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 ˆ 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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