 6.35mm, Length 25mm - 80cm
Changed Product Group, Product Sub Group,
Benefit.
MC397
TSRH Spinal Implant System
3D - Hook, Offset, left, right, laminar, pedicle,
Stainless steel, Titanium
Large - small
Changed Product Group, Product Sub Group,
Benefit.
MC399
TSRH Spinal Implant System
3D - Nut, Eyebolt locknot, locknut 1/2 inch,
locking screws, double hex, flush break, universal
breakoff
Each in one size
Changed Product Group, Suffix, Benefit.
MC402
CD Horizon
Pedicle Screws
Diameter 4.5 - 7.5mm Length 25 - 80mm
Changed Product Group, Product Sub Group,
Benefit.
MC403
Colorado Spinal System
Colorado 2 Plate
Range length 20 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
MC404
CD HORIZON Spinal System - Rod
Rod
30mm - 600mm
Changed Product Group, Product Sub Group,
Benefit.
MC406
CD HORIZON Spinal System - Hook
Hook - various
Extra Small - Large
Changed Product Group, Product Sub Group,
Benefit.
MC407
CD Horizon
Domino
3.2mm, 3.5mm, 4.5mm, 5,5mm, 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
MC408
CD Horizon
Crosslink, Plate, Multi-span late, Offset plate,
Transverse links
60 - 200mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC409
CD Horizon
Domino & Axial Connector
4.5mm, 5.5mm and 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 124 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC413
Cornerstone Cage
Sterile and Non-sterile
4 - 14mm
Changed Product Group, Product Sub Group,
Benefit.
MC418
Atlantis Anterior Cervical Plate
Plate
19.0mm - 47.5mm
Changed Product Group, Product Sub Group,
Benefit.
MC419
Atlantis Anterior Cervical Plate
Anterior Cervical Plate
50mm - 55mm
Changed Product Group, Product Sub Group,
Benefit.
MC423
Atlantis
Fixed Angle Cancellous Screw
10-20mm
Changed Product Group, Product Sub Group,
Benefit.
MC424
Atlantis
Variable Angle Cancellous Screw
10-20mm
Changed Product Group, Product Sub Group,
Benefit.
MC431
Colorado Spinal System
Staple
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC432
Colorado Spinal System
Sacral Plate
Left/right
Changed Product Group, Product Sub Group,
Benefit.
MC433
Colorado Spinal System
Ilio-Sacral Plate
Left/right
Changed Product Group, Product Sub Group,
Benefit.
MC434
Colorado Spinal System
Connector for Sacral & Ilio-Sacral Plate
One size only
Changed Product Group, Suffix, Benefit.
MC435
Colorado Spinal System
Break off Nut
One size only
Changed Product Group, Suffix, Benefit.
MC436
CD-Horizon
C-ring
One size only
Changed Product Group, Benefit.
MC437
CD-Horizon
Staples
10 - 30mm
Changed Product Group, Product Sub Group,
Benefit.
MC439
CD Horizon
Cannulated Pedicle Screw
20mm - 80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC440
CD Horizon
Eclipse: 4.5mm Rod
40 - 600mm
Changed Product Group, Product Sub Group,
Benefit.
MC447
UCSS
Cortical Screws
30 - 50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC448
UCSS
Cortical Lag Screws
36 - 50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC449
Pyramesh
Angled
25 - 150mm
Changed Product Group, Product Sub Group,
Benefit.
MC450
Pyramesh
Curved / Round
20 - 150mm
Changed Product Group, Product Sub Group,
Benefit.
MC451
Pyramesh
Ovoid
8 - 130mm
Changed Product Group, Product Sub Group,
Benefit.
MC456
Interfix
Titanium Cage
12 x 20mm - 24 x 50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC457
LordoTec Cage (LT-Cage)
Titanium, PEEK
18-28mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC458
TSRH 3D
Screw
4.5 -8.5mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC459
TSRH 3D
Extended Post Screw
30 - 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 125 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC462
Zephir
Cancellous Screw
13-17mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC482
Axis Cervical Plating System
Screw: Cancellous
6 - 24mm
Changed Product Group, Product Sub Group,
Benefit.
MC483
Axis Cervical Plating System
Screw: Cortical
26 - 54mm
Changed Product Group, Product Sub Group,
Benefit.
MC496
Tenor
Transverse Links - Titanium
40-100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC497
Tenor
Rod (5.5mm) - Titanium
40 - 240mm
Changed Product Group, Product Sub Group,
Benefit.
MC501
CD Horizon
Multi-Axial screw (Stainless Steel)
25 - 80mm
Changed Product Group, Product Sub Group,
Benefit.
MC502
CD Horizon
Multi-axial screw (Titanium)
25 - 80mm
Changed Product Group, Product Sub Group,
Benefit.
MC503
CD Horizon
Fixed Angle Screw
25 - 90mm
Changed Product Group, Product Sub Group,
Benefit.
MC504
CD Horizon
Breakoff Set Screw
25 - 55mm
Changed Product Group, Suffix, Benefit.
MC505
Orfil
L-Shaped Rods
5-510mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC507
LIFT/VERTE-SPAN
Vertebral Body Cages
Short - Extra Long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC509
CD Occipital-Cervical Loop
CD Occipital-Cervical Loop
One size only
Changed Product Group, Benefit.
MC511
Premier Anterior Cervical Plate System
Screws
10 20mm
Changed Product Group, Product Sub Group,
Benefit.
MC537
Danek Unit Rod System
Scoliosis Rods
Widths 3/16", 5.5mm or 6.35mm; lengths 25 x
45cm
Changed Product Group, Product Sub Group,
Benefit.
MC539
Pyramesh
End ring/cap
10 - 25mm
Changed Product Group, Product Sub Group,
Benefit.
MC540
LIFT/ VERTE-SPAN
End plates (caps)
Angulation: -8 - 7 degrees; left and right
Changed Product Group, Product Sub Group,
Benefit.
MC542
Vertex Spinal System
Connector
Length 10 - 13mm; diameter 3.2 - 6.35mm
Changed Product Group, Product Sub Group,
Benefit.
MC543
Vertex Spinal System
Plate/rod
80 - 240mm
Changed Product Group, Benefit.
MC544
Vertex Spinal System
Rod
80 - 240mm
Changed Product Group, Product Sub Group,
Benefit.
MC545
Vertex Spinal System
Screws
Diameter 3.5 - 4.5mm Length 6 - 52mm
Changed Product Group, Product Sub Group,
Benefit.
MC546
Vertex Spinal System
Set screw
One size only
Changed Product Group, Suffix, Benefit.
MC577
R90 Spacer
Spinal Implant (Peek)
Height 7 - 16mm Lordosis 6 - 18 degrees
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC579
CD Horizon
Spondylolisthesis Screw
Diameter: 4.5 - 7.5, Length: 25mm - 50mm
Changed Product Group, Product Sub Group,
Benefit.
MC585
Maverick Artificial Disc
Cobalt Chrome
8mm - 14mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 126 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC586
CD Horizon Sextant Percutaneous Cannulated
Multi Axial Screw
Cannulated titanium percutaneous multi axial
screw
Dia 3.5 to 9.5mm, Length 15 to 65mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC587
CD Horizon Spinal System
Percutaneous Rod
5.5 x 25mm to 5.5 x 350mm
Changed Product Group, Product Sub Group,
Benefit.
MC589
Affinity Anterior cervical cage System
The Affinity Cage is constructed of titanium
alloy - kit includes trials, reamers and inserters.
6mm to 14mm
Changed Product Group, Product Sub Group,
Benefit.
MC590
Vertex Reconstruction System Crosslink Bar
Composition - titanium alloy. The system allows
for the adaptation of components from other
Sofamor Danek systems to provide for constructs
tailor made for individual cases.
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC591
Vertex Reconstructive System Laminar Hook
Composition - titanium alloy
4.5 - 6.0mm
Changed Product Group, Product Sub Group,
Benefit.
MC592
CD Horizon System
SMA Staple
Length 4-10mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC593
CD Horizon System
SMA Staple
Length 12-18mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC602
Union
Verte-Stack
8 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
MC603
Union
Verte-Stack
8 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
MC606
Union
Verte-Stack
Centre Piece 5-40mm
Changed Product Group, Product Sub Group,
Benefit.
MC608
TSRH
Connector
Small, Medium, Large
Changed Product Group, Suffix, Benefit.
MC609
CD Horizon Spinal System
Percutaneous Set Screw
25 - 60mm
Changed Product Group, Suffix, Benefit.
MC610
Vantage
Vantage plates and Screws; Thoracic Plate
3.5 - 8cm
Changed Product Group, Product Sub Group,
Benefit.
MC611
Vantage
Vantage Plates and Screws; Thoracic Screw
5.5 x 15-50mm
Changed Product Group, Product Sub Group,
Benefit.
MC612
Vantage
Vantage Plates and Screws; ATL Plate
4 - 10cm
Changed Product Group, Product Sub Group,
Benefit.
MC613
Vantage
Vantage Plates and Screws; ATL Screw
6.5 x 30-55mm
Changed Product Group, Product Sub Group,
Benefit.
MC614
Vantage
Vantage Plates and Screws; Staple (rostral/caudal)
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
MC615
Vantage
Vantage Plates and Screws; Lock Nut
One Size Only
Changed Product Group, Suffix, Benefit.
MC617
Nucleus Replacement
Spinal Disc
Thickness 5-25mm, Diameter 10-50mm
Changed Product Group, Benefit.
MC632
Verte-Stack
XS Centre Piece. Stackable Corpectomy Device.
Height 5-50mm
Changed Product Group, Product Sub Group,
Benefit.
MC634
CD HORIZON Spinal System - X10
CROSSLINK
X10 CROSSLINK Plate
Multi-Span Plate: 25-81mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC635
CD Horizon
Legacy In-Line Connector
Length 40-110mm
Changed Product Group, Product Sub Group,
Benefit.
MC636
CD Horizon
Eclipse Dual Head Screws
20-60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 127 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC637
CD Horizon
Spire Plate
One size
Changed Product Group, Benefit.
MC654
Engage
Breakoff Set Screw
one size only
Changed Product Group, Suffix, Benefit.
MC656
Pyramid
Pyramid Bone Screws
6.5mm Diameter, 20 -60mm length in 5mm
increments
Changed Product Group, Product Sub Group,
Benefit.
MC657
Pyramid
Pyramid Cover Plate and Set Screw
17mm - 35mm length in 2 mm increments
Changed Product Group, Suffix, Benefit.
MC661
Pyramid
Pyramid Plate
17mm - 35mm
Changed Product Group, Product Sub Group,
Benefit.
MC665
Engage
Connector
Small, Medium, Large
Changed Product Group, Product Sub Group,
Benefit.
MC667
SiLo
Set Screw
One Size only
Changed Product Group, Suffix, Benefit.
MC668
CD HORIZON Spinal System - Iliac Lateral
Connector
Iliac Lateral Connector
10mm - 60mm
Changed Product Group, Product Sub Group,
Benefit.
MC673
Verte-Stack
Perimeter Cage
Extra Small, Small, Medium, Large, Extra Large
Changed Product Group, Product Sub Group,
Benefit.
MC674
CD HORIZON Spinal System - Set Screw
Set Screw
3.5mm - 6.35mm
Changed Product Group, Suffix, Benefit.
MC675
CD Horizon
Legacy Screw
Diameter 4.0 - 10.5mm
Changed Product Group, Product Sub Group,
Benefit.
MC676
SiLo
Lateral Connector
10-40mm
Changed Product Group, Product Sub Group,
Benefit.
MC677
SiLo
Hook
Right, left, front
Changed Product Group, Product Sub Group,
Benefit.
MC685
Verte-Stack Crescent
PEEK
Height 6 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
MC706
Venture Anterior Cervical Plate
Single or multi level plate, titanium alloy and
Nitinol
52.5mm - 55mm
Changed Product Group, Product Sub Group,
Benefit.
MC707
Danek Unit Rod System
Scoliosis S-Rods
Widths 5.5 - 6.35mm; left and right
Changed Product Group, Product Sub Group,
Benefit.
MC708
CD HORIZON Spinal System - X10
CROSSLINK
X10 CROSSLINK Plate
Fixed Plate: 16mm - 40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC724
Colorado Spinal System
Closed Hooks
5.5mm-6.35mm
Changed Product Group, Product Sub Group,
Benefit.
MC736
Vertex Max Cannulated Screw
Posterior cannulated cervical screw
Diameter 3.5 - 4.5mm Length 20 - 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC749
Legacy HA Coated Screw
Hydroxyapatite coated pedicle screw
4.5mm - 8.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC819
Pyramid +4
Anterior Plate
Height: 33mm - 45mm
Changed Product Group, Product Sub Group,
Benefit.
MC820
T2
Expandable vertebral body replacement cage
Diameters: 13 - 31mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC821
T2
End Cap
13-31 mm, 0, 4, 8, 15 degree lordosis
Changed Product Group, Product Sub Group,
Benefit.
MC822
CD Horizon
Legacy Multiaxial Iliac Screw
5.5mm to 8.5mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 128 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC823
CD Horizon
Legacy Fixed Iliac Screw
5.5mm to 8.5mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC858
Atlantis Anterior Cervical Plate
Anterior Cervical Plate
57.5mm - 110mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC859
Venture Anterior Cervical Plate
Single or multi level plate, titanium alloy and
Nitinol
57.5mm - 150mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC860
Silo
Fixed Screw
4.5 - 8.5mm Diameter
Changed Product Group, Product Sub Group,
Benefit.
MC861
Silo
Mutliaxial Screw
4.5 - 8.5mm Diameter
Changed Product Group, Product Sub Group,
Benefit.
MC862
Silo
Sagittal Screw
4.5 - 8.5mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC863
Zephir Anterior Cervical Plate
Anterior Cervical Plate
22.5mm - 55mm
Changed Product Group, Product Sub Group,
Benefit.
MC864
Zephir Anteior Cervical Plate
Anterior Cervical Plate
57.5mm - 70mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC865
Premier Anterior Cervical Plate
Anterior Cervical Plate
23mm - 55mm
Changed Product Group, Product Sub Group,
Benefit.
MC866
Premier Anterior Cervical Plate
Anterior Cervical Plate
57.5mm - 90mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC947
Centrepiece
TiMesh LP
Open Door Graft (GP) Plate
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC948
Centrepiece
TiMesh LP
Trough Plate
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC967
CD HORIZON Spinal System - Fixed Angle
Screw
CD HORIZON SOLERA Fixed Angle Screw
Diameter: 4.0mm - 10.5mm
110mm
Length: 15mm -
Changed Product Group, Product Sub Group,
Benefit.
MC968
CD HORIZON Spinal System - Cannulated MultiAxial Screw
CD HORIZON SOLERA Cannulated Multi-Axial
Screw
Diameter: 4.5mm - 10.5mm
110mm
Length: 15mm -
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC969
CD HORIZON Spinal System - Multi-Axial
Screw
CD HORIZON SOLERA Multi-Axial Screw
Diameter: 4.0mm - 10.5mm
110mm
Length: 15mm -
Changed Product Group, Product Sub Group,
Benefit.
MC974
Capstone Cage
TLIF Vertebral Body Spacer
Length: 32mm - 36mm
Changed Product Group, Product Sub Group,
Benefit.
MC975
Capstone Cage
DLIF Vertebral Body Spacer
Length: 40mm - 60mm
Changed Product Group, Product Sub Group,
Benefit.
MC976
Capstone Cage
PLIF Vertebral Body Spacer
Length: 22mm - 26mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC985
Vertex Spinal System
Connectors
Small, medium, large
Changed Product Group, Suffix, Benefit.
MC986
Vertex Spinal System
Posted Screws
Diameter 3.5 - 4.5mm Length 10 - 52mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
MC987
Sovereign Spinal System - Interbody Spacer
Sovereign Spinal System - Interbody Spacer with
Coverplate
Small - 32mm x 23mm, Medium - 37mm x
27mm, Large - 42mm x 30mm
Changed Product Group, Product Sub Group,
Benefit.
MC988
Sovereign Spinal System - Screws
Sovereign Spinal System - Screws
20 - 35mm
Changed Product Group, Product Sub Group,
Benefit.
2 - Ear, Nose & Throat
Changed Items for Prostheses List Report
Page 129 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC255
Medtronic Xomed Australia Material Implantable
Sterile - Gore Thyroplasty
ePTFE - expanded polytetrafluroethyelene
0.75cm x 40cm x 0.6mm; 0.4cm x 20cm x
0.6mm; 0.6cm x 20cm x 0.6mm
Changed Product Group, Product Sub Group,
Benefit.
MC260
Middle Ear Prosthesis
Total Ossicular Reconstruction Implants
0.6 - 0.8mm x 3.0 - 4.0mm x 7.0 - 8.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC261
Universal Ossicular Reconstruction Implants Titanium
Malleus + Incus + Stapes
0.6 - 1.17mm x 0.3 - 4.0mm x 4.75 - 8.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC262
Partial Ossicular Reconstruction Implant
Malleus + Incus
0.4 - 1.17mm x 2.2 - 8.8mm x 3.5 - 10.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC263
Total Ossicular Reconstruction Implant
Malleus + Incus + Stapes
0.5 - 0.6mm x 3.5 - 6.0mm and One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC264
Septal Button
Silicone
3cm
Changed Product Group, Suffix, Benefit.
MC265
Silicone Blocks
Netterville Phonoform Block - Right, Left,
Wedge & Strip
Right - One size only, Left - One size only,
Wedge - One size only & Strip - One size only
Changed Product Group, Product Sub Group,
Benefit.
MC268
Medtronic Vent Tubes
Fluoroplastic
0.76 - 1.52mm x 2.1 - 9.5mm x 1.0 - 12.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC269
Medtronic Vent Tubes
Activent Antimicrobial Ventilation Tube
1.02 - 1.27mm x 0.9 - 2.4mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC270
Medtronic Vent Tubes
Antibacterial/Antimicrobial
1.27 x 2.9 x 1.3mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC271
Medtronic Vent Tubes
Stainless Steel
1.02 - 1.27mm, 1.58 - 2.7mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC272
Medtronic Vent Tubes
Titanium
1.02 - 1.52mm x 0.9 - 4.45mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC273
Medtronic Vent Tubes
Fluoroplastic
1.02 - 1.27mm x 1.3 - 3.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC276
Medtronic Vent Tubes
Silicone
0.76 - 1.27mm x 1.0 - 7.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC277
Medtronic Vent Tubes
Fluoroplastic, C-Flex
0.89 - 1.52mm x 2.3 - 12.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC278
Medtronic Vent Tubes
Silicone
0.76 - 1.27mm x 1.5 - 12.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC279
Medtronic Vent Tubes
Antimicrobial Ventilation Tube
1.02 - 1.27mm x 2.7 - 9.1mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC280
Medtronic Vent Tube
Antibacterial/Antimicrobial
1.02 - 1.52mm x 1.3 - 12.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC918
The Big Easy Piston
Big Easy Range - MRI Safe, Triple Width
Platinum Band, Double Width Platinum Shaft
with Offset Versions
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm;
4.0 - 4.75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC919
Prostheses Malleus
Hydroxyapatite
0.6 - 4.0mm x 2.7 - 5.0mm x 1.5 - 10.0mm
Changed Product Group, Product Sub Group,
Benefit.
MC920
Flex H/A Incus Necrosis Prostheses
.
2.5 - 4.0mm x 10.0mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
MC921
Middle Ear Prostheses
Malleus+ Incus
Small, Medium, Large, 0.6 x 2.2 x 8.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 130 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC922
Middle Ear Prostheses
Stapes
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm;
4.0 - 4.75mm
Changed Product Group, Product Sub Group,
Benefit.
MC923
Middle Ear Prostheses
Stapes
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm;
4.0 - 4.75mm
Changed Product Group, Product Sub Group,
Benefit.
MC924
Middle Ear Prostheses
Malleus
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm;
4.0 - 4.75mm
Changed Product Group, Product Sub Group,
Benefit.
MC925
Vent Tube
Fluoroplastic
1.02 - 1.27mm x 1.0 - 3.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC926
Medtronic Vent Tube
Activent Antimicrobial Ventilation Tube
1.14 - 1.27mm x 0.9 - 3.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC927
Medtronic Vent Tube
.
1.02 - 1.52mm x 1.3 - 12.0mm
Changed Description, Product Group, Product
Sub Group, Benefit.
MediShield Anti-Adhesion Gel is an adhesion
barrier gel for prevention of complications after
spinal surgery. MediShield is a co-polymer gel
composed of carboxymethylcellulose and
polyethylene oxide.
3cc Syringe
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
3 - General Miscellaneous
MC618
Medishield Anti-Adhesion Gel
4 - Neurosurgical
MC001
Kinetra Dual Channel Implantable Pulse
Generator Model 7428
Titanium, polyurethane
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC094
Stimulator Accessory Kit - Pisces Quad; Pisces Z
Lead Revision Kit; Pisces Quad Revision Kit;
Octad Revision Kit
Model 3550-10 revision kit. 1 x boot, 1 x
twistlock anchor, 2 x silicone anchors, 1 x hex
wrench, 1 x epidural needle 15 gauge, 1 x
percutaneous extension (inline) with set screws, 1
x ball-tipped (bent) 28cm stylet for Pisces-Quad
lead, 1 x ball-tipped (
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC135
Medtronic Specify Lead
8 electrode surgical lead kit
One size only
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
MC137
Medtronic A/Asia, Synergy Dual Channel
Implantable Pulse Generator Model 7427, Active
Implantable Stimulators.
DCI - Pulse Generator: Synergy Dual Channel
Implantable Pulse Generator Model 7427.
Materials - Titanium
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC228
Soletra Model 7426 Neurostimulator
Sterility - Ethylene Oxide. Neurostimualtor
comprised of electronic circuitry and a battery,
which are hermatically sealed in a titanium case
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC244
Medtronic Australasia DBS Lead Model 3389,
Medtronic quadripolar Itrel II- 7424DBS, Active
Implantable Stimulator & Ancillary Equipment
Deep brain stimulation lead with four platinum
iridium electrodes Models 3387 and 3389.
Electrode spacing is 1.5mm apart for Model 3387
and 0.5mm apart for Model 3389. PTFE,
polyurethane, platinum/iridium, nickel alloy,
tungsten
28 - 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC247
Patient Activators
Hand held device Models 7434 & 7435 to be
used with Itrel III and Synergy Implantable Pulse
Generators
One size only
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 131 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC249
Access Therapy Controller
Handheld device used with the Kinetra and
Soletra Implantable Pulse Generators
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC305
Low Profile Impedance Extension Kit for DBS
Model 7482
Silicone Rubber
25, 40, 51, 66, 95cm
Changed Product Group, Product Sub Group,
Benefit.
MC313
Synchro Med II Pump
Model No's 8637-20 & 8637-40, Composition Titanium
20 ml & 40 ml
Changed Product Group, Suffix, Benefit.
MC315
Low Profile Impedance Extension Kit for SCS
Model 7489
Silicone rubber
10, 25, 40, 51, 66cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC361
2X4 Hinged Surgical Lead model 3999
Materials: silicone rubber, platinum-iridium,
polyurethane
30, 45 & 60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC529
Hydrocephalus Shunt
Lumbar peritoneal
84cm
Changed Product Group, Benefit.
MC530
Hydrocephalus Shunt
Ventricular/Atrial, CSF Flow Control Shunts,
Cont Small Valve
38cm-90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC531
Hydrocephalus Shunt
Ventricular/Peritoneal. CSF Flow Control Valves,
BioGlide Contoured, Ventriculostomy Kit-E,
Neonatal Delta Snap Shunt
12mm-90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC532
Hydrocephalus Shunt
With Hydrostatic Valve, Delta
Valves/Shunts/BioGlide, Vent Catheters
12mm-90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC534
Pressure valve (anti-siphon device or flushing
valve or flush pump)
Neonatal Reservior, CSF Lumbo Peritoneal
2 - 90cm
Changed Product Group, Benefit.
MC583
CSF - Ventricular Catheters PSM Range
Non metallic latex free. Barium impregnated,
include stainless steel stylet. Model Nos 41101,
41115, 41207, 41103, 41308, Proximal
ventricular catheter.
ID 1.3mm OD 2.5mm Length 15cm, 23cm; ID
1.2mm OD 2.1mm Length 15cm, 23cm
Changed Product Group, Suffix, Benefit.
MC584
CSF - Distal Catheters
Non metallic and latex free, Models
43418,43103,43111,43209,43522,43551,27211
Distal cardiac/peritoneal catheters ID 1.3mm OD
2.5mm Length 90cm, 96cm, 110cm, 120cm, ID
1.2mm, OD 2.1mm, Length 90cm, 75cm, 58cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC638
Peritoneal Catheter PSM range with Bioglide
Translucent silicone elastomer with Barium
impregnated stripe. Catheter surface bonded with
Hydrogel.
60-90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC639
Ventricular Catheter PSM range with Bioglide
Translucent silicone elastomer with Barium
impregnated stripe. Catheter surface bonded with
Hydrogel.
15-23cm
Changed Product Group, Suffix, Benefit.
MC640
Strata Shunt, Unitised
Adjustable CSF valve with five symmetric
performance level steps. Includes strata valve,
pre-attached ventricular catheter, and a preattached peritoneal catheter. Right Angle Clip.
Disposable Quick Release Ventricular Catheter
Introducer. Disposable Sub
8-13.5cm x 9-120cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC641
Strata Valve Unitised with Bioglide PSM range
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC642
Strata Valve Assembly with Bioglide PSM range
CSF Flow Valves. Polypropylene and acetal
plastic base. Silicone elastomer dome.
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC643
Strata Valve with Bioglide PSM range
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
13-16mm x 35-47mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 132 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC644
Strata Valve NSC (non siphon control) PSM range
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
13-16mm x 23-32mm (0.5-2.0)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC645
Strata Valve Unitised NSC (non siphon control)
PSM range
Adjustable CSF valve with five symmetric
performance level steps. Includes a strata valve,
pre-attached ventricular catheter, and a preattached peritoneal catheter. Right Angle Clip.
Disposable Quick Release Ventricular Catheter
Introducer.
8-120cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC646
Strata Valve Assembly NSC (non siphon control)
PSM range
Adjustable CSF valve with five symmetrical
performance level steps. Includes a strata valve,
an integral distal peritoneal catheter and catheter
passer, and a female leur adaptor and prefill
tubing. Polypropylene and acetal plastic base.
Silicone elastome
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC647
Delta Valve with Bioglide PSM range
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome. Surface of valve
bonded with hydrogel (Bioglide surface
modification).
36-40mm x 9-20mm (0.5-2.0)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC648
Delta Valve Unitised with Bioglide PSM range
CSF Flow Valves. Polypropylene and acetal
plastic base. Silicone elastomer dome. Unitised
system includes the valve, integral ventricular
and peritoneal catheter (all components
connected). Surface of valve bonded with
hydrogel (Bioglide surface modificat
8-13.5cm x 90-120cm (0.5-2.0)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC649
Delta Shunt Unitised
Delta valve is a fixed pressure CSF valve,
available in four performance levels. Delta
Unitised shunt includes a delta valve, preattached ventricular catheter, and a pre-attached
peritoneal catheter. Right Angle Clip. Disposable
Quick Release Ventricular
Delta Unitised Shunt small (Distal 65cm-90cm,
ventricular 11cm) - 0.5, 1.0, 1.5 and 2.0. Delta
Unitised Shunt regular (Distal 90cm, ventricular
catheter 13cm) - 0.5, 1.0, 1.5 and 2.0
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC650
Delta Shunt Assembly
Delta valve is a fixed CSF pressure valve,
available in four performance levels. Includes an
Integral (distal) Peritoneal Catheter, Disposable
Peritoneal Catheter Passer, Female Luer Adapter
and Prefill Tubing.
90-120cm (0.5 - 2.0)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC651
Delta Valve Assembly with Bioglide PSM range
CSF Flow Valves. Polypropylene and acetal
plastic base. Silicone elastomer dome. Assembly
system includes the valve, integral peritoneal
catheter, female luer adapter and prefill tubing.
Surface of the valve bonded with hydrogel
(Bioglide surface modifica
90-120cm (0.5, 1.0, 1.5, 2.0)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC652
Strata Shunt Assembly
Adjustable CSF valve with five symmetric
performance level steps. The assembly includes
an Integrated (distal) Peritoneal Catheter.
Disposable Peritoneal Catheter Passer. Female
Luer Adapter and Prefill tubing.
90-120cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC687
Neurostimulation System - Accessory Kits
Lead Accessory Plug and Closed Boot Kit Model
3550-29
.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 133 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC688
Neurostimulation System - Extensions
1 x 8 Synergy Extension Kit Model 7472; 1 x 8
Extension Kit Model 37081
20, 40 & 60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC689
Lead Revision Kits
Sterile Revision Kit for Octad leads 45cm (355026), Sterile Revision Kit for Octad leads 60-75cm
(3550-27)
30 & 45cm; 60 & 75cm
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
MC690
Neurostimulation System - Octad Leads
Octad Standard Lead Kit without Percutaneous
Extension Model 3777,
45, 60 & 75cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC692
Restore Rechargeable Neurostimulation System
External Patient Recharger System Model 37752
one size only
Changed Product Group, Product Sub Group,
Benefit.
MC694
Restore Rechargeable Neurostimulation System
External Patient Programmer Antenna Model
37092
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC710
Neurostimulation System - Octad Leads
Octad Standard Lead Kit with Percutaneous
extension model 3877
45, 60 & 75cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC711
Neurostimulation System - Octad Leads
Octad Compact Lead Kit without Percutaneous
Extension Model 3778
45, 60 & 75cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC712
Neurostimulation System - Octad Leads
Octad Compact Lead Kit with Percutaneous
Extension Model 3878
45, 60 & 75cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC731
Titan Anchor
Silicone with titanium insert
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC733
Quadripolar Stretch-Coil Extensions
Model 37083 Single, Silver and Silicone Rubber
20cm - 60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC734
Quadripolar Stretch-Coil Extensions
Model 37082 Bifurcated, Silver and Silicone
Rubber
20cm - 60cm
Changed Product Group, Product Sub Group,
Benefit.
MC735
Rivulet
Ventricular Catheter
4cm - 23cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC740
SCS Sub Compact Lead
Octad Sub Compact Lead Kit without
Percutaneous Extension Model 3776
45, 60 and 75cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC741
Indura Intrathecal Catheter
Sutureless pump connector, Silicone, Titanium
and Nylon
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC742
Prime Advanced
Implantable Neurostimulator
Dimensions: 65 x 49 x 15mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC746
Restore Advanced INS
Implantable Neurostimulator
Dimensions: 65 x 49 x 15mm
Changed Product Group, Product Sub Group,
Benefit.
MC750
Durepair
Dura Substitute, Collagen
1" x 1"
Changed Product Group, Benefit.
MC751
Durepair
Dura Substitute, Collagen
2" x 2"
Changed Product Group, Benefit.
MC752
Durepair
Dura Substitute, Collagen
1" x 3"
Changed Product Group, Benefit.
MC753
Durepair
Dura Substitute, Collagen
3" x 3"
Changed Product Group, Benefit.
MC754
Durepair
Dura Substitute, Collagen
4" x 5"
Changed Product Group, Benefit.
MC759
SCS Sub Compact Lead
Ocatd Sub Compact Lead Kit with Percutaneous
Extension Model 3876
45, 60 and 75cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC764
Microelectrode Cable
Cable used for intracranial recording of neural
activity prior to DBS
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC766
MicroTargeting Electrodes
Electrode used for intracranial recording of neural
activity prior to DBS
276.5mm
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 134 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC767
Stimloc
Burr Hole Cover
14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC770
Snap Lid Connector
Connector for implanted lead to external
Implantable Pulse Generator
2.5" x 5.0"
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC774
8578 Sutureless Pump Connector
Sutureless Pump Connector: Material radiopaque
silicon titanium, nylon
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC776
Specify 5-6-5 Surgical Lead
Triple Array 16 Electrode Surgical Lead with
Duraloc Technology
30, 65cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC817
Medtronic Intrathecal Catheter Revision Kit
(Proximal)
Revision kit to repair proximal end of intrathecal
catheter (8596SC)
66cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC818
Medtronic Intrathecal Catheter Revision Kit
(Distal)
Revision kit to repair distal end of intrathecal
catheter (8598A)
38.1cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC825
Medtronic Percutaneous Quad extension
Percutaneous extension (in line connector for
quadripolar leads only)
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC826
Medtronic Accessory Kit for Deep Brain
Stimulation
Boots accessory kit for DBS (3550-25)
N/A
Changed Product Group, Product Sub Group,
Benefit.
MC827
Medtronic Pisces Quad Leads
Pisces Quad Lead (3487A), Pisces Quad
Compact Lead (3887), Pisces Quad Plus Lead
(3888)
Various
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC828
Medtronic Resume Surgical Leads
Surgical Leads - Resume II (3587A), Resume TL
(3986A)
25cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC829
Medtronic On Point Lead
On point peripheral nerve lead kit (3987A)
25cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC837
Medtronic Activa Patient Programmer
Medtronic Activa Patient Programmer (Model
37642)
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC838
Medtronic ACTIVA PC Neurostimulator for
Deep Brain Stimulation
ACTIVA PC Dual channel primary cell neuro
stimulator for Deep Brain Stimulation (37601)
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC841
Medtronic MicroTargeting Electrodes
Microelectrodes used for intra-operative
recording of neuronal activity
Various
Changed Product Group, Benefit.
MC842
Medtronic Screening Cable (Twist Lock)
Screening Cable with Twist Lock for
Intraoperative testing
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC843
Medtronic Screening Cable (Alligator Clip)
Screening Cable with Alligator Clip for
Intraoperative testing
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC852
Medtronic Extension for Deep Brain Stimulation
Medtronic ACTIVA Stretch Coil Extension for
use with ACTIVA RC and PC
40cm, 60cm, 95cm
Changed Product Group, Product Sub Group,
Benefit.
MC857
Small Lumen Peritoneal Catheter
CSF Distal Catheter
ID - 0.7mm OD - 2.5mm Length - 120cm
Changed Product Group, Suffix, Benefit.
MC928
Strata NSC L-P Shunt
Lumboperitoneal Shunt
44mm x 23mm x 12mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC929
Medtronic RestoreULTRA Neurostimulator
16 Electrode Rechargeable implantable
Neurostimulator for pain management (37712)
22cc
Changed Product Group, Product Sub Group,
Benefit.
MC930
3550-P4 Passing Elevator Accessory Kit
Kit Contents: 4 Passing Elevators compatible
with various leads
One size
Changed Description, Product Group, Product
Sub Group, Benefit.
MC931
3550-63 Percutaneous Lead Introducer Accessory
Kit
Percutaneous Lead Introducer Accessory Kit
One size only
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 135 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC940
Pocket Adaptors for Deep Brain Stimulation
Pocket Adaptors for Deep Brain Stimulation
(Single and Dual Channel)
25.5cm and 27.4cm
Changed Product Group, Product Sub Group,
Benefit.
MC941
Pocket Adaptors for Spinal Cord Stimulation
Pocket Adaptors for Spinal Cord Stimulation
(Single and Dual Channel)
25.5cm and 27.4cm
Changed Product Group, Product Sub Group,
Benefit.
MC942
Specify 2x8 Surgical Lead
Surgical Lead
30cm and 65cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC943
Medtronic myStim Patient Programmer
Patient programmer for Restore and Prime
Neurostimulation systems (Model 37743)
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC944
8835 Personal Therapy Manager for Synchromed
Pumps
Personal Therapy Manager for SynchroMed II
implantable infusion pumps
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC945
Medtronic ACTIVA Recharging System for Deep
Brain Stimulation
Recharging System for Deep Brain Stimulation
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC946
Medtronic ACTIVA RC Neurostimulator for
Deep Brain Stimulation
ACTIVA RC Dual channel rechargeable
neurostimulator for Deep Brain Stimulation
(37612)
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC949
Strata NSC Burr Hole Valve
Adjustable cerebrospinal fluid (CSF) flow valve.
Polypropylene and acetal plastic base. Silicone
elastomer dome.
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC951
Multi-Lead Trialing Cable
Connector for implanted lead to External
Neurostimulator
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC961
Strata NSC LP Shunt kit
Strata NSC LP Shunt kit with Closed Tip Lumbar
Catheter and Peritoneal Catheter, small lumen
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC963
Strata NSC Burr Hole Shunt Assembly
Adjustable cerebrospinal fluid (CSF) flow valve.
Polypropylene and acetal plastic base. Silicone
elastomer dome. With integral catheter.
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC965
Strata NSC LP Shunt kit
Strata NSC LP Shunt kit with closed Tip Lumbar
Catheter and Integral Peritoneal Catheter, Small
Lumen
One Size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC970
Strata Burr Hole Valve
Adjustable cerebrospinal fluid (CSF) flow valve
with anti-siphon device. Polypropylene and acetal
plastic base. Silicone elastomer dome.
One size only.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC971
Strata NSC LP Shunt kit
Strata NSC LP Shunt kit with Open Tip Lumbar
Catheter and Peritoneal Catheter, small lumen
One Size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC972
Strata Burr Hole Shunt Assembly
Shunt Assembly: Adjustable cerebrospinal fluid
(CSF) flow valve with anti-siphon device.
Polypropylene and acetal plastic base. Silicone
elastomer dome with integral catheter.
One size only.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC990
Obex Neurofilm
Synthetic Self-Adhesive Barrier and Sealant for
Cerebrospinal Fluid Leaks
50mm x 100mm
Changed Product Group, Benefit.
MC991
Obex Neurofilm
Synthetic Self-Adhesive Barrier and Sealant for
Cerebrospinal Fluid Leaks
50mm X 50mm
Changed Product Group, Benefit.
MC992
Obex Neurofilm
Synthetic Self-Adhesive Barrier and Sealant for
Cerebrospinal Fluid Leaks
50mm x 25mm
Changed Product Group, Benefit.
MI003
Medtronic DBS Tunneling Tool Accessory Kit
DBS Tunneling Tool Accessory Kit
One size only
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 136 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MI004
Medtronic RestoreSensor Implantable
Neurostimulator
16 Electrode Rechargeable implantable
neurostimulator for pain management with
AdaptiveStim
22cm3
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI005
Medtronic myStim Patient Programmer (Model
37744)
Patient programmer for implantable
neurostimulator
One size only
Changed Product Group, Product Sub Group,
Benefit.
MI006
Medtronic External Patient Recharger System
Model 37754
Patient recharger system for implantable
neurostimulator
One size only
Changed Product Group, Product Sub Group,
Benefit.
MI018
Reservoir
CSF Reservoir, Port, Neonatal, Snap assembly
Various
Changed Product Group, Benefit.
MI019
Strata Valve with Bioglide
Adjustable CSF Valve with five symmetric
performance level steps, surface of valve bonded
with hydrogel
13-16mm x 35-47mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI020
Strata Snap Shunt Assembly
Adjustable CSF Valve with five symmetric
performance level steps, includes integral
peritoneal catheter
35-47mm, 120cm catheter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI021
Strata Valve
Adjustable CSF Valve with five symmetric
performance level steps
13-16mm x 35-47mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI022
Shunt Component Connector
Connectors, fixation tabs
Various
Changed Product Group, Product Sub Group,
Benefit.
MI023
Shunt Component Catheter
Ventricular Catheter, CSF Catheter
1.3 - 35cm
Changed Product Group, Benefit.
5 - Urogenital
MC180
Sacral Nerve Stimulation Unilateral
Interstim stimulation lead Models 3080 & 3886.
Platinum / Iridium, polyurethane.
28 cm
Changed Product Group, Product Sub Group,
Benefit.
MC185
Sacral Nerve Stimulation Unilateral
Interstim Temporary test stimulation lead. Model
3065U. This model is temporary for patient trial.
Platinum / Iridium, polyurethane.
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC186
Sacral Nerve Stimulation Accessories
Model 041827-002 Auxiliary screener cable kit.
Polypropylene. OR Model 041828-002 and
model 041829 Foramen Needle (box of 6). Sterile
individual units. Stainless steel.
One size only; 9-12.5cm
Changed Description, Product Group, Product
Sub Group, Benefit.
MC291
Sacral Nerve Stimulation Lead Model 3093
TINED LEAD
4 electrode tined lead - platinum iridium,
electrodes 0, 2, 3 are 3mm,electrode 1 is 10mm
and coiled, spacing is 1.5mm
28 - 41cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC719
InterStim Neurostimulator Model 3023
Titanium
42g
Changed Product Group, Benefit.
MC755
InterStim II Neurostimulator
Titanium
Weight 22g
Changed Product Group, Benefit.
MC756
InterStim iCON Patient Programmer
Hand held device Model 3037 to be used with
implantable neurostimulation devices
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC757
Tined Lead model 3889
4 electrode tined lead - platinum, iridium
28, 33 and 41cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC775
Interstim Lead Introducer Kit
Lead Introducer Kit for Sacral Nerve Stimulation
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC777
Interstim Extension Lead
Quadripolar Extension Kit
10, 25, 51cm
Changed Product Group, Product Sub Group,
Benefit.
7 - Plastic and Reconstructive
Changed Items for Prostheses List Report
Page 137 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC387
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Square Grid Mesh
Large
Changed Product Group, Product Sub Group,
Benefit.
MC389
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Square Grid Mesh
Small
Changed Product Group, Product Sub Group,
Benefit.
MC393
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Z Plate Left and Right
4 hole - 5mm, 9.5mm
Changed Product Group, Product Sub Group,
Benefit.
MC512
TiMesh
Maxillary Prosthesis
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC513
TiMesh
Full Mandible
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC514
TiMesh
Mandibular Angle, Left/Right
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC515
TiMesh
Hemimandible, Left/Right
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC516
TiMesh
Mandibular Symphysis
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC517
TiMesh
Mandibular "J" Plate
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC519
TiMesh
Squareplate
4 holes x 1mm - 4 holes x 2.2mm
Changed Product Group, Product Sub Group,
Benefit.
MC520
TiMesh
X Plate
4 holes x 1mm - 4 holes x 2.2mm
Changed Product Group, Product Sub Group,
Benefit.
MC521
TiMesh
Naso-Orbital-Ethmoid
1mm - 2.2mm; Complex 1, Complex 2, Complex
3
Changed Product Group, Product Sub Group,
Benefit.
MC522
TiMesh
Curved Plate: Standard, Rigid, Left, Right
1mm x 12 holes
Changed Product Group, Product Sub Group,
Benefit.
MC524
TiMesh
Isogrid Panel
One size only
Changed Product Group, Product Sub Group,
Benefit.
MC525
TiMesh
Sugar Mesh Panel / Grid
11 x 7.5cm
Changed Product Group, Product Sub Group,
Benefit.
MC526
TiMesh
Surgical Mesh: Anterior, Posterior, Modified
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC527
TiMesh
Lateral Mesh: Left, Right
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC528
TiMesh
Cranial Custom Mesh
121mm x 72mm - 152 x 152mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC547
Macropore
Z Plates
10 hole
Changed Product Group, Product Sub Group,
Benefit.
MC548
Macropore
Cranial Recon
29 - 165mm
Changed Product Group, Suffix, Benefit.
MC550
Macropore
Rectangle Plates
4-8 hole
Changed Product Group, Product Sub Group,
Benefit.
MC551
Macropore
Protective Disc
25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC553
Macropore
Oblong Plates
6 - 8 hole
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 138 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC554
Macropore
CraniDisk
23 - 28mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC559
Macropore
L Plates
8 hole, Left & Right
Changed Product Group, Product Sub Group,
Benefit.
MC560
Macropore
Protective Sheets
60 x 80 x 0.5mm - 60 x 80 x 0.8mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
MC562
Macropore
Y Plates
7 hole
Changed Product Group, Product Sub Group,
Benefit.
MC563
Macropore
Straight Plates
4 hole
Changed Product Group, Product Sub Group,
Benefit.
MC564
Macropore
Straight Plates
8 hole
Changed Product Group, Product Sub Group,
Benefit.
MC565
Macropore
Straight Plates
20 hole
Changed Product Group, Product Sub Group,
Benefit.
MC566
Macropore
C Plates
8 hole
Changed Product Group, Product Sub Group,
Benefit.
MC567
Macropore
Clover Leaf Plates
4 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC568
Macropore
Bur Hole Cover
25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC570
Macropore
Tacks
1.5 x 4mm - 2.0 x 6mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC571
Timesh
12 Point Screws
3 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
MC574
Timesh
X-Drive Screws
2 - 15mm
Changed Product Group, Product Sub Group,
Benefit.
MC576
Timesh
Double Y Plates
3 Hole - 2.5mm - 7mm
Changed Product Group, Product Sub Group,
Benefit.
MC580
Macropore
Locks
2 - 20mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC581
Invisx Locks
Invisx polymer cranial fixation system
Single pack
Changed Product Group, Product Sub Group,
Benefit.
MC582
Invisx Locks
Invisx polymer cranial fixation system
2 pack
Changed Product Group, Product Sub Group,
Benefit.
MC620
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 1.5mm System
148mm x 148mm, 0.6mm
Changed Product Group, Product Sub Group,
Benefit.
MC623
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 2.2mm System. Composition:
Titanium.
114mm x 82mm, 0.6mm
Changed Product Group, Product Sub Group,
Benefit.
MC624
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 2.2mm System. Composition:
Titanium.
154mm x 154mm, 0.6mm
Changed Product Group, Product Sub Group,
Benefit.
MC625
Modified Dual TiMesh
TiMesh Surgical Mesh Modified, includes two
cranial plates. Composition: Titanium
121mm x 77mm - 152mm x 152mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC626
Macropore FRP (fast resorbing polymer)
Polylactide and Polyglycolide polymer
1.8mm x 3-8mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 139 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC627
Macropore FRP (fast resorbing polymer)
Polylactide and Polyglycolide polymer
100mm x 100mm x 0.75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC628
Macropore FRP (fast resorbing polymer)
Polylactide and Polyglycolide polymer
60mm x 80mm x 0.75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC629
Macropore FRP (fast resorbing polymer)
Polylactide and Polyglycolide polymer
50mm x 50mm 0.75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC630
Macropore FRP (fast resorbing polymer)
Polylactide and Polyglycolide polymer
25mm x 25mm x 0.75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC631
Macropore FRP (fast resorbing polymer) screw
Polylactide and Polyglycolide polymer
2.1mm x 3-8mm
Changed Product Group, Product Sub Group,
Benefit.
MC678
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Universal Plate
12h
Changed Product Group, Product Sub Group,
Benefit.
MC867
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Plate
Ohata Tristar 8.4 10mm, < 4 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC868
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Plate
Fan Blade 11-18mm, Mesh 11-25mm, 4 - 7 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC869
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Plate
Ohata Kerf Cover, 5 - 32 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC870
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Y Plate Double and Single
4 - 7 hole
Changed Product Group, Product Sub Group,
Benefit.
MC871
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Straight Plate
8-15 holes
Changed Product Group, Product Sub Group,
Benefit.
MC872
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Straight Plate
< 4 holes
Changed Product Group, Product Sub Group,
Benefit.
MC873
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Straight Plate
8 - 15 hole
Changed Product Group, Product Sub Group,
Benefit.
MC874
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Straight Plate
16-32 hole
Changed Product Group, Product Sub Group,
Benefit.
MC875
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, T Plate
4 - 7 hole
Changed Product Group, Product Sub Group,
Benefit.
MC876
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, T Plate
8 - 15 hole
Changed Product Group, Product Sub Group,
Benefit.
MC877
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Mesh
51 to 100 cm2 area, 0.6mm thickness
Changed Product Group, Product Sub Group,
Benefit.
MC878
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Mesh
101 to 200 cm2 area; 0.5 or 0.6mm thickness
Changed Product Group, Product Sub Group,
Benefit.
MC879
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Screw - Cruciate Head, 12 point Flat
Head
Diameter <1.24mm
Changed Product Group, Product Sub Group,
Benefit.
MC880
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Screw - Cruciate Head, 12 point Flat
Head
Diameter 1.25 - 1.74mm
Changed Product Group, Product Sub Group,
Benefit.
MC881
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Screw - Cruciate Head, 12 point Flat
Head
Diameter 1.75 - 2.24mm
Changed Product Group, Product Sub Group,
Benefit.
MC882
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, Screw - Crucuate Head, 12 point Flat
Head
Diameter 2.25 - 2.74mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 140 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC883
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, L Plate (Left and right configurations)
4 to 7 holes
Changed Product Group, Product Sub Group,
Benefit.
MC884
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, L Plate (Left and right configurations)
8 - 15 hole
Changed Product Group, Product Sub Group,
Benefit.
MC885
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, H Plate
4 - 7 hole
Changed Product Group, Product Sub Group,
Benefit.
MC886
TiMesh Rigid Fixation Bone Grafting and Plating
System
Titanium, H Plate
8-15 hole
Changed Product Group, Product Sub Group,
Benefit.
MC887
TiMesh
Titanium Mesh Panel
51 to 100 cm2 area
Changed Product Group, Product Sub Group,
Benefit.
MC888
TiMesh
Titanium Mesh Panel
100 to 200 cm2 area
Changed Product Group, Product Sub Group,
Benefit.
MC889
TiMesh
Square-rectangular Gridmesh Panel
11 to 25 cm2 area
Changed Product Group, Product Sub Group,
Benefit.
MC890
TiMesh
Square-rectangular Gridmesh Panel
51 to 100 cm2 area
Changed Product Group, Product Sub Group,
Benefit.
MC891
Macropore
Oblique Plates
4 to 7 holes
Changed Product Group, Product Sub Group,
Benefit.
MC892
Macropore
Oblique Plates
8 to 15 holes
Changed Product Group, Product Sub Group,
Benefit.
MC893
Macropore
Protective Sheets
11 to 25 cm2 area, 0.5mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC894
Marcropore
Protective Sheets
11 to 25 cm2 area, 1.0mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC895
Macropore
Protective Sheets
1 to 10 cm2 area; 0.5mm thick
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC896
Macropore
Protective Sheets
1 to 10 cm2 area; 1.0mm thick
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC897
Macropore
Orbital Floor Liner
1 to 10 cm2 area; 0.5mm or 0.75mm thick
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC898
Macropore
Orbital Floor Liner
1 to 10 cm2 area; 1.0mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC899
Macropore
Protective Sheets
51 to 100 cm2 area; 0.5mm thick
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC900
Macropore
Protective Sheets
51 to 100 cm2 area; 1.0mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC901
Macropore
Screws
Diameter 1.75 - 2.24mm
Changed Product Group, Product Sub Group,
Benefit.
MC902
Macropore
Screws
Diameter 2.25 - 2.74mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC903
Macropore
Screws
Diameter 2.75 - 3.24mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC904
Timesh
Internal Drive Screws
Diameter 1.5mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 141 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC905
Timesh
Internal Drive Screws
Diameter 1.8mm
Changed Product Group, Product Sub Group,
Benefit.
MC906
Timesh
Rescue Screws
Diameter 1.8mm
Changed Product Group, Product Sub Group,
Benefit.
MC907
Timesh
Rescue Screws
Diameter 2.4mm
Changed Product Group, Product Sub Group,
Benefit.
MC908
Timesh
Rigid Straight Plates
< 4 holes
Changed Product Group, Product Sub Group,
Benefit.
MC909
Timesh
Rigid Straight Plates
4 - 7 holes
Changed Product Group, Product Sub Group,
Benefit.
MC910
Timesh
Rigid Straight Plates
8-15 holes
Changed Product Group, Product Sub Group,
Benefit.
MC911
Timesh
Rigid Straight Plates
16-32 holes
Changed Product Group, Product Sub Group,
Benefit.
MC912
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 1.0mm system. Composition: Titanium
51 to 100 cm2 area; 0.3mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC913
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 1.0mm system. Composition: Titanium
51 to 100 cm2 area; 0.6mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC914
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 1.5mm System. Composition: Titanium
26 to 50 cm2 area; 0.3mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC915
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 1.5mm System. Composition: Titanium
26 to 50 cm2 area; 0.6mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC916
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 1.5mm System. Composition: Titanium
51 to 100 area; 0.3mm thick
Changed Product Group, Product Sub Group,
Benefit.
MC917
TiMesh Titanium Rigid Fixation Bone Grafting
and Plating System
FlexMesh 1.5mm System. Compostition:
Titanium
51 to 100 cm2 area; 0.6mm thick
Changed Product Group, Product Sub Group,
Benefit.
8 - Cardiac
MC002
Medtronic Sprint Quattro Lead Model
6944RV/SVC 65cm; Model 6944RV/SVC 75cm;
or Model 6944RV/SVC 100cm; Medtronic Sprint
Quattro Lead Model 6944RV/SVC 58cm
Silicone and polyurethane
65-100cm
Changed Product Group, Product Sub Group,
Benefit.
MC008
Medtronic Capsurefix Model 5568 Pacing Leads
Bipolar, steroid, active fixation pacing lead
30 - 85cm
Changed Product Group, Product Sub Group,
Benefit.
MC009
Medtronic Epicardial Pacing Leads IS-1 Model
5071
Silicone
35 - 53cm
Changed Product Group, Product Sub Group,
Benefit.
MC010
Medtronic Capsure SP Novus Model 5092
Bipolar, steroid, pasive fixation pacing lead
45 -110cm
Changed Product Group, Product Sub Group,
Benefit.
MC011
Capsure EPI steroid eluting bipolar epicardial
lead Model 4968 - ventricle
Silicone
25 - 60cm
Changed Product Group, Product Sub Group,
Benefit.
MC026
Medtronic Transvene SVC Lead Model 6937;
Model 6937-35, Model 6937-52, Model 6937-58,
Model 6937-110; Silicone;
35 - 110cm x 660mm
Changed Product Group, Product Sub Group,
Benefit.
MC027
Model 6721 Unipolar Epicardial Patch Leads
S/M/L
Model 6721S-50, Model 6721M-50, Model
6721L-50; Silicone
370, 660, 840mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 142 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC052
Medtronic Capsure VDD2 Model 5038 AV
Pacing Lead
Silicone; Contents: 1 x lead with anchoring
sleeve, stylet & guide, 1 x vein lifter, 2 x fixation
tools, extra stylets
11.5cm, 13.5cm, 15.5cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC053
Capsure EPI steroid eluting unipolar epicardial
lead Model 4965 ventricle
Silicone
25 - 50cm
Changed Product Group, Product Sub Group,
Benefit.
MC208
Medtronic Sprint Quattro Secure Lead Model
6947 58cm; Model 6947 65cm; Model 6947
75cm; Model 6947 100cm
Leads, Defibrillator, Implantable, Silicone,
polyurethane, platinized tantalum coils, steroid
eluting tip
58-100cm
Changed Product Group, Product Sub Group,
Benefit.
MC225
Attain Over the Wire Model 4193
Titanium, polyurethane
78-88cm
Changed Product Group, Product Sub Group,
Benefit.
MC229
Medtronic Capsure SP Novus Model 5594 Lead
Bipolar, steroid, passive fixation pacing lead
30-100cm
Changed Product Group, Product Sub Group,
Benefit.
MC246
DF-I Y-Adaptor/Extender Model 6726 25cm &
37cm
Silicone
Lengths 25cm, 37cm
Changed Product Group, Benefit.
MC251
Implantable Subcutaneous Defibrillator Lead
Model 6996SQ 41cm, 58cm, 85cm
Silicone and Platinum Alloy
Lengths 41-85cm inclusive
Changed Product Group, Product Sub Group,
Benefit.
MC254
CapSure Sense pacemaker lead Models 4073
Titanium Nitride
30 - 85cm
Changed Product Group, Product Sub Group,
Benefit.
MC301
Model 3830 PACING LEADS
Active fixation pacemaker lead Composition:
Insulation is polyurethane, Electrodes are
Titanium Nitride coated Platinum, the screw is
steriod-coated
59 - 75 cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC329
Medtronic Driver, Micro Driver Coronary Stent
System
Cobalt Alloy
Driver Stent: diameter (2.25 - 4.5mm), length (830mm); Micro-Driver Stent: diameter (2.25 2.75mm), length (8 - 24mm)
Changed Product Group, Product Sub Group,
Benefit.
MC336
Medtronic Capsure Z Novus Model 5054 Pacing
Lead
Silicone; Contents: 1 x lead with anchoring
sleeve, stylet & guide, 1 x vein lifter, 2 x fixation
tools, extra stylets
45-58cm
Changed Product Group, Product Sub Group,
Benefit.
MC337
Medtronic Capsure Z Novus Model 5554 Pacing
Lead
Silicone; Contents: 1 x lead with anchoring
sleeve, stylet & guide, 1 x vein lifter, 2 x fixation
tools, extra stylets
45-58cm
Changed Product Group, Product Sub Group,
Benefit.
MC338
Medtronic Capsurefix Novus Model 5076 Pacing
Lead
Silicone; Contents: 1 x lead with anchoring
sleeve, stylet & guide, 1 x vein lifter, 2 x fixation
tools, extra stylets
45-85cm
Changed Product Group, Product Sub Group,
Benefit.
MC372
CapSure Sense pacemaker lead Models 4074 &
4574
Bipolar, steroid, passive fixation pacing lead
CapSure Sense Lead Model 4074 - 30cm to
85cm; CapSure Sense Lead Model 4574 - 30cm
to 53cm
Changed Product Group, Product Sub Group,
Benefit.
MC699
Attain OTW Model 4194 Lead
Model 4194
78cm, 88cm
Changed Product Group, Product Sub Group,
Benefit.
MC713
Adapta Pacemaker
VDDR Pacemaker Models ADVDD01
11.1cc 23.6g
Changed Product Group, Product Sub Group,
Benefit.
MC726
Adapta Pacemaker
DR Pacemaker Models ADDR01, ADDRS1,
ADDRL1, ADDR06, ADDR03
11.1-14.2cc 23.6g-31.3g
Changed Product Group, Product Sub Group,
Benefit.
MC728
Adapta Pacemaker
SR Pacemaker Models ADSR01, ADSR06,
ADSR03
9.7 - 11.0cc 21.5 - 22.5g
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 143 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC730
Attain StarFix LV Lead
Over the wire left Ventricular Lead
78, 88, 103cm
Changed Product Group, Product Sub Group,
Benefit.
MC732
Endeavour Drug Eluting Coronary Stent System
Cobalt Alloy, ABT - 578
Diameter: 2.25mm-4.5mm; Length: 8.00mm38.0mm
Changed Product Group, Product Sub Group,
Benefit.
MC769
Endeavor Sprint Drug Eluting Stent System
Cobals Alloym ABT - 578
Diameter: 2.25mm-4.0mm; Length: 8.0mm30.0mm
Changed Product Group, Product Sub Group,
Benefit.
MC778
Oscor Adaptor
Adaptor for LV-1 lead to unipolar and bipolar IS1
10cm, 17cm and 40cm
Changed Product Group, Benefit.
MC811
Attain Ability 4196 LV Lead
Over the wire dual electrode left ventricular lead
78, 88, and 103 cm
Changed Product Group, Product Sub Group,
Benefit.
MC812
Consulta CRT-D Model D234TRK
Fully Automatic, Wireless Implantable
cardioverter defibrillator with cardiac
resynchronization therapy (CRT), and therapies
for ventricular and atrial tachyarrhythmia
38cc, 68g
Changed Product Group, Product Sub Group,
Benefit.
MC813
Secura VR Model D234VRG
Fully Automatic, Wireless Implantable
cardioverter defibrillator with high energy
capability and therapies for ventricular
tachyarrhythmia
37cc, 68g
Changed Product Group, Product Sub Group,
Benefit.
MC814
Secura DR Model D234DRG
Fully Automatic, Wireless Implantable
cardioverter defibrillator with high energy
capability and therapies for ventricular and atrial
tachyarrhythmia
37cc, 68g
Changed Product Group, Product Sub Group,
Benefit.
MC816
Endeavor Resolute Drug Eluting Coronary Stent
System
Cobalt Alloy, ABT - 578, BioLinx Polymer
Diameter:2.25mm-4.0mm; Length: 8.00mm30.0mm
Changed Product Group, Product Sub Group,
Benefit.
MC831
Medtronic Lead Extender Kit Model: 6984M,
6981M, 6985M,6986M
6984M: IS-1 BI Lead to IS-1 BI IPG; 6981M: IS1 UNI Lead to IS-1 UNI IPG; 6986M: 3.2mm BI
Lead to IS-1 BI IPG; 6985M: IS-1 UNI Lead to
EPG
37 - 50cm
Changed Product Group, Benefit.
MC833
CapSureFix Novus Model 4076 Pacing Lead
Active fixation pacemaker lead
45 - 85cm
Changed Product Group, Product Sub Group,
Benefit.
MC834
Sprint Quattro Secure S
Model 6935, Active Fixation Single Coil
Defibrillation Lead
52 - 100cm
Changed Product Group, Product Sub Group,
Benefit.
MC932
Driver Sprint Coronary Stent System
Cobalt Alloy
Diameter: 2.25 - 4.5 mm; Length: 8-30mm
Changed Product Group, Product Sub Group,
Benefit.
MC933
Advisa DR MRI SureScan
Model A3DR01 Digital dual chamber pacemaker
with SureScan Technology (OAE-DDDR) MR
Conditional with MVP Mode, Complete Capture
Management Diagnostic (ACM, RVCM), AT/AF
Suite Diagnostics and Therapies, OptiVol Fluid
Status Monitoring, and Therapy Guide Fea
13cc, 22g
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
MC934
Advisa DR
Model A5DR01 Digital dual chamber pacemaker
(OAE-DDDR) MVP mode with Complete
Capture Management Diagnostic (ACM,
RVCM) AT/AF Suite Diagnostics and
Therapies, OptiVol Fluid Status Monitoring, and
Therapy Guide Feature
13cc, 22g
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 144 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC936
CapSure Fix MRI Pacing Lead
Model 5086, MRI Conditional
42, 52, 58 cm
Changed Product Group, Product Sub Group,
Benefit.
MC956
Integrity Coronary Stent System
Cobalt Alloy Coronary Stent
Diameter: 2.25 - 4.5mm; Length: 8 - 30mm
Changed Product Group, Product Sub Group,
Benefit.
MC983
Consulta CRT-D Model D214TRM
Fully Automatic, Wireless Implantable
cardioverter defribillator with cardiac
resynchronization therapy (CRT), and therapies
for ventrilcular and atrial tachyarrhythmia. DF-4
lead connector.
38cc
Changed Product Group, Product Sub Group,
Benefit.
MI012
Consulta CRT-P
Cardiac Resynchronisation Therapy Pacemaker,
Model C3TR01
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI013
Attain Ability Plus 4296
Over the wire electrode left ventricular lead
78cm, 88cm
Changed Product Group, Product Sub Group,
Benefit.
MI014
Attain Ability Straight 4396
Over the wire dual left ventricular lead
78cm, 88cm
Changed Product Group, Product Sub Group,
Benefit.
MI015
PROTECTA XT VR D354VRG
Single chamber implantable cardioverter
defribillator with SmartShock Technology,
OptiVol 2.0 Fluid Status Monitoring and
Complete Capture Management Specifications
(DF-1)
Volume 37cc, Mass 68g
Changed Product Group, Product Sub Group,
Benefit.
MI016
PROTECTA XT DR D354DRG
Dual chamber implantable cardioverter
defribillator with SmartShock Technology,
OptiVol 2.0 Fluid Status Monitoring and
Complete Capture Management Specifications
(DF-1)
Volume 37cc, Mass 68g
Changed Product Group, Product Sub Group,
Benefit.
MI017
Protecta XT CRT-D D354TRG
Implantable Cardioverter Defibrillator with
Cardiac Resynchronisation therapy, SmartShock
Technology, OptiVol 2.0 Fluid Status Monitoring
and Complete Capture Management
Specifications (DF-1)
Volume 38cc, Mass 68g
Changed Product Group, Product Sub Group,
Benefit.
MI024
Protecta XT VR D354VRM
Single chamber implantable cardioverter
defibrillator with SmartShock Technology,
OptiVol 2.0 Fluid Status Monitoring and
Complete Capture Management Specifications
(DF-4)
Volume 38cc, Mass 73g
Changed Size, Product Group, Product Sub
Group, Benefit.
MI025
Protecta XT DR D354DRM
Dual chamber implantable cardioverter
defribillator with SmartShock Technology,
OptiVol 2.0 Fuild Status Monitoring and
Complete Capture Management Sepcifications
(DF-4)
Volume 41cc, Mass 73g
Changed Size, Product Group, Product Sub
Group, Benefit.
MI026
Protecta XT CRT-D D354TRM
Implantable Cardioverter Defibrillator with
Cardiac Resynchronisation therapy, SmartShock
Technology, OptiVol 2.0 Fluid Status Monitoring
and Complete Capture Management
Specifications (DF-4)
Volume 40cc, Mass 73g
Changed Size, Product Group, Product Sub
Group, Benefit.
9 - Cardiothoracic
Changed Items for Prostheses List Report
Page 145 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC005
Medtronic Duran Annuloplasty Ring; Duran
Ancore Ring 620R; Duran Ancore Chordal
Model 620RG
Annuloplasty Devices - Models 610R & 620R
Silicone / Barium Sulphate, Dacron.
Model 610R 25-35mm & Model 620R 23-35mm
Changed Product Group, Product Sub Group,
Benefit.
MC012
Medtronic Hancock Valved Conduit Model
100/150
Porcine bioprosthesis, dacron
12, 14, 16, 18, 20, 22, 25, 30mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC013
Medtronic Hall Heart Valve Aortic Model
A7700, Medtronic Hall Heart Valve Mitral
Model M7700, Hall Easy Fit Aortic Heart Valve
Model A7700, Hall Easy Fit Mitral Heart Valve
Model M7700
A7700/M7700 Titanium. Pyrolite. Dacron,
A7700EZ/M7700EZ Titanium. Pyrolite. PET
A7700 - Diameter 20-31mm, M7700 - Diameter
23-33mm, A7700EZ - Diameter 19-29mm,
M7700EZ - Diameter 23-31mm
Changed Product Group, Product Sub Group,
Benefit.
MC015
Freestyle bioprosthesis
Models 995xx, 995MSxx
19 - 35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC198
Medtronic Hall rotatable aortic valved collagen
impregnated conduit Model R7700
Titanium, pyrolite, dacron
20 - 33mm
Changed Product Group, Product Sub Group,
Benefit.
MC292
Advantage Heart Valve - Aortic Model A7760
A7760 - Pyrolytic carbon, PET
Diameter 19-31 mm
Changed Product Group, Product Sub Group,
Benefit.
MC324
Advantage Supra Aortic Heart Valve
Mechanical Heart Valve Pyrolite Carbon leaflets
Pyrolite carbon ring
Diameter (mm): 19 - 25
Changed Product Group, Product Sub Group,
Benefit.
MC680
Spyder
Proximal Anastomotic Device
6-clip assembly
Changed Product Group, Benefit.
MC681
Advantage Mitral
Mechanical Heart Valve
23mm-33mm
Changed Product Group, Product Sub Group,
Benefit.
MC701
Mosaic Cinch, Aortic, Mitral
Models 305cxx, 310cxx
19mm - 35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC709
Posterior Annuloplasty Band; Colvin - Galloway
Future Band Model 638B; Duran Ancore Band
620B; Duran Ancore Chordal Model 620BG
Annuloplasty - Model 610B & 620B Silicone /
Barium Sulphate, Dacron. Models 638B semiregid metal alloy core, silicone coating, polyester
knit fabric, kit includes-band, malleable handle,
template with suture markers, sizers
Model 610B: 25-35mm; Models 620B & 620BG:
23-35mm, Model 638B - 26-38mm
Changed Product Group, Product Sub Group,
Benefit.
MC714
U-Clips (Valve Repair)
Double Arm, Mitral Valve Repair
2-packs
Changed Product Group, Product Sub Group,
Benefit.
MC745
CG Future Composite Ring
Semi-rigid mitral annuloplasty ring, with anterior
flexibility
24, 26, 28, 30, 32, 34, 36 & 38mm
Changed Product Group, Product Sub Group,
Benefit.
MC765
U-Clips
Nitinol Clips, 8-pack
Needle Lengths: 6.5mm - 9.5mm, 8-pack
Changed Product Group, Product Sub Group,
Benefit.
MC771
Mosaic Ultra
Small Aortic Root Bioprosthesis
19mm-29mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC772
U-Clips
Nitinol Clips, 2-pack
Needle Lengths: 6.5mm - 9.5mm, 2-Pack
Changed Product Group, Product Sub Group,
Benefit.
MC844
Profile 3D Annuloplasty Ring
3D, rigid annuloplasty ring with physiologic
mitral valve shape
Diameter (mm) 24 - 40mm
Changed Product Group, Product Sub Group,
Benefit.
MC950
Mosaic Ultra Cinch II
Small Aortic Root Bioprosthesis
19mm - 29mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC962
Mosaic Cinch II
Aortic Bioprosthesis
19mm -29mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MC979
Open Pivot Aortic Valved Graft (Model 502AG)
Pyrolythic Carbon, Double Velour Polyester,
Titanium
21- 33mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 146 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
MC980
Open Pivot Heart Valve (Model 500FA) Open
Pivot Heart Valve (Model 500DM)
Pyrolythic Carbon, Double Velour Polyester,
Titanium
16-33mm
Changed Product Name, Product Group,
Product Sub Group, Benefit.
MC981
Open Pivot Heart Valve (Model 501DA) Open
Pivot Heart Valve (Model 501DM)
Pyrolythic Carbon, Double Velour Polyester,
Titanium
16-33mm
Changed Product Name, Product Group,
Product Sub Group, Benefit.
MC982
3f Aortic Bioprosthesis (Model 1000)
Model 1000 - EQUINE Pericardium
Bioprostheseis (non stented)
19 - 29 mm
Changed Product Group, Product Sub Group,
Benefit.
MI007
Hancock II Aortic Valve
Aortic bioprosthesis
21mm to 29mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI008
Hancock II Mitral Valve
Mitral bioprosthesis
25mm to 33mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MI009
Hancock II Ultra Aortic Valve
Small aortic root bioprosthesis
21mm to 29mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Morton Surgical Pty Ltd ta Matrix Surgical Company
3 - General Miscellaneous
MG002
Heliogast Adjustable Gastric Band
Silicone and Titanium
HAGE (evolution), small band - inner diameter
26mm; HAGA (advanced), large band - inner
diameter 28mm
Changed Product Group, Benefit.
MG018
HAGA Access Port
Access Port contains Titanium and Silicone
Standard
Changed Product Name, Product Group,
Benefit.
MG034
Glubran 2 Applicators
Dispensing tip/Drop control device for applying
Glubran 2.
5-6 and 7-8 French
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MG035
Glubran 2 Catheter for Laparoscopy
Catheter for laparoscopic application of Glubran
2.
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
MG036
Glubran 2 Spray Device
Spray device for application of Glubran 2
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
N Stenning & Co Pty Ltd
4 - Neurosurgical
NG053
Leo Plus Self-Expanding Intracranial Stent
The Leo Plus is a Self-Expanding Intracranial
Stent constructed from braided Nitinol wire. The
Leo Plus is pre loaded onto its own guidewire and
introducer.
D 2.5 L 12 mm, 18 mm, 25 mm. D 3.5 L 12 mm,
18 mm, 25 mm, 35 mm, D 4.5 L 15 mm, 20 mm,
25 mm, 30 mm, 40 mm, 50 mm. D 5.5 L 25 mm,
30 mm, 35 mm, 50 mm, 75 mm.
Changed Description, Product Group, Benefit.
NG056
SONIC Microcatheter
Micro catheter DMSO compatible
Dia: 1.2fr or 1.5fr
Length: 165cm or 190cm
Changed Product Group, Product Sub Group,
Benefit.
5 - Urogenital
NG028
DD Ureteric Tumor Stent Set
Open/Closed end with introducer and guide wire,
Polyurethane
20 - 28cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NG029
DD Ureteric Valve Stent Set
Open end with introducer and guide wire,
Polyurethane
22 - 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NG030
Paediatric Ureteric Valve Stent Set
Open end with introducer and guidewire,
Polyurethane
12 - 22cm
Changed Product Group, Product Sub Group,
Benefit.
NG031
Paediatric Ureteric Integral Stent Set
Open end with introducer and guide wire,
Polyurethane
12 - 22cm Per pack of 5
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 147 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
NG032
DD Ureteric Stent Set
Open end with introducer and guide wire
22 - 30cm Per pack of 2
Changed Product Group, Product Sub Group,
Benefit.
NG046
Paediatric Ureteric Valve Stent Set
Fixed length wirthan stent
12 - 22cm
Changed Product Group, Product Sub Group,
Benefit.
Neoss Australia Pty Ltd
7 - Plastic and Reconstructive
NJ001
NEOSS IMPLANT SYSTEM
TITANIUM DENTAL IMPLANT
DIAMETERS 3.25, 3.5, 4.0, 4.5, 5.0, 5.5mm in
Lengths: 7, 9, 11, 13, 15, 17mm
Changed Product Group, Product Sub Group,
Benefit.
NJ003
Neoss Titanium Abutment
Neoss Abutment Titanium
Universal
Changed Product Group, Product Sub Group,
Benefit.
NJ004
Neoss Gold Abutment
Neoss Abutment Gold
Universal
Changed Product Group, Product Sub Group,
Benefit.
NJ009
Neoss Implant System
Healing Abutment with Screw
Universal
Changed Product Name, Product Group,
Product Sub Group, Benefit.
Nipro Asia Pty Ltd co Sutherland Medical
General Miscellaneous
NQ001
Surefuser
Non electronic, elastomeric balloon driven,
ambulatory infusion pump, various flow rates
50ml
Changed Description, Size.
NQ002
Surefuser
Non electronic, elastomeric balloon driven,
ambulatory infusion pump, various flow rates
100ml
Changed Description, Size.
NQ003
Surefuser
Non electronic, elastomeric balloon driven,
ambulatory infusion pump, various flow rates
250ml
Changed Description, Size.
Nobel Biocare Australia Pty Ltd
7 - Plastic and Reconstructive
NR001
Nobel Biocare Abutments
Abutment, complete
Np, RP, WP 6.0mm
Changed Product Group, Product Sub Group,
Benefit.
NR002
Nobel Biocare Cover Screws
Cover screw
NP, RP, WP, 6.0mm
Changed Product Group, Product Sub Group,
Benefit.
NR003
Branemark Fixtures
Titanium Fixture
3, 4, 5mm
Changed Product Group, Product Sub Group,
Benefit.
NR004
Nobel Biocare Abutments
Abutment, temporary or healing, complete
NP, RP, WP, 6.0mm
Changed Product Group, Product Sub Group,
Benefit.
NR006
Branemark Novum System
Titanium - Kit Fixture System
One size only
Changed Product Group, Product Sub Group,
Benefit.
NR007
Branemark Titanium Fixture
Zygomaticus Fixture
30, 35, 42.5, 40, 45, 47.5, 50, 52.5mm Length
Changed Product Group, Product Sub Group,
Benefit.
NR009
NobelDirect Implant
Dental Implant Endosseous incorporating
abutment, Titanium
10mm, 13mm, 16mm
Changed Product Group, Product Sub Group,
Benefit.
NR010
Replace Implant
Dental Implant Endosseous, Titanium
10mm, 13mm, 16mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 148 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
NR011
NobelPerfect Implant
Dental Implant Edosseous, Titanium
10mm, 13mm, 16mm
Changed Product Group, Product Sub Group,
Benefit.
NR012
Groovy Implants (NobelReplace Straight Groovy,
NobelReplace Tapered Groovy, NobelSpeedy
Replace, Branemark System Mk III Groovy,
NobelSpeedy Groovy)
Dental Implants, endosseous
Diameter 3.5 - 6.0mm; Length 8.0 - 18.0mm
Changed Product Group, Product Sub Group,
Benefit.
NR013
NobelActive implants
Dental implants, endosseous
Diameter 3.5 - 5.0mm; Length 8.5 - 18.0mm
Changed Product Group, Product Sub Group,
Benefit.
Nucletron selectSeed Model # 130002 consists of
cylindrical silver rod, coated with radioactive
Iodine-125 layer. Active silver rod is
encapsulated in hollow titanium tube. Laser
welding, using spherical shaped end welds, seals
the tube.
One size only
Changed Description, Product Group, Product
Sub Group, Benefit.
The Flocare Gastrostomy tube can be used as a
replacement of an existing gastrostomy tube
(PEG or G-tube) or as an initial gastrostomy tube
during a surgical intervention. This balloon tube
is made of medical grade silicone.
Ch10, 14, 18, 20
Changed Product Group, Product Sub Group,
Benefit.
Nucletron Pty Limited
3 - General Miscellaneous
NU001
selectSeed
Nutricia Australia Pty Ltd
3 - General Miscellaneous
NF001
Flocare Gastrostomy tube (G-tube)
Nuvasive Australia and NZ Pty Ltd
13 - Spinal
NV001
SpheRx
Cannulated Fixed Axis Screw
4.5 - 8.5mm diameter 25 - 65mm length
Changed Product Group, Product Sub Group,
Benefit.
NV002
SpheRx
Cannulated Lock Screw
one size
Changed Product Group, Suffix, Benefit.
NV003
SpheRx
Transverse X-Connector
45 - 100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NV004
SpheRx
Hooks
one size
Changed Product Group, Product Sub Group,
Benefit.
NV005
Triad Facet Screw
Cannulated
3.5 - 4.5mm diameter 20-70mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NV006
Triad Facet Screw
Washer
One size
Changed Product Group, Product Sub Group,
Benefit.
NV007
Gradient Cervical Plates
Bone Screw
4.0 - 4.7mm diameter 10 - 20mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NV008
Gradient Cervical Plates
Titanium Anterior Plate
11 - 110mm
Changed Product Group, Product Sub Group,
Benefit.
NV009
Gradient Cervical Plates
Slotted Hole/Round Cover assembly
one size
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 149 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
NV010
CoRoent
Cervical Cage
small
Changed Product Group, Product Sub Group,
Benefit.
NV011
CoRoent
PLIF cage
LN, LT
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NV012
CoRoent
TLIF cage
LW, LC
Changed Product Group, Product Sub Group,
Benefit.
NV013
CoRoent
XLIF cage
XL
Changed Product Group, Product Sub Group,
Benefit.
NV014
CoRoent
ALIF cage
XLR
Changed Product Group, Product Sub Group,
Benefit.
NV015
Titanium Mesh
Oval/Flat/Long/Round
10mm - 16mm Diameter, 6mm - 14mm Length
Changed Product Group, Product Sub Group,
Benefit.
NV016
Titanium Mesh
Oval/Flat/Long/Round
10mm - 16mm Diameter, 15mm - 90mm Length
Changed Product Group, Product Sub Group,
Benefit.
NV017
Titanium Mesh
Oval/Flat/Long/Round
20mm + Diameter, 30mm - 90mm Length
Changed Product Group, Product Sub Group,
Benefit.
NV018
System: SpheRX. Component: Rods - Dual/Pre
Bent Ball
Rods - Dual/Pre Bent Ball
17.5 - 500mm
Changed Product Group, Product Sub Group,
Benefit.
NV019
System: SphRX Component: Cannulated
Polyaxial Screw
Cannulated Polyaxial Screw, Fixation Bone
Screws
45-7.5mm Diameter; 25-80mm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NV020
VuePoint Fixed Cross Connector
Fixed cross connector
26mm-50mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV021
VuePoint inline connector
In-line connector
3.5mm x (3.5/4.5/6.5)mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV022
VuePoint screw (inner set)
The VuePoint system, of which the VuePoint
screw (inner set) is a component, is intended to
promote fusion of the cervical spine and occipitothoracic junction (occiput-T3) and is indicated
for degenerative disc disease (as defined by back
pain of discoge
Tulip & Laminar Hook - One Size Offset &
Occipital Connector - One Size Parallel Rod
Connector - One Size Inline Rod Connector One Size Cross Connector - One Size
Changed Product Group, Suffix, Benefit.
NV023
VuePoint Screw (occipital bone)
The VuePoint system, of which the VuePoint
screw (occipital bone) is a component, is
intended to promote fusion of the cervical spine
and occipito-thoracic junction (occiput-T3) and
is indicated for degenerative disc disease (as
defined by back pain of di
4.5mm x (6/8/10/12/14mm) 5.0mm x
(6/8/10/12/14mm)
Changed Product Group, Product Sub Group,
Benefit.
NV024
VuePoint screw (multi axial)
Screw (mulit-axial)
3.5mm x (10-34mm) 3.5mm x (2436mm) 4.0mm x (10-40mm) 4.5mm x (1040mm)
Changed Description, Product Group, Product
Sub Group, Benefit.
NV025
VuePoint rod
Rod
60mm x 3.5mm, 120mm x 3.5mm, 240mm x
3.5mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV026
VuePoint rod (transition)
Transition Rod
3.5mm to 5.5mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
NV027
VuePoint Keel Plate (occipital)
Plate (occipital)
35/40/45mm
Changed Description, Product Group, Product
Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 150 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
NV028
VuePoint rod (pre-bent)
Pre-bent rod
240mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV029
VuePoint offset connector
Offset connector
11mm, 25mm, 30mm - Offset Lateral
Connector 3.5mm x (3.5/4.5/5.5/6.25mm) Offset Rod-to-Rod connector Eyelet Connector
(Occipital) - One Size
Changed Description, Product Group, Product
Sub Group, Benefit.
NV030
VuePoint hook (laminar)
Hook (laminar)
5.0mm, 7.0mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV031
Traverse Bolt
The Traverse system, of which the Traverse bolt
is a component, is indicated for use as an adjunct
to fusion via a lateral or anterolateral surgical
approach, above the bifurcation of the great
vessels, in the treatment of thoracic and
thoracolumbar (T1-L
6.5mm x
(25/30/35/40/45/50/55/60/65mm) 7.5mm x
(25/30/35/40/45/50/55/60/65mm)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NV032
Traverse Lock Nut
The Traverse system, of which the Traverse lock
nut is a component, is indicated for use as an
adjunct to fusion via a lateral or anterolateral
surgical approach, above the bifurcation of the
great vessels, in the treatment of thoracic and
thoracolumbar
One Size
Changed Product Group, Suffix, Benefit.
NV033
Traverse Plate
Plate
Fixed Plate - Size
15/20/25/30/35/40/45/50/55/60/65/70/80/90mm
Compression Plate - Size
45/50/55/60/65/70/75/80/85/95/105mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV034
Traverse Bone Screw
The Traverse system, of which the Traverse bone
screw is a component, is indicated for use as an
adjunct to fusion via a lateral or anterolateral
surgical approach, above the bifurcation of the
great vessels, in the treatment of thoracic and
thoracolumbar
5.5mm x
(25/30/35/40/45/50/55/60/65mm) 6.5mm x
(25/30/35/40/45/50/55/60/65mm)
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NV035
XLP Lateral Plate
Lateral plate
6-20mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV036
XLP bolt
The XLP system, of which the XLP bolt is a
component, is indicated for use via a lateral or
anterolateral surgical approach, above the
bifurcation of the great vessels in the treatment of
thoracic and thoracolumbar (T1-L5) spine
instability or via the an
5.5mm x
(25/30/35/40/45/50/55/60/65mm) 6.5mm x
(25/30/35/40/45/50/55/60/65mm)
Changed Product Group, Product Sub Group,
Benefit.
NV037
XLP Lock Nut
The XLP system, of which the XLP lock nut is a
component, is indicated for use via a lateral or
anterolateral surgical approach, above the
bifurcation of the great vessels in the treatment of
thoracic and thoracolumbar (T1-L5) spine
instability or via the
One size
Changed Product Group, Suffix, Benefit.
NV038
Halo Plate
Anterior Plate
Lumbar Plate (32mm-46mm) Sacral Plate
(32mm-46mm) 2-level Plate (76mm-100mm)
Changed Description, Product Group, Product
Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 151 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
NV039
Halo Bone Screw
The Halo System, of which the Halo bone screw
is a component, is indicated for use via a lateral
or anterolateral surgical approach above the
bifurcation of the great vessels in the treatment of
thoracic and thoracolumbar (T1-L5) spine
instability or via
5.5mm x (20/22/24/26/28/30/32/34mm) 6.5mm
x (20/22/24/26/28/30/32/34mm)
Changed Product Group, Product Sub Group,
Benefit.
NV040
Helix Mini Plate
Anterior cervical plate
20mm-50mm (2mm increments)
Changed Description, Product Group, Product
Sub Group, Benefit.
NV041
Helix Mini bone screw
The Helix Mini system, of which the Helix Mini
bone screw is a component, is intended for
anterior screw fixation of the cervical spine.
These implants have been designed to provide
stabilisation as an adjunct to cervical fusion.
Indications for the use o
4.0mm x (11/13/15mm) 4.5mm x (11/13/15mm)
Changed Product Group, Product Sub Group,
Benefit.
NV042
Helix Plate
Anterior cervical plate
56mm-90mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
NV043
Helix Plate
Anterior cervical plate
18-54mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV044
Helix Bone Screw
The Helix system, of which the Helix bone screw
is a component, is intended for anterior screw
fixation of the cervical spine. These implants
have been designed to provide stabilisation as an
adjunct to cervical fusion. Indications for the use
of this im
4.0mm x (11/13/15/17/19mm) 4.5mm x
(13/15/17/19mm)
Changed Product Group, Product Sub Group,
Benefit.
NV045
SpheRx PPS (Lock Screw)
Lock screw
5.5mm/6.25mm
Changed Description, Product Group, Suffix,
Benefit.
NV046
SpheRx II Anterior (Staple - Various)
Staple
Small, Medium & Large
Changed Description, Product Group, Product
Sub Group, Benefit.
NV047
Armada (Arch, Adjust. Trans Connector)
Arch, adjustable transverse connector
45-50mm, 50-60mm, 60-70mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
NV048
SpheRx PPS (Screw Shank)
Screw shank
4.5/5.5/6.5/7.5/8.5mm x (25-50mm)
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
NV049
Armada (Offset Connectors)
Offset connector
5.5mm x 20-120mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV050
SpheRx II Anterior (Staple - Single Hole)
Staple (single hole)
Small, Medium & Large
Changed Description, Product Group, Product
Sub Group, Benefit.
NV051
SpheRx II Anterior (Fixed Screw)
Fixed screw
5.5/6.5/7.5mm x (45-55mm)
Changed Description, Product Group, Product
Sub Group, Benefit.
NV052
Leverage LFS (Bone Screw)
The Leverage LFS, of which the bone screw is a
component, is intended for use in the lower
cervical and upper thoracic spine (C3 to T3) in
laminoplasty procedures. Leverage LFS is used to
hold allograft material in place in order to prevent
the allograft
2.6/3mm x 5-8mm
Changed Product Group, Product Sub Group,
Benefit.
NV053
SpheRx II Anterior (Washer)
Washer
Small, Medium & Large
Changed Description, Product Group, Product
Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 152 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
NV054
Leverage LFS (Traditional Plate)
Laminoplasty plate
8/9.5/11/12.5mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
NV055
SpheRx II Anterior (Fixed Connector)
Fixed connector
12-22mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV056
Armada (Fixed Screw)
Fixed screw
4.0/4.5/5.0/5.5/6.5/7.5 x 25-55mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV057
Armada (Reduction Screw)
Reduction Screw
4.5-8.5mm x 20-120mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV058
Armada (Hook - Various)
Hook
Pedicle - Small/Medium, 5.5mm
6/8/10mm x 5.5mm
Angled 5.5mm
Offset - 5.5mm
NV059
SpheRx II Anterior (Rod)
Rod
25-150mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV060
Armada (Rod)
Rod
5.5mm x
(25/30/35/40/45/50/55/60/65/70/75/80/85/90/100
/120)
300/500mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
NV061
Armada (Lock Screw)
Lock screw
One Size
Changed Description, Product Group, Suffix,
Benefit.
NV062
SpheRx II Anterior (Polyaxial Screw)
Polyaxial screw
5.5/6.5/7.5mm x (25-50mm)
Changed Description, Product Group, Product
Sub Group, Benefit.
NV063
Armada (Fixed cross connector)
Fixed cross connector
5.5mm x 20-60mm 5.5mm, 5.5mm6.35mm 5.5, 15mm-40mm x 200mm
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
NV064
Affix Plate
Spinous process plate with an integrated cantedcoil locking mechanism.
25mm - 55mm
Changed Product Group, Benefit.
NV065
SpheRx PPS (Tulip Screw)
Tulip screw
5.5mm/6.25mm
Changed Description, Product Group, Suffix,
Benefit.
NV066
Armada (In-line connectors)
In-line connector
5.5/6.25 x 5.5mm
Changed Description, Product Group, Product
Sub Group, Benefit.
NV067
Armada (Polyaxial Screws)
Polyaxial screw
Polyaxial Screw 4.5-10.0mm x 25120mm lliac
Screw 6.5/7.5/8.5/9.5mm (60/70/80/90/100mm
) Provisional locking screw size ranges from
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
Lamina -
Changed Description, Size, Product Group,
Benefit.
4.0mmx25-45mm, 4.5mmx2545mm, 5.0mmx25-50mm, 5.5mmx2555mm, 6.5mmx30-55mm Uniplanar Screw
5.0/5.5/6.5mm x 25/30/35/40/45/5
NV068
Helix-Revolution (Plate 20-54mm)
Anterior Cervical Plate
20-54mm
Changed Product Group, Product Sub Group,
Benefit.
NV069
Helix-Revolution (plate 56-110mm)
Anterior Cervical Plate
56-110mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
NV070
Helix-Revolution (screw)
Bone Screw
4 x 11-19mm; 4.5 x 11-19mm
Changed Product Group, Product Sub Group,
Benefit.
NV071
Brigade (implant)
Interbody fusion implant
10-20mm x 34/38/42 x 24/28/32/30mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 153 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
NV072
Brigade standalone ALIF (screw)
Bone screw
4.5 x 20-35mm; 5.5 x 20-35mm
Changed Product Group, Product Sub Group,
Benefit.
NV073
Radian Facet Screw System, (Facet Screw)
Cannulated Facet Screw
Fully threaded 4.5-6.0mm x 20-55mm Partially
Threaded 4.5-6.0mm x 20-55mm
Changed Size, Product Group, Product Sub
Group, Benefit.
NV074
Radian Facet Screw System (Washer)
Washer
one size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Adjustable Length Titanium Ossicular Chain
Reconstruction Prosthesis
Head Size 2.5mm x 3.5mm; Length 2.0mm 8.0mm; Distal Diameter 0.8mm - 1.2mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Acetabular Reinforcement cage
Left and Right. 44mm, 50mm, 56mm, 62mm
Changed Size.
O R Paradigm Pty Ltd
2 - Ear, Nose & Throat
OS001
ALTO Prosthesis
Oceania Orthopaedics
11 - Hip
OO037
IC Reinforcement cage
Olympus Australia
2 - Ear, Nose & Throat
OL012
Canal Wall Prosthesis
Grote, HA
Small - Large
Changed Product Group, Product Sub Group,
Benefit.
OL013
Ossicular Prosthesis Malleus, Incus and Stapes
Goldenberg Footplate - HA
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL014
Ossicular Prosthesis
Attic Defect Plate, HA
7-14mm
Changed Product Group, Product Sub Group,
Benefit.
OL015
Ossicular Prosthesis Incus
a) Applebaum HA, b) Goldenberg HA, c)
Kartusch HA , d) Grote HA, e) Wehrs (single &
double notched) HA
a) small - large, b) one size only, c) short,
medium, long, d) 7-10mm, e) short, average,
medium, long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL016
Ossicular Prosthesis - PORP
Sheehy plastipore, Drum to stapes, Grote Malleus
to stapes, modified, centered or offcentered
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL017
Ossicular Prosthesis - PORP/TORP
Goldenberg Malleable/HA
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL018
Piston: Stapes Prosthesis
a) Schuknecht Malleus att Piston. Stainless steel,
b) Cawthorne. Fluoroplastic, c) Fluoroplastic, d)
Schuknecht. Stainless steel, e) Causse.
Fluoroplastic
a) 0.6x5.5mm-0.8x6.5, b) 0.3x0.8x3.50.3x0.8x6mm, c) 0.6x0.6x3.5-0.8x0.6x6mm,
0.4x3.5-0.5x5mm, e) one size only
d)
Changed Product Group, Product Sub Group,
Benefit.
OL019
Ossicular Prosthesis -TORP
a) black spanner strut HA, b) black oval top
TORP HA, c) black oval top PORP, universal,
HA/fluoroplastic
a) one size only, b) 7-10mm, c) 0.5-0.7mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL020
Ossicular Prosthesis -TORP
Fisch plastipore, Causse modified plastipore,
Shea modified plastipore/ fluoroplastic, Austin
modified plastipore, Tilt top plastipore
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL021
Ossicular Prosthesis -TORP
a) Shea malleable, HA/plastipore, b) Shea
plastipore
a) one size only, b) 4-8mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 154 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
OL022
Piston: Stapes Prosthesis
a) Armstrong. Platinum, b) McGee. Stainless
steel, c) Richards. Teflon & platinum
a) 0.6x3.5-0.8x5mm, b) 0.6x3.25-0.8x5.5mm,
Changed Product Group, Product Sub Group,
Benefit.
OL023
Piston: Stapes Prosthesis
Fisch-Type Platinum or Stainless Steel
0.4mm x 6mm
Changed Product Group, Product Sub Group,
Benefit.
OL024
Piston: Stapes Prosthesis
Platinum Fluoroplastic
0.6x3.5mm - 0.8x5mm
Changed Product Group, Product Sub Group,
Benefit.
OL025
Piston: Stapes Prosthesis
Platinum Fluoroplastic
0.6x3mm - 0.8x5.75mm
Changed Product Group, Product Sub Group,
Benefit.
OL026
Septal Button
Plastipore
One size only
Changed Product Group, Benefit.
OL027
Ventilation Tube
Shepard grommet, fluoroplastic or silicon, vent
tube w/wire.
1.02 -1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL028
Ventilation Tube
Shepard, fluoroplastic, w/Tab & wire
1.02 -1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL029
Ventilation Tube
Shepard, Ultrasil Silicon & Blue Poly
1.02 - 1.14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL030
Ventilation Tube
T-Tube Richards Silicon, Soft Silicon, Ultrasil
1.14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL031
Ventilation Tube
T-Tube Richards Modified Silicon & Ultrasil
1.32mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL032
Ventilation Tube
T-Tube Richards Modified Soft Silicon
1.32mm
Changed Product Group, Product Sub Group,
Benefit.
OL033
Ventilation Tube
Butterfly T-Tube Silicon & Ultrasil
Silicon - one size only. Ultrasil - one size only.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL034
Ventilation Tube
Armstrong Beveled Grommet Ultrasil Silicon
w/Tab
1.14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL035
Ventilation Tube
Grommet - Sha Mini. Teflon
0.76mm
Changed Product Group, Product Sub Group,
Benefit.
OL036
Ventilation Tube
Shah. Teflon, Silicon
5.1mm
Changed Product Group, Product Sub Group,
Benefit.
OL037
Ventilation Tube
Shah. Teflon, Fluorplastic w/Wire
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL038
Ventilation Tube
Shah. Teflon, Fluorplastic without Wire
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL039
Ventilation Tube
Armstrong Beveled Plain End Fluoroplastic
One size only
Changed Product Group, Product Sub Group,
Benefit.
OL040
Ventilation Tube
Armstrong Beveled Plain End Silcon
One size only
Changed Product Group, Product Sub Group,
Benefit.
OL041
Ventilation Tube
Bobbin - Reuter Stainless Steel
1mm
Changed Product Group, Product Sub Group,
Benefit.
OL042
Ventilation Tube
Bobbin - Reuter Stainless Steel
Without Wire 1.14-1.27mm, w/wire 1mm
Changed Product Group, Product Sub Group,
Benefit.
OL043
Ventilation Tube
Bobbin - Reuter Fluoroplastic 1mm I.F Without
Holes
1mm
Changed Product Group, Product Sub Group,
Benefit.
c) 0.4x4-0.4x5mm
Changed Items for Prostheses List Report
Page 155 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
OL044
Ventilation Tube
Bobbin - Reuter Fluoroplastic 1mm I.F Without
Holes
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL045
Ventilation Tube
Bobbin - Reuter Fluoroplastic 1mm I.F w/wire
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL046
Ventilation Tube
Bobbin - Reuter Fluoroplastic 1mm I.F
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL047
Ventilation Tube
Bobbin - Reuter Fluoroplastic 0.5mm I.F
1.27mm
Changed Product Group, Product Sub Group,
Benefit.
OL048
Ventilation Tube
Collar Bobbin Fluoroplastic
1.27mm
Changed Product Group, Product Sub Group,
Benefit.
OL049
Ventilation Tube
Collar Bobbin Fluoroplastic
0.75mm
Changed Product Group, Product Sub Group,
Benefit.
OL050
Ventilation Tube
Collar Bobbin Fluoroplastic
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL051
Ventilation Tube
Collar Bobbin Fluoroplastic
1.27x0.5mm
Changed Product Group, Product Sub Group,
Benefit.
OL052
Ventilation Tube
Collar Button Ultrasil Silicon
1.27mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL053
Ventilation Tube
Collar Button Fluoroplastic Blue
1.27mm
Changed Product Group, Product Sub Group,
Benefit.
OL054
Ventilation Tube
Collar Button Fluoroplastic w/Wire
1.27mm
Changed Product Group, Product Sub Group,
Benefit.
OL055
Ventilation Tube
Collar Button Silicon
1.27mm
Changed Product Group, Product Sub Group,
Benefit.
OL056
Ventilation Tube
Collar Button Titanium
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL057
Ventilation Tube
Collar Button Titanium
1.27mm
Changed Product Group, Product Sub Group,
Benefit.
OL058
Ventilation Tube
Donaldson Silicon
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL059
Ventilation Tube
Donaldson Soft Silicon
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL060
Ventilation Tube
Donaldson Silicon w/Tab
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL061
Ventilation Tube
Donaldson Fluoroplastic
1.14mm
Changed Product Group, Product Sub Group,
Benefit.
OL062
Ventilation Tube
Donaldson Ultrasil Silicon
1.14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL063
Ventilation Tube
Duravent Silicon
1.27mm
Changed Product Group, Product Sub Group,
Benefit.
OL064
Ventilation Tube
Duravent Blue Ultrasil
1.27mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL065
Ventilation Tube
Paparella w/tab Fluoroplastic, Silicon, Soft
Silicon, Ultrasil
1.02 - 2.03mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 156 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
OL066
Ventilation Tube
Shea w/Tab - Silicone
0.76mm
Changed Product Group, Product Sub Group,
Benefit.
OL067
Ventilation Tube
Shea Parasol w/Tab Small Flange - Silicone
1.02mm
Changed Product Group, Product Sub Group,
Benefit.
OL068
Ventilation Tube
Shea Parasol w/Tab - Silicone
1.02mm
Changed Product Group, Product Sub Group,
Benefit.
OL069
Ventilation Tube
Shea Parasol w/Tab - Silicone
1.52mm
Changed Product Group, Product Sub Group,
Benefit.
OL070
Ventilation Tube
Straight Fluoroplastic or Polyethylene
0.89 x 12mm, 0.86 x 7mm, 1.14 x 12mm, 1.14 x
7mm
Changed Product Group, Product Sub Group,
Benefit.
OL071
Vocal Cord Medialisation Implant
Vocom Larynx Medial Implant - Hydroxylapatite
3 - 7mm Head
Changed Product Group, Benefit.
OL072
Vocal Cord Medialisation Implant
Vocom Shim for Medial Implant Hydroxylapatite
1mm - 3mm Offset
Changed Product Group, Benefit.
OL073
Dornhoffer Prostheses
Hydroxyapetite head/HAPEX shaft PORP and
TORP
0.8mm Shaft Dia TORP, 1.3mm Shaft Diameter
PORP
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL074
Ossicular Chain Prosthesis
Micron adjustable TORP/PORP. Titanium
2-10mm, 2-5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OL075
Piston: Stapes Prosthesis
Smart: Nitinol/Flouroplastic
0.5, 0.6, 0.8 x 3.75-4.75mm
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
OL003
Bile Duct Stent
Polyethylene Stents
7FR - 12FR 3cm - 15cm
Changed Product Group, Product Sub Group,
Benefit.
OL008
Olympus Biliary Stent Set
Radio-opaque Polyethglare Stent Set
7Fr 3cm - 15cm, 8Fr 3cm - 15cm, 10Fr 3cm 15cm
Changed Product Group, Product Sub Group,
Benefit.
OL011
X-Suit NIR Biliary Metal Stent
The Medinol X-Suit® Biliary Metallic Stent
consists of a self-expanding noncovered Nitinol
stent integrated into a delivery system.
8 or 10mm diameter - 40, 60, 80 or 100 mm
length, 7.5F
Changed Product Group, Product Sub Group,
Benefit.
5 - Urogenital
OL076
Ureteral Stents
Single J Ureteric Stent, silicone
7 - 8.5 F x 90cm
Changed Product Group, Product Sub Group,
Benefit.
OL077
Ureteral Stents
Double J Ureteric Stent, silicone
6-8.5 F, 12 - 24 cm
Changed Product Group, Product Sub Group,
Benefit.
OL078
Ureteral Stents
Diversion Stent, silicone
7 - 8.5 F x 90cm
Changed Product Group, Product Sub Group,
Benefit.
OL079
Falope-Ring Bands
Fallopian Tube Clip (each)
5mm - 12mm
Changed Product Group, Product Sub Group,
Benefit.
OL080
Quadra-Coil Multi Length Ureteral Stent
Tecoflex polymer, hydrophilic coating/PTFE
coating
4.5F-8.5F x length 22 - 28cm
Changed Product Group, Product Sub Group,
Benefit.
Oncura Pty Limited
3 - General Miscellaneous
Changed Items for Prostheses List Report
Page 157 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ON001
Iodine 125 - 'Rapid Strand' Brachytherapy
Implant, Iodine 125 - 'OncoSeeds' Brachytherapy
Implant
Rapid Strand consists of 10 welded titanium
capsules containing iodine-125 absorbed onto a
silver rod. OncoSeeds consists of the loose seeds
only. Per Patient up to 120 seeds.
One size each
Changed Product Group, Product Sub Group,
Benefit.
ON002
Iodine 125 - Rapid Strand Brachytherapy
Implant; OncoSeeds Brachytherapy Implant
I-125 Rapid Strand, code IMC 7000, consists of
10 welded titanium capsules containing iodine
125. This assembly is sterile, the activity of the
capsules "seeds" is available from 0.18mCi to
0.70mCi. Individual I-125 capsules (seeds) are
also available as OncoSeeds IMC6711. To be
used only if more than 120 seeds are used per
patient.
One size only
Changed Description, Product Group, Product
Sub Group, Benefit.
ON004
RAPID Strand Rx Seeds
I-125 RAPID Strand Rx, pre-loaded titanium
capsules containing iodine 125. To be used only
if more than 100 seeds are used per patient.
Benefit is per seed.
Custom
Changed Product Group, Product Sub Group,
Benefit.
L605 Cobalt Chromium alloy balloon expandable
vascular prosthesis
Expanded Stent Diameter 2.5 to 4.0mm, Stent
Length 9 to 33mm
Changed Product Group, Product Sub Group,
Benefit.
OrbusNeich Medical Pty Ltd
8 - Cardiac
NM004
Blazer Coronary Stent Delivery System
Orthocare Pty Limited
3 - General Miscellaneous
OC004
Pain Care
Y Accessory Kit
One Size Only
Changed Product Name, Product Group,
Product Sub Group, Benefit.
OC006
Pain Care 3000
100ml Continuous Infusion device (delivers
2ml/hr) with additional 4ml bolus. Code# 10314
100cc reservoir L=10.4cm, D=3.0cm, W=7.4cm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
OC007
Paincare 3200
200ml Continuous Infusion device (delivers
4ml/hr) with additional 4ml bolus Code# 11030
200cc reservoir L=10.4cm, D=6.5cm, W=7.4cm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
OC008
Paincare 4200
200ml Continuous Infusion device (delivers
2ml/hr) with additional 4ml bolus Code# 11090
200cc reservoir L=10.4cm, D=6.0cm, W=7.0cm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
Orthopaedic Solutions Pty Ltd
6 - Specialist Orthopaedic
OE007
Nexfix MTP Fusion System
Unique low profile stainless steel locking screw
for use with NexFix MTP Fusion plates,
indicated for use in osteoporotic bone
3.2mm x 12mm, 14mm, 16mm, 18mm, 20mm
Changed Product Group, Product Sub Group,
Benefit.
OE008
NexFix MTP Fusion System
A bendable stainless steel bone plate and screw
system with unique low profile locking screw
option. Indicated for use in primary MTP fusion
Left 2 + 3; Right 2 + 3
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 158 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
OE010
Nexfix MTP Fusion System
Unique low profile stainless steel locking screw
for use with NexFix MTP Fusion plates, indicated
for use in normal bone
2.7mm x 12mm, 14mm, 16mm, 18mm, 20mm,
24mm, 28mm
Changed Product Group, Product Sub Group,
Benefit.
OE013
CoverLoc Screws
CoverLoc Screws, stainless steel, (lag & cortical)
& Pegs (threaded & unthreaded)
2.7mm & 3.3mm x 10mm-26mm in 2mm
increments
Changed Product Sub Group, Suffix, Benefit.
OE014
CoverLoc Volar Plate
A stainless steel volar plate system intended for
fixation of fractures and osteotomies involving
the distal radius. The CoverLoc feature is unique
and allows both compression and lagging with
fixed angle screws.
'22mm x 3, 4 & 8 hole left & right 25mm x 3 & 4
hole left & right
Changed Product Group, Product Sub Group,
Benefit.
OE015
NexFix 4.5MM Compression Screw
The NexFix Compression Screw is a stainless
steel, cannulated, self tapping, and self drilling
fixation device for osteotomies, fusions and
fracture fixation of small bones
4.5mm diameter x 14-40mm in 2mm increments,
40-65mm in 5mm increments, with short and
long thread options
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OE016
NexFix 3.0mm Compression Screw
The NexFix Compression Screw is a stainless
steel, cannulated, self tapping, and self drilling
fixation device for osteotomies, fusions and
fracture fixation of small bones
3.0mm diameter x 10 - 34mm length in 2mm
increments
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OE017
NexFix 2.5mm Compression Screw
The NexFix Compression Screw is a stainless
steel, cannulated, self tapping, and self drilling
fixation device for osteotomies, fusions and
fracture fixation of small bones
2.5mm diameter x 10 - 34mm length in 2mm
increments
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OE018
NexFix 6.5mm Compression Screw
The NexFix Compression Screw is a stainless
steel, cannulated, self tapping, and self drilling
fixation device for osteotomies, fusions and
fracture fixation of small bones
6.5mm diameter x 40-120mm in 5mm increments
with short and long thread options
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OE019
NexFix Washer
The NexFix Washer is a threaded circular piece
of stainless steel through which is inserted a
NexFix Compression Screw. The Compression
Screw is locked to the washer to form a headed
screw that will increase bone coverage and
prevent the screw from sinking
9mm, 11mm, 13mm
Changed Description, Product Group, Product
Sub Group, Benefit.
OE020
NexFix Compression Pin
The NexFix Compression Pin is a tapered
stainless steel compression pin for use in
maintaining alignment and providing
interfragmentary compression of small bones in
osteotomies, fusions and fractures until a stable
bony union occurs. It is self drilling
2.0mm x 10mm, 2.0mm x 12mm, 2.0mm x
14mm, 2.0mm x 16mm, 2.7mm x 20mm, 2.7mm
x 24mm, 3.5mm x 25mm, 3.5mm x 30mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
OE022
Activa Screw
The Activa Screw is a bioresorbable device that
maintains accurate alignment of bone fractures,
osteotomies, arthrodeses, bone grafts and
osteochondral fractures after surgical procedure.
The Activa Screw possess' rigidity similar to bone
which decreases
2.7mm x 10, 12 , 14 , 16, 20 & 24mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
OE025
NexFix Snap-Off Screw
The NexFix Snap-Off Screw System is a selfdrilling and self-tapping screw system for fixation
of fractures, fusions and osteotomies. The design
allows the holding device to break off once the
screw head is in contact with the distal cortex.
2.0mm x 11mm, 2.0mm x 12mm, 2.0mm x
13mm, 2.7mm x 13mm, 2.7mm x 15mm, 2.7mm
x 17 mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 159 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
Orthotech Pty Ltd
13 - Spinal
OH052
Interpore Bone Plate System
TPS Bone Plate
20 - 56cm
Changed Product Group, Product Sub Group,
Benefit.
OH053
Interpore Bone Plate System
TPS Screw
14 - 22mm
Changed Product Group, Product Sub Group,
Benefit.
OH054
Interpore Bone Plate System
TPS Locked Nut
3mm
Changed Product Group, Suffix, Benefit.
OH063
Anterior Cervical Plate System
Titanium Locking Plate
20 - 140mm
Changed Product Group, Product Sub Group,
Benefit.
OH064
Anterior Cervical Plate System
Titanium Cancellous Bone Screw
4 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
OH128
Anterior Lumbar Cage
Titanium or PEEK
Height 2 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
OH129
Posterior Lumbar Cage
Titanium or PEEK
Height 7 - 20mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH131
Anterior Cervical Cage
Peek
12 x 15, 12 x 17, 14 x 17, 14 x 19
Changed Product Group, Product Sub Group,
Benefit.
OH253
Intext Cervical Plate/Intext Screws
Intext cervical plate, including (2 - part) fixation
screws
Screws/ Revision Screws - dia 4.4mm, length
11 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
OH254
Intext Cervical Plate/Intext Screws
Intext cervical plate, including (2-part) fixation
screws
Screws/Revision Screws - dia 4.4mm, length 11 18mm - Pack of 3
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH255
Hartshill
Cancellous bone screws for Horseshoes/STALIF
each
6.5mm diam - 25 - 30mm length, 5.5mm diam 25 - 30mm length
Changed Product Group, Product Sub Group,
Benefit.
OH256
Cancellous Screws
For use with Stalif Implants
5.5mm x 25mm (for use with 37mm Stalif),
6.5mm x 30mm (for use with 41/45mm Stalif),
6.5mm x 25mm (for use with 41/45mm Stalif).
Pack of 4 screws.
Changed Product Group, Product Sub Group,
Benefit.
OH257
Stalif
Interbody Spinal Fusion Implant:
Retroperitoneal/Transperitoneal
37mm x 11, 13, 15mm; 41mm x 11, 13, 15mm;
45mm x 11, 13, 15mm; 37mm x 17mm, 41mm x
17mm, 45mm x 17mm
Changed Product Group, Product Sub Group,
Benefit.
OH263
Intext Cervical Plate/Intext Screws
Intext cervical plate, including (2 - part) fixation
screws
Plates - width 13mm, Height 4mm - 9mm, width
17mm, height 4mm - 9mm
Changed Product Group, Product Sub Group,
Benefit.
OH264
Hartshill: Ransford
Occipito-cervical - Titanium loop
100 degree 9mm - 20mm
Changed Product Group, Product Sub Group,
Benefit.
OH265
Hartshill: Ransford
Extra long cross linked - titanium loop
100 degree 45cm x 15mm
Changed Product Group, Product Sub Group,
Benefit.
OH266
Hartshill Rectangle
Stainless steel posterior lumbar fusion system
5mm diam 3-5cm length
Changed Product Group, Product Sub Group,
Benefit.
OH270
Hartshill Rectangle
Stainless steel posterior thoracic/thoracolumbar
fusion system
6mm diam 15 - 19cm length
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 160 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
OH301
Obelisc vertebral body replacement
Centre Piece Made from titanium.
diameter - 20mm, height 20-28mm diameter 20mm, height 25-37mm diameter - 20mm,
height 32-47mm diameter - 20mm, height 4062mm diameter - 20mm, height 5387mm diameter - 20mm, height 76-132mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH302
Obelisc vertebral body replacement
End Piece Made from titanium.
diameter - 20mm, angle 0° diameter - 20mm,
angle 5° diameter - 20mm, angle
10° diameter - 24mm, angle 0° diameter 24mm, angle 5° diameter - 24mm, angle
10° diameter - 26mm, angle 0° diameter 26mm, angle 5° diameter - 26mm, angle 10°
Changed Product Group, Product Sub Group,
Benefit.
OH303
ADD / ADDplus
Addplus is a winged anterior distraction device
and is also used for vertebral column replacement
which can be used for the anterior cervical
column and for the cervico-thoracic transition.
The Adplus effects the reconstruction, support
and stabilization
ADDplus, diameter 12mm, height 13-18mm.
6° ADDplus, diameter 12mm, height 17-26mm.
6° ADDplus, diameter 12mm, height 25-41mm.
6° ADDplus, diameter 12mm, height 40-65mm.
6°
Changed Product Group, Product Sub Group,
Benefit.
OH304
ADD / ADDplus
Cancellous bone screw, titanium. The cancellous
bone screw is used for the biocortical fixation.
The outer diameter is 4mm.
length = 12,14,16,18,20,24,26mm
Changed Product Group, Product Sub Group,
Benefit.
OH305
ADD / ADDplus
Osmium Screw including bolt, titanium. The
osmium screw is a two-component system
consisting of a screw and a bolt. Expansion of the
screw is achieved by inserting the bolt. Hyperexpansion of the screw is not possible.
length = 14, 16, 18mm with outer diameter of
5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH308
Cosmic implant system
Cosmic Cross Links - titanium Bonit coating
cosmic transversal stabilizer, drop on
left cosmic transversal stabilizer, drop on right
Changed Product Group, Product Sub Group,
Benefit.
OH309
Cosmic implant system
Cosmic Locking Screw - titanium
one size
Changed Product Group, Suffix, Benefit.
OH310
Cosmic implant system
Cosmic Cap - titanium
one size
Changed Product Group, Suffix, Benefit.
OH311
Cosmic implant system
Cosmic Rod (40,50,60,70,80mm) - titanium
diameter - 6.25mm, length - 40mm diameter 6.25mm, length - 50mm diameter - 6.25mm,
length - 60mm diameter - 6.25mm, length 70mm diameter - 6.25mm, length - 80mm
Changed Product Group, Product Sub Group,
Benefit.
OH312
Cosmic implant system
Cosmic Rod (100, 120, 200mm)- titanium
diameter - 6.25mm, length - 100mm diameter 6.25mm, length - 120mm diameter - 6.25mm,
length - 200mm diameter - 6.25mm, length 70mm diameter - 6.25mm, length - 80mm
Changed Product Group, Product Sub Group,
Benefit.
OH316
Impix-C+ - Cervical Cage
Impix-C+ Pre-filled Cervical Cage
12.5mm x 14mm x 5mm, 12.5mm x 14mm x
6mm, 12.5mm x 14mm x 7mm, 14.5mm x 16mm
x5mm, 14.5mm x 16mm x 6mm, 14.5mm x
16mm x 7mm, 14.5mm x 16mm x 8mm, 14.5mm
x 16mm x 9mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 161 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
OH317
IMPIX-LR
IMPIX - lr Lumbar Ramp
8x20x0DEG, 13X20X0DEG, 14X20X0DEG,
9X20X4DEG, 10X20X4DEG, 11X20X4DEG,
12X20X4DEG, 13X20X4DEG, 14X20X4DEG,
10X20X8DEG, 11X20X8DEG, 12X20X8DEG,
13X20X8DEG, 14X20X8DEG, 12X20X12DEG,
13X20X12DEG, 14X20X12DEG, 8X25X0DEG,
9X25X0DEG, 10X25X0DEG, 11X25X0DEG,
12X2
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH350
Novel cross link
Cross Link
16-56mm
Changed Product Group, Product Sub Group,
Benefit.
OH351
Novel set screw
Set screw
4-10mm
Changed Product Group, Suffix, Benefit.
OH352
Novel Rods
Rod
5.5, 6.0, 6.5
Changed Product Group, Product Sub Group,
Benefit.
OH353
Novel Reduction Poly Screw
Poly axial REDUCTION pedicle screw
5.5-8.5
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH354
Novel Reduction Mono screw
Mono axial REDUCTION pedicle screw
5.5-8.5
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH355
Novel Cannulated Mono screw
Mono axial cannulated pedicle screw
5.5-8.5
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH356
Novel Cannulated poly screw
Poly axial cannulated pedicle screw
5.5-8.0
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH357
Novel Mono screw
Mono axial pedicle screw
4.0-8.5
Changed Product Group, Product Sub Group,
Benefit.
OH358
Novel Mono screw
Poly axial pedicle screw
4.0-8.5
Changed Product Group, Product Sub Group,
Benefit.
OH365
AxiaLIF Facet Screw
Percutaneous 360 degree fusion at L5 - S1
4/5mm x 25-40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
3 - General Miscellaneous
OH065
PC2000 Pain Control Infusion Pump
Plastic spring loaded drug delivery device
0.5 ml - 4 ml
Changed Product Group, Product Sub Group,
Benefit.
OH122
PC2000 Pain Control Infusion Pump Connector
Plastic spring loaded drug delivery device
0.5ml - 4ml
Changed Product Group, Product Sub Group,
Benefit.
6 - Specialist Orthopaedic
OH335
EOS Footset - Entos
Footscrew
11-14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH336
EOS Footset-Pyxis
Footscrew
11-28mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH337
EOS Footset-Antares
Footscrew
12-34mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH339
Fyxis plate
Foot plate
40-55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
OH340
Fyxis plate screw
Foot Plate Screw
9-55 mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 162 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
OH343
Unima Screw
Foot Screw 7.2
7.2 x 50 - 120mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
OH344
Unima Screw
Foot Screw 4.5
4.5 x 30 - 50mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
OH392
VAIOS Locking screw
Locking screw
one size
Changed Benefit.
Pacing Importers Pty Ltd - Life Systems
2 - Ear, Nose & Throat
PI009
OPUS 2 Speech Processor
Cochlear implant speech processor, fine structure
speech processing, remote control, interface for
assistive listening devices according to the
international hearing aid standard (initial patient
kit)
54.0mm x 35.1mm x 8.7mm
Changed Product Group, Product Sub Group,
Benefit.
PI010
Opus 2 Speech Processor Replacement
Cochlear implant speech processor, fine structure
speech processing, remote control, interface for
assistive listening devices according to the
international hearing aid standard (replacement
kit)
54.0mm x 35.1mm x 8.7mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PI011
Sonata Ti 100 Cochlear Implant
Cochlear implant, titanium casing, 24
independent current sources, sequential and
parallel stimulation modes up to 50,074 pulses
per sec, 19 or 24 oval-shaped platinium
electrodes, different sizes
Stimulator Housing: L 17.3 mm, W 24.8 mm,
Thin 5.9 mm (Weight 8.6g) Electrode:
Changed Size, Product Group, Product Sub
Group, Benefit.
Standard (31.5 mm), Medium (20.9mm),
Compressed/Short (12.1mm), FLEXsoft (26.4
mm)
PI018
Sonata TI with FLEX EAS electrode
Cochlear Implant with atraumatic electrode
specifically designed for partial deafness &
hearing preservation surgery
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PI019
DUET 2
Audio Processor for Electric and Acoustic
Stimulation (2nd Generation EAS)
50.6mm x 8.5mm x 59.7mm
Changed Product Group, Product Sub Group,
Benefit.
PI021
Mi1000 CONCERTO
Ultra small minimally invasive titanium cochlear
implant with five atraumatic electrode options.
Includes sequential and parallel stimulation,
comprehensive diagnostic toolkit and safety
features such as unique implant ID and output
capacitors for each channel
Stimulator Housing: L 17.3 mm, W 25.4 mm,
Thin 4.5 mm (Weight 7.6g)
Electrode: Standard (26.4 mm), FLEXsoft (26.4
mm), Medium (20.9mm), FLEXeas (20.9mm),
Compressed (12.1mm)
Changed Product Name, Description, Product
Group, Product Sub Group, Benefit.
Penumbra Neuro Australia Pty Ltd
4 - Neurosurgical
PN003
Penumbra Coil System / Penumbra Complex
Standard Coil 400
Frame configuration coil, three-dimensional
complex shape, stiffest coil within the system,
first coil to be placed, frames area of
embolisation and holds subsequent coils within
this zone.
Diameters: 3-24mm
Lengths: 6-57cm
Changed Product Group, Benefit.
PN004
Penumbra Coil System / Penumbra Complex Soft
Coil 400
Fill configuration coil is used to fill empty space
within the frame coil. The stiffness allows for a
traumatic interaction with the aneurysm wall and
primary packing of the occlusion site (aneurysm).
Diameters: 3-24mm
Lengths: 6-57cm
Changed Product Group, Benefit.
Changed Items for Prostheses List Report
Page 163 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
PN005
Penumbra Coil System / Penumbra J Soft Coil
400
Finish Coil Implant (J Soft) fills small empty
pockets remaining within the occlusion site. The
J shaped tip and stiffness allows the coils to
manoeuvre and fill the remaining pockets after
use of the primary Fill Coils.
Lengths: 1-15cm
Changed Product Group, Benefit.
PN006
Penumbra Coil System / Penumbra Curve Extra
Soft 400
The Soft Finish Coil Implant (Curve Extra Soft)
is used for final packing of the aneurysm. The
serpentine shape and the lowest stiffness allow
the coils to manoeuvre and fill any remaining
pockets after use of the other coil types.
Diameters: 2-4mm
Lengths: 1-20cm
Changed Product Group, Benefit.
PN007
Penumbra Coil System / Penumbra PX 400
Microcatheter
A variable stiffness catheter reinforced with
nitinol provides access to target site, reinforcing
conduit for other intravascular devices. Includes
rotating hemeostasis valve, tip shaping mandrel,
introducer sheath.
Length: 150cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PN008
Penumbra Coil System / Penumbra Coil
Detachment Handle
A single detachment handle which is compatible
with all Penumbra Coil configurations and can be
used to detach all coils needed for a single patient.
One size only
Changed Product Group, Product Sub Group,
Benefit.
Pfizer Australia Pty Ltd
3 - General Miscellaneous
PU059
Gelfoam Sterile Sponge
Sterile, pliable, nonantigenic surgical sponge
prepared from specially treated purified gelatine
solution
12 - 20mm x 60mm x 7mm, individually
packaged for use
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PU060
Gelfoam Sterile Sponge
Sterile, pliable, nonantigenic surgical sponge
prepared from specially treated purified gelatine
solution
100 - 80mm x 125mm x 10mm in individual
packet
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Pyramed Pty Limited
10 - Vascular
PY006
Optimed Femoral Sinus Stent
Sinus-wave nitinol Stent
3 - 10mm x 20-130mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PY015
Optimed Iliac Sinus Stent
Sinus-wave nitinol stent
6 - 14mm x 30 -120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PY016
Optimed Iliac Sinus Stent - extra long
Sinus-wave nitinol stent - extra long
6-8 mm x 150-200mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
3 - General Miscellaneous
PY002
Optimed Biliary Sinus Stent
Nickel Titanium Alloy
4 - 12 x 30 - 100mm
Changed Product Group, Product Sub Group,
Benefit.
PY003
Optimed Biliary Sinus Stent
Nickel Titanium Alloy
6 - 14mm x 30 - 200mm
Changed Product Group, Product Sub Group,
Benefit.
PY017
Niti-S Pyloric Stent D-type
Niti-S Pyloric self-expanding metal stent D-type
made from Nitinol in D mesh construction,
uncovered, OTW or TTS
Diameter: 16 - 18mm Length: 40 - 120mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 164 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
PY018
Niti-S Biliary Stent D-Type
Niti-S Biliary Stent D-Type Uncovered.
Deployed via stent delivery system for use TTS or
percutaneously
10mm Diameter x 50 - 120mm length
Changed Product Group, Product Sub Group,
Benefit.
PY019
Niti-S Biliary Stent Y-Type and T-Type
Niti-S Biliary is a self expanding metal stent,
made from Nitinol uncovered. Stent Y-Type for
TTS approach, T-Type for percutaneous approach.
10mm Diameter x 5 - 10cm Length
Changed Product Group, Product Sub Group,
Benefit.
PY020
Niti-S Biliary Covered Stent
Niti-S Biliary self expanding nitinol stent fully
covered with a silicone membrane and a nylon
drawstring for removal. Stent delivery system is
designed for use TTS for endoscopic or
percutaneous procedures
Diameter 8mm and 10mm Stent lengths 40120mm
Changed Product Group, Product Sub Group,
Benefit.
PY021
Niti-S Oesophageal Fully Covered Stent
Niti-S Oesophageal fully covered self expanding
nitinol stent with a covering of PTFE or silicone
and nylon drawstring for removal or repositioning.
Diameter 16mm x 24mm, 18mm x 26mm,
20mm x 28mm and 22mm x 30mm Length 60150mm
Changed Product Group, Product Sub Group,
Benefit.
PY022
Niti-S Oesophageal Double Stent
Niti-S Oesophageal Double self-expanding metal
stent made from Nitinol, with an antimigration
outer uncovered wire construction to allow the
mesh to embed in the oesophageal wall. Also
with anti-reflux valve inner polyurethane layer to
prevent tumour ingrowth. String for retrieval or
repositioning.
Diameter 16mm x 24mm, 18mm x 26mm,
20mm x 28mm Length 60-150mm
Changed Product Group, Product Sub Group,
Benefit.
PY023
Niti-S Colorectal Stent D-type
Niti-S D- type Colorectal self-expanding metal
stent made from Nitinol in unique D mesh
construction, uncovered OTW or TTS. With
string for ease of removal.
Diameters: 18 - 28mm Lengths: 60 - 120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PY024
Niti-S Colorectal Stent
Niti-S Colorectal self-expanding metal stent made
from Nitinol. Stent PTFE covered and uncovered
OTW or TTS with string for ease of removal.
Stent Dimensions mm: 18x26x30, 18x24x30,
20x26x30, 22x30x30, 24x30x30, 20x28x30
Length mm: 30-90
Changed Product Group, Product Sub Group,
Suffix, Benefit.
PY025
Niti-S Tracheal Stent
Tracheal Nitinol Self Expanding Metal Stent,
ePTFE covered with retrieval suture
16mm to 20mm diameter x 3cm to 10cm length
Changed Product Group, Product Sub Group,
Benefit.
PY026
Niti-S Bronchial Stent
Bronchial Nitinol Self Expanding Metal Stent,
Expanded Poly Tetra Fluoro Ethylene (ePTFE)
covered, with retrieval suture
10mm to 14mm diameter x 3cm to 6cm length
Changed Product Group, Product Sub Group,
Benefit.
PY027
Niti-S ComVi Biliary Stent (Fully Covered)
The Niti-S ComVi Biliary Stent (Fully Covered)
is comprised of 2 Nitinol D-type stents with a
layer of polytetraethylene (PTFE) between that
fully envelopes the proximal and distal ends of
the stent, resulting in an integrated structure
designed to prevent tissue invasion.
8mm to 10mm diameter x 4cm to 12cm length
Changed Product Group, Product Sub Group,
Benefit.
5 - Urogenital
PY001
Optimed Ureteric Stents
Soft-Polyurethane. Ureteral. Paediatric Ureteral.
Renal Transplantation. Urinary Diversion.
Ureteral 4.5 x 28,30,32 cm; 6 x 26,28,30,32 cm;
7 x 26,28,30,32 cm. Paediatric Ureteral 8 x
28,30,32 cm. Renal Transplantation 4 x
10,12,14,16 cm; 6 x 12,14,16 cm; 7 x 12,14,16
cm. Urinary Diversion 8 x 12,14,16 cm.
Changed Product Group, Product Sub Group,
Benefit.
PY011
Opti-J Ureteral Stent System
Steerable ureteral stent/ureteral stent with pusher
4.5-8 Fr., length 26-32cm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 165 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
PY012
Ex-Stent Tumour Ureteral Stent Set
Open end stent with guide wire and pusher
6-8Fr., length 26-32cm
Changed Product Group, Product Sub Group,
Benefit.
PY013
Optimed nephrostomy catheter set
Soft polyurethane drainage sets
7-14Fr., length 25cm - 30cm
Changed Product Group, Benefit.
PY014
Optimed nephrostomy catheter
Soft polyurethane drainage catheter
7-14Fr., length 25cm - 30cm
Changed Product Group, Benefit.
Q-Med (Sweden) Australia Pty Ltd
5 - Urogenital
QM001
Deflux
Deflux is a sterile, highly viscous gel of
dextranomer microspheres and non-animal
stabilised hyaluronic acid constituting a
biocompatible and biodegradable implant for the
treatment of vesicoureteral reflux. The stabilised
hyaluronic acid acts mainly as
1ml in syringe
Changed Description, Product Group, Product
Sub Group, Benefit.
QM002
Deflux and Metal needle kit
Deflux is a sterile, highly viscous gel of
dextranomer microspheres and non-animal
stabilised hyaluronic acid constituting a
biocompatible and biodegradable implant for the
treatment of vesicoureteral reflux. The stabilised
hyaluronic acid acts mainly as
1 ml syringe and needle size 3.7FR x 23G x
350mm
Changed Description, Product Group, Product
Sub Group, Benefit.
Bileaflet Mechanical Heart Valve
27-29mm, 19mm, 21mm, 23mm, 25mm, 2533mm, 27-29mm, 31-33mm, 23mm, 25mm
Changed Description, Product Group, Product
Sub Group, Benefit.
Reid Healthcare
9 - Cardiothoracic
RH001
Aortic On-X Prosthetic Heart Valve Models
ONXA-19; ONXA-21; ONXA-23; ONXA-25;
ONXA-27/29; ONXM-23; ONXM-25; ONXM27/29; ONXM31/33; ONXMC25/33
Roche Diagnostics Australia Pty Ltd
3 - General Miscellaneous
RO012
Disetronic Infusion Sets
Tender I 17/60
Pack 10
Changed Product Group, Product Sub Group,
Benefit.
RO042
Accu-Chek Infusion Set
Protective Blue Cap
Cap
Changed Product Group, Product Sub Group,
Benefit.
RO045
Infusion pump administration set; Rapid-Dlink
Infusion pump administration set; Rapid-Dlink
Various lengths
Changed Product Group, Product Sub Group,
Benefit.
RO046
Infusion pump administration cannula
Infusion pump administration cannula; RapidDlink
Various lengths
Changed Product Group, Product Sub Group,
Benefit.
RO047
Infusion pump administration cannula; FlexLink
Infusion pump administration cannula
Various lengths
Changed Product Group, Product Sub Group,
Benefit.
RO048
Infusion pump administration set; Tenderlink
1/Flexlink
Infusion pump administration set
Various lengths and diameters
Changed Product Group, Product Sub Group,
Benefit.
RO049
Infusion pump administration cannula;
Tenderlink 1
Infusion pump administration set
13, 17mm
Changed Product Group, Product Sub Group,
Benefit.
RO050
Infusion pump administration reservoir
Infusion pump administration reservoir
25/5/ea
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 166 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
Silicon elastomer
14mm wide, 16.6cm band two phase closure, 1:
31mm inner diameter, phase 2: 26mm inner
diameter. 40cm silicon tube attached
Changed Product Group, Benefit.
Rymed Pty Ltd
3 - General Miscellaneous
RY001
MiniMizer Adjustable Gastric Band
Scient'x Australia
13 - Spinal
SX001
Isobar TTL
Monoaxial Screw
D: 4.5 - 8mm, L: 25 - 50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX002
Isobar TTL
Polyaxial Screw
D: 4.5 - 8mm, L: 30 - 55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX003
Isobar TTL
Rod
L: 45-450mm
Changed Product Group, Product Sub Group,
Benefit.
SX004
Isobar TTL
Nut
Blocker, Hemispherical
Changed Product Group, Suffix, Benefit.
SX005
Isobar TTL
Clamp
Snap-on, Short, Long and Monobloc
Changed Product Group, Suffix, Benefit.
SX006
Isobar TTL
Hooks
Small, Large, offset
Changed Product Group, Product Sub Group,
Benefit.
SX007
Antelys
Cage
H: 9-15mm
Changed Product Group, Product Sub Group,
Benefit.
SX008
Antelys
Plate
H: 19-23mm
Changed Product Group, Product Sub Group,
Benefit.
SX009
Antelys
Screw
D: 5mm, L: 32.5 to 50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX010
PCB Plate-Cage
Titanium cervical plate-cage
L: 14-16mm, W: 12-15mm, Cage Height: 4.58mm, Plate Height: 23-29mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX011
Stella
Anterior cervical plate - titanium
L: 21-121mm
Changed Product Group, Product Sub Group,
Benefit.
SX012
Stella
Screw
D: 4-4.5mm, L: 12-20mm
Changed Product Group, Product Sub Group,
Benefit.
SX013
CC-CO Cages
PEEK Polymer
L: 23.5mm, W: 10-13.5mm, H: 8-14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX014
CBK Cage
PEEK
L: 15mm, W: 13mm, H: 4.5-9mm
Changed Product Group, Product Sub Group,
Benefit.
SX015
Easys
Connector Bar - titanium
L: 40-100mm
Changed Product Group, Suffix, Benefit.
SX016
Easys
Straddler - titanium alloy
one size
Changed Product Group, Suffix, Benefit.
SX031
Isobar TTL Polyaxial Screw
In Module Polyaxial Pedicle Screw
Diameter 4.5mm; 5.5mm; 6.2mm; 7mm - Length
25mm; 30mm; 35mm; 40mm; 45mm; 50mm;
55mm
Changed Product Group, Product Sub Group,
Benefit.
SX032
Isobar TTL Monoaxial Screw
In Module Monoaxial Pedicle Screw
Diameter 4.5mm; 5.5mm; 6.2mm; 7mm - Length
25mm; 30mm; 35mm; 40mm; 45mm; 50mm;
55mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 167 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SX033
Olys
PEEK TLIF Cage
Length 28mm, 35mm: Height 7mm, 9mm,
11mm, 13mm
Changed Product Group, Product Sub Group,
Benefit.
SX034
Isobar TTL Inner nut
Inner Locking Nut
One size only
Changed Product Group, Suffix, Benefit.
SX035
TeCorp Vertebral Body Replacement System
TeCorp Cervical
All sizes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX036
TeCorp Vertebral Body Replacement System
TeCorp Thoracic
All sizes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX037
TeCorp Vertebral Body Replacement System
TeCorp Lumbar
All sizes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX038
Zodiac Spinal Fixation System - adjustable bridge
Crosslink: adjustable bridge
xx-small, x-small, small, medium,
large. Diameter: 5.5mm; Length: 23-75mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SX039
Zodiac Spinal Fixation System - hook
Hooks: laminar, thoracic, pedicle; offset and
angled; narrow and elevated
Small, large
Changed Product Group, Product Sub Group,
Benefit.
SX040
Zodiac Spinal Fixation System - Axial Domino
rod connector
In-line rod connector
Length: 31.75mm
Changed Product Group, Product Sub Group,
Benefit.
SX041
Zodiac Sponal Fixation System - rod connector,
offset
Offset rod connector
Length: 9.2mm, 15.75mm
Changed Product Group, Product Sub Group,
Benefit.
SX042
Zodiac Spinal Fixation System - offset connector
Offset connector
10mm, 15mm, 20mm, 30mm, 45mm, 60mm.
Changed Product Group, Product Sub Group,
Benefit.
SX043
Zodiac Spinal Fixation System - rod
Rods: straight and pre-bent; Pure Titanium,
Alloyed Titanium (TA6V ELI) or Colbalt
Chromium
Diameter: 5.5mm. Length: 3cm, 3.5cm, 4cm,
4.5cm, 5cm, 5.5cm, 6cm, 6.5cm, 7cm, 7.5cm,
8cm, 8.5cm, 9cm, 9.5cm, 10cm, 11cm 12cm,
13cm, 17cm, 20cm, 25cm, 30cm, 45cm, 50cm,
60cm.
Changed Product Group, Product Sub Group,
Benefit.
SX044
Zodiac Spinal Fixation System - polyaxial screw,
non-cannulated
Non-cannulated polyaxial screw, including
uniplanar, high top and sacral
Diameter: 4.0mm, 4.5mm, 5.0mm, 5.5mm,
6.5mm, 7.5mm, 8.5mm. Length: 20mm, 25mm,
30mm, 35mm, 40mm, 45mm, 50mm, 55mm,
60mm, 65mm, 70mm, 75mm, 80mm, 85mm,
90mm, 95mm, 100mm.
Changed Product Group, Product Sub Group,
Benefit.
SX045
Zodiac Spinal Fixation System - polyaxial screw,
cannulated
Cannulated polyaxial screw, including high top
and sacral
Diameter: 4.5mm, 5.5mm, 6.5mm, 7.5mm.
Length: 30mm, 35mm, 40mm, 45mm, 50mm,
55mm, 60mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX046
Zodiac Spinal Fixation System - monoaxial
screw, open
Open monoaxial screw
Diameter: 4.0mm, 4.5mm, 5.5mm, 6.5mm,
7.5mm, 8.5mm. Length: 20mm, 25mm, 30mm,
35mm, 40mm, 45mm, 50mm, 55mm, 60mm,
70mm, 75mm, 80mm.
Changed Product Group, Product Sub Group,
Benefit.
SX047
Zodiac Spinal Fixation System - monoaxial
screw, closed
Closed monoaxial screw
Diameter: 7.5mm, 8.5mm. Length: 25mm,
30mm, 35mm, 40mm, 45mm, 50mm, 55mm,
60mm, 70mm, 75mm, 80mm.
Changed Product Group, Product Sub Group,
Benefit.
SX048
Zodiac Spinal Fixation System - set screw
Set screw
Diameter: 9.5mm, 10.8mm.
Changed Product Group, Suffix, Benefit.
SX049
Illico MIS Posterior Fixation System - rod
Titanium rods: straight and pre-bent
Diameter: 5.5mm. Length: 3cm, 3.5cm, 4cm,
4.5cm, 5cm, 5.5cm, 6cm, 6.5cm, 7cm, 7.5cm,
8cm, 8.5cm, 9cm, 9.5cm, 10cm, 11cm, 12cm,
13cm, 14cm, 15cm, 16cm, 17cm, 20cm, 21cm,
22cm, 23cm, 24cm, 25cm, 26cm, 27cm, 28cm,
29cm, 30cm.
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 168 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SX050
Illico MIS Posterior Fixation System - screw
Cannulated polyaxial screw, including sacral and
high top
Diameter: 4.5mm, 5.5mm, 6.5mm, 7.5mm.
Length: 30mm, 35mm, 40mm, 45mm, 50mm,
55mm, 60mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX052
Trestle Anterior Cervical Plating System - Plate
Titanium alloy anterior cervical plate
12mm - 54mm
Changed Product Group, Product Sub Group,
Benefit.
SX053
Trestle Anterior Cervical Plating System - plate
>55mm
Titanium alloy anterior cervical plate
57mm - 100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SX054
Trestle Anterior Cervical Plating System - screw
Titanium allow self drilling screws, self tapping
screws, self tapping rescue screws; fixed and
variable angle
Diameter: 4.0mm, 4.5mm. Length: 10mm 20mm (1mm increments)
Changed Product Group, Product Sub Group,
Benefit.
SX055
Novel Anterior Lumbar Interbody Spinal Spacer
System
PEEK lumbar fusion cage
Small: 26mm wide x 23mm depth; height: 8mm 20mm (2mm increments); 7° or 12°
lordotic Medium: 32mm wide x 26mm depth;
height: 8mm - 20mm (2mm increments); 7° or
12° lordotic Large: 36mm wide x 30mm depth;
height: 10mm - 20mm (2mm increments); 7° or
12° l
Changed Size, Product Group, Product Sub
Group, Benefit.
SX056
Novel Cervical Spacer System
PEEK Vertebral body replacement, cervical
Small: 12mm width x 12mm depth; heaight:
12mm (1mm increments) Medium: 12mm width
x 14mm depth; heaight: 12mm (1mm
increments) Large: 14mm width x 16mm depth;
heaight: 12mm (1mm increments)
Changed Size, Product Group, Product Sub
Group, Benefit.
SX057
Novel CP Corpectomy Spinal Spacer System
PEEK vertebral body replacement, thoracolumbar
Small: 14mm width x 12mm depth; height:
10mm - 50mm (2mm increments) Medium:
17mm width x 15mm depth; height: 10mm 50mm (2mm increments)
Changed Size, Product Group, Product Sub
Group, Benefit.
SX058
Novel SD Spinal Spacer System
Self-distracting PEEK fusion cage
Small: 9mm width x 22mm depth; height:
8mm - 20mm (1mm increments) 11mm width x
22mm depth; height: 8mm - 20mm (1mm
increments)
Medium: 9mm width x 25mm
depth; height: 8mm - 20mm (1mm
increments) 11mm width x 25mm depth; height:
8mm - 20mm (1mm increment
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SX059
Novel TL Spinal Spacer System
PEEK fusion cage
Standard design: Small: 22mm width x 10mm
depth; height: 7mm - 14mm (1mm increments);
0° or 5° lordosis Medium: 24mm width x 10mm
depth; height: 7mm - 17mm (1mm increments);
0° or 5° lordosis Large: 28mm width x 10mm
depth; height: 7mm - 17mm (1mm increme
Changed Size, Product Group, Product Sub
Group, Benefit.
EntriStar Single Pass PEG
16fg, 20fg
Changed Product Group, Product Sub Group,
Benefit.
Sherwood Davis & Geck
3 - General Miscellaneous
SG001
Gastrostomy Tube
Signature Orthopaedics
13 - Spinal
Changed Items for Prostheses List Report
Page 169 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SF002
VerteLoc™
PEEK TLIF Cage
9mm x 7mm x 23mm (w x h x l), 9mm x 8mm x
23mm, 9mm x 9mm x 23mm, 9mm x 10mm x
23mm, 11mm x 12mm x 23mm, 11mm x 13mm
x 23mm, 9mm x 7mm x 27mm, 9mm x 8mm x
27mm, 9mm x 9mm x 27mm, 9mm x 10mm x
27mm, 9mm x 11mm x 27mm, 11mm x 12mm x
27mm, 11mm x 13mm x 27mm
Changed Product Group, Product Sub Group,
Benefit.
SF004
ZygoLoc
Facet Fusion Cage
3-15mm
Changed Product Group, Product Sub Group,
Benefit.
6 - Specialist Orthopaedic
SF001
Tissue Loc Tenodesis Screw
Cannulated Interference Screw - PEEK
4x10mm, 5x10mm, 4x15mm, 5x15mm,
6x15mm, 6x20mm, 7x25mm, 8x25mm,
8x30mm, 9x25mm, 9x30mm
Changed Product Group, Product Sub Group,
Benefit.
SF003
Signature ST Shoulder Anchor
PEEK fully threaded suture anchor
4.5mm, 5.5mm &6.5mm
Changed Benefit.
Signature Spine
13 - Spinal
SV001
Romeo Set Screws
Titanium alloy
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SV002
Tryptik Anterior Cervical Plate (>55mm)
Tryptik Anterior Cervical Plate is designed to
have a low profile with screw holes that allow for
up to 20 degree angulations. The plate is made of
Titanium
The product is available in 5 lenghts, 60, 65, 70,
80 and 90mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SV003
Romeo Polyaxial Pedicle and Reduction Screws
Available in standard and reduction screw
variants. Titanium alloy
Standard - 5mm diameter: 30, 35, 40, 45mm
length. 6 and 7mm diameter: 30, 35, 40, 45 and
50mm length. Reduction - 6mm diameter: 35, 40
and 45mm.
Changed Product Group, Product Sub Group,
Benefit.
SV004
Romeo Pedicle System Hooks
Titanium alloy
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SV005
Juliet TLIF Cage
PEEK cage with built in anatomical angulations
4 thicknesses - 8, 10, 12 and 14mm
Changed Product Group, Product Sub Group,
Benefit.
SV006
Tryptik Anterior Cervical Plate bone screw
Tryptik Anterior Cervical Plate bone screws are
designed to have a low profile and lock into the
plate on insertion to prevent back out. The screw
is made o Titanium
The produc is available in 2 diameters, namely
3.8 and 4.5mm. The 3.8mm screw is available in
4 lenghts: 12, 14, 16 and 18mm while the 4.5mm
screw is available in 3 lenghts, 14, 16 and 18mm
Changed Product Group, Product Sub Group,
Benefit.
SV007
Tryptik Anterior Cervical Plate
Tryptik Anterior Cervical Plate is designed to
have low profile with screw holes that allow for
up to 20 degree angulations. The plate is made of
Titanium
The product is available in 8 lengths, 20, 25, 30,
35, 40, 45, 50, 55mm
Changed Product Group, Product Sub Group,
Benefit.
SV008
Romeo Pedicle System Transverse Rod
Titanium alloy rods for connection between
hooks (TR) in transverse connector assemblies.
5.4mm diameter. 4 lengths.
Changed Product Group, Product Sub Group,
Benefit.
SV009
Romeo Pedicle System Rod
Supplied non-sterile. Pre-bend for lengths up to
80mm. Titanium alloy.
5.4mm diameter: 30, 40, 50, 60, 70, 80, 90, 100,
110, 120, 140, 160, 180, 200, 220, 240 and
350mm lengths
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 170 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SV010
Juliet Anterior Lumbar Cage
PEEK cage with built in anatomical shape. The
cage has built in stabilising Titanium spike to
stabilise the implant in the disc space.
All 26 mm length. 10, 12, 14 and 16mm height.
5 or 10 degree slope.
Changed Product Group, Product Sub Group,
Benefit.
SV011
Romeo Monoaxial Pedicle Screws
Titanium alloy
5mm diameter: 30, 35, 40 and 45mm lengths.
6mm and 7mm diameter: 30, 35, 40, 45 and
50mm lengths
Changed Product Group, Product Sub Group,
Benefit.
SV012
Juliet Posterior Lumbar Interbody Cage
PEEK cage built in anatomical slope.
All 22mm length. 8, 10, 12 and 14mm heights. 0
or 5 degrees anatomical slope.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SV013
Tryptik Anterior Cervical Cage
Tryptik Anterior Cervical Cages are
manufactured from PEEK and are anatomically
shaped to fit between vertebral bodies. The cages
have large graft windows for graft to increase the
rate of fusion. The cage also features 4 stabilising
spikes that provide s
The product is available in 2 sizes, the 12mm
cage is available in 3 thicknesses, while the
14mm cage is available in 4 thicknesses 5, 6, 7,
and 8mm
Changed Description, Product Group, Product
Sub Group, Benefit.
Biocompatible microspheres 20-60mm (microns)
in diameter containing yttrium-90. Delivery
apparatus is PVC tubing, ABS stopcocks, acrylic
holders and stainless steel needles with PE hubs
One size only
Changed Product Group, Benefit.
Screws
Cancellous
15mm - 50mm
Changed Product Group, Product Sub Group,
Benefit.
SN879
Genesis II / LEGION
Femoral component, Oxinium, cemented
Left / Right 1-9
Changed Product Name.
SN883
Genesis II / LEGION
Femoral Component, cemented, posterior
stabilised, Oxinium
Left / Right 1-9
Changed Product Name, Size.
Sirtex Medical Products
3 - General Miscellaneous
SE001
SIR-Spheres including Delivery Apparatus
Smith & Nephew Surgical Pty Ltd
11 - Hip
SN284
12 - Knee
6 - Specialist Orthopaedic
SM172
Peri-Loc
2.0mm Twist-Off Screw
2.0mm Twist-Off Screw 8mm, 2.0mm Twist-Off
Screw 10mm, 2.0mm Twist-Off Screw 12mm,
2.0mm Twist-Off Screw 14mm, 2.0mm TwistOff Screw 16mm, 2.0mm Twist-Off Screw 18mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SM173
Peri-Loc
Headless Cannulated Screw
2.71mm-4.49mm Headless Cannulated Screw
8mm - 40mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SN011
TC-100 &Peri-Loc
Sterile, 14 - 26 hole
≥ 16 holes
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
SN012
TC-100 & Peri-Loc
1/3 Tubular Plates
≤ 6 holes.
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN022
TC-100
Osteotomy Blade Plates
< 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
Changed Items for Prostheses List Report
Page 171 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SN044
TC-100 & Peri-Loc
3.5mm Straight Plates
≤ 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
SN068
TC 100
Plate: Condylar
1.5mm, 2.0mm &2.7mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SN069
TC-100
3.5mm Reconstruction Plates
≥ 7 to ≤ 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
SN071
TC 100
4.5mm Straight Plates
< 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN073
TC-100
Mini L Plates & T Plates
≤ 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN075
TC 100
4.5mm Reconstruction Plates
≥ 16 Holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SN078
TC-100
4.5mm Straight Plates
> 16 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN081
TC 100 2.0mm H-plates
Sterile
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SN082
TC 100
Cortical Screws
2.01mm - 2.7mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN083
TC-100
2.0mm T Plates
≤ 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN087
TC-100
Semi-tubular plates
≥ 7 to ≤ 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN088
TC-100
Semitubular Plates
≤ 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN098
TC-100
4.5mm Reconstruction Plate
> 7 to < 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN109
TC100
3.5mm Reconstruction Plates
≤ 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN116
TC-100
2.7mm T Plates
≤ 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN118
TC-100 & Peri-Loc
3.5mm Straight Plates
≥ 7 to ≤ 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN129
TC 100 1.5mm Mini Plates
Stainless steel, Sterile
H-Plates 4 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SN130
TC-100 & Peri-Loc
3.5mm Straight Plates
≥ 7 to ≤ 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN133
TC-100
4.5mm Straight Plates
> 7 to < 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN134
TC-100
3.5mm Reconstruction Plates
≥ 16 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
SN136
TC-100
Small right angle & T plates
≤ 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 172 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SN143
TC 100
4.5mm Reconstruction Plate
< 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
SN422
Fixation Post
Tibial fixation device
25 -55mm
Changed Product Sub Group, Benefit.
SN424
ACL/PCL Reconstructions
Acufex Spiked Washer
One size only
Changed Product Group, Product Sub Group,
Benefit.
SN468
Compression Hip Screw System
Ambi Standard Barrel Plates
60mm -80mm, 2-3 slot
Changed Product Group, Product Sub Group,
Benefit.
SN470
Compression Hip Screw System
Ambi Standard Barrel Plates
260mm+, 12-14 slot
Changed Product Group, Product Sub Group,
Benefit.
SN471
Compression Hip Screw System
Ambi Short Barrel Plates
100mm, 4-5 slot
Changed Product Group, Product Sub Group,
Benefit.
SN473
Compression Hip Screw System
Classic Standard Barrel Plates
60-140mm, 2-3 slot
Changed Product Group, Product Sub Group,
Benefit.
SN475
Compression Hip Screw System
Classic Standard Barrel Plates
260mm+, 12-14 slot
Changed Product Group, Product Sub Group,
Benefit.
SN476
Compression Hip Screw System
Classic Short Barrel Plates
≤ 6 holes
Changed Size, Product Group, Product Sub
Group, Benefit.
SN489
Intermediate Osteotomy System
Lag
35 mm - 85mm, 1 1/2" - 3-3/4"
Changed Product Group, Product Sub Group,
Benefit.
SN492
Paediatric Osteotomy System
Lag Screw
22mm- 40mm
Changed Product Group, Product Sub Group,
Benefit.
SN493
Paediatric Osteotomy System
Paediatric Osteotomy System
≤ 6 holes
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
SN569
TC-100
Calcaneal Plates
≥ 7 to ≤ 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN581
TC-100
Tibia Plates, L:/E 6 Holes
≤ 6 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN582
TC-100
Tibia Plates
7 to ≤ 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN631
Cannulated Hip Pins
Rush Nails, Round Bevil Point Hook Pins
20.3mm - 254mm
Changed Product Group, Product Sub Group,
Benefit.
SN730
Accord
Orthopaedic Cable System, Titanium Plate
150-250mm
Changed Product Group, Product Sub Group,
Benefit.
SN768
Peri-Loc
Fixation Device, Internal, Locking, Stainless
Steel, Cortical & Cancellous Screw
4.0mm -5.0mm
Changed Product Group, Product Sub Group,
Benefit.
SN769
Peri-Loc
Locking Cannulated Screws
≥4.5mm
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SN784
Peri-Loc
Plates, Stainless Steel, Non-Locking, Broad, Left
& Rights
4.5mm. 18-22 hole
Changed Product Group, Product Sub Group,
Benefit.
SN796
Peri-Loc
Locking 1/3 Tubular & 3.5mm Straight Plates
≤ 6 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SN797
Peri-Loc
Locking 1/3 Tubular & 3.5mm Straight Plates
≥ 7 to ≤ 15 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 173 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SN798
Peri-Loc
Plates, Stainless Steel, Locking, Compression,
Lefts and Rights
3.5mm, 20 - 22 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SN800
Peri-Loc
3.5mm Recon Plate
≤ 6 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SN801
Peri-Loc
3.5mm Recon Plates
> 7 to < 15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN833
Peri-Loc & Peri-Loc VLP
Cortical Screws
2.01-2.7mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SN890
PROMOS Reverse Modular Shoulder System
Glenoid Bone Screw
6/20mm 6/25mm, 6/30mm, 6/35mm, 6/40mm
Changed Product Sub Group, Suffix, Benefit.
Smiths Medical Australasia Pty Ltd
3 - General Miscellaneous
SI001
Injection/Infusion Ports, Sterile - PORT-A-CATH
II Trans Arterial Percuataneous System
Port - single lumen
One size only
Changed Product Group, Product Sub Group,
Benefit.
SI003
Injection/Infusion Ports, Sterile - PORT-A-CATH
P.A.S Port T2 System
Port - single lumen
1.9 mm O.D. PolyFlow Polyurethane Catheter
Changed Product Group, Product Sub Group,
Benefit.
SI005
Injection/Infusion Ports, Sterile - PORT-A-CATH
Peritoneal System
Port - single lumen
One size only
Changed Product Group, Product Sub Group,
Benefit.
SI007
Injection/Infusion Ports, Sterile - PORT-A-CATH
Arterial Titanium System
Port - single lumen
2.3 mm silicone catheter
Changed Product Group, Product Sub Group,
Benefit.
SI008
Injection/Infusion Ports, Sterile - PORT-A-CATH
Power Titanium Venous Portal
Power Port - single lumen
1.9 mm polyurethane catheter & 6 French
introducer set
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SI010
Injection/Infusion Ports, Sterile - PORT-A-CATH
Implantable Access System - Venous Portal, with
introducer set
Port - single lumen
1.9mm polyurethane catheter
Changed Product Group, Product Sub Group,
Benefit.
SI012
Injection/Infusion Ports, Sterile - PORT-A-CATH
Low Profile Implantable Venous System, with
introducer set
Port - single lumen
1.9 mm polyurethane catheter
Changed Product Group, Product Sub Group,
Benefit.
SI014
Injection/Infusion Ports, Sterile - PORT-A-CATH
II Titanium Venous System, with introducer set
Port - single lumen
2.8 mm silicone catheter
Changed Product Group, Product Sub Group,
Benefit.
SI016
Injection/Infusion Ports, Sterile - PORT-A-CATH
II Titanium Venous System with introducer set
Port - single lumen
1.9 mm polyurethane catheter
Changed Product Group, Product Sub Group,
Benefit.
SI017
Injection/Infusion Ports, Sterile - PORT-A-CATH
Power Titanium Venous Portal with introducer set
Port - single lumen
2.6 mm polyurethane catheter
Changed Product Name, Product Group,
Product Sub Group, Benefit.
SI019
Injection/Infusion Ports, Sterile - PORT-A-CATH
II Low Profile Titanium Venous System with
introducer set
Port - single lumen
1.9 mm polyurethane catheter
Changed Product Group, Product Sub Group,
Benefit.
SI020
Injection/Infusion Ports, Sterile - PORT-A-CATH
II Epidural Low Profile System
Port - single lumen
1.2 mm O.D. polyurethane catheter
Changed Product Group, Product Sub Group,
Benefit.
SI021
Injection/Infusion Ports, Sterile - PORT-A-CATH
II Intraspinal Low Profile System
Port - single lumen
0.9 mm O.D. polyurethane catheter
Changed Product Group, Product Sub Group,
Benefit.
SI023
Injection/Infusion Ports, Sterile - PORT-A-CATH
II Dual Lumen Titanium Venous system and
introducer set
Port - dual lumen
3.4 mm silicone catheter
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 174 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SI024
Medication Cassettes (50ml & 100ml)
Pump
50 mL
Changed Product Group, Product Sub Group,
Benefit.
SI025
Medication Cassettes (50ml & 100ml)
Pump
100 mL
Changed Product Group, Product Sub Group,
Benefit.
SI026
CADD Administration Set 175cm TOTM tubing
For use with SI036
250 mL
Changed Product Group, Product Sub Group,
Benefit.
SI027
CADD Administration Sets, 198cm, with Bag
Spike & Add-on Anti-siphon Valve, TOTM
Plasticized Tubing, Model No. 21-7057-24
Pump
198 cm
Changed Product Group, Product Sub Group,
Benefit.
SI028
Extention Set (30" & 60")
Pump
76 cm
Changed Product Group, Product Sub Group,
Benefit.
SI029
Extension Set (30" & 60")
Pump
152 cm
Changed Product Group, Product Sub Group,
Benefit.
SI034
CADD-PRIZM VIP (Variable Infusion Profile)
Model 6100; CADD-PRIZM PCS Ambulatory
Infusion Pump, Model 6100
Pump
One size only
Changed Product Group, Product Sub Group,
Benefit.
SI036
Flexible Medication Reservoir, 250ml Model 216167-24
Pump
250 mL
Changed Product Group, Product Sub Group,
Benefit.
SI037
CADD Legacy 1 Model 6400 Ambulatory
Infusion Pump
Pump
One size only
Changed Product Group, Product Sub Group,
Benefit.
SI038
CADD Legacy Plus Model 6500 Ambulatory
Infusion Pump
Pump
One size only
Changed Product Group, Product Sub Group,
Benefit.
SI039
CADD Legacy PCA Model 6300 Ambulatory
Infusion Pump
Pump
One size only
Changed Product Group, Product Sub Group,
Benefit.
SI040
Administration Set
Bag Spike, Integral Anti-Siphon Valve
196cm Bag Spike, Box of 12
Changed Product Name, Product Group,
Product Sub Group, Benefit.
SI041
Administration Set
High Volume, with 0.2 Micron Filter, Male Luer,
Add On Anti Syphon Valve
Box of 15
Changed Product Group, Product Sub Group,
Benefit.
SI042
Extension Set
Microbore TOTM with 0.22 Filter, M/M Luers,
for Flolan
152cm
Changed Product Group, Product Sub Group,
Benefit.
SI044
Administration Set
High Volume, TOTM- Plasticized Blue Striped
with 1.2 Micron Filter, Male Luer, Add On AntiSiphon Valve
305cm
Changed Product Group, Product Sub Group,
Benefit.
Sorin Group
8 - Cardiac
SA141
Reply™ DR
Dual Chamber permanent Pacemaker with Rate
Response Modulation
8cc, Weight: 20grams, Dimensions:41.2 x 41.5 x
6.1mm
Changed Product Group, Product Sub Group,
Benefit.
SA142
Reply™ SR
Single chamber permenent pacemaker with rate
response modulation
37 x 41.5 x 6.1mm
19 Grams
7.5 cm3
Changed Product Group, Product Sub Group,
Benefit.
SA143
ESPRIT SR
Single Chamber Permanent Pacemaker with Rate
Response Modulation
Dimensions: 37.4 x 41.5 x 6.1mm Weight :
19grams. Volume: 7.5 cm3
Changed Product Group, Product Sub Group,
Benefit.
SA144
ESPRIT DR
Dual Chamber Permanent Pacemaker with Rate
Response Modulation
8cc, Weight: 20grams, Dimensions:41.2 x 41.5 x
6.1mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 175 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SA145
PARADYM CRT-D 8750
Implantable Cardioverter Defibrillator with
Cardiac Resynchronisation therapy, High Energy
34cc, 94 grams; 61.8 x 73.4 x 11mm
Changed Product Group, Product Sub Group,
Benefit.
SA147
Paradym DR 8550
Dual Chamber, High Energy, Implantable
Cardioverter Defibrillator with rate response
Weight: 90 grams; Volume: 32.6cc; Dimensions:
58.4 x 73.4 x 11mm
Changed Product Group, Product Sub Group,
Benefit.
SA149
PARADYM VR 8250
Single Chamber implantable cardioverter
defibrillator with rate response
Dimensions: 58.4 x 73.4 x 11mm; Weight: 90
grams; Volume: 32.6cc
Changed Product Group, Product Sub Group,
Benefit.
SA151
Physique ER Series
Steroid eluting active fixation pacing lead.
Permanent pacing lead, Model Physique ER is
indicated for the pacing and sensing of the
ventricle or atrium. This permanent pacing lead
is used in conjunction with a compatible
implantable pulse generator. P
The lead comes in 44, 48, 52 and 58cm lengths
and has a 4.8F lead body
Changed Description, Product Group, Product
Sub Group, Benefit.
SA152
Refino ER Series
Steroid eluting passive fixation pacing lead.
Permanent pacing lead, Model Refino ER, is
indicated for the pacing and sensing of the
ventricle. This permanent pacing lead is used in
conjunction with an IS-1 compatible implantable
pulse generator (pacema
The lead comes in 44, 48, 52 and 58cm lengths
and has a 6.0F (polyurethane 6.3F (silicone) lead
body
Changed Description, Product Group, Product
Sub Group, Benefit.
SA153
PY2-ER Series
Steroid eluting active fixation pacing lead.
Permanent pacing lead PY2-ER series, is
indicated for pacing and sensing of the ventricle
and/or atrium of the heart. This lead is used in
conjunction with a compatible implantable pulse
generator (Pacemaker)
The lead comes in 44, 48, 52, 58cm lengths and
has a 6.3F lead body
Changed Product Group, Product Sub Group,
Benefit.
SA154
Petite ER Series
Steroid eluting passive fixation pacing lead.
Permanent pacing lead, Petite ER series, is
indicated for the pacing and sensing of the
ventricle. This permanent pacing lead is used in
conjunction with an IS-1 compatible implantable
pulse generator (pacema
The lead comes in 44, 48, 52, 58, 70 and 78cm
lengths and has a 4.8 F lead body.
Changed Description, Product Group, Product
Sub Group, Benefit.
9 - Cardiothoracic
SA127
AnnuloFlo Annuloplasty System
Annuloflex Ring or AnnuloFlo Ring
26-36mm
Changed Product Group, Product Sub Group,
Benefit.
SA128
CarboSeal Ascending Aortic Prosthesis, sterile,
CarboSeal Ascending Aortic Prosthesis with
Handle Model AP21, Model AP23, Model AP25,
Model AP27, Model AP29, Model AP31, Model
AP33, Carboseal Valsalva
Mechanical Conduit
AP 21-33mm, CP 21 - 33mm
Changed Product Group, Product Sub Group,
Benefit.
SA129
Optiform
Mechanical Valve
19mm to 33mm
Changed Product Group, Product Sub Group,
Benefit.
SA130
Mitroflow
Pericardial Bioprosthesis
19-27mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SA150
MEMO 3D
Memo 3D Semirigid Mitral Annuloplasty Ring,
with 3D flexibility and coasted with Carbofilm
24-38mm
Changed Product Group, Product Sub Group,
Benefit.
SA155
Mitroflow
Mitroflow Aortic Pericardial Heart Valve (Model
LX)
19, 21, 23, 25, 27mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 176 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
Spectrum Surgical
7 - Plastic and Reconstructive
SO041
Osmed Sphere / Hemisphere tissue expander
Self inflating, Hydrogel
6mm, 8mm, 9mm, 10mm
Changed Product Group, Product Sub Group,
Benefit.
SO042
Osmed Tissue Expanders
Self inflating, Hydrogel
0.24ml-650ml
Changed Product Group, Product Sub Group,
Benefit.
St Jude Medical Australia Pty Ltd
10 - Vascular
SJ014
Angio-Seal Vascular Closure Device - STS
Platform and STS Plus
Angio-Seal Haemostatic Puncture Closure
Device, Models 6F-STS Platform and 6F STS Plus
6F
Changed Product Group, Product Sub Group,
Benefit.
SJ015
Angio-Seal Vascular Closure Device - STS
Platform and STS Plus
Angio-Seal Haemostatic Puncture Closure
Device, Models 8F-STS Platform and 8F STS Plus
8F
Changed Product Group, Product Sub Group,
Benefit.
SJ042
Intergard W
Woven Bifurcated
18mm x 9mm - 24mm x 12mm
Changed Description, Product Group, Product
Sub Group, Benefit.
SJ043
Intergard W
Woven Aortic Arch
24mm x 10mm x 8mm x 8mm x 50cm - 30mm x
10mm x 8mm x 8mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ045
Intergard K
Knitted Bifurcated
12mm x 6mm - 24mm x 12mm
Changed Description, Product Group, Product
Sub Group, Benefit.
SJ046
Intergard K
Knitted Radially Supported
6mm x 70cm - 8mm x 60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ047
Intergard K
Knitted Axillobifemoral
Diameter (mm) Length (cm) 8 x 8 100/60; 10 x
10 100/60; 8 x 6 x 6 85/55; 8 x 8 85/55; 8 x 8
100/55
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ094
Angio-Seal VIP
Angio-Seal Haemostatic Puncture Closure Device
Models 6F STS Platform, 6F STS Plus and 7F VIP
6F
Changed Product Group, Product Sub Group,
Benefit.
SJ095
Angio-Seal VIP
Angio-Seal Haemostatic Puncture Closure Device
Models 8F STS Platform, 8F STS Plus and 8F VIP
8F
Changed Product Group, Product Sub Group,
Benefit.
SJ107
InterGard HemaBridge
Aortic Graft
20 x 10mm - 36 x 10mm diameter, 35 x 40cm
length
Changed Product Group, Product Sub Group,
Benefit.
SJ112
InterGuard UltraThin Knitted
Radially Supported Straight
6mm - 70cm to 8mm - 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ155
Angio-Seal Evolution
Haemostatic Puncture Closure Device 6F-8F
6F and 8F
Changed Product Group, Product Sub Group,
Benefit.
SJ218
FemoSeal Vascular Closure System
Haemostatic Puncture Closure Device
One Size
Changed Product Group, Product Sub Group,
Benefit.
SJ219
Intergard W – Woven straight
Woven straight
6-8mm, 30cm
Changed Product Group, Product Sub Group,
Benefit.
SJ221
Intergard W – Woven Straight
Woven Straight
10-32mm, 60-70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ222
Intergard K Knitted Straight
Knitted straight
20-40cm, 10-24mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 177 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SJ223
Intergard K Knitted straight
Knitted straight
10mm 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ224
InterGard Knitted Ultrathin
Straight
6-8mm X 40cm
Changed Product Group, Product Sub Group,
Benefit.
SJ225
InterGard Knitted Ultrathin
Straight
6-8mm X 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ226
Interflow UltraThin
ePTFE vascular graft
6-8mm X 40cm
Changed Product Group, Product Sub Group,
Benefit.
SJ227
Interflow UltraThin
ePTFE vascular graft
6-8mm X 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ228
Interflow Ultrathin Radially Supported
ePTFE vascular graft with radial support
6-8mm X 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ229
Interflow Ultrathin Radially Supported
ePTFE vascular graft with radial support
6-8mm X 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ265
Amplatzer Vascular Plug
Self expandable nitinol wire mesh
Diameter 4mm - 16mm, Length 7 & 8mm
Changed Product Group, Product Sub Group,
Benefit.
SJ266
AMPLATZER Vascular Plug - II
The AMPLATZER Vascular Plug II is a selfexpandable, multi-lobed cylindraical device made
from a nitinol wire mesh.
9-AVP2-003, 3mm Diameter, 6mm Plug Length,
9-AVP2-004, 4mm Diameter, 6mm Plug Length,
9-AVP2-006, 6mm Diameter, 6mm Plug Length,
9-AVP2-008, 8mm Diameter, 7mm Plug Length,
9-AVP2-010, 10mm Diameter, 7mm Plug
Length, 9-AVP2-012, 12mm Diameter, 9mm
Plug Length, 9-AVP2-014, 14mm Diameter,
10mm Plug Length, 9-AVP2-016, 16mm
Diameter, 12mm Plug Length, 9-AVP2-018,
18mm Diameter, 14mm Plug Length, 9-AVP2020, 20mm Diameter, 16mm Plug Length, 9AVP2-022, 22mm Diameter, 18mm Plug Length
Changed Product Group, Product Sub Group,
Benefit.
SJ268
Amplatzer Vascular Plug III
AVP III is a self-expanding, Nitinol mesh
occlusion device.
Size: (mm): 4, 6, 8, 10, 10, 12, 12, 14, 14 Long
Axis (mm): 4, 6, 8, 10, 10, 12, 12, 14, 14 Length
(mm): 6.5
Changed Product Group, Product Sub Group,
Benefit.
SJ269
AMPLATZER Vascular Plug 4
The AMPLATZER Vascular Plug 4 (AVP4) is a
self-expanding, Nitinol mesh occlusion device.
The Device has a radiopaque marker band at each
end and a micro screw attachment at one end for
attaching to the delivery wire. The AVP4 fits
through a 0.038 guidewire compatible diagnostic
catheter allowing the use of the same catheter
throughout the procedure rather than having to
exchange the diagnostic catheter for a second
delivery catheter to place a plug.
4mm 4 diameter 10.0 length
5mm 5 diameter 10.5 length
6mm 6 diameter 11.0 length
7mm 7 diameter 12.5 length
8mm 8 diameter 13.5 length
Changed Product Group, Product Sub Group,
Benefit.
4 - Neurosurgical
SJ133
Eon Mini Neurostimulation System - Implantable
Pulse Generator 3788
Eon Mini Neurostimulation System - Implantable
Pulse Generator 3788
18cc, 29g
Changed Product Group, Product Sub Group,
Benefit.
SJ138
Lamitrode Lead - Tripole 16C
Tripole 16C - 3214, 3128, 3219, 3220, 3221
30-110cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 178 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SJ148
Libra Deep Brain Stimulation System - Leads
6142 - 6149
DBS Leads 6142-6145 1.5mm electrode and
space 1.5mm; 6146-6149 1.5mm electrode and
0.5mm space
25-40cm
Changed Product Group, Product Sub Group,
Benefit.
SJ149
Libra Deep Brain Stimulation System - Lead
Extensions 6345 and 6346
4 Channel DBS Lead Extension
50-60cm
Changed Product Group, Product Sub Group,
Benefit.
SJ160
ANS Spinal Cord Stimulation System (SCS)
Lead Extensions - in addition to 3341, 3342,
3343, 3382 and 3383, additional model 3346 Dual Quad Extension and 3386 - single octrode
extension
60cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ161
ANS Spinal Cord Stimulation System (SCS)
Octrode Lead. 8 Electrode (thoracic or cervical
placement).
30cm, 60cm, 90cm 110cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ162
ANS Spinal Cord Stimulation System (SCS)
Quattrode Lead. 4 Electrode.
30cm, 60cm, 90cm 110cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ165
ANS Spinal Cord Stimulation System (SCS)
Trial Lead. Temporary Screening Lead
30cm, 60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ168
ANS Spinal Cord Stimulation System (SCS)
Lamitrode Plate Electrode
60cm, 90cm, 110cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ169
ANS Spinal Cord Stimulation System (SCS)
Lamitrode Dual 8 Plate Electrode Lead
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ171
ANS Spinal Cord Stimulation System (SCS)
GENESIS
Implantable Pulse Generator - Genesis Model
3608
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ172
ANS Spinal Cord Stimulation System (SCS)
GENESIS
Patient Programmer Model 3850
One size only
Changed Product Group, Product Sub Group,
Benefit.
SJ173
ANS Spinal Cord Stimulation System (SCS)
GENESIS
Communication Magnet Model 1210
One type only
Changed Product Group, Product Sub Group,
Benefit.
SJ177
ANS Spinal Cord Stimulation System (SCS)
GENESIS
QuikLink Patient Programmer Model 3860
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
SJ178
A127 Lead Extension
A127 Lead Extension
15cm, 40cm, 60cm, 90cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ182
Eon Neurostimulation System
Eon Neurostimulation Implantable Pulse
Generator #3716
Height = 59mm
Changed Product Group, Product Sub Group,
Benefit.
SJ183
Eon Neurostimulation System
Eon Programmer #3851
.
Changed Product Group, Product Sub Group,
Benefit.
SJ184
Lamitrode S Series Leads
Lamitrode S Series, 8 Channel, Model # 3283
Length = 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ185
Lamitrode S Series
Lamitrode S Series, 8 Channel, Model # 3286
Length = 60cm, 90cm, 110cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ186
Lamitrode S Series Leads
Lamitrode S Series, 4 Channel, Model # 3243
Length = 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ187
Lamitrode S Series Leads
Lamitrode S Series, 4 Channel, Model # 3246
Length = 60cm, 90cm, 110cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ188
Lamitrode C Series Leads
Lamitrode C Series, 8 Channel, Model # 3245
Length = 60cm, 90cm, 110cmm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ191
Lamitrode C Series Leads
Lamitrode C Series, 16 Channel, Model # 3289
Length = 60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 179 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SJ197
Libra Deep Brain Stimulation System - Libra
IPG - 6608
Implantable pulse generator for deep brain
stimulation - 8 channel
50mm x 54mm x 14mm
Changed Product Group, Product Sub Group,
Benefit.
SJ198
MicroTargeting Electrodes
Microtargeting mono- and bipolar- electrodes
100-300mm
Changed Product Group, Benefit.
SJ199
Guardian Burr Hole Cover System
Cranial Burr Hole Cover
14 - 17mm outer diameter
Changed Product Group, Product Sub Group,
Benefit.
SJ202
Brio DBS Implantable Pulse Generator 6788
Dual Channel 16 Contact rechargeable IPG
29g, 17cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ203
Brio DBS Charging System 6721
Charging System Model 6721
One size only
Changed Product Group, Product Sub Group,
Benefit.
SJ204
Brio DBS Patient Controller 6856
Patient Controller for DBS
One size only
Changed Product Group, Product Sub Group,
Benefit.
SJ206
Libra XP DBS IPG 6644
Implantable pulse generation for deep brain
stimulation - Dual 4 Channel
76mm x 58mm x 14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ209
Eon Mini Neurostimulation System - Charging
System Model 3721
Charging System Model 3721
One size only
Changed Product Group, Product Sub Group,
Benefit.
SJ210
Eon C IPG 3688
16 channel non-rechargeable multi-program
implantable pulse generator
49cc
Changed Product Group, Product Sub Group,
Benefit.
SJ211
Eon Neurostimulation System - Mobile Charging
System 3711
Mobile Charging System
One size
Changed Product Group, Product Sub Group,
Benefit.
SJ231
Penta Leads
Paddle leads (Penta Leads have a curved paddle
instead of a conventional flat paddle)
2-3mm, 30cm-110cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ234
Pocket Adaptor
IS-1 Pocket Adaptor
25cm and 50cm
Changed Product Group, Product Sub Group,
Benefit.
8 - Cardiac
SJ027
St Jude Medical Microny II SR+ Model 2525T
Pacemaker
Single Chamber Rate Responsive Pacemaker
Volume 5.9cc, Weight 12.8gm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ051
Verity Adx Implantable Pacemaker, Models XL
DR 5356 and XL DR 5357M/S
Dual - Chamber, multi-programmable, rateresponsive pacemaker withAF suppression
45x52x6mm,11cc, 23g, 5mm or 6mm M/S
Changed Product Group, Product Sub Group,
Benefit.
SJ054
Identity ADx Model VDR 5480 implantable
pacemaker
Single Chamber multi-programmable rateadaptive pacing device with extended longevity
8cc, 18g
Changed Product Group, Product Sub Group,
Benefit.
SJ059
Identity ADx Models DR 5380 and XL DR 5386
Dual-Chamber, multi-programmable, rateadaptive pacing devices with AF suppression
ADx DR 5380: 43x44x6mm, 18g and 8cc ADx
XL DR 5386: 44x52x6mm, 23.5g and 11cc
Changed Product Group, Product Sub Group,
Benefit.
SJ060
Identity ADx Model SR 5180 implantable
pacemaker
Single Chamber multi-programmable rateadaptive pacing device
8cc, 18g
Changed Product Group, Product Sub Group,
Benefit.
SJ066
Atlas + VR - C Model V-193C ICD
Single chamber implantable cardio-verter
defibrillator
38cc, 77g
Changed Product Group, Product Sub Group,
Benefit.
SJ072
Frontier II - Model 5596
Biventricular Cardiac Resynchronisation Device
with AF suppression algorithm - Titanum
49mm(h) x 52(1) x 6(t), 25g
Changed Product Group, Product Sub Group,
Benefit.
SJ073
Tendril SDX Models 1688T and 1688TC
Endocardial Steroid-Eluting Active Fixation
Pacing Lead
100cm, 25cm, 34cm, 40cm, 46cm, 52cm, 58cm,
85cm, 7F
Changed Product Group, Product Sub Group,
Benefit.
SJ076
Verity Adx Model XL SR 5157 M/S implantable
pacemaker
Single Chamber multi-programmable rateadaptive pacing devices with extended longevity
11cc, 23g
Changed Product Group, Product Sub Group,
Benefit.
SJ077
Verity Adx Models XL SR 5156 implantable
pacemaker
Single Chamber multi-programmable rateadaptive pacing devices with extended longevity
11cc, 23g
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 180 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SJ079
QuickSite Model 1056K
Unipolar, Steroid Eluting, Titanium Nitride
Electrode, Guidewire/Stylet-placed Left Heart
Lead with Fast-Pass Coating
75cm, 6F and 86cm, 6F
Changed Product Group, Product Sub Group,
Benefit.
SJ082
Isoflex S, Models 1646T, 1642T and 1636T
endocardial, Steroid Eluting, Silicone, Passive
Fixation Pacing Leads with Fast-Pass Coating
34cm, 40cm, 46cm, 52cm, 58cm, 85cm, 7F,
120cm 8F
Changed Product Group, Product Sub Group,
Benefit.
SJ089
Victory XL DR 5816 and DR 5810
Dual Chamber Rate Responsive Pacemakers
44x52x6mm; 23.5g; 11cc
Changed Product Group, Product Sub Group,
Benefit.
SJ090
Victory SR 5610
single chamber rate responsive pacemaker
41x44x46mm 17g 8cc
Changed Product Group, Product Sub Group,
Benefit.
SJ091
Premere PFO Closure System
Percutaneous, transcatheter, self-expanding, dual
anchor, occlusion and apposition device
Left Atrial Anchor diameter 20mm, 25mm and
30mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ103
Zephyr XL DR 5826 and DR 5820
Dual Chamber Rate-Responsive Pacemaker
5826 - 23.5g, 11cc and 5820 - 18g, 8.5cc
Changed Product Group, Product Sub Group,
Benefit.
SJ105
Zephyr SR 5620
Single Chamber Rate-Responsive Pacemaker
8cc, 17g
Changed Product Group, Product Sub Group,
Benefit.
SJ109
Atlas II+ HF V-367
Cardiac Resynchronisation Therapy Defibrillator
with V-V Timing Programmability
41cc, 79g
Changed Product Group, Product Sub Group,
Benefit.
SJ114
Atlas II VR-168
Single chamber cardioverter defibrillator
38cc, 77g
Changed Product Group, Product Sub Group,
Benefit.
SJ115
Atlas II+ DR V-268
Dual Chamber Cardioverter Defibrillator
39cc, 78g
Changed Product Group, Product Sub Group,
Benefit.
SJ118
OptiSense 1699T/1699TC
Endocardial, Bi-polar Active-fixation Pacing
Leads with Optim Insulation
40-58cm
Changed Product Group, Product Sub Group,
Benefit.
SJ120
Current DR RF 2207
Dual Chamber Cardioverter Defibrillator with RF
Telemetry
80g, 42cc
Changed Product Group, Product Sub Group,
Benefit.
SJ121
Current VR 1107-36
Single Chamber Cardioverter Defibrillator
38cc 76g
Changed Product Group, Product Sub Group,
Benefit.
SJ122
Riata ST Optim 7020/1/2 and 7030/1
7020/1 - Active fixation, true bipolar, 7022 Active fixation, true bipolar - single coil, 7030/1 Active fixation, integrated bipolar, dual coil
steroid eluting endocardial defibrillation leads
with Optim insulation overlay
60, 65 and 75cm length and 7Fr introducer
Changed Product Group, Product Sub Group,
Benefit.
SJ123
Current DR 2107
Dual Chamber Cardio-verter Defibrillator
39cc 78g
Changed Product Group, Product Sub Group,
Benefit.
SJ124
Current RF VR 1207-36
Single Chamber Cardioverter Defibrillator with
RF Telemetry
79g, 41cc
Changed Product Group, Product Sub Group,
Benefit.
SJ125
Tendril ST 1788T/TC and 1782TC
Endocardial Bipolar Steroid-Eluting Active
Fixation Pacing Leads
40cm, 46cm, 52cm, 58cm, 65cm
Changed Product Group, Product Sub Group,
Benefit.
SJ128
Promote RF CRT-D 3213
Cardiac Resynchronisation Therapy Defibrillator
with RF Telemetry
43cc, 82g
Changed Product Group, Product Sub Group,
Benefit.
SJ129
Tendril ST 1888TC and 1882TC
Endocardial Bi-polar Steroid-Eluting Active
Fixation Pacing Leads
46-65cm
Changed Product Group, Product Sub Group,
Benefit.
SJ130
Riata ST Optim 7070/1
Passive Fixation, True bipolar, Dual Coil, Steroid
Eluting, Endocardial Defibrillation Leads with
Optim insulation overlay
60, 65 and 70cm length, 7Fr introducer
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 181 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SJ131
Zephyr XL SR 5626
Single-Chamber Rate-Responsive Pacemaker
23.5g and 10.4cc
Changed Product Group, Product Sub Group,
Benefit.
SJ132
Myodex 1084T
Steroid-Eluting Bipolar Sutureless Myocardial
Pacing Lead with Titanium Nitride Electrodes
35cm and 54cm
Changed Product Group, Product Sub Group,
Benefit.
SJ139
Quickflex 1156T and XL 1158T
Bipolar, Steroid-Eluting, Titanium Nitride
Coated Elextrodes, Guidewire/Stylet-Placed Left
Heart Lead with Fast-PassTM Coating
Length 75 and 86cm
Changed Product Group, Product Sub Group,
Benefit.
SJ140
Myodex 1084T and FasTac Flex Lead Implant
Tool
Steroid -Eluting Bipolar Sutureless Myocardial
Pacing Lead with Titanium Nitride Electrodes
and Lead implant tool with articulating distal end.
35cm and 54cm, Lead implant tool - 44cm
Changed Product Group, Product Sub Group,
Benefit.
SJ142
Analyst VR CD1217-36
Single Chamber Cardioverter Defibrillator with
RF Telemetry and ST Segment Monitoring
79g, 41cc
Changed Product Group, Product Sub Group,
Benefit.
SJ143
AnalyST Accel DR CD2219-36
Dual Chamber cardioverter defibrillator with RF
telemetry and ST Segment Monitoring
80g, 42cc
Changed Product Group, Product Sub Group,
Benefit.
SJ144
AnalyST DR Model CD2217-36
Dual Chamber cardioverter defibrillator with RF
telemetry and ST Segment Monitoring
80g, 42cm
Changed Product Group, Product Sub Group,
Benefit.
SJ145
Promote Accel CD3215-30
Cardiac Resyncronisation Therapy Defibrillator
with RF Telemetry
76g, 39cc
Changed Product Group, Product Sub Group,
Benefit.
SJ146
Isoflex 1944T & 1948T
Passive-Fixation, Bipolar, Steriod Eluting,
Endocardial Pacing Lead with Optim insulation
46cm, 52cm, 58cm
Changed Product Group, Product Sub Group,
Benefit.
SJ147
Current Accel VR RF CD1215-36
Single Chamber Cardioverter Defibrillator with
RF Telemetry
79g, 38cc
Changed Product Group, Product Sub Group,
Benefit.
SJ150
Promote Accel RF CD3215-36
Cardiac Resynchronisation Therapy Defibrillator
with RF Telemetry
82g, 43cc
Changed Product Group, Product Sub Group,
Benefit.
SJ151
OptiSense Model 1999
Active-Fixation Bipolar, Steroid Eluting,
endocardial, atrial pacing lead with Optim
insulation
40, 46 & 52cm
Changed Product Group, Product Sub Group,
Benefit.
SJ153
Current Accel DR RF CD2215-36
Dual Chamber Cardioverter Defibrillator with RF
Telemetry
80g, 42cc
Changed Product Group, Product Sub Group,
Benefit.
SJ154
AnalyST Accel VR CD1219-36
Single Chamber Cardioverter Defibrillator with
RF Telemetry and ST Segment Monitoring
79g, 41cc
Changed Product Group, Product Sub Group,
Benefit.
SJ157
Durata 7120, 7121, 7122, 7130, 7131
Active fixation bipolar, dual-coil/single coil
Steroid-eluting Endocardial Defibrillation Leads
60, 65, 75cm
Changed Product Group, Product Sub Group,
Benefit.
SJ158
Durata 7170, 7171
Passive fixation, true bipolar, dual coil, steroid
eluting, endocardial defibrillation leads with
Optium insulation overlay
60, 65 and 70cm
Changed Product Group, Product Sub Group,
Benefit.
SJ193
Accent DR PM 2112
Dual Chamber Pacemaker
19g, 10.5cc
Changed Product Group, Product Sub Group,
Benefit.
SJ194
Anthem PM3112 CRT Pacemaker
Cardiac Resynchronisation Therapy Pacemaker
21g, 11.5cc
Changed Product Group, Product Sub Group,
Benefit.
SJ196
Accent DR RF PM2212
Dual chamber Pacemaker with RF telemetry
236, 12.8cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ200
Accent SR RF PM1210
Single Chamber Pacemaker with RF telemetry
23g, 12.8cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 182 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SJ205
Accent SR PM 1110
Single Chamber Rate Responsive Pacemaker
18g, 9.5cc
Changed Product Group, Product Sub Group,
Benefit.
SJ207
Anthem RF PM3212
CRT Pacemaker with RF telemetry
25g, 13.7cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ208
Quick Flex µ 1258T
4F Bipolar Left Ventricular Pacing Lead
75cm, 86cm, 92cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ212
AnalyST Accel VR CD1219-30
Single chamber cardioverter defibrillator with RF
telemetry and ST segment monitoring
73g, 37cc
Changed Product Group, Product Sub Group,
Benefit.
SJ213
Current Accel VR RF CD1215-30
Single chamber cardioverter defibrillator with RF
telemetry
73g, 37cc
Changed Product Group, Product Sub Group,
Benefit.
SJ214
Current Accel DR RF CD2215-30
Dual chamber cardioverter defribillator with RF
telemetry
74g, 38cc
Changed Product Group, Product Sub Group,
Benefit.
SJ215
AnalyST DR CD2217-30
Dual chamber cardioverter defribillator with RF
telemetry and ST segment monitoring
74g, 38cc
Changed Product Group, Product Sub Group,
Benefit.
SJ216
AnalyST VR CD1217-30
Single chamber cardioverter defibrillator with RF
telemetry and ST segment monitoring
73g, 37cc
Changed Product Group, Product Sub Group,
Benefit.
SJ217
AnalyST Accel DR CD2219-30
Dual Chamber cardioverter defibrillator with RF
telemetry and ST segment monitoring
74g, 38cc
Changed Product Group, Product Sub Group,
Benefit.
SJ230
Durata 7120Q, 7121Q and 7122Q
7120/1Q - Adtive fixation, true bipolar; 7122Q Active fixation true bipolar - single coil steroid
eluting endocardial defibrillation leads with
Optim insulation overlay and SJ4 quadripolar
lead connector.
52cm, 58cm and 65cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ232
Current Accel VR CD1215-36Q
Single Chamber Cardioverter Defibrillator with
RF Telemetry and SJ4 connector
80g, 42cc
Changed Product Group, Product Sub Group,
Benefit.
SJ233
Riata ST Optim 7020Q, 7021Q, 7022Q
7020/1Q - Active fixation, true bipolar; 7022Q Active fixation true bipolar - single coil steroid
eluting endocardial defibrillation leads with
Optim insulation overlay and SJ4 quadripolar
lead connector.
52cm, 58cm and 65cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ235
AnalyST Accel DR CD2219-36Q
Dual chamber cardioverter defibrillator with RF
telemetry and ST segment monitoring and SJ4
connector
80g, 41cc
Changed Product Group, Product Sub Group,
Benefit.
SJ236
Promote Accel CD3215-36Q
Cardiac Resynchronisation Therapy Defibrillator
with RF Telemetry and SJ4 connector
82g, 43cc
Changed Product Group, Product Sub Group,
Benefit.
SJ237
AnalyST Accel VR CD1219-36Q
Single Chamber Cardioverter Defibrillator with
RF Telemetry and ST Segment Monitoring and
SJ4 connector.
79g, 41cc
Changed Product Group, Product Sub Group,
Benefit.
SJ238
Tendril STS 1988TC and 2088TC
Endocardial Bi-polar Steroid-Eluting Adtive
Fixation Pacing Leads
46cm, 52cm and 58cm
Changed Product Group, Product Sub Group,
Benefit.
SJ239
Current Accel DR CD2215-36Q
Dual Chamber Cardioverter Defibrillator with RF
Telemetry and SJ4 connector
80g, 41cc
Changed Product Group, Product Sub Group,
Benefit.
SJ240
Fortify VR CD1233-40Q
Single chamber cardioverter defribillator with 40J
delivered energy with SJ4 connector
35cc, 75g
Changed Product Group, Product Sub Group,
Benefit.
SJ241
Fortify DR CD2233-40
Dual chamber cardioverter defibrillator with 40J
delivered energy
35cc, 76g
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 183 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SJ242
Fortify VR CD1233-40
Single chamber cardioverter defibrillator with 40J
delivered energy
35cc, 75g
Changed Description, Product Group, Product
Sub Group, Benefit.
SJ243
Quartet 1458Q
Quadripolar, Left Ventricular Pacing Lead with
Optim Lead Insulation
75, 86 and 92cm, 5 French introducer
Changed Product Group, Product Sub Group,
Benefit.
SJ244
Unify CRT CD3235-40Q
Cardiac Resynchronisation Therapy Defibrillator
with 40J delivered energy and SJ4 connector
36cc, 77g
Changed Product Group, Product Sub Group,
Benefit.
SJ245
Durata 7170Q, 7171Q and 7172Q
7170Q/7171Q - passive fixation, bipolar, dual
coil, 7172Q - passive fixation, bipolar - single
coil steroid eluting endocardial defibrillation
leads with Optim insulation overlay and SJ4
quadripolar lead connector
52, 58 and 65cm, 7F introducer
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ246
Unify CRT CD3235-40
Cardiac Resynchronisation Therapy Defibrillator
with 40J delivered
36cc, 78g
Changed Product Group, Product Sub Group,
Benefit.
SJ247
Fortify ST VR 1235-40Q
Single chamber cardioverter defibrillator with 40J
delivered energy and ST segment monitoring and
SJ4 connector
35cc, 75g
Changed Product Group, Product Sub Group,
Benefit.
SJ248
Fortify ST DR CD2235-40
Dual chamber cardioverter defibrillator with 40J
delivered energy and ST segment monitoring
35cc, 76g
Changed Product Group, Product Sub Group,
Benefit.
SJ249
Fortify DR CD2233-40Q
Dual chamber cardioverter defibrillator with 40J
delivered energy
35cc, 76g
Changed Product Group, Product Sub Group,
Benefit.
SJ250
Fortify ST DR CD2235-40Q
Dual chamber cadioverter defibrillator with 40J
delivered energy and ST segment monitoring
35cc, 75g
Changed Product Group, Product Sub Group,
Benefit.
SJ251
Fortify ST VR CD1235-40
Single chamber cardioverter defibrillator with 40J
delivered energy and ST segment monitoring
35cc, 75g
Changed Product Group, Product Sub Group,
Benefit.
SJ252
Promote Quadra CRT CD3239-40Q
Cardiac Resynchronisation Therapy Defibrillator
with 40J delivered energy and VectSelect Quartet
Programmable LV pulse configuration and SJ 4
connector
46cc, 88g
Changed Product Group, Product Sub Group,
Benefit.
SJ253
Promote Quadra CRT CD3239-40
Cardiac Resynchronisation Therapy Defibrillator
with 40J delivered energy and VectSelect Quartet
Programmable LV pulse configuration
46cc, 88g
Changed Product Group, Product Sub Group,
Benefit.
SJ254
Accent ST RF PM2222
Dual Chamber Pacemeker with ST Segment
Monitoring and RF Telemetry
23g, 12.9cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ255
Accent ST PM1122
Single Chamber Pacemaker with ST segment
monitoring
21g, 9.5cc
Changed Product Group, Product Sub Group,
Benefit.
SJ256
Accent ST PM2122
Dual Chamber Pacemaker with ST segment
monitoring
10.5cc, 19g
Changed Product Group, Product Sub Group,
Benefit.
SJ257
Accent ST RF PM1222
Single Chamber Pacemaker with ST Segment
Monitoring and RF Telemetry
12.8g, 23g
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ258
Accent MRI DR RF PM2224
Dual Chamber Pacemaker with RF Telemetry and
MRI testing capability
24g, 13.1cc
Changed Product Group, Product Sub Group,
Benefit.
SJ259
Accent MRI SR RF PM1224
Single Chamber Pacemaker with RF Telemetry
and MRI testing capability
23g, 13.1cc
Changed Product Group, Product Sub Group,
Benefit.
SJ260
Amplatzer Duct Occluder
Nitinol Wire Mesh
5 - 24mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 184 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SJ261
Amplatzer Septal Occluder
Nitinol Wire Mesh
4mm - 40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ262
Amplatzer Muscular VSD Occluder
Nitinol Wire Mesh
4 - 24mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ263
Amplatzer PFO Occluder
Nitinol Wire Mesh
25mm & 35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ264
Amplatzer Membranous VSD Occluder
Nitinol wire mesh, double disc occluder and
delivery system
4-24mm, Length 7-10mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ267
AMPLATZER Duct Occluder II
Self expandable multiple Nitinol wire mesh PDA
occlusion device
Waist diameter 3-6mm, Nominal length 4-6mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
9 - Cardiothoracic
SJ035
SJM Tailor Annuloplasty Ring
Fully Flexible
25mm - 35mm
Changed Product Group, Product Sub Group,
Benefit.
SJ036
St Jude Medical Coated Aortic Valved Graft
Coated Aortic Valved Graft
21mm - 33mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ037
St Jude Medical Aortic Expanded Cuff Heart
Valve; St Jude Medical Aortic Hemodynamic
Plus Cuff Heart Valve; St Jude Medical Mitral
Hemodynamic Plus Cuff Heart Valve; St Jude
Medical Mechanical Heart Valve Masters Series
Aortic Expanded Cuff, Aortic Hemodynamic Plus
Cuff, Mitral Hemodynamic Cuff, Aortic & Mitral
Rotatable Cuff
Aortic Expanded 19 -31mm, Aortic
Hemodynamic 17 - 27mm, Mitral Hemodynamic
17 -27mm, Rotatable 17 - 33mm
Changed Product Group, Product Sub Group,
Benefit.
SJ039
Regent Prosthestic Heart Valves
Standard Cuff - Model 17AGFN-751 - 23AGFN751, Flex Cuff - Mode 17AGFN-756 - 23AGFN756
Standard cuff - 17-23mm, Flex cuff - 17-23mm
Changed Product Group, Product Sub Group,
Benefit.
SJ087
St Jude Medical Rigid Saddle Ring
Rigid Annuloplasty Ring
24 - 34mm
Changed Product Group, Product Sub Group,
Benefit.
SJ088
SJM Tailor Annuloplasty Band
Flexible double-velour, polyester fabric
25 - 35mm
Changed Product Group, Product Sub Group,
Benefit.
SJ104
SJM Masters Series Aortic Valved Prosthesis VAVGJ
St Jude Medical Mechanical Heart Valve sewn
into the base of a woven polyester fibre graft
which has been impregnated with bovine-derived
gelatin
Annulus Diameter 19-29mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ116
Regent Prosthestic Heart Valves
Standard Cuff - Model 25AGFN-751 - 29AGFN751, Flex Cuff - Mode 25AGFN-756 - 29AGFN756
Standard cuff - 25-29mm, Flex cuff - 25-29mm
Changed Product Group, Product Sub Group,
Benefit.
SJ136
SJM Biocor Heart Valve
Stented Porcine tissue valve
Aortic Valves - Tissue Annulus Diameter - 21 29mm
Mitral Valves - Tissue Annulus Diameter 25-35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ192
Epic Flexfit
Triple-composite Bioprosthetic heart valve
Aortic Valves 21-29mm tissue annulus diameter,
14-20mm total height. Mitral Valves 25-33mm
tissue annulus diameter, 15-20mm total height.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SJ195
Attune Flexible Adjustable Annuloplasty Ring
Flexible annuloplasty ring
25mm - 43mm
Changed Product Group, Product Sub Group,
Benefit.
SJ201
Epic FlexFit Supra
Triple-composite Bioprosthetic heart valve for
supra-annular placement in the aortic position
Tissue Annulus Diameter - 19mm-23mm. Total
Height 14mm-16mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 185 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
Straumann Pty Ltd
7 - Plastic and Reconstructive
SB001
Straumann Pty Ltd
Straumann Dental Implant NNI/RN/WNI
Diameter 3.3 - 4.8mm Length 6 - 16mm
Changed Product Group, Product Sub Group,
Benefit.
SB002
Straumann Pty Ltd
Straumann Healing Cap NNI/RN/WNI
Height 1.5 - 4.5 mm
Changed Product Group, Product Sub Group,
Benefit.
SB003
Straumann Bone Level Implants NC/RC
Straumann Bone Level Implants NC/RC
Diameter 3.3 - 4.8 mm Length 8-14 mm
Changed Product Group, Product Sub Group,
Benefit.
SB004
Straumann Bone Level Implant Healing Abutment
Straumann Healing Abutment NC/RC
Height 0 - 6 mm
Changed Product Group, Product Sub Group,
Benefit.
SB005
Straumann Bone Ceramic
070.203 Straumann Bone Ceramic 400 -700
070.203 Straumann Bone Ceramic 400 -700,
Granule size 400 - 700 microns, Unit size 0.25 g,
Volume: approx 0.3 ml
Changed Product Group, Product Sub Group,
Benefit.
SB006
Straumann Bone Ceramic
070.204 Straumann Bone Ceramic 500 -1000
070.204 Straumann Bone Ceramic 500 -1000,
Granule size: 500 -1000 microns, Unit size: 0.5 g,
Volume: approx 0.95 ml
Changed Product Group, Product Sub Group,
Benefit.
SB007
Straumann Bone Ceramic
070.205 Straumann Bone Ceramic 500 -1000
070.205 Straumann Bone Ceramic 500 -1000,
Granule size: 500 -1000 microns, Unit Size 1g,
Volume approx 1.9 ml
Changed Product Group, Product Sub Group,
Benefit.
Titanium, plasma coated, HA
Stems sizes 0-11
Changed Size, Product Group, Product Sub
Group.
Stryker Australia Pty Ltd
11 - Hip
ST575
ACCOLADE hip prostheses
13 - Spinal
HW384
Xia Spine System
Polyaxial Screw
Dia: 4mm - 10.5mm Length: 20mm - 100mm
Changed Product Group, Product Sub Group,
Benefit.
HW385
Xia Spine System
Monoaxial Screw
Dia 4.5 - 8.5mm Length 25 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
HW386
Xia Spine System
Rod Clamp - Parallel, Axial
One size only
Changed Product Group, Product Sub Group,
Benefit.
HW389
XIA Spine System
Rod - Titanium alloy, Stainless Steel
30 - 600mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW390
XIA Spine System
Cross Link
Length 20mm - 99mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW391
Xia Spine System
Connector - Axial, Dual, Offset
4.5mm - 6mm
Changed Product Group, Product Sub Group,
Benefit.
HW392
Xia Spine System
Sacral Block
One size only
Changed Product Group, Product Sub Group,
Benefit.
HW393
Xia Spine System
Bone Screw
One size only
Changed Product Group, Product Sub Group,
Benefit.
HW405
Xia Spine System
Hooks
Laminar and Pedicle Hooks
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 186 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
HW406
Aria Spinal System / Peek DLIF Interbody Spacer
PEEK DLIF Interbody Spacer
H: 8-18mm L: 40-60mm W: 18-22mm 0-8 degree
lordosis
Changed Product Group, Product Sub Group,
Benefit.
HW407
Aviator Anterior Cervical Plating System - Plate
longer than 55mm
Anterior Cervical Plate - Integral Locking
Three and four level greater than 55mm in length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW408
Aviator Anterior Cervical Plating System - Plate
Anterior Cervical Plate - Integral Locking
One, two and three level up to 55mm in length
Changed Product Group, Product Sub Group,
Benefit.
HW409
Aviator Anterior Cervical Plating System - Screw
Anterior Cervical Plate System - Screw
4 - 4.35mm diameter, 10 - 18mm length
Changed Product Group, Product Sub Group,
Benefit.
SK112
XIA/Oasys Spine System
Buttress thread locking nut
3.5mm - 6mm
Changed Product Group, Suffix, Benefit.
SK222
Oasys-Occipito Cervico Thoracic System
Ti-6A1-4V
Hook, Standard Short; Hook, Standard Tall;
Hook, Offset, Right; Hook Offset, Left
Changed Product Group, Product Sub Group,
Benefit.
SK223
Oasys-Occipito Cervico Thoracic System
Cortical Screws
3.5mm x 6mm - 24mm 4.0mm x 6mm 54mm 4.5mm x 6mm - 16mm
Changed Size, Product Group, Product Sub
Group, Benefit.
SK224
Oasys-Occipito Cervico Thoracic System
Rods - Ti-6A1-4V or Vitallium
Diameter 3.5mm, Length 25mm-350mm
Changed Product Group, Product Sub Group,
Benefit.
SK225
Oasys-Occipito Cervico Thoracic System
Multiaxial Screw
3.5mm x 10mm - 40mm 4.0mm x 10mm 50mm 4.5mm x 20mm - 52mm
Changed Size, Product Group, Product Sub
Group, Benefit.
SK226
Oasys-Occipito Cervico Thoracic System
Occipital Plate
Mini, SML, MED, LGE, LGE Long, 100 deg,
130 deg
Changed Product Group, Product Sub Group,
Benefit.
SK227
Oasys-Occipito Cervico Thoracic System
Ti-6A1-4V
Transverse Connector; Offset Connector; Rod to
Rod Connector
Changed Product Group, Product Sub Group,
Benefit.
SK241
Xia Spinal System
Titanium or Stainless Steel Cross Connector
15-20mm
Changed Product Group, Product Sub Group,
Benefit.
SK242
Xia Spinal System
Titanium or Stainless Steel
Single Hole Staple; Dual Hole Staples
(Caudal/Rostral) - Small, Medium, Large
Changed Product Group, Product Sub Group,
Benefit.
SK250
Trio Spinal Fixation System
Titanium - Offset Connector, Two Step Locking
Connector, Variable Offset Connector
Offset Connector - Small, Medium, Large
Changed Product Group, Suffix, Benefit.
SK338
VBOSS/VLIFT
Titanium
Available from 10 to 25mm in Diameter and
from 8 to 120mm in Length
Changed Product Group, Product Sub Group,
Benefit.
SK339
VLIFT
End cap
Diameters 12 to 22mm
Changed Product Group, Product Sub Group,
Benefit.
SK424
VBOSS
End cap
Sizes 10 to 25mm
Changed Product Group, Product Sub Group,
Benefit.
SK448
VLIFT
Vertebral Body Replacement System, DIS Implant
Diameters 12 to 22mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK488
THOR Anterior Plate
Anterior Plate,
22mm to 100mm
Changed Product Group, Product Sub Group,
Benefit.
SK489
THOR Anterior Screw
Anterior Plate Screw: Stardard and Compression
Dia: 6 - 6.5mm
Changed Product Group, Product Sub Group,
Benefit.
SK502
Trio Spinal Fixation System
Screw
Diameter: 4.5 - 8.5mm Length: 25 60mm Standard and Long Post
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SR038
Techtonix
Plate, titanium
22mm-58mm
Changed Product Group, Product Sub Group,
Benefit.
SR039
Techtonix System
Screw, titanium
5-6mm x 25mm-60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 187 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SR042
MANTIS
Screw, Cannulated, Multiaxial, Ti
4.5mm - 7.5mm x 25mm - 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SR050
AVS TL Peek Spacer System
Transforaminal Lumbar Interbody Fusion cage,
PEEK
7-18mm x 25--30mm. 0-4 degree
Changed Product Group, Product Sub Group,
Benefit.
SR066
AVS AL PEEK Spacer System
Anterior Lumbar Interbody Fusion Cage
22mm deep x 28mm wide x 10mm - 50mm
height and 28mm deep x 33mm wide x 10mm50mm height. Both base sizes come in 4 degree
and 8 degree angulations
Changed Product Group, Product Sub Group,
Benefit.
SR082
UniLIF
PEEK Unilateral Lumbar Interbody Fusion Cage
Width 11mm, Height 6mm to 13mm, Length
30mm - 33mm
Changed Product Group, Product Sub Group,
Benefit.
SR084
Reflex Anterior Cervical Plate System
Plate
>55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SR085
Reflex Anterior Cervical Plate System
Plate
≤55mm
Changed Product Group, Product Sub Group,
Benefit.
ST711
PEEK Interbody Cages
Peek lumbar cages poly ether ether ketone 0, 4 &
8 degree
Size 7-18mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST712
Solis Cervical Cage
PEEK Cervical Interbody Cage
12/4-12/9 and 14/4-14/9
Changed Product Group, Product Sub Group,
Benefit.
ST914
REFLEX Anterior Cervical Plating System
Screw
Diameter 4 - 4.5mm lengths 10mm - 20mm
Changed Product Group, Product Sub Group,
Benefit.
3 - General Miscellaneous
SK461
PainPump 2
Programmable or Preset pump with bolus option
and digital display providing controlled infusion
of a Local Anaesthetic directly into a surgical site
for post-operative pain management
250ml & 400ml kits
Changed Product Group, Product Sub Group,
Benefit.
SR068
PainPump 2 Continuous Peripheral Nerve Block
Kit & PainPump 2 BlockAid Kit
Re-programmable & refillable pumps with bolus
option nd digital display providing controlled
infusion of a local anaesthetic directly
innervating the surgical site for post-operative
pain management.
400ml kits
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SR069
Painpump 2
Programmable pump with bolus option and
digital display providing controlled infusion of a
local anaesthetic directly into dual surgical sites
for post-operative pain management
250ml & 400ml Dual Site kits
Changed Product Group, Product Sub Group,
Benefit.
4 - Neurosurgical
SK492
DuraMatrix
Resorbable Collagen Dura Substitute Membrane
1" x 1" (2.5cm x 2.5cm)
Changed Product Group, Benefit.
SK493
DuraMatrix
Resorbable Collagen Dura Substitute Membrane
1" x 3" (2.5cm x 7.5cm)
Changed Product Group, Benefit.
SK494
DuraMatrix
Resorbable Collagen Dura Substitute Membrane
4" x 5" (10cm x 12.5cm)
Changed Product Group, Benefit.
SK495
Dura Matrix
Resorbable Collagen Dura Substitute Membrane
3" x 3" (7.5cm x 7.5cm)
Changed Product Group, Benefit.
SK496
DuraMatrix
Resorbable Collagen Dura Substitute Membrane
2" x 2" (5cm x 5cm)
Changed Product Group, Benefit.
Locking Insert/Plug Assembly
5mm
Changed Product Name, Description, Product
Group, Product Sub Group, Benefit.
6 - Specialist Orthopaedic
HW274
Stryker Plating System
Changed Items for Prostheses List Report
Page 188 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
HW298
Asnis Guided Screw System
Washer, Stainless Steel
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW299
Asnis Guided Screw System
Washer - Titanium
4, 5, 6.5,8mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW305
Dall Miles Cable Grip System - Stainless Steel
Stainless Steel Plate:5 hole - Stainless Steel
6 inches
Changed Product Group, Product Sub Group,
Benefit.
HW306
Dall Miles Cable Grip System - Stainless Steel
Stainless Steel Plate:7 hole - Stainless Steel
8 inches
Changed Product Group, Product Sub Group,
Benefit.
HW307
Dall Miles Cable Grip System - Stainless Steel
Stainless Steel Plate:9 hole - Stainless Steel
10 inches
Changed Product Group, Product Sub Group,
Benefit.
HW308
Dall Miles Cable Grip System - Stainless Steel
Stainless Steel Plate:11 hole - Stainless Steel
12 inches
Changed Product Group, Product Sub Group,
Benefit.
HW333
Omega Plus Compression Hip Screw System
Lag Screw - Standard - Stainless Steel
50-130mm length
Changed Product Group, Product Sub Group,
Benefit.
HW334
Omega Plus Compression Hip Screw System
Lag Screw - Super - Stainless Steel
50-130mm length
Changed Product Group, Product Sub Group,
Benefit.
HW335
Omega Plus Compression Hip Screw System
Compression Screw - Stainless Steel
25mm length
Changed Product Group, Product Sub Group,
Benefit.
HW337
Omega Plus Compression Hip Screw System
Cancellous - Stainless Steel
6.5mm dia
Changed Product Group, Product Sub Group,
Benefit.
SK038
Leibinger Titanium Implant system
Profyle hand and small fragment plate system
2.3mm system L, compr 10 hole T bar
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK075
Stryker Plating System Basic Fragment Set
4.5mm Reconstruction Plate
3-9 Holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK094
Stryker Plating System Small Fragment Set
Calcaneal Plate
70-80mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK099
Stryker Plating System Small Fragment Set
One Third Tubular Plate with Collar
9-14 Holes
Changed Product Group, Product Sub Group,
Benefit.
SK103
Stryker Plating System
Cortical bone screws
2.7mm diameter, 22 - 80mm lengths
Changed Product Group, Product Sub Group,
Benefit.
SK154
Stryker Cross-Screw
HA/PLLA screw for ligament/tendon fixation
Dia 6mm: Length 40-60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK155
Wedge Interference screw
Threaded PLLA screw with cross pin for
ligament/tendon fixation
Dia 7-12mm, Length 20-40mm; pin length
standard
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK201
Stryker Trauma Locking Nail System
Proximal Humeral Nail
Proximal Humerous Washer round/square
Changed Product Group, Product Sub Group,
Benefit.
SK206
Hoffmann II External Fixation System
Hoffmann II Micro - Couplings
Couplings, Rod to rod, Pin to Rod and Multipin
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
SK211
Hoffmann II External Fixation System
Hoffmann II Micro - Carbon Fibre Rods, RL
3mm (30-150mm)
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SK212
Hoffmann II External Fixation System
Hoffman II Micro - Stainless Steel Rods
3mm x (30-180mm)
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SK229
Omega Plus Compression Hip Screw System
Cephalic Implants
Hansson Twin Hook Compression Screw 25mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 189 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SK256
TwinFix Cannulated Compression Screw System
0
Diameter 3.2mm, lengths 14-34mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
SK364
Hoffman II External Fixation System
Hoffman II Sterile Pre-pack kit, RL
Standard Tibia
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SK365
Hoffman II External Fixation System
Hoffmann II Ankle Sterile Pre-Pack kit, RL
Standard Large Ankle Kit
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SK373
Hoffman II External Fixation system
Hoffman II MRI, Pin Clamp Assembly, MRI
Pelvic Clamp
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
SK374
Hoffman II External Fixation System
Hoffman II MRI
Posts 8mm and 5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK375
Hoffman II External Fixation System
Hoffman II MRI Coupling
Pin to Rod, Rod to Rod, Tube to Rod, Pin Clamp
Assembly
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK378
Hoffman II External Fixation System
Hoffman Pre-pack Pelvic kit
Sterile Pelvic Kit
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
SK390
Hoffman II External Fixation System
Hoffman II MRI
Compression/Dystraction Tube, Dynamisation
Tube
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK393
Hoffman II External Fixation System
Hoffmann II MRI Connecting Rods, RL
8mm Connecting rod (100mm - 500mm), 5mm
Connecting rod (100mm - 500mm), Semi
Circular Curve Rod
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
SK396
Hoffmann II Compact Wrist Sterile Pre-Packs, RL
Bridging & Non-bridging
Sterile Wrist Kit
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
SK398
Trochanteric Grip
Trochanteric Grip Plate
Medium, 100-200mm, 2 -6 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SK399
Trochanteric Grip
Trochanteric Grip Plate.
Large, 110 - 220mm, 2 -6 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SK402
Trochanteric Grip
Trochanteric Grip Plate with 2 cables
Medium 100 - 200mm, 2 -6 Holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SK403
Trochanteric Grip
Trochanteric Grip Plate with 2 cables
Large, 110 - 210mm, 2 -6 holes
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
SK452
Stryker Plating System
Self-Tapping/Cortical Sterile Screws Stainless
Steel or Titanium Alloy
2.7mm - 4.5mm Diameter 8mm - 150mm Length
Changed Product Group, Product Sub Group,
Benefit.
SK485
Hoffmann Xpress - Universal Pin Clamp
Hoffmann Xpress External Fixation Device Adapted to fit the needs of medically trained staff
of such occupations as the Armed Forces
One size to fit the Rod to Rod
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK486
Hoffmann Xpress External Fixation Device
Hoffmann Xpress - Connnecting Tube, RL, MRI
15 mm diameter / 150 to 440 mm in length
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
SK487
Hoffmann Xpress - 5 Pin Clamp Posts
Hoffmann Xpress External Fixation Device adapted to fit needs of medically trained staff of
such occupations as the Armed Forces
2 categories, a 1 post clamp and a 2 post clamp
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK499
Stryker Locking Plate system
Variable angle locking plate for olecranon
fractures
7-15 Hole
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SR073
Stryker Locking Plate System
Locking Screws
Diameter 2.7 to 3.5mm, Length 10mm to 70mm
Changed Description, Product Group, Product
Sub Group, Benefit.
ST004
Stryker Plating System Screws - Cortical 4.5mm
Titanium or Stainless Steel
10-20mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 190 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST005
Stryker Plating System Screws - Cancellous
6.5mm Stainless Steel or Titanium
20-50mm
Changed Product Group, Product Sub Group,
Benefit.
ST006
Stryker Plating System Screws - Cancellous
4.0mm
Stainless Steel or Titanium, Full or Partial Thread
10-60mm Screw Length
Changed Product Group, Product Sub Group,
Benefit.
ST037
Stryker Plating System Small Fragment Set
One Third Tubular Plate with Collar
2-6 Holes
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
ST039
Stryker Plating System
L-Plates
4-6hole
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
ST051
Stryker Plating System Small Fragment Set
Cloverleaf Plate
3-5 Holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST722
Leibinger Titanium Implant System
Leibinger profyle hand & small fragment system,
fixation plate, 3D plate, titanium
1.2mm system, 4x2 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST730
Leibinger Titanium Implant System
Hand system, fixation plate, L-shape, right/left
1.7mm, 6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST738
Leibinger Titanium Implant System
Leibinger profyle hand & small fragment system,
fixation, 3D plate, titanium
1.7mm system, 2x2 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST741
Leibinger Titanium Implant System
Leibinger profyle hand & small fragment system,
3D plate, titanium
1.7mm system, 4x2 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST764
Leibinger Titanium Implant System
Leibinger Profyle Hand & Small Fragment
System, fixation plate, 3D plate, Titanium
2.3mm system, 4x2 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST786
Leibinger Titanium Implant System
Leibinger Forefoot Reconstruction System,
straight plate, Titanium
4 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST787
Leibinger Titanium Implant System
Leibinger Forefoot Reconstruction System,
straight plate, Titanium
6 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST788
Leibinger Titanium Implant System
Leibinger System, anatomical shap, Titanium
1 - 4 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST888
Howmedica Dynamic Joint Distractor
Complete Y Body Frame - Stainless Steel
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST892
Hoffmann II Compact External Fixation System
Pin clamp assembly with no post
One Size Only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST935
Hoffman II External Fixation System
Anodised metal alloy, rod to rod coupling
8/8mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST936
Hoffman II External Fixation System
Anodised metal alloy, pin to rod coupling
8/4, 5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST937
Hoffman II External Fixation System
Anodised metal alloy, 30 deg angled post,
stainless steel
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST938
Hoffman II External Fixation System
Anodised metal alloy, straight post, stainless steel
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST943
Hoffman II External Fixation System
Anodised metal alloy, adjustable connecting rod
Long, short
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST945
Monotube External Fixation System
Anodized metal alloy, dynamic tube assembly
yellow
15mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST946
Monotube External Fixation System
Anodized metal alloy, dynamic tube assembly
blue
20mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 191 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST947
Monotube External Fixation System
Anodized metal alloy, dynamic tube assembly rod
25mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
ST948
Monotube External Fixation System
Anodized metal alloy, dynamic tube yellow
15mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
ST950
Monotube External Fixation System
Anodized metal alloy, dynamic tube red
25mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
ST951
Monotube External Fixation System
Anodized metal alloy, pin clamp yellow, blue, red
15, 20, 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST952
Monotube External Fixation System
Anodized metal alloy, single pin clamp yellow,
blue, red
15, 20, 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST953
Monotube External Fixation System
Anodized metal alloy, T-Adapter yellow, blue, red
15, 20, 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST954
Monotube External Fixation System
Anodized metal alloy, tube to tube clamp yellow,
blue, red, yellow/blue, blue/red
15, 20, 25mm, 15/20mm, 20/25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST962
Monotube External Fixation System
Carbon tube yellow 015, RL
15mm
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
ST963
Monotube External Fixation System
Carbon tube blue 015, RL
150, 200, 250, 300mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
ST964
Monotube External Fixation System
Carbon tube red 015, RL
150, 200, 250, 300mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
ST965
TenXor External Fixation System
Anodized metal alloy, open ring
150, 180, 210, 250mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST966
TenXor External Fixation System
Anodized metal alloy, ring clamp
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST967
TenXor External Fixation System
Anodized metal alloy, wire post, pin post
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST968
TenXor External Fixation System
Anodized metal alloy, ring to monotube triax tube
clamp
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST971
TenXor External Fixation System
Anodized metal alloy, with sliding clamp
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST972
TenXor External Fixation System
Anodized metal alloy,with sliding clamp and
spacer
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
7 - Plastic and Reconstructive
HW410
Enophthalmos Wedge
Regular left and right. Large left and right.
(Models 9541 - 9544)
Regular: 22 x 31 x 7mm. Large: 28 x 40 x 7.5mm
Changed Product Group, Product Sub Group,
Benefit.
HW411
Complete Orbital Shape
Porus Polyethylene. Complete and 2 / 3 orbit
shapes. Inferior 2 / 3 left and right. Models 9567,
9568
Inferior: 83 x 78mm
Changed Product Group, Product Sub Group,
Benefit.
HW412
Chins
Extended chin implants: Round RZ (Models
8313 - 8315) and extended square RZ (Models
8316, 8318). Two piece chin design (Models
8320 - 8322). Single piece chin design, contoured
(Models 7520 - 7522). Additional chin shapes
(Models 6341 - 6344) Contoured t
Extended chin Implants design RZ round small:
45 x 47 x 3mm, medium 45 x 47 x 5mm, large 45
x 47 x 7mm; Extneded Chin Implants square
small 45 x 47 x3mm; Medium 45 x 47 x 5mm;
Large 45 x 47 x 7mm; Two piece design small 46
x 33 x 5mm; Medium 56 x 36 x 7mm
Changed Product Group, Benefit.
Changed Items for Prostheses List Report
Page 192 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
HW413
Genioplasty Wedge
Porus Polyethylene. Genioplasty wedges, models
8340 - 8343
Small 60 x 25 x 5mm, medium 60 x 25 x 7.5mm,
large 60 x 25 x 10mm
Changed Product Group, Benefit.
HW414
Prejowl Shape
Porus Polyethylene. Model 8319
45 x 41 x 4mm
Changed Product Group, Benefit.
HW415
Nasal Shape or Rhinoplasty Shape
Porus Polyethylene. Nasal Arch shapes, nasal
arch and nasal sheet (Models 9533 - 9536). Nasal
dorsum shapes, design A and design B (Models
7516 - 7518). Nasal valve support, lateral nasal
valve support and ext.
Nasal arch shapes: small 70 x 13 x 2mm, medium
70 x 15 x 2mm, large 70 x 15 x 2mm, sheet 40 x
9 x 1.1mm. Nasal dorsum shapes: design A small
53 x 5mm, design A large 66 x 8mm, design B 67
x 6.5mm. Nasal valve support: lateral nasal valve
13 x 0.85 x 3.5mm
Changed Product Group, Product Sub Group,
Benefit.
HW416
Micro Thin Sheet
Model/s 8438, 83020, 83022, 83029
8438: 30 x 50 x 0.4mm, 83020: 38 x 50 x
0.25mm, 83022: 38 x 50 x 0.35mm, 83029: 38 x
50 x 0.45mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW417
Sheet
Porus Polyethylene. Models 6330, 6331, 8662,
9562. Micro single channel sheet, model 9528.
Barrier microplate single channel sheet, model
9527 Medpor Titan Implant Sheets Plain, Barrier
& Double Barrier, and Medpor Titan Orbital floor
and wall sheets 8102
Sheets 6330: 38 x 50 x 1.5mm, 6331: 50 x 76 x
1.5mm, 8662: 76 x 127 x 1.5mm, 9862: 38 x 50
x 3mm. Microplate single channel Sheet 9528: 38
x 50 x 0.85mm. Barrier microplate single channel
Sheet 9527: 38 x 50 x 0.85mm. Titan implant
sheets 81020: 76 x 50 x
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW418
Barrier Sheet: Barrier Sheet - Orbital Floor
Porus Polyethylene. Barrier sheet - Rectangle,
models 8312 and 9312. Orbital floor implants,
models 8305 and 9305
Barrier sheet - Rectangle: 50 x 76 x 1mm, 50 x
76 x 1.6mm: 50 x 76 x 1mm, 50 x 76 x 1.6mm.
Orbital Floor: 38 x 50 x 1mm, 38 x 50 x 1.6mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW419
Block
Models 6332 - 6340 & 6359
6332: 13 x 38 x 3mm, 6333: 13 x 38 x 6mm,
6334: 13 x 38 x 9.5mm, 6335: 25 x 50 x 3 mm,
6336: 25 x 50 x 6mm, 6337: 25 x 50 x 9.5mm,
6338: 38 x 63 x 3mm, 6339: 38 x 63 x 6mm,
6340: 38 x 63 x 9.5mm 6359: 150 x 201mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW420
Ear Reconstruction
Porus Polyethylene. Helical rim, models 8328 and
8329
Helical rim: 37 x 62mm
Changed Product Group, Product Sub Group,
Benefit.
HW421
Complete Orbital Shape
Complete left and right. Models 9569, 9570
Complete 61 x 76mm
Changed Product Group, Product Sub Group,
Benefit.
HW422
Mandibular angle
Porus Polyethylene. RZ mandibular angles left
and right (Models 9955 - 9960); Porus
Polyethylene. Contoured mandibular angles left
and right (Models 88037 - 88038)
RZ mandibular angles: 65 x 35 x 3 x 6.5 x 3 x
3mm, 65 x 35 x 7 x 6.5 x 3 x 3mm, 65 x 35 x 11
x 6.5 x 3 x 3mm. Contoured mandibular angles
left and right:59 x 29 x 7 x 11mm.
Changed Product Group, Product Sub Group,
Benefit.
HW423
Nasal Shape. Petite Nasal Dorsum.
Porus Polyethylene. Petite Nasal Dorsum (
Models 84000 - 84004).
Petite Nasal Dorsum: 4 x 4 x 45mm, 4 x 4 x
55mm, 5 x 5 x 45mm, 5 x 5 x 55mm, 6 x 9 x
55mm.
Changed Product Group, Product Sub Group,
Benefit.
HW424
Nasal Valve Support.
Lateral Nasal Valve, Model 7545. External Nasal
Valve Batten, Model 7546. External Nasal Valve
Batten - Thin, Model 7167
Lateral Nasal Valve:13 x 3.5 x 0.85mm, External
Nasal Valve Batten: 25 x 11 x 0.85mm, External
Nasal Valve Batten - Thin: 24 x 11.5 x 0.6mm.
Changed Product Group, Product Sub Group,
Benefit.
HW425
Nasal Shell Shapes.
Nasal Shell Shapes, Regular and Large with
Inserts Small and Large (included). Models
9553 - 9554. Thin Nasal Shell 84006
Regular: 38 x 21 x 17mm, Insert Small 30 x 4 x
9mm, Insert Large 38 x 2.5 x 9mm. Large: 40 x
20 x 18mm, Insert Small 32 x 4 x 9mm, Insert
Large 41 x 3 x 9mm. Thin Nasal Dorsal Shell
42.7mm x 16.4mm x 21.8mm
Changed Product Group, Product Sub Group,
Benefit.
HW426
Ultra Thin Sheet
Porus Polyethylene. Model 7214
76 x 127 x 0.85mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 193 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
HW427
Ultra Thin Sheet
Porus Polyethylene. Model 7216
127 x 178 x 0.85mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW428
Sheet - Multi Channel, Barrier Channel.
Porus Polyethylene. Miniplate channel sheet,
model 9529. Microplate channel sheet, model
9530. Barrier Miniplate and Microplate Channel
Sheets, Models 9531 and 9532.
Miniplate channel: 40 x 52 x 2.3mm. Mircoplate
channel: 40 x 52 x 2.3mm. Barier Miniplate and
Microplate Channel Sheets: 40 x 52 x 2.3mm, 40
x 52 x 2.3mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW429
Flexblock TF
Porus Polyethylene. Flexblock TF implant,
models 9521 - 9522.
Flexblock TF: small 70 x 70 x 10mm, medium 88
x 86 x 15mm,
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW430
Flexblock TF
Porus Polyethylene. Flexblock TF implant, model
9523.
Flexblock TF: large 98 x 95 x 18mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW431
Flexblock, Cranial Grid
Porus Polyethylene.Flexblock cranial grid
implant, model 9524.
Flexblock cranial grid: 97 x 107 x 6mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW432
Ear Reconstruction
Porus Polyethylene. Ear base left and right,
models 7542 and 7525 - 7527. Ear base
extended left and right, models 8330 and 8331.
Ear base: 29 x 55 x 13mm, 32 x 65 x 16mm. Ear
base extended: 30 x 60mm.
Changed Product Group, Product Sub Group,
Benefit.
HW433
E-POR Biomaterial/ Orbital Wall and Floor
Porous Polyethylene Titanium Mesh Composite
(large)
Orbital Wall and Floor Porous Polyethylene
Titanium Mesh Composite
41 x 42 x 0.6-1.0mm
Changed Product Group, Product Sub Group,
Benefit.
HW434
E-POR Biomaterial/ Midface Contour Porous
Polyethylene
Midface Contour Porous Polyethylene
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW435
E-POR Biomaterial/ Craniotomy Gap Wedge
Porous Polyethylene
Craniotomy Gap Wedge Porous Polyethylene
One Size - V and T shape
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW436
E-POR Biomaterial/ Transsphenoidal Sellar
Contourable Porous Polyethylene
Transphenoidal Sellar Contourable Porous
Polyethylene
2.5mm x 20mm - 40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW437
E-POR Biomaterial/ Mastoid, Pterional,
Contourable Porous Polyethylene
Mastoid, Pterional, Contourable Porous
Polyethylene
Left, Right, 43mm - 57mm x 0.6mm, 1.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW438
E-POR Biomaterial/ Temporal Fossa Implant
Porous Polyethylene
Temporal Fossa Implant Porous Polyethylene
61mm - 105mm x 18mm - 20mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW439
E-POR Biomaterial/ Burr Hole Cover, Porous
Polyethylene
Burr Hole Cover, Porous Polyethylene
15mm x 3mm x 5mm; 29mm x 7mm x 14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW440
E-POR Biomaterial/ Panel - Porous Polyethlene
Titanium Mesh Composite
Panel - Porous Polyethlene Titanium Mesh
Composite
>0.8mm thick, 38mm x 50mm
Changed Product Group, Product Sub Group,
Benefit.
HW441
E-POR Biomaterial/ Panel - Porous Polyethylene
Titanium Mesh Composite
Panel - Porous Polyethylene Titanium Mesh
Composite
>0.8mm thick, 76mm x 50mm
Changed Product Group, Product Sub Group,
Benefit.
HW442
E-POR Biomaterial/ Sheet - Porous Polyethylene
Sheet - Porous Polyethylene
30mm - 50mm x 0.4mm - 3mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
HW443
E-POR Biomaterial/ Panel - Porous Polyethlene
Titanium Mesh Composite
Panel - Porous Polyethylene Titanium Mesh
Composite
0.5mm - 0.8mm thick, 38mm x 50mm
Changed Product Group, Product Sub Group,
Benefit.
HW444
E-POR Biomaterial/ Panel - Porous Polyethlene
Titanium Mesh Composite
Panel - Porous Polyethylene Titanium Mesh
Composite
0.5mm-0.8mm thick, 76mm x 50mm
Changed Product Group, Product Sub Group,
Benefit.
SK129
Leibinger Titanium Implant System - Universal
Mandible Compression Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Compression Plate, 4-6 Holes
Changed Product Group, Product Sub Group,
Benefit.
SK130
Leibinger Titanium Implant System - Universal
Mandible Fracture Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Fracture Plate, 14 Holes
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 194 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SK131
Leibinger Titanium Implant System - Universal
Mandible Fracture Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Fracture Plate, C-shaped, 4
holes
Changed Product Group, Product Sub Group,
Benefit.
SK132
Leibinger Titanium Implant System - Universal
Mandible Fracture Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Fracture Plate, Angled
Shaped, 6 holes, 115-140 deg
Changed Product Group, Product Sub Group,
Benefit.
SK133
Leibinger Titanium Implant System - Universal
Mandible Fracture Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Fracture Plate, 4-6 holes
with/without Bar
Changed Product Group, Product Sub Group,
Benefit.
SK134
Leibinger Titanium Implant System - Universal
Mandible Mini Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Mini Plate, 4-6 holes
with/without Bar.
Changed Size, Product Group, Product Sub
Group, Benefit.
SK135
Leibinger Titanium Implant System - Universal
Mandible Mini Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Mini Plate, 16 holes
Changed Product Group, Product Sub Group,
Benefit.
SK136
Leibinger Titanium Implant System - Universal
Mandible Primary Reconstruction Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Primary Reconstruction
Plate, (Hemi) Left and Right 5+17 holes, with
template
Changed Product Group, Product Sub Group,
Benefit.
SK137
Leibinger Titanium Implant System - Universal
Mandible Primary Reconstruction Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Primary Reconstruction
Plate, 11-17 holes, with template
Changed Product Group, Product Sub Group,
Benefit.
SK138
Leibinger Titanium Implant System - Universal
Mandible Reconstruction Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Reconstruction Plate, (Full),
6 + 13 + 6 holes, with template
Changed Product Group, Product Sub Group,
Benefit.
SK139
Leibinger Titanium Implant System - Universal
Mandible 3D Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible 3D Plate, (Full), 6 x 2 Hole,
Curved, Square
Changed Product Group, Product Sub Group,
Benefit.
SK140
Leibinger Titanium Implant System - Universal
Mandible Reconstruction Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection.
Universal Mandible Reconstruction Plate, 11 - 17
holes, straight with template
Changed Product Group, Product Sub Group,
Benefit.
SK141
Leibinger Titanium Implant System - Universal
Mandible Reconstruction Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Reconstruction Plate,
(Hemi), Right and Left, 6 + 17 holes with
template
Changed Product Group, Product Sub Group,
Benefit.
SK142
Leibinger Titanium Implant System - Universal
Mandible Reconstruction Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Reconstruction Plate, (Full),
6 + 17 + 6 holes, with template
Changed Product Group, Product Sub Group,
Benefit.
SK143
Leibinger Titanium Implant System - Universal
Mandible Reconstruction Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Reconstruction Plate, (Full),
6 + 15 + 6 holes, with template
Changed Product Group, Product Sub Group,
Benefit.
SK144
Leibinger Titanium Implant System - Universal
Mandible 3D Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible 3D Plate, 4 x 2 Hole Square
Changed Product Group, Product Sub Group,
Benefit.
SK145
Leibinger Titanium Implant System - Universal
Mandible 3D Plate
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible 3D Plate, 3 x 2 Hole
Rectangle
Changed Product Group, Product Sub Group,
Benefit.
SK146
Leibinger Titanium Implant System - Universal
Mandible Biconcave Washer
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Bi-concave Washer
Changed Product Group, Product Sub Group,
Benefit.
SK147
Leibinger Screw - Universal Mandibular Screws
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Smartlock Emergency
Screws, 2.7mm Diameter, 8mm - 20mm length
Changed Product Group, Product Sub Group,
Benefit.
SK148
Leibinger Screw - Universal Mandibular Screws
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Screws, Emergency, 2.7mm
Diameter, 8-20mm Length
Changed Product Group, Product Sub Group,
Benefit.
SK149
Leibinger Screw - Universal Mandibular Screws
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Screws, 2.0mm Dia, 4-14mm
Length; Universal Mandible Screws, 2.3mm Dia,
4-14mm Length
Changed Product Group, Product Sub Group,
Benefit.
SK150
Leibinger Screw - Universal Mandibular Screws
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Smartlock Screws, 2.0mm
Diameter, 16mm-20mm Length; Universal
Mandible Smartlock Screws, 2.3mm Diameter,
18mm-20mm Length
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 195 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SK151
Leibinger Screw - Universal Mandibular Screws
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Screws, 2.0mm Diameter,
16mm-20mm Length; Universal Mandible
Screws, 2.3mm Diameter, 16mm-20mm Length
Changed Product Group, Product Sub Group,
Benefit.
SK152
Leibinger Screw - Universal Mandibular Screws
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Lag Screws, 2.0mm
Diameter, 24mm-42mm Length
Changed Product Group, Product Sub Group,
Benefit.
SK153
Leibinger Screw - Universal Mandibular Screws
Items used for reconstruction and fixation of
mandibular fractures and tumour resection
Universal Mandible Smartlock Screws, 2.0mm
Diameter, 4mm-14mm Length; Universal
Mandible Smartlock Screws, 2.3mm Diameter,
4mm-16mm Length
Changed Product Group, Product Sub Group,
Benefit.
SK183
Leibinger Intraoral Distractor (Multiguide II)
Manufactured from stainless steel, allows
gradual, independent, and simultaneous
distraction of the mandible in 3 planes.
Frame 20mm - 35mm, 2.0mm diameter, 50 - 90
mm length Auto - Pilot Pins
Changed Product Group, Product Sub Group,
Benefit.
SK218
Leibinger Titanium Implant System - Universal
Mandible Condylar Device
Items used for reconstruction following trauma or
tumor resection of the mandible. Included are 2x
cross pin fixation screw.
Universal Mandible Condylar Device Left and
Right
Changed Product Group, Product Sub Group,
Benefit.
SK255
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
24 Hole Straight Plate Upperface, malleable
condensed; 24 Hole Straight Plate Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK257
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
18 Hole Straight, Upperface, Malleable
Changed Product Group, Product Sub Group,
Benefit.
SK258
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
10 Hole Curved Plate Upperface, malleable
condensed; 10 hole Curved plate, Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK259
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
7 Hole Double Y Plate Upperface, malleable; 7
Hole Double Y Plate, Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK260
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
2x2 Hole 3-D Plate Upperface, malleable; 2x2
Hole 3-D Plate, Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK261
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
6x2 Hole 3-D Plate Upperface, malleable; 6x2
Hole 3-D Plate, Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK262
Leibinger Titanium Implant System - Universal
CMF Plate
Uppeface Fixation Plates
8 Hole L Plate 90 Degree Left, Upperface; 8 Hole
L Plate 90 Degree Right, Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK263
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
7 Hole T Plate, Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK264
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
4 Hole Orbita Plate, Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK265
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
6x6 Hole 3-D Plate, Upperface; 6x6 Hole 3-D
Plate Upperface, malleable
Changed Product Group, Product Sub Group,
Benefit.
SK266
Leibinger Titanium Implant System - Universal
CMF Plate
Upperface Fixation Plates
10x10 Hole 3-D plate Upperface, malleable;
10x10 Hole 3-D plate, Upperface
Changed Product Group, Product Sub Group,
Benefit.
SK267
Leibinger Titanium Implant System
Burr Hole Cover 1.0mm - 2.3mm
Diameter 7, 10, 14 & 20mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK269
Leibinger Titanium Implant System - Universal
CMF Plate
Midface Fixation Plates
24 Hole Straight Plate Midface, malleable
condensed; 20 Hole Straight Plate Midface,
malleable; 24 Hole Straight Plate Midface
Changed Product Group, Product Sub Group,
Benefit.
SK270
Leibinger Titanium Implant System - Universal
CMF Plate
Midface Fixation Plates
4 Hole Straight Plate with Bar, Midface; 4 Hole
Curved Plate with Bar, Midface
Changed Product Group, Product Sub Group,
Benefit.
SK271
Leibinger Titanium Implant System - Universal
CMF Plate
Midface Fixation Plates
10 Hole Curved Plate, Midface
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 196 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SK272
Leibinger Titanium Implant System - Universal
CMF Plate
Midface Fixation Plates
5 Hole T Plate, Midface
Changed Product Group, Product Sub Group,
Benefit.
SK273
Leibinger Titanium Implant System - Universal
CMF Plate
Midface Fixation Plates
5 Hole Y Plate with 4mm Bar, Midface
Changed Product Group, Product Sub Group,
Benefit.
SK274
Leibinger Titanium Implant System - Universal
CMF Plate
Midface Fixation Plates
7 Hole Double Y Plate, Midface
Changed Product Group, Product Sub Group,
Benefit.
SK280
Leibinger Titanium Implant System - Universal
CMF Plate
L Plates 100 Degree, Advancement 2 - 10mm
5 - 6 Hole
Changed Product Group, Product Sub Group,
Benefit.
SK282
Leibinger Titanium Implant System - Universal
CMF Plate
L Plate 100 Degree Advancement 12mm
5 - 6 Holes
Changed Product Group, Product Sub Group,
Benefit.
SK283
Leibinger Titanium Implant System - Universal
CMF Plate
Graduated Stability L Plates
5 Hole L Plate 2mm Advancement 100 Degree
Left, Midface, GSP; 5 Hole L Plate 2mm
Advancement 100 Degree Right, Midface, GSP
Changed Product Group, Product Sub Group,
Benefit.
SK287
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
16 Hole Straight Plate, Midface, locking
Changed Product Group, Product Sub Group,
Benefit.
SK288
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
8 Hole Curved Plate, Midface, locking
Changed Product Group, Product Sub Group,
Benefit.
SK289
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
2x2 Hole 3-D Plate, Midface, Locking
Changed Product Group, Product Sub Group,
Benefit.
SK290
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
2x6 Hole 3-D Plate, Midface, Locking
Changed Product Group, Product Sub Group,
Benefit.
SK291
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
5 Hole Y Plate with 4mm Bar, Midface, Locking;
5 Hole Y Plate with 8mm Bar, Midface, locking
Changed Product Group, Product Sub Group,
Benefit.
SK292
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
7 Hole Double Y Plate, Midface, locking
Changed Product Group, Product Sub Group,
Benefit.
SK293
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
8 Hole Y Plate, Midface, locking
Changed Product Group, Product Sub Group,
Benefit.
SK294
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
5 Hole L Plate 2mm Advancement, Midface,
locking; 5 Hole L Plate 5mm Advancement,
Midface, locking
Changed Product Group, Product Sub Group,
Benefit.
SK295
Leibinger Titanium Implant System - Universal
CMF Plate
Mid-Face Fixation Plates, Locking
6 Hole L Plate 8mm Advancement, Midface,
locking; 6 Hole L-Plate 12mm Advancement,
Midface, locking
Changed Product Group, Product Sub Group,
Benefit.
SK296
Leibinger Titanium Implant System - Universal
CMF Plate
Mandible Plates
4 hole 2.3mm Compression Plate; 6 Hole 2.3mm
Compression Plate
Changed Product Group, Product Sub Group,
Benefit.
SK298
Leibinger Titanium Implant System - Universal
CMF Plate
Mandible Plates
4-6 Hole, Straight Plate, with/without bar, locking
Changed Product Group, Product Sub Group,
Benefit.
SK299
Leibinger Screw (Various) - Universal CMF
Screws
.
1.2mm Diameter, 3-12mm Length; 1.4mm
Diameter 3-9mm Length
Changed Description, Product Group, Product
Sub Group, Benefit.
SK300
Leibinger Screw (Various) - Universal CMF
Screws
.
Self Drilling, 1.2mm Diameter, 3-4mm Length
Changed Description, Product Group, Product
Sub Group, Benefit.
SK301
Leibinger Screw (Various) - Universal CMF
Screws
.
1.7mm Diameter, 3-12mm Length; 1.9mm
Diameter, 3-9mm Length
Changed Description, Product Group, Product
Sub Group, Benefit.
SK302
Leibinger Screw (Various) - Universal CMF
Screws
.
Self Drilling, 1.7mm Diam; 3-6mm Length
Changed Description, Product Group, Product
Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 197 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SK303
Leibinger Screw (Various) - Universal CMF
Screws
.
Locking, 1.7mm Diameter, 4-6mm Length;
Locking 1.9mm Diameter, 5mm Length
Changed Description, Product Group, Product
Sub Group, Benefit.
SK340
Leibinger Titanium Implant System - Universal
CMF Plate
Z Plate, Right/Left
4 holes
Changed Product Group, Product Sub Group,
Benefit.
SK345
Leibinger Titanium Implant System - Universal
CMF Plate
Le Fort 1 Plate, Right/Left
11hole, Advancement 2 - 10mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK348
Leibinger Titanium Implant System - Universal
CMF Plate
Titanium plates used for reconstruction and
fixation of craniomaxillofacial fractures or
osteotomy performed for correction of facial
deformity
Universal CMF 4 hole chin plate, 4mm.
Universal CMF 4 hole chin plate, 6mm.
Universal CMF 4 hole chin plate, 8mm.
Universal CMF 4 hole chin plate, 10mm.
Universal CMF 4 hole chin plate, 12mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK349
Leibinger Titanium Implant System - Universal
CMF Plate
Titanium plates used for reconstruction and
fixation of craniomaxillofacial fractures or
osteotomy performed for correction of facial
deformity
Universal CMF 4 hole Z plate, Small,
Orthognathic, locking. Universal CMF 4 hole Z
plate, Large, Orthognathic, locking.
Changed Product Group, Product Sub Group,
Benefit.
SK355
Universal Neuro Titanium Low Profile Plate
Titanium Low Profile plates used for the fixation
of cranial bone flaps
Small, large, 20mm burr hole, 16 hole without bar
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK356
Universal Neuro Titanium Low Profile Plate
Titanium Low Profile plates used for the fixation
of cranial bone plates
2-hole plate, 12mm bar, 16mm bar
Changed Product Group, Product Sub Group,
Benefit.
SK362
Universal Neuro Screws
Titanium screws used for the fixation of cranial
bone flaps
Diameter 1.5mm, length 4-6mm. Emergency
Screws: Diameter 1.7mm, length 4mm.
Changed Product Group, Product Sub Group,
Benefit.
SK363
Universal Neuro Titanium Low Profile Plate
Titanium Low Profile plates used for the fixation
of cranial bone flaps
8 hole plate without bar, 2 x 2 box plate, double
Y 6 hole 8mm
Changed Product Group, Product Sub Group,
Benefit.
SK370
Universal Neuro
NeuroClip
1.5mm
Changed Product Group, Product Sub Group,
Benefit.
SK385
Universal System
Condyle Fastening Screws
One size only
Changed Product Group, Product Sub Group,
Benefit.
SK389
Universal System
Condylar Prosthesis
Left/Right
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK420
Orthodontic Skeletal Anchor Plate
Orthodontic Skeletal Anchor Plate, Standard
1.7mm
Changed Product Group, Product Sub Group,
Benefit.
SK421
Orthodontic Skeletal Anchor Plate
Orthodontic Skeletal Anchor Plate Locking
1.7mm
Changed Product Group, Product Sub Group,
Benefit.
SK422
Orthodontic Skeletal Anchor Screw
Anchor Screw for Mandibular Maxillary Fixation
Screw, Self-Drilling
1.7mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK423
Orthodontic Skeletal Anchor Screw
Anchor Screw for Mandibular Maxillary Fixation
Screw, Self-Drilling
2.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK455
Leibinger Endosseous Alveolar Ridge Distraction
System
Dual plate with threaded transport rod, titianium
Single Tooth
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK457
Maxillo-Mandibular Fixation Screw
MMF Screw, Self Drilling, Stainless Steel
Dia 1.7mm/2.0mm, Length 2mm to 20mm
Changed Product Group, Product Sub Group,
Benefit.
SK511
Orbital Rim
Orbital rims, left and right extended. Models
9539, 9540 Orbital Rim Onlay Implants 81001,
81002
Left & right extended models 47 x 40mm Oribtal
Rim Onlay Implants left & right 40 x 40mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 198 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SK512
Malar Shape
Porus Polyethylene. Design RZ malar shapes,
super petite and petite, left and right (Models
9501 - 9504). Design M malar shapes, left and
right (Models 9507 - 9512). Additional malar
shapes, extended contoured left and right (Models
9513 - 9518) Contoured
Design RZ malar shapes: super petite left and
right 50 x 19 x 3mm, Design RZ malar shapes
petite left and right 50 x 19 x 5mm. Design malar
shapes: small left and right 64 x 19 x 3mm, left
and right medium 64 x 19 x 4.5mm, Left and
right large 64 x 19 x
Changed Product Group, Benefit.
SK513
Ultra Thin Sheet
Porus Polyethylene. Models 7210
38 x 50 x 0.85mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK514
Flexblock TF2
Flexblock TF2 implant, left and right, models
9857 - 9860, 9861 - 9862
Flexblock TF2: small left & right 61 x 78 x
18mm, Medium left & right 74 x 93 x 20mm,
large left & right 82 x 105 x 20mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK515
Nasal Sheet (Strut).
Nasal Sheet (Strut). Model 9536
Nasal Sheet (Strut): 40 x 9 x 1.1mm
Changed Product Group, Product Sub Group,
Benefit.
SK516
Ultra Thin Sheet
Porus Polyethylene. Model 7212
50 x 76 x 0.85mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK517
Sheet - Barrier Single Channel Sheet.
Porus Polyethylene. Barrier Single Channel
Sheet, Model 9527.
Barrier Single Channel: 38 x 50 x 0.85mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK518
Flexblock TF2
Porus Polyethylene. Flexblock TF2 implant, left
and right, models 9861 - 9862
Flexblock TF2: large 82 x 105 x 20mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK519
Flexblock
Porus Polyethylene. Flexblock, model 6314.
Flexblock: 56 x 91 x 4mm.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SK520
Medpor Porous Polyethylene Biomaterial Custom
Made Implant
Porous Polyethylene Biomaterial Custom Made
Product for ear, nose, face and Orbit
reconstruction
Custom designed and made from CT scan image
Changed Product Group, Product Sub Group,
Benefit.
SR040
Universal Quick Flap System
Sterile pack containing 3 x Titanium 2 hole plates
(SK356), 6 x Viper self drilling 1.5 x 4mm
screws (SK301)
.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SR041
Universal Quik Flap System
Sterile pack containing, 3 x Titanium 2 hole
Plates (SK356), 6 x self-tapping screws 1.5 x
4mm
.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST082
Leibinger Screws
Leibinger IMF: cross-slot screws Titanium
2.0x8mm, 2.0x14mm, 2.0x20mm
Changed Product Group, Product Sub Group,
Benefit.
ST083
Leibinger Screws
Leibinger Steinhauser Screw System: cross-slot
screws Titanium
2.0x4-12mm
Changed Product Group, Product Sub Group,
Benefit.
ST084
Leibinger Screws
Leibinger Steinhauser Screw System: cross-slot
screws Titanium
2.0x13-22mm
Changed Product Group, Product Sub Group,
Benefit.
ST092
Leibinger Titanium Implant System
Leibinger COM/MAND Fixation System: straight
plate Titanium
2.3x8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST098
Leibinger Titanium Implant System
Leibinger COM/MAND Fixation System: screws
Titanium
2.3x6-22mm
Changed Product Group, Product Sub Group,
Benefit.
ST102
Leibinger Titanium Implant System
Leibinger COM/MAND Fixation System:
bridging, plate, straight Titanium
2.7mm, 17 holes
Changed Product Group, Product Sub Group,
Benefit.
ST110
Stryker Leibinger Plating System
Micro Self Tapping Screws
1.0 - 1.4mm Diameter, 2 - 12mm Lengths
Changed Product Group, Product Sub Group,
Benefit.
ST111
Leibinger Screws
Leibinger Mini Wurzburg Bone Screws: square
fit, self-tapping Titanium
1.7x3-12mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 199 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST113
Leibinger Screws
Leibinger Mini Wurzburg Bone Screws: square
fit, self-tapping Titanium
1.9x5mm, 1.9x7mm
Changed Product Group, Product Sub Group,
Benefit.
ST114
Leibinger Screws
Leibinger Mini Wurzburg Bone Screws: square
fit, self-tapping Titanium
2.0x4-19mm
Changed Product Group, Product Sub Group,
Benefit.
ST115
Leibinger Screws
Leibinger Mini Wurzburg Bone Screws: square
fit, self-tapping Titanium
2.3x6-9mm
Changed Product Group, Product Sub Group,
Benefit.
ST123
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: Straight
Titanium
4 holes
Changed Product Group, Product Sub Group,
Benefit.
ST125
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: Straight
Titanium
6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST126
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: Straight
Titanium
8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST127
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: Straight
Titanium
12 holes
Changed Product Group, Product Sub Group,
Benefit.
ST128
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: Straight
Titanium
16 holes
Changed Product Group, Product Sub Group,
Benefit.
ST129
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: Straight
Titanium
24 holes
Changed Product Group, Product Sub Group,
Benefit.
ST130
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: straight, Lshape, right/left Titanium
5 holes
Changed Product Group, Product Sub Group,
Benefit.
ST131
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: straight, Lshape, right/left Titanium
8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST132
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: T-shape, 90 deg
Titanium
5 holes
Changed Product Group, Product Sub Group,
Benefit.
ST133
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: T-shape, 90 deg
Titanium
7 holes
Changed Product Group, Product Sub Group,
Benefit.
ST135
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: double-Tshape Titanium
9 holes
Changed Product Group, Product Sub Group,
Benefit.
ST136
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: double-Tshape Titanium
14 holes
Changed Product Group, Product Sub Group,
Benefit.
ST137
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: Y-shape
Titanium
6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST138
Leibinger Titanium Implant System
Micro Plus Bone plate: double-Y-shape
6 - 7 Holes
Changed Product Group, Product Sub Group,
Benefit.
ST139
Leibinger Titanium Implant System
Leibinger Micro Plus Bone plate: double-Y-shape
Titanium
7holes
Changed Product Group, Product Sub Group,
Benefit.
ST140
Leibinger Titanium Implant System
Leibinger Micro, Micro Plus and Low Profile
Bone plate: orbital plate, curved Titanium
8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST141
Leibinger Titanium Implant System
Leibinger Burr Hole Cover: curved Titanium
7, 10, 14mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST142
Leibinger Titanium Implant System
Leibinger 3D plate Titanium
1.2x2-6mm, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST143
Leibinger Titanium Implant System
Leibinger 3D plate Titanium
1.2x7-10mm, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 200 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST144
Leibinger Titanium Implant System
Leibinger 3D plate Titanium
1.2x11-12mm, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST148
Leibinger Screws
Leibinger Micro Plus Screws: cross-slot, selftapping Titanium
1.4x3mm, 1.4x5mm
Changed Product Group, Product Sub Group,
Benefit.
ST149
Leibinger Screws
Leibinger Micro Plus Screws: cross-slot, selftapping Titanium
1.4x7mm, 1.4x9mm
Changed Product Group, Product Sub Group,
Benefit.
ST150
Leibinger Screws
Leibinger Micro Plus Screws: cross-slot, selftapping Titanium
1.4x11mm
Changed Product Group, Product Sub Group,
Benefit.
ST151
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: regular
Titanium
4 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST154
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: regular
Titanium
6 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST156
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: regular
Titanium
8 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST157
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: regular
Titanium
16 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST158
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: regular
Titanium
30 holes, 6mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST159
Leibinger Titanium Implant System
LeibingerSteinhauser plate: regular Titanium
30 holes, 6mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST160
Leibinger Titanium Implant System
Bone plate L-shape, 90 deg, right/left
4 Holes
Changed Product Group, Product Sub Group,
Benefit.
ST162
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: L-shape,
90 deg, with bar, right/left Titanium
4 holes, 8mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST164
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: L-shape,
90 deg, with bar, right/left Titanium
4 holes, 10mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST165
Leibinger Titanium Implant System
L-shape, right/left, with Bar
5 - 7 Hole
Changed Product Group, Product Sub Group,
Benefit.
ST167
Leibinger Titanium Implant System
Leibinger Steinhauser plate: L-shape, right/left,
with bar Titanium
9 holes, 12mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST170
Leibinger Titanium Implant System
Bone plate T-shape with or without bar
4 HOLES
Changed Product Group, Product Sub Group,
Benefit.
ST171
Leibinger Titanium Implant System
Leibinger Steinhauser plate: T-shape, with bar
Titanium
8 holes, 12mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST172
Leibinger Titanium Implant System
Mini Wurzburg Bone plate, T-shape
5 - 6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST180
Leibinger Titanium Implant System
Bone plate Y-shape,
5 HOLES
Changed Product Group, Product Sub Group,
Benefit.
ST181
Leibinger Titanium Implant System
Mini Wurzburg Bone plate: T- Shape, Y- Shape
& Double -T- Shape
5 - 6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST183
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: double-Yshape, regular Titanium
6 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST184
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: double-Yshape, with bar Titanium
6 holes, 8mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 201 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST185
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: double-Yshape, regular Titanium
7 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST188
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Orbita Bone plate:
curved, with bar Titanium
4 holes, 6mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST189
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Orbita Bone plate:
curved, with bar Titanium
6 holes, 8mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST190
Leibinger Titanium Implant System
LeibingerSteinhauser Orbita Bone plate: curved
Titanium
6 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST191
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Orbita Bone plate:
curved Titanium
8 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST194
Leibinger Titanium Implant System
Leibinger Steinhauser Orbita Bone plate: curved
Titanium
10 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST195
Leibinger Titanium Implant System
Bone plate, L-shape, 110 deg, right/left Titanium
4 holes
Changed Product Group, Product Sub Group,
Benefit.
ST197
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: L-shape,
110 deg, regular, with bar, right/left Titanium
4 & 5 holes, with 12mm bar, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST198
Leibinger Titanium Implant System
Leibinger Mini Wurzburg 3D Bone plate: square,
rectangular Titanium
2x2 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST199
Leibinger Titanium Implant System
Leibinger Mini Wurzburg 3D Bone plate: square,
rectangular Titanium
3x2 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST200
Leibinger Titanium Implant System
Leibinger Mini Wurzburg 3D Bone plate: square,
rectangular Titanium
4x2 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST201
Leibinger Titanium Implant System
Leibinger Mini Wurzburg 3D Bone plate: square,
rectangular Titanium
4x4 holes, 0.55mm, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST202
Leibinger Titanium Implant System
Leibinger Mini Wurzburg 3D Bone plate: square,
rectangular Titanium
6x4 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST203
Leibinger Titanium Implant System
Leibinger Mini Wurzburg 3D Zygoma Bone
plate: rectangular Titanium
4x2 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST204
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Bone plate: straight
Titanium
2 holes, 0.55mm height
Changed Product Group, Product Sub Group,
Benefit.
ST231
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Flexplate: L-shape, 110
deg, regular Titanium
4 holes
Changed Product Group, Product Sub Group,
Benefit.
ST232
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Flexplate: L-shape, 110
deg, right/left Titanium
4 holes, with 6mm, 8mm, 10mm bar
Changed Product Group, Product Sub Group,
Benefit.
ST233
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Flexplate: L-shape, 110
deg, right/left Titanium
5 holes, with 12mm bar
Changed Product Group, Product Sub Group,
Benefit.
ST234
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Compression Bone
plate: L-shape, C-shape Titanium
4 holes, with 6 x 1mm bar
Changed Product Group, Product Sub Group,
Benefit.
ST235
Leibinger Titanium Implant System
Leibinger Mini Wurzburg Compression Bone
plate: L-shape, C-shape Titanium
6 holes, with 8 x 1mm bar
Changed Product Group, Product Sub Group,
Benefit.
ST236
Leibinger Titanium Screws
Bone Screw, cross-fit, self-tapping
Diameter 1.7mm, Length 3mm - 38mm
Changed Product Group, Product Sub Group,
Benefit.
ST240
Leibinger Screws
Leibinger Mini Wurzburg Emergency Screws
Titanium
1.9 x 5mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 202 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST245
Leibinger Titanium Implant System
Leibinger Mesh Implants Titanium
75 x 12 x 0.5mm
Changed Product Group, Product Sub Group,
Benefit.
ST246
Leibinger Titanium Implant System
Leibinger Mesh Implants Titanium
75 x 18 x 0.5mm
Changed Product Group, Product Sub Group,
Benefit.
ST247
Leibinger Titanium Implant System
Leibinger Mesh Implants Titanium
.75 x 27 x 0.5mm
Changed Product Group, Product Sub Group,
Benefit.
ST250
Leibinger Titanium Implant System
Mesh: Micro, Dumbach, Dynamic
Diameter 1.0mm - 2.3mm; Up to 90 x 90mm
Changed Product Group, Product Sub Group,
Benefit.
ST311
Leibinger Titanium Implant System
Plate - Leibinger Low Profile Osteosynthesis
System: mini, non-compression / compression,
straight, regular / extended, medium / long
Titanium
4 holes
Changed Product Group, Product Sub Group,
Benefit.
ST312
Leibinger Titanium Implant System
Plate - Leibinger Low Profile Osteosynthesis
System: mini, non-compression, compression,
straight, regular / extended, medium / long
Titanium
8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST314
Leibinger Titanium Implant System
Leibinger Low Profile Osteosynthesis System: Lshape, right/left, regular, medium, long Titanium
4 holes
Changed Product Group, Product Sub Group,
Benefit.
ST315
Leibinger Titanium Implant System
Leibinger Low Profile Osteosynthesis System: Lshape, right/left, long, extended Titanium
5 holes
Changed Product Group, Product Sub Group,
Benefit.
ST326
Leibinger Titanium Implant System
Leibinger Micro 3D Plating System: square,
rectangular Titanium
2x2 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST327
Leibinger Titanium Implant System
Leibinger Micro 3D Plating System: square,
rectangular Titanium
2x3 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST328
Leibinger Titanium Implant System
Leibinger Micro 3D Plating System: square,
rectangular Titanium
2x4 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST329
Leibinger Titanium Implant System
Leibinger Micro 3D Plating System: square,
rectangular Titanium
4x4 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST330
Leibinger Titanium Implant System
Leibinger Micro 3D Plating System: square,
rectangular Titanium
4x6 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST331
Leibinger Titanium Implant System
Leibinger Micro Bone plate Titanium
4 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST332
Leibinger Titanium Implant System
Leibinger Micro Bone plate Titanium
6 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST333
Leibinger Titanium Implant System
Leibinger Low Profile Bone Plate: straight
titanium
6 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST334
Leibinger Titanium Implant System
Leibinger Low Profile Bone Plate: straight
titanium
8 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST335
Leibinger Titanium Implant System
Leibinger Low Profile Bone Plate: straight
titanium
16 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST336
Leibinger Titanium Implant System
Leibinger Low Profile Bone Plate: straight
titanium
24 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST337
Leibinger Titanium Implant System
Leibinger Low Profile Bone Plate: L-shape,
right/left Titanium
5 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 203 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST338
Leibinger Titanium Implant System
Leibinger Low Profile Bone Plate: L-shape,
right/left Titanium
8 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST341
Leibinger Titanium Implant System
Leibinger Micro Bone Plate: Y-shape, double-Yshape Titanium
6 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST342
Leibinger Titanium Implant System
Leibinger Steinhauser Bone Plate: Y-shape
Titanium
8 holes, 0.55mm profile
Changed Product Group, Product Sub Group,
Benefit.
ST343
Leibinger Titanium Implant System
Leibinger 3D Plating System: micro triangular
plate Titanium
3 holes
Changed Product Group, Product Sub Group,
Benefit.
ST344
Leibinger Titanium Implant System
Leibinger 3D Plating System: micro circular plate
Titanium
8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST356
Leibinger Titanium Implant System
Paulus Chin plate Titanium
2, 4, 6, 8, 10, 12, 14mm bar, 0.6mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST358
Leibinger Screws
Leibinger - Salzburg Lag Screw System: locking
plate, Titanium, with biconcave washers
2 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST369
Luhr Fixation System
Luhr Mandibular Compression System: curved,
straight, metacarpal plate Vitallium
Curved: 30,38, 45mm, Straight: 30, 40, 50, 60,
80mm, metacarpal: 41, 45mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST390
Luhr Fixation System
Luhr Micro and Pan Fixation Systems: Micro
mesh Vitallium
40x60mm
Changed Product Group, Product Sub Group,
Benefit.
ST391
Luhr Fixation System
Luhr Micro and Pan Fixation Systems: Micro
mesh Vitallium
60x100mm
Changed Product Group, Product Sub Group,
Benefit.
ST392
Luhr Fixation System
Luhr Micro Fixation System: micro double-Tshape plate Vitallium
6 holes, 6x7mm
Changed Product Group, Product Sub Group,
Benefit.
ST393
Luhr Fixation System
Luhr Micro Fixation System: micro double-Tshape plate Vitallium
7 holes, 10x10mm
Changed Product Group, Product Sub Group,
Benefit.
ST401
Luhr Fixation System
Luhr Micro Fixation System: micro straight plate
Vitallium
22 holes, 90mm
Changed Product Group, Product Sub Group,
Benefit.
ST402
Luhr Fixation System
Luhr Micro Fixation System: micro T-shape plate
Vitallium
6 holes, 14mm, 8 holes, 22mm
Changed Product Group, Product Sub Group,
Benefit.
ST408
Luhr Fixation System
Luhr Micro Fixation System: emergency screws
Vitallium
1.0x2-6mm
Changed Product Group, Product Sub Group,
Benefit.
ST412
Luhr Fixation System
Luhr Pan Fixation System: condensed, straight
plate Vitallium
4 holes x 12mm, 6 holes x 18mm, 12 holes x
36mm
Changed Product Group, Product Sub Group,
Benefit.
ST414
Luhr Fixation System
Luhr Pan Fixation System: ladder plate Vitallium
10 holes, 39 x 9mm
Changed Product Group, Product Sub Group,
Benefit.
ST415
Luhr Fixation System
Luhr Pan Fixation System: L-shape plate, 90 deg
Vitallium
4 holes, 16 x 9mm, 22 x 9mm
Changed Product Group, Product Sub Group,
Benefit.
ST416
Luhr Fixation System
Luhr Pan Fixation System: L-shape plate, 110
deg Vitallium
4 holes, 16 x 9mm, 22 x 9mm
Changed Product Group, Product Sub Group,
Benefit.
ST417
Luhr Fixation System
Luhr Pan Fixation System: straight plate Vitallium
4 holes, 21mm
Changed Product Group, Product Sub Group,
Benefit.
ST419
Luhr Fixation System
Luhr Pan Fixation System: straight plate Vitallium
8 holes, 45mm
Changed Product Group, Product Sub Group,
Benefit.
ST420
Luhr Fixation System
Luhr Pan Fixation System: straight plate Vitallium
16 holes, 93mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 204 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST444
Luhr Fixation System
Luhr Mini/ Pan Fixation System: emergency and
standard screws Vitallium
3-20mm. Pack of 6
Changed Product Group, Product Sub Group,
Benefit.
ST446
Wurzburg Bone Plates
Wurzburg Mandibular Fracture plate: straight
Titanium
4 hole x 35mm
Changed Product Group, Product Sub Group,
Benefit.
ST447
Wurzburg Bone Plates
Wurzburg Mandibular Fracture plate: 45 deg
plate Titanium
4 holes, 40mm
Changed Product Group, Product Sub Group,
Benefit.
ST448
Wurzburg Bone Plates
Wurzburg Mandibular Fracture plate: 45 deg
Titanium
4 holes, 50mm
Changed Product Group, Product Sub Group,
Benefit.
ST449
Wurzburg Bone Plates
Wurzburg Mandibular Fracture plate: straight
Titanium
8 holes, 60mm
Changed Product Group, Product Sub Group,
Benefit.
ST450
Wurzburg Bone Plates
Wurzburg Mandibular Fracture plate: straight
Titanium
8 holes, 70mm
Changed Product Group, Product Sub Group,
Benefit.
ST451
Wurzburg Bone Plates
Wurzburg Mandibular Fracture plate: straight
Titanium
16 holes, 120mm
Changed Product Group, Product Sub Group,
Benefit.
ST452
Wurzburg Bone Plates
Wurzburg Mandibular Fracture plate: angled, 60
deg Titanium
6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST477
Wurzburg Bone Plates
Wurzburg Mini Bone plate: straight,
regular/long, with/without bar Titanium
6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST478
Wurzburg Bone Plates
Wurzburg Mini Bone plate: straight, long
Titanium
8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST479
Wurzburg Bone Plates
Wurzburg Mini Bone plate: straight, regular
Titanium
16 holes
Changed Product Group, Product Sub Group,
Benefit.
ST480
Wurzburg Bone Plates
Wurzburg Mini Bone plate: H and Y-shape nasal
plate Titanium
10, 12 holes
Changed Product Group, Product Sub Group,
Benefit.
ST481
Wurzburg Bone Plates
Wurzburg Bone plate: double-T-shape,
with/without bar, 90 deg, regular/short Titanium
4, 6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST482
Wurzburg Bone Plates
Wurzburg Bone plate: double-Y-shape ,
with/without bar, short/long/long extended
Titanium
6, 8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST483
Wurzburg Bone Plates
Wurzburg Bone plate: double-Y-shape, no bridge
Titanium
7 holes
Changed Product Group, Product Sub Group,
Benefit.
ST484
Wurzburg Bone Plates
L-shape, right/left, Titanium
4 - 5 holes
Changed Product Group, Product Sub Group,
Benefit.
ST486
Wurzburg Bone Plates
Wurzburg Bone plate: T-shape, with/without bar,
90 deg, regular/long Titanium
5, 6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST487
Wurzburg Bone Plates
Wurzburg Bone plate: T-shape, long, 80 deg,
long, right/left Titanium
5 holes
Changed Product Group, Product Sub Group,
Benefit.
ST488
Wurzburg Bone Plates
Wurzburg Bone plate: Y-shape plate, regular/long
Titanium
5 holes
Changed Product Group, Product Sub Group,
Benefit.
ST489
Wurzburg Bone Plates
Wurzburg Bone plate: Z-shape plate, 100/110
deg, right/left Titanium
4 holes
Changed Product Group, Product Sub Group,
Benefit.
ST490
Wurzburg Bone Plates
Wurzburg Bone Screws: self-tapping Titanium
2x4-19mm, 2.3x7-9mm. Pack of 10
Changed Product Group, Product Sub Group,
Benefit.
ST491
Wurzburg Bone Plates
Leibinger 3D Plating System: square Titanium
2x2 holes
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 205 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST492
Wurzburg Bone Plates
Leibinger 3D Plating System: rectangular
Titanium
2x2 holes, 1mm thick
Changed Product Group, Product Sub Group,
Benefit.
ST493
Wurzburg Bone Plates
Leibinger 3D Plating System: square Titanium
3x2 holes, 1mm thick
Changed Product Group, Product Sub Group,
Benefit.
ST494
Wurzburg Bone Plates
Leibinger 3D Plating System: square, rectangular
Titanium
4x2 holes, 1mm thick
Changed Product Group, Product Sub Group,
Benefit.
ST495
Wurzburg Bone Plates
Leibinger 3D Plating System: rectangular
Titanium
4x4 holes, 1mm thick
Changed Product Group, Product Sub Group,
Benefit.
ST496
Wurzburg Bone Plates
Leibinger 3D Plating System: square, rectangular
Titanium
6x4 holes, 1mm thick
Changed Product Group, Product Sub Group,
Benefit.
ST497
Wurzburg Bone Plates
Wurzburg Mandibular Reconstruction Plating
System: straight bridging plate Titanium
2 holes
Changed Product Group, Product Sub Group,
Benefit.
ST498
Wurzburg Bone Plates
Wurzburg Mandibular Reconstruction Plating
System: straight bridging plate Titanium
3 holes
Changed Product Group, Product Sub Group,
Benefit.
ST500
Wurzburg Bone Plates
Wurburg Mandibular Reconstruction Plating
System: straight bridging plate Titanium
5 holes
Changed Product Group, Product Sub Group,
Benefit.
ST501
Wurzburg Bone Plates
Wurzburg Mandibular Reconstruction Plating
System: straight bridging plate Titanium
6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST502
Wurzburg Bone Plates
Wurzburg Mandibular Reconstruction Plating
System: straight Titanium
7 holes
Changed Product Group, Product Sub Group,
Benefit.
ST507
Wurzburg Bone Plates
Wurzburg Mandibular Reconstruction Plating
System: total mandible bridging plate Titanium
9 holes
Changed Product Group, Product Sub Group,
Benefit.
ST516
Stryker Leibinger Resorbable Fixation System
Resorbable plate: blank panel Tripolymer
55x55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST517
Stryker Leibinger Resorbable Fixation System
Resorbable plate: box shape Tripolymer
2x2 holes
Changed Product Group, Product Sub Group,
Benefit.
ST518
Stryker Leibinger Resorbable Fixation System
Resorbable plate: curved plate Trypolymer
8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST519
Stryker Leibinger Resorbable Fixation System
Resorbable plate: L-shape plate, 110 deg,
right/left Tripoymer
7 holes
Changed Product Group, Product Sub Group,
Benefit.
ST520
Stryker Leibinger Resorbable Fixation System
Resorbable plate: ladder shape plate Tripolymer
2x5 holes
Changed Product Group, Product Sub Group,
Benefit.
ST521
Stryker Leibinger Resorbable Fixation System
Resorbable plate: straight Tripolymer
14 holes
Changed Product Group, Product Sub Group,
Benefit.
ST524
Stryker Leibinger Resorbable Fixation System
Resorbable plate: Y-shape Tripolymer
6 holes
Changed Product Group, Product Sub Group,
Benefit.
ST525
Stryker Leibinger Resorbable Fixation System
Resorbable plate: Y-shape Tripolymer
8 holes
Changed Product Group, Product Sub Group,
Benefit.
ST526
Stryker Leibinger Resorbable Fixation System
Resorbable Mesh Tripolymer
55x55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ST527
Stryker Leibinger Resorbable Fixation System
Resorbable Screws Trypolymer
1.7x4-5mm Pack of 10
Changed Product Group, Product Sub Group,
Benefit.
ST528
Stryker Leibinger Resorbable Fixation System
Resorbable Screws Trypolymer
1.7x3-6mm Pack of 2
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 206 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ST529
Stryker Leibinger Resorbable Fixation System
Resorbable Screws Trypolymer
1.7x3-6mm Pack of 4
Changed Product Group, Product Sub Group,
Benefit.
ST855
Leibinger Titanium Implant System
Mesh: Micro, Dumbach, Dynamic
Diameter 1.0mm - 2.3mm; 90 x 90mm to 200 x
200mm
Changed Product Group, Product Sub Group,
Benefit.
Surgeons Choice Australia Pty Ltd
3 - General Miscellaneous
SH004
MiniMizer gastric band.
Adjustable Silicone band which is placed around
the upper part of the stomach to reduce the
volume and speed of intake of food.
The gastric band comes in one size, but could
come with a small or medium sized port.
14mm wide, 16.6cm band two phase closure, 1:
31mm inner diameter, phase 2: 26mm inner
diameter. 40cm silicon tube attached.
Changed Product Group, Benefit.
SH005
MiniMizer gastric band (injection port)
Adjustable Silicone band which is placed around
the upper part of the stomach to reduce the
volume and speed of intake of food. The injection
port is used to inflate or deflate the gastric band
therefore adjusting the diameter of the band.
Small or medium sized port.
Changed Product Group, Benefit.
General Miscellaneous
SH006
Swing-Contact Mesh Flat
Three-Dimensional polyester prosthesis with
grips, coated with polyurethane for Open and
laparoscopic surgery, 142g/m2
8cm x 13cm, 9cm x 13cm, 10cm x 15cm, 15 x
15cm, 15cm x 20cm
Changed Suffix, Benefit.
SH007
Swing-Contact Mesh Pre Shaped Anatomical
Reversible
Three-Dimensional polyester prosthesis with
grips, coated with polyurethane for Open and
laparoscopic surgery, 142/m2
10cm x 13cm, 11cm x 14cm, 12 x 15cm, 12cm x
16cm, 10cm x 13cm, 11cm x 15cm
Changed Suffix, Benefit.
SH008
Swing-Contact Mesh Pre Shaped Anatomical
with/without slit
Three-Dimensional anatomical polyester
prosthesis coated with polyurethane for preperitoneal placement with grips, 142g/m2
11cm x 15cm, 12cm x 16cm
Changed Suffix, Benefit.
Surgical Specialties
13 - Spinal
SQ061
CPS Bioabsorbable Fixation System
Anterior Cervical Plate System: PLGA/TMC
Copolymer Screws
10-20mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ064
CPS Bioabsorbable Fixation System
Anterior Cervical Plate System: PLCA/TMC
Copolymer
19-60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ065
CPS Bioabsorbable Fixation System
Anterior Cervical Plate System: PLCA/TMC
Copolymer
62.5-110mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
3 - General Miscellaneous
SQ030
PainBuster
Kit includes catheter, introducer needle, flow
restrictor, filter, bolus
270ml volume x 2 lines x 2 ml per hour; 270ml x
2ml, 5ml bolus; 270ml x 1-7ml/hr
Changed Product Group, Product Sub Group,
Benefit.
SQ031
PainBuster
Kit includes catheter, introducer needle, flow
restrictor, filter
100ml volume x 2 ml per hour
Changed Product Group, Product Sub Group,
Benefit.
SQ032
PainBuster
Kit includes catheter, introducer needle, flow
restrictor, filter
270ml volume x 2 ml per hour
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 207 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SQ033
PainBuster
Kit includes catheter, introducer needle, flow
restrictor, filter
270ml volume x 5 ml per hour
Changed Product Group, Product Sub Group,
Benefit.
SQ034
Painbuster
Kit includes catheter, introducer needle, flow
restrictor, filter
270ml x 4ml/hr, dual; 400ml x 4ml per hour, dual
Changed Product Group, Product Sub Group,
Benefit.
SQ035
Painbuster
Kit includes catheter, introducer needle, flow
restrictor, filter, 2 - 14ml/hour
400ml
Changed Product Group, Product Sub Group,
Benefit.
OTPS fixation system: PLGA/TMC copolymer
4.5 x 90mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
6 - Specialist Orthopaedic
SQ058
CPS Bioabsorbable Fixation System
7 - Plastic and Reconstructive
SQ049
Inion GTR Biodegradable System
PLGA/TMC Copolymer: membrane & tacks
a) 30 x 40mm membrane kit; b) 6 tack kit and
applicator
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ050
Inion GTR Biodegradable System
PLGA/TMC Copolymer: membrane & tacks
6 tack kit
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ051
CPS Bioabsorbable Fixation System
OTPS fixation system: PLGA/TMC copolymer
Screws 1.5 - 2.5mm dia x 5-8mm long
Changed Product Group, Product Sub Group,
Benefit.
SQ052
CPS Bioabsorbable Fixation System
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
1.5-2.5 mesh plate, 7 x 7 holes; 1.5mm baby
mesh plate 7 x 7 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ053
CPS Bioabsorbable Fixation System
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
1.5mm baby plates:- 20 hole, c-plate & x-plate 7
hole, 2 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ054
CPS Bioabsorbable Fixation System
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
1.5mm plates:- 20 holes, c-plate & x-plate 7 hole,
L-plate 7 hole L & R. burrhole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ055
CPS Bioabsorbable Fixation System
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
1.5-2.5mm plates:- 2-10 hole plates and
extended, c-plate & x-plate 7 hole, H-plate 8 hole,
orthognathic hole and L-plate L & R 7 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ056
CPS Bioabsorbable Fixation System
OTPS fixation system: PLGA/TMC copolymer
Screws 2.8 x 6-23mm, 3.1 x 6-8mm
Changed Product Group, Product Sub Group,
Benefit.
SQ057
CPS Bioabsorbable Fixation System
OTPS fixation system: PLGA/TMC copolymer
Screws 3.1 x 6 - 30mm and 2.5 x 30mm
Changed Product Group, Product Sub Group,
Benefit.
SQ059
CPS Bioabsorbable Fixation System
OTPS fixation system: PLGA/TMC copolymer
Screws 4.5 x 20-55mm, 3.1 x 40mm
Changed Product Group, Product Sub Group,
Benefit.
SQ060
CPS Bioabsorbable Fixation System
OTPS fixation system: PLGA/TMC copolymer
Screws 2 x 9-19mm, 2.5 x 10-23mm and 2.8 x
10 - 23mm
Changed Product Group, Product Sub Group,
Benefit.
SQ062
CPS Bioabsorbable Fixation System
OTPS fixation system: PLGA/TMC copolymer
Plates 6 & 8 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ063
CPS Bioabsorbable Fixation System
OTPS fixation system: PLGA/TMC copolymer
Pin 1.5 & 2 mm dia x 20-50 mm long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SQ066
CPS Bioabsorbable Fixation System
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
1.5-2.5 mesh plates, 14 x 14 holes; 1.5mm baby
mesh plate 14 x 14 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Continuous Nerve Block kit - provides continual
flow of local anaesthetic near a nerve
100-400ml
Changed Description, Size.
General Miscellaneous
SQ036
Painbuster C bloc
Surgical Supplies Australia Pty Ltd
Changed Items for Prostheses List Report
Page 208 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
7 - Plastic and Reconstructive
ZW001
Eurosilicone Breast Implants
Textured Cohesive Gel Breast Implants for
Plastic and Reconstructive Surgery
100cc to 900cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZW002
Eurosilicone Breast Implants
Round Cohesive Gel Breast Implants for Plastic
and Reconstructive Surgery
100cc to 900cc
Changed Description, Product Group, Product
Sub Group, Benefit.
ZW003
Eurosilicone Breast Implants
Anatomical Cohesive Gel Breast Implants for
Plastic and Reconstructrive Surgery
100cc to 500cc
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
Surgien Pty Ltd
6 - Specialist Orthopaedic
BR001
OPRA System
Central screw - titanium
One size only
Changed Product Group, Product Sub Group.
BR002
OPRA System
Healing cylinder - titanium
One size only
Changed Product Group, Product Sub Group.
BR003
OPRA System
Healing screw - titanium
One size only
Changed Product Group, Product Sub Group.
BR004
OPRA System
Fixture - titanium
16 - 20mm
Changed Product Group, Product Sub Group.
BR005
OPRA System
Abutment - titanium
Length 47 - 77mm
Changed Product Group, Product Sub Group.
BR006
OPRA System
Abutment screw - titanium
Length 57 - 87mm
Changed Product Group, Product Sub Group.
Silicone Elastomer
Small / Medium / Large
Changed Product Group, Benefit.
Surgiplas Medical
5 - Urogenital
SP002
Testicular Implant
6 - Specialist Orthopaedic
SP029
OsteoMed Plating & Fixation System
Plates - Fracture; Screws - Cannulated Lag
6 Hole Fracture Plate 47 - 52mm; 2 x 2 Hole
Angled Fracture Plate; 3 x 3 Hole Angled
Fracture Plate; 6.5mm x (30 -150)mm; 7.3mm x
(30 - 150)mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP032
OsteoMed Plating & Fixation System
Lag Screws - Maxi, MMF, 3.0mm
2.4mm x (8 - 42)mm; 2.4 x (12 - 18)mm; 3.0mm
x (12 - 36)mm;
Changed Product Group, Product Sub Group,
Benefit.
SP035
OsteoMed Plating & Fixation System
Screws - Cannulated Lag
2.0mm x (6 - 16)mm; 2.4mm x (6 - 20)mm
Changed Product Group, Product Sub Group,
Benefit.
SP036
OsteoMed Plating & Fixation System
Screws - Cannulated Lag
2.0mm x (18 - 42)mm; 2.4mm x (22 - 50)mm
Changed Product Group, Product Sub Group,
Benefit.
SP037
OsteoMed Plating & Fixation System
Screws - Cannulated Lag
3.0mm x (10 x 28)mm; 4.0mm x (12 - 30)mm
Changed Product Group, Product Sub Group,
Benefit.
SP038
OsteoMed Plating & Fixation System
Screws - Cannulated Lag
3.0mm x (30 x 40)mm; 4.0mm x (32 - 52)mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP051
Contour Hand Screws
Screws
1.2, 1.7 and 2.3mm in diameter screws ranging
between 4 and 24 mm in length.
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 209 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SP052
Contour Hand - Plates
XS / S / M / L; straight plate 4-16 hole; Z plate, Y
plate, T plate, L plate 5-9 hole; Straight plate, T
plate with stabilizers 5-6 hole; Square, Gridrectangular plate 4-8 hole; Straight, T, Y
Compression Plate 4-7 hole; Condylar plate w/out
stabilizer 5
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
CONTOUR Hand
7 - Plastic and Reconstructive
SP004
Facial Prosthesis
Silicone elastomer
Small / Medium / Large / X-Large
Changed Product Group, Benefit.
SP010
Nagor Tissue Expander
Two Stage, Valved
10 to 2000cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP011
Nagosil SFS-LP-Saline Filled Low Profile
Smooth Surface Breast Prostheses, Nagosil SFSHP-Saline Filled High Profile Smooth Surface
Breast Prostheses
Smooth surface
100 to 600cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP012
Nagotex SFX-LP-Saline Filled Low Profile
Textured Surface, Nagotex SFX-HP-Saline Filled
High Profile Textured Surface Breast Prostheseses
Textured surface
100 to 600cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP018
Plates
Micro, Midface, Mini & Maxi
Chin Plate 2, 3, 4, 6, 8, 10 & 12mm, Plates 4 to 7
holes.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP024
OsteoMed Plating & Fixation System
Plates - Reconstruction
5 x 16 Hole plate Right & Left
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP026
OsteoMed Plating & Fixation System
Plates - Fracture
Rigid Comminuted Fracture Plate
Changed Product Group, Product Sub Group,
Benefit.
SP027
OsteoMed Plating & Fixation System
Plates - Fracture
8 Hole Fracture Plate, 4 & 6 hole locking fracture
plate, 4 to 7 hole locking plate.
Changed Product Group, Product Sub Group,
Benefit.
SP028
OsteoMed Plating & Fixation System
Plates - Fracture
4 hole Fracture Plate 32 -37mm; EDC Plate
32mm & 34mm, 4 to 7 hole compression plate.
Changed Product Group, Product Sub Group,
Benefit.
SP031
OsteoMed Plating & Fixation System
Lag Screws - Micro, Mini
1.2mm x (6 - 16)mm; 1.6mm x (10-12)mm;
2.0mm x (8 - 22)mm;
Changed Product Group, Product Sub Group,
Benefit.
SP033
OsteoMed Plating & Fixation System
Compression Plates - Micro, Mini & Maxi
Micro: 2 x 3 Hole Compression T Plate, Oblique
Left & Right Compression T Plate, 4 Hole
Straight Compression Plate; 5 Hole Straight
Plate, 13mm Left & Right L Plate, 19mm T Plate,
2 x 3 Hole Quad Plate; Mini: 4 Hole Left & Right
L Plate, 4 Hole Left & Rig
Changed Product Group, Product Sub Group,
Benefit.
SP034
OsteoMed Plating & Fixation System
Compression Plates - Maxi
Maxi: 4, 5 & 6 Hole Straight Plate
Changed Product Group, Product Sub Group,
Benefit.
SP045
Logic Distraction System
Distractor, spacers & activation set
Straight, Curved 18-52mm
Changed Product Group, Product Sub Group,
Benefit.
SP047
Gel Filled Mammary Prosthesis Models GFX-LP,
GFX and GFX-EHP
Textured Round
80 to 800ml
Changed Product Group, Product Sub Group,
Benefit.
SP048
Gel Filled Mammary Prosthesis Models RGI-D,
RGI-DH and RGI-DEH
Smooth Round
80 to 800ml
Changed Product Group, Product Sub Group,
Benefit.
SP049
Gel Filled Mammary Prosthesis Models CoGelXR, CoGel-XRH, CoGel-XL, CoGel- XM and
CoGel XF
CoGel High Cohesive
100 to 790gm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 210 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SP067
Plates
Micro, Mini, Maxi
16 Hole Straight Plate, 1.0mm thick, Plate 15 to
32 holes
Changed Product Group, Product Sub Group,
Benefit.
SP068
Plates
Micro, Mini, Maxi
Mesh 50mm x 74mm Mesh 26 to 50cm2 area
Changed Product Group, Product Sub Group,
Benefit.
SP069
Plates
Micro, Mini, Maxi
Angled EDC Plate, Angled Long EDC Plate,
40mm 6 Hole Fracture Plate, 6 Hole Curved EDC
Plate, 33mm & 38mm 4 Hole EDC Plate, 48mm
6 Hole EDC Plate, Mandible,
Mandible/Reduction, Mandible Angle
Changed Product Group, Product Sub Group,
Benefit.
SP070
Plates
Micro, Mini, Maxi
Gap Plates, Plates 4 to 7 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP071
Plates
Micro, Mini, Maxi
Quad Plates, Medium 2 x 4 Hole Quad Plate,
Plates 8 to 15 holes
Changed Product Group, Product Sub Group,
Benefit.
SP072
Plates
Micro, Mini, Maxi
Burr Hole Plates, Calvarium Plate - Small &
Large - Calvarium Plate, Plates 4 to 7 Holes
Changed Product Group, Product Sub Group,
Benefit.
SP073
Plates
Micro, Midface, Mini, BSSO, TR BSSO
2 x 3 Hole Quad Plate, Plate 4 to 7 holes.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP074
Plates
Micro, Midface, Mini, BSSO, TR BSSO
4 Hole BSSO Plate Short, Medium, Long; TR
BSSO Plate, Short, Long; 4 & 6 Hole Straight
Plate 1.0mm thick, Plate 4 to 7 holes.
Changed Product Group, Product Sub Group,
Benefit.
SP075
Plates
Micro, Midface & Mini
Straight Plate - 2 Hole, Plate < 4 holes.
Changed Product Group, Product Sub Group,
Benefit.
SP076
Plates
Micro, Midface & Mini
Straight Plate - 2 Hole, Plate < 4 holes.
Changed Product Group, Product Sub Group,
Benefit.
SP077
Plates
Micro, Midface & Mini
Quad Plate, Quad Plate - Short, Plate 8 to 15
holes.
Changed Product Group, Product Sub Group,
Benefit.
SP078
Plates
Micro, Mini
Mesh Sheet 100mm x 74mm Mesh 51 to 100cm2
area
Changed Product Group, Product Sub Group,
Benefit.
SP079
Plates
Micro, Mini
Orbital Plate, Orbital Plate Large
Changed Product Group, Product Sub Group,
Benefit.
SP080
Plates
Micro, Mini
Mesh 50mm x 37, 36 x 50mm, Mesh 11 to
25cm2 area
Changed Product Group, Product Sub Group,
Benefit.
SP081
Plates
Micro, Mini
40 Hole Straight Plate, Mesh 18 row, Plate >32
holes.
Changed Product Group, Product Sub Group,
Benefit.
SP082
Plates
Micro, Mini
Sub - Temporal Plates, Plates 8 to 15 Holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP083
Plates
Mini & Maxi
16 & 18 Hole Straight Plate, 18 Hole Straight
Plate, Plates 15 to 32 Holes
Changed Product Group, Product Sub Group,
Benefit.
SP084
Plates
Mini & Maxi
4 & 5 Hole compression Plates 4 to 7 Holes
Changed Product Group, Product Sub Group,
Benefit.
SP085
Plates
Mini & Maxi
Curved Plate, 8 Hole Straight Plate; Mini : 10
Hole Straight Plate, Extended Y Plate, Rigid 10
Hole Straight Plate, 12 Hole Straight Plate, Y
Plate - 13 Hole, 12 Hole Curved Plate, 10 Hole
Straight Plate; 10 Hole Curved Plate, Straight
Plate 10 Hole, Y P
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 211 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SP086
Plates
Mini & Maxi
12 Hole Straight Plate 1.0 mm thick, 8 Hole
Straight Plate 1.0 mm thick, Plates 8 to 15 holes
Changed Product Group, Product Sub Group,
Benefit.
SP087
Plates
Mini & Maxi
Zygomatic Plates, Pyriform Plates, Orthognathic,
Y Plates, Y Plate, H Plate, 5 Hole straight plate,
13mm & 16mm L Plate - Left & Right, 19mm T
Plate, X Plate; 10mm Square Plate; 13mm, 15mm
& 22mm L Plate - Left & Right, 9mm & 11mm
ZED Plate - Left & Right
Changed Product Group, Product Sub Group,
Benefit.
SP088
Screws
Micro, Maxi & Self Drilling
"Size 1.2mm self-drilling screws, 1.2mm x (2 14)mm, Screws diameter < 1.24mm"
Changed Product Group, Product Sub Group,
Benefit.
SP089
Screws
Micro, Maxi & Self Drilling
"Size 1.6mm x (4-8)mm self-drilling
screws,1.5mm Safety ,Screws diameter 1.251.75mm"
Changed Product Group, Product Sub Group,
Benefit.
SP090
Screws
Micro, Maxi & Self Drilling
"Size 2.0mm x (4-8)mm self-drilling
screws,1.9mm Safety ,Screws diameter 1.752.24mm"
Changed Product Group, Product Sub Group,
Benefit.
SP091
Screws
Micro, Maxi & Self Drilling
2.4mm x (4-22)mm self-drilling screws, 2.7mm x
(8-20)mm; 2.7mm Safety Screws, diameter 2.252.74mm
Changed Product Group, Product Sub Group,
Benefit.
SP092
Osteo Plating & Fixation System
Plates - Reconstruction
5 x 20 x 5 Hole Full Mandible Plate; 5 x 16 x 5
Hole Full Mandible Plate; Mandible, Full
Changed Product Group, Product Sub Group,
Benefit.
SP093
OsteoMed Plating & Fixation System
Plates - Reconstruction
Mesh Malleable/Ridgid, 74 x 50mm, Mesh, 0.5
to 0.8mm thick, 26 to 50cm3 area
Changed Product Group, Product Sub Group,
Benefit.
SP094
OsteoMed Plating & Fixation System
Screws
2.4mm x (6-22)mm Locking Screws, Screws 2.252.74mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP095
OsteoMed Plating & Fixation System
Screws
Locking Screw Inserts, Other ancillary
Changed Product Group, Product Sub Group,
Benefit.
SP096
OsteoMed Plating & Fixation System
Screws
MMF / Anchorage Screws 1.2/1.6/2.0mm
Anchor, Bone
Changed Product Group, Product Sub Group,
Benefit.
SP101
Bioresorbable Fixation System
Plates
Neuro Fixation Set
Changed Product Group, Product Sub Group,
Benefit.
SP106
OsteoMed Plating & Fixation System
Plates
111 x 191mm Mesh Plate, Mesh > 200cm2 area.
Changed Product Group, Product Sub Group,
Benefit.
SP107
OsteoMed Plating & Fixation System
Plates
40 x 40mm Osteoform Mesh, Mesh 11 to 25cm2
area.
Changed Product Group, Product Sub Group,
Benefit.
SP108
OsteoMed Plating & Fixation System
Plates
40 x 40mm Osteoform Mesh, Mesh 11 to 25cm2
area.
Changed Product Group, Product Sub Group,
Benefit.
SP109
OsteoMed Plating & Fixation System
Plates
90 x 90mm Osteoform Mesh, Mesh 51 to
100cm2 area.
Changed Product Group, Product Sub Group,
Benefit.
SP110
OsteoMed Plating & Fixation System
Plates
90 x 90mm Osteoform Mesh, Mesh 51 to
100cm2 area.
Changed Product Group, Product Sub Group,
Benefit.
SP112
OsteoMed Plating & Fixation System
Plates
125 x 180mm Mesh Plate, 150 x 300mm Mesh
Plate, Mesh >200cm2 area.
Changed Size, Product Group, Product Sub
Group, Benefit.
SP113
OsteoMed Plating & Fixation System
Plates
90 x 90mm, 95 x 165mm, & Large Pre-formed
Osteoform Mesh, Cranium.
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 212 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SP114
Nagor Breast Implants
Silicone Firm and Stable Gel Breast Implants
150 - 620cc
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SP116
OsteoMed Plating & Fixation System
Locking Screws
Diameter 2.0mm, length 4-18mm
Changed Product Group, Product Sub Group,
Benefit.
SP117
OsteoMed Plating & Fixation System
Mandible Locking plates
8-15 Hole Plates, 1.0-1.99 mm thick
Changed Product Group, Product Sub Group,
Benefit.
SP118
OsteoMed Plating & Fixation System
Mandible Locking Plates
16-32 Hole Plates, 1.0-1.99 mm thick
Changed Product Group, Product Sub Group,
Benefit.
SP120
OsteoMed Plating & Fixation System
Mandible locking plates
4-7 Holes, 2.0-2.99 mm thick
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Synthes Australia Pty Ltd
13 - Spinal
SY006
Click'X Spinal Fixation System
Cap
One size only
Changed Product Group, Suffix, Benefit.
SY007
Click'X Spinal Fixation System
Pedicle Screw: Preassembled
Length 25-80mm
Changed Product Group, Product Sub Group,
Benefit.
SY008
VentroFix
Clamp
Single, Double, Fracture, Left, Right
Changed Product Group, Suffix, Benefit.
SY010
VentroFix
Set screw
One size only
Changed Product Group, Suffix, Benefit.
SY011
VentroFix
Parallel connector
6.0/6.0mm
Changed Product Group, Product Sub Group,
Benefit.
SY012
CerviFix Posterior Cervical System
Clamp
Left, Right, Medial, Lateral, Pedicle, Lamina
Changed Product Group, Product Sub Group,
Benefit.
SY013
CerviFix Posterior Cervical System
Hook
Small, Large, Left, Right
Changed Product Group, Product Sub Group,
Benefit.
SY015
CerviFix Posterior Cervical System
Parallel connector
3.5/3.5, 3.5/5.0, 3.5/6.0
Changed Product Group, Product Sub Group,
Benefit.
SY039
Spinal Plate/Plate System AO/ASIF Spinal
Implants
Spondylolysis hook screw (complete) small &
large
Screw 45 - 60mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY088
Plif Cage: Cage
Contact fusion cage - bone compression screw for
PLIF cage
Width 8 - 11mm / height 9 - 15mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY135
Cervical Spine Locking Plate (CSLP) System
Locking Screw
One size only
Changed Product Group, Suffix, Benefit.
SY137
Syncage
Interbody fusion cage
12 -19mm Height
Changed Product Group, Product Sub Group,
Benefit.
SY139
Spinal Plate/Plate System AO/ASIF Spinal
Implants
Anterior thoracolumbar plate - locking
40mm - 109mm
Changed Product Group, Product Sub Group,
Benefit.
SY140
AO/ASIF Spinal Implants
Locking Screws
Length 12 - 55mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
SY141
Spinal Plate/Plate System AO/ASIF Spinal
Implants
Cannulated/self tapping screw (odontoid)
3.5mm dia, 36-50mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY143
Universal Spine System (USS)
Rods
Length 40 - 500mm
Changed Product Group, Product Sub Group,
Benefit.
SY144
Universal Spine System (USS)
Fracture Clamps
Cranial, Standard, Low Profile
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 213 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY145
Universal Spine System (USS)
Half Ring
SS, Standard, Self-Holding
Changed Product Group, Benefit.
SY146
Universal Spine System (USS)
Cross Link Rod
40-80mm length
Changed Product Group, Suffix, Benefit.
SY147
Universal Spine System (USS)
Connectors
Parallel, In-line, Transverse, SS, 15 - 25mm
Changed Product Group, Product Sub Group,
Benefit.
SY148
Universal Spine System (USS)
Pedicle Hook Screw
Length 20- 40mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY149
Universal Spine System (USS)
Schanz Screws
5-7mm dia
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY150
Universal Spine System (USS)
Washers
Pointed, Flat, 4.2 - 7mm
Changed Product Group, Product Sub Group,
Benefit.
SY151
Universal Spine System (USS)
Sleeve
3.5 - 6mm
Changed Product Group, Suffix, Benefit.
SY152
Universal Spine System (USS)
Set Screw
Standard
Changed Product Group, Suffix, Benefit.
SY174
Universal Spine System (USS)
Nut
Standard, SS
Changed Product Group, Suffix, Benefit.
SY178
Spinal Fixation System
Pedicle screw head
5 - 6mm
Changed Product Group, Suffix, Benefit.
SY181
Cervical Spine Locking Plate (CSLP) System
Expansion Head Screw
Dia 3.5 - 4.5mm, Length 12 - 25mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY183
Posterior Cervical Plate System
Plate
22-33 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY184
Posterior Cervical Plate System
Plate - rod
Special Manufacture - One size only
Changed Product Group, Benefit.
SY186
Cervifix Posterior Cervical System
Nut
One size only
Changed Product Group, Suffix, Benefit.
SY187
Cervifix Posterior Cervical System
Screw
Dia 3.2 - 4.5mm, Length 6 - 55mm
Changed Product Group, Product Sub Group,
Benefit.
SY250
Universal Spine System
Low Profile Transconnector
18-83mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY251
Ventrofix - MIS
Screw
25-65mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY273
Cervios IBF Cage
Interbody Fusion Cage
Height 5-10mm (1mm increments)
Changed Product Group, Product Sub Group,
Benefit.
SY274
Plivios IBF Cage
Interbody Fusion Cage
Height 7-17mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY286
USS llio-Sacral Fixation system
Locking Screw
one size only
Changed Product Group, Suffix, Benefit.
SY287
USS llio-Sacral Fixation system
Transconnecting bar
One size only
Changed Product Group, Product Sub Group,
Benefit.
SY288
USS llio-Sacral Fixation system
Sacral clamp
One size only
Changed Product Group, Product Sub Group,
Benefit.
SY289
USS llio-Sacral Fixation system
Polyaxial screw
20mm to 140mm
Changed Product Group, Product Sub Group,
Benefit.
SY290
Anterior Tension Band
Plate
30mm to 110mm
Changed Product Group, Product Sub Group,
Benefit.
SY291
Anterior Tension Band
Locking Screw
22mm to 36mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 214 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY293
Synmesh
Mesh, Oblong
6mm - 88mm
Changed Product Group, Product Sub Group,
Benefit.
SY294
Synmesh
Mesh, Round
6mm - 88mm
Changed Product Group, Product Sub Group,
Benefit.
SY295
Synmesh
End rings
round/oblong
Changed Product Group, Product Sub Group,
Benefit.
SY297
SynFix Spinal system
Locking Screw
10mm to 40mm, 4.0mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY298
SynFix Spinal System
Interbody fusion cage prefilled or unfilled
5mm to 19mm
Changed Product Group, Product Sub Group,
Benefit.
SY299
Vectra Anterior Spinal System
Locking Screw
10mm to 26mm
Changed Product Group, Product Sub Group,
Benefit.
SY300
Travios
Interbody fusion cage, prefilled or unfilled
5mm to 19mm
Changed Product Group, Product Sub Group,
Benefit.
SY301
TeleFix Spinal System
Rod/Plate construct
40mm to 140mm in length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY302
TeleFix Spinal System
Posterior Screw
20mm to 70mm in length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY303
TeleFix Spinal System
Anterior Screw
20mm to 70mm in length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY304
TeleFix Spinal System
Posterior Locking Screw
One size only
Changed Product Group, Suffix, Benefit.
SY306
Pangea Spinal System
Pedicle and Lamina Hooks
Extra small to Extra Large
Changed Product Group, Product Sub Group,
Benefit.
SY307
Pangea Spinal System
Locking Cap
One size only
Changed Product Group, Suffix, Benefit.
SY308
Axon Spinal System
Locking Set screw
One size only
Changed Product Group, Suffix, Benefit.
SY309
Axon Spinal System
Variable axis screw
3.0mm - 4.5mm diameter, 4mm to 60mm length
Changed Product Group, Product Sub Group,
Benefit.
SY310
Axon Spinal System
transverse bar
one size only
Changed Product Group, Product Sub Group,
Benefit.
SY325
Universal Spine System
Hook
Small, Medium, Large, Lamina, Thoracic, Pedicle
Changed Product Group, Product Sub Group,
Benefit.
SY326
Spinal Plate/Plate System AO/ASIF Spinal
Implants
Internal fixator - cross link clamp
One size only
Changed Product Group, Suffix, Benefit.
SY327
Spine Solutions Prodisc
Artificial mechanical disc, superior plate
component
3 Degree, 6 Degree, 11 Degree, Medium, Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY328
Spine Solutions Prodisc
Artificial mechanical disc, polyethylene inlay
10,12,14mm, Medium, Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY329
Spine Solutions Prodisc
Artificial mechanical disc, inferior plate
component
0 Degree, 3 Degree, 8 Degree,Medium, Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY334
Arch Fixation System
Screws, titanium
2.0mm - 2.4mm screws, 4 to 12mm
Changed Product Group, Product Sub Group,
Benefit.
SY335
Arch Fixation System
Pre contoured mini titanium plates
4 to 16mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 215 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY336
Click'x Spinal System
Cannulated Screws
4.0mm to 9.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY337
Universal Spinal System (USS)
Polyaxial Pedicle Screw, titanium
4.0mm to 9.00mm
Changed Product Group, Product Sub Group,
Benefit.
SY340
PlivioPore
Ti PLIF cage
Height 7 - 17mm / width 7 - 13mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY341
Expandable Cage Titanium
Synex II, Titanium
Height 14mm-123mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY342
Expandable Cage Titanium
Synex II, Titanium endplate
Angle 0 - 40 degree. Endplate Size 19x20, 22x25,
26x30
Changed Product Group, Product Sub Group,
Benefit.
SY343
Expandable Cage Titanium
Synex, Titanium, with endplates
Height 14mm - 93mm, Angle 0 - 40 degree
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY356
ECD - Expandable Corpectomy Device
Vertebral body replacement system,
PEEK/Titanium
Angle 4.5Deg/7Deg, Height 17mm - 70mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY357
ECD - Expandable Corpectomy Device
Locking clip, PEEK/Titanium
Universal
Changed Product Group, Suffix, Benefit.
SY359
Universal Spine System (USS)
Fracture Clamps
Cranial, Standard, Low Profile
Changed Product Group, Suffix, Benefit.
SY360
Universal Spine System (USS)
Half Ring
SS, Standard, Self-Holding
Changed Product Group, Benefit.
SY361
Universal Spine System (USS)
Cross Link Rod
40 - 80mm Length
Changed Product Group, Suffix, Benefit.
SY362
Universal Spine System (USS)
Pedicle Hook Screw
Length 20 - 40mm
Changed Product Group, Product Sub Group,
Benefit.
SY363
Universal Spine System (USS)
Sleeve
3.5 - 6mm
Changed Product Group, Suffix, Benefit.
SY365
Cervical Spine Locking Plate (CSLP) System
VA Plate
Length 23 - 109mm
Changed Product Group, Product Sub Group,
Benefit.
SY366
Axon Spinal System
transverse bar
one size only
Changed Product Group, Product Sub Group,
Benefit.
SY380
Axon Occipital Fusion System
Occipital Plate Medial / Lateral, Pure titanium
50mm / 60mm width, 3 or 4 holes
Changed Product Group, Product Sub Group,
Benefit.
SY381
Axon Occipital Fusion System
Occipital Screws 4.5mm / 5.0mm
diameter Titanium Alloy
Length 4 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
SY382
Axon Occipital Fusion System
Occipital Clamp Titanium Alloy
1 or 2 holes
Changed Product Group, Suffix, Benefit.
SY383
Synmesh
Locking Screw, Low Profile, For Synmesh End
Rings
Small, Large
Changed Product Group, Suffix, Benefit.
SY384
Speciality Rods
Unit Rod, Titanium / Stainless Steel
5mm, 6mm diameter 250mm - 500mm length
Changed Product Group, Product Sub Group,
Benefit.
SY385
Speciality Rods
Scoliosis / J/S Rod, Precontoured, Titanium /
Stainless Steel
5mm, 6mm diameter. Left / Right 50mm 500mm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY398
Axon Spinal System - Transconnector
Axon Transconnector
60mm - 75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY412
Lotus System
Cap
One size
Changed Product Group, Suffix, Benefit.
SY414
USS Micro-Crosslink
Crosslink Clamp
One size only
Changed Product Group, Suffix, Benefit.
SY415
USS Micro-Crosslink
Crosslink Clamp Rod
One size only
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 216 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY439
OPAL
Cage Spacer
7-177mm, 10 x 28-32mm
Changed Product Group, Product Sub Group,
Benefit.
SY440
Synapse
Locking Screw
One size
Changed Product Group, Suffix, Benefit.
SY441
Synapse
Posterior Cervical Polyaxial Screw System
3.5mm-4.5mm Diameter; 8mm-50mm Length
Changed Product Group, Product Sub Group,
Benefit.
SY442
Synapse
Parallel Connector
3.5/3.5-6.0mm
Changed Product Group, Product Sub Group,
Benefit.
SY443
Synapse
Lamina Hook, Top Loading
right, left, straight, short, long
Changed Product Group, Product Sub Group,
Benefit.
SY444
CerviFix Posterior Cervical System
Rod: Straight or pre bent
3.5mm diameter, 120-250mm length
Changed Product Group, Product Sub Group,
Benefit.
SY445
CerviFix Posterior Cervical System
Occipital Plate Rod
one size
Changed Product Group, Benefit.
SY446
CerviFix Posterior Cervical System
Rod: Tapered
3.5/5.0 - 3.5/6.0 dual diameter, 300 -500mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY447
Spinal Fixation System
Universal Reduction Screw
4.0mm - 9.0mm Diameter; 20mm-100mm Length
Changed Product Group, Product Sub Group,
Benefit.
SY448
Spinal Fixation System
Locking Cap
One Size
Changed Product Group, Suffix, Benefit.
SY449
Cervical Spine Locking Plate (CSLP) System
QuickLock Screw
4.0 or 4.5mm Diameter, 12-20mm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY453
Oracle
Lumbar Interbody Fusion Cage
40-55mm M/L x 22mm A/P, 9-17mm Height
Changed Product Group, Product Sub Group,
Benefit.
SY454
Cervical Spine Locking Plate (CSLP) System
Plate - Special Manuf.
>55
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY455
Cervical Spine Locking Plate (CSLP) System
Plate - Special Manuf.
≤55
Changed Product Group, Product Sub Group,
Benefit.
SY456
Cervical Spine Locking Plate (CSLP) System
Small Stature Plate
>55
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY457
Cervical Spine Locking Plate (CSLP) System
Small Stature Plate
≤55
Changed Product Group, Product Sub Group,
Benefit.
SY458
Vectra T Anterior Spinal System
Titanium
>55
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY459
Vectra T Anterior Spinal System
Titanium
≤55
Changed Product Group, Product Sub Group,
Benefit.
SY461
Pangea Spinal System
Preassembled Polyaxial Pedicle Screw - Thoracic,
Lumbar and Sacral Spine, Cannulated
Diameter, 4.0mm to 10mm. Length, 20mm to
120mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY462
Posterior Cervical Plate System
Cervical Spine Reconstruction Plate
≤55
Changed Product Group, Product Sub Group,
Benefit.
SY463
Posterior Cervical Plate System
Cervical Spine Reconstruction Plate
>55
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY464
Cervical Spine Locking Plate (CSLP) System
VA Plate
≤55
Changed Product Group, Product Sub Group,
Benefit.
SY465
Cervical Spine Locking Plate (CSLP) System
VA Plate
>55
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 217 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY519
Vectra Anterior Spinal System
Cervical Plate
>55
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY520
Vectra Anterior Spinal System
Cervical Plate
≤55
Changed Product Group, Product Sub Group,
Benefit.
SY548
Pangea Spinal System
Preassembled Polyaxial Pedicle Screw - Thoracic,
Lumbar and Sacral Spine
Diameter, 4.0mm to 10mm, Length, 20mm to
120mm
Changed Product Group, Product Sub Group,
Benefit.
SY549
Pangea Spinal System
Preassembled Monoaxial Pedicle Screw Thoracic, Lumbar and Sacral Spine
Diameter, 4.0mm to 10mm, Length, 20mm to
120mm
Changed Product Group, Product Sub Group,
Benefit.
SY564
Spinal Fixation System
Matrix Rods
20mm - 500mm length
Changed Product Group, Product Sub Group,
Benefit.
SY565
Spinal Fixation System
Matrix Preassembled Polyaxial Pedicle Screw
4.00mm - 9.00mm; 20mm - 100mm Length
Changed Product Group, Product Sub Group,
Benefit.
SY566
Spinal Fixation System
Matrix Reduction Screw
4.0mm - 8.00mm; 20mm - 65mm Length
Changed Product Group, Product Sub Group,
Benefit.
SY567
Spinal Fixation System
Matrix Preassembled Monoaxial Pedicle Screw
4.00mm - 9.00mm; 20mm - 100mm Length
Changed Product Group, Product Sub Group,
Benefit.
SY568
Spinal Fixation System
Pedicle and Lamina Hooks, straight, angled, offset
Small, Medium, Large
Changed Product Group, Product Sub Group,
Benefit.
SY569
Spinal Fixation System
Matrix Snap-on Transconnector
21mm - 90mm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY570
T-PAL
Interbody Fusion Cage System - Lumbar
7-17mm
Changed Product Group, Product Sub Group,
Benefit.
6 - Specialist Orthopaedic
SY016
AO/ASIF Plates
Cloverleaf
3-6 hole, length 104mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY017
AO/ASIF Plates
Calcaneal
Length 60 - 70mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY024
AO/ASIF Plates
Cobra head
8-11 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY037
AO/ASIF Plates
Wrist fusion plate
2-28 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY049
AO/ASIF Screws
Mini cannulated screw
3.0mm dia / 8 - 40mm length
Changed Product Group, Product Sub Group,
Benefit.
SY050
AO/ASIF Screws
Plate pin
12-30mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SY054
AO/ASIF Plates
DHS/DCS lag screw
50-145mm L
Changed Suffix, Benefit.
SY065
AO/ASIF Screws
Cortex Screw
≤2.0mm
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
SY068
AO/ASIF Screws
Cancellous screws full and short thread
10mm - 105mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
SY071
AO/ASIF Screws Steel
Cannulated screws
2.7mm-4.49mm
Changed Product Group, Product Sub Group,
Benefit.
SY092
AO/ASIF K-Wires, Pins, Washers etc.
Washers/nuts
1.0mm - 16mm dia
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 218 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY109
AO/ASIF Screws
DHS/DCS compression screw
36-145mm length
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
SY110
AO/ASIF Screws
DHS/DCS locking device screw
One size only
Changed Product Name, Product Group,
Product Sub Group, Suffix, Benefit.
SY112
AO/ASIF Plates
Plate
1.0mm - 2.7mm
Changed Product Group, Product Sub Group,
Benefit.
SY115
AO/ASIF Plates
3.5mm, T- PLATE - right & oblique angle
2-8 hole
Changed Product Group, Product Sub Group,
Benefit.
SY116
AO/ASIF Plates
4.5mm recon plate
2-28 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY117
AO/ASIF Plates
T & L plate - left & right
≥4.5mm diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY162
LCP Plate
Distal Tibial Plate, sterile/non-sterile
Dia 3.5 - 5.0mm, length 4-24 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY163
LCP Plate
Tibial Plate, Sterile/Non Sterile
1 - 24 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY188
AO/ASIF Plates
Calcaneal, Locking
3.5mm, 30 - 100mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY193
Orthopaedic External Fixator Systems
Rod / Bar
2.0mm-15.0mm dia 20.0mm-445mm L
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY196
Orthopaedic External Fixator Systems
Rod/Bar
450mm length - 650mm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY198
Orthopaedic External Fixator Systems
Distractors and lengthening apparatus
Mini - lengthening apparatus, mini distractor/lengthening apparatus, medium and
large distractor
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY199
Orthopaedic External Fixator Systems
External fixator clamps, double clamp
4-6mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY200
Orthopaedic External Fixator Systems
External fixator clamps, transverse clamp
4-6 hole
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SY203
Orthopaedic External Fixator Systems
External fixator clamps, tube to tube/universal
clamp
11mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY205
Orthopaedic External Fixator Systems
External fixator clamps, connecting clamp
3-4mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY206
Orthopaedic External Fixator Systems
External fixator clamps, adjustable clamp
4.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY224
Orthopaedic External Fixator Systems
External fixator clamp components, angled piece
1.25-11.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY228
Orthopaedic External Fixator Systems
External fixator clamp components,
vice/connecting plate
1.25-8.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY230
Orthopaedic External Fixator Systems
External fixator clamp components, intermediate
piece
1.25-6.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY233
Orthopaedic External Fixator Systems
External fixator clamp components, angle
3mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY234
Orthopaedic External Fixator Systems
External fixator clamp components, angulator
3mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 219 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY236
Orthopaedic External Fixator Systems
External fixator clamp components, halo with
visor
1.25-6.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY237
Orthopaedic External Fixator Systems
3 degree, 6 degree, 11 degree. Medium, Large
1.25-6.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY238
Orthopaedic External Fixator Systems
External fixator clamp components, connecting
tube
1.25-6.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY239
Orthopaedic External Fixator Systems
External fixator clamp components, angled piece
with nut
1.25-8.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY242
Orthopaedic External Fixator Systems
External fixator clamp components, bar for upper
jaw
1.25-6.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY247
Orthopaedic External Fixator Systems
External fixator clamp components, double joint
1.25-6.0mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY253
AO/ASIF Plates
Foot & hand plates - steel - titanium multiple hole
1 - 4mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY259
Locking Distal Radius Plate System
Small & Mini Fragment Plates - Volar Plate
LCP - Volar Plate 2.4mm Left & Right, 2.4 Volar
Plates Straight
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY279
Small & Mini Fragment Plates
Locking Distal Radius Plate System
LCP Dorsal T, L, Straight Plates 2.4mm
Long/Short
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY283
LCP Plate
LCP Olecranon Plate, left and right, non
sterile/sterile
2-20 hole plates
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY320
AO/ASIF Screw
Locking Head Screw 2.0mm
Length: 6-40mm
Changed Product Group, Product Sub Group,
Benefit.
SY321
AO/ASIF Screw
Cannulated screw
2.4mm
Changed Description, Size, Product Group,
Product Sub Group, Benefit.
SY352
Cortex Screws
Cortex Screws
1.00mm 2.6mm diameter, 5mm - 100mm length
Changed Description, Product Group, Product
Sub Group, Benefit.
SY353
Cortex Screws
Cortex Screws
2.7mm - 5.0mm diameter, 5.0mm - 100mm
Length
Changed Description, Product Group, Product
Sub Group, Benefit.
SY354
Small & Mini Fragment Plates
LCP Radial Head Plates
2.4mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY378
Trochanteric Reattachment Device
Titanium alloy reattachment device with cables
Standard and Long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY418
Distraction Osteogenesis Ring System
Bolt-connecting, clamp, eye, wire offset, wire
slotted, MRI safe.
One size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY419
Distraction Osteogenesis Ring System
Spherical/Spacing Washer; Nut-Speed, Square,
Hexagonal, Standoff; MRI Safe
1mm-50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY420
Distraction Osteogenesis Ring System
Wire Post MRI Safe
Short, Long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY421
Distraction Osteogenesis Ring System
Threaded Rod, MRI Safe
250mm-350mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY422
Distraction Osteogenesis Ring System
Femoral Arch Plate, Titanium
90mm-120mm, 180mm-240mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY423
Distraction Osteogenesis Ring System
Femoral Arch Plate, Carbon Fibre
90mm-120mm, 180mm-240mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 220 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY424
Distraction Osteogenesis Ring System
Half,5/8 Ring, MRI Safe, Titanium
80mm-240mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY425
Distraction Osteogenesis Ring System
Full Ring, MRI safe, Titanium
140mm-200mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY426
Distraction Osteogenesis Ring System
Half, 5/8 ring, carbon fibre
100mm-200mm Diameter
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY427
Distraction Osteogenesis Ring System
Foot Plates, Carbon Fibre RL MRI
100mm-180mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
SY428
Distraction Osteogenesis Ring System
Locking Hinge, MRI safe
One Size
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY435
Epoca Custom Offset Shoulder Prosthesis
Epoca Glenoid Screw
8-30mm
Changed Product Group, Product Sub Group,
Benefit.
7 - Plastic and Reconstructive
SY252
AO/ASIF Facio-Maxillary Plates
Flapfix - Plates for fixation of cranial bone flaps
10 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
SY317
AO/ASIF Plate
Titanium Plate - straight
1.6mm Profile, 2-4 holes
Changed Product Group, Product Sub Group,
Benefit.
SY319
AO/ASIF Plate
Low profile neurosurgical plate, burr hole
4-7 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
SY345
Titanium Sternal Fixation System
Titanium Emergency Release Pin
One Size only
Changed Product Group, Product Sub Group,
Benefit.
SY347
Titanium Sternal Fixation System
Locking Plate - straight
20 or 30 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY349
Multi Vector Distractor Set
Titanium Multi Vector Distractor
MVD Arms:15mm-85mm. Pin holding clampsramus,body,universal,limited bone stock ramus
and body. Assembly left & right 35mm. K wires
2.0mm 150mm length. Connecting bar 4.0mm
100mm-200mm length
Changed Product Group, Product Sub Group,
Benefit.
SY391
PolyMax Resorbable Fixation System
1.5/2.0 Orbital Floor Plate
S, M, L
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY397
PolyMax Resorbable Fixation System
1.5 Burr Hole Cover
8 Hole
Changed Product Group, Product Sub Group,
Benefit.
SY399
Alveolar Distractor
Vertical mandibular, maxilla alveolar ridge
distractor
8-16mm
Changed Product Group, Product Sub Group,
Benefit.
SY401
External Midface Distractor System
Head Frame Assembly, Carbon Fibre Rods
One size only
Changed Product Group, Product Sub Group,
Benefit.
SY402
External Midface Distractor System
Horizontal Rod Assembly
One size only
Changed Product Group, Product Sub Group,
Benefit.
SY406
External Midface Distractor System
Titanium Zygomatic, Maxxilary Footplate
3 holes, 40mm
Changed Product Group, Product Sub Group,
Benefit.
SY466
AO/ASIF Plate
Titanium adaption plates
>32 holes
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 221 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY472
AO/ASIF Plate
Titanium mandible locking plate, complex shape
>32 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
SY488
AO/ASIF Plate
Titanium Contourable mesh plate
<0.5mm
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
SY493
AO/ASIF Plate
Titanium Mandibular locking plate, complex
shape
16-32 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
SY497
AO/ASIF Plate
Titanium mandible plate
8-15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY498
AO/ASIF Plate
Mandible plate
4-7 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY499
AO/ASIF Plate
Titanium mandible plate
4-7 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY500
AO/ASIF Plate
Titanium mandible plate
15-32 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY501
AO/ASIF Plate
Titanium mandible plate
16-32 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY504
AO/ASIF Plate
Rapid resorbable reconstruction plate
4-7 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY506
AO/ASIF Plate
Rapid resorbable reconstruction plate
<4 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY507
AO/ASIF Plate
Rapid resorbable reconstruction plate
4-7 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY508
AO/ASIF Plate
Rapid resorbable reconstruction plate
8-15 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY511
AO/ASIF Plate
Rapid resorbable reconstruction plate
>32 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY512
AO/ASIF Plate
Rapid resorbable reconstruction plate
<4 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY514
AO/ASIF Plate
Rapid resorbable reconstruction plate
>32 holes
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Benefit.
SY515
Midface Distractor System
Distractor System, Distractor Body
10-40mm distraction length
Changed Product Group, Product Sub Group,
Benefit.
SY517
Midface Distractor System
Distractor System, Screw
4-10mm
Changed Product Group, Product Sub Group,
Benefit.
SY518
Midface Distractor System
Distractor System , Body extensions
20-40mm
Changed Description, Product Group, Product
Sub Group, Benefit.
SY544
PolyMax Rapid-Resorbable Fixation System
Mesh Plate
0.5-0.8mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SY545
PolyMax Rapid-Resorbable Fixation System
Mesh Plate
>0.8mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SY546
PolyMax Rapid-Resorbable Fixation System
Mesh Plate
>0.8mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 222 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
SY547
PolyMax Rapid-Resorbable Fixation System
Mesh Plate
0.5-0.8mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
SY550
Titanium Sternal Fixation System
Locking Plate - Star
Star: 6 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY551
Titanium Sternal Fixation System
Locking Plate - Straight , H or Star
Straight: 12holes, H: small & large, Star: 12 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
SY558
Matrix
Micro Adaption, Strut Plates
18-20 hole
Changed Product Group, Product Sub Group,
Benefit.
SY559
AO/ASIF Screw
CMF screw; cortex, cortical, emergency, selftapping,self-drilling
1.0mm-1.20mm various lengths
Changed Product Group, Product Sub Group,
Benefit.
SY561
Matrix
Micro Y Plate
3 hole
Changed Product Group, Product Sub Group,
Benefit.
SY562
Matrix
Micro X, Frame plates
4 Hole
Changed Product Group, Product Sub Group,
Benefit.
SY563
Matrix
Micor Orbital curved plate
12 hole
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Tag Medical
3 - General Miscellaneous
TM047
PerClot Standard
PerClot Polysaccharide Hemostatic System
1 gram
Changed Product Group, Benefit.
TM048
PerClot Standard
PerClot Polysaccharide Hemostatic System
3 gram
Changed Product Group, Suffix, Benefit.
Bioresorbable Adhesion Barrier
18cmx13.5cmx137 microns
Changed Product Group, Product Sub Group,
Benefit.
9 - Cardiothoracic
TM040
Repel - CV
Tekmed Pty Ltd
10 - Vascular
TK005
Medcomp Long Term Catheter sets for
Haemodialysis
ASH, TESIO-BioFlex with cuff
10, 14 French 24,28,32 & 36cm lengths
Changed Product Group, Product Sub Group,
Benefit.
TK006
Medcomp Long Term Catheter sets for
Haemodialysis
HemoFlow HFS-Carbothane with cuff
14.5 French 24,28,32 & 36cm lengths
Changed Product Group, Product Sub Group,
Benefit.
Terumo Corporation Australia
10 - Vascular
TU002
Anaconda Endovascular Graft System
Bifurcated Aortic System, Ultrathin woven
polyester, nitinol ring stents, tantalum markers
18 - 34mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU003
Anaconda Endovascular Graft System
Aortic Extension Cuff. Ultrathin woven polyester,
nitinol ring stents, tantalum markers
18 - 34mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU004
Anaconda Endovascular Graft System
Iliac Extension Cuff. Ultrathin woven polyester,
nitinol ring stents, tantalum markers
8 - 18mm
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
TU005
Anaconda Endovascular Graft System
Iliac Leg, Ultrathin woven polyester, nitinol ring
stents, tantalum markers
8 - 23mm
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 223 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
TU006
Twillweave Graft
Straight, Polyester, Woven, Unsealed
6-24mm x 50-60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU007
Twillweave Graft
Bifurcated, Polyester, Woven, Unsealed
12mm x 6mm x 45cm to 24mm x 12mm x 45cm
Changed Description, Product Group, Product
Sub Group, Benefit.
TU008
Fluoropassiv Graft
Straight Graft - Thin Wall, Crimped.
Fluoropolymer/polyester, Knitted
5 to10mm x 30 to 40cm
Changed Product Group, Product Sub Group,
Benefit.
TU009
Fluoropassiv Graft
Straight Graft - Thin Wall, Crimped.
Fluoropolymer/polyester, Knitted
5 to10mm x 50 to 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU010
Fluoropassiv Graft
Straight Graft, Thin Wall, Externally Reinforced.
Fluoropolymer/polyester, Knitted
5 to10mm x 30 to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU011
Fluoropassiv Graft
Straight Graft, Thin Wall, Externally Reinforced.
Fluoropolymer/polyester, Knitted
5 to10mm x 50 to 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU013
Gelweave Graft
Bifurcated, Polyester, Woven
12mmx 6mmx 45 cm to 24mmx12mm x 45cm
Changed Description, Product Group, Product
Sub Group, Benefit.
TU014
Gelsoft Plus Graft
Bifurcated, Polyester, Knitted
12mmx6mmx45cm to 24mmx12mmx45cm
Changed Description, Product Group, Product
Sub Group, Benefit.
TU018
Gelsoft Plus Graft
Axillo-bifemoral, Polyester, Knitted, Externally
reinforced
8x8mm/100x60cm; 8x7mm/90x40cm;
10x8mm/90x40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU019
Gelsoft Plus Graft
Femoro-femoral, Polyester, Knitted, Externally
reinforced
6mmx30cm to 8mmx40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU020
Gelsoft Plus Graft
Straight, Polyester, Knitted
6 - 24mm x 12.5 - 30cm
Changed Product Group, Product Sub Group,
Benefit.
TU021
Gelsoft Plus Graft
Straight, Polyester, Knitted
6-24mm x 50-60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU023
Gelweave Graft
Straight, Polyester, Woven
6-38mm x 50-60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU025
SEALPTFE Graft
Thin Wall, Straight, Sealed, PTFE
5 to 10mm x 30 to 40cm
Changed Size, Product Group, Product Sub
Group, Benefit.
TU026
SEALPTFE Graft
Thin Wall, Straight, Sealed, PTFE
5 to 10mm x 50 to 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU028
SEALPTFE Graft
Standard Wall, Straight, Sealed, PTFE
5 to 10mm x 50 to 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU029
SEALPTFE Graft
Standard Wall, Straight, Sealed, Externally
Reinforcement, PTFE
5 to 10mm x 10 to 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU030
SEALPTFE Graft
Standard Wall, Straight, Sealed, Externally
Reinforcement, PTFE
5 to 10mm x 50 to 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU033
SEALPTFE Graft
Standard Wall, Tapered, Sealed, PTFE
4 to 7mm Taper x 45 to 50cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU039
Rapidax™ Rapid Access Haemodialysis Graft
Triple layered self sealing haemodialysis Access
Graft. ePTFE internal and external layer with
proprietary elastomer inner layer - Straight and
Pre-curved
6mm x 20-40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 224 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
TU040
Rapidax™ Rapid Access Haemodialysis Graft
Triple layered self sealing haemodialysis Access
Graft. ePTFE internal and external layer with
proprietary elastomer inner layer - Straight and
Per-curved
6mm x 45-50cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU041
Anaconda Endovascular Graft System
Flared iliac limb, Ultrathin woven polyester,
nitinol ring stents, tantalum markers
Diameter: Proximal end 10-17mm, distal end 1223mm: Length 80-130mm
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
TU042
Fluoropassiv Patch
Thin wall, Fluoropolymer/polyester, Koper
Knitted
6-15mm x 5-7.5cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TU043
Fluoropassiv Patch
Thin wall, Fluoropolymer/polyester, Koper
Knitted
10-15mm x 7.5-10cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
8 - Cardiac
TU001
Tsunami Gold
Stainless Steel mounted on balloon catheter
Diameter 2.0mm - 4.0mm, Length 8mm - 30mm
length
Changed Product Group, Product Sub Group,
Benefit.
TU044
Kaname Coronary Stent System
BMS Coronary Stent
Diameter: 2.5mm; 2.75mm; 3.0mm; 3.5mm;
4.0mm x Lengths : 9mm; 12mm; 15mm; 18mm;
24mm; 28mm.
Changed Product Group, Product Sub Group,
Benefit.
9 - Cardiothoracic
TU036
Gelweave Valsalva Graft
Woven vascular prosthesis, polyester, gelatin
sealed
Diameter 24 - 34 mm, Overall length 18.4 19.6cm
Changed Product Group, Product Sub Group,
Benefit.
TU037
Gelweave Plexus Graft
Multi Branched, for Aortic Arch reconstruction,
Polyester, Woven, gelatin sealed
20 - 34 mm x 40 cm
Changed Product Group, Product Sub Group,
Benefit.
TU038
Gelweave Graft
Straight Thoracic Graft, with antiflo side branch,
Polyester, woven, gelatin sealed
20 -34 mm x 20-40 cm
Changed Product Group, Product Sub Group,
Benefit.
TFS Tissue Fixation System
One Size Only
Changed Product Group, Product Sub Group,
Benefit.
TFS Manufacturing Pty Ltd
5 - Urogenital
TF001
TFS Tissue Fixation System
Thermo Fisher Scientific Australia Pty Ltd
3 - General Miscellaneous
FT001
Corflo Cubby LPGD Kit
Low profile gastronomy device
12 - 24fg x 1.0 - 4.5cm
Changed Product Group, Product Sub Group,
Benefit.
FT002
Corflo Gastronomy Replacement Device
Dual and triple gastronomy tubes
Dual 12 - 24fg 5 - 20cc balloon; Triple 16 - 24fg
20cc balloon
Changed Product Group, Product Sub Group,
Benefit.
FT003
Corflo Max 20fg PEG Kit Complete with 7fg
Snare - "Pull Type"
Sterile enteral feeding tube with accessories
20fg
Changed Product Group, Product Sub Group,
Benefit.
FT004
Corflo Max 20fg PEG Kit "Pull Type"
Sterile enteral feeding tube with accessories
20fg
Changed Product Group, Product Sub Group,
Benefit.
Tornier Pty Ltd
6 - Specialist Orthopaedic
Changed Items for Prostheses List Report
Page 225 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
TO030
Aequalis Humeral Plate
Proximal Humeral Plate, Stainless Steel, 4
proximal holes, option of 3 or 5 distal holes (short
or long version)
90mm length with 3-holes shaft and 120mm
length with 5-hole shaft
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
TO032
Aequalis Humeral Plate Screws
Proximal humeral plate screws (Cancellous selftapping locking screws, Cortical self-tapping
locking screws or Cortical Self-tapping
compression screws)
Proximal locking screws: 4mm, cortical self
tapping locking screws: 20 to 60mm length;
proxmial inferior locking screws: 3.5mm, cortical
self tapping locking screws: 10 to 40mm length;
distal compression screws: 3.5mm, cortical selftapping compression
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
TO046
Aequalis Reversed Shoulder - Fixation Screw for
Articular Implant
Titanium
D45mm, L20 to 50mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
TO047
Fixation Screw for Articular Implant
Titanium
D. 4.5mm, L 18 to 45mm
Changed Product Group, Product Sub Group,
Benefit.
TO051
Aequalis Humeral Nail Screws
Screws for Aequalis Humeral Head. Cannulated
Proximal screws: 5mm Diameter cannulated Ti,
PE insert with thread inside. Distal screws 4.5mm
Diameter, Ti.
Proximal Screws length: From 36 to 60 every
4mm Distal Screws length: From 20 to 32 every
2mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Uromedica Asia-Pacific Pty Ltd
5 - Urogenital
UO001
Adjustable Continence Therapy for Women
ACT Device: Prosthesis designed for the
treatment of female SUI comprising of a single
silicone balloon attached via a conduit to
titanium and rubber ports allowing for post
operative adjustment.
6 - 14cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
UO002
Adjustable Continence Therapy device for women
ACT Device: prosthesis designed for the
treatment of female SUI comprising of silicone
balloons x 2 attached via a conduit to titanium
and rubber ports allowing for post operative
adjustment.
6 - 14cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
UO003
Adjustable Continence Therapy for Men
ProACT Device: prosthesis designed for the
treatment of male SUI comprising of silicone
balloons x2 attached via a conduit to titanium
and rubber ports allowing for post operative
adjustment.
6 - 14cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
UO004
Adjustable Continence Therapy for Men
ProACT Device: Prosthesis designed for the
treatment of male SUI comprising of a single
silicone balloon attached via a conduit to
titanium and rubber ports allowing for post
operative adjustment.
6 - 14cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
W L Gore & Associates
10 - Vascular
GT006
Gore-Tex Stretch Bifurcated Graft
Stretch Bifurcated Graft with Thin Walled Limbs
(ePTFE)
12x6mm to 24x12mm 40-50cm long
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT008
Gore-Tex Vascular Ring Graft
Ringed Grafts removable thin wall - stretch
(ePTFE)
6-8mm Diameter x 80cm Length - Ringed
Section 70cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 226 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GT009
Gore-Tex Vascular Grafts
Vascular Grafts - Aorto -Pulmonary & SystemicPulmonary Shunts (ePTFE)
3.5-5mm Diameter x 15-20cm Length
Changed Product Group, Product Sub Group,
Benefit.
GT012
Soft Tissue Patch
ePTFE
1mm Thickness 5 x 10cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT013
Soft Tissue Patch
ePTFE
1mm Thickness 10 x 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT014
Soft Tissue Patch
ePTFE
1mm Thickness 15 x 20cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT015
Soft Tissue Patch
ePTFE
1mm Thickness 20 x 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT016
Soft Tissue Patch
ePTFE
2mm Thickness 5 x 10cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT017
Soft Tissue Patch
ePTFE
2mm Thickness 10 x 15cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT018
Soft Tissue Patch
ePTFE
2mm Thickness 15 x 20cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT019
Soft Tissue Patch
ePTFE
2mm Thickness 20 x 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT020
Viabahn Endoprosthesis
ePTFE & Nitinol Self Expanding Endoluminal
Graft System
Viabahn 2.5mm - 13mm Diameter, 5cm Length;
Hemobahn 6 - 13mm Diameter, 5cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT021
Viabahn/Hemobahn Endoprosthesis
ePTFE & Nitinol Self Expanding Endoluminal
Graft System
Viabahn 2.5mm - 13mm, 10cm Length;
Hemobahn 6 - 13mm Diameter 10cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT022
Viabahn/Hemobahn Endoprosthesis
ePTFE & Nitinol Self Expanding Endoluminal
Graft System
Viabahn 2.5mm - 13mm Diameter, 15cm Length;
Hemobahn 6 - 11mm Diameter, 15cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT023
Excluder Endovascular Prostheses
Thoracic Stent Graft Nitinol & ePTFE
34, 37 & 40mm Diameter x 20cm Lengths
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT024
Excluder AAA Endovascular Prostheses
AAA Abdominal Stent Graft Nitinol & ePTFE two piece system (1/2) Trunk - Ipsilateral Limb
23-28.5mm Diameter, 14-18cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT029
Gore Tips Endoprosthesis
ePTFE
8-12mm Diameter 4-8cm Graft-Lined Length
2cm Unlined Length
Changed Product Group, Product Sub Group,
Benefit.
GT132
Gore-Tex Vascular Grafts
Standard Wall Grafts (ePTFE)
Diameter 4 - 8mm, Length 10cm
Changed Product Group, Product Sub Group,
Benefit.
GT136
Gore-tex Vascular Grafts
Standard Wall Grafts (ePTFE)
Diameter 4 - 10mm, Length 80cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT138
Gore-Tex Vascular Grafts
Standard Wall Grafts Stretch (ePTFE)
Diameter 4 - 8mm, Length 10cm
Changed Product Group, Product Sub Group,
Benefit.
GT139
Gore-Tex Vascular Grafts
Standard Wall Grafts Stretch (ePTFE)
Diameter 6 - 10mm, Length 20 - 30cm
Changed Product Group, Product Sub Group,
Benefit.
GT143
Gore-tex Vascular Grafts
Standard Wall Grafts Stretch (ePTFE)
Diameter 6 - 10mm, Length 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT145
Gore-tex Vascular Grafts
Standard Wall Grafts Stretch (ePTFE)
Diameter 4 - 10mm, Length 90 - 100cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT146
Gore-tex Vascular Grafts
Standard Wall Grafts Stretch (ePTFE)
Diameter 12 - 24mm, Length 20cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 227 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GT147
Gore-tex Vascular Grafts
Standard Wall Grafts Stretch (ePTFE)
Diameter 12 - 24mm, Length 30cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT148
Gore-tex Vascular Grafts
Standard Wall Grafts Stretch (ePTFE)
Diameter 12 - 24mm, Length 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT149
Gore-Tex Vascular Grafts
Thin Wall Grafts (ePTFE)
Diameter 4 - 10mm, Length 10cm
Changed Product Group, Product Sub Group,
Benefit.
GT150
Gore-Tex Vascular Grafts
Thin Wall Grafts (ePTFE)
Diameter 6 - 10mm, Length 20cm
Changed Product Group, Product Sub Group,
Benefit.
GT151
Gore-Tex Vascular Grafts
Thin Wall Grafts (ePTFE)
Diameter 6 - 10mm, Length 30cm
Changed Product Group, Product Sub Group,
Benefit.
GT152
Gore-Tex Vascular Grafts
Thin Wall Grafts Stretch (ePTFE)
Diameter 6 - 10mm, Length 40cm
Changed Product Group, Product Sub Group,
Benefit.
GT157
Gore-Tex Stretch Thin Walled Vascular Graft
Thin Wall Grafts Stretch (ePTFE)
Diameter 4 - 10mm, Length 90 - 100cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT158
Gore-Tex Vascular Grafts
Thin Wall Grafts Stretch (ePTFE)
Diameter 4 - 10mm, Length 10cm
Changed Product Group, Product Sub Group,
Benefit.
GT159
Gore-Tex Vascular Grafts
Thin Wall Grafts Stretch (ePTFE)
Diameter 6 - 10mm, Length 20cm
Changed Product Group, Product Sub Group,
Benefit.
GT160
Gore-Tex Vascular Grafts
Thin Wall Grafts Stretch (ePTFE)
Diameter 6 - 10mm, Length 30cm
Changed Product Group, Product Sub Group,
Benefit.
GT161
Gore-Tex Vascular Grafts
Thin Wall Grafts (ePTFE)
Diameter 6 - 10mm, Length 40cm
Changed Product Group, Product Sub Group,
Benefit.
GT164
Gore-Tex Vascular Grafts
Thin wall grafts (ePTFE)
Dia 3 - 10mm, length 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT167
Gore-Tex Vascular Grafts
Vascular Grafts - Aorto-Pulmonary & SystemicPulmonary Shunts (ePTFE) Stretch & Non Stretch
Diameter 3.5 - 5mm, Length 5cm
Changed Product Group, Product Sub Group,
Benefit.
GT168
Gore-Tex Vascular Grafts
Vascular Grafts - Aorto-Pulmonary & SystemicPulmonary Shunts (ePTFE) Stretch & Non Stretch
Diameter 3.5 - 5mm, Length 10cm
Changed Product Group, Product Sub Group,
Benefit.
GT171
Gore-tex Vascular Grafts
Standard Wall Grafts Stretch Tapered (ePTFE)
Diameter 4-6mm & 4-7 mm, Length 45 - 48cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT172
Gore-Tex Vascular Grafts
Standard Wall Grafts Stretch Tapered (ePTFE)
Diameter 4-7 mm, Length 70cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT175
Gore-tex Vascular Grafts
Ringed Grafts Removable Standard Wall Tapered
(ePTFE)
4-7 mm x 70cm - Rings 30cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT179
Gore-Tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall (ePTFE)
Diameter 5 - 6mm x 70cm Length, Ringed
Section 60cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT180
Gore-Tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall (ePTFE)
Diameter 5 - 6mm x 80cm Length, Ringed
Section 60cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT182
Gore-Tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall (ePTFE)
Diameter 6mm, Lengths 80 - 90 cm, Ringed
Section 60cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT183
Gore-Tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall (ePTFE)
Diameter 8mm, Lengths 80 - 90 cm, Ringed
Section 70cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT185
Gore-Tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall Stretch
(ePTFE)
Diameter 6mm x 80cm Length, Ringed Section
30cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 228 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GT186
Gore-tex Stretch Removable Ringed Vascular
Graft
Stretch Thin Walled Removable Ringed (ePTFE)
Graft
Diameter 6mm x 70cm Length, Ringed Section
60cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT187
Gore-tex Stretch Removable Ringed Vascular
Graft
Stretch Thin Walled Removable Ringed (ePTFE)
Graft
Diameter 6 - 8mm x 70cm Length, Ringed
Section 60 - 70cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT188
Excluder AAA Endovascular Prostheses
AAA Stent Graft Nitinol & ePTFE Two piece
system (2/2) Contralateral Limb
Diameter 12 - 14.5mm x 10 x 14cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT189
Excluder Endovascular Prostheses
Abdominal Stent Graft Nitinol & ePTFE - Aortic
Extender
Diameter 23 - 28.5mm, Length 3.3cm
Changed Product Group, Product Sub Group,
Benefit.
GT190
Excluder Endovascular Prostheses
Abdominal Stent Graft Nitinol & ePTFE - Iliac
Extender
Diameter 10 - 14.5mm, Length 7cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT191
Excluder Endovascular Prostheses
Thoracic Stent Graft Nitinol & ePTFE
Diameter 26-40mm x 10cm Length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT193
Gore-Tex Vascular Grafts
Standard Wall Grafts (ePTFE)
6-10mm Diameter x 40cm Length
Changed Product Group, Product Sub Group,
Benefit.
GT195
Gore-Tex Vascular Graft
Standard wall grafts (ePTFE)
Diameter 6mm x 20cm length
Changed Product Group, Product Sub Group,
Benefit.
GT200
Gore-Tex Vascular Graft
Standard wall grafts stretch (ePTFE)
Diameter 6-12mm x 20cm length
Changed Product Group, Product Sub Group,
Benefit.
GT211
Gore-Tex Intering Stretch Thin Walled Vascular
Graft
ePTFE integrated rings in the wall of a stretch
thin walled graft
Diameter 6-8mm, 40cm radial supported length x
40cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT212
Gore-Tex Stretch Intering Vascular Graft
Stretch Thin Walled ePTFE graft with Integrated
Rings
Dia 6-8mm, 60cm radial supported length x
60cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT213
Gore-Tex Intering Vascular Graft
ePTFE integrated rings in the wall of a stretch
thin walled graft
Dia 6-8mm, 80cm radial supported length x
80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT214
Gore-Tex Intering Vascular Graft
Internally radially supported vascular graft
(ePTFE)
4-6 tapered diameter 38cm radial support length
45cm length; 4-7 tapered diameter 38cm radial
support length 45cm length; 6mm diameter 40cm
radial support length 40cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT216
Gore-Tex Axillobifemoral Vascular Graft
Stretch vascular graft with removable rings
(ePTFE)
Diameter 8mm x 90cm 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT218
Gortex Propaten Vascular Graft
Stretch Thin Wall Graft (ePTFE)
6mm diameter 30cm Removable Ring - 70cm
length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT221
Gor-Tex Propaten Stretch Thin Walled Vascular
Graft
Stretch Thin Walled Graft (ePTFE) - Heparin
Bonded
6-8mm diameter, non-Ringed 40cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT222
Gortex Stretch Thin Walled Propaten Graft
Stretch Thin Wall Graft (ePTFE)- Heparin
Bonded
6-8mm diameter Non-Ringed 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT225
Gore Viabahn ® endoprosthesis with heparin
bioactive surface
Gore Viabahn ® endoprosthesis with heparin
bioactive surface is a flexible, self expanding
endoluminal device consisting of an ePTFE lining
with external nitinol support
5mmx2.5cm 120cm 5mmx5cm 120cm
6mmx2.5cm 120cm 6mmx5cm 75cm 6mmx5cm
120cm 7mmx2.5cm 120cm 7mmx5cm 75cm
7mmx5cm 120cm 8mmx2.5cm 120cm
8mmx5cm 75cm 8mmx5cm 120cm 9mmx 5cm
75cm 9mmx 5cm 120cm 10mmx 5cm 75cm
10mmx 5cm 120cm 11mmx 5cm 75cm
11mmx 5cm 120cm 13mmx 5cm 75cm 13mmx
5cm 120cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 229 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GT226
Gore Viabahn ® endoprosthesis with heparin
bioactive surface
Gore Viabahn ® endoprosthesis with heparin
bioactive surface is a flexible, self expanding
endoluminal device consisting of an ePTFE lining
with external nitinol support
5mmx 15cm 120cm, 6mmx 15cm 75cm 6mmx
15cm 120cm 7mmx 15cm 75cm 7mmx 15cm
120cm 8mmx 15cm 75cm 8mmx 15cm 120cm
9mmx 15cm 75cm 9mmx 15cm 120cm 10mmx
15cm 75cm, 10mmx 15cm 120cm 11mmx 15cm
75cm 11mmx 15cm 120cm 13mmx 15cm 75cm
13mmx 15cm 120cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT227
Gore Viabahn ® endoprosthesis with heparin
bioactive surface
Gore Viabahn ® endoprosthesis with heparin
bioactive surface is a flexible, self expandinbg
endoluminal device consisting of an ePTFE lining
with external nitinol support
5mmx 10cm 120cm 6mmx 10cm 75cm 6mmx
10cm 120cm 7mmx 10cm 75cm 7mmx 10cm
120cm 8mmx 10cm 75cm 8mmx 10cm 120cm
9mmx 10cm 75cm 9mmx 10cm 120cm
10mmx 10cm 75cm 10mmx 10cm 120cm
11mmx 10cm 75cm 11mmx 10cm 120cm
13mmx 10cm 75cm 13mmx 10cm 120cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT234
Gore-Tex Stretch Propaten with Removable
Rings Vascular Graft
Stretch Thin Walled (ePTFE), Heparin Bonded,
Graft with Removable Rings
6mm diameter, 70cm length, 60cm ringed section
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT235
Gore-Tex Propaten Vascular Graft
Stretch (ePTFE), Heparin Bonded, Graft
8mm diameter, 40cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT236
Gore-Tex Vascular Graft
Standard Wall Grafts (ePTFE)
10mm diameter, 70-80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT237
Gore-Tex Vascular Graft
Standard Wal Grafts(ePTFE)
5mm-8mm diameter, 70-80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT238
Gore-Tex Vascular Graft
Standard Wal Grafts (ePTFE)
10mm diameter, 90-100cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT239
Gore-Tex Vascular Graft
Standard Wall Grafts (ePTFE)
5-8mm diameter, 90-100cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT240
Gore-Tex Vascular Graft
Stretch Standard Wall Graft (ePTFE)
10mm x 40cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT241
Gore-Tex Vascular Graft
Stretch Standard Wall Graft (ePTFE)
6 & 8mm x 40cm
Changed Product Group, Product Sub Group,
Benefit.
GT242
Gore-Tex Stretch Standard Walled Vascular Graft
Stretch Standard Wall Graft (ePTFE)
10mm diameter, 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT243
Gore-Tex Stretch Standard Walled Vascular Graft
Stretch Standard Walled Graft (ePTFE)
6-8mm diameter, 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT244
Gore-Tex Stretch Thin Walled Vascular Graft
Thin Wall Graft Stretch (ePTFE)
10mm diameter, 70cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT245
Gore-Tex Stretch Thin Walled Vascular Graft
Thin Wall Graft Stretch (ePTFE)
6-8mm diameter, 70cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT246
Gore-Tex Stretch Thin Walled Vascular Graft
Thin Wall Graft Stretch (ePTFE)
10mm diameter, 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT247
Gore-Tex Vascular Graft
Thin Wall Graft Stretch (ePTFE)
6-8mm diameter, 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT248
Gore-Tex Vascular Graft
Thin Wall Grafts (ePTFE)
10mm diameter, 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT249
Gore-Tex Vascular Graft
Thin Wall Grafts (ePTFE)
4-8mm diameter, 80cm length
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 230 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GT250
10mm Thin Walled Vascular Graft
Thin Walled Graft (ePTFE)
10mm x 90-100cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT251
4-8mm Thin Walled Vascular Graft
Thin Walled Graft (ePTFE)
4-8mm x 90-100cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT252
Gore-Tex Stretch Removable Ringed Vascular
Graft
Stretch Removable Ringed Thin Walled Graft
(ePTFE)
8mm diameter, 40cm length, 30cm removable
ringed section
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT253
Gore-Tex Stretch Removable Ringed Vascular
Graft
Stretch Removable Ringed Thin Walled Graft
(ePTFE)
8mm diameter, 40cm length, 30cm removable
ringed section
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT254
Gore-Tex Stretch Propaten Vascular Graft
Stretch Thin Walled Graft, Removable Rings
(ePTFE), Heparin Bonded
6-8mm diameter, 80cm length, 60-70cm Ringed
Section
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT259
Conformable GORE TAG Thoracic
Endoprosthesis
Conformable GORE TAG
Straight Stent Grafts:
Diameters (mm): 21, 26, 28, 31, 34, 37, 40, 45
Length (cm): 10
Tapered Stent Grafts:
Diameters (mm): 26x21; 31x26
Lengths (cm): 10
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT260
Conformable GORE TAG Thoracic
Endoprosthesis
Conformable GORE TAG
Diameters (mm): 28, 31, 34, 37, 40, 45
Length (cm) 15
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT261
Conformable GORE TAG Thoracic
Endoprosthesis
Conformable GORE TAG
Diameters (mm): 34, 37, 40, 45
Length (cm): 20
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT262
GORE VIABAHN® Endoprosthesis with
Heparin Bioactive Surface
GORE VIABAHN® Endoprosthesis with
Heparin Bioactive Surface is a flexible, self
expanding endoluminal device consisting of an
ePTFE lining with external nitinol support
5mm x 25cm x 120CATH
6mm x 25cm x 120CATH
7mm x 25cm x 120CATH
8mm x 25cm x 120CATH
Changed Product Group, Product Sub Group,
Suffix, Benefit.
GT263
GORE EXCLUDER AAA Endoprosthesis
featuring C3 Delivery System
The GORE EXCLUDER AAA Endoprosthesis is
for the endovascular treatment of infrarenal
AAAs. The GORE EXCLUDER AAA
Endoprosthesis featuring C3 Delivery System
allows the trunk-ipsilateral component to be
respositioned during deployment
Proximal Diameters (mm): 23, 26, 28.5
Distal Diameters (mm): 12, 14.5
Length (cm): 12, 14, 16, 18
Proximal Diameter (mm): 31
Distal Diameter (mm): 14.5
Lengths (cm): 13, 15, 17
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ePTFE
Short or Long Catheter 8-10mmx4-8cm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
3 - General Miscellaneous
GT116
Gore Biliary Endoprostheses
4 - Neurosurgical
GT054
Preclude Spinal Membrane
ePTFE
0.7mm Thickness 6 x 6cm
Changed Product Group, Benefit.
GT055
Preclude Spinal Membrane
ePTFE
0.7mm Thickness 6cm x 12cm
Changed Product Group, Benefit.
GT056
Preclude Dura Substitute
ePTFE
0.3mm Thickness 2 x 10cm
Changed Product Group, Benefit.
GT057
Preclude Dura Substitute
ePTFE
0.3mm Thickness 5 x 6 cm
Changed Product Group, Benefit.
GT058
Preclude Dura Substitute
ePTFE
0.3mm thickness 6 x 10cm
Changed Product Group, Benefit.
GT059
Preclude Dura Substitute
ePTFE
0.3mm thickness 10 x 12cm
Changed Product Group, Benefit.
Changed Items for Prostheses List Report
Page 231 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
GT232
Gore Preclude® Vessel Guard
Gore Preclude® Vessel Guard is an ePTFE
Membrane with a tight microstructure providing
a vessel friendly interface while preventing
penetration of fibroblasts. It is indicated as a
cover for vessels following anterior vertebral
surgery to reduce the risk of potential vessel
damage during a revision surgery by providing a
plane of dissection.
6cm x 10cm
Changed Product Group, Benefit.
GT233
Gore Preclude® Vessel Guard
Gore Preclude® Vessel Guard is an ePTFE
Membrane with a tight microstructure providing
a vessel friendly interface while preventing
penetration of fibroblasts. It is indicated as a
cover for vessels following anterior vertebral
surgery to reduce the risk of potential vessel
damage during a revision surgery by providing a
plane of dissection.
5cm x 6cm
Changed Product Group, Benefit.
The GORE HELEX Septal Occluder consists of
an implantable endoprosthesis and a catheter
delivery system. The Occluder is comprised of a
nickel-titanium (Nitinol) wire frame covered with
expanded polytetrafluoroethylene (ePTFE). The
ePTFE is treated with
Diameters: 15, 20, 25, 30 and 35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
8 - Cardiac
GT223
Helex 1.5 Septal Occluder
9 - Cardiothoracic
GT117
Gore-Tex - Cardiovascular Patch
ePTFE
0.4mm Thickness 2 x 9cm
Changed Product Group, Product Sub Group,
Benefit.
GT118
Gore-Tex - Cardiovascular Patch
ePTFE
0.4mm - 3 x 6cm 0.6mm - 2.5cm x 15cm &
5cm x 7.5cm
Changed Size, Product Group, Product Sub
Group, Benefit.
GT120
Gore-Tex Cardiovascular Patch
ePTFE
0.6mm Thickness 5 x 15cm
Changed Product Group, Product Sub Group,
Benefit.
GT121
Gore-Tex Cardiovascular Patch
ePTFE
0.6mm Thickness 10 x 15cm
Changed Product Group, Product Sub Group,
Benefit.
GT122
Preclude Pericardial Membrane
ePTFE
0.1mm Thickness 6 x 12cm
Changed Product Group, Product Sub Group,
Benefit.
GT123
Preclude Pericardial Membrane
ePTFE
0.1mm Thickness 8 x 16cm
Changed Product Group, Product Sub Group,
Benefit.
GT124
Preclude Pericardial Membrane
ePTFE
0.1mm Thickness 12 x 12cm
Changed Product Group, Product Sub Group,
Benefit.
GT125
Preclude Pericardial Membrane
ePTFE
0.1mm Thickness 15 x 20cm
Changed Product Group, Product Sub Group,
Benefit.
GT126
Acuseal Cardiovascular Patch Vascular
ePTFE
0.5mm Thickness 1 x 9cm; 0.8 x 7.5cm
Changed Product Group, Product Sub Group,
Benefit.
GT127
Acuseal Cardiovascular Patch Cardiac
ePTFE
0.5mm Thickness 3 x 6cm & 5 x 7.5cm
Changed Product Group, Product Sub Group,
Benefit.
Wright Medical Australia
Changed Items for Prostheses List Report
Page 232 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
Quick Snap Axial Pin, CoCr, Titanium
1, 2, 3, 4
Changed Product Group.
12 - Knee
WR157
Guardian Limb Salvage System
6 - Specialist Orthopaedic
WR030
Evolve Locking Cancellous Bone Screws
The Evolve stainless steel locking screw
2.0mm x 14 - 28mm
Changed Product Group, Product Sub Group,
Benefit.
WR031
Micronail intramedullary radial fixation
2.7mm Titanium Screw
10mm - 20mm
Changed Product Group, Product Sub Group,
Benefit.
WR032
Micronail Intramedullary Radial Fixation
2.5mm titanium buttress screw
16 - 28mm
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
WR033
Charlotte Foot & Ankle System
High demand compression screw, cannulated,
stainless steel
6.5mm& 7.0mm dia, 40-110mm lengths in 5mm
increments
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WR034
Charlotte Foot & Ankle System
Multi use compression screw, cannulated,
stainless steel
3.0 & 4.3mm dia. 10-60mm in 2mm increments
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WR035
Charlotte Foot & Ankle System
Snap-off screws, titanium alloy
2.0 dia 11, 12, 14mm. 2.7 dia 13, 15, 17mm
Changed Suffix, Benefit.
WR036
Charlotte Carolina Jones Fracture System
Low profile, solid-core, surgical grade stainless
steel screw, partially threatded with thread length
varying anthropometrically relative to overall
screw length, utilising specialised instruments for
IM placement in the 5th metatarsal
4.5mm, 4.5mm, 6.5mm, 40mm-70mm overall
screw lengths
Changed Product Group, Product Sub Group,
Benefit.
WR048
Evolve Radial Head Plate
Evolve Radial Plate System Stainless Steel
32mm x 20-26mm in 2mm increments, 7 & 8 hole
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WR049
Charlotte MTP Fusion System
MTP plate, stainless steel
Left & Right small & standard, 6 holes
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WR050
Charlotte MTP Fusion System
MTP plate, stainless steel
Left & Right extended,9 holes
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WR052
Charlotte MTP Fusion System
MTP plate, stainless steel, SLIM LINE
Left & right
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WR056
Locking Plate
Titanium locking plates anatomically contoured
for forefoot and midfoot osteotomies. Unique
spacer widths in 1mm increments allow for
controlled and maintained correction.
2.7mm; neutral, 3-7mm spacer; 18-24mm length,
3.5mm; neutral, 2-8mm spacer; 12-30mm
length - 4 hole
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WR057
Lapidus Plate
Titanium locking plate with unique stepped
displacement in 1mm increments permits
accurate plantarisation and lateralisation in
midfoot fusions.
3.5mm: neutral, 1-6mm step
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WR060
Ring washer
Screw Washers
2.7/3.7/4.0/4.5
Changed Product Group, Product Sub Group,
Benefit.
WR062
Headless Compression screws
Compression screw cannulated, titanium, self
tapping, self drilling.
2.5-3.2mm diameter x 10-32mm
Changed Product Name, Description, Size,
Product Group, Product Sub Group, Suffix,
Benefit.
WR064
MPJ Fusion Plate
Titanium locking plate with built-in 1- degree
valgus angle for anatomic fixation of 1st MTP
joint
S, M, L; 4 hole plate
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 233 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
WR065
Rearfoot Plate - RPS
Unique extended plate geometry for plating
complex rearfoot reconstructions, uses 3.5mm
locked screws for optimal bone purchase.
6 hole - 37mm, 8 hole - 50mm, 14 hole - 66mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WR066
Arthrodesis Flat Plate - AFP
Flat plate intended for use in isolated tarsal
fusions, titanium locking plate, 2mm thickness
12, 14 & 16mm length - 4 hole
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WR067
Displacement Plate - DPS
Unique steep plate design allows for controlled
fixation of displacement calcaneal osteotomies. 3
step variations allows for accurate corrections.
3.5mm Titanium locking plate
6, 8 & 10mm step, 4 hole
Changed Size, Product Group, Product Sub
Group, Suffix, Benefit.
WR068
Cannulated Screw
Titanium cannulated screw intended for use in
conjunction with a plate for fixation of midfoot
fusion
3.5mm diameter x 34, 36 & 38mm
Changed Product Group, Product Sub Group,
Benefit.
WR069
TOM Plate
Designed for base osteotomies and fusions of
MT1 with correction achieved through one cut. It
is a titanium locking plate, anatomically designed
with a smaller radius to fit the contour of the first
metatarsal and 5 step variation in 1mm
increments for ac
- L & R: neutral, 1-5mm step, 4 hole
Changed Description, Size, Product Group,
Product Sub Group, Suffix, Benefit.
WR072
Ortholoc Fracture System Screws
Titanium, variable angle locking screws
3.5 & 4.0mm diameter, 8-100mm length
Changed Suffix, Benefit.
WR073
Ortholoc Fracture System
Titanium, variable angle locking screws
2.0mm diameter, 8 - 100mm length
Changed Suffix, Benefit.
WR074
Charlotte Lisfranc Recontruction System - Screw.
Solid Core Stainless Steel Screw
4.5mm diameter, 8 - 100mm length
Changed Benefit.
WR077
Charlotte LisfrancReconstruction System Bridge Plate.
Stainless steel plate for stabilisation of the
tarsometatarsal joint.
4, 6, 5 & 9 hole.
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WR078
Charlotte Lisfranc Recontruction System - Screw.
Solid core stainless steel screw.
3.7mm diameter, 8-100mm length.
Changed Benefit.
WR081
Ortholoc Fracture System
Titanium, variable angle locking screws
2.4, 2.7mm diameter, 8-100mm length
Changed Suffix, Benefit.
WR082
Orloloc Fracture System - Plates
Akin, MTP Plates
Akin - 3 Hole, 17mm; MTP - 4 Hole, 23mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WR205
Sidekick Rearfoot Fixator
Pre-assembled external fixator for specific
indications of triple arthrodesis, subtalar
arthrodesis and ankle arthrodesis
n/a
Changed Product Group, Product Sub Group,
Suffix, Benefit.
WR206
Sidekick Coretrak Articulating Fixator
Sterile kit, includes tube fixator, articulating
fixator, half pin and pin covers, for external
fixation of the foot of hand, Radiolucent
Standard, long, articulating
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
WR209
Valor Hindfoot Fusion System
Valor Screw
25-100mm, 5mm diameter
Changed Suffix, Benefit.
WR216
Evolve EPS System 2.7 Locking
Stainless Steel, Variable Angle Locking Cortical
Screws
2.7mm Diameter, 10-50mm
Changed Benefit.
WR217
Evolve Ortholoc EPS System - 2.7 NL Screws
Stainless Steel, Cortical Screws
2.7mm Diameter, 10-50mm
Changed Benefit.
WR218
Evolve Ortholoc EPS System 3.5 locking
Stainless Steel, Variable Angle Locking, Cortical
& Cancellous Screws
3.5mm Diameter, 10-60mm
Changed Benefit.
WR219
Evolve Ortholoc EPS System 3.5 NL Screws
Stainless Steel, Cortical & Cancellous Screws
3.5mm diameter 10-60mm
Changed Benefit.
WR221
Evolve Ortholoc EPS System - Olecranon Plate
Stainless Steel, Polyaxial Locking Plate,
Olecranon, Right & Left
Right & Left, 2.7 & 3.5mm, 9-16 holes
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Young Sun Global Pty Ltd TA Implantium
Changed Items for Prostheses List Report
Page 234 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
OSTEON is a synthetic osteoconductive bone
graft substitute composed of hydroxyapatite (HA)
and beta-tricalcuim phosphate (β-TCP).
Particle size: 0.5-1.0mm, 1.0-2.0mm
Volume: 0.5cc
Changed Product Group, Product Sub Group,
Benefit.
Fitmore Stem
Curved uncemented MIS Stem with TiVPS
coating
A 140° size 1-14 ; B137° size 1-14 ; B extended
offset 129° size 1-14 ; C127° size 1-14
Changed Product Name, Product Group,
Product Sub Group.
ZI062
NexGen Knee Femoral Component
Femoral Component, uncemented, high flex,
CoCr plus titanium fibre metal mesh ingrowth
and HA/TCP
Sizes A-G Left & Right
Changed Description, Product Sub Group.
ZI485
Trabecular Metal Tibial Cone
Trabecular Metal Tibial void filling cone for
proximal metaphyseal bone surrounding stem,
full or stepped
31-67mm
Changed Size.
ZI576
Zimmer segmental system - segments - femoral/
tibial
fem/tib segment male-female
Male/female x 30 - 220mm. Male/Male x 8090mm.
Changed Size.
7 - Plastic and Reconstructive
YS001
OSTEON, Bone grafting material: 0.5cc
Zimmer Pty Ltd
11 - Hip
ZI557
12 - Knee
13 - Spinal
ZI330
Trabecular Metal Spinal Devices
Composition - Trabecular Metal
Various heights, sizes and diameters
Changed Product Group, Product Sub Group,
Benefit.
ZI475
Silhouette Spinal System Implants
Polyaxial Screw Assembly with Tabs
5.5 x 25mm to 8.5 x 60mm
Changed Product Group, Product Sub Group,
Benefit.
ZI476
Silhouette Spinal System Implants
Fixed Screw with Tab Extensions
5.5 x 25mm to 8.5 x 60mm
Changed Product Group, Product Sub Group,
Benefit.
ZI477
Silhouette Spinal System Implants
Nut, Connector, Transverse
1 size
Changed Product Group, Suffix, Benefit.
ZI478
Silhouette Spinal System I
Adjustable Transverse Connector Rod
1 size
Changed Product Group, Suffix, Benefit.
ZI479
Silhouette Spinal System Implants
Nut, Locking, Polyaxial
1 size
Changed Product Group, Suffix, Benefit.
ZI480
Silhouette Spinal System
Adjustable Transverse Connector Sleeve with Set
Screw
12 - 90mm lengths
Changed Product Group, Suffix, Benefit.
ZI481
Silhouette Spinal System Implants
Rod
5.5 dia x 10cm, 20cm and 47cm length
Changed Product Group, Product Sub Group,
Benefit.
ZI482
Spine-Tech BAK Cervical Implant
Cervical Cage
6 x 12mm, 8 x 12mm, 10 x 12mm, 12 x 12mm
Changed Product Group, Product Sub Group,
Benefit.
ZI483
Spine-Tech BAK "L" Cage
Lumbar Cage
9 x 20mm, 9 x 24mm, 11 x 20mm, 13 x 20mm,
13 x 24mm, 15 x 20mm, 15 x 24mm, 17 x
24mm, 17 x 28mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI487
Trinica Screw
Titanium Screws, fixed and variable angle.
4.2mm x 12/14/16/18mm; 4.6mm x
12/14/16/18mm
Changed Product Group, Product Sub Group,
Benefit.
ZI488
Silhouette Transverse Connector Insert
Titanium
one size only
Changed Product Group, Suffix, Benefit.
Changed Items for Prostheses List Report
Page 235 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ZI489
Trinica Select Anterior Cervical Plate
Titanium plate for anterior cervical spine. Used to
assist spinal fusion. Attached to the bone using
screws.
Plates for 1 or 2 levels are from 22 to 52mm long
in 2mm increments; Plates for 3 levels are from
51-72mm long in 3mm increments
Changed Product Group, Product Sub Group,
Benefit.
ZI510
Optima Spinal System - Transverse Link
Assembly
Transverse Link Assembly
Small, Medium, Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI511
Optima Spinal System - Set Screw
Screw set
One size only
Changed Product Group, Suffix, Benefit.
ZI512
Optima Spinal System - Rod
Rod
Dia 5-7mm, length 40-400mm
Changed Product Group, Product Sub Group,
Benefit.
ZI513
Optima Spinal System - Monoaxial Pedicle
Screw System
Monoaxial Pedicle screw system
Dia 4-8mm, length 20-60mm
Changed Product Group, Product Sub Group,
Benefit.
ZI514
Optima Spinal System - Polyaxial Pedicle Screw
System
Polyaxial Pedicle Screw System
Diameter 4-8mm, length 20-60mm
Changed Size, Product Group, Product Sub
Group, Benefit.
ZI517
Trinica Anterior Lumbar/Sacral Screw
Screw, Titanium, Fixed or Variable Axis
22 to 34mm lengths
Changed Product Group, Product Sub Group,
Benefit.
ZI518
Trinica Anterior Lumbar Plate
Lumbar Plate, Titanium
37-51mm lengths
Changed Product Group, Product Sub Group,
Benefit.
ZI519
Trinica Anterior Lumbar Plate
Sacral Plate, Titanium
33-51mm lengths
Changed Product Group, Product Sub Group,
Benefit.
ZI527
Optima Spinal Fixation System - Hooks
Titanium Alloy
Various
Changed Product Group, Product Sub Group,
Benefit.
ZI536
Trabecular Metal Spinal Devices
Composition Trabecular Metal
Various heights, diameters and sizes
Changed Product Group, Product Sub Group,
Benefit.
ZI537
Trabecular Metal Spinal Device
Composition Trabecular Metal
Various heights, sizes and diameters
Changed Product Group, Product Sub Group,
Benefit.
ZI609
Optima Spinal Fixation System
Optima Spinal Fixation System - Rod Connectors
Small, Large, 2 Hole, 3 Hole, 4 Hole
Changed Product Group, Product Sub Group,
Benefit.
ZI610
Optima Spinal Fixation System
Optima Spinal Fixation System - Rod Connectors
Various Sizes - Open & Closed
Changed Product Group, Product Sub Group,
Benefit.
ZI615
ARDIS LUMBAR INTERBODY SPINAL CAGE
A lumbar interbody fusion cage
H 8 to 16mm; W 9 & 11mm; L 22 to 34mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI616
SEQUOIA PEDICLE SCREW SYSTEM
Polyaxial Screw
4.5mm - 8.5mm dia, 25mm-60mm length
Changed Product Group, Product Sub Group,
Benefit.
ZI623
SEQUOIA PEDICLE SCREW SYSTEM
SpeedLink II Ti
Small, Medium, Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI624
SEQUOIA PEDICLE SCREW SYSTEM
Sequoia Rod CP Ti
30mm - 510mm length
Changed Product Group, Product Sub Group,
Benefit.
ZI625
SEQUOIA PEDICLE SCREW SYSTEM
Closure Top
One size only
Changed Product Group, Suffix, Benefit.
ZI636
BacFix (Thoracolumbar System)
Anterior washer - Titanium alloy
Small, standard
Changed Product Group, Product Sub Group,
Benefit.
ZI637
BacFix (Thoracolumbar System)
Multi axial bone screw - Nitinol
5 - 8mm x 30 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
ZI638
BacFix (Thoracolumbar System)
Serrated tooth locking clip - Titanium alloy
Nominal, deep
Changed Product Group, Suffix, Benefit.
ZI639
BacFix (Thoracolumbar System)
Spinal rod, rigid/flex - Titanium alloy
5.5 - 6mm x 50 - 125mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 236 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ZI640
BacFix (Thoracolumbar System)
Spinal rod, rigid/flex - Titanium alloy
5.5 - 6mm x 300 - 600mm
Changed Product Group, Product Sub Group,
Benefit.
ZI641
BacFix (Thoracolumbar System)
Non-threaded wedge with serrated teeth Titanium alloy
5.5 - 6mm
Changed Product Group, Suffix, Benefit.
ZI642
BacFix (Thoracolumbar System)
Hook - Titanium alloy
6.5 - 11mm
Changed Product Group, Product Sub Group,
Benefit.
ZI643
BacFix (Thoracolumbar System)
Smooth profile flexible angle screw - Titanium
alloy
5 - 8mm x 30 - 60mm
Changed Product Group, Product Sub Group,
Benefit.
ZI644
BacFix (Thoracolumbar System)
SpeedLink fixed distance rod - Titanium alloy
5.5 - 6mm x 15 - 35mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI645
BacFix (Thoracolumbar System)
SpeedLink adjustable length rod - Titanium alloy
5.5 - 6mm x 39.5 - 75mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI646
AcuFix
Cancellous bone screw - Anterior cervical plate
system - Titanium
4mm x 10 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
ZI647
AcuFix
Self tapping wide root screw - Anterior cervical
plate system - Titanium
4mm x 10 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
ZI648
AcuFix
Rescue screw - Anterior cervical plate system Titanium
4.5mm x 10 - 18mm
Changed Product Group, Product Sub Group,
Benefit.
ZI649
AcuFix
1 segment SlimLine plate - Anterior cervical plate
system - Titanium
20 - 34mm
Changed Product Group, Product Sub Group,
Benefit.
ZI650
AcuFix
2 segment SlimLine plate - Anterior cervical plate
system - Titanium
34 - 54mm
Changed Product Group, Product Sub Group,
Benefit.
ZI651
AcuFix
3 segment SlimLine plate - Anterior cervical plate
system - Titanium
47 - 71mm
Changed Product Group, Product Sub Group,
Benefit.
ZI652
AcuFix
4 segment SlimLine plate - Anterior cervical plate
system - Titanium
68 - 92mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI653
AcuFix
2 segment Corpectomy plate - Anterior cervical
plate system - Titanium
34 - 54mm
Changed Product Group, Product Sub Group,
Benefit.
ZI654
AcuFix
3 segment Corpectomy plate - Anterior cervical
plate system - Titanium
53 - 77mm
Changed Product Group, Product Sub Group,
Benefit.
ZI655
AcuFix
4 segment Corpectomy plate - Anterior cervical
plate system - Titanium
68 - 101mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI656
AcuFix
3 segment SlimLine plate - Anterior cervical plate
system - Titanium
47 - 71mm
Changed Product Group, Product Sub Group,
Benefit.
ZI657
Traxis (non sterile)
Titanium Interbody Implant
9-13mm
Changed Product Group, Product Sub Group,
Benefit.
ZI658
Traxis Peek-Optima (sterile)
Vue Radiolucent Implant
12mm
Changed Product Group, Product Sub Group,
Benefit.
ZI659
Nex-Link
Spinal Fixation System, Closed Screw Set Screw
4.0mm
Changed Product Group, Suffix, Benefit.
ZI660
Nex-Link
Spinal Fixation System, Polyaxial Screws
3.5mmx10mm - 4.00mmx22mm; 4.5 x 2040mm(5mm increments); 5.5mm x 20-45mm
(5mm increments)
Changed Product Group, Product Sub Group,
Benefit.
ZI661
Nex-Link
Spinal Fixation System, Transverse Connectors
4.00mm Rod x 25mm - 45 length; 4.00mm Rod x
4.00mm & 5.5mm (band), 4.00mm Rod x 4.00
&5.5mm (inline)
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 237 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ZI662
Nex-Link
Spinal Fixation System, Cervical Hooks
5 & 7mm
Changed Product Group, Product Sub Group,
Benefit.
ZI663
Nex-Link
Spinal Fixation System, Spinal Rod
120 & 240mm
Changed Product Group, Product Sub Group,
Benefit.
ZI664
Incompass
Thoracolumbar Fixation System, Open Implant
Closure Top
5.5mm
Changed Product Group, Suffix, Benefit.
ZI665
Incompass
Thoracolumbar Fixation System, Closed Implant
Set Screw
5.5mm
Changed Product Group, Suffix, Benefit.
ZI666
Incompass
Thoracolumbar Fixation System, Offset
Connector Open
9.5 - 30mm
Changed Product Group, Product Sub Group,
Benefit.
ZI667
Incompass
Thoracolumbar Fixation System, Offset
Connector Closed
7.5 - 30mm
Changed Product Group, Product Sub Group,
Benefit.
ZI668
Incompass
Thoracolumbar Fixation System, Polyaxial Screw
Open
5.5 - 7.5
Changed Product Group, Product Sub Group,
Benefit.
ZI669
Incompass
Thoracolumbar Fixation System, Fixed Angle
Screw Open
4.5 - 8.5mm
Changed Product Group, Product Sub Group,
Benefit.
ZI670
Incompass
Thoracolumbar Fixation System, Fixed Angle
Screw Closed
4.5 - 8.5mm
Changed Product Group, Product Sub Group,
Benefit.
ZI671
Incompass
Thoracolumbar Fixation System, Hooks
5.5mm
Changed Product Group, Product Sub Group,
Benefit.
ZI672
AcuFix
1 segment ThinLine plate
20 - 36mm
Changed Product Group, Product Sub Group,
Benefit.
ZI673
AcuFix
2 segment ThinLine plate
34 - 54mm
Changed Product Group, Product Sub Group,
Benefit.
ZI674
AcuFix
1 segment Ant-Cer dynamic plate
24 - 32mm
Changed Product Group, Product Sub Group,
Benefit.
ZI675
AcuFix
2 segment Ant-Cer dynamic plate
34 - 54mm
Changed Product Group, Product Sub Group,
Benefit.
ZI676
AcuFix
3 segment Ant-Cer dynamic plate
50 - 71mm
Changed Product Group, Product Sub Group,
Benefit.
ZI677
AcuFix
4 segment Ant-Cer dynamic plate
68 - 96mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI678
InFix Interbody Fusion System
Endplate
Small - Large
Changed Product Group, Product Sub Group,
Benefit.
ZI679
InFix Interbody Fusion System
Strut
Small - Large
Changed Product Group, Product Sub Group,
Benefit.
ZI680
InFix Interbody Fusion System
Endcap
8-10mm
Changed Product Group, Product Sub Group,
Benefit.
ZI681
Pathfinder
Minimally invasive pedicle fixation system
Cannulated Polyaxial Screws 6.5 - 7.5mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI682
Pathfinder
Minimally invasive pedicle fixation system
Open Implant Closure Top 5.5mm
Changed Product Group, Suffix, Benefit.
ZI683
NexLink
Occipital Cervical Plating System
Occipital Plate
Changed Product Name, Product Group,
Benefit.
ZI684
NexLink
Occipital Cervical Plating System
Closed Screw 4mm
Changed Product Name, Product Group,
Product Sub Group, Benefit.
Changed Items for Prostheses List Report
Page 238 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ZI685
NexLink
Occipital Cervical Plating System
Screw Offset Connector
Changed Product Name, Product Group,
Product Sub Group, Benefit.
ZI686
NexLink
Occipital Cervical Plating System
Primary Bone Screw 3.5mm and 4mm
Changed Product Name, Size, Product Group,
Product Sub Group, Benefit.
ZI687
NexLink
Occipital Cervical Plating System
Bone Screw 3.5 - 4.0mm
Changed Product Name, Product Group,
Product Sub Group, Suffix, Benefit.
ZI688
Cadence (non sterile)
Titanium Interbody Implant
9-15mm
Changed Product Group, Product Sub Group,
Benefit.
ZI689
Cadence Peek - Optima (sterile)
Vue Radiolucent Implant
9-13mm
Changed Product Group, Product Sub Group,
Benefit.
ZI690
Fortitude (non sterile)
Titanium Interbody Implant
12mm
Changed Product Group, Product Sub Group,
Benefit.
ZI691
Fortitude Peek-Optima (sterile)
Vue Radiolucent Implant
12mm
Changed Product Group, Product Sub Group,
Benefit.
ZI692
Incompass
Thoracolumbar Fixation System, Hooks
5.5mm
Changed Product Group, Product Sub Group,
Benefit.
ZI693
InFix Interbody Fusion System
Strut
Small - Large
Changed Product Group, Product Sub Group,
Benefit.
ZI694
Posterior Lumbar Cage
Titanium or PEEK
Height 7 - 20mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI695
Anterior Lumbar Cage
Titanium or PEEK
Height 2 - 20mm
Changed Product Group, Product Sub Group,
Benefit.
ZI696
Fidji Cervical Cage
Fidji anterior interbody cage
12 x 15, 12 x 17, 14 x 17, 14 x 19
Changed Description, Product Group, Product
Sub Group, Benefit.
ZI697
Java screw system
Sacral fixation
Left and right
Changed Product Group, Product Sub Group,
Benefit.
ZI698
Java screw system
Java Blocker
Set screw
Changed Product Group, Suffix, Benefit.
ZI699
Universal Clamp
Locking Screw
.
Changed Product Group, Suffix, Benefit.
ZI700
Java screw system
Precontoured rod
Rod length 30/40/50/60/70/80/90/100
Changed Product Group, Product Sub Group,
Benefit.
ZI701
Java screw system
Secondary sacral screw
Size 6 L 35
Changed Product Group, Product Sub Group,
Benefit.
ZI702
Java screw system
Monoaxial pedicle screw
diam 4.5 lg 35, 40, 45; diam 5 lg 35, 40,45,
50,55, 60; diam 5.5 lg 35, 40, 45, 50, 55; diam 6
lg 35, 40, 45, 50, 55, 60; diam 6.5 lg 35, 40, 45,
50, 55, 60; diam 7 lg 35, 40, 45, 50, 55, 60; diam
7.5 lg 35, 40, 55, 60; diam 8 lg 35, 40, 45, 50,
55, 60
Changed Product Group, Product Sub Group,
Benefit.
ZI703
Java screw system
Straight rods
Rod length 30/40/50/60/70/80/90/100
Changed Product Group, Product Sub Group,
Benefit.
ZI704
Java screw system
Transverse connector
Length 52, 62, 72, 82
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 239 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ZI705
Java screw system
Poly axial screw
TL pedicle screw diam 4 lg 35; diam 5 lg 35, 40,
45, 50, 55; diam 6 lg 35, 40, 45, 50, 55; diam 7
lg 35, 40, 45, 50, 55; diam 5.5 lg 35, 40, 45, 50,
55, 60; diam 6 lg 60; diam 6.5 lg 35, 40, 45, 50,
55, 60; diam 7 lg 60; diam 7.5 lg 35, 40, 45, 50,
55, 60
Changed Product Group, Product Sub Group,
Benefit.
ZI706
Nex-Link
Spinal Fixation System, Open Screw Closure
4.00mm
Changed Product Group, Suffix, Benefit.
ZI707
AcuFix
2 segment SlimLine plate - Anterior cervical plate
system - Titanium
34 - 54mm
Changed Product Group, Product Sub Group,
Benefit.
ZI725
DTL Pedicle Screw
HA coated, Monaxial
D: 5.2mm, 6.00mm, 6.4mm, 7.2mm, 8.00mm. L:
35mm - 55mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
6 - Specialist Orthopaedic
ZI133
NexGen Knee High Tibial Osteotomy System
Screw - Ti
4.5 - 10 - 80 mm, 6.5 - 10 - 80 mm
Changed Product Group, Product Sub Group,
Benefit.
ZI149
Periarticular Plates
Periarticular 6.5mm Cancellous Screws Stainless Steel
16mm Thread - 35-90mm Long, 32mm Thread 45-90mm Long, Fully Threaded - 25-90mm Long
Changed Product Group, Product Sub Group,
Benefit.
ZI150
Periarticular Plates
Periarticular 4.0mm Cancellous Screws Stainless Steel
Part thread - 30-60 mm, Full thread 30-110 mm
Changed Product Group, Product Sub Group,
Benefit.
ZI151
Periarticular Plates
Periarticular 4.5mm Self Tapping Screws Stainless Steel
26 - 90mm
Changed Product Group, Product Sub Group,
Benefit.
ZI152
Periarticular Plates
Periarticular 3.5mm Self Tapping Screws Stainless Steel
10 - 80mm
Changed Product Group, Product Sub Group,
Benefit.
ZI158
Zimmer Internal Fixation Systems: Compression
Hip Screw
Freelock/Versa-fx lag screw - Stainless Steel
50 mm - 150 mm long
Changed Product Group, Product Sub Group,
Benefit.
ZI167
Zimmer Internal Fixation Systems: Cable System
Cable-Ready 6 Hole Plate - Stainless Steel
187mm long
Changed Product Group, Product Sub Group,
Benefit.
ZI168
Zimmer Internal Fixation Systems: Cable System
Cable-Ready 8 Hole Plate - Stainless Steel
246mm long
Changed Product Group, Product Sub Group,
Benefit.
ZI169
Zimmer Internal Fixation Systems: Cable System
Cable-Ready 10 Hole Plate - Stainless Steel
305mm long
Changed Product Group, Product Sub Group,
Benefit.
ZI176
Zimmer Internal Fixation Systems: Cannulated
Screw
Magna-FX - Stainless Steel
16 mm Thread - 30-30 mm; 32 mm Thread - 40120 mm; Fully Threaded - 30-130 mm Long
Changed Product Group, Product Sub Group,
Benefit.
ZI177
Zimmer Internal Fixation Systems: Cannulated
Screw
Mini Magna-FX - Stainless Steel
4 & 5mm diameters
Changed Product Group, Product Sub Group,
Benefit.
ZI178
Zimmer Herbert Bone Screw
Double Threaded Compression Bone Screw
Scaphoid - 12 - 30mm length
Changed Product Name, Description, Product
Group, Product Sub Group, Benefit.
ZI179
Zimmer Herbert/Whipple Bone Screw
Cannulated Double Threaded Compression Bone
Screw
12 mm - 30 mm
Changed Product Name, Description, Product
Group, Product Sub Group, Benefit.
ZI180
Zimmer Large Herbert Bone Screw
4.5mm Cannulated Double Threaded
Compression Bone Screw - Ti Alloy
30 - 70mm
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
ZI181
Zimmer Large Herbert Bone Screw
6.5mm Cannulated Double Threaded
Compression Bone Screw - Ti Alloy
25 mm - 100mm
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
ZI201
Zimmer ECT Screws
2.7mm Cortical Screws
6 - 50mm
Changed Product Group, Product Sub Group,
Benefit.
Changed Items for Prostheses List Report
Page 240 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ZI202
Zimmer ECT Screws
3.5mm Cortical Screws
10 - 130 mm
Changed Product Group, Product Sub Group,
Benefit.
ZI203
Zimmer ECT Screws
4.0mm Cancellous Screws
10 - 60 mm
Changed Product Group, Product Sub Group,
Benefit.
ZI204
Zimmer ECT Screws
4.5mm Cortical Screws
14 - 120mm
Changed Product Group, Product Sub Group,
Benefit.
ZI205
Zimmer ECT Screws
4.5mm Self tapping Cortical Screws
14 - 70mm
Changed Product Group, Product Sub Group,
Benefit.
ZI206
Zimmer ECT Screws
4.5 Malleo Screw
25 - 70mm
Changed Product Group, Product Sub Group,
Benefit.
ZI207
Zimmer ECT Screws
6.5mm Cancellous Screws
25 - 110mm
Changed Product Group, Product Sub Group,
Benefit.
ZI209
Zimmer Large-Frag System
Cortical Nut for 4.5mm screw
Small & Large
Changed Product Group, Product Sub Group,
Benefit.
ZI210
Zimmer Large-Frag System
Washer/Spiked washer
Small & Large
Changed Product Group, Product Sub Group,
Benefit.
ZI217
ZPS Plate System
4.5mm T Buttress Plates
4 - 6 Hole
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
ZI220
ZPS Plate System
3.5mm Cloverleaf Plates
88 - 104mm
Changed Product Name, Description, Product
Group, Product Sub Group, Suffix, Benefit.
ZI222
ZPS Mini Plate System
1.5 & 2.7mm Epiphysys Plates
2 - 6 Hole
Changed Product Name, Description, Product
Group, Product Sub Group, Benefit.
ZI290
Cable Ready Cable Grip System
Titanium - comes with two cables (Co Cr),
Integral Crimps
23 x 53mm, 1.8 x 635mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI297
Cable Ready Cable Grip System
Titanium
5 hole GTR with 4 cables
Changed Product Group, Product Sub Group,
Benefit.
ZI298
Cable Ready Cable Grip System
Titanium
2 hole GTR with 4 cables
Changed Product Group, Product Sub Group,
Benefit.
ZI299
Cable Ready Cable Grip System
Titanium
4 hole GTR with 4 cables
Changed Product Group, Product Sub Group,
Benefit.
ZI398
High Tibia Osteotomy
High Tibia Osteotomy - Ti alloy
L shaped steel alloy plate; Standard & Long
Changed Product Group, Product Sub Group,
Benefit.
ZI399
Cancellous Screws
Screws- Cancell - Ti alloy
6.5/15 to 6.5/70mm
Changed Product Group, Product Sub Group,
Benefit.
ZI400
Cortical Screws
Screws- Cortical - Ti alloy
4.5/30 to 60mm
Changed Product Group, Product Sub Group,
Benefit.
ZI448
Cannulated Screw
Ti alloy
One size only
Changed Product Group, Product Sub Group,
Benefit.
ZI484
Wristore
Disposable External Fixation device for the
treatment of distal radial fractures.
Wristore Pack
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI534
Zimmer Trabecular Metal Reverse Shoulder
System
Inverse/Reverse Screw 4.5mm
18mm, 24mm, 27mm, 30mm, 33mm, 36mm,
42mm, 48mm
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Changed Items for Prostheses List Report
Page 241 of 242
Billing Code Product Name
Further Description
Size
Explanation of Change
ZI543
Zimmer Universal Locking System
3.5mm Locking T plate
3 hole head 5 hole shaft 73mm length; 4 hole
head 6 hole shaft 85mm length; 3 hole head 3
hole shaft left 51mm length; 3 hole head 4 hole
shaft left 63mm length; 3 hole head 3 hole shaft
right 51mm length; 3 hole head 4 hole shaft right
63mm length.
Changed Description, Product Group, Product
Sub Group, Suffix, Benefit.
ZI546
Zimmer Universal Locking System
3.5mm Dual Compression Locking Plate,
16 hole; 20 hole
Changed Description, Product Group, Product
Sub Group, Benefit.
ZI548
Zimmer Universal Locking System
2.7mm Universal Locking Screw
Length:8mm; 10mm; 12mm; 14mm; 16mm;
18mm; 20mm; 22mm; 24mm; 26mm; 28mm;
30mm; 32mm; 34mm; 36mm; 38mm; 40mm;
42mm; 44mm; 46mm; 48mm; 50mm; 55mm;
60mm
Changed Product Group, Product Sub Group,
Benefit.
ZI551
Zimmer Universal Locking System
2.7 mm Locking T & L Plate Sterile and NonSterile
2 hole head 3 hole shaft 39mm length; 2 hole
head 5 hole shaft 62mm length; 3 hole shaft left
39mm; 3 hole shaft right 39mm; 3 hole shaft
oblique left 42mm; 3 hole shaft oblique right
42mm; 5 hole shaft left 62mm; 5 hole shaft right
62mm; 5 hole shaft obl
Changed Product Group, Product Sub Group,
Benefit.
ZI596
NCB System
NCB Screw Self Tapping
5.00mm x 14-85; 4.00mm x 14-48,
Changed Product Group, Product Sub Group,
Benefit.
ZI597
NCB Plating System
NCB Spacers & Screw Caps
1, 2 and 3
Changed Product Group, Product Sub Group,
Benefit.
ZI598
NCB System
NCB Cancellous Screws
4.5mm x 30-65, 5.0mm x 32-90, 4.5mm x 30-65
C/FT
Changed Product Group, Product Sub Group,
Benefit.
ZI599
NCB System
NCB Cortical Screws
5.00mm x 14-85; 4.00mm x 14-90; 3.5mm x 1475.
Changed Product Group, Product Sub Group,
Benefit.
ZI600
NCB System
NCB Cannulated Screws
14mm to 65mm
Changed Suffix, Benefit.
ZI601
NCBSystem
NCB Cannulated Cancellous Screws
4.5mm x 30-90mm
Changed Suffix, Benefit.
ZI602
Trans Fx LITE Ankle Implant Kit
MRI Ankle Bridging Implant Kit
Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI603
Trans Fx LITE - Pelvic Resuscitation Kit
MRI Pelvic Resuscitation Kit
Large
Changed Product Group, Product Sub Group,
Suffix, Benefit.
ZI606
Trans Fx LITE
MRI Universal Clamp
One size only
Changed Product Group, Product Sub Group,
Suffix, Benefit.
Grand Total: 4389 Records
Changed Items for Prostheses List Report
Page 242 of 242

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