Changed Items for Prostheses List
Billing
Product Name
Further Description
Size
Explanation of Change
Diameter 7-10mm Length 20 + 30mm Straight;
Diameter 8-6, 9-7, 10-8mm Length 20 + 30mm
Diameter 4-10mm, Length 12-58mm
Abbott Australasia Pty Ltd
Vascular
AY015
Xact/ Xact Flex Carotid Stent
AY022
Cobalt Chromium Balloon Expandable Peripheral
Nitinol Self-Expanding stent on rapid exchange
delivery system
Cobalt Chromium
AY032
ACCULINK Peripheral Stent System
Nickel-Titanium Intra-vascular stent
4-10mm diameter, 13-56mm length
Changed Suffix.
Amended benefit.
Changed Size, Suffix.
Amended benefit.
Changed Suffix.Amended benefit.
ATS Medical open pivot aortic valved graft model
502AG
ATS medical open pivot heart valve model 500FA
standard flexi-cuff aortic valve series, ATS medical
open pivot heart valve model 500DM standard flexicuff mitral valve series
Pyrolythic Carbon, Double Velour Polyester, Titanium
21- 33mm
Amended benefit.
Pyrolythic Carbon, Double Velour Polyester, Titanium
16-33mm
Amended benefit.
ATS medical open pivot heart valve model 501DA
advanced performance (AP) aortic valve series, ATS
medical open pivot heart valve model 501DM
advanced performance (AP) mitral valve series
Pyrolythic Carbon, Double Velour Polyester, Titanium
16-33mm
Amended benefit.
Model No BGAT-27-SY (BioGlue Surgical
One size only
Amended benefit.
Model No PSD 6006-UN
Model No PSD 4506-UN
Model No PSD 8006-UN
One size only
One size only
One size only
Amended benefit.
Amended benefit.
Amended benefit.
Surgically Implanted Intraocular Viscoelastic
0.65mL
Amended benefit
Sodium Hyaluronate 14mg/mL
Polymethylmethacrylate (PMMA) Implant
0.5mm and 0.85ml
12mm ring, and 13mm ring
Amended benefit.
Amended benefit
Advanced Biomedical Pty Ltd
Cardio-thoracic
AB001
AB002
AB064
General/Miscellaneous
AB010
AB013
AB018
AB020
BioGlue Surgical Adhesive - Syringe Applicator Tip
Extender
Peri-Strips Dry
Peri-Strips Dry
Peri-Strips Dry
Advanced Medical Optics Australia Pty Ltd
Ophthalmic
AO007
AO010
AO021
Viscoelastic Fluid: AMO Vitrax (sodium
hyaluronate) 30mg/mL, 0.65mL
Healon GV Intraocular Viscoelastic Fluid
Stabileyes Capsular Tension Ring
Advanced Neuromodulation Systems Australia Pty Ltd
Neurosurgical
Changed Items for Prostheses List Report
Page 1 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
AV001
ANS Spinal Cord Stimulation System (SCS)
60cm length
Changed Product Group, Product Sub-Group,
Suffix.
AV002
ANS Spinal Cord Stimulation System (SCS)
30cm, 60cm, 90cm 110cm
AV003
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
Octrode Lead. 8 Electrode (thoracic or cervical
placement).
Quattrode Lead. 4 Electrode.
AV004
AV006
AV007
ANS Spinal Cord Stimulation System (SCS) RENEW
ANS Spinal Cord Stimulation System (SCS) RENEW
ANS Spinal Cord Stimulation System (SCS)
Dual Receiver 16 Channel (2 x 8 channel)
Single Receiver. 8 Channel (1 x 8)
Trial Lead. Temporary Screening Lead
One size only
One size only
30cm, 60cm
AV008
AV009
AV011
AV012
ANS Spinal Cord Stimulation System (SCS) RENEW
ANS Spinal Cord Stimulation System (SCS) RENEW
ANS Spinal Cord Stimulation System (SCS)
ANS Spinal Cord Stimulation System (SCS)
Transmitter Kit 16 Channel
Transmitter Kit 8 Channel
Lamitrode Plate Electrode
Lamitrode Dual 8 Plate Electrode Lead
One size only
One size only
60cm, 90cm, 110cm
One size only
AV013
AV014
AV015
AV016
AV017
AV018
AV019
ANS Spinal Cord Stimulation System (SCS)
ANS Spinal Cord Stimulation System (SCS) GENESIS
ANS Spinal Cord Stimulation System (SCS) GENESIS
ANS Spinal Cord Stimulation System (SCS) GENESIS
ANS Spinal Cord Stimulation System (SCS) GENESIS
ANS Spinal Cord Stimulation System (SCS) GENESIS
ANS Spinal Cord Stimulation System (SCS) GENESIS
One size only
One size only
One size only
One type only
One Size Only
One Size Only
One Size Only
AV020
AV021
ANS Spinal Cord Stimulation System (SCS) GENESIS
A127 Lead Extension
Boots, Connectors, Anchors, Strain Relief
Implantable Pulse Generator - Genesis Model 3608
Patient Programmer Model 3850
Communication Magnet Model 1210
Implantable Pulse Generator - Genesis G4 Model
Implantable Pulse Generator - Genesis XP Model
Implantable Pulse Generator - Genesis XP Dual
Model 3644
QuikLink Patient Programmer Model 3860
A127 Lead Extension
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group.
Changed Product Group.
Changed Product Group, Product Sub-Group.
Changed Product Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
AV022
AV023
AV024
AV025
Genesis RC Rechargeable IPG
Genesis RC Rechargeable IPG
Genesis RC Rechargeable IPG
Eon Neurostimulation System
70mm
76mm
.
Height = 59mm
AV026
AV027
Eon Neurostimulation System
Lamitrode S Series Leads
Genesis RC (IPG) Neurostimulation System
Genesis RC Dual 4 (IPG) Neurostimulation System
External Charging System
Eon Neurostimulation Implantable Pulse Generator
#3716
Eon Programmer #3851
Lamitrode S Series, 8 Channel, Model # 3283
AV028
Lamitrode S Series
Lamitrode S Series, 8 Channel, Model # 3286
Length = 60cm, 90cm, 110cm
AV029
Lamitrode S Series Leads
Lamitrode S Series, 4 Channel, Model # 3243
Length = 30cm
AV030
Lamitrode S Series Leads
Lamitrode S Series, 4 Channel, Model # 3246
Length = 60cm, 90cm, 110cm
Changed Items for Prostheses List Report
30cm, 60cm, 90cm 110cm
One Size Only
15cm, 40cm, 60cm, 90cm
.
Length = 30cm
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Page 2 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
AV031
Lamitrode C Series Leads
Lamitrode C Series, 8 Channel, Model # 3245
Length = 60cm, 90cm, 110cmm
AV032
AV033
Lamitrode C Series Leads
Axxess Permanent Lead
Length = 60cm
Length - 45cm
AV034
Axxess Permanent Lead
Lamitrode C Series, 16 Channel, Model # 3289
Axxess Quad Lead: 7mm - Model #4044, 9mm Model # 4054
Axxess Quad permanent Lead: 7mm - Model #4143
& 4146, 9mm- Model # 4153 & 4156
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Length 30 - 60cm
Advanced Surgical Design & Manufacture Ltd
Orthopaedic
AE051
ASDM Bone screw
Titanium
Dia 5 - 11 mm, length 20 - 50mm
Amended benefit.
Shells 40 - 80mm in 2mm increments
Stem 4.5 - 9.5mm Standard, +2 & +4mm
28 and 32mm, 4 lengths
28mm & 32mm Group 1,2,3 & 4
One size only
6.5mm x 1.5 - 6cm in 0.5cm increments long
28mm, 32mm, 3 lengths
42 - 68mm in 2mm increments
Grp 0, Grp 1, Grp 2, Grp 3, Grp 4, Grp 5, and Grp
9 - 21mm in 1mm increments
Sizes 38mm-54mm in 2mm increments, -3.5 to +3.5
Neck
ID 36 - 54mm, OD 46 - 64mm
Sizes 36mm - 54mm in 2mm increments
36 - 54mm ID in 2mm Increments
1 Standard - 9 Standard
9.5, 11, 12, 13, 14, 15, 16, 17.5, left and right
Standard Length Sizes 1 - 9
Group 1 - 3, Size 28 and 32
Group 1 - 3 sizes 22 - 32
Diameter 5.5mm, Length 15 - 60mm
22.5mm - 32mm Femoral Head and neck ranging from
-3.5mm to +7mm
Sizes 9 to 18 in 1 mm increments
Amended benefit.
Changed Size.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Advanced Surgical Technologies
Orthopaedic
AD103
AD105
AD114
AD116
AD118
AD120
AD122
AD125
AD127
AD131
AD212
Lineage and Transcend Acetabular Systems
Evolve Modular Radial Head
Transcend/Lineage Articulation System
Transcend/ Lineage Articulation System
Transcend/Lineage Articulation System
Transcend/Lineage Articulation System
Transcend/Lineage Articulation System
WMT Acetabular Cups All Poly
WMT Acetabular Liners
WMT Perfecta Hip System
CONSERVE Total hip head
Titanium, beaded, non HA
Cobalt chromium alloy, standard and plus stems
Metal femoral head CoCr
Ceramic Liner, biolox forte
Apical dome plug titanium
Bone screw titanium
Head ceramic
UHMWPE unmodified
Duramer UHMWPE unmodified Liner
PMMA cement Plug
CoCr SLT Taper Femoral Head
AD213
AD220
AD229
AD232
AD237
AD238
AD261
AD263
AD265
AD269
CONSERVE PLUS Total Hip Resurfacing System
CONSERVE PLUS Total Hip Resurfacing System
Conserve Plus Total Hip Resurfacing System
Profemur Total Hip System
Profemur Total Hip System
Profemur Total Hip System
Procotyl-E cup ceramic inserts
Procotyl-E cup
Procotyl-E screws
Femoral Head
Titanium Acetabular Shell - Super Polished
CoCr Femoral Head - Super Polished
Titanium Thin Acetabular Shell - Super Polished
Profemur E Stem - without HA grit blasted 'Titanium
Anca-fit Femoral Stem with 1/3 proximal HA, grit
Profemur Z, Titanium Tapered Femoral Stem
Ceramic insert, biolox forte
unmodified polyethylene liner
titanium alloy
Femoral Head Cast Cobalt Chrome Alloy
AD278
Profemur Total Hip System
Titanium Tapered Stem - HA Plasma Spray
Changed Items for Prostheses List Report
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Page 3 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
AD279
Profemur Total Hip System
Size 10 -18
Amended benefit.
AD281
AD286
Micronail intramedullary radial fixation
BFH Total, A-class
Titanium Stem with HA Plasma Spray, standard &
reduced flare
Titanium, Distal radial nail
Cobalt Chrome super finished femoral head. Size
range from 36mm to 56mm in 2mm increments with 3
head lengths per size
1, 2, 3, 4 and XL
36mm to 56mm in 2mm increments each with 3.5mm, 0mm, + 3.5mm head lengths
Changed Size.
Amended benefit
AD289
AD303
AD309
Transcend/Lineage Articulation System
Evolve Modular Radial Head
Lineage A-Class Crosslinked Polyethylene Liner
Grp 1, Grp 2, Grp 3, Grp 4 28, 32 & 36mm
Head 18-28mm Std, +2 and +4mm
28, 32, 36ID
Amended benefit.
Changed Size.
Amended benefit.
AD313
Conserve Total SUPERFIX Shell
50mm - 72mm OD
Amended benefit
AD318
AD319
AD322
Profemur Xm Femoral Stem
Profemur Total Hip System
Quadra-Fix Acetabular Shell
0, 1, 2, 3, 4
L26 x D19mm, D21mm & D23mm;
35mm - 80mm in 5mm increments
Amended benefit
Amended benefit
Amended benefit
AD325
Conserve Plus A-CLASS Resurfacing Head
Metal CoCr Liner
Cobalt chromium alloy head
Standard and lateralized, 0deg and 15deg lipped
crosslinked
Porous coated, super finished, revision resurfacing
cup with fins and screws
Femoral Stem, CoCr, Cemented, Polished
Extension Piece for the profemur R, Titanium, grit
Quadra-Fix Double threaded, 6.5mm Cancellous bone
Screw
CoCr A-CLASS super finished resurfacing femoral
Amended benefit
AD330
AD331
AD332
AD334
AD335
Procotyl L Acetabular System / Acetabular shell non
Procotyl L metal liner, large head options
Procotyl L Delta Ceramic Liner
Dynasty Acetabular System/ Actebular Shell
Dynasty Acetabular System / metal liner, large head
options
Profemur TL
Guardian Limb Salvage System
Beaded Acetabular shell non HA
CoCr superfinished Metal liners
Delta ceramic liners
Beaded Acetabular shell non HA
Dynasty Metal liner
36mm to 56mm in 2mm increments each with 3.5mm, 0mm, + 3.5mm head lengths
42 - 68mm in 2mm increments
28,32,36ID
28, 32, 36ID
42 - 68mm in 2mm increments
ID 28,32,36,38,40,42,44,48
Primary stem, tapered wedge, plasma coated
Guardian Femoral Neck
1-12
One Size Only
Amended benefit
Changed Product Group, Product Sub-Group.
PROVISC contains sodium hyaluronate, VISCOAT
contains chondroitin sulfate and sodium hyaluronate
Chondroitin sulfate and sodium hyaluronate
10.0 - 12.0 compressed, 12.3 - 14.5 uncompressed
Small & large packs
Amended benefit.
Changed Suffix.Amended benefit.
0.75mL
Perfluoro-n-octane for use as a retinal surgery additive
Hypromellose 2%
Foldable Acrylic Single-piece Lens with Blue light
protection and aspheric correction, in cartridge.
Sodium hyaluronate 17 mg/mL and chondroitin
sulfate 40mg/mL
7mL
.
+6 to +36 D
Changed Size.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Product Name.
0.5 mL and 1.0 mL
Changed Description.Amended benefit.
AD337
AD338
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Alcon Laboratories (Aust.) Pty Ltd
Ophthalmic
AL001
AL005
Capsular Tension Rings
DUOVISC VISCOELASTIC SYSTEM
AL007
VISCOAT Viscoelastic Fluid
AL014
AL015
AL024
Perfluoron Kits
Cellugel viscoelastic fluid
AcrySert model SN60WS
AL029
DisCoVisc Ophthalmic Viscosurgical Device
Changed Items for Prostheses List Report
Page 4 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
-
AP-small and AP-large
Changed Size.
Orbital Wall and Floor Porous Polyethylene
Titanium Mesh Composite
41 x 42 x 0.6-1.0mm
Changed Size.
Model 102/102R Generator
Model 302
One size only
One size only
Changed Product Group.
Changed Product Group.
Sponge- Mira 502 Cylinder 2mm, Mira 5025
Cylinder 2.5mm, Mira 503 Cylinder 3mm, Mira 504
Cylinder 4mm, Mira 505 Cylinder 5mm, Mira 505G
Grooved cylinder 5mm, Mira 505T Packer tunnel
cylinder 5mm, Mira 510 Half cylinder 5mm, Mira
515 Brucker two-thirds cylinder 5mm, Mira 501
Masciulli oval 2.5mm by 4mm, Mira 506 Vaiser oval
3mm by 5mm, Mira 506G Vaiser grooved oval 3mm
by 5mm, Mira 507 oval 5.5mm by 7.5mm, Mira
507G Grooved oval 5.5mm by 7.5mm, Mira 507T
Packer tunnel oval 5.5mm by 7.5mm, Mira 511 Half
oval 7.5mm, Mira 517 Brucker two-thirds oval
7.5mm, Mira 509 Fuller flat oval 3.5mm by 7.5mm,
Mira 509G Fuller grooved flat oval 3.5mm by
7.5mm, Mira 518 Frederick grooved flat oval 2.5mm
by 12mm, Mira 508 Frederick flat oval 4mm by
12mm, Mira 508G Frederick grooved flat oval 4mm
by 12mm, Mira 513 Snyder 3+ meridional 7mm by
4mm, Mira 514 Snyder 4+ meridional 8mm by 5mm,
Mira 516G Tapered groove 6.4mm, Mira 519G
Tapered groove 7.5mm by 3.2mm.
Sleeves-Mira 70 Sleeve 1mm I.D., Mira 71 Sleeve
1mm I.D., Mira 72 McNutt Sleeve 1.57mm I.D.,
Mira 270 Sleeve 0.76mm I.D.
Amended benefit
Allergan Australia Pty Limited
General/Miscellaneous
AW001
Lap-Band Adjustable Gastric Banding (LAGB) System
Anatomics Pty Ltd
Plastic and Reconstructive
AT055
E-POR Biomaterial/ Orbital Wall and Floor Porous
Polyethylene Titanium Mesh Composite (large)
Aurora BioScience Pty Ltd
Neurosurgical
RA001
RA002
VNS Therapy Pulse/Pulse Duo
VNS Therapy Lead
Austmed Pty Limited
Ophthalmic
AP002
Mira: Scleral Implants
Silicone Sponge- Retinal Implant Used in Scleral
Buckling (Silicone Elastomer Sponge)
AP004
Mira: Scleral Implants
Solid Silicone-Sleeve. Retinal Implant used in Scleral
Buckling (Dimethylmethylvinyl Siloxane Copolymer)
Changed Items for Prostheses List Report
Amended benefit.
Page 5 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
AP006
Mira: Scleral Implants
Solid Silicone-Band/Strip/Boat/Clip. Retinal Implant
used in Scleral Buckling (Dimethylmethylvinyl
Siloxane Copolymer)
Bands-Mira 40 Circling Band 2mm, Mira 240
Circling Band 2.5mm. Strips-Mira 41 Strip 3.5mm,
Mira 42 Strip 4mm, Mira 20 Strip 4mm, Mira 219
Strip 4.5mm, Mira 31 Strip 4.5mm, Mira 32 Strip
5mm, Mira 225 Oval Strip 5mm, Mira 220 Strip
6mm. Boats-Mira 60 Boat 2mm, Mira 260 Boat
2.5mm. Clips-Mira 50 Double Tantalum Clip 2mm,
Mira 250 Double Tantalum Clip 2.5mm, Mira 51
Singla Tantalum Clip 3.5mm, Mira 52 Joondeph
Single Tantalum Clip 4mm
Amended benefit.
Volar Distal Radius Plate - Non-standard
Wide, narrow, long sizes
Changed Product Name, Description, Size.
Screw
Width 1.0 - 3.0mm. Length 3.0 - 25mm
Changed Suffix.
Polyaxial Pedicle Screw and Reduction Screw
Length 25mm-60mm, Diameter 4.5mm-8.2mm
Amended benefit.
AJ002
Preference II Pedicle Screw and Reduction screw/
Preference- II pedical screw system
Preference II Pedicle screw system
Set Screw for Polyaxial Pedicle Screw System
One size
AJ003
Preference - II pedicle screw system
Length 30mm-600mm, Diameter 6mm
AJ004
Preference - II pedicle screw system
4 sizes: 45mm, 55mm, 70mm and 90mm
Amended benefit.
AJ009
Kasios KAGE
Height 4mm - 10mm
AJ010
KGBone
Fixation Rod for Preference-II Pedicle Screw Fixation
System
Cross Link for Preference-II Pedicle Screw Fixation
System
Cervical interbody PEEK cage for anterior cervical
surgery
Synthetic bone substitute, custom-fit for KAGE
cervical interbody cage
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Austofix
Orthopaedic
AX040
VRP Distal Radius Fixation System, Volar Distal
Radius Plate - Non-standard
Australian Surgical Innovations Pty Ltd
Neurosurgical
AI007
ASI Plates and Screws
Austspine Pty Ltd
Neurosurgical
AJ001
4mm-10mm
B Braun Australia Pty Ltd
Neurosurgical
BB002
Aesculap Hook System
Laminar Hook, Left & Right
Thick & Thin
BB003
Spine System Evolution
Counter/angled/universal hook
BB004
BB006
BB007
Spine System Evolution
Spine System Evolution
Spine System Evolution
Lateral Connector
Sacral Plate
Clamp for Cross Plate
Universal - short, long; Counter - small, medium;
Angled - left, right
Small, medium, large
Left/right for 5.2 and 6mm rods
For 5.2 and 6mm rods
Changed Items for Prostheses List Report
Changed Description, Size.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Page 6 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
BB008
Spine System Evolution
Cross Plate
For 5.2 and 6mm rods, length 50 - 100mm
BB009
BB010
BB011
BB012
Spine System Evolution
Spine System Evolution
Spine System Evolution
Spine System Evolution
Rod Connector
Rod
Screw
Locking Screw
For 5.2 and 6mm rods
Dia 5.2 and 6mm , length 40 - 500mm
Dia 5 - 8mm, length 30 - 55mm
For 5.2 and 6mm rods, length 30 - 55mm
BB013
BB014
BB015
Spine System Evolution
Spine System Evolution
Neuro-Patch
Head for Polyaxial Screw
Nut
Polyesterurethane
For 5.2 and 6mm rods
For screws for 5.2 and 6mm rods
12 x 14cm
BB061
BB062
BB063
BB064
BB065
Socon Spinal System
Socon Spinal System
Socon Spinal System
Socon Spinal System
Socon Spinal System
Socon Transpedicular Screw
Socon Connecting Rods
Socon Angled Rod
Socon Clamps
Socon Crossbar
Length 35mm-65mm, Dia 5mm-7mm
Length 40mm-200mm, Dia 6mm
Length 45mm-80mm,Dia 6mm
One size only
Length 50mm-80mm
BB066
BB070
Socon Spinal System
Prospace Block
Cross Bar Clamp
Titanium
One size only
9mm-11mm
BB108
BB109
BB110
BB111
BB112
BB113
Aneurysm Clip
Aneurysm Clip
Aneurysm Clip
Aneurysm Clip
Aneurysm Clip
Neuropatch Dura Substitute
Yasargil
Yasargil Phynox Mini
Yasargil Titanium
Yasargil Titanium Mini
Yasargil Reinforcing, Titanium/Phynox
Polyurethane
4.5mm x 150g to 25.0mm x 200g
2.8mm x 110g to 7.0mm x 130g
4.9mm x 150g to 20.0mm x 200g
2.8mm x 110g to 7.0mm x 110g
One size only
6 x 14cm
BB114
Neuropatch Dura Substitute
Polyurethane
6 x 8cm
BB115
Neuropatch Dura Substitute
Polyurethane
4 x 10cm
BB116
Neuropatch Dura Substitute
Polyurethane
4 x 5cm
BB117
Neuropatch Dura Substitute
Polyurethane
2 x 10cm
BB118
Neuropatch Dura Substitute
Polyurethane
1.5 x 3cm
BB135
BB140
BB153
Aesculap Cervical System
Aesculap Cervical System
Aesculap Cervical System
Titanium, rigid
Titanium, rigid
Titanium, rigid
Medium 34 - 64mm length
Large 67 - 103mm length
Small 20 - 32mm Length
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Items for Prostheses List Report
Page 7 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
BB158
BB161
BB162
BB163
BB164
BB165
BB166
Aesculap Cervical System
Bone Screw
Bone Screw
Bone Screw
MACS TL Implant Set - Clamp
MACS TL Implant Set - Nut
MACS TL Implant Set - Bone Graft Clamp
Titanium with locking mechanism
HMA Monoaxial, Titanium
MACS Locking, Titanium
MACS Graft, Titanium
Titanium
Titanium
Titanium
Dia 4 - 4.5mm, length 10 - 28mm
Dia 12mm, length 26 - 38mm
Dia 12mm, length 4mm
Dia 5mm, length 35mm
1.2cm - 0.9cm
Dia 15mm
1.6 x 1cm
BB167
BB174
BB175
BB176
MACS Stabilisation Plates
MACS TL Bone Screws
Yasargil Aneurysm Clip System
Yasargil Aneurysm Clip System
Length 45 - 100mm
30mm and 40mm
3mm - 20mm length, phynox temporary clips.
3mm- 25mm length, titanium temporary clips.
BB211
KLA Anterior Lumbar Cage System
Titanium, rigid
Polyaxial screw - XL
Phynox temporary clips are manufactured from
Titanium termporary clips are manufactured from
titanium
Anterior Lumbar Cage - PEEK
Changed Suffix.Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
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
Amended benefit
BB212
BB213
CBK Anterior Cervical Cage System
CO Posterior Lumbar Cage System
Anterior Cervical Cage - PEEK
Posterior Lumbar Cage - PEEK
4.5mm, 5.5mm, 6.2mm, 7mm, 8mm, 9mm
L23.5 x 9mm x h8mm, L23.5 x 9mm x h9mm, L23.5 x
10mm x h10mm, L23.5 x 10.7mm x h11mm, L23.5 x
11.7mm x h12mm, L23.5 x 12.7mm x h13mm, L23.5
x 13.7mm x h14mm, L23.5 x 14.7mm x h15mm,
L23.5 x 9mm x h9mm
Amended benefit.
Changed Suffix.
Amended benefit.
BB214
CC Posterior Lumbar Cage System
Posterior Lumbar Cage - PEEK
L23.5 x 10-12.5mm x h8mm, L23.5 x 10-12.5mm x
h9mm, L23.5 x 10-12.5mm x h10mm, L23.5mm x 1113.5mm x h11mm, L23.5 x 11-13.5mm x h12mm,
L23.5mm x 11-13.5mm x h13mm, L23.5 x 1113.5mm x 14mm, L23.5mm x 10-12.5mm x h6mm
Changed Suffix.
Amended benefit.
BB215
Adonys Posterior Lumbar Cage System
Posterior Lumbar Cage - PEEK - Standard
BB216
Adonys Posterior Lumbar Cage System
Posterior Lumbar Cage - Short
8mm x 4 degrees, 12mm x 4 degrees, 8mm x 10
degrees, 12mm x 10 degrees
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 Suffix.
Amended benefit.
Changed Suffix.
Amended 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
Amended benefit
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
BB218
Kopitnik Microneurosurgical AVM Clips
Composition: Phynox (Cobalt-base-alloy)
BB219
BB220
BB221
BB222
BB223
S4 Spinal System
S4 Spinal System
S4 Spinal System
S4 Spinal System
S4 Spinal System
S4 Straight Rod - Titanium
S4 Straight Rod - Titanium
S4 Straight Rod - Titanium
S4 Pre-bent Rod - Titanium
S4 Pre-bent Rod - Titanium
2mm, 3mm, 4mm, 5mm - straight. 2mm, 3mm, 4mm,
5mm - curved.
30 - 60mm
70mm - 180mm
200mm - 500mm
35mm - 55mm
60 - 240mm
Changed Items for Prostheses List Report
Changed Product Group, Product Sub-Group.
Changed Size.Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Size.Amended benefit.
Page 8 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
BB224
BB225
S4 Spinal System
S4 Spinal System
Polyaxial Screw - titanium various sizes
Polyaxial Screw - Titanium various sizes
Amended benefit
Amended benefit
BB226
BB227
S4 Spinal System
S4 Spinal System
Monoaxial Screw - titanium various sizes
Monoaxial Screw - titanium various sizes
BB228
BB229
S4 Spinal System
S4 Spinal System
S4 Cross & Lateral Offset Connector
S4 Cross, Rod & Cable Connector - Titanium
All sizes
Diameter 6.0mm, 7.0mm & 8.0mm - all lengths 25 60mm
Diameter 4.5mm & 5mm - all lengths 25 - 60mm
Diameter 6.0mm, 7.0mm & 8.0mm - all lengths 25 60mm
Rigid 7 - 41mm
Variable 28 - 75mm
BB230
BB248
BB252
BB278
BB279
BB280
BB281
BB287
BB288
BB290
S4 Spinal System
PACH Plate
T. Lif Intervertebral Cage System
Aesculap Interbody Cage
TeCorp Vertebral Body Replacement System
TeCorp Vertebral Body Replacement System
TeCorp Vertebral Body Replacement System
Aesculap TLIF System
Aesculap Vertebral Body System
T-Bar Yasargil Aneurysm Clip
one size
28 & 32mm
All sizes
All sizes
All sizes
All sizes
All sizes
All Sizes
All sizes
5mm-9mm, 45 Deg
BB291
T-Bar Yasargil Aneurysm Clip
5mm-13mm, 90 Deg
Changed Product Group, Product Sub-Group.
BB292
T-Bar Yasargil Aneurysm Clip
5mm-9mm, 45 Deg
Changed Product Group, Product Sub-Group.
BB293
T-Bar Yasargil Aneurysm Clip
Set Screw - titanium
Titanium
T.Lif PEEK Intervertebral Cage
Interbody cage
TeCorp Cervical
TeCorp Thoracic
TeCorp Lumbar
Peek Optima
Vertebral Body System, Titanium Alloy
T-Bar Yarsargil Aneurysm Clip, Titanium,
Permanent Standard Fenestrated
T-Bar Yarsargil Aneurysm Clip, Titanium,
Permanent Standard Fenestrated
T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt
Alloy, Permanent Standard Fenestrated
T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt
Alloy, Permanent Standard Fenestrated
Changed Description, Size.Amended benefit.
Changed Description, Size, Suffix.Amended
benefit.
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Changed Product Group, Product Sub-Group.
5mm-13mm, 90 Deg
Changed Product Group, Product Sub-Group.
Titanium and Steel
Biolox liner
Unmodified Polyethylene
UMHPE unmodified liner
Isotan
Femoral stem, grit blast and HA
Cemented stem cobal chrome
Titanium, plasma, HA
Isodur CoCr Femoral Head
Titanium, plasma coated femoral stem, short and
standard length, non HA
24mm-90mm
26mm, 28mm, 32mm, 36mm
22.2mm-32mm articulations; 40mm-64mm diameters
44mm-68mm diameters, 22.2mm-32mm articulations
16mm-68mm
8-21
8-18
44mm-68mm
22.5mm, 26mm, 28mm, 32mm
Short and Standard length
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Orthopaedic
BB067
BB235
BB236
BB237
BB238
BB239
BB240
BB243
BB246
BB272
Caspar Cervical Plate
Plasmacup Ceramic Insert
Polyethylene Acetabular Cup
Plasmacup PE insert
Acetabular Fixation Screws
BiContact Cementless
BiContact cemented
Plasmacup
Metal Head
HuckStep Hip System
Changed Items for Prostheses List Report
Page 9 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
BB273
BB274
BB275
BB303
HuckStep Hip System
Excia Hip System
Excia Hip System
Position HTO Implant System - Locking Screws
Titanium, plasma coated femoral stem
plasma titanium, HA
Cemented stem cobalt chromium
Titanium cancellous and cortical screw, locking head
for solid plate fixation.
Long length
8mm-18mm
9mm-18mm
30mm-78mm x 4.5mm & 6.0mm diameter.
Amended benefit.
Amended benefit.
Amended benefit
Changed Product Name, Description, Size.
Challenger Ligating Clips
Challenger Ligating Clips Titanium Multifire
Medium-large
Changed Product Name, Description.
Hemostatic sponge applied directly to the source of
surgical bleeding
Hemostatic sponge applied directly to the source of
surgical bleeding
Hemostatic sponge applied directly to the source of
surgical bleeding
12.5-7
Amended benefit.
5mL
1mL sterile
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Vascular
BB016
Bard Australia Pty Ltd
General/Miscellaneous
BA119
Avitene Ultrafoam
BA120
Avitene Ultrafoam
BA123
Avitene Ultrafoam
2 cm x 6.25cm x 7mm
50
8cm x 6.25cm x 1cm
Amended benefit.
200
8cm x 25cm x 1cm
Amended benefit.
Bausch & Lomb (Australia) Pty Ltd
Ophthalmic
BL003
BL008
Adeto Deca (various)
Ocucoat Intraocular Fluid
BL011
BL012
BL013
Storz E5381 Silicone Strip
Storz E5395 3 Cylindrical Sponge Implant
Storz E5381 Silicone Strip
Adato Deca Perfluorodecacarbon
20mg/mL hydroxypropylmethyl cellulose for
intraocular use
Silicone Sleeve
Retinal Fixation Device
Silicone Tire
BL014
BL015
BL018
BL024
Storz E5381 Silicone Strip
Amvisc Plus injection
DK Line 100% purified perfluorodecalin
Oxane HD
Circling Band
15mg/mL Sodium Hyaluronate for intraocular use
Perfluorodecalin
Silicone oil - RMN3 mixture
1.65mm to 2.2mm diameter, length 6.1mm to 30mm
2.3mm x 2.5mm x 80mm, to 7.5mm x 7.5mm x
Outside diameter 30.2m to 33.6mm, inner diameter
26mm, overall length 10.4mm to 125mm
Overall length 10.4mm to 125mm
0.5mL and 0.8mL
7ml
10ml
Acetabular shell, Titanium Alloy, plasma, non HA
Titanium Alloy, Plasma, non HA
Titanium Alloy, plasma, not HA, long
Head, Chrome Cobalt, metal on metal
Femoral Stem, Chrome Cobalt, Cemented unpolished
Titanium, plasma non HA
40-70mm
Length from 125mm to 175mm, 9-19mm
Length from 180mm to 225mm, 9-20mm
28mm, -6mm to +12mm
8-16mm
7 - 18mm
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Biomet Australia Pty Ltd
Orthopaedic
BI038
BI040
BI041
BI045
BI047
BI048
Rx90 Hip System
Integral Hip System
Integral Hip System
Scientific Hip Prostheses System
Hip Fracture System
Balance Hip System
Changed Items for Prostheses List Report
Page 10 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
BI049
BI051
Bi-Metric Hip System
Bi-Metric Hip System
7-17mm
9-15mm
Amended benefit
Amended benefit.
BI052
BI053
BI054
Bi-Metric Hip System
Bi-Metric Hip System
Bi-Metric Hip System
9-17mm
9-17mm
9-17mm
Amended benefit.
Amended benefit.
Amended benefit.
BI055
BI056
BI057
BI058
BI061
BI064
BI066
M2A taper
M2A Femoral Head
M2A taper
Modular Ceramic System
Austin Moore Self Locking Hip Prosthesis System
Bioclad Hip System
Stanmore Total Hip System
46 - 70mm
28mm -6mm to +12mm
Standard
28-32mm -6mm to +12mm
38-61mm Head, Std or Narrow stem
22,28,32mm, size 39-69mm
Size 1-5
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
BI067
BI068
BI070
BI073
BI074
BI075
BI092
BI094
BI097
BI098
Stanmore Total Hip System
Stanmore Total Hip System
Biomet Taperloc Hip System
Modular Ceramic System
Biomet Taperloc Hip System
Biomet Taperloc Hip System
Mallory Head Hip System
Mallory Head Hip System
Kent Hip System
Kent Hip System
Titanium, plasma non HA
Head Neck calcar Femoral Stem, Chrome Cobalt,
Cemented, unpolished 200 and 250 lengths
Revision 200 Stem, Titanium, plasma non HA
Revision 250 Stem, Titanium, plasma, non HA
Revision 300mm Femoral Stem, Titanium, plasma
non HA
Metal on Metal Acetabular Shell, Titanium
Metal on Metal head, Chrome Cobalt
Metal Acetabular Insert, Chrome Cobalt
Ceramic Head, Aluminium Alloy, biolox forte
Modular Femoral Stem and Modular Head, Titanium.
Acetabular Cup, unmodified UHMWPE
polished Femoral Stem - Standard and Straight,
Chrome Cobalt
Acetabular Cup, unmodified UHMWPE
Head, Chrome Cobalt, metal on metal
Head, Chrome Cobalt, metal on metal
Acetabular Ceramic/ Polyethylene Liner, UHMWPE
Titanium, plasma non HA
titanium, plasma, HA
Acetabular Liner, Constrained, Ringloc, UHMWPE
Femoral Head, Offset, Chrome Cobalt
Titanium, grit blast, non HA, distal screw holes
Transverse Screws, Titanium
25-32mm x size 40-53mm
28mm, -6mm to +12mm
28mm, -6 to +12mm
28mm, 32mm, -6 to +12mm
7.5mm - 22.5mm
7.5mm - 22.5mm
28-38mm
28,32mm
Narrow, Std. Size 6 - 16 hole
4.5mm x (26-55mm)
BI100
BI101
BI106
BI109
BI110
BI111
BI112
BI122
BI130
BI131
BI132
Bi Hapro Hip System
Bi Hapro Hip System
Mallory Head Hip System
Mallory Head Hip System
Mallory Head Hip System
Mallory Head Hip System
Mallory Head Hip System
Mallory Head Hip System
Bio-Plug Cement Restrictor
Mallory Head Hip System
Mallory Head Hip System
Cobal Chrome, Plasma and HA
Acetabular Shell, Titanium, plasma, HA
Acetabular Liner, UHMWPE, modified
Screw, Acetabular
Acetabular Shell
Acetabular shell, Titanium Alloy, plasma, non HA
Acetabular shell, solid, plasma, HA
Trochanter Bolt, Titanium
Canal Plug, UHMWPE
Femoral Centraliser, UHMWPE
Cobalt Chrome, Unpolished
Size 1 to 8
46mm to 70mm
22 - 36mm, Sizes 21 to 28
(6.5 - 5.5)mm dia x (15 - 70)mm length
40-80mm
40-80mm
40-80mm
Round/Oblong
"7-20mm"
9-17mm
7-19mm
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Changed Product Group, Product Sub-Group.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit.
Changed Items for Prostheses List Report
Page 11 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
BI135
BI137
BI139
BI140
Mallory Head Hip System
Mallory Head Hip System
Mallory Head Hip System
Mallory Head Hip System
250mm, size 7 to 19mm
300mm, size 7 to 19mm
7-19mm x 135 -180mm
Size 1
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
BI141
BI692
BI696
BI699
BI702
BI770
BI778
BI779
BI783
7-19mm
Sizes 13 - 19 (L&R) by 200 - 250mm)
L & R 6 sizes (1 to 6)
46 - 80mm
6.5mm
Shell sizes 40-70mm
14-24mm x 270mm
8-12 mm Diameter
48-70 mm
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
BI838
BI839
BI840
BI841
BI842
BI866
Mallory Head Hip System
Reach Revision Hip System
Olympia Stem
McLauglin Plus 5 Acetabular Shell
Par 5 Protrusio Acetabular System
Exceed Acetabular System
PLR Splined Revision Stem
CDH Hip System
M2a Modular Head Component & Special
Acetabular Cup
Resurfacing Hip System
Resurfacing Hip System
Resurfacing Hip System
Resurfacing Hip System
Resurfacing Hip System
Orthopaedic Salvage System
Femoral Stem, Revision, Titanium
Femoral Stem, Revision, Titanium
Titanium, plasma
Acetabular Shell, Ringloc. Replacement Ring,
Titanium alloy
Titanium, plasma and HA
Titanium plasma no HA
Anatomic design CO CR femoral stem polished
Acetabular Shell, Titanium, plasma, non HA
Screws - Titanium Metal
Acetabular shell, solid, plasma, HA
Splined Straight Stem, Ti, grit blast, non HA
Titanium, plasma and HA
Metal on Metal Acetabular, Chrome Cobalt, Ti, no HA
Femoral Head CoCr, Ti, HA Coated
Femoral Head CoCr, Cemented
Femoral Head CoCr, Ti, no HA
Acetabular Shell CoCr, Ti
Acetabular Shell CoCr, Ti, HA Coated
Femoral or Tibial Augment, Ti
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Changed Size.
BI875
BI876
BI877
BI878
BI895
Endo II Head
Endo II Head
Freedom 36 mm Modular Head
Freedom Constrained Liner
M2A Magnum Prosthesis
Modular Head - CoCr
Modular Head Taper Insert - CoCr
Modular Head
Constrained Acetabular Liner - UHMWPE, Ti
Taper Insert, Cobalt chrome
38 - 60mm
38 - 60mm
38 - 60mm
44 - 66mm
44 - 66mm
'Femoral Sleeve - One Size; OR Femoral Flange - One
Size; OR Tibial Block Augment 10-20mm; OR
Tibial Augment Sleeve - Small/Large
41 mm through 61mm
-6mm to +6mm
36mm, -6mm to +9mm
23 to 62
42 - 50mm, -6, -3, STD, +3, +6, +9; 52 - 60mm, -6, 3, STD,
3, +6, +9
BI896
BI925
BI927
BI928
BI932
BI944
M2A Magnum Prosthesis
Mallory Head Hip System
Modular Ceramic System
Tripolar Acetabular Cup Series
PPF Hip System
M2a 38 Femoral Head
Femoral Head, Cobalt Chrome, metal on metal
Femoral Stem, Cobalt Chrome, Polished
Ceramic Head, Zirconium
Ringloc Series, UHMWPE, Chrome Cobalt
grit blas non HA
Metal on Metal Femoral Head, Cobalt Chrome
38, 40, 42, 44, 46, 48, 50,52, 54, 56, 58, 60mm
7-19mm
28-32mm -6mm to +12mm
24-28mm
00 thru 12
38mm
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Boston Scientific Australia Pty Ltd
Changed Items for Prostheses List Report
Page 12 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
Dual chamber, high energy implantable cardioverter
defibrillator with wireless radio frequency capability
44cc, 87.5g
Changed Description.
Cardio-thoracic
BS128
Confient RF HE
Neurosurgical
BS021
Fibred Platinum Coils, Braided Occlusion Device
(BOD), Vortx, Vortx Diamond,Interlock Fibered IDC
Coils, Excelsior, Tracker, FasTracker, Turbotracker,
Renegade, Spinnaker Elite
Platinum coil covered with dacron fibres. Delivery
systems with nitinol braid, Polypropylene proximal,
Polyethylene distal.
Delivery device lengths up to 175cm. Sizes of coils
Diameter 2mm - 30mm and lengths 2mm - 100mm.
Changed Product Name, Product Group.
BS027
BS079
Guglielmi Detachable Coil (GDC)
Neuroform 2 Microdelivery Stent System
2-20mm x 4-30cm
Diameter: 2.5-4.5mm, Length: 10mm-30mm
Changed Product Group.
Changed Product Group, Product Sub-Group.
BS081
GDC 360 Shaped Detachable Coil
Platinum Coil.
Self-expanding nitinol stent, 3fr delivery catheter,
peelable sheath, 2fr stabilising catheter, rotating
haemostasis valve (x2)
Bare platinum coil- the first 1.5 loops are 25%
smaller than the stated helical coil diameter which
provides for greater aneurysm framing, packing and
Length: 5cm to 40cm; Diameter: 2mm to 24mm
Changed Product Group.
BS098
Neuroform Microdelivery Stent System
Self-expanding nitinol stent, 3F delivery catheter,
peelable sheath, 2F stabilising catheter, rotating
haemostasis valve (x2)
diameter 3.0 - 4.5 mmLength 15 mm - 30 mm
Changed Size, Product Group, Product SubGroup.
BS100
Matrix Detachable Coils
Length: 2cm to 40cm, Diameter: 2mm to 24mm
Changed Product Group.
BS104
Precision SCS IPG
Platinum/Tungsten alloy coils covered with an
absorbable PGLA copolymer (90% Polyglycolic acid/
10% Polylactic acid)
Precision™ Rechargeable Neurostimulation System
Model: SC1110 0. One (1) Precision™ Implantable
Pulse Generator; One (1) Tunnelling Tool, One (1)
Torque Wrench and One (1) Sizing Plate. Patient
recharging accessories pack
One Size Only
Changed Product Name, Product Group,
Product Sub-Group.
BS105
Precision SCS External Patient Recharger
External Patient Recharging System Model: SC5300
0: Charger; Charges IPG battery; Model: SC5305 0:
Base Station; Cradle for charging portable IPG
battery charger. Model: SC6305 0: Power Supply;
Power supply for Charger Base Station
One Size Only
Changed Product Name, Product Group,
Product Sub-Group.
BS106
Precision SCS External Patients Remote Programmer
One Size Only
BS107
Precision SCS Clinician Programmer
External Patient Remote Programmer Model:
SC5210 0; Hand-held remote control for Precision™
Clinician Programmer Model: SC7150 0; Tablet PC
with Advanced Bionics Bionic Navigator software
installed to program patient.
Changed Product Name, Product Group,
Product Sub-Group.
Changed Product Name, Product Group,
Product Sub-Group.
BS108
Precision SCS Bionic Navigator
Remote Control/ Bionic Navigator SC - 5400
One Size Only
BS109
Precision SCS Linear Leads
Linear Leads; Phase III Percutaneous Leads with 8
contacts per lead in 3 lengths: 30cm, 50cm, and 70cm.
Model: SC21380 300, SC21380 500, SC21380 700.
One (1) 8-Contact Lead (available lengths are 30, 50
or 70 cm); One (1) Operating Room Cable; One (1) O
3 Sizes
Changed Items for Prostheses List Report
One Size Only
Changed Product Name, Product Group,
Product Sub-Group.
Changed Product Name, Description, Product
Group, Product Sub-Group, Suffix.
Page 13 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
BS110
Precision SCS Artisan Leads
Artisan Surgical Lead SC-8116-50 (50 cm); SC-811670 (70 cm). One (1) 16-Contact Lead; One (1)
Operating Room Cable; One (1) Set of 1cm Split
Suture Sleeves
2 Sizes
Changed Product Name, Product Group,
Product Sub-Group, Suffix.
BS111
Precision SCS Lead Extensions
Lead Extensions in 3 Lengths: 25cm, 35cm, and
55cm. Model: SC3138 250; SC3138 350; SC3138
550. One (1) 8-Contact Lead (available lengths are
30, 50 or 70 cm); One (1) Operating Room Cable;
One (1) Operating Room Cable Extension; One (1)
Tunnelling Tool;
3 Sizes
Changed Product Name, Description, Product
Group, Product Sub-Group.
BS118
Precision SCS Lead Blanks
Lead Blank
One Size Only
BS119
Precision SCS Trial Leads
Linear Trial Leads - Linear Trial Lead Phase III Trial
Lead with 8 contacts per lead in 3 lengths: 30cm,
50cm, and 70cm. Model: SC21380 30T0. One (1) 8Contact Lead (available lengths are 30, 50 or 70 cm);
One (1) Operating Room Cable; One (1) Operating
3 Sizes
Changed Product Name, Product Group,
Product Sub-Group, Suffix.
Changed Product Name, Description, Product
Group, Product Sub-Group, Suffix.
BS120
Precision SCS Revision Pack
One Size Only
Changed Product Name, Product Group.
BS121
BS122
Precision SCS IPG Port
Wingspan Stent System
Lead Revision Pack; Hex Wrench, Tunnelling Tool,
Insertion Needles in four(4) sizes
IPG Port Plug
Wingspan Self Expanding Nitonol Stent and delivery
catheter
One Size Only
Stent diameters: 2.5mm to 4.5mm; Stent lengths:
9.0mm to 20.0mm
Changed Product Name, Product Group, Suffix.
Changed Description, Product Group, Product
Sub-Group.
Urogenital
BS092
Contour Ureteral Stents
Each Stent contains a ureteral stent with attached
suture and a stent positioner . If packaged as a set,
the set will contain the ureteral stent, stent positioner
Size: 4Fr to 14Fr, Length: 10cm to 95cm
Changed Description.
BS127
Polyform Synthetic Mesh
Pre-cut synthetic Polypropylene mesh for mesh
placement
100 sq cm to 500 sq cm.
Changed Size.
Platinum
Weights - 0.8, 1.0, 1.2, 1.4, 1.6, 1.8 grams
Amended benefit.
PMMA
One size only
Diameter 10 - 14mm
Amended benefit
Amended benefit.
Body worn sound processor for the Baha hearing
system.
One Size
Changed Product Name, Description, Size.
BR & CT Enterprises Pty Ltd
Ophthalmic
BC005
LIDCHAIN Platinum Eyelid Implant
Carl Zeiss Pty Ltd
Ophthalmic
CZ001
CZ002
T.Flux: Non-Absorbable Galucoma Drain
Tensiobag: Capsular Tension Ring
Cochlear Limited
Ear, Nose & Throat
CO033
Baha Cordelle II
ConMed Linvatec Australia Pty Ltd
Changed Items for Prostheses List Report
Page 14 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
General/Miscellaneous
LV097
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
Diameter 8mm and 10mm Stent lengths 40-120mm
Changed Product Name, Description, Size.
LV099
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.
Diameter16mm x 24mm, 18mm x 26mm, 20mm x
28mm and 22mm x 30mmLength60-150mm
Changed Product Name, Description, Size.
LV100
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.
Diameter16mm x 24mm, 18mm x 26mm, 20mm x
28mmLength60-150mm
Changed Product Name, Description, Size.
Self-Reinforced 96L/4D PLA Bone Fixation Nail
Self-Reinforced 96L/4D PLA Screw
Self-reinforced 96L / 4D PLA Bone Fixation Nail
Self-Reinforced 96L/4D PLA Copolymer Anchor
Titanium Suture Anchor
1.5mm O.D x 16, 20 & 25mm L
6.0mm O.D x 28, 32 & 36mm L
2.4mm O.D x 16, 25, 35 & 45mm L
6.0mm O.D. x 16.5mm L
5.0mm O.D x 14.2mm L
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
Changed Product Name, Description.
Changed Product Name, Description, Size.
Changed Description.
Amended benefit.
Changed Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Description, Size.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Orthopaedic
LV063
LV075
LV084
LV089
LV090
SmartNail
BioCuff C Screw
SmartNail
Duet Suture Anchor with polyester suture
Super Revo Suture Anchor with Hi-Fi Suture
Corin Australia Pty Ltd
Orthopaedic
CR016
Optimom Modular Head
Metal on metal, CoCr
>32mm
CR020
Metalok Femoral Head
Metal on metal, CoCr
Head 28mm (short/med/long neck)
CR024
Taper Fit Femoral Stem
Double taper stainless steel femoral stem
sizes 1-4 with 3 different offsets
CR027
Freeman Canal occluder
Cement plug, UHMWPE
12,14,16mm diameter
CR029
CoCr Femoral Head
CoCr femoral head
22,26,28,32mm with 3 choices of taper
CR033
Cormet Dysplasia Cup Screw
Dual threaded locking screw
Lengths 25 - 70mm
CR041
Hardinge Canal Occluder
Cement plug, UHMWPE
One size only
CR042
Cenator Acetabular Cup
Flanged Cemented UHMWPE
Dia 40 - 62mm, 22, 26, 28 heads
CR044
Taperfit Stem Centraliser
PMMA Centraliser
Small & Standard
Changed Items for Prostheses List Report
Changed Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Description.
Amended benefit.
Page 15 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
CR045
Femoral Head
Stainless Steel Femoral Head
CR047
Cormet Resurfacing Head Cemented
CoCr Resurfacing Head
Dia 22, 26, 28 & 32mm, Short, Std, Long & Extra
Long Neck Length
Dia 40 -56mm
CR048
Cormet Resurfacing Cup
Dia 40 -56mm
CR063
Ceramic Insert for Cera Fit Acetabular Shell
Metal on Metal bearing surface, Titanium, Plasma
spray with HA Coating (Bicoat)
Ceramic insert, Biolox Forte
CR065
Ball Heads 12 - 14 Taper (Alumina)
Ceramic femoral head, bilox forte
≤32mm
CR073
UHMWPE Insert for Alpha Lock Plus shell
UHMWPE Insert
22-32mm
Changed Description.
Amended benefit.
Changed Description.
Amended benefit.
Changed Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Description, Size.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
CR074
Alpha Lock Plus Titanium Acetabular Shell
42 - 70mm Diameter
CR075
UHMWPE Insert for Cera Fit Acetabular Shell
Titanium hip cup with plasma spray & HA and
special pre-closed screw holes
UHMWPE Hooded and Neutral Insert
CR084
Unipolar Modular Head, CoCr
CoCr Modular Head
38 - 60mm, short, standard and long necks
CR085
Cera Fit Acetabular Shell
CR086
Tri-Fit Femoral Stem
42, 44, 46, 48, 50, 52, 54, 56, 58, 60, 62, 64, 66, 68,
70, & 74mm
5-20mm
CR087
Cormet Dysplasia Cup
Titanium plasma spray & HA for UHMWPE
Ceramic and Metal Inserts
Titanium stem proximally coated with plasma spray
and HA
Dysplasia cup with three-holed proximal flange,
Metal on Metal bearing surface, Titanium, Plasma
spray with HA Coating (Bicoat)
CR089
Alpha Fit Femoral Stem
9.5mm, 11mm, 12.5mm, 14mm, 15.5mm, 17mm
CR090
CR097
Cormet Resurfacing Head Bi Coated
Alumina Head
Titanium stem proximally coated with plasma spray
and HA
CoCr with titanium plasma spray and HA
Ceramic femoral head, biolox forte
CR098
Taper Adaptor Sleeve
Adaptor sleeve to adjust taper from 10-12 to 1214,Titanium, for Ceramic Heads
2 Sizes
CR099
Acor Anatomic Femoral Stem for Modular Neck
7 Sizes
CR100
Integrale Femoral Stem
CR101
Modular Neck for Acor & Integrale Femoral Stems
Anodised titanium, fully HA Coated,curved stem and
used with separate neck
Anodised titanium, fully HA Coated,straight stem
and used with separate neck
Titanium neck, with varying alignments & tapers
CR104
CR113
Score Knee System Femoral and Tibial Stems
Extreme Hip System Femoral Stem
Femoral and Tibial Stems, Titanium, cemented
Stem component of modular femoral stem, titanium,
HA, with distal screw holes
4 diameters, 3 lengths
4 lengths - 250 to 400mm, 6 diameters
Changed Items for Prostheses List Report
For 28-36mm heads
22-28mm Diameter for cup sizes: 42-74mm
48, 52, 56, 60, 64mm
40mm-56mm
>32mm
7 Sizes
3 sizes
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Amended benefit.
Changed Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Amended benefit.
Changed Product Name, Description, Size.
Page 16 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
CR114
Extreme Hip System Extended Neck
Femoral neck with extension for locking screw for stem
4 sizes
CR116
Extreme Hip System Femoral Shaft Locking Screw
Titanium distal femoral locking screw
6.2mm diameter, 13 lengths in 5mm increments
Changed Product Name, Description, Product
Group, Product Sub-Group, Suffix.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
CR117
Metafix Femoral Stem
Titanium femoral stem striated and fully coated with
standard, lateralised and 125 degree
CR119
Horizon Acetabular Shell
Anodised titanium, HA encoated with screw holes
for ceramic inserts
42 - 70 mm
CR120
Horizon Ceramic Liner
Ceramic insert, Biolox Forte
9 sizes for 28, 32 and 36mm heads
CR121
Horizon Acetabular Fixation Screw
Titanium countersunk cancellous screw
Diam 6.5mm, lenghts 16 - 55 mm
CR122
CR124
CR125
CR126
Cormet Resurfacing Head Fully Bi Coated
METS Spiked Trochanter
METS Trochanter plate
METS Trochanter Screw
CoCr with Titanium plasma spray and HA
Titanium, HA coated
Titanium with plasma spray of titanium and HA
Titanium
44 to 56mm
Small and Standard
One size
Short, Medium, Long
CR127
CR135
CR143
METS Trochanter Reattachment Wire
METS CoCr Femoral Head
metallic femoral head
CoCr
CoCr
M30NW femoral head with 10/12 taper
0.6m
28mm-32mm
28mm-32mm with short, medium or long neck
Changed Description.
Amended benefit.
Changed Product Name, Product Sub-Group.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Stainless Steel
Diam 2.25-4.0mm Length 8-28mm
Changed Product Name, Description, Size.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Daralan Pty Ltd
Cardio-thoracic
DA001
Gazelle Coronary Stent
Darco Australia
Orthopaedic
DC001
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
Changed Product Name, Description, Size.
DC002
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 Description, Size.
DC003
Calcaneus Plate
Titanium Screw
3.5mm universal sizing (R&L): S - 54mm, M - 64mm
& L - 74mm
8-40mm, 2.7mm or 3.5mm
Changed Description, Size.
DC004
DC007
Ring washer
Titanium locking plate specifically designed to have
low profile (1.5mm thick) for easy contouring
Locking, non-locking or cannulated, for use only with
Darco titanium plates, self-tapping
For use with 3.5mm Cannulated screw
-
Changed Product Name, Description.
Changed Items for Prostheses List Report
Changed Description, Size.
Page 17 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DC010
Twist-off Screw
Unique feature of two thread diameters to suit
variable bone quality, specifically designed for Weilosteotomy, titanium, self drilling and self tapping,
twist-off connector
2.0mm diameter x 11-15mm, 2.5mm diameter x 1115mm,
Changed Product Name, Description, Size.
DC013
Scarf
Compression screw designed for forefoot
reconstructions, 1.1mm cannulated, titanium, self
tapping, self drilling, wide thread for osteoporotic
bone, long threadless section for high compression.
3.2mm diameter x 10-32mm
Changed Description, Size.
DC014
DC018
K Wire
MPJ Fusion Plate
0.9 - 2.0mm
S, M, L
Changed Description.
Changed Description.
DC019
Mini Staple
Titanium or stainless steel, single or double trocar
Titanium locking plate with built-in 1- degree valgus
angle for anatomic fixation of 1st MTP joint
For fixation of osteotomies of first phalanx (e.g.
Akin), 1mm diameter, straight & angled design
0° and 63°, 8-10mm x 10mm
Changed Description, Size.
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,
Changed Product Name, Size.
Small Range - standard
Large Range
PMMA Implant
PMMA Implant
Small range - thin profile
Single plate
Single plate - dual chamber
Double plate - dual chamber
Stainless steel, silicone tubing, Crawford lacrimal
intubation set
Stainless steel, silicone tubing, Bodkin lacrimal
intubation set
Stainless steel, silicone tubing, Canaliculus lacrimal
intubation set
Silicone 1000 oil
Silicone 5000 oil
Eftiar Decaline
Eftiar Octane
0.6g, 0.8g, 1.0g, 1.2g, 1.4g, 1.6g
1.8g, 2.0g, 2.2g, 2.4g, 2.6g, 2.8g
14, 14A, 14C
96G, 96L
0.6g, 0.8g, 1.0g, 1.2g, 1.4g, 1.6g
One size only
One size only
One size only
32cm
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
30cm
Amended benefit.
30cm
Amended benefit.
10 ML Syringe
10 ML preloaded syringe
5 ML Vial
5 ML Vial
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Denward Dell Pty Ltd
Cardio-thoracic
DW001
Nit-Occlud PDA Occlusion System
Design for Vision Pty Ltd
Ophthalmic
DV005
DV007
DV009
DV010
DV012
DV017
DV018
DV020
DV021
Gold Eyelid Load
Gold Eyelid Load
Morcher Capsular Tension Ring
Morcher Coloboma Diaphram
Gold Eyelid Load
Molteno Implant
Molteno Implant
Molteno Implant
Eyetec DCR Tubes
DV022
Eyetec DCR Tubes
DV023
Eyetec DCR Tubes
DV025
DV026
DV027
DV028
Sil-1000S
Sil-5000S
Eftiar Decalin
Eftiar Octane
Changed Items for Prostheses List Report
Page 18 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DV029
Eyejet CRT
14 (10mm), 14C (11mm), 14A (12mm)
Amended benefit
DV230
DV231
Molteno 3
Vision Blue
Capsular tension ring made of PMMA per-load on
disposable injector
Drainage implant for glaucoma, made of silicon
Trypan blue dye for ophthalmic applications
2 Sizes: *230 mm square *175mm square
0.5ml syringe
Amended benefit
Amended benefit
3 x 9 to 16mm, 3.5 x 9 to 18mm, 4.0 x 9 to 24mm, 5.0
x 9mm
2.5 x 4.0 x 80mm, 3.0 x 5.0 x 100mm, 3.25 x 7.0 x
80mm, 5.5 x 7.5 x 80mm, 1.5 x 80mm, 2.0 x 80mm,
2.5 x 80mm, 3.0 x 80mm, 4.0 x 80mm, 5.0 x 80mm,
7.0 x 80mm
Amended benefit.
7.0, 9.0, 12.5, 6.0, 8.5, 10.0mm
1mm, .76mm, 1.5mm
0.75 x 2.0 x 125mm, 0.60 x 2.5 x 125mm, 0.75 x 2.5 x
125mm
1.8, 2.0, 2.2, 2.4, 2.6, 2.8 grams
0.6, 0.8, 1.0, 1.2, 1.4, 1.6 grams
12, 14, 16, 18, 20mm.
17.7 x .064 x 29cm, 15.5 x .051 x 33cm
2, 2.5mm
No: 12, 14, 16, 18, 20mm
3ml, 5ml, 7ml
Amended benefit
Amended benefit
Amended benefit
Device Technologies Australia Pty Ltd
Ophthalmic
DE177
Lester Jones Tear Duct Tubes
Glass
DE178
Silicon Retinal Implant
Sponge
DE179
DE180
DE181
Silicon Retinal Implant
Silicon Retinal Implant
Silicon Retinal Implant
Tire
Sleeve
Band
DE182
DE183
DE188
DE191
DE201
DE202
DE204
Lid Load Gold Eyelid Weights;
Lid Load Gold Eyelid Weights;
Acrylic Implant
Canaliculus Intubation Sets
Labtician Tantalum Clips
John Weiss Glass Mule Globes
Arcaline (Perfluorodecaline)
Gold
Gold
Acrylic
Silicone, SS & Nylon
Tantalum
Glass
Liquid perfluorocarbon aid for retinal surgery,
operative device for retinal surgery, in particular
retinal detachment (RD), RD with giant tear etc.
DE205
Arcotane (Perfloro-N-Octane)
Liquid perfluoro-N-Octane aid for retinal surgery,
pre-operative device for retinal surgery, in particular
retinal detachment (RD), RD with giant tear, RD
with proliferative vitreal retinopathy (PVR) etc.
5ml, 7ml
Changed Product Sub-Group.
Amended benefit.
DE228
DE277
LSO Silicone Oil
Frontalis Suspension Set
Silicone oil for tamponade use in vitreoretinal surgery
Stainless steel needles with solid silicone rods and
silicone tubing - packaged sterile
10ml, vial or syringe
needles 0.90mm x 6.5cm, rod 40cm - 0.80mm, sleeve
10 x 2mm
Amended benefit
Amended benefit.
Low Profile
Self locking screws, cancellous and cortical
4-6.5mm x 14-60mm
3-6.5mm x 10-110mm
Changed Size.
Changed Size.
Round: low to extra full projection
120 - 800 grams
Changed Product Name, Description, Size.
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Orthopaedic
DE077
DE128
Cancellous Bone Screws
Cortical Screw
Plastic and Reconstructive
DE104
Style 40 & 45, SSF, SSM, SSX Gel-filled Round
Mammary Implant
Emagin Pty Ltd
Changed Items for Prostheses List Report
Page 19 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
Ophthalmic
EG001
EG002
EG003
EG004
Capsular Tension Rings Clear
Iris Prosthetic System Single Element
Iris Prosthetic System Double Element
Intracorneal Rings
PMMA Implant
PMMA Implant
PMMA Implant
PMMA
10/08, 12/10, 13/11mm
1/4, 1/3mm
2/3, 2/4mm
Thickness 0.210mm - 150 degrees Arc Length;
Thickness 0.250mm - 150 degrees Arc Length;
Thickness 0.275mm - 150 degrees Arc Length;
Thickness 0.300mm - 150 degrees Arc Length;
Thickness 0.325mm - 150 degrees Arc Length;
Thickness 0.350mm - 150 degrees Arc Length;
Thickness 0.400mm - 150 degrees Arc Length;
Thickness 0.450mm - 150 degrees Arc Length
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
EG005
Capsular Tension Rings Coloured
PMMA Implant
10/08, 12/10, 13/11mm
Amended benefit.
Titanium, beaded, uncemented, non HA with TiNi
surface treatment
UHMWPE for larger diameter heads, including
resurfacing heads
Titanium, beaded, uncemented, non HA with TiNi
surface treatment
45mm to 69mm
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Endotec Australia Pty Ltd
Orthopaedic
EA003
Buechel-Pappas Acetabular Shell
EA004
Buechel-Pappas Acetabular UHMWPE Insert for
large heads
Buechel-Pappas Resurfacing Femoral Head
EA005
45mm to 65mm
28mm to 58mm
ESKA Australia
Orthopaedic
EK001
2000 Plus Acetabular UHMWPE Liner
UHMWPE, titanium or CoCr locking lug, neutral &
hooded
28-32mm inner diameter
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
EK006
2000 Plus Acetabular Ceramic Liner
Ceramic, (Alumina & Polyurethane), hooded &
28-32mm inner diameter
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
EK009
Eska Ceramic Femoral Head
Ceramic, biolox forte
28-32mm
EK015
EK020
ESKA Bipolar Femoral Head
ESKA Cemented UHMWPE Cup
CoCr, UHMWPE with inner femoral head included
UHMWPE, neutral & hooded
various diameters
.
EK023
Cut Femoral Stem
EK027
Cranial Acetabular Reconstruction Shells
CoCr, Titanium, 3 dimensional, metaphyseal neck
preserving, non HA
CoCr, Titanium, 3 dimensional, non HA, various
locking & flanges from eccentric to small & large
proximal flanges
Femoral stems - 80mm-110mm, Dual Cone 10degrees-20degrees
52mm - 72mm Left and Right
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description.
Amended benefit.
EK031
Adapter Cemented Femoral Stem
CoCr, unpolished, tapered, fixed proximal cement
centralisers and distal centraliser included
Femoral stem 1-7
Changed Items for Prostheses List Report
Changed Product Name, Description.
Amended benefit.
Page 20 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
EK034
Adapter Femoral Neck
CoCr, varying versions & offsets
One Size
EK036
ESKA Cera Metal Femoral Head
CoCr, with bonded ceramic (alumina) bearing surface,
large diameter
36-48mm
EK037
BS Acetabular Shell Metal Liner
36 -48mm 'inner diameter, 46-66mm outer diameter
EK040
BS Acetabular Shell with HA
CoCr, large diameter, metal on metal, insert varying
thickness, can be used with conventional &
resurfacing heads
CoCr, Titanium spray, 3 dimensional metal, variable
screw holes, HA
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
46-68mm
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
EK041
BS Acetabular Shell non HA
CoCr, Titanium spray, 3 dimensional metal, variable
screw holes, without HA
46-68mm
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
EK049
Silver Surf Resurfacing Femoral Head
38mm-58mm
Changed Product Name, Description.
Amended benefit.
EK052
ESKA Acetabular Screw
CoCr, metal on metal, cementless with titanium
spray, 3 dimensional metal with & without HA and
dimpled articular surface
Titanium, cancellous screw
15mm - 90mm
EK056
BS Acetabular Resurfacing Ceramic Insert
38-58mm
EK059
ESKA Eccentric Metal Femoral Head
Ceramic, (Alumina & Polyurethane), for resurfacing
heads
CoCr
EK060
ESKA Metal Femoral Head
CoCr
28mm - 32mm
EK062
Hip Surf Resurfacing Femoral Head
38mm - 58mm
EK064
Silver Surf Large Metal Head
CoCr, metal on metal, cementless with titanium
spray, 3 dimensional metal with & without HA
CoCr, metal on metal, dimpled, large
EK065
BS Acetabular Ceramic Insert
Ceramic, (Alumina & Polyurethane), for larger
diameter heads
36 - 48mm inner diameter, 46 - 66mm outer diameter
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
EK066
Hip Surf Resurfacing Ceramic Femoral Head
38-58mm
EK067
Cornwall Resurfacing Femoral Head
EK070
BS Dysplasia Acetabular Shell
CoCr, Titanium spray, 3 dimensional metal, ceramic
articular surface, without HA
CoCr, Titanium spray, 3 dimensional metal, with &
without HA, fixed defect augment
CoCr, Titanium spray, 3 dimensional metal, variable
screw holes and proximal flange, without HA
EK077
BS Acetabular UHMWPE Liner
UHMWPE Liner for larger head sizes
36-48mm inner diameter
EK078
Hip Surf Cemented Resurfacing Ceramic Femoral Head CoCr,ceramic articular surface, cemented
38mm - 58mm
EK079
Silver Surf Cemented Resurfacing Femoral Head
38mm - 58mm
Changed Items for Prostheses List Report
CoCr, metal on metal, cemented with dimpled
articular surface
28mm - 32mm
36mm - 48mm
38-58mm
46-66mm
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Group, Product Sub-Group, Suffix.Amended
benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Page 21 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
EK080
Adapter GHE Femoral Stem Cemented
CoCr, non polished
160mm & 180mm
EK081
Adapter GHE Femoral Long Stem Cemented
CoCr, non polished, long stem
200mm - 240mm
EK082
BS Acetabular UHMWPE Liner
UHMWPE, for all head sizes
28mm-48mm inner diameter
EK084
BS Femoral Head
CoCr, metal on metal, can be used with any ESKA
36mm - 48mm
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Nexus Tetris
Multi Diameter
Helix
Platinum alloy coils enlaced with absorbable polymer
microfilaments attached to a stainless steel guiding
system with radiopaque positioning coils.
Diam 3-19mm, Length 4-29cm
Diam 4-10mm / Length 10-30cm
Diameter 2-10mm / Length 1 - 30cm
3mm x 2,5,8cm; 4mm x 5 & 10cm; 5mm x 10 & 15cm;
6 x 12 & 20cm; 7mm x 15 & 21cm; 8mm x 15 &
25cm; 9mm x 18 & 28cm; 10mm x 20 & 30cm
ev3 Australia Pty Ltd
Neurosurgical
EE007
EE008
EE017
EE021
Nexus Detachable Coils
Nexus Detachable Coils
Nexus Detachable Coil
Nexus Morpheus Detachable Coil
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group, Product Sub-Group.
Finsbury Orthopaedics Australia Pty Ltd
Orthopaedic
FI001
FI004
ADEPT MoM Resurfacing Head
Delta motion acetabular cup
Resurfacing Head MoM, Cast CoChr
Titanium, plasma with HA cup with presembleed
delta ceramic liner
38-58 going up in 2mm increments
Amended benefit.
42 - 66 going in 2 mm Increments
168 - 102 Changed Size, Product Sub-Group.Amended
Acetabular Cup - 42 OD 32 bore, 168 benefit.
104Acetabular Cup - 44 OD 32 bore, 168 - 106
Acetabular Cup - 46 OD 36 bore, 168 - 108
Acetabular Cup - 48 OD 36 Bore, 168 - 110
FI005
ADEPT CoC Acetabular component
44-66 Outer diameter going up in 4mm increments
Amended benefit
FI013
FI014
44-66mm Outer diameter going up in 2mm
46-66mm Outer diameter going up in 4mm
Amended benefit.
Amended benefit.
FI015
Adept MoM Acetabular Component
Adept MoM Acetabular Component - Extra Fixation
Cup
Adept MoM Modular Head
Titanium, plasma with HA cup with presembleed
delta ceramic liner with dysplasia flange
Porocast beaded Shell , Co Cr, HA coated size 44Porocast beaded Shell , Co Cr, HA coated, dysplasia
flange
Metal on Metal modular head, CoChr, 12/14 Eurocone
Amended benefit.
FI016
FI017
FI018
Finsbury Modular Heads
Finsbury Modular Heads
Freeman Hip Stem
Cobalt Chromium
Ceramic
Cobalt Chrome, ridged HA coated, cementless, grit
FI019
Freeman Hip Stem
Cobalt Chrome, distal half poslished, cemented
FI020
FI021
Freeman Hip Stem
Adept Hip System
Cobalt Chrome, distal half poslished, cemented
Femoral Hip Stem, cementless, titanium, long stem,
grit blast
38 - 58mm going up in 2mm increments. 4 different
neck lengths
Diameter 22-26-28-32mm
Diameter 22-26-28-32mm
165 lengths, diameter 10-12-14-16-18-20, offsets
short 36mm and medium 40mm
165 lengths, diameter 10-12-14-16-18-20, offsets
short 36mm and medium 40mm
Diameter 14-16/Short and Medium offset +50mm
12 standard sizes and 7 lateralised sizes
Changed Items for Prostheses List Report
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Page 22 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
FI022
FI023
FI033
FI034
Adept MoP Acetabular Component
Adept CoC Acetabular component
Delta modular head
Delta modular head
Liner, unmodified polyethylene
Biolox forte 'Liner
Delta ceramic modular head
Delta ceramic modular head
.
.
32mm
36-40-44-48mm
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Global Manufacturing Technology Pty Ltd
Neurosurgical
GM020
GM027
GM029
GM031
GM032
GM033
GM034
GM060
GM061
GM062
GM063
GM064
GM065
GM067
GM069
GM070
GM071
GM072
GM073
GM074
GM075
Optimal Spinal System
NeoIC (Neo Interbody Fusion Cage)
Optimal Spinal System
Optimal Spinal System
Optimal Spinal System
Optimal Spinal System
Optimal Spinal System
Maxima/Optima Anterior Cervical Plate System
Maxima/Optima Anterior Cervical Plate System
Maxima/Optima Anterior Cervical Plate System
Maxima/Optima Anterior Cervical Plate System
Maxima/Optima Anterior Cervical Plate System
Maxima/Optima Anterior Cervical Plate System
BacFix (Thoracolumbar System)
BacFix (Thoracolumbar System)
BacFix (Thoracolumbar System)
BacFix (Thoracolumbar System)
BacFix (Thoracolumbar System)
BacFix (Thoracolumbar System)
BacFix (Thoracolumbar System)
BacFix (Thoracolumbar System)
Hooks-open & closed-pedical & laminar
Interbody Fusion Cage
Axial/Lateral Connectors
Traverse Link Assembly
Set Screw
Rod
Pedicle Screw Monoaxial Type
Pedicle Screw - Mono Axial Type
Rod
Set Screw
Traverse Link assembly
Hooks Open & Closed - Pedicle & Laminar
Axial/Lateral Connections
Anterior washer - Titanium alloy
Serrated tooth locking clip - Titanium alloy
Spinal rod, rigid/flex - Titanium alloy
Spinal rod, rigid/flex - Titanium alloy
Non-threaded wedge with serrated teeth - Titanium
Hook - Titanium alloy
Smooth profile flexible angle screw - Titanium alloy
SpeedLink fixed distance rod - Titanium alloy
Various
Various
Various
40 to 80mm
9 x 1.5 to 10 x 1.5mm
6 x 40 to 6 x 600mm
4 x 25 to 8 x 55mm
4.5 mm -8.5mm Length 25mm-60mm
30mm - 100mm
One Size
44mm - 75mm
6.5mm-11mm
7.5mm-30mm
Small, standard
Nominal, deep
5.5 - 6mm x 50 - 125mm
5.5 - 6mm x 300 - 600mm
5.5 - 6mm
6.5 - 11mm
5 - 8mm x 30 - 60mm
5.5 - 6mm x 15 - 35mm
GM076
GM077
BacFix (Thoracolumbar System)
AcuFix
5.5 - 6mm x 39.5 - 75mm
4mm x 10 - 18mm
GM078
AcuFix
4mm x 10 - 18mm
Amended benefit
GM079
GM080
AcuFix
AcuFix
SpeedLink adjustable length rod - Titanium alloy
Cancellous bone screw - Anterior cervical plate
system - Titanium
Self tapping wide root screw - Anterior cervical plate
system - Titanium
Rescue screw - Anterior cervical plate system 1 segment SlimLine plate - Anterior cervical plate
system - Titanium
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Amended benefit
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.Amended benefit.
Amended benefit
Amended benefit
4.5mm x 10 - 18mm
20 - 34mm
Amended benefit
Amended benefit
Changed Items for Prostheses List Report
Page 23 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
GM081
AcuFix
34 - 54mm
Amended benefit
GM082
AcuFix
47 - 71mm
Amended benefit.
GM083
AcuFix
68 - 92mm
Amended benefit.
GM084
AcuFix
34 - 54mm
Amended benefit
GM085
AcuFix
53 - 77mm
Amended benefit.
GM086
AcuFix
68 - 101mm
Amended benefit.
GM095
GM098
Optimal Spinal System
AcuFix
Various
34 - 54mm
Amended benefit.
Amended benefit
GM099
AcuFix
2 segment SlimLine plate - Anterior cervical plate
system - Titanium
3 segment SlimLine plate - Anterior cervical plate
system - Titanium
4 segment SlimLine plate - Anterior cervical plate
system - Titanium
2 segment Corpectomy plate - Anterior cervical plate
system - Titanium
3 segment Corpectomy plate - Anterior cervical plate
system - Titanium
4 segment Corpectomy plate - Anterior cervical plate
system - Titanium
Hooks - open & closed - pedical & laminar
2 segment SlimLine plate - Anterior cervical plate
system - Titanium
3 segment SlimLine plate - Anterior cervical plate
system - Titanium
47 - 71mm
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Orthopaedic
GM016
Cer-Met II UHMWPE Insert
UHMWPE
46mm to 66mm, neutral & 10 degree
GM017
Cer-Met Acetabular Shell
46mm to 66mm
GM021
GM022
Classic Marathon Bipolar Head
Edinburgh Cemented Cup
Titanium, plasma spray, HA with variable number of
holes
CoCr, Poly Liner
UHMWPE
GM024
Cer-Met II Ceramic Insert
Ceramic, Biolox Forte
46mm to 66mm
GM038
Edinburgh Femoral Stem
CoCr, double taper, highly polished
CDH to Size 4 Narrow: Size 1 to Size 4 Standard
GM042
BioBall - Revision Neck Adaptor
GM047
Fin II Acetabular Shell
12/14 standard, 12/14 offset, 14/16 standard.small to
5 XL , M to 5 XL, M to 5 XL for each
44 to 72mm
GM048
Fin II UHMWPE Insert
Titanium, varying tapers & lengths, for ceramic &
metal heads
titanium, Plasma sprayed, HA, with variable screw
options
UHMWPE
GM049
Fin II Ceramic Insert
Ceramic, Biolox Forte
44 to 72mm
GM051
Fin II Revision Ring
Titanium with hook & flanges
52 to 72mm
GM052
SMR Modular Femoral Stem Proximal Body
Titanium, grit blast, non HA,
40 to 70mm
GM053
SMR Locking Screw
Locking Screw for Proximal Body to Stem
40 to 70mm
Changed Items for Prostheses List Report
40mm to 58mm
44mm to 56mm outer, 28-32 inner diameter
44 to 72mm, 0 & 5 degree hood
Page 24 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
GM056
SMR Femoral Head
CoCr
22 to 40mm
GM057
SMR Ceramic Femoral Head
Ceramic, Biolox Forte
28 to 36mm
GM058
Fin II Acetabular Screw
Titanium, '6.5mm Cancellous Bone Screws
15 - 80mm
GM059
SMR Distal Locking Screw
Titanium, '4.5mm Cortical Bone Screws
20 to 80mm
GM066
BioBall Femoral Head
CoCr Femoral Head with larger taper
>32mm
GM090
APEX Global Femoral Stem
Sizes 2-8
GM091
Apex Global & K2 Femoral Neck
Titanium, plasma coated, proximal HA , standard and
short lengths
Titanium with lateral extension for stem connection
GM092
Apex Global Femoral Head
CoCr
28mm to 40mm
GM093
Apex Global Ceramic Femoral Head
Ceramic, Biolox Forte
28mm to 36mm
GM107
APEX Global Neck Adaptor
variable tapers
GM108
BioBall Delta Femoral Head
Titanium neck adaptor for variable tapers, used in
revision with ceramic head
Femoral Head Biolox Delta
GM113
Global Acetabular Shell
44-72mm
GM114
Global Acetabular Ceramic Insert
Titanium, plasma spray, HA with variable number of
holes
Ceramic, Biolox Forte
GM115
Global Acetabular UHMWPE Insert
UHMWPE
44-72mm
GM116
Global Acetabular Cancellous Screw
Titanium 6.5mm cancellous bone screw
20mm to 50mm
GM117
MSA Global Femoral Stem
0-6
GM119
Global Metal Acetabular Inserts
Titanium, plasma spray, with HA, distal flute &
polished
CoCr, metal on metal, varying diameter
GM120
K2 Global Femoral Stem
Titanium, plasma spray, proximal HA
Size 0to size 12
GM127
Contile Finn II, Acetabular system, insert metal
Acetabular Insert Metal
metal on metal 28mm 44mm to 50mm
metal on metal 32mm 48mm to 62mm
metal on metal 36mm 52mm to 72mm
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Product Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Amended benefit.
Titanium Interbody Implant
Vue Radiolucent Implant
9-13mm
12mm
25mm - 35mm to 35mm - 50mm
36mm
44-72mm
Multiple sizes
Global Orthopaedic Technology
Neurosurgical
GO076
GO077
Traxis (non sterile)
Traxis Peek-Optima (sterile)
Changed Items for Prostheses List Report
Amended benefit.
Amended benefit.
Page 25 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
GO078
GO079
GO081
GO084
Nex-Link
Nex-Link
Nex-Link
Incompass
4.00mm
4.0mm
4.00mm Rod x 25mm - 45 length
5.5mm
GO085
Incompass
5.5mm
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit
Changed Suffix.
Amended benefit.
Changed Suffix.Amended benefit.
GO086
GO087
Incompass
Incompass
9.5 - 30mm
7.5 - 30mm
Amended benefit
Amended benefit
GO089
Incompass
4.5 - 8.5mm
Amended benefit.
GO090
Incompass
4.5 - 8.5mm
Amended benefit.
GO091
GO093
GO094
GO095
GO096
GO097
GO098
GO099
GO101
GO102
GO103
Incompass
AcuFix
AcuFix
AcuFix
AcuFix
AcuFix
AcuFix
InFix Interbody Fusion System
InFix Interbody Fusion System
Pathfinder
Pathfinder
Spinal Fixation System, Open Screw Closure
Spinal Fixation System, Closed Screw Set Screw
Spinal Fixation System, Transverse Connectors
Thoracolumbar Fixation System, Open Implant
Closure Top
Thoracolumbar Fixation System, Closed Implant Set
Screw
Thoracolumbar Fixation System, Offset Connector
Thoracolumbar Fixation System, Offset Connector
Closed
Thoracolumbar Fixation System, Fixed Angle Screw
Open
Thoracolumbar Fixation System, Fixed Angle Screw
Closed
Thoracolumbar Fixation System, Hooks
1 segment ThinLine plate
2 segment ThinLine plate
1 segment Ant-Cer dynamic plate
2 segment Ant-Cer dynamic plate
3 segment Ant-Cer dynamic plate
4 segment Ant-Cer dynamic plate
Endplate
Endcap
Minimally invasive pedicle fixation system
Minimally invasive pedicle fixation system
5.5mm
20 - 36mm
34 - 54mm
24 - 32mm
34 - 54mm
50 - 71mm
68 - 96mm
Small - Large
8-10mm
Cannulated Polyaxial Screws 6.5 - 7.5mm
Open Implant Closure Top 5.5mm
GO104
OctaFix
Occipital Cervical Plating System
Occipital Plate
GO105
GO106
GO107
GO108
OctaFix
OctaFix
OctaFix
OctaFix
Occipital Cervical Plating System
Occipital Cervical Plating System
Occipital Cervical Plating System
Occipital Cervical Plating System
Closed Screw 4mm
Screw Offset Connector
Primary Bone Screw 3.5mm
Bone Screw 3.5 - 4.0mm
GO109
GO110
GO111
GO112
GO121
Cadence (non sterile)
Cadence Peek - Optima (sterile)
Fortitude (non sterile)
Fortitude Peek-Optima (sterile)
Incompass
Titanium Interbody Implant
Vue Radiolucent Implant
Titanium Interbody Implant
Vue Radiolucent Implant
Thoracolumbar Fixation System, Hooks
9-15mm
9-13mm
12mm
12mm
5.5mm
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Changed Items for Prostheses List Report
Page 26 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
GO122
InFix Interbody Fusion System
Strut
Small - Large
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group, Suffix.Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group, Suffix.Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group, Suffix.Amended benefit.
Changed Product Name, Description, Size,
Product Group, Product Sub-Group, Suffix.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group, Suffix.Amended benefit.
Changed Product Name, Description, Size.
Orthopaedic
GO009
Consensus Femoral Head
CoCr
22-32mm
GO010
Consensus Femoral Head
Ceramic, biolox forte
28-32mm
GO011
UniSyn Hip Fluted Femoral Stem
Titanium, highly polished, fluted
<200mm
GO012
UniSyn Hip Fluted Long Femoral Stem
>200mm
GO013
UniSyn Hip Plasma Femoral Stem
Titanium, highly polished, fluted, long, straight &
bowed
Titanium, plasma spray, non HA
GO014
UniSyn Hip Complex Neck
30-36mm non calcar, 45-55mm for calcar
GO016
UniSyn Proximal Femoral Body non HA
Titanium, with lateral extension for stem connection,
includes calcar & non calcar replacement necks,
separate locking bolt
Titanium, plasma spray, non HA
GO017
UniSyn Proximal Femoral Body with HA
Titanium, plasma spray, with HA
GO019
UniSyn Hip Connecting Nut
Titanium, locking nut, supplied seperately
GO020
UniSyn Hip Plasma Long Femoral Stem
>200mm
GO034
UniSyn Non Modular Femoral Stem
Titanium, plasma spray, non HA, long, straight &
bowed
Titanium, proximal plasma spray with HA, distal
GO036
Consensus Cemented Femoral Stem
CoCr, highly polished, tapered, with neck
1 to 14
GO037
Consensus Femoral Stem
Titanium, proximal plasma & HA
1 to 14
GO038
GO039
Consensus Hip System
Consensus Acetabular Ceramic Liner
Acetabular Cup Inserts UHMWPE 22mm to 32mm
Ceramic, biolox forte
42mm to 68mm
42mm to 68mm
GO040
Consensus Acetabular Shell
42mm to 68mm
GO047
ICON Femoral Head
Titanium, beaded, porous coating, non HA, variable
holes
CoCr, metal on metal, large diameter
GO048
ICON Acetabular Cup
44-66mm cups
GO049
ICON Resurfacing Head
CoCr, beaded, HA coating, with fins, resurfacing,
metal on metal
CoCr, cemented, resurfacing, metal on metal
Changed Items for Prostheses List Report
<200mm
single height, variable diameter and variable medial
projections
single height, variable diameter and variable medial
projections
short & long
0 to 6
38-58mm
38-58mm head
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group, Suffix.Amended benefit.
Changed Product Name, Description, Product
Sub-Group, Suffix.
Amended benefit.
Changed Product Name, Description, Size,
Suffix.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group, Suffix.
Amended benefit.
Amended benefit
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Page 27 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
GO050
ICON Dysplasia Resurfacing Acetabular Cup
46-66mm
GO074
Consensus Femoral Stem non HA
CoCr, beaded, HA coating, with fins, resurfacing,
metal on metal, with flange
Titanium, proximal plasma, non HA
GO082
GO083
GO129
Nex-Link
Nex-Link
FMP Acetabular Shell
Spinal Fixation System, Cervical Hooks
Spinal Fixation System, Spinal Rod
Titanium, non HA, beaded, variable screw holes
5 & 7mm
120 & 240mm
42-70mm
GO130
FMP Acetabular Metal Liner
CoCr with UHMWPE sandwich, metal on metal
42-70mm
GO131
FMP Acetabular UHMWPE Liner
UHMWPE, Non modified, neutral & hooded
42-70mm
GO132
FMP Femoral Head
CoCr, metal on metal
28 to 38mm
GO133
FMP Acetabular Screws
Titanium, cancellous screws
25mm to 50mm
GO134
R120 Cemented Femoral Stem
CoCr, unpolished, tapered, collared, separate neck
Size 1 to 6
GO135
R120 Uncemented Femoral Stem
Size 1 to 6
GO139
R120 Femoral Neck
Femoral Stem porous/HA coated, Modular, CrCo,
standard lengths
CoCr, varying offsets & versions
GO144
Keramos Ceramic Acetabular Liner
Ceramic, biolox forte
48mm to 66mm
GO145
Keramos UHMWPE Acetabular Liner
UHMWPE
48mm to 66mm
GO146
Keramos Ceramic Femoral Head
Ceramic, biolox forte
28 to 32mm
GO147
Keramos Acetabular Screws
Titanium, cancellous screws
25mm to 50mm
GO154
Keramos Acetabular Shell
Titanium, beaded, non HA,
48mm to 66mm
GO164
Global Cemented Femoral Stem
CoCr, polished, double taper,
Sizes 0-4, various offsets
GO165
Global Cement Restrictor
PMMA,
Various
GO166
Global Distal Centraliser
PMMA,
Various
GO167
R120 Distal Centraliser
PMMA,
Various
GO171
Interface Acetabular System
acetabular cup, titanium alloy with CP Ti
48mm to 66mm
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group, Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Product Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Amended benefit.
Changed Items for Prostheses List Report
1-14
32-38mm length, varying degrees
Page 28 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
GO172
Interface acetabular system
Insert UHMWPE
68-76mm/36
68-76mm/32
68-76mm/28
60-66mm/36
60-66mm/32
60-66mm/28
56-58mm/36
56-58mm/32
56-58mm/28
52-54mm/32
52-54mm/28
50mm/28
46-48mm/28
Amended benefit
10 Degree : 68-76mm/36
68-76mm/32
68-76mm/28
60-66mm/36
60-66mm/32
60-66mm/28
56-58mm/36
56-58mm/32
56-58mm/28
52-54mm/32
52-54mm/28
50mm/28
46-48mm/28
GO173
APEX K1 Hip system
APEX/K1 Femoral heads, Alumina Ceramic
GO174
APEX K1 Hip System
APEX/K1 femoral heads, Cobalt Chrome
GO175
GO176
interface acetabular system
APEX K1tm Hip System
GO178
APEX K1 Hip System
6.5mm cancellous bone screws
K1 Femoral Stem - titanium plasma uncemented nonHA
APEX/K1 Femoral heads, Cobalt Chrome
28mm, 32mm and 36mm diameter size range -3.mm
to +4.0mm inclusive
28mm, 32mm Diameters size range -3.5mm to
+7.0mm inclusive
15mm to 70mm
Stem std and lat sizes 1 to 12
Amended benefit.
36mm Diameter size range - 3.5mm to +7.0mm
inclusive
Amended benefit
Changed Product Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Description, Product Group, Product
Sub-Group, Suffix.
Amended benefit.
Amended benefit
Amended benefit
Global Scientific Pty Ltd
Neurosurgical
GS001
GS002
Heyer-Schulte In Line Valve System
Spetzler Lumbar-Peritoneal Shunt System
Anti Siphon Device
Shunt, CSF Reservoir, In-line valve
GS003
Heyer-Schulte Pudenz Flushing Valve
With Anti Siphon Device, Pressure range low - high
One size only
Catheter length 80 - 105cm, Reservoir small & large,
Valve pressure range low - high
12, 16mm
GS004
Heyer-Schulte Pudenz Flushing Valve with Integral
Conn
Heyer-Schulte Mishler Dual Chamber Flushing Valve
System
Pressure range low - high
12, 16mm
Burr-hole and flat bottom designsPressure range
low - high
Standard, mini
GS005
Changed Items for Prostheses List Report
Page 29 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
GS006
Novus Hydrocephalic Shunt Kit
Pressure range low, medium
Standard, mini
GS007
-
Small, large
GS010
Heyer-Schulte Spetzler Lumbar-Peritoneal Low
Pressure Flushing Reservoir
Heyer-Schulte Connectors for Neurosurgical Use
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Suffix.
Pudenz straight, Pudenz right angled, Pudenz threeway (Y) Threaded straight, Threaded right angled,
Double threaded straight
Each in one size
Changed Description, Product Group.
GS011
LPV Shunt System
Standard, mini, Pressure range low - high
.
GS012
GS014
Heyer-Schulte Ommaya CSF Reservoir
Edwards Barbaro Syringo Peritoneal Shunt
1.5 - 2.5cm and mini
One size only
GS015
GS017
Heyer-Schulte Pudenz Ventricular Catheter
Heyer-Schulte In Line Valve System
GS018
Heyer-Schulte In Line Valve System
Standard, side-inlet, convertible, mini
80 x 3.5cm 5FRT-Tube, 90cm peritoneal reflux
control catheterStep down connector, Foltz CSF
Ultra VS Cylindrical Shunt/Valve system - Neonate
style, Pressure range low - high
Ultra VS Shunt Valve, Pressure low - high
GS133
GS134
GS135
GS136
GS137
Shunt
Shunt
Shunt
Shunt
Shunt
55cm - 60cm, Low - High pressure range
80cm
90 - 120cm
14.5cm - 23cm
Low - High pressure range
GS138
GS139
GS140
Shunt
Heyer Schulte Portnoy Flanged Ventricular Catheter
Heyer Schulte Ultra VS Valve Kit Neonatal Style
GS141
Ultra VS Shunt Kit Standard - Heyer Schulte
Components - catheter: Atrial
Lumbar
Peritoneal
Ventricular
Pressure valve (anti-siphon device or flushing valve
or flush pump)
Reservoir
Composition - silicone with tantalum markings
Comprises of silicone, kit includes valve, peritoneal
cather, ventricular catheter and rickham style reservoir
Composition silicone, kits contain standard valve,
ventricular catheter, peritoneal catheter, rickham
reservoir
3.8-5.8mm diameter valve, 18cm ventricular catheter,
low, medium high pressure, 120cm peritoneal
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Suffix.
Changed Description, Product Group, Product
Sub-Group, Suffix.
Changed Product Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Suffix.
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Suffix.
Changed Product Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
GS142
Novus Hydrocephalic Shunt - Heyer Schulte
Standard size - low & medium pressure; Mini size low & medium pressure
Changed Product Group, Product Sub-Group,
Suffix.
GS143
LPV Shunt System Kit - Heyer Schulte
Novus valve made from silicone/polysulfone, each
valve is packed with a valve and a right angled
catheter guide
Composition silicone, kit includes LPV valve,
peritoneal catheter, ventricular catheter, right angle
catheter guide
Standard - low, medium, high pressure; Mini - low,
medium, high pressure
Changed Product Group, Product Sub-Group,
Suffix.
GS144
Spetzler In Line Valve - Heyer Schulte
Composition silicone, valve with integral connectors
Low, Medium, High Pressure
GS145
Cordis Omnishunt System, Hakim Valve Series
Hakim Valve System
Drainage Cath 110 cm, F7. Vent. Cath 15cm, F8.
GS146
Cordis Standard Valve System Hydrocephalus Valves
Atlas Valve System
Drainage Cath 110 cm, F7. Vent. Cath 15cm, F8.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Items for Prostheses List Report
small, standard, right-angled
.
small, standard
Standard, Large
Length 18cm, outer diameter 8mm
Peritoneal catheter 90cm, ventricular catheter 18cm
Page 30 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
GS147
Precision Flow-OSV II Valve System
GS148
Precision Flow-OSV II Valve System
GS149
Precision Flow-OSV II Valve System
GS150
Atrial Catheter
Lumber Catheter 80cm, F5 Peritoneal Catheter
110cm, F7
Drainage Cath 110 cm, F7. Ventricular Catheters
7,9,13 & 15 cm
Drainage Cath 110 cm, F7. Ventricular Catheters
7,9,13 & 15 cm
Length: 46cm, F7. OD: 2.1mm; ID:1.1mm
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Suffix.
GS151
GS193
GS194
GS195
Peritoneal Catheter
Connectors
Electa right angle guide
Cordis Omnishunt System
Lumbar peritoneal OSV11-Lumboperitoneal System
Hydrocephalus Shunt
Ventricular/Atrial OSV11-Ventricular /Atrial
Hydrocephalus Shunt
Ventricular/Peritoneal OSV11- Ventricular/Peritoneal
Hyrocephalus Shunt
Components - catheter: Atrial Atrial Catheters
Hydrocephalux Valve Accessories
Peritoneal Catheters
Silicone and Stainless Steel
Silicone
Silicone and Synthetic ruby
Length: 91cm, F7. OD: 2.1mm; ID:1.1mm
Straight, right angle, Y, T
One Size Only
Very low to very high pressures
GS196
GS207
GS208
Gravity Compensating Accessory
Ventricular Catheter
Contour-Flex Valves
Silicone/Stainless steel
Silicone, with and without right angle connectors
Silicone encased CSF Valve
GS209
Neonatal Shunt System
GS210
Contour Flex Valve Shunt Assemblies
Shunt Assembly, includes separate ventricular
catheter, integral distal catheter
Shunt Assembly: silicone encased valve, silicone
ventricular and peritoneal catheters
low, medium & high pressures
3-15cm, finned, straight and right angle
Smal (24mm Length) or Regular (28mm Length), low
medium or high pressure
Medium, low or low-low pressure
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group.
Changed Product Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
GS211
Equi Flow Valves
Valve only
GS212
Equi Flow Shunt Assemblies
CSF Shunt, includes silicone ventricular and
peritoneal catheters, silicone encased overdrainage
GS213
Lumboperitoneal Shunt Assemblies
GS214
Cardiac/Peritoneal Catheters
CSF LP Shunt includes: silicone catheter, stainless
steel trocar, suture tabs
SiliconDistal Catheter, ID 1.3mm, OD 2.5mm
GS215
Ventricular Catheters
Silicon Ventricular Catheter
GS216
Burr Hole Valve Shunt Assemblies
GS217
Siphon Limiting Device
GS218
Reservoirs
Shunt Assembly: silicone encased valve, silicone
ventricular and peritoneal catheters
Silicone Shunt Accessory for control of CSF
overdrainage
Shunt component
Small (24mm Length) or regular (28mm Length); low,
low/medium and medium pressure; various catheter
and valve configurations
Small (35mm length) or Regular (40mm length); low,
low/medium and medium pressure
Small (35mm length) or Regular (40mm length); low,
low/medium and medium pressure; various kit
configurations
Straight or "T" tube
90cm, barium impregnated silicone catheter, closed or
open ended, with or without slits
15cm - 25cm, optional flanges or right angle or
endoscopic tip. ID 1.3mm, OD 2.5mm
16mm or 12mm base; low, medium or high pressure,
various kit configurations
15mm length, 4.5mm height, 10mm width
9mm to 25mm, with or without convertible outlet
port, burr hole or flat bottom style
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group.
Changed Product Group.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group.
Changed Product Group, Suffix.
Henry Schein/Halas Pty Ltd
Plastic and Reconstructive
Changed Items for Prostheses List Report
Page 31 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
HD014
Bio-Oss Collagen
The product consists of Bio-Oss grannules,
embedded in 10% porcine collagen. The collagen
component is resorbed within a few weeks. The
properties of the Bio-Oss granules remain unchanged.
The collagen component of Bio-Oss Collagen
facilitates the handling of the bone substitute
material. It is used as a bone substitute material in
implantology, maxillofacila surgery or periodontology
1 preformed block of cancellous-bone granulate and
collagen, block size 100mg
Changed Product Name.
Ambulatory infusion pump - Models: Crono 50,
Crono PCA and Crono APO-go II
10-50 ml
Changed Product Group, Product Sub-Group.
Capsular tension ring preloaded (acrylic)
Capsular Tension Ring - PMMA
13/11mm
12mm and 13mm
Amended benefit.
Amended benefit.
20mg/mL hydroxypropylmethyl cellulose for
intraocular use. Pre-loaded in a sterile syringe with
one cannula for injection, in a sterile Tyvek pouch
Acrylic single piece, foldable accommodating
intraocular lens with sqare edge design, custom
control precision and closed loop haptic design
2mL sterile
Amended benefit.
Available in dioptric powers from +5.0 to +36.0, 1D
steps: +31.0 to +36.0; 0.5D steps: +5.0 to +18.0 and
+25.0 to +30.0; 0.2D steps; +18.0 to +25.0
Changed Product Sub-Group, Suffix.
Film (Box of 20)
Special (Box of 20)
Anal 5s (Box of 5)
High density, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
Fibrous fleece, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
Oxidised regenerated cellulose gauze, the material is
biocompatible and also bactericidal
Oxidised regenerated cellulose gauze, the material is
biocompatible and also bactericidal
Oxidised regenerated cellulose gauze, the material is
biocompatible and also bactericidal
200 x 70 x 0.5mm
70 x 50 x 1mm
80 x 30mm
7.5 x 10cm
Amended benefit.
Amended benefit.
Amended benefit.
Changed Description.Amended benefit.
2.5 x 5.1cm
Changed Description.Amended benefit.
5-10.2 x 20-35cm
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Hospira Pty Limited
Neurosurgical
HO002
Crono Pump
Insight Surgical Pty Ltd
Ophthalmic
IS001
IS007
Preloaded Capsulan Tension Ring
OII PMMA Capsular Tension Ring
IQ Medical
Ophthalmic
IQ002
Ocuvis and Ocumax 2%
IQ003
Tetraflex
Johnson & Johnson Medical Pty Ltd
General/Miscellaneous
JJ004
JJ005
JJ007
JJ008
Spongostan Absorbable Haemostat
Spongostan Absorbable Haemostat
Spongostan Absorbable Haemostat
Surgicel Nu-Knit Absorbable Haemostat
JJ009
Surgicel Fibrillar Absorbable Haemostat
JJ012
Surgicel ORIGINAL Absorbable Haemostat
JJ013
Surgicel ORIGINAL Absorbable Haemostat
JJ014
Surgicel ORIGINAL Absorbable Haemostat
Changed Items for Prostheses List Report
5 x 7.5cm
1.25 x 5cm
Page 32 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
JJ023
Surgicel Nu-Knit Absorbable Haemostat
2.5 x 2.5cm
Changed Description.Amended benefit.
JJ029
Surgicel Fibrillar Absorbable Haemostat
10.2 x 10.2cm
Changed Description.Amended benefit.
JJ030
Surgicel Fibrillar Absorbable Haemostat
5.1 x 10.2cm
Changed Description.Amended benefit.
JJ035
JJ036
JJ180
JJ186
JJ432
Ligaclip* Ligating Clips - titanium
Absolok* Extra Absorbable Ligating Clips
Prolene Hernia System
Ligaclip Endoscopic Multiclip Applier
SURGICEL Nu knit Absorbable Haemostat
3-5 mm; 20 clips per cartridge
Small to Extralarge
MEDIUM TO EXTENDED
10-12 mm shaft diameter, medium to large clip
2.5 x 8.75cm
Changed Size.
Changed Size.
Changed Description, Size.
Changed Size.
Changed Description, Size.Amended benefit.
JJ433
SURGICEL Nu knit Absorbable Haemostat
15.2 x 22.9cm
Changed Description, Size.Amended benefit.
JJ444
Swedish Adjustable Gastric Band - Injection Port &
Locking Connector
High density, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
Fibrous fleece, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
Fibrous fleece, oxidised regenerated cellulose, the
material is biocompatible and also bactericidal
Titanium clips contained in a plastic cartridge
Polydioxanone clips contained in a plastic cartridge
BI-LAYER POLYPROPYLENE NON
Metal/plastic stapler with titanium clips
High density , oxidised regenerated cellulose, the
material is biocompatible and also bactericidal.
High density , oxidised regenerated cellulose, the
material is biocompatible and also bactericidal.
Implantable infusion port & locking connector for the
Swedish Adjustable Gastric Band. Replacement
port & locking connector for use with the Swedish
Adjustable Gastric Band
One size only
Changed Description.
JJ475
Proximate Contour Curved Cutter/Stapler
Blue (3.85mm) & Green (4.5mm)
Changed Size.
JJ564
JJ568
Echelon Endocutter Reload
Echelon Endocutter
60 and 45mm
60mm and 45mm
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
JJ602
ULTRAPRO Plug
Contour Curved Cutter/Stapler 30 & 40mm reload
cartridges
Echelon Endocutter Reload
Multifire disposable surgical stapling insturment
60mm and 45mm
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 Size.
Neurosurgical
DP046
DP049
DP060
DP300
VSP System (Titanium)
VSP System (Titanium)
VSP System (Stainless Steel)
Moss Miami (Stainless Steel)
Pedicle Screw (Standard or +5 No Cut)
Washers - Standard / Tapered
Sacral Connector - Left & Right Offset
Hooks - Laminar as Wide or Narrow or Angled or
Reduced Distance Supra-laminar or Offset or
Extended Body
4.75-7.75mm x 25-50mm
3 & 5mm
One size only
Various Sizes
Amended benefit.
Amended benefit.
Amended benefit.
Changed Size.
Amended benefit.
DP301
DP304
Moss Miami (Stainless Steel)
Moss Miami (Stainless Steel)
Transverse Connector - Complete
Inner Screw and Outer Nut
One size only
3 - 5mm
DP305
DP306
DP307
Moss Miami (Stainless Steel)
Moss Miami (Stainless Steel)
Moss Miami (Stainless Steel)
Axial Connector
Monoaxial Screws
Polyaxial Screws
5mm/5mm and 5mm/7mm
5 - 8mm x 25 - 60mm
4.35 - 8mm x 25 - 90mm
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Size.
Amended benefit.
Changed Items for Prostheses List Report
Page 33 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DP315
DP329
Moss Miami (Stainless Steel)
Moss Miami (Stainless Steel)
5mm x 30 - 90mm
One size only
Amended benefit.
Amended benefit.
DP394
DP400
DP407
DP412
DP413
DP416
DP418
DP422
Moss Miami (Titanium)
Moss Miami (Titanium)
Moss Miami (Titanium)
Moss Miami (Titanium)
Moss Miami (Titanium)
Moss Miami (Titanium)
Moss Miami (Titanium)
Moss Miami 4mm Anterior System (SS)
Pre-Cut Rod
Hooks - Translation (Pedicle/Reduced
Distance/Narrow/Wide Blade)
Pre-Cut Rod
Rod - Standard
Monoaxial Screw
Transverse Connector - Complete
Axial Connector
Washers - Slotted / Angled
Hooks - Translation
12 Sided Outie
5.5mm x 30 - 90mm
5.5mm x 12 - 48cm
5 - 8mm x 25 - 60mm
One size only
5mm/5mm
One Size Only
One size only
One size only
DP430
DP449
DP450
DP451
DP452
DP453
Moss Miami (Stainless Steel)
Kaneda SR (Smooth Rod) Anterior (TI)
Kaneda SR (Smooth Rod) Anterior (TI)
Kaneda SR (Smooth Rod) Anterior (TI)
Kaneda SR (Smooth Rod) Anterior (TI)
Isola Paediatric System (Stainless Steel)
Slotted/Angled or 3-5mm
1/4" - 6.25mm x 25 - 60mm
Small/Large - Caudal or Rostral
1/4" x 13 - 16mm
1/4" x 45 - 150mm
3/16"
DP454
Isola System (Titanium)
1/4" & 3/16"
Amended benefit.
DP459
Isola System (Titanium)
Washers - slotted, angled
Closed Screw
Plates
Transverse Coupler
Pre Cut Rod
Threadless TRC - Closed or Open Body without or
with Rod
Slotted Connectors Standard or Extended or Offset or
Angled or Open or Twister
Jaw Clamp
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
1/4" & 3/16"
DP460
Isola System (Titanium)
Right Hand Nut
5/16"
DP461
DP462
DP463
Isola System (Titanium)
Isola System (Stainless Steel)
Isola System (Titanium)
Spinal Rod
Wedding Band
Set Screw
1/4" & 3/16" x 18" & 24"
1/4 " & 3/16"
6.35mm
DP465
DP466
DP469
Isola System (Titanium)
Isola System (Titanium)
Isola System (Stainless Steel)
1/4" & 3/16" x 5-11mm
1/4" & 3/16"
1/4" & 3/16"
DP470
Isola System (Stainless Steel)
Open Hook and / or Cap
Wedding Band
Slotted Connectors - Standard or Extended or Offset
or Angled or Open or Twister
Transverse Rod Connector or Dual Rod Connector
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
DP471
DP473
Isola System (Stainless Steel)
Isola System (Stainless Steel)
Closed Hooks
Iliac Screw
1/4" & 3/16" x 5-11mm
6.25 & 7.0mm
DP474
Isola System (Stainless Steel)
Jaw Clamp
1/4" & 3/16"
Changed Items for Prostheses List Report
1/4" & 3/16"
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Page 34 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DP475
Isola System (Stainless Steel)
Right Hand Nut
5/16"
DP476
DP477
DP480
Isola System (Stainless Steel)
Isola System (Stainless Steel)
Isola System (Stainless Steel)
Eye Rod
Spinal Rod Standard
Wire with Button or Beaded Wire
1/4" & 3/16" x 18" - 24"
1/4" & 3/16" x 18" & 24"
18 and 20 gauge wire
DP485
Isola System (Stainless Steel)
Dual Diameter Rod
3/16" to 1/4" x 18 - 24"
DP487
DP488
DP490
DP492
DP494
DP495
DP499
DP501
Isola Paediatric System (Stainless Steel)
Isola Paediatric System (Stainless Steel)
Isola Paediatric System (Stainless Steel)
Isola System (Titanium)
Isola Paediatric System (Stainless Steel)
Isola Paediatric System (Stainless Steel)
Isola System (Titanium)
Isola System (Stainless Steel)
Side Tightening Hook - Opened/Closed
Pre-Bent Rod
Wedding Band
Iliac Screws
Wedding Band
Growth/Tandem Connector
Transverse Connector or Dual Rod Connector
Set Screw
3/16" x 3.5mm - 11mm
3/16 "
3/16"
6.25mm & 7.0mm
3/16"
3/16"
1/4" & 3/16"
One size only
DP505
DP510
DP511
Anterior Isola System (SS)
Brantigan I/F Cage
Brantigan I/F Cage
Rod with Hex End
PLIF C/F Cage
ALIF C/F Cage
1/4" x 18"
Straight / Wedge
Small - Large
DP513
Stackable Corpectomy CFRP Cage System
Stackable Cage Thoracic/Lumbar
Small-Large
DP514
DP515
DP576
DP577
Brantigan I/F Cage
I/F Ramp
Kaneda Anterior Scoliosis System S/S
Kaneda Anterior Scoliosis System S/S
Cervical Brantigan Cage
PLIF C/F Ramp
Open Screw - Standard or Blunt
Closed Screw - Standard or Blunt
Standard/Large 4-10mm
7-11 x 11-15 x 21 - 25 mm
3/16" - 6.25mm x 25 - 50mm
3/16" - 6.25mm x 25 - 60mm
DP580
Kaneda Anterior Scoliosis System S/S
Radiused Caps for Open Screws
3/16"
DP581
DP828
DP829
DP830
DP831
DP832
Kaneda Anterior Scoliosis System S/S
Profile Anterior Thoracolumbar Plate System
Profile Anterior Thoracolumbar Plate System
Profile Anterior Thoracolumbar Plate System
Profile Anterior Thoracolumbar Plate System
Profile Anterior Thoracolumbar Plate System
Staple Single or Double Hole
Plates - Thoracolumbar
Plates - High Thoracic
Cancellous Screw
Cancellous Bolt
Locking Inner Screw
Small - Large
50 - 120mm
40 - 110mm
6mm x 20 - 60mm
7mm x 25 - 60mm
One size only
DP833
Profile Anterior Thoracolumbar Plate System
Graft Screw
15 - 30mm
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit.
Changed Product Sub-Group.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Changed Size.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Items for Prostheses List Report
Page 35 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DP834
Profile Anterior Thoracolumbar Plate System
Locking Outer Nut
One size only
DP842
DP843
Moss Miami (Stainless Steel)
Moss Miami (Titanium)
Sacral Extender
Sacral Extender
5mm x 5 - 20mm length
5.5mm x 5 - 20mm in length
DP846
DP847
DP851
DY078
DY094
DY100
Moss Miami 4mm Anterior System (SS)
Moss Miami 4mm Anterior System (SS)
Surgical Titanium Mesh System
Kaneda SR Anterior
Isola Paediatric System
Isola System (Stainless Steel)
4.0mm x 30 - 48cm
6mm x 25 - 55mm
10-16mm x 8-17mm Hgt
1/4"-6.25mm x 25-60mm, 3/16"
3/16"
1/4" & 3/16"
DY103
Isola System (Stainless Steel)
Rods
Screws - Monoaxial
Standard & Trapezoidal
Kaneda SR Anterior Open Screw
Stainless Steel, Slotted Connector Downsized
Threadless TRC - Closed or Open Body with or
without Rod
Modular Cross Connector Set Screw
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Size.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
DY105
DY106
Isola System (Titanium)
Isola System (Titanium)
Eye Rod
Modular Cross Connector Set Screw
1/4" x 18"
One size only
DY107
Carbon Fibre Cages
Stackable Cage Titanium Interface Screw Nuts
One size only
DY108
DY109
Isola System
Carbon Fibre Cages
Titanium, Locking Screw
Stackable Cage Titanium Protective Sleeve
60-120mm
5-15mm
DY110
DY121
DY127
DY174
DY176
DY179
Carbon Fibre Cages
VSP System (Stainless Steel)
VSP System (Stainless Steel)
Monarch Spinal System
Monarch Spinal System
Monarch Spinal System
M4 / M5
4.75-7.75mm x 25-50mm
DY182
DY184
DY185
DY186
DY289
DY290
DY292
DY293
DY297
Monarch Spinal System
Monarch Spinal System
Monarch Spinal System
Monarch Spinal System
Crossover System (Titanium)
Crossover System (Titanium)
Crossover System (Titanium)
Crossover System (Titanium)
Slim-loc Anterior Cervical Plate System
Stackable Cage Titanium Interface Screws
Pedicle Screw (Standard or +5 No Cut)
Washers - Standard / Tapered
Bone Plate
Washer
Slotted Connectors
(Straight/Extended/Offset/Twister/Mini Offset)
Rods
Dual Rod Connectors End to End or Side by Side
Plate J-Hooks
Band Clamp Connector
Crossconnector
Crossconnector
Crossconnector
Crossover Nut or Ball Screw
Plates - one level
Changed Items for Prostheses List Report
One Size Only
½ to 1½ or 2 - 3 or 3½
One size only
One size only
Changed Suffix.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
6.35 & 5.5mm x 450mm
6.35 to 6.35mm or 6.35 to 5.5mm or 6.35 to 4.75mm
3.5 - 11 mm
6.35 & 5.5mm
Small 18-30mm
Medium 32-45mm
Large 45-107mm
One size only
22-37mm
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
Page 36 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DY298
DY299
DY300
DY301
DY302
DY303
Slim-loc Anterior Cervical Plate System
Slim-loc Anterior Cervical Plate System
Slim-loc Anterior Cervical Plate System
Slim-loc Anterior Cervical Plate System
Slim-loc Anterior Cervical Plate System
Monarch Spinal System
Plates - two level
Plates - three level
Screws self tapping
Screws - Large Diameter
Screws - Self Drilling
Typhoon Cap and Domed Nuts
39-53mm
54-78mm
4.5 x 12 - 26mm
4.8 x 12-16mm
4.5 x 12-18mm
One size only
DY304
DY306
DY309
DY310
DY311
Monarch Spinal System
Isola System (Titanium)
Frontier Anterior Scoliosis System (Titanium)
Frontier Anterior Scoliosis System (Titanium)
Frontier Anterior Scoliosis System (Titanium)
Hooks - Open (Pedicle/Narrow Tapered/Wide Blade)
Threadless TRC - open body with or without rod
Bone Screws
Spinal Rod
Twist on Internal Cap
5-11mm
1/4" & 3/16"
5.5 x 25-40mm, 6.5 x 25-60mm, 7.5 x 35-60mm
4.75 x 200-450mm
One size only
DY313
DY318
DY322
DY332
DY333
DY334
DY335
DY336
DY337
DY338
DY339
DY340
Monarch Spinal System
Isola System (Stainless Steel)
Carbon Fibre Interbody Fusion Device
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Rods - Pre Cut/Lordosed
Pre-Cut Rod
Stackable C/F Cage System Wedges
Occipital Plates "Y" or "T"
Occipital Bone Screw
Transition Rod
Dual Diameter Rod
Cross Connector
Open Cable Connector
Cancellous Bone Screw
Mini Polyaxial Screw Standard or High
Mini Polyaxial Outer Nut
6.35 & 5.5mm x 45 - 95mm
3/16" x 35 - 90mm
11 Degree Small-Large
31-45mm
4.5 - 5.25 Dia x 6 -16mm length
3.0/4.0/3.0mm
3x150mm/4.75 - 5.5mm x 270mm
One size only
One size only
3.5-4.5mm x 12-48mm
3.5mm x 12-50mm
One size only
DY341
Summit Cervical Rod System
Pin Nut with Flange or No Flange
One size only
DY342
DY343
DY344
DY345
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Summit Cervical Rod System
Connectors Left or Right or Neutral
Rod
Transverse Connector Hook
Transverse Connector Screw
One size only
3mm x 70-200mm
One size only
One size only
DY356
DY359
DY401
DY406
In Motion Lumbar Artificial Disc
In Motion Lumbar Artificial Disc
Monarch Monoaxial Pedicle Screw
Leopard 5 Lodotic Carbon Fibre Body Fusion Device
End Plates Parallel & Oblique
Sliding Core
Monarch Monoaxial Pedicle Screw
Carbon Fibre cage
Small, medium, large
7.5mm, 8.5mm, 9.5mm, 10.5mm
4.75mm - 8.5mm x 25 to 80mm length
7 - 18mm
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Changed Items for Prostheses List Report
Page 37 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DY407
DY420
DY421
DY422
DY429
DY430
DY431
Leopard Parallel Carbon Fibre Body Fusion Device
X-Tenz
X-Tenz
Saber Cage
X-Tenz
X-Tenz
Expedium Spine System
Carbon Fibre Cage
Telescopic VBR Cage
Telescopic VBR Cage
PLIF Cage
Telescopic VBR Cage
Telescopic VBR Cage
Si Polyaxial Screw
7 - 18mm
16mm
22mm
Parallel/Wedge
26mm
28mm
4.35 - 11mm x 20 - 100mm
DY432
DY435
DY436
DY438
Expedium Spine System
Expedium Spine System
Expedium Spine System
Expedium Spine System
4.35 - 7.5mm
4.5 - 7.5mm Diameter x 12 - 60cm
5.5 - 6.35mm diameter x 35-95mm
8 - 10mm including narrow - wide
DY440
DY441
DY442
DY443
DY444
DY447
Expedium Spine System
Expedium Spine System
Summit SI System
Summit SI System
Summit SI System
Swift Spine System
4.35 -10mm diameter 20 -100mm length
4.35 to 10mm diameter x 20-100mm length
3.5 or 4mm diameter x 12-48mm length
Various
one size
Level 1 size 15 - 29mm
DY448
Swift Spine System
Level 2 size 30 - 42mm
Amended benefit.
DY449
Swift Spine System
Level 3 size 45 - 63mm
Amended benefit.
DY450
Swift Spine System
Level 4 size 60 - 100mm
Amended benefit.
DY451
Swift Spine System
46 - 102mm
Amended benefit.
DY452
Swift Spine System
10 - 18mm
Amended benefit
DY453
Swift/Eagle Anterior Cervical System
Si Screw Set
Rod
Rod - Pre - lordosed or straight
Hooks, Right, Left, Angled, Offset, Extended,
Reduced Bladed
Di Polyaxial Screw
Monoaxial Screw
Polyaxial Screw - Mini Favoured Angle
Connectors
Inner Set Screw
Titanium Anterior Cervical Plate System - Various
size plates
Titanium Anterior Cervical Plate System - various
size plates
Titanium Anterior Cervical Plate System - various
size plates
Titanium Anterior Cervical Plate System - various
size Plates
Titanium Anterior Cervical Plate System Corpectomy Plate
Titanium Anterior Cervical Plate System - 3.8mm
Self-Drilling/Tapping Screw
Titanium Self Drilling/Self Tapping Screw
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit
Amended benefit
Changed Size.
Amended benefit.
Changed Size, Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Changed Description, Size.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
4.2mm x 10-18mm
DY454
Swift Spine System
10 - 28mm
DY455
DY458
DY480
JJ130
JJ131
Swift Spine System
Uniplate ACP System
Uniplate ACP System
Aneurysm Clips
Aneurysm Clips
Titanium Anterior Cervical Plate System - 3.8mm
Bicortical Screw
Titanium Anterior Cervical Plate System - Graft Screw
Titanium Anterior Cervical 1 Level Plate
Titanium Anterior Cervical 2 Level Plate
Stainless steel alloy AVM Micro Clip
Stainless steel Graft Clip (with teflon graft)
Changed Product Name, Description, Size.
Amended benefit.
Amended benefit
10mm
13-22mm
28-40mm
Blade length 2-9.5 mm
Blade 2-5mm diameter, 3-7mm length
Amended benefit
Amended benefit.
Amended benefit
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Items for Prostheses List Report
Page 38 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
JJ134
JJ136
JJ137
JJ138
JJ139
JJ140
JJ141
JJ142
JJ143
JJ144
JJ146
JJ147
JJ148
JJ149
JJ150
JJ151
JJ152
JJ153
JJ154
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Stainless steel Reinforcing (booster) Clip
Stainless steel large clip, curved
Stainless steel large clip, right-angled
Stainless steel large clip, right-angled
Stainless steel large clip, 30 degree angle
Stainless steel large clip, bayonet
Stainless steel large clip, fenestrated
Stainless steel large clip, fenestrated tandem
Stainless steel standard clip, straight to right angled
Stainless steel standard clip, side angle
Stainless steel standard clip, slightly curved
Stainless steel standard clip, right angle
Stainless steel standard clip, straight to right angle
Stainless steel standard clip, straight to curved
Stainless steel standard clip, slightly curved
Stainless steel standard clip, bayonet
Stainless steel standard clip, bayonet
Stainless steel standard clip, curved
Stainless steel standard clip, slightly curved to curved
Blade length 2-9.5 mm
Blade 6mm diameter, 7.5mm length
Blade 6mm diameter, 5mm length
Blade 6mm diameter, 7.5-15mm length
Blade length 12mm
Blade length 5-12mm
Blade 6mm diameter, 24mm length
Blade 6mm diameter, 6 mm length
4.5-10mm length
0.6mm diameter, 10mm length
0.6mm diameter, 15mm length
0.6mm diameter, 5.5 mm length
0.5-0.6mm diameter, 5-15mm length
5-25mm length
16mm length
9mm length
15mm length
10-14mm length
8-20mm length
JJ155
JJ156
Aneurysm Clips
Hakim Precision Valve System
Stainless steel standard clip, bayonet to right angle
Precision valve standard. Silicone casing & catheter;
stainless steel ruby ball in cone mechanism with fixed
pressure
6-25mm length
Peritoneal Catheter length 80 cm, Ventricular catheter
length 14 cm
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Description, Product Group, Product
Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group,
Suffix.
JJ157
Hakim Precision Valve System
Peritoneal Catheter length 80 cm, Ventricular catheter
length 14 cm
Changed Product Group, Product Sub-Group,
Suffix.
JJ158
Hakim Programmable Valve System
Precision valve and pre-chamber. Silicone casing &
catheter; stainless steel ruby ball in cone mechanism
with fixed pressure
Standard system. Silicone casing without catheter;
stainless steel ruby ball in cone mechanism with
variable pressure
One size only
Changed Product Group, Product Sub-Group.
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.
JJ160
JJ161
Hakim Ventricular Catheter with Bactiseal Silicone
Codman-Medos Non-programmable Valve System
Ventricular catheter length 14 cm
Peritoneal Catheter length 25-80cm
Changed Product Group, Suffix.
Changed Product Group.
JJ162
Codman-Medos Non-programmable Valve System
Peritoneal Catheter length 65 cm
Changed Product Group.
JJ163
Hakim Ventricular and Peritoneal Catheter Set with
Bactiseal Silicone
Silicone antibiotic impregnated catheter
Silicone fixed pressure lumber/peritoneal catheter,
James design
Silicone fixed pressure lumber/peritoneal catheter,
Holter design
Silicone ventricular/peritoneal catheter
Peritoneal Catheter length 80 cm, Ventricular
Catheter length 15 cm
Changed Product Group, Suffix.
Changed Items for Prostheses List Report
Page 39 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
JJ164
JJ165
JJ166
JJ167
JJ168
JJ169
JJ170
Siphonguard CSF Control Device
Burr Hole Button
Burr Hole Button
Burr Hole Button
Burr Hole Button
Burr Hole Button
Burr Hole Button
One size only
One size only
14mm diameter
One size only
One size only
One size only
One size only
Changed Product Group.
Changed Product Group.
Changed Product Group, Suffix.
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group, Suffix.
JJ171
JJ217
JJ218
Burr Hole Button
Aneurysm Clips
HOLTER Intracranial Pressure Shunt
24mm diameter
Blade 4-6mm diameter, 5-25mm length
3 - 7cm and 15cm
Changed Product Group, Suffix.
Changed Product Group, Product Sub-Group.
Changed Product Group.
JJ219
Hakim Programmable Valve System
PET shell anti-siphon device for shunt
Stainless steel ventriculostomy reservoir
Silicone or stainless steel ventriculostomy reservoir
Silicone ventriculostomy reservoir, flat bottom
Silicone ventriculostomy reservoir, standard
Silicone ventriculostomy reservoir, large
Silicone or stainless steel ventriculostomy reservoir,
low profile
Silicone or stainless steel ventriculostomy reservoir
Stainless steel large clip
HOLTER Ventricular Catheter, packaged sterile,
silicone rubber
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 Description, Product Group, Product
Sub-Group, Suffix.
JJ220
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,
One size only
Changed Description, Product Group, Product
Sub-Group, Suffix.
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,
One size only
Changed Description, Product Group, Product
Sub-Group, Suffix.
JJ225
HOLTER Intracranial Pressure Shunt
90cm in length
Changed Product Group.
JJ226
HOLTER Intracranial Pressure Shunt
90cm in length
Changed Product Group.
JJ227
JJ228
JJ229
JJ261
JJ262
Codman Medos Straight Ventricular Catheter
Codman Medos Connector
Codman Medos Peritoneal Catheter
ACCU-FLO Intracranial Pressure shunt
ACCU-FLO Intracranial Pressure shunt
14cm
One size only
85cm
91cm in length
One size only
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group.
JJ263
ACCU-FLO Intracranial Pressure shunt
One size only
Changed Product Group.
JJ264
ACCU-FLO Intracranial Pressure shunt
One size only
Changed Product Group.
JJ436
Codman Hakim Programmable Valves
HOLTER distal peritoneal catheter, packaged sterile,
silicone
HOLTER distal peritoneal catheter Salmon, packaged
sterile, silicone
14cm, packaged sterile, silicone rubber
Codman Medos stainless steel shunt connector
85cm, packaged sterile, silicone rubber
ACCU-FLO catheter, packaged sterile, silicone
ACCU-FLO three way connector, packaged sterile,
metal or plastic
ACCU-FLO barium ventricular catheter, packaged
sterile, silicone rubber
ACCU-FLO right angle connector, packaged sterile,
metal or plastic
18 different pressure settings, various models
One Size Only
Changed Product Group, Product Sub-Group.
Changed Items for Prostheses List Report
Page 40 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
JJ437
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
Changed Product Group.
Changed Product Group.
Changed Description, Product Group.
Changed Description, Size.
Changed Description, Size.
Changed Description, Size.
Amended benefit
JJ516
JJ517
JJ518
JJ520
JJ521
JJ522
X-Tenz Lordotic Cage
X-Tenz Lordotic Cage
AEGIS ALP
CONCORDE Spine System
CONCORDE Spine System
Viper2 Spine System
18 different pressure settings and SIPHONGUARD
technology
features 5 operating pressures and SIPHONGUARD
technlogy
features 5 operating pressures and SIPHONGUARD
technology
features 5 operating pressures
Helical Fill
Complex Standard
Complex
Titanium Alloy Implant
Titanium Alloy Implant
Titanium Alloy Implant
Skyline anterior cervical plate. Various size plates.
Titanium
X-tenz Lordotic Cage, Titanium
X-tenz Lordotic Cage, Titanium
Curved anterior lumbar plate
Parallel Carbon Fibre Interbody Fusion Device
Lordotic Carbon Fibre Interbody Fusion Device
Polyaxial Screw, with and without tab
One Size Only
JJ440
JJ485
JJ486
JJ487
JJ489
JJ490
JJ491
JJ511
Codman Hakim Programmable Valves with
Siphonguard
Codman Hakim Precision Valves with Siphonguard,
Right Angle Reservoir
Codman Hakim Precision Valve with Siphonguard,
Inline Reservoir
Codman Hakim Precision Valve, Right Angle
Trufill DCS Orbit detachable coil
Trufill DCS Orbit detachable coil
Trufill DCS Orbit detachable coil
Bioplate ZIP
Bioplate ZIP
Bioplate ZIP
Skyline Cervical Plate System
JJ569
Cougar II ALIF Cage
Small, Medium, Large, 10 - 20mm, 5 or 10 Deg
JJ586
JJ594
Expedium
Mountaineer OCT Spinal System
Anterior Lumbar Interbody FusionCage, Carbon
Fibre Reinforced Polymer (CFRP)
Uni-Planar deformity correction (Titanium)
CT Inner Set Screw
JJ596
Mountaineer OCT Spinal System
CT Dual Diameter Rod
JJ597
JJ598
JJ599
JJ600
Mountaineer OCT Spinal System
Mountaineer OCT Spinal System
Mountaineer OCT Spinal System
Mountaineer Oct Spinal System
CT Rod
Dual Rod Connector, Side by Side or End to End
Transverse Connector Plate
Transverse Connector Inner Screw
3.5 - 4.75mm x 420 - 600 mm, 3.5 - 5.5mm x 420 600mm, 3.5 - 6.35mm x 420 - 600mm
3.5mm x 60 - 200mm
3.5-3.5mm, 3.5-4.75mm, 3.5-5.5mm, 3.5-6.35mm
21 - 56mm
One size only
JJ601
Mountaineer Oct Spinal System
Transverse Connector Outer Nut
One size only
JJ603
JJ607
JJ635
McGuire Bone Screw
Expedium Spine System
Expedium Spine System – Dual Rod Connector
Cancellous Bone Screw
Lateral Connector, Open or Closed
Dual Rod Connector
3.5mm x 8 - 60mm
5.5-6.35mm x 20 - 500mm length
4.75, 5.5 & 6.35mm
JJ438
JJ439
Changed Items for Prostheses List Report
Pressure settings 10, 40, 70, 100 and 130mmH2O
Pressure settings 10, 40, 70, 100 and 130mmH2O
10, 40, 70, 100, and 130mmH2O
2mm - 12mm, 2cm - 30cm
6mm - 20mm, 15cm - 30cm
2mm - 12mm, 1.5cm - 30cm
11 - 12mm
15 - 16mm
18 - 20mm
4-25mm
7 - 13mm
7 - 13mm
35 - 55mm
4.35-10mm Diameter, 20- 100mm Length
One size only
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Product Name, Description, Suffix.
Amended benefit.
Amended benefit
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Page 41 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
JJ643
JJ644
JJ645
JJ647
Dual Hole Staple - Expendium Anterior Spine
Extra long rod - Expendium Anterior Spine System
Monoaxial Screw - Expedium Anterior Spine System
Expedium Spine System - Dual Innie Set Screw
Dual Hole Staple - Titanium
Rod - Titanium
Monoaxial Screw - Titanium
DI Set Screw
Small to Xlarge - 4 sizes
5.5mm x 450mm
Diameters 5-7mm x Lengths 20-60mm
one size only
JJ648
JJ649
Pre-cut rod - Expedium Anterior Spine System
Washer & Single Hole Staple - Expedium Anterior
Spine System
Cross Connector - Expedium Anterior Spine System
SI Set Screw - Expedium Anterior Spine System
Rod - Titanium
Washer and Single Hole Staple - Titanium
Diameter 5.5mm x lengths 45-150mm
One size only
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Drop and Lock One Piece Connector-Titanium
Single Innie Set Screw - Titanium
13 to 20mm
one size only
Amended benefit.
Changed Suffix.
Amended benefit.
JJ652
JJ656
Orthopaedic
DP001
Reef Femoral Wing
Titanium grit blasted with HA trochanteric
replacement/augment
Sizes 1-3
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
DP005
Reef Hip Proximal Body & Neck
Titanium neck combined with small proximal body of
varying size, grit blast, HA. With locking screw
25-35mm
DP009
Reef Hip Femoral Stem
Length 225 - 375mm
DP013
Wroblewski Resection femoral Stem
DP014
Duraloc & Pinnacle Constrained Inserts
DP045
DP051
DP052
DP058
Isola System (Stainless Steel)
VSP System (Titanium)
VSP System (Titanium)
Isola System (Stainless Steel)
Titanium modular femoral stem with optional distal
locking, grit blast and full HA coating
Stainless steel, polished, includes segmental support
rings x 3
UHMWPE, constrained liner with titanium alloy
locking ring
Double Wire
VSP Bone Plate
VSP Bone Plate
Modular Cross Connector Hex Nut
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
DP072
Isola System (Titanium)
Modular Cross Connector J-Hooks
1/4 & 3/16"
DP073
DP074
Isola System (Titanium)
Isola System (Titanium)
Modular Cross Connector Plates
Modular Cross Connector Hex Nut
0 - 70mm
One size only
DP075
DP076
Isola System (Stainless Steel)
Isola System (Stainless Steel)
Modular Cross Connector Plates
Modular Cross Connector J-Hooks
0 - 70mm
1/4 & 3/16"
DP081
DP112
Global Shoulder
Duraloc Enduron Liner
Global Advantage HUM HD
UHMWPE liner
Size 40 - 56 by size 15 - 20
Inner diameter 22-32mm, 36-76mm outer diameter
Changed Items for Prostheses List Report
200mm-250mm
Inner diameter 28-44mm, 36-76mm outer diameter
One size only
One - Two Slot
Two ½ - Three ½ or Four - Five Slot
One size only
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Sub-Group.Amended
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Changed Size.
Changed Description, Size.
Amended benefit.
Page 42 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DP121
Solution Calcar Replacement Femoral Stem
Sizes 7-9inch (175-225mm)
DP124
DePuy Femoral Head
CoCr calcar replacement stem, uncemented, beaded
(Porocoat)
CoCr Femoral Head Various Tapers & Neck Lengths
DP149
PFC Sigma Knee System femoral component
Size 1-6 including narrow sizes
DP167
Thompson Hip
DP168
Austin Moore Hip Prosthesis
DP171
DP173
Hastings Bipolar Prosthesis
PLAD Acetabular Rim Augment
Femoral component, cemented, CoCr, posterior
stabilised
Stainless steel (Ortron 90), Thompson unipolar
monoblock femoral component
Stainless steel (Ortron 90), AMP unipolar
monoblock femoral component
Bipolar femoral head, CoCr with fixed UHMWPE
Metal & polyethylene curved plate for screw
attachment to UHMWPE cemented cups. Includes 4
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Size.
Amended benefit.
Changed Size.
DP175
Charnley Hip Long Femoral Stem
Stainless steel Ortron 90 stem
10"- 15" (250-375mm)
DP180
Charnley Standard Femoral Stem
Sizes less than 200mm
DP182
Charnely Hip System Bore, LPW and Flanged Cups
Stainless steel, (Ortron 90) fixed & attachable femoral
heads
UHMWPE cup, cemented
DP188
Self Centering Bipolar Head
Bipolar femoral head, CoCr with UHMWPE insert
28mm inner diameter, 39-65mm outer diameter
DP203
Elite Plus Femoral Stem
CDH, Size 1-7 and all offsets
DP212
Elite Plus Long Femoral Stem
DP222
DePuy Custom Made Acetabular Liners
Stainless steel, Ortron 90, cemented femoral stem,
unpolished
Stainless steel, Ortron 90, cemented femoral stem,
unpolished
UHMWPE custom liner for obsolete DePuy shells
DP223
Thackray Mesh
Stainless Steel Ortron 90 mesh
200x200mm
DP224
Charnley & Wroblewski Trochanteric Spring Wire
Stainless steel wire for trochanteric attachment
0.5-3.00mm
DP233
Hardinge Cement Restrictor
Hardinge cement Restrictor (ea)
One size only
DP250
Duraloc Cup Locking System
Size 36-76mm
DP254
DP268
SROM Noiles Knee System femoral component
SROM Noiles Knee System tibial baseplate
DP297
Universal Femoral Stem Distal Centraliser
DP360
Duraloc Acetabular Shells
DP391
Ace External Fixator
Titanium locking Ring for Duraloc insert, seperately
listed, only for revision
'Hinged, CoCr, cemented, femoral component
Posterior stabilised, CoCr, cemented, femoral
component
PMMA Distal Centralisers includes Charnley, Elite
Plus, C-Stem and Summit centralisers
Titanium, beaded, (Porocoat) non HA, with or
without holes &/or spikes
Pin Holder Bolt - Titanium
Changed Items for Prostheses List Report
22-32 mm
head size 40-54
Head size 38-60mm
Size 36 - 56
22- 28mm
28mm inner diameter, 38 - 53mm outer diameter
Sizes 3-5 (200-250mm)
Made to order
Sizes xxsmall-large
Sizes xxsmall-large
10-20mm
Size 36-76
All sizes
Changed Product Name, Description, Size.
Amended benefit.
Changed Description, Size.
Amended benefit.
Changed Product Name, Description.
Changed Product Name, Description, Size,
Product Group, Product Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size,
Product Group, Product Sub-Group.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Group, Product Sub-Group.
Changed Product Name, Description, Size.
Amended benefit.
Changed Description.
Changed Description, Product Sub-Group.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Size.
Page 43 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DP448
BIO Stop G
Biostop Restrictor (Gelatin, Glkycerol, PHBM,
size 8-20
Changed Product Group, Product Sub-Group.
DP546
C- Stem & C- Stem AMT Femoral Stems
Stainless steel Ortron 90, highly polished, triple taper
DP550
C- Stem Long Femoral Stem
DP557
Duraloc Acetabular Shell with HA
Stainless steel Ortron 90, highly polished, triple
taper, long stem
Titanium, beaded, Duofix,HA, with or without holes
Size 1-8 standard, Size 1-8 High Offset, CDH and 0A
to 3A sizes
Size 4-8 x 200-240 mm length
DP575
C-Stem End Cap
DP584
Size 8- 20
PLA Centraliser
End Cap Biostop Restrictor (Gelatin, Glycerol,
PHBM, water)
Poly Lactic Acid+D108 Centraliser
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Group, Product Sub-Group.
9-20mm
Changed Product Group, Product Sub-Group.
DP592
DP597
DP605
DP627
DP650
DP655
DP668
DP689
DP761
DP859
DP864
DP879
DP931
DP943
Small / Large Fragment Set
Small / Large Fragment Set
Small / Large Fragment Set
Small / Large Fragment Set
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Songer Cable System - Stainless Steel
Songer Cable System - Titanium
Barouk System Staples
Small / Large Fragment Set
Corail Femoral Stem
Cannulated Cancellous Lag Screw Titanium
Solid Cortical Screw Titanium
Cancellous Lag Screw Titanium
Solid Cancellous Screw Titanium
Cortical Screw - Stainless Steel
Cortical Self Tapping Screw
CHS Lag Screw Stainless Steel
Condylar Plate & Mini Condylar Plate
Cancellous Screw
Isola Single Cable & Crimp (Pkt 6)
Isola Single Cable & Crimp (Pkt 6)
Memory Staple - Titanium Alloy
Solid Cortical Screw Titanium
Titanium, grit blast, full HA coating,
6.5 - 8mm or 22 mm threaded screw
3.5 - 6.5mm; 10 - 120mm Length
4.8 - 6.5mm
4mm or 5mm Dia 10-76 mm Length
1.5 - 4mm x 22 - 44mm Length
3.5 - 6.5mm; 6 - 110mm Length
Length 50-145mm
All sizes
4mm Dia and 10 - 30 Length
One size only
One size only
12-20mm Long
6.5mm x 40 - 100mm
Size K6 to K20 or in lengths 110 -190mm
DP944
DePuy Acetabular Bone Screws
Titanium, cancellous screws
5.5 & 6.5mm Diameter length 15-80mm
Changed Size.
Changed Size.
Changed Size.
Changed Size.
Changed Size.
Changed Size.
Changed Description.
Changed Size.
Changed Size.
Amended benefit
Amended benefit
Changed Size.
Changed Product Name.
Changed Product Name, Description, Suffix.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
DP945
Octopus Acetabular Reconstruction Shell
Size 50, 55mm
Changed Product Name, Description.
Amended benefit.
DP946
Octopus UHMWPE Liner
22.2, 28 and 32mm Size 55, 50
DP948
Octopus Reconstruction Ring
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
DP958
DP968
Delta Shoulder system
SROM Acetabular UHMWPE Liner
Titanium, grit blast, HA coating, rimmed, used in
conjunction with Octopus Outer Reconstruction Ring
(DP948)
UHMWPE liner used with Octopus Acetabular
Reconstruction Shell (DP945)
Titanium ring with proximal flanges & distal hook,
used in conjunction with Acetabular Reconstruction
shell (DP945)
Humeral Cup Laterilised Polyethylene
UHMWPE
Changed Items for Prostheses List Report
Inner 36-70
Size 50-55mm
36 - 42mm in +0 to +9/STD/LAT/STD Retentive
22 or 26 or 28 or 32mm inner diameter and 36-76mm
outer diameter
Changed Size.
Changed Product Name, Description, Size.
Amended benefit.
Page 44 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DP969
SROM Acetabular Constrained UHMWPE Liner
UHMWPE Constrained liner includes locking ring
0Deg, 10 Deg, 28mm, 32mm,
DP975
SROM Oblong Acetabular Shell
Titanium, beaded, non HA, double bubble
28mm & 32mm size 51+E15N - 66+E15N
DP976
SROM Acetabular Insert Locking Pin
Titanium pin provided seperately from insert
3.5mm - 5.0mm
DP981
SROM ZTHA Femoral Sleeve
Titanium, grit blasted with HA, (proximal femoral
Small / Large /XX Large size 14B-24F
DP982
SROM ZTT Femoral Sleeve
Titanium, beaded without HA, proximal femoral cone
Small / Large / XX large size 14B-24F
DP986
SROM Trochanteric Washer
40 x 31, 60 x 45, 70 x 54
DP998
DePuy Acetabular Apical Plugs
DY020
SROM Trochanteric Washer Screw
Titanium, fixation with separate screw (DY020) to
calcar replacing SROM Femoral Stem
Titanium, apical hole plug for Duraloc, Pinnacle &
SROM Acetabular shells
Titanium, attaches washer to calcar replacement stem
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Group, Product Sub-Group, Suffix.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group, Suffix.
Changed Product Name, Description, Product
Sub-Group, Suffix.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
DY021
Ultima & Ultamet Acetabular Metal Liner
28-44mm inner diameter,44-66mm outer diameter
DY026
Elite Unipolar Femoral Head
CoCr, Metal on metal liners used with SROM &
Pinnacle Acetabular shells
CoCr unipolar head
DY031
Duraloc Option Acetabular Shell
Titanium, beaded with HA (duofix)
46-66 mm
DY034
Duraloc Option Acetabular Shell Ceramic Insert
Ceramic, Biolox Forte
46-66 mm
DY036
UHMWPE, highly cross linked,
Sizes 36-76mm
DY064
Duraloc Marathon Acetabular UHMWPE Cross
Linked Liner
Protrusio Acetabular Reconstruction Cage
Size 52OD X 49ID, 56OD X 53ID, 60OD X 57ID
DY077
Apex Hole eliminator
Titanium, grit blast, proximal distal flange, left &
right sided
Hole eliminator screw Titanium
DY082
DY083
DY098
Agility LP Ankle System
Agility LP Ankle System
Moss Miami (Titanium)
Agility Ankle Tibial Shell Right and Left
Agility Ankle Tibial Insert
Pin Nut
Size 1-6
Size 1-6
One size only
DY123
DY124
DY125
DY134
VSP System (Stainless Steel)
VSP System (Stainless Steel)
VSP System (Stainless Steel)
Summit Femoral Stem
One-Two Slot
Two 1/2-Three 1/2 Slot
Four-Five Slot
Size 1-10
DY148
LCS Complete Knee System femoral component
VSP Bone Plate
VSP Bone Plate
VSP Bone Plate
Titanium, beaded proximally with HA, duofix distal
grit blast
Femoral component, cemented, CoCr, totally
constrained
Changed Items for Prostheses List Report
One size only
42mm, 52mm, 62mm
42 - 60 mm
One size only
Sizes small to large+
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Group, Product Sub-Group.
Changed Product Name.
Changed Product Name, Description.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Suffix.
Page 45 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DY149
LCS Complete Knee System femoral component
Size 1 - 6 including narrow sizesss small to large
Changed Size.
DY169
Ultima Acetabular Reconstruction Ring
Femoral component, uncemented, CoCr, beaded
(Porocoat), totally constrained
Titanium, acetabular reconstruction cage with
proximal rim
40 - 70mm
DY187
DY188
DY189
Limb Preservation System
Limb Preservation System
Limb Preservation System
Neutral, 15deg Left & Right in both styles
XX Small and X Small
11mm - 17mm diameter x 150 - 200mm length
DY190
Limb Preservation System
DY191
DY192
DY193
Limb Preservation System
Limb Preservation System
Limb Preservation System
DY194
Limb Preservation System
DY195
DY196
DY210
Limb Preservation System
Limb Preservation System
Pinnacle Acetabular Cross Linked UHMWPE Insert
Beaded, 'Porocoat' Standard & Trochanter
Distal Femoral Replacement Component Left/Right
LPS Diaphyseal Stem, Cemented, Bowed, with 2cm
Beaded Collar
LPS Diaphyseal Stem Fully Beaded, Bowed, with
2cm Beaded Collar
Total Femoral Segment Component (Male/Male)
Segmental Component (Male/Male)
LPS Diaphyseal Stem, Cemented, Straight, with 2cm
Beaded Collar
LPS Diaphyseal Stem Fully Beaded, Straight, with
2cm Beaded Collar
Tibial Replacement Component
Tibial Hinge Insert
UHMWPE, highly cross linked (Marathon)
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
Changed Description, Size.
Changed Size.
Changed Description, Size.
DY215
Pinnacle Femoral Head
CoCr , metal on metal,
28, 36, 40, 44, 48 mm
DY237
DY238
DY305
DY326
Ace External Fixator
Ace External Fixator
VSP System (Titanium)
Ace Trochanteric Nail
Ring, aluminium
Ring, composite
Sacral Connector - Left & Right Offset
Trochanteric Nails Sterile in Standard or Left or Right
DY328
ASR Acetabular Cup
DY329
ASR Taper Adaptor
DY330
ASR Large Femoral Head
CoCr beaded with HA, Resurfacing metal on metal
bearing surface.
Titanium taper adaptor for use with ASR Modular
head (DY330)
CoCr, large diameter, metal on metal
2/3 ring, Medium - Large
2/3 ring, medium - Large
One size only
125 - 130 deg, 9 - 11mm, 320 - 420mm, sterile and
non-sterile
44-70mm
DY331
ASR Resurfacing Femoral Head
CoCr, cemented, resurfacing femoral head
39-63mm
DY361
DY362
DY380
DY402
Conduit TCP
Conduit TCP
Versa Nail
Cathcart Unipolar Head
Conduit Blocks
Conduit Cylinder
TTC Fusion Nail Sterile
CoCr Unipolar Femoral head. Needs to be used with
DY403 Head Taper insert
10 x 10 x 10mm to 25 x 25 x 30mm
H8 - 20 x D10 - 20mm
10mm x 15cm up to 12mm x 30cm
41 to 60mm
Changed Items for Prostheses List Report
Porocoat 12.5mm - 18.5mm diameter x 150mm 200mm length
55 mm Length
25 to 125mm Length
9mm - 17mm diameter, 100 - 125mm length
Changed Description, Size.
Porocoat 10.5mm - 18.5mm diameter x 100mm 125mm length
XX Small - Med
XX Small - Large, 12 - 31mm
22-44mm inner diameter,36 - 80 mm outer diameter
Changed Description, Size.
9/10 or 11/13 or 12/14 taper
39-63mm
Changed Size.
Changed Description, Size.
Changed Description, Size.
Changed Size.
Changed Size.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Size.
Changed Size.
Amended benefit.
Changed Size.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Size.
Changed Size.
Changed Size.
Changed Product Name, Description.
Amended benefit.
Page 46 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
DY403
Cathcart Taper Insert
-3 to +10mm
DY404
PFC Sigma Knee System RPF femoral component
Changed Product Name, Description.
Amended benefit.
Changed Size.
DY409
DY424
Agility LP Ankle System
Proxima Femoral Stem
CoCr head taper insert for use with Unipolar Head
(DY402)
Femoral component, cemented, CoCr, high flex,
posterior stabilised
Wide Ankle Talus
Titanium, beaded with HA (duofix), metaphyseal stem
DY464
DePuy Delta Ceramic Femoral Head
Ceramic delta >32mm
>32mm
DY471
DY478
DY479
JJ091
JJ097
JJ098
PFC Sigma Knee System femoral component
Uniplate ACP System
Uniplate ACP System
Mini Quick Anchor with Orthocord
Fastin RC Anchor System
Panalok RC Anchor System
Size 1-6 including narrow sizes
12-18mm
12-18mm
Anchor with Orthocord and Multiple size needles
5 & 6.5mm
2.9 x 11.0mm
Changed Size.
Amended benefit
Amended benefit
Changed Product Name, Description, Size.
Changed Product Name, Size.
Changed Product Name, Description.
JJ099
Panalok Anchor System
4.1 x 6.0mm
Changed Product Name, Description.
JJ231
JJ421
JJ422
JJ427
JJ431
JJ457
Bioknotless Anchor System
MicroFix Anchor with Orthocord
MiniLok Quick Anchor with Orthocord
Lupine Loop Anchor System
Lupine Loop Anchor System
Spiralok Anchor System
Dia 3.9mm, length 9mm
Anchor with Orthocord with multiple size needles
Anchor with Orthocord and Multiple size needles
Dia 3.9mm Length 9mm
Dia 3.9mm Length 9mm
5mm, 6.5mm
Changed Product Name, Description.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
JJ458
Spiralok Anchor System
5mm, 6.5mm
Changed Product Name, Description, Size.
JJ460
Spiralok Anchor System
5 & 6.5mm
Changed Product Name, Description, Size.
JJ471
Spiralok Anchor System
6 & 6.5mm
Changed Product Name, Description, Size.
JJ472
JJ473
BioKnotless Anchor System
BioIntrafix Tibial Soft Tissue Fastener
Dia 3.9mm Length 9mm
6 to 10mm by length 30mm
Changed Product Name, Description, Size.
Changed Product Name, Size.
JJ483
Spiralok Anchor System
5mm, 6.5mm
Changed Product Name, Description.
JJ512
JJ513
JJ514
Skyline Cervical Plate System
Skyline Cervical Plate System
Skyline Cervical Plate System
Femoral component, cemented, CoCr
Rescue Screw
Primary Screw
Anchor with Orthocord
Titanium Anchor, with various sutures
Polylactic acid absorbable anchor with absorbable and
non-absorbable suture
Polylactic acid absorbable anchor with absorbable and
non-absorbable suture
PLA absorbable material with various sutures
Anchor with suture
Anchor with Orthocord
PLLA with various sutures
PLLA with various sutures
Spiralok Absorbable PLA Anchor with absorbable
suture with needles
Spiralok Absorbable PLA Anchor with nonabsorbable suture without needles
Spiralok Absorbable PLA Anchor with nonabsorbable suture with needles
Spiralok Absorbable PLA Anchor with absorbable
suture without needles
PLA absorbable material with various sutures
Absorbable composite (TCP/PLA) fixation device
(screw) used in conjunction with a sheath for the
repair of ACL Soft Tissue Graft
Spiralok Absorbable PLA Anchor with nonabsorbable suture with or without needles
Skyline anterior cervical screw, titanium
Skyline anterior cervical screw. Titanium
Skyline anterior cervical screw. Titanium
Self drilling 3.8mm, 10-18mm
Self tapping 3.8mm, 10-26mm
Self Tapping 4.3mm, 10-18mm
Amended benefit
Changed Size.Amended benefit.
Amended benefit
Changed Items for Prostheses List Report
Size 1-6 including narrow sizes
1 to 6
Size 1 to 8
Changed Product Name.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
Page 47 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
JJ515
JJ519
JJ523
JJ524
JJ525
JJ526
JJ527
JJ528
JJ529
JJ530
JJ531
JJ551
JJ552
JJ573
Skyline Cervical Plate System
AEGIS ALP
VIPER Spine System
VIPER Spine System
Eagle/Eagle Plus Anterior Cervical Plate
Eagle/Eagle Plus Anterior Cervical Plate
Eagle/Eagle Plus Anterior Cervical Plate
Eagle/Eagle Plus Anterior Cervical Plate
Eagle/Eagle Plus Anterior Cervical Plate
Eagle/Eagle Plus Anterior Cervical Plate
Eagle/Eagle Plus Anterior Cervical Plate
DELTA Xtend
DELTA Xtend
Summit Cemented Femoral Stem
Skyline anterior cervical screw. Titanium
AEGIS ALP Bone Screws, Titanium
Viper Pre-lordosed Rod, Titanium
Viper Single Innie Set Screw
Anterior Cervical Plate
Anterior Cervical Plate
Anterior Cervical Plate
Cervical Screw Titanium
Cervical Screw Titanium
Cervical Screw Titanium
Cervical Screw Titanium
Modular Centered Epiphysis HA coated
Modular Eccentric Epiphysis Size 1 Right HA coated
CoCr, tapered, unpolished
Bi-cortical 10-18mm
4mm x 24-36mm
35 - 70mm
One size
1 Level, 12 - 26mm
2 Level, Size 28 - 42mm
3 Level, 42 - 60mm
Self Drilling 3.8mm 10 - 18mm
Self-Tapping 3.8mm 10-18mm
Self Tapping 4.3mm 10 - 18mm
Self drilling 4.3mm 10 - 18mm
1+2
1 + 2 Left + Right
Sizes 0-10, with various offsets
JJ574
ASR XLAnatomic Femoral Head
39-63
JJ575
ASR XLAnatomic Eccentric Taper Insert
CoCr, metal on metal, large diameter with large offset
taper, used with XLAnatomic sleeve (JJ575)
Titanium, eccentric, taper insert
JJ588
Femoral Intrafix System
7 to 10mm
JJ604
Tri-lock Femoral Stem
Screw and Sheath Fixation System for the Femur in
ACL repairs
Titanium, proximally beaded, (porocoat) not HA,
Amended benefit
Amended benefit
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Changed Description.
Changed Description.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Size.
JJ605
ASR Tri-Spike Resurfacing Acetabular Cup
44 - 70mm
JJ610
Global AP Shoulder
CoCr, beaded, with HA, (duofix) & 3 additional
spikes for fixation
Humeral Stem
JJ622
Distal Radius Fracture Repair System
JJ624
JJ625
JJ626
JJ627
JJ628
JJ633
JJ651
JJ653
JJ657
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
ASR PLUS Cup - ASR Hip System
Pinnacle Hip System - Gription Cup
Single Hole Staple - Expedium Anterior Spine System
Changed Items for Prostheses List Report
Locking peg, threaded, partly threaded, smooth,
titanium/cobalt chrome
S3 Shoulder Plate
S3 Shoulder Plate, Titanium
S3 Shoulder Plate, Titanium
Peg, Standard Stainless Steel
Peg, Threaded Stainless Steel
Set Screw, 90 Deg Locking
Acetabular Cup
Acetabular implant for use with the pinnacle hip
Single Hole Staple - Titanium
-3.5 to +15.5
Sizes 0-10 with various offsets
Humeral Stem 6mm, 8mm, 10mm, 12mm, 14mm,
16mm
2.5mm x 14-30mm
3 Hole, Left & Right & 4 Hole, Left & Right
6 - 8 Hole, Left & Right
11 - 14 Hole, Left & Right
4mm x 20mm - 65mm
4mm x 20mm - 65mm
One size
42-70mm
38 - 80mm in outer diameter
One Size Only
Changed Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Size.
Changed Description.
Changed Description.
Changed Size.
Changed Size.
Changed Size.
Changed Size.
Changed Description.
Amended benefit.
Amended benefit.
Amended benefit.
Page 48 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
Urogenital
JJ434
GYNECARE GYNEMESH* PS
Gynecare Gynemesh* PS is a non-absorbable Prolene
soft mesh indicated for tissue reinforcement and long
lasting stabilisation of fascial structures of the pelvic
floor in vaginal wall prolapse. Gynemesh PS* is
constructed of knitted filaments of extruded
polypropylene identical in composition to Prolene*
polypropylene suture. It is packaged sterile, one 10 x
15cm piece per box.
10cm x 15cm
Changed Product Group, Product Sub-Group,
Suffix.Amended benefit.
JJ459
GYNECARE GYNEMESH* PS
Gynecare Gynemesh* PS is a non-absorbable Prolene
soft mesh indicated for tissue reinforcement and long
lasting stabilisation of fascial structures of the pelvic
floor in vaginal wall prolapse. Gynemesh PS* is
constructed of knitted filaments of extruded
polypropylene identical in composition to Prolene*
polypropylene suture. It is packaged sterile, one 25 x
25cm piece per box.
25cm x 25cm
Changed Product Group, Product Sub-Group.
Amended benefit.
Palmaz Genesis Peripheral Stent and Delivery
System on Slalom
SMART Control Peripheral Stent System
Stainless steel balloon expandable stent mounted on a
slalom balloon
SMART Control is a laser cut nitinol self expanding
stent, used to treat peripheral vessel disease.
Peripheral balloon expandable stent and rapid
exchange delivery system
Long 150mm stent, 6F compatible
Diameter 3-8mm, length 12-39mm
Changed Size.
Dia 6 – 14mm; Length 20 – 100mm
Changed Size.
Lengths: 12, 15, 18, 24mm. Diameter: 4, 4.5, 5, 5.5,
6, 6.5, 7mm
6-8mm diameter, 150mm length, 120cm delivery
Amended benefit.
Saddle Set Screw for Base Component
Cobal Chrome, unpolished and long
UHMWPE acetabular Insert unmodified
Stem
UHMPE unmodified
Prosthesis Head "B" CoCrMo
Prosthesis Head "A" Biolox forte Ceramic
Fixation Screws, for Obturator Foramen, including
screw lock
Titanium, grit blast, HA
UHMWPE acetabular Insert unmodified
Titanium, grit blast, HA
Titanium, grit blast, non HA
One size only
170mm / Sizes 01-5
45 - 55 mm
Left & right 01-5
40 - 58mm
Short/medium-short/medium/Long
Short/medium - short /medium
20mm - 35mm; four (4) sizes
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
40 - 68mm
40 - 68mm
Extra small to Extra Large
9 Stem sizes 1-9 plus additional 9 stems with XL
neck length. Total 18 sizes
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Vascular
JJ304
JJ419
JJ479
JJ617
PALMAZ GENESIS on CORDIS AMIIA RX .014
Delivery System
SMART Nitinol Stent System
Changed Size.
Link Orthopaedics Australia
Orthopaedic
LO011
LO012
LO014
LO015
LO018
LO022
LO023
LO031
LINK Endo - Model Saddle Prosthesis
LINK Endo - Model Saddle Prosthesis
Link McMinn Acetabular insert
LINK Lubinus SPII Hip Prosthesis
LINK IP Acetabular Cup
Link Prosthesis Femoral Head
Link Prosthesis Femoral Head
LINK Endo-Model Partial Pelvis Replacement
LO032
LO033
LO034
LO107
Link acetabular cup system
Link aceta bular Insert
CFP Hip Stem
Beta-Cone Cementless Hip Prosthesis
Changed Items for Prostheses List Report
Page 49 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
LO111
Beta-Cone Cementless Hip Prosthesis
Titanium, grit blast, with HA
Amended benefit.
LO134
LO135
LO140
LO141
LO146
Waldemar Link MP Reconstruction Hip Prosthesis
Waldemar Link MP Reconstruction Hip Prosthesis
Link Body
Link MP reconstruction hip prostheses
CFP Hip Stem
Link body, Titanium, grit blast, non HA
Titanium, grit blast, HA
Titanium, grit blast, non HA
Titanium, grit blast, HA
Titanium, grit blast, non HA
9 Stem sizes 1-9 plus additional 9 stems with XL
neck length. Total 18 Sizes
35-65mm IN 126 & 135 degrees
35-65mm IN 126 & 135 degrees
35 - 65mm
38 & 58 mm
Extra small to Extra Large
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
LSS Surgical Pty Limited
Neurosurgical
LS001
LS002
LS003
LS004
LS005
LS006
SAS Spinal Advanced System
Solas Spinal System
Solas Spinal System
Solas Spinal System
Solas Spinal System
Solas Spinal System
Peek-Optima Lumbar Cage
Traverse Link Assembly
Set Screw
Rod
Monoaxial Pedicle
Polyaxial Pedicle
9mm t 15mm
30mm - 120mm
One Size
40 - 400mm
4 x 25mm to 8 x 55mm
4 x 30mm to 8 x 55mm
LS008
LS009
LS010
Solas Spinal System
Anatomix Cervical Cage System
Anatomix Cervical Plate System
Small to Large
Size 5 to 10
Level 1 to 3,22mm to 82mm
LS011
Anatomix Cervical Plate System
12-20mm
Amended benefit
LS012
Anatomix Cervical Plate System
12-20mm
Amended benefit
LS013
DIVA Cervical PEEK Cage System
Axial/Lateral Connectors
Vue Radiolucent Implant
Titanium Anterior Cervical Plate System- Various
Size Plates
Titanium Anterior Cervical Plate System - 4mm SelfDrilling/Tapping Screw
Titanium Anterior Cervical Plate System - 4.35mm
Slef-Drilling/Tapping Screw
Cervical Cage PEEK
Amended benefit
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
LS014
LS015
SOCORE Spinal Spinal - Hooks, Pedicle/Laminar
SOCORE Spinal System - Pedicle Screws
Hooks, Pedicle/Laminar
Pedicle Screw- Polyaxial. Pedicle Screw - Reduction
Standard Cervical PEEK Cage Sizes 4 to 8. Small
Cervical PEEK Cage Sizes 4 to 7
Standard, Medium and Offset
Diameter 4mm 25mm to 40mm Length. Diameter
5mm 30mm to 50mm Length. Diameter 6mm 30mm
to 55mm length. Diameter 7mm 30mm to 50mm
Length. Diameter 8mm 40mm
LS016
SOCORE Spinal System - Crosslink
Crosslink
45mm, 55mm, 65mm
LS017
LS018
LS019
LS020
MATRIS Cervical Plate system
MATRIS Cervical Plate System
MATRIS Cervical Plate System
SOCORE Spinal System- Locking Screw
Cervical Plate
Cervical Screws
Cervical Screws
Locking Screw
20mm to 80mm
4mm 10mm to 24mm
4.5mm 12mm to 22mm
Standard & Mini
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Suffix.Amended benefit.
Changed Items for Prostheses List Report
Amended benefit.
Changed Suffix.
Amended benefit.
Page 50 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
LS021
SOCORE Spinal System - Monoaxial
Pedicle Screw - Monoaxial
Diameter 45mm 25mm to 40mm Length. Diameter
5mm 30mm to 50mm Length. Diameter 6mm 30mm
to 55mm Length. Diameter 7mm 30mm to 50mm
Length. Diameter 8mm 40mm
Amended benefit.
LS022
LS023
SOCORE Spinal System - Standard and Pre-Bent
DIVA PEEK Lumbar Cage
Standard and Pre-Bent Rod
PEEK Lumbar Cage Posterior & Anterior
Diameter 5.5mm 40mm to 500mm Length.
Posterior Cages 0, 4 & 8 degrees Length 20mm &
25mm T8 to T14. Anterior Cages 4 & 8 degrees T9
to T16
Amended benefit.
Amended benefit
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Group, Product Sub-Group.
Mathys Orthopaedics Pty Ltd
Orthopaedic
MA016
CCA Cemented Femoral Stem
CoCr, straight, not polished
7.50mm -17.5mm
MA017
FULFIX Cemented Femoral Stem
CoCr, tapered, not polished
3.0mm - 12.5mm
MA018
Intramedullary Plug
Cement Restricter
Small to Extra Large
MA019
CBC Non Cemented Femoral Stem
Titanium, grit blast, non HA,
5-20mm
MA020
Mathys Ceramic Femoral Head
Ceramic, Bionit (alumina)
diameter 28-32mm
MA023
RM Classic Acetabular Cup, Metal on Metal
46mm - 68mm
MA024
CCE Acetabular Reinforcing Ring
MA025
MA026
Mathys Bipolar Femoral Head
Distal Centraliser
Titanium with lugs and CoCr bonded bearing surface
plus UHMWPE sandwich
Titanium, grit blast, acetabular reconstruction cage
with proximal rim
Stainless steel with fixed UHMWPE insert
For fullfix stem - PMMA
MA027
CCB Cemented UHMWPE Cup
UHMWPE, low & full profile
28/32 ID - 42/64 OD
MA028
Mathys Stainless Steel Femoral Heads
Stainless Steel,
22-32mm
MA029
Metamys Metal on Metal Femoral Head
CoCr, metal on metal
28mm, 32mm, 36mm
MA031
RM Classic Acetabular Cup
Titanium with lugs bonded bearing surface
46mm - 68mm
MA032
CCE Acetabular Reinforcing Ring Screws
Titanium, cancellous screws
varying lengths
MA419
SeleXys Acetabular UHMWPE Liner
UHMWPE
44mm-72mm
MA420
SeleXys Acetabular Screws
Titanium, cancellous screws
varying lengths & diameters
Changed Items for Prostheses List Report
Dia 42 - 58mm
28mm Inner diameter, 42-58mm outer diameter
Dia 8.0/9.5mm - 15/12mm
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Changed Product Group, Product Sub-Group.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Page 51 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MA421
SeleXys Acetabular Bionit Ceramic Liner
Bionit ceramic (alumina)
44-72mm
MA424
GSS-CO Non Cemented Femoral Stem
Titanium, proximal plasma, non HA
Sizes 1-7; Length 145-200mm
MA427
CBH Non Cemented Femoral Stem
Titanium, grit blast, non HA,
00-12
MA428
CBK Long Femoral Stem
Titanium, grit blast, fluted, long, tapered
All >200mm, various diameters
MA439
ExpanSys Acetabular Shell
Titanium, grit blast, leafed shell with stippling, non HA
acetabular shell/cup 44-72mm range
MA440
ExpanSys Acetabular UHMWPE Liner
UHMWPE
46-70mm range
MA441
ExpanSys Acetabular Metal Liner
CoCr, metal on metal with UHMWPE sandwich
MA462
twinSys Non Cemented Femoral Stem
Titanium, grit blast, fully HA
Metal on metal inlay 28mm i.d. 44 - 70mm o.d.,
32mm i.d. 52 - 56mm o.d., 36mm i.d. 58 - 70mm o.d.
Various offsets and sizes under 200mm length
MA463
twinSys Cemented Femoral Stem
stainless steel, highly polished, triple tapered
MA467
Mathys Unipolar Femoral Head
Stainless steel, unipolar head
8 sizes in standard and lateral version (Size 9, 10, 11,
12, 13, 14, 15, 16)
42 mm - 58mm
MA468
Mathys Ceramic Large Femoral Head
Ceramic, Bionit (alumina)
36mm (S,M,L,XL,XXL)
MA469
Mathys CoCr Femoral Head
Hip Prosthesis Femoral Head CoCrMo ≤32mm
28 mm & 32mm, (S,M,L,XL,XXL)
MA470
Mathys Unipolar Ceramic Femoral Head
Ceramic, Bionit (alumina)
42-54mm
MA471
RM Acetabular Dowel Screws
Titanium, cancellous screws
varying lengths
MA472
MA473
RM Pressfit Cup
RM Pressfit Acetabular Cup, Metal on Metal
46-64mm
46-64mm
MA474
Cemira Cemented Femoral Stem
Titanium bonded bearing surface UHMWPE
Titanium and CoCr bonded bearing surface plus
UHMWPE sandwich
Stainless steel, highly polished, triple taper
MA475
twinSys Non Cemented Long Femoral Stem
Titanium, grit blast, fully HA, long
Various offsets and sizes > 200mm length (14 & 15)
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
Changed Description, Size.Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
MA476
Ceramys Revision Head Taper Sleeve
Titanium, taper sleeve supplied seperately but used
with Ceramys revision heads
S, M, L, XL
MA482
Ceramys Ceramic Femoral Head
Ceramic, zirconia alumina combination
28 L, 28 M, 28 S, 32 L, 32 M, 32 S
Changed Items for Prostheses List Report
Various offsets and sizes
Changed Product Name, Description, Size,
Product Sub-Group.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Page 52 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MA483
Ceramys Large Ceramic Femoral Head
36 L, 36 M, 36 S
MA484
Ceramys Ceramic Revision Femoral Head
MA485
Ceramys Large Ceramic Revision Femoral Head
Ceramic, zirconia alumina combination, large
diameters
Ceramic, zirconia alumina combination, with titanium
taper sleeve, supplied seperately
Ceramic, zirconia alumina combination, large
diameters, with titanium taper sleeve, supplied
seperately
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
MA486
SeleXys Acetabular Ceramys Ceramic Liner
Ceramys ceramic (zirconia & alumina combination)
28/AA, 28/BB, 28/CC, 28/DD, 32/CC, 32DD, 32/EE,
32/FF,36/EE, 36/FF, 36/GG, 386HH,36/II, 36/JJ,
36/KK, /36/LL
Changed Product Name, Description, Product
Sub-Group.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
28 L, 28 M, 28 S, 28 XL, 32 L, 32 M, 32 S, 32 XL,
28, 32
36 L, 36 M, 36 S, 36 XL, 36
Medacta Australia Pty Ltd
Orthopaedic
MU001
CONE Cemented Femoral Stem
CoCr, highly polished, triple taper
Standard sizes 1 to 8, Lateralized sizes 2 to 7
MU002
CONE Femoral Stem Distal centraliser
PMMA
10mm to 18mm
MU003
Quadra Hip Femoral Stem
Titanium, grit blast, fully HA,
Std 0 to 8 Lat 1 to 7
MU004
Quadra Hip Cemented Femoral Stem
0 to 7
MU005
Quadra Hip Femoral Head
High nitrogen stainless steel alloy, highly polished,
double taper
CoCr,
MU006
Quadra Hip Ceramic Femoral Head
Ceramic, Biolox Forte
Dia 28mm (S,M,L) 32mm (S,M,L)
MU007
Quadra Hip Large Ceramic Femoral Head
Ceramic, Biolox Forte, larger
36mm (S,M,L)
MU008
Versafitcup Acetabular Shell
Titanium, plasma spray, with HA, variable holes
48 to 64
MU010
Versafitcup UHMWPE Liner
UHMWPE
MU012
Versafitcup Ceramic Insert
Ceramic, Biolox Forte
MU013
Versafitcup Delta Ceramic Insert
Ceramic, Delta
Head dia 28mm (48 to 64) or 32mm (54 to 64),
hooded & neutral
Head dia 28mm (48 to 64) or 32mm (52 to 64) or
36mm (54 to 64)
32mm (48 to 50) or 36mm (54 to 64)
MU014
Versafitcup Acetabular Screws
Titanium, cancellous screws
6.5 L 25-30-35-40-45mm
MU015
Versafitcup Attachable Proximal Flange
Stainless Steel attachable flange/lug with screw
4.5 L 35-40-45-50-55mm
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
MU016
Versafitcup Attachable Obturator Hook
Stainless Steel Obturator Hook
.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Items for Prostheses List Report
Dia 28mm, (S to XXL) or 32mm (S to XXL)
Page 53 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MU017
Versafitcup Acetabular Apical Plug
Titanium Plug
.
MU018
Medacta Unipolar Head
Stainless steel, solid head
Size 40-56mm with variable offsets
MU019
Highly Crosslinked UHMWPE
Internal diameter 28,32 & 36, neutral & hooded
MU021
Versafitcup Acetabular Highly Crosslinked
UHMWPE Liner
Medacta Bipolar Head
Stainless Steel, with UHMWPE insert
MU022
Versafitcup Dual Mobility Acetabular Shell
Stainless steel, with titanium plasma coating and HA,
and polished inner surface for dual articulation
For ballhead diameter 28mm42,44,46,48,50,52,54,56 mm. For ballhead diameter
22.2mm - 39,40,41,42,43,44,45,46,48,50,52mm
from diameter 46mm to 64mm in 2mm increments
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
MU023
Versafitcup UHMWPE Liner
MU024
Versafitcup UHMWPE Constrained Liner
MU025
Quadra S Femoral Stem
Fixed UHMWPE Liner for Versafitcup Dual
Mobility Acetabular Shell
UHMWPE Constrained Liner for Versafitcup Dual
Mobility Acetabular Shell
Titanium, grit blast, non HA,
MU054
MU055
MU056
ROMAX Resurfacing Femoral Head
ROMAX Acetabular Cup
ROMAX Resurfacing System - Large Femoral Head
Adaptor
ROMAX Resurfacing System - Large Femoral Head
Quadra-R Hip Revision Stem
Cemented resurfacing femoral head
Cementless Acetabular Cup, HA coated
Adaptor necessary to combine the ROMAX large
femoral head with a MEDACTA hip stem
Large femoral head for metal-metal articulation
Uncemented revision stem, HA Coated
MU057
MU058
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
For head diameter 22.2mm sizes 46 - 48mm ; for
head diameter 28mm sizes 48 - 64mm
For head diameter 22mm sizes 46 - 64mm. For had
diameter 28mm sizes 48 - 64mm.
Standard #0 to #10 and #0 to #3 with a shorter neck.
Lateralized #1 to #7 and #1 to #3 with a shorter neck.
From diameter 38-60mm, every 2mm
From diameter 44-66mm, every 2mm
Adaptor 12/14: size S, size M, size L and size XL
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
From diameter 38mm to diameter 60mm, every 2mm
From size 0 to size 9`
Amended benefit.
Amended benefit.
Distal radius plate, titanium
Volar, Dorsal, Distal Ulna, Standard, Long, Extra
long, wide, narrow, left, right, extra-articular
Changed Size.
Silicone with holes for fixation 3230
5-38cc
Amended benefit.
Ambulatory Insulin Infusion Pump
Deltec Cozmo Insulin Pump - each
Amended benefit
Plastic/magnetic. Programmable valve. Programmer
kit and shunts kit.
3, 8 settings
Changed Product Group, Product Sub-Group,
Suffix.
Medical & Optical Instruments Australia Pty Ltd
Orthopaedic
MO257
Acu-Loc Distal Radius Plate System
Medical Device Alliance Pty Ltd
Plastic and Reconstructive
MP015
Testicular Implant
Medical Specialties Australia Pty Ltd
General/Miscellaneous
MS031
Medical Specialties "Deltec Cozmo Insulin Pump"
Neurosurgical
MS003
Sterile Hydrocephalic Shunts
Changed Items for Prostheses List Report
Page 54 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
Helical Stretch Resistant - 2mm x 1cm - 10mm x 30cm
Helical - 2mm x 2cm - 10mm x 30cm
Helical Soft Stretch Resistant - 2mm x 1cm - 4mm x
8cm
Spherical - 2mm x 2.5cm - 19mm x 30cm
Straight - 4mm x 10cm - 6mm x 30cm
Helical Cerecyte - 2mm x 2cm - 10mm x 30cm
Helical Soft Stretch Resistant Cerecyte - 2mm x 1cm
- 4mm x 8cm
Spherical Cerecyte - 2mm x 2.5cm - 19mm x 30cm
11.5-50cm (length)
Changed Product Group.
Changed Product Group.
Changed Product Group.
2.5 cm - 30 cm (length)
Changed Product Group.
Diameter 2.0mm-5.0mm, length 8mm-40mm
Changed Product Group, Product Sub-Group.
Medtel Australia Pty Ltd
Neurosurgical
ME070
ME085
ME086
Micrus ACT Platinum Microcoil Delivery System
Micrus ACT Platinum Microcoil Delivery System
Micrus ACT Platinum Microcoil Delivery System
Platinum Coil
Platinum Coil
Platinum Coil
ME087
ME088
ME133
ME134
Micrus ACT Platinum Microcoil Delivery System
Micrus ACT Platinum Microcoil Delivery System
Micrus ACT Platinum Microcoil Delivery System
Micrus ACT Platinum Microcoil Delivery System
Platinum Coil
Platinum Coil
Cerecyte
Cerecyte
ME135
ME183
Micrus ACT Platinum Microcoil Delivery System
Micrus Presidio Microcoil
ME184
Micrus Cashmere Microcoil
ME185
Pharos Neurovascular Stent
Cerecyte
Sterile, single use, embolic coil used for the treatment
of cerebral aneurysms
Sterile, single use, embolic coil used for the treatment
of cerebral aneurysms
Balloon expandable stent for treatment of intracranial
artery stenosis and aneurysm
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group.
Changed Product Group.
Medtronic Australasia Pty Ltd
Cardio-thoracic
MC036
Medtronic Lead End Cap Kit Model: 5867-3M;
Medtronic DF-1 Port Pin Plug Kit: Model 6719,
Medtronic IS-1 Port Pin Plug Kit: Model 6725;
Medtronic Upsizing Sleeve: Model 5866-45, Model
5866-46
Pin Plug Kits to Seal Unused Pacemaker or
Defibrillator Port; Sizing Sleeve - Silicone or
Polyurethane
One Size Per Model
Changed Product Name, Description, Size.
MC778
Oscor Adaptor
Adaptor for LV-1 lead to unipolar and bipolar IS-1
10cm, 17cm and 40cm
Changed Description.
Titanium, polyurethane
One size only
MC061
Kinetra Dual Channel Implantable Pulse Generator
Model 7428
Medtronic IsoMed Drug Infusion Pump.
Models 8472-20-03, 8472-20-05, 8472-20-10, 847220-15. Models 8472-35-05, 8472-35-10, 8472-03515. Titanium
20ml, 35ml
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
MC063
Medtronic IsoMed Drug Infusion Pump
Models 8472-60-10, 8472-60-20, 8472-60-05, 847260-25, 8472-60-30, l 8472-60-35, 8472-60-15, l
8472-60-40 titanium
60 ml
Changed Product Group, Product Sub-Group.
MC064
Implantable Drug Pump Accessories
8590-8, 8590-9 - Synchromed catheter accessory kit Radiopaque silicone, 8590RAC - Right angled
connector - Titanium, polyurethane, 8591-38, 869160, 8590-41 Tunnelling rods - Stainless Steel, 8575
Synchromed connector (40 degree) with catheter
20cm; one size only; 38-60cm
Changed Description, Product Group, Product
Sub-Group.
Neurosurgical
MC001
Changed Items for Prostheses List Report
Page 55 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
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 Description, Product Group, Suffix.
MC102
Medtronic Single Octad Lead Kit
33cm
MC135
Medtronic Australasia, Specify Lead Model 3998,
Active Implantable Stimulators & Ancillary
Medtronic A/Asia, Synergy Dual Channel
Implantable Pulse Generator Model 7427, Active
Implantable Stimulators.
Soletra Model 7426 Neurostimulator
Model 3898. Materials -Silicone Rubber,
Platinum/Iridium
DCI - Leads: Specify Lead Model 3998. (dual lead)
Materials - Silicone Rubber, Platinum/Iridium
DCI - Pulse Generator: Synergy Dual Channel
Implantable Pulse Generator Model 7427. Materials Titanium
Sterility - Ethylene Oxide. Neurostimualtor
comprised of electronic circuitry and a battery, which
are hermatically sealed in a titanium case
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
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
MC137
MC228
18cm x 1
One size only
One size only
Changed Product Group, Product Sub-Group,
Suffix.
28 - 40cm
Changed Product Group, Product Sub-Group,
Suffix.
Hand held device Models 7434 & 7435 to be used
with Itrel III and Synergy Implantable Pulse
Handheld device used with the Kinetra and Soletra
Implantable Pulse Generators
Occipital Plate
Occipital Buttons
Pre - curved rod
Occipital Screws
Boomerang
TiMesh LP
One size only
Changed Product Group, Product Sub-Group.
One size only
Changed Product Group.
24 - 40 mm length
Bolt 6 - 30 mm Length
150 - 300 mm length
3.0 - 5.0 mm diameter, 4 - 30 mm length
Width 25 - 36 mm, Height 6 - 18 mm
Open Door (OD) Plate
Amended benefit
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Suffix.
Amended benefit.
Changed Product Name, Product Group.
MC244
Medtronic Australasia DBS Lead Model 3389,
Medtronic quadripolar Itrel II- 7424DBS, Active
Implantable Stimulator & Ancillary Equipment
MC247
Patient Activators
MC249
Access Therapy Controller
MC293
MC294
MC295
MC296
MC297
MC299
Vertex Spinal System
Vertex Spinal System
Vertex Spinal System
Vertex Spinal System
Verte-Stack
Centerpiece
MC305
Silicone Rubber
25, 40, 51, 66, 95cm
MC307
Low Profile Impedance Extension Kit for DBS
Model 7482
Vertex Spinal System
Occipital Buttons
Nut 12mm Diameter
MC308
Centerpiece
TiMesh LP
Open Door Graft (GP) Plate
MC309
Centerpiece
TiMesh LP
French Door (FD) Plate
MC310
MC313
Centerpiece
Synchro Med II Pump
Screw
20 ml & 40 ml
MC315
Low Profile Impedance Extension Kit for SCS Model
7489
TiMesh LP
Model No's 8637-20 & 8637-40, Composition Titanium
Silicone rubber
Changed Items for Prostheses List Report
10, 25, 40, 51, 66cm
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group,
Suffix.
Page 56 of 94
Billing
Product Name
MC316
MC346
MC361
Personal Therapy Manager Model 8832
Venture Anterior Cervical Plate
2X4 Hinged Surgical Lead model 3999
MC376
MC377
MC378
MC379
MC382
MC384
MC394
Colorado Spinal System
Colorado Spinal System
Pyramesh
Pyramesh
Colorado Spinal System
Colorado 2
CD Horizon
MC396
MC397
TSRH Spinal Implant System
TSRH Spinal Implant System
MC399
TSRH Spinal Implant System
MC402
MC403
MC404
MC407
MC408
CD Horizon
Colorado Spinal System
CD Horizon
CD Horizon
CD Horizon
MC409
Further Description
Single or multi level plate, titanium alloy and Nitinol
Materials: silicone rubber, platinum-iridium,
polyurethane
Colorado 2 Connector
Colorado 2 Clamp
Titanium Surgical Mesh
Titanium Surgical Mesh
Colorado 2 Rod
Pedicle Screw
Set screw
Size
Explanation of Change
One Size Only
20mm - 50mm
30, 45 & 60cm
Changed Product Group, Product Sub-Group.
Amended benefit
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
For 5mm rod and 5.5mm rod
.
51 - 500mm
5 - 50mm
5.0mm and 5.5mm, length range 50 - 600mm
Diameter 5.5 - 7.5 Lengths 30 - 70mm
Each in one size
Diam 4.75 - 6.35mm, Length 25mm - 80cm
Large - small
CD Horizon
3D - Rod
3D - Hook, Offset, left, right, laminar, pedicle,
Stainless steel, Titanium
3D - Nut, Eyebolt locknot, locknut 1/2 inch, locking
screws, double hex, flush break, universal breakoff
Pedicle Screws
Colorado 2 Plate
Rod
Domino
Crosslink, Plate, Multi-span late, Offset plate,
Transverse links
Domino & Axial Connector
MC412
MC413
MC418
MC419
Cornerstone SRC Cage
Cornerstone Cage
Atlantis Anterior Cervical Plate
Atlantis Anterior Cervical Plate
Staple, Carbon composite
Sterile and Non-sterile
Plate
Plate
.
4, 5, 6, 7, 8, 9, 10mm
19.0mm - 47.5mm
50.0 - 60.0mm
MC420
Atlantis Anterior Cervical Plate
Plate
62.5 -
77.5mm
MC421
Atlantis Anterior Cervical Plate
Plate
80.0 -
95.0mm
MC422
Atlantis Anterior Cervical Plate
Plate
100.0 - 110.0mm
MC431
MC432
MC433
Colorado Spinal System
Colorado Spinal System
Colorado Spinal System
Staple
Sacral Plate
Ilio-Sacral Plate
One size only
Left/right
Left/right
Changed Items for Prostheses List Report
Each in one size
Diameter 5.5 - 7.5 Lengths 25 - 80mm
Range length 20 - 60mm
40mm to 600mm
3.2mm, 3.5mm, 4.5mm, 5,5mm, 6.35mm
60 - 200mm
4.5mm, 5.5mm and 6.35mm
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Description, Size.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Page 57 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MC434
MC435
Colorado Spinal System
Colorado Spinal System
Connector for Sacral & Ilio-Sacral Plate
Break off Nut
One size only
One size only
MC436
MC437
MC439
MC440
MC441
MC442
MC443
MC446
MC447
MC448
MC456
MC457
MC458
MC459
MC462
MC463
CD-Horizon
CD-Horizon
CD Horizon
CD Horizon
Atlas Cable System (SS)
Atlas Cable System (SS)
Atlas Cable System (SS)
Atlas Cable System (Ti)
UCSS
UCSS
Interfix
LordoTec Cage (LT-Cage)
TSRH 3D
TSRH 3D
Zephir
Zephir
C-ring
Staples
Cannulated Pedicle Screw
Eclipse: 4.5mm Rod
Single w/crimp and bar
Double w/2 crimps
Crimp
Crimp
Cortical Screws
Cortical Lag Screws
Titanium Cage
Titanium, PEEK
Screw
Extended Post Screw
Cancellous Screw
Anterior Cervical Plate
One size only
One size only
20mm - 80mm
40 - 600mm
One size only
One size only
One size only
One size only
30 - 50mm
36 - 50mm
12 x 20mm - 24 x 50mm
18-28mm
4.5 -8.5mm diameter
30-50mm
13-17mm
20-70mm
MC478
MC479
MC480
MC481
MC482
MC483
MC484
MC485
Axis Cervical Plating System
Axis Cervical Plating System
Axis Cervical Plating System
Axis Cervical Plating System
Axis Cervical Plating System
Axis Cervical Plating System
Orion Anterior Cervical System
Orion Anterior Cervical System
Plate
Plate
Plate
Plate
Screw: Cancellous
Screw: Cortical
Convergent or Divergent Plates
Convergent or Divergent Plates
11mm
13mm
15mm
Longer than 15mm
6 - 24mm
26 - 54mm
21.5 - 47.5mm
50 - 60mm
MC486
Orion Anterior Cervical System
Convergent or Divergent Plates
62.5 - 77.5mm
MC487
Orion Anterior Cervical System
Convergent or Divergent Plates
80 - 95mm
MC488
Orion Anterior Cervical System
Convergent or Divergent Plates
100 - 110mm
MC490
Orion Anterior Cervical System
Locking screw
One size only
MC496
Tenor
Transverse Links - Titanium
40-100mm
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Items for Prostheses List Report
Page 58 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MC497
MC501
MC502
MC503
MC504
Tenor
CD Horizon
CD Horizon
CD Horizon
CD Horizon
Rod (5.5mm) - Titanium
Multi-Axial screw (Stainless Steel)
Multi-axial screw (Titanium)
Fixed Angle Screw
Breakoff Set Screw
40-180mm
25 - 80mm
25 - 80mm
25 - 90mm
25 - 55mm
MC505
Orfil
L-Shaped Rods
5-510mm
MC506
MC510
MC529
Orfil
Premier Anterior Cervical Plate System
Hydrocephalus Shunt
Double Pearl-Tipped Wires
Plates
Lumbar peritoneal
1 - 350mm
23 - 90mm
84cm
MC530
Hydrocephalus Shunt
38cm-90cm
MC531
Hydrocephalus Shunt
Ventricular/Atrial, CSF Flow Control Shunts, Cont
Small Valve
Ventricular/Peritoneal. CSF Flow Control Valves,
BioGlide Contoured, Ventriculostomy Kit-E,
Neonatal Delta Snap Shunt
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Product Sub-Group.Amended
Changed Suffix.Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
12mm-90cm
Changed Product Group, Product Sub-Group,
Suffix.
MC532
Hydrocephalus Shunt
12mm-90cm
MC533
MC534
1.3 - 35cm
2 - 90cm
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group.
Changed Product Group, Suffix.
Reservoir, CSF Vent Reservoir, Snap Assembly
Reservoir
Strata Adjustable Delta Valve
6 - 90mm
Changed Product Group, Product Sub-Group.
MC536
Shunt: Components catheter
Pressure valve (anti-siphon device or flushing valve
or flush pump)
Pressure valve (anti-siphon device or flushing valve
or flush pump)
Valves, Hydrocephalic
With Hydrostatic Valve, Delta
Valves/Shunts/BioGlide, Vent Catheters
Ventricular Catheter, CSF Catheter
Neonatal Reservior, CSF Lumbo Peritoneal
12 -16mm
MC537
MC540
MC542
MC544
MC545
MC546
Danek Unit Rod System
LIFT/ VERTE-SPAN
Vertex Spinal System
Vertex Spinal System
Vertex Spinal System
Vertex Spinal System
Scoliosis Rods
End plates (caps)
Connector
Rod
Screws
Set screw
Widths 3/16", 5.5mm or 6.35mm; lengths 25 x 45cm
Angulation: -8 - 7 degrees; left and right
Length 10 - 13mm; diameter 3.2 - 6.35mm
80 - 240mm
Dia 3.5 - 4.0mm; length 6 - 24mm
One size only
MC577
R90 Spacer
Spinal Implant (Peek)
MC578
MC579
MC583
Union CC System
CD Horizon
CSF - Ventricular Catheters PSM Range
Cage
Spondylolisthesis Screw
Non metallic latex free. Barium impregnated, include
stainless steel stylet. Model Nos 41101, 41115,
41207, 41103, 41308, Proximal ventricular catheter.
Height: 7mm - 16mm, Lordosis: 6 degrees - 18
degrees, Length: 18 -27mm
6mm - 12mm, 0 - 8 degrees
Diameter: 4.5 - 7.5, Length: 25mm - 50mm
ID 1.3mm OD 2.5mm Length 15cm, 23cm; ID 1.2mm
OD 2.1mm Length 15cm, 23cm
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit
Changed Suffix.
Amended benefit.
Amended benefit
MC535
Changed Items for Prostheses List Report
Amended benefit.
Amended benefit
Changed Product Group.
Page 59 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MC584
CSF - Distal Catheters
Non metallic and latex free, Models
43418,43103,43111,43209,43522,43551,27211
Changed Product Group.
MC585
MC586
Cobalt Chrome
Cannulated titanium percutaneous multi axial screw
MC587
MC589
Maverick Artificial Disc
CD Horizon Sextant Percutaneous Cannulated Multi
Axial Screw
CD Horizon Spinal System
Affinity Anterior cervical cage System
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
8mm - 14mm
Dia 3.5 to 9.5mm, Length 15 to 65mm
5.5 x 25mm to 5.5 x 350mm
6mm to 14mm
MC590
Vertex Reconstruction System Crosslink Bar
Percutaneous Rod
The Affinity Cage is constructed of titanium alloy kit includes trials, reamers and inserters.
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.
Amended benefit
Changed Size.
Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit.
MC592
MC593
CD Horizon System
CD Horizon System
SMA Staple
SMA Staple
Length 4-10mm
Length 12-18mm
MC594
MC595
MC596
MC597
MC602
MC603
MC606
MC608
MC609
MC610
MC611
MC612
MC613
MC614
MC615
Mastergraft
Mastergraft
Mastergraft
Mastergraft
Union
Union
Union
TSRH
CD Horizon Spinal System
Vantage
Vantage
Vantage
Vantage
Vantage
Vantage
Calcium Phosphate Ceramic Granules
Calcium Phosphate Ceramic Granules
Calcium Phosphate Ceramic Granules
Calcium Phosphate Ceramic Granules
Verte-Stack
Verte-Stack
Verte-Stack
Connector
Percutaneous Set Screw
Vantage plates and Screws; Thoracic Plate
Vantage Plates and Screws; Thoracic Screw
Vantage Plates and Screws; ATL Plate
Vantage Plates and Screws; ATL Screw
Vantage Plates and Screws; Staple (rostral/caudal)
Vantage Plates and Screws; Lock Nut
5cc Vial
10cc Vial
15cc Vial
30cc Vial
Flat Small 12-20mm
Flat Small 12-20mm
Centre Piece 5-40mm
Small, Medium, Large
25 - 60mm
3.5 - 8cm
5.5 x 15-50mm
4 - 10cm
6.5 x 30-55mm
One Size Only
One Size Only
MC617
MC632
MC633
Nucleus Replacement
Verte-Stack
Capstone Cage
Spinal Disc
XS Centre Piece. Stackable Corpectomy Device.
Vertebral Body Spacer
Thickness 5-25mm, Diameter 10-50mm
Height 5-50mm
Length: 22-60mm
MC634
MC635
MC636
CD Horizon
CD Horizon
CD Horizon
X10 Crosslink
Legacy In-Line Connector
Eclipse Dual Head Screws
Multi-Span Plate: 25-81mm
Length 40-110mm
20-60mm
Changed Items for Prostheses List Report
One size only
Amended benefit
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Changed Suffix.Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Changed Product Name, Description, Size.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Page 60 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MC638
Peritoneal Catheter PSM range with Bioglide
60-90cm
Changed Product Group, Suffix.
MC639
Ventricular Catheter PSM range with Bioglide
Translucent silicone elastomer with Barium
impregnated stripe. Catheter surface bonded with
Hydrogel.
Translucent silicone elastomer with Barium
impregnated stripe. Catheter surface bonded with
Hydrogel.
15-23cm
Changed Product Group, Suffix.
MC640
Strata Shunt, Unitised
Adjustable CSF valve with five symmetric
performance level steps. Includes strata valve, preattached ventricular catheter, and a pre-attached
peritoneal catheter. Right Angle Clip. Disposable
Quick Release Ventricular Catheter Introducer.
8-13.5cm x 9-120cm
Changed Description, Product Group, Product
Sub-Group, Suffix.
MC641
Strata Valve Unitised with Bioglide PSM range
One size only
MC642
Strata Valve Assembly with Bioglide PSM range
MC643
Strata Valve with Bioglide PSM range
MC644
Strata Valve NSC (non siphon control) PSM range
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
MC645
Strata Valve Unitised NSC (non siphon control) PSM
range
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
CSF Flow Valves. Polypropylene and acetal plastic
base. Silicone elastomer dome.
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
Adjustable CSF valve with five symmetric
performance level steps. Includes a strata valve, preattached ventricular catheter, and a pre-attached
peritoneal catheter. Right Angle Clip. Disposable
Quick Release Ventricular Catheter Introducer.
8-120cm
Changed Description, Product Group, Product
Sub-Group, Suffix.
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
One size
Changed Description, Product Group, Product
Sub-Group, Suffix.
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.
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 Description, Product Group, Product
Sub-Group, Suffix.
MC649
Delta Shunt Unitised
Delta valve is a fixed pressure CSF valve, available in
four performance levels. Delta Unitised shunt
includes a delta valve, pre-attached 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 Description, Product Group, Product
Sub-Group, Suffix.
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.
Changed Items for Prostheses List Report
One size
13-16mm x 35-47mm
13-16mm x 23-32mm (0.5-2.0)
Page 61 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
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 Description, Product Group, Product
Sub-Group, Suffix.
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
90-120cm
Changed Product Group, Product Sub-Group,
Suffix.
MC653
Xantus
Xantus cover Plate and Set Screw
40mm - 100mm Length in 4mm increments
MC654
Engage
Breakoff Set Screw
one size only
MC655
MC656
MC658
MC659
MC660
MC661
MC662
MC663
MC664
MC665
MC667
MC668
MC671
Xantus
Pyramid
Engage
Silo
Mastergraft
Pyramid
Mastergraft
Mastergraft
Xantus
Engage
SiLo
CD Horizon
BCP
40mm -100mm length in 4mm increments
6.5mm Diameter, 20 -60mm length in 5mm increments
5.5 to 8.5mm diameter
4.5 - 8.5mm diameter
5cc
17mm - 35mm
20cc
10cc
6.5mm Diameter, 20 - 60mm length in 5mm
Small, Medium, Large
One Size only
20mm and 30mm Length
20cc
MC672
MC673
MC674
MC675
MC676
MC685
MC687
Engage
Verte-Stack
CD Horizon
CD Horizon
SiLo
Verte-Stack Crescent
Neurostimulation System - Accessory Kits
6.35mm
Extra Small, Small, Medium, Large, Extra Large
one size only
Diameter 4.0 - 9.5mm
10-40mm
Height 6 - 18mm
.
Amended benefit
Amended benefit
Changed Suffix.Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Changed Product Group, Suffix.
MC688
Neurostimulation System - Extensions
20, 40 & 60cm
MC689
Neurostimulation System - Lead Revision Kits
Xantus Plate
Pyramid Bone Screws
Bolt
Screw
Matrix
Pyramid Plate
Matrix
Matrix
Xantus Bone Screws
Connector
Set Screw
Legacy lliac Lateral Connector
Biphasic Calcium Phosphate Reabsorbable Graft
Supplement
Washer
Perimeter Cage
Legacy set Screw
Legacy Screw
Lateral Connector
PEEK
Lead Accessory Plug and Closed Boot Kit Model
3550-29
1 x 8 Synergy Extension Kit Model 7472; 1 x 8
Extension Kit Model 37081
Octad Lead Revision Kits Model 3550-26 & 3550-27
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Suffix.
Changed Items for Prostheses List Report
30 & 45cm; 60 & 75cm
Page 62 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MC690
Neurostimulation System - Octad Leads
45, 60 & 75cm
MC692
MC693
MC694
MC704
MC705
MC706
MC707
MC708
MC710
Restore Rechargeable Neurostimulation System
Restore Rechargeable Neurostimulation System
Restore Rechargeable Neurostimulation System
Venture Anterior Cervical Plate
Venture Anterior Cervical Plate
Venture Anterior Cervical Plate
Danek Unit Rod System
CD Horizon
Neurostimulation System - Octad Leads
MC711
Neurostimulation System - Octad Leads
MC712
Neurostimulation System - Octad Leads
MC725
MC731
MC733
Telamon
Titan Anchor
Quadripolar Stretch-Coil Extensions
Octad Standard Lead Kit without Percutaneous
Extension Model 3777,
External Patient Recharger System Model 37752
External Patient Programmer Model 37742
External Patient Programmer Antenna Model 37092
Single or multi level plate, titanium alloy and Nitinol
Single or multi level plate, titanium alloy and Nitinol
Single or multi level plate, titanium alloy and Nitinol
Scoliosis S-Rods
X10 Crosslink
Octad Standard Lead Kit with Percutaneous
extension model 3877
Octad Compact Lead Kit without Percutaneous
Extension Model 3778
Octad Compact Lead Kit with Percutaneous
Extension Model 3878
Cage
Silicone with titanium insert
Model 37083 Single, Silver and Silicone Rubber
MC734
MC735
MC736
MC737
MC738
MC739
MC740
Quadripolar Stretch-Coil Extensions
Rivulet
Vertex Max Cannulated Screw
CD Horizon Engage Plate
CD Horizon Engage Plate
CD Horizon Engage Plate
SCS Sub Compact Lead
20cm - 60cm
15cm - 23cm
50-56mm Diameter 4.0mm
3.5-5.5cm
6.0-7.5cm
8.0-10cm
45, 60 and 75cm
MC741
Indura Intrathecal Catheter
MC742
MC746
MC749
MC750
Prime Advanced
Restore Advanced INS
Legacy HA Coated Screw
Durepair
Model 37082 Bifurcated, Silver and Silicone Rubber
Ventricular Catheter
Posterior cannulated cervical screw
Engage Plate
Engage Plate
Engage Plate
Octad Sub Compact Lead Kit without Percutaneous
Extension Model 3776
Sutureless pump connector, Silicone, Titanium and
Nylon
Implantable Neurostimulator
Implantable Neurostimulator
Hydroxyapatite coated pedicle screw
Dura Substitute, Collagen
MC751
Durepair
Dura Substitute, Collagen
2" x 2"
MC752
Durepair
Dura Substitute, Collagen
1" x 3"
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
Changed Product Group.
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit
Changed Product Group, Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group.
Changed Product Group.
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Suffix.
Changed Product Group, Product Sub-Group.
Changed Suffix.Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Items for Prostheses List Report
one size only
One size only
One size only
111mm - 150mm
91mm - 110mm
51mm - 90mm
Widths 5.5 - 6.35mm; left and right
Fixed Plate: 16-31mm
45, 60 & 75cm
45, 60 & 75cm
45, 60 & 75cm
8 - 16mm
One size only
20cm - 60cm
One size only
Dimensions: 65 x 49 x 15mm
Dimensions: 65 x 49 x 15mm
4.5mm - 8.5mm
1" x 1"
Page 63 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
MC753
Durepair
Dura Substitute, Collagen
3" x 3"
MC754
Durepair
Dura Substitute, Collagen
4" x 5"
MC759
SCS Sub Compact Lead
45, 60 and 75cm
MC764
Microelectrode Cable
One size
MC766
MicroTargeting Electrodes
276.5mm
Changed Product Group, Suffix.
MC767
MC770
Stimloc
Snap Lid Connector
14mm
2.5" x 5.0"
Changed Product Group, Suffix.
Changed Product Group, Suffix.
MC774
8578 Sutureless Pump Connector
One size only
Changed Product Group, Product Sub-Group.
MC776
Specify 5-6-5 Surgical Lead
Ocatd Sub Compact Lead Kit with Percutaneous
Extension Model 3876
Cable used for intracranial recording of neural activity
prior to DBS
Electrode used for intracranial recording of neural
activity prior to DBS
Burr Hole Cover
Connector for implanted lead to external Implantable
Pulse Generator
Sutureless Pump Connector: Material radiopaque
silicon titanium, nylon
Triple Array 16 Electrode Surgical Lead with Duraloc
Technology
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Product Sub-Group,
Suffix.
Changed Product Group, Suffix.
64.2mm
Changed Product Group, Product Sub-Group,
Suffix.
Changed Size.
Changed Product Name, Size.
Morton Surgical Pty Ltd t/a Matrix Surgical Company
General/Miscellaneous
MG001
MG002
Aspide Surgimesh
Heliogast Adjustable Gastric Band
Monofilament polypropylene
Silicone and Titanium
MG004
MG005
MG006
MG007
MG008
MG009
MG010
MG019
Aspide Surgimesh
Aspide Surgimesh
Aspide Surgimesh
Aspide Surgimesh
Aspide Surgimesh
Aspide Surgimesh
Aspide Surgimesh
Surgimesh XB non-adherent
Monofilament polypropylene
Monofilament polypropylene
Monofilament polypropylene
Monofilament polypropylene
Monofilament polypropylene
Monofilament polypropylene
Monofilament polypropylene
Intra-abdominal implant biface
6 x 11cm Thread 0.14mm
HAGE (evolution), small band - inner diameter
26mm; HAGA (advanced), large band - inner
8 x 12cm Thread 0.14mm; 8 x 12cm Thread 0.20mm
10 x 13cm Thread 0.14mm
10 x 15cm Thread 0.14mm; 30 x 30cm Thread
15 x 15cm Thread 0.14mm; 15 x 15cm Thread
Easyplug Large
Easyplug Medium
Easyplug Small
14x15cm
MG020
MG021
MG022
Surgimesh XB non-adherent
Surgimesh XB non-adherent
Surgimesh XB non-adherent
Intra-abdominal implant biface
Intra-abdominal implant biface
Intra-abdominal implant biface
12.5cm, 15cm
22x15x10cm
30x30x20cm
Changed Size.
Changed Size.
Changed Size.
Changed Size.
Changed Size.
Changed Size.
Changed Size.
Changed Product Name, Description, Size,
Suffix.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size,
Suffix.
N Stenning & Co Pty Ltd
Neurosurgical
Changed Items for Prostheses List Report
Page 64 of 94
Billing
Product Name
Further Description
Size
NG035
MicroPlex Coil System
Kit includes delivery pusher, introducer sheath, MCS
complex coil
NG038
MicroPlex Coil System, Hypersoft System
Microplex Hypersoft/Complex/Helical Coils
Coil Size 10, 18 - Loop Diameter 2-14mm,
Changed Product Group.
16,18,20mm, Length 1-4cm, 6-13cm, 15-21cm, 2324cm, 26-28cm, 30-34cm, 38-39cm, 43-44cm, 49-50cm
2mm D x 1cm L - 6mm D x 8cm L2mm D x 4cm L Changed Product Name, Size, Product Group,
6mm D x 15cm L5mm D x 20cm L - 20mm x 30cm
Suffix.
L2mm D x 2cm L - 4mm D x 10cm L5mm D x
15cm L - 10mm D x 30cm L
Explanation of Change
NG039
NG040
NG041
MicroPlex Coil System; Hydrocoil System
MicroPlex Coil System; Hydrocoil System
MicroPlex Coil System, Hydrocoil System
HES Helical Coils Hydrocoils
HES Helical Coils Hydrocoils
HES Helical Coils Hydrocoils
2mm D x 2cm L - 6mm D x 10cm L
2mm D x 3cm L - 10mm D x 20cm L
6mm D x 10cm L - 20mm D x 20cm L
Changed Size, Product Group, Suffix.
Changed Size, Product Group, Suffix.
Changed Size, Product Group, Suffix.
Abutment, complete
Cover screw
3.5, 3.6, 4.0, 4.5, 5.0, 5.3, 6.0, 7.0mm Diameter
NP, RP, WP, 6.0mm
Changed Product Name, Size.
Changed Product Name, Size.
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 Description.
Amended benefit.
Nobel Biocare
Plastic and Reconstructive
NR001
NR002
Nobel Biocare Abutments
Nobel Biocare Cover Screws
Nutricia Australia
General/Miscellaneous
NF001
Flocare Gastrostomy tube (G-tube)
Nuvasive Australia Pty Ltd
Neurosurgical
NV001
SpheRx
Cannulated Fixed Axis Screw
NV002
SpheRx
Cannulated Lock Screw
4.5 - 8.5mm diameter
25 - 65mm length
one size
NV003
NV005
SpheRx
Triad Facet Screw
Transverse X-Connector
Cannulated
45 - 100mm
3.5 - 4.5mm diameter20-70mm length
NV006
NV007
Triad Facet Screw
Gradient Cervical Plates
Washer
Bone Screw
NV008
Gradient Cervical Plates
Titanium Anterior Plate
One size
4.0 - 4.7mm diameter
10 - 20mm length
11 - 110mm
NV009
Gradient Cervical Plates
Slotted Hole/Round Cover assembly
one size
NV010
NV011
CoRoent
CoRoent
Cervical Cage
PLIF cage
small
LN, LT
Changed Items for Prostheses List Report
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Size, Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Product Sub-Group.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Page 65 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
NV012
NV013
NV014
NV015
NV018
CoRoent
CoRoent
CoRoent
Titanium Mesh
System: SpheRX. Component: Rods - Dual/Pre Bent
Ball
System: SphRX Component: Cannulated Polyaxial
Screw
TLIF cage
XLIF cage
ALIF cage
Oval/Flat/Long/Round
Rods - Dual/Pre Bent Ball
LW, LC
XL
XLR
10mm - 16mm Diameter, 6mm - 14mm Length
17.5 - 500mm
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Cannulated Polyaxial Screw, Fixation Bone Screws
45-7.5mm Diameter; 25-80mm Length
Changed Suffix.
Amended benefit.
L605 Cobalt Chromium alloy balloon expandable
vascular prosthesis
Expanded Stent Diameter 2.5 to 4.0mm, Stent Length
9 to 33mm
Changed Size.
100ml Continuous Infusion device (delivers 2ml/hr)
with additional 4ml bolus. Code # 10314
200ml Continuous Infusion device (delivers 4ml/hr)
with additional 4ml bolus Code # 11030
200ml Continuous Infusion device (delivers 2ml/hr)
with additional 4ml bolus Code # 11090
100cc reservoir
L=10.4cm, D=3.0cm, W=7.4cm
200cc reservoir
L=10.4cm, D=6.5cm, W=7.4cm
200cc reservoir
L=10.4cm, D=6.0cm, W=7.0cm
Amended benefit
Changed Product Name.Amended benefit.
Changed Product Name.Amended benefit.
Changed Product Name.
Amended benefit.
Changed Product Name, Suffix.Amended
benefit.
Changed Product Name.Amended benefit.
Amended benefit
Amended benefit
Changed Product Name.
Amended benefit.
Changed Product Name.Amended benefit.
Changed Product Name.Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
NV019
OrbusNeich Medical Pty Ltd
Cardio-thoracic
NM004
Blazer Coronary Stent Delivery System
Orthocare Pty Limited
General/Miscellaneous
OC006
Breg Paincare 3000
OC007
Breg Paincare 3200
OC008
Breg Paincare 4200
Amended benefit
Amended benefit
Orthotech Pty Ltd
Neurosurgical
OH033
OH034
OH035
Synergy/Polaris Spinal System
Synergy/Polaris Spinal System
Synergy/Polaris Spinal System
Rods
Rods
Sliders
5cm - 14cm
30 - 60cm
4.75 - 6.35mm dia
OH036
Synergy/Polaris Spinal System
Hex Nut / Cap Nut
3mm
OH037
OH038
OH039
OH040
Synergy/Polaris Spinal System
Synergy Spinal System
Synergy Spinal System
Synergy/Polaris Spinal System
Open/Closed Screws
Open/Closed Offset Hooks
Open/Closed Hooks Pedicle/Laminar
Adjustable Transverse Connector With Rod/Clamp
5.5 to 8.0mm dia
4mm
4.75 - 6.35mm dia
3 - 6cm
OH041
OH042
OH043
OH044
Synergy/Polaris Spinal System
Synergy/Polaris Spinal System
Synergy Spinal System
Synergy Spinal System
Fixed Transverse Connectors
Lateral Connectors (Closed Rod)
Point/Double Hex Set Screw
C-Ring
10.5 - 31.5mm
4.75 - 6.35mm
4.75 - 6.35mm
4.75 - 6.35mm
Changed Items for Prostheses List Report
Page 66 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
OH046
OH047
OH048
Synergy Spinal System
Synergy/Polaris Spinal System
Synergy/Polaris Spinal System
Washers Single/Double
Variable Locking Screws
Variable Locking Screw Seat
16mm - 21mm
4.75-8.5mm
5.5-6.35mm
OH049
OH050
Synergy/Polaris Spinal System
Synergy/Polaris Spinal System
Variable Locking Screw Nut
Variable Locking Screw Reduction Seat
13.8mm
4.75-6.35mm
OH051
OH052
OH053
OH054
OH058
OH063
OH064
OH123
OH128
OH129
OH131
OH176
Synergy Spinal System
Interpore Bone Plate System
Interpore Bone Plate System
Interpore Bone Plate System
Synergy Spinal System
Anterior Cervical Plate System
Anterior Cervical Plate System
GEO Structure Vertebral Cage - PLIF
Anterior Lumbar Cage
Posterior Lumbar Cage
Fidji Cervical Cage
Omega 21 Spine Fixation System
Iliac Screw
TPS Bone Plate
TPS Screw
TPS Locked Nut
Growth Rod
Titanium Locking Plate
Titanium Cancellous Bone Screw
3 dimensional titanium intervertebral cage
Titanium or PEEK
Titanium or PEEK
Simple Coupling, Slotted; Titanium
6.0 - 10.0mm
20 - 56cm
14 - 22mm
3mm
30 - 60cm
20 - 140mm
4 - 20mm
One size only
Height 2 - 20mm
Height 7 - 20mm
12 x 15, 12 x 17, 14 x 17, 14 x 19
One size only
OH177
Omega 21 Spine Fixation System
Multidirectional Coupling, Slotted; Titanium
One size only
OH181
OH187
OH188
Spinelink Spinal Fixation System
OMEGA 21 Spine Fixation System
OMEGA 21 Spine Fixation System
Polydirectional Screws, Titanium
Rods, Titanium
Locking Nut, Titanium
(5.5,6.5,7.5, 8.5mm) x (35-60mm)
40mm, 60mm, 80mm
One size only
OH194
OH195
OH196
OH197
Array Spinal System
Array Spinal System
Array Spinal System
Array Spinal System
OH204
OH205
OH206
Altius Occipito-Cervico-Thoracic (OCT) System
Altius Occipito-Cervico-Thoracic (OCT) System
Altius Occipito-Cervico-Thoracic (OCT) System
Titanium Alloy Modular Spinal System - Alloy rod
Titanium Alloy Modular Spinal System - Pre-Bent
Titanium Alloy Modular Spinal System - set screws
Titanium Alloy Modular Spinal System - cross
connector
Locking and CAP Nuts
Domino Adjustable CC Left & Right
Connector
5.5mm x 510mm
5.5mm x 30 - 100mm
one size
Large, Medium, Small, Xsmall, 24mm, 22mm, 20mm,
18mm, 16mm
one size only
One size only
15, 30, 45 L&R
Amended benefit
Changed Product Name, Size.Amended
Changed Product Name, Size.
Amended benefit.
Changed Product Name.Amended benefit.
Changed Product Name, Size.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Suffix.Amended benefit.
Amended benefit
Changed Product Sub-Group.Amended
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit
Changed Suffix.Amended benefit.
Amended benefit.
OH207
Altius Occipito-Cervico-Thoracic (OCT) System
Screws
8mm to 32mm
OH208
Altius Occipito-Cervico-Thoracic (OCT) System
Hook and OC Screws
Hook: 12mm to 14mm (L&R), OC Screws: 6mm to
20mm
Changed Items for Prostheses List Report
Amended benefit
Amended benefit.
Changed Product Sub-Group, Suffix.
Amended benefit.
Changed Product Sub-Group, Suffix.
Amended benefit.
Amended benefit
Page 67 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
OH209
OH210
OH211
Altius Occipito-Cervico-Thoracic (OCT) System
Array Spinal System
Array Spinal System
35-45mm, 40-50mm, 45-55mm
5.5 - 7.5mm x 30 - 55mm
5.5 - 7.5mm x 30 - 55mm
Amended benefit
Amended benefit
Amended benefit
OH240
OH241
OH244
OH253
Vuelock (Anterior Cervical Plate)
Vuelock (Anterior Cervical Plate)
Synergy Spinal System
Intext Cervical Plate/Intext Screws
TI Occipital Plate
Titanium Alloy Modular Spinal System - fixed screw
Titanium Alloy Modular Spinal System - multiaxial
screw
Vuelock (Anterior Cervical Plate)
Vuelock Bone Screws
Infant Hooks
Intext cervical plate, including (2 - part) fixation
Amended benefit
Amended benefit
Amended benefit
Amended benefit
OH254
Intext Cervical Plate/Intext Screws
Intext cervical plate, including (2-part) fixation screws
OH255
Hartshill
Cancellous bone screws for Horseshoes/STALIF each
OH256
Cancellous Screws
For use with Stalif Implants
Level 1-4, 12mm - 92mm
12mm - 16mm
4.75mm
Screws/ Revision Screws - dia 4.4mm, length 11 18mm
Screws/Revision Screws - dia 4.4mm, length 11 18mm - Pack of 3
6.5mm diam - 25 - 30mm length, 5.5mm diam - 25 30mm length
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.
OH257
Stalif
Interbody Spinal Fusion Implant:
Retroperitoneal/Transperitoneal
Amended benefit.
OH259
OH260
Songer Cable System - 2 Crimps
Hartshill
Titanium
Wire (packet 10) stainless steel
37mm x 11, 13, 15mm; 41mm x 11, 13, 15mm; 45mm
x 11, 13, 15mm; 37mm x 17mm, 41mm x 17mm,
45mm x 17mm
One size only
1.2mm diam & 0.9mm diam
OH261
OH263
OGP posterior lumbar rgid scrw fixation system
Intext Cervical Plate/Intext Screws
OGP clamp
Intext cervical plate, including (2 - part) fixation
OH264
OH265
OH266
OH267
OH268
OH269
OH270
Hartshill: Ransford
Hartshill: Ransford
Hartshill Rectangle
Hartshill Rectangle
Hartshill Rectangle
Hartshill Rectangle
Hartshill Rectangle
OH271
Hartshill Rectangle
OH272
Hartshill Rectangle
OH273
Hartshill Rectangle
OH274
Hartshill Rectangle
Occipito-cervical - Titanium loop
Extra long cross linked - titanium loop
Stainless steel posterior lumbar fusion system
Stainless steel posterior lumbar fusion system
Stainless steel posterior lumbar fusion system
Stainless steel posterior lumbar fusion system
Stainless steel posterior thoracic/thoracolumbar
fusion system
Stainless steel posterior thoracic/thoracolumbar
fusion system
Stainless steel posterior thoracic/thoracolumbar
fusion system
Stainless steel posterior thoracic/thoracolumbar
fusion system
Stainless steel posterior thoracic/thoracolumbar
fusion system
Changed Items for Prostheses List Report
10, 12, 14, 16, 18mm
Plates - width 13mm, Height 4mm - 9mm, width
17mm, height 4mm - 9mm
100 degree 9mm - 20mm
100 degree 45cm x 15mm
5mm diam 3-5cm length
5mm diam 6 - 8cm length
5mm diam 9 - 11cm length
5mm diam 12 - 14cm length
6mm diam 15 - 19cm length
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Product Sub-Group.
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
6mm diam 20 - 24cm length
Amended benefit
6mm diam 25 - 30cm length
Amended benefit
6mm diam 31 - 36cm length
Amended benefit
6mm diam 37 - 44cm length
Amended benefit
Page 68 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
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°
Amended benefit.
OH303
ADD / ADDplus
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°
Amended benefit
OH304
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 of the
anterior column.The fixation on the vertebral bodies
is effected by means of screws from the osmium
system, with a monocortical as well as a biocortial
screw anchoring being possible. The additional wings
prevent a migration as well as possible sinking in of
the implant. The ADDplus is made from titanium
alloy.
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
Amended 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. Hyper-expansion of the screw
is not possible.
length = 14, 16, 18mm with outer diameter of 5mm
Changed Suffix.Amended benefit.
OH306
OH307
OH308
Topaz
Universal Clamp
Cosmic implant system
Cancellous bone screws, titanium used for the fixation
Locking Screw
Cosmic Cross Links - titanium Bonit coating
Amended benefit
Changed Suffix.Amended benefit.
Amended benefit
OH309
OH310
Cosmic implant system
Cosmic implant system
Cosmic Locking Screw - titanium
Cosmic Cap - titanium
daimeter - 6.5mm, length - 25mm
.
cosmic transversal stabilizer, drop on leftcosmic
transversal stabilizer, drop on right
one size
one size
OH311
Cosmic implant system
Cosmic Rod (40,50,60,70,80mm) - titanium
diameter - 6.25mm, length - 40mmdiameter 6.25mm, length - 50mmdiameter - 6.25mm, length 60mmdiameter - 6.25mm, length - 70mmdiameter
- 6.25mm, length - 80mm
OH312
Cosmic implant system
Cosmic Rod (100, 120, 200mm)- titanium
diameter - 6.25mm, length - 100mmdiameter 6.25mm, length - 120mmdiameter - 6.25mm, length
- 200mmdiameter - 6.25mm, length - 70mm
diameter - 6.25mm, length - 80mm
Amended 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
Amended benefit
Changed Items for Prostheses List Report
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Page 69 of 94
Billing
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 Size, Suffix.Amended benefit.
OH318
OH319
OH320
Java screw system
Java screw system
Java screw system
Precontoured rod
Secondary sacral screw
Monoaxial pedicle screw
Rod length 30/40/50/60/70/80/90/100
Size 6 L 35
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
Amended benefit
Amended benefit
Amended benefit
OH321
OH322
Java screw system
Java screw system
Straight rods
Transverse connector
Rod length 30/40/50/60/70/80/90/100
Length 52, 62, 72, 82
OH324
OH325
Java screw system
Java screw system
Sacral fixation
Java Blocker
Left and right
Set screw
Amended benefit
Changed Suffix.
Amended benefit.
Amended benefit
Changed Suffix.Amended benefit.
Patellar
Cobalt Chrome Head
Randelli/SMR Shoulder Uncemented Stem
Titanium, plasma, HA
Ceramic Liner, biolox forte and delta
Protruded UHMWPE Unmodified Liner
F2L Multineck Femoral Stem Uncemented, beaded,
with HA
Titanium
Femoral Stem Cemented, tapered, polished
UHMWPE Cup unmodified Cemented
Acetabular reconstruction cage
Acetabular reconstruction shell
Lateralising Spacer
Titanium Bone Screw
Acetabular reconstruction shell
Ceramic/Femoral Head, Biolox Forte
Femoral Stem Cemented, tapered, polished
Rod
26-41mm
-2 to -5mm, +0 to 10mm
11-24mm
44 - 66mm
A, B, C, D, E
A, B, C, D, E
1-6
Changed Product Name, Description, Size.
Amended benefit
Changed Size.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Short & Long (Straight & Angled)
0, 1, 2, 3
44 - 62mm
50, 54, 58, 62, 64mm
50 - 66mm
B, C, D, E
20 - 60mm
50 - 58mm
-2 to -5mm, +0 to +10mm
1 -6
8 to 24cm x 3.5mm Occipital and Curved Rod
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit
Changed Product Name.Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Orthopaedic
OH023
OH062
OH085
OH094
OH095
OH096
OH097
Optetrak Total Knee System
Exactech Femoral Head
Randelli/SMR Total Shoulder
Lima Total Hip Replacement System
Lima Delta Ceramic Liner
Lima Delta Cup Insert
Lima Total Hip Replacement System
OH098
OH100
OH105
OH108
OH109
OH110
OH111
OH112
OH137
OH199
OH203
Lima F2L modular neck
Lima Friendly Stem
Lima Mueller Cup
Lima acetabular plate
Lima reconstruction shell
Lima Total Hip Replacement System
Lima Bone Screw
Lima bilobo bone revision shell
Exactech Femoral Head
Lima Accent Hip System
Altius Occipito-Cervico-Thoracic (OCT) System
Changed Items for Prostheses List Report
Page 70 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
OH226
OH227
OH229
OH232
OH279
Exotech Novation C femoral stem
Lima C2 Femoral Stem
Lima Cup
Exactech Femoral Stem
JRI Furlong Total Hip System
1-8
1-8
28mm, 32mm and 36mm
9-18
12 /14 Taper, and 5mm offset, short and standard
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Changed Suffix.Amended benefit.
OH280
JRI Furlonjg active stem
12 / 14 Taper, 9-16mm
Amended benefit
OH281
OH282
JRI Furlong revision Total Hip System
JRI Total Hip System
12 / 14 Taper, 200mm long, 200ml long 5mm offset
12 / 14 taper, 250mm long, 250ml long 5mm offset
Amended benefit
Amended benefit.
OH283
JRI Total Hip System
JRI Total Hip System
OH285
OH286
OH287
OH288
OH289
OH290
OH291
OH292
JRI Austin Moore Total Hip System
JRI CSF Cup
JRI CSF Cup insert
JRI CSF Cup Ceramic Insert
JRI CSF Hip System
JRI Cemented Cup
JRI Reconstruction Ring
JRI Ceramic femoral Head
OH293
OH294
OH295
OH296
OH297
OH299
JRI Femoral Head
JRI Total Hip System
JRI CSF Plus Cup
JRI CSF Plus Cup
JRI CSF Plus Cup ceramic Insert
JRI Total Hip System
12 / 14 Taper, 200mm long and 200ml long with 5mm
offset
12 / 14 Taper, 250mm long, and 250ml long with 5ml
offset
Head sizes range from 39mm - 56mm
44mm - 70mm
28mm, 32mm, 36mm
28mm
15mm - 50mm
28mm and 32mm
44mm, 47mm, 50mm, 54mm
12 / 14 Taper, Biolox Delta Ceramic head sizes
28mm, 32mm. Alumina Oxide head sizes 28mm
28mm, and 32mm head sizes
28, 32, 36mm
44mm - 70mm O/D
44mm - 70mm O/D
28mm, 32mm, 36mm
Head Sizes range from 39mm - 56mm
Amended benefit.
OH284
OH300
JRI Total Hip System
FIT stem
12 / 14 Taper, Biolox Delta Ceramic head sizes
36mm. Alumina Oxide head sizes 28mm
1-7
Amended benefit
OH328
Femoral stem cemented unpolished
Femoral Stem, titanium, grit blast, non HA
Metal Liner
Novation Hip System
Uncemented Femoral Stem, titanium, grit blast, with
HA,
JRI Furlong Active Stem, Titanium Aloy with
Supravit Coating, 12/14 Taper
Modular femoral stem, Grit blast, HA
JRI Furlong Revision Stems, Titanium Alloy with
Supravit Coating, 12 / 14 Taper
JRI Furlong Revision Plus Stem, Titanium Alloy
with Supravit Zoned Coating, 12 / 14 Taper
JRI Furlong Revision Plus Stem, Titanium Alloy
with Supravit Zoned Coating, 12 / 14 Taper
Cementless femoral stem
Grit blast with HA, titanium
UHMWPE unmodified
Ceramic Inserts, Alumina oxide, Biolox Forte
CSF Bone Screws, Titanium Alloy
UHMWPE Cup unmodified Cemented
Acetabular reconstruction cage
Total Hip Replacement (THR) Ceramic Femoral
Heads, Biolox Delta Ceramic, and Alumina Oxide
Cobalt Chrome Femoral; Heads
Ceramic femoral head with sleeve
Titanium, plasma, HA for ceramic insert
Titanium, plasma, HA for modified poly insert
CSF Plus Cup Liner, Delta Liner
JRI Austin Moore Standard Stems Hemiarthroplasty.
These prusct has an all-in-one head and stem
Total Hip Replacement (THR) Ceramic Femoral
Heads, Biolox Delta Ceramic, and Alumina Oxide
FIT anatomical Femoral Stem
Size 12 - 20mm x 60mm x 7mm, packet of 4; Size 100
- 80mm x 125mm x 10mm in individual packet
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Changed Product Sub-Group.Amended
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Pharmacia Australia Pty Ltd (Pfizer Australia Pty Ltd)
General/Miscellaneous
PU056
Gelfoam Sterile Sponge
Changed Items for Prostheses List Report
Sterile, pliable, nonantigenic surgical sponge prepared
from specially treated purified gelatin solution
Page 71 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
Portland Orthopaedics (Aust) Pty Ltd
Orthopaedic
PD005
Margron DTC Hip Replacement
Femoral Modular Neck
Y, Z, AZ, A, B, C, BA, CA, CB, B+4, C+6, CB+6;
31mm to 52mm lateral offset; 23mm to 35mm
vertical height
Changed Suffix.
Amended benefit.
PD016
Equator Plus Acetabular Shell
44mm to 76mm
PD017
Equator Plus Acetabular Shell
PD018
Equator Plus UHMWPE Insert
Titanium 3-hole plasma sprayed, non HA shell for
ceramic & UHMWPE inserts
Titanium multi-hole plasma sprayed, non HA shell
for ceramic & UHMWPE inserts
UHMWPE (unmodified) encased in CoCr surround
PD019
Equator Plus Ceramic Insert
Ceramic encased in CoCr surround
28mm to 36mm internal diameter
PD020
Equator Plus Acetabular Shell Screw
Bone Screw
6.5mm diameter, 15mm to 50mm lengths
PD021
M-COR Femoral Stem
Titanium, plasma sprayed, standard and short length
distal flutes
29x9 to 41x17; 9mm to 17mm diameter; 140mm to
165mm length
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Suffix.
Amended benefit.
Changed Product Name, Description, Suffix.
Amended benefit.
Changed Product Name, Product Sub-Group.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
PD022
M-COR Femoral Neck
Titanium Neck for M-COR System with lateral
extension for stem connection. Contains threaded
sealing plug.
31mm to 47mm lateral offset, 23mm to 33mm
vertical height, 3 lengths
Changed Product Name, Description.
Amended benefit.
PD026
PD033
PD035
PD036
Femoral Head - Cobalt Chrome
Femoral Head- Cobalt Chrome
Ceramic Femoral Head
Ceramic Femoral Head
CoCr femoral head
CoCr Femoral head
Ceramic Femoral Head - Delta
Ceramic Femoral Head - Delta
36mm to 44mm
28mm, 32mm
36 to 44mm
28mm, 32mm
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
44mm to 76mm
28mm to 36mm internal diameter, standard and hooded
Q-Med (Sweden) Australia Pty Ltd
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 a carrier,
leaving the dextranomer microspheres at the implant
site. They are gradually surrounded by host
1ml in syringe
Amended 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 a carrier,
leaving the dextranomer microspheres at the implant
site. They are gradually surrounded by host
connective tissue. 3.7FR x 23G x 350mm Metal
Needle.
1 ml syringe and needle size 3.7FR x 23G x 350mm
Amended benefit.
Changed Items for Prostheses List Report
Page 72 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
Monoaxial Screw
Polyaxial Screw
Rod
Nut
Clamp
Cage
Plate
Screw
PEEK Polymer
PEEK
Connector Bar - titanium
Straddler - titanium alloy
Block
Granules
Granules
D: 4.5 - 8mm, L: 25 - 50mm
D: 4.5 - 8mm, L: 30 - 55mm
L: 45-450mm
Blocker, Hemispherical
Snap-on, Short, Long and Monobloc
H: 9-15mm
H: 19-23mm
D: 5mm, L: 32.5 to 50mm
L: 23.5mm, W: 10-13.5mm, H: 8-14mm
L: 15mm, W: 13mm, H: 4.5-9mm
L: 40-100mm
one size
L:5.5 - 50mm
10cc
2cc
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Rigid Rod
Rigid Plate
Diameter: 3.5mm, Length: 10-200mm
Length: 38-76mm
Amended benefit.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.Amended benefit.
Changed Product Name, Description, Size.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Scient'x Australia
Neurosurgical
SX001
SX002
SX003
SX004
SX005
SX007
SX008
SX009
SX013
SX014
SX015
SX016
SX017
SX018
SX019
Isobar TTL
Isobar TTL
Isobar TTL
Isobar TTL
Isobar TTL
Antelys
Antelys
Antelys
CC-CO Cages
CBK Cage
Easys
Easys
Bonex
Bonex
Bonex
Orthopaedic
SX021
SX023
TTC-rod
Aladyn-Plate
Smith & Nephew Surgical Pty Ltd
Orthopaedic
SM012
SL & SLR Plus Femoral Stem
Titanium, grit blast, non HA,
Sizes 01-12 for SL & 1-6 for SLR
SM013
SL & SLR PLUS Femoral Stem
Titanium, Plasma spray, proximal HA coating
01 to 12 for SL & 1-6 for SLR, various offsets
SM014
SLR Plus Long Femoral Stem
Titanium, grit blast, non HA, long stem
Sizes 7-12
SM015
SLR Plus Long Femoral Stem
7-11, various offsets
SM016
Modular Plus Femoral System Proximal Femoral Body
Titanium, Plasma spray, proximal HA coating, long
stem
Titanium, grit blasted, with stem locking bolt
SM017
SM018
Modular 'PLUS Femoral Stem
CPS-PLUS Femoral Stem
Titanium, grit blast, straight & curved, long
Stainless steel, polished, double tapered,
SM019
CPS-PLUS Long Femoral Stem
Stainless steel, polished, double tapered, long
Changed Items for Prostheses List Report
sizes AS/AL/BS/BL/CS/AX less than 75mm, various
offsets
1 to 12 (all over 200mm)
1-5 standard and high offset, but also includes size 1
of revision stems (183mm)
2-5 long (204-224mm)
Page 73 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SM020
BICON UHMWPE Insert
UHMWPE
1 to 9
SM021
Bicon Ceramic Insert
Ceramic, Biolox Forte
For shells 1-9, all head sizes
SM023
Bicon - PLUS Porosis Acetabular Shell
Titanium, grit blast, double thread
1 to 9
SM024
EP Fit Acetabular Shell
40 - 72mm Dia
SM025
EP Fit Acetabular Shell
SM026
EP Fit & MPF UHMWPE Insert
Titanium, plasma spray, and HA, with variable
number of holes for UHMWPE,ceramic & metal
Titanium, plasma spray, non HA, with variable
number of holes for UHMWPE,ceramic & metal
UHMWPE
SM027
EP Fit & MPF Ceramic Insert
Ceramic, Biolox Forte
For 42 -76mm shells, all head sizes
SM028
EP Fit & MPF Metal Liners
Metal liner
for 46 - 76mm Dia shells, all head sizes
SM029
EP Fit & MPF Highly cross linked UHMWPE Insert
Modified UHMWPE
42 -76mm Dia, all head sizes
SM035
Universal Ceramic Femoral Head
Ceramic, Biolox Forte
S,M,L - 28mm/32mm
SM036
PLUS Met Metal Femoral Head
CoCr, metal on metal articulation
S-XXL - 28mm/32mm
SM037
Fracture Head Unipolar Femoral Head
Stainless Steel or CoCr
38-60 S/M
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size,
Product Sub-Group.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Group, Product Sub-Group.
Amended benefit.
SM038
PLUS Bipolar Head
39mm-60mm
Changed Product Name, Description.
SM039
BOFOR Acetabular Reconstruction Shell
48mm X + 5mm - 70mm X +12mm
SM040
CPS Proximal & Distal Centralisers
Bipolar Head, CoCr UHMWPE insert with insertable
locking ring
Titanium, plasma spray, eccentric design with
multiple fixation holes
PMMA includes both centralisers in one pack
SM041
SM042
Universal Cancellous Bone Screws
Bicon Constrained Liner
Cancellous bone screw titanium
UHMWPE
15-60mm long 6.4mm dia
1 - 9, 28mm, 32mm
SM043
Bofor Acetabular Insert
UHMWPE with titanium surround
48 -70mm
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group, Suffix.
Amended benefit.
SM050
Bicon - PLUS Acetabular Shell
Titanium, grit blast, single thread
01, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9
SM053
Bicon highly cross linked UHMWPE Insert
Modified UHMWPE
42 -76mm Dia, all head sizes
SM055
Universal Femoral Head
Chrome Cobalt
=< 32mm
SM094
Universal Ceramic Femoral Head
Ceramic Biolox Forte
>32mm
Changed Items for Prostheses List Report
40 - 68mm Dia
40 - 68mm Dia
1 to 5
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Page 74 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SM095
Universal Delta Ceramic Femoral Head
Delta Ceramic
>32mm
SM097
MPF Acetabular Shell
46 - 68mm
SM106
SBG Femoral Stem
Titanium, plasma spray, non HA, with variable
number of holes for UHMWPE,ceramic & metal
Titanium, grit blasted, proximal HA
SM107
PLUS Met Metal Femoral Head
CoCr, metal on metal articulation
>32mm
SM109
Revision Delta Ceramic Femoral Head Taper Sleeve
.
SM115
Proxy Plus Femoral Stem
Titanium taper for use in revision with ceramic head
(PL105)
Titanium, grit Blasted, triple tapered
SM116
Reko Reconstruction Cage
44-52 Lt & Rt
SM122
SM123
POLARSTEM FEMORAL STEM SYSTEM
POLARSTEM FEMORAL STEM
Titanium, grit blasted reconstruction ring, with a
hook and flanges
Titanium, Plasma spray, full HA coating
Stainless steel, polished, triple tapered,
SM126
SL Plus MIA Femoral Stem
Titanium, grit Blasted, double tapered
01-12 various offsets
SM127
SL Plus MIA Femoral Stem
Titanium, Plasma spray, proximal HA coating
01-12, various offsets
SM128
POLAR CUP ACETABULAR Cementless Shell
Stainless steel with titanium plasma spray coating
that has polished inner surface for dual mobility with
constrained UHMWPE liner/head
43-67MM
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Description.
Amended benefit.
Changed Description, Size.Amended benefit.
Changed Product Name, Description.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description.
Amended benefit.
SM129
POLAR CUP ACETABULAR Cementless Shell
43-67MM
Changed Product Name, Description.
Amended benefit.
SM130
POLAR CUP ACETABULAR Cementless Shell
Stainless steel with titanium plasma spray coating
and pegs & flanges, that has polished inner surface
for dual mobility with constrained UHMWPE
Stainless steel with titanium plasma spray coating
and HA that has polished inner surface for dual
mobility with constrained UHMWPE liner/head
43-67MM
Changed Product Name, Description.
Amended benefit.
SM131
POLAR CUP ACETABULAR Cementless Shell
Stainless steel with titanium plasma spray coating
and HA and pegs & flanges, that has polished inner
surface for dual mobility with constrained
43-67MM
Changed Product Name, Description.
Amended benefit.
SM133
Polar Cup Cemented Acetabular Shell
Stainless steel, cemented shell that has polished inner
surface for dual mobility with constrained
UHMWPE liner/head
43-63MM
Changed Product Name, Description.
Amended benefit.
SM134
POLAR Dual Mobility Constrained Liner
UHMWPE
SM135
Modified UHMWPE
SM136
POLAR Dual Mobility Constrained Highly Cross
Linked Liner
Polar Cup Acetabular Pegs
Stainless steel, morse tapered anchorage pegs
FOR '22.2-28MM Head sizes and 43-72MM
diameter shells
FOR '22.2-28MM Head sizes and 43-72MM
diameter shells
15mm
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Product Name, Description, Product
Sub-Group.
Amended benefit.
SM137
Polar Cup Acetabular Screws
Stainless Steel Cortical Screws
4.5mm by 40-60mm
Changed Product Name, Description.
Amended benefit.
Changed Items for Prostheses List Report
05 - 7
5-20 various offsets
0-8, various offsets
0-8
Page 75 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SM138
Polar Cup Acetabular Reconstruction Shell
43 - 78
SM143
EP fit & MPF Delta Ceramic Insert
Titanium, plasma spray, non HA, dual mobility, with
proximal and ischial flanges
Ceramic Delta Acetabular Liners
SM144
Universal Delta Ceramic Femoral Head
Delta Ceramic
<=32 - S, M, L, XL,XXL
SM145
SN003
SN010
SN268
PLUS Hip Joint Prostheses System
Image Hip Stem
Basis Femoral Component
CPCS
Sizes CL/BX/CX >=75mm various offsets
Sizes 9 - 18
Length 115 - 135mm
1-5
SN270
SN271
SN272
SN273
SN280
SN282
SN285
SN286
SN288
SN289
SN290
SN291
SN292
Echelon
Echelon
Echelon
Echelon/Spectron
Femoral Head
Opera
Reflection
Reflection
Reflection
Reflection
Reflection
Reflection
Reflection
Titanium, grit blasted, with stem locking bolt
Titanium, beaded, HA
Hip stem, Cobalt Chromium Grit Blast
Femoral Stem Polished Non Porous, Std and High
Offset
Femoral Stem Porous Co Cr, Std and High Offset
Cobal Chrome, beaded, HA, long with Calcar
Revision Hip Stem - Porous, Standard Collar
Revision Hip Stem - Non-porous
CoCr
Acetabular Cup Flanged unmodified UHMWPE
Acetabular Cup, Beaded Titanium Alloy
Acetabular Cup HA Coated Titanium Alloy, beaded
Acetabular Cup Unmodified UHMWPE
Acetabular Liner, unmodified UHMPE
Acetabular Shell Ceramic, Porous Titanium Alloy
Acetabular Liner XLPE modified UHMPE
Fixation peg Titanium Alloy
Changed Product Name, Description.
Amended benefit.
Changed Product Name.
Amended benefit.
Changed Product Name, Description, Size.
Amended benefit.
Changed Description, Size, Product SubAmended benefit
Amended benefit.
Amended benefit.
9 - 19
Left/Right, 15 and 30mm, Sizes 11-22
Sizes 11 - 22
135mm - 235mm
<=32mm
22 - 28mm; 40 - 53mm
42 - 80mm
42 - 80mm
22 - 36mm, 42 - 76mm
22 - 36mm, 42 - 76mm
46-66mm OD
22 - 36mm, 42 - 76mm
One size only
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Changed Product Group, Product Sub-Group.
SN294
Reflection
Tapered hole cover (Reflection Interfit)
One size only
Changed Product Group, Product Sub-Group.
SN295
Reflection
Threaded hole cover (Reflection)
One size only
Changed Product Group, Product Sub-Group.
SN297
SN301
SN303
Reflection
Spectron and Synergy
Synergy
28 - 36mm, 46 - 66mm OD
1- 20
9 - 18
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit
SN305
Synergy
9-20
Amended benefit.
SN306
Synergy
9-20
Amended benefit.
SN307
Unipolar
Acetabular Liner Ceramic, AlO3 biolox forte
Femoral Stem Non Porous Offset
Femoral Stem HA Coated beaded Titanium Alloy,
Std and High offset
Femoral stem Beaded Titanium Alloy, Std and High
Offset
Femoral stem: HA coated Titanium Alloy, Std and
High Offset
Taper Sleeve Co Cr
12/14 and 14/16 tapers, +0,-3,+4,+8,+12mm.
SN308
Unipolar Head
Co Cr
12/14 42 - 61mm
Changed Product Sub-Group.
Amended benefit.
Amended benefit.
Changed Items for Prostheses List Report
44mm-72mm *28mm - 44mm
Page 76 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SN347
SN361
Genesis
ITH
I/M Peg: Femoral and Tibial: Titanium
Trunnion Sleeve
10-16mm Diameter x 40-200mm Length
One size only
Changed Product Group, Product Sub-Group.
Changed Product Group, Product Sub-Group.
SN678
SN687
SN689
SN695
SN696
SN697
SN701
SN710
SN736
Echelon with HA
Femoral Head
Reflection
Opera
Reflection
Femoral Head
Reflection
Genesis Uni Femoral Component
Legion Knee System Femoral Component
11-20
22 - 32mm, -3 - +16mm
22 - 32mm, 42 - 76mm
22-36mm, 42-76mm
22-36mm,40-61mm
22-32mm,+0-+16mm
42 - 76mm
X-Small - Magnum
Size 1 - 9
SN741
SN742
38 - 58mm
44 - 66 mm cups
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Change Details.Amended benefit.
Change Details.Amended benefit with
$820.00 gap.
Amended benefit.
Amended benefit
Cobal Chrome
38 - 58 mm heads
Amended benefit
SN744
SN751
SN779
Birmingham Modular Femoral Head
Birmingham Hip Resurfacing Prostheses - Acetabular
Cup
Birmingham Hip Resurfacing Prostheses - Femoral
Component
Birmingham Hip Resurfacing Dysplasia Cup
Synergy
Journey Knee System Femoral Component
Cobalt Chromium with Hyrdoxyapetite Coating,
12/14, 14/16 Taper, Oxinium
Constrained Acetabular Liner unmodified UHMWPE
Acetabular Cup Flanged - XLPE modified
Acetabular Cup - XLPE
Stainless steel
Constrained acetabular liner - adaptor ring
Uni Femoral component, Oxinium, cemented
Femoral Component, Oxinium, Cemented, totally
constrained
Cobalt Chrome
Cobal Chrome, beaded, HA
Dysplasia Cups: 46 - 66 mm cups
1-18
1-10
Amended benefit
Amended benefit
Changed Suffix.Amended benefit.
SN809
SN811
SN812
SN813
SN817
SN818
Femoral head
Reflection
Femoral Head
Femoral Head
Emperion Revision Hip
Emperion Revision Hip
>32mm
>32mm
>32mm, -3 - +16mm
>32mm,+0-+16mm
+10, +20mm
+10, +20mm
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit.
SN825
SN826
SN834
1-19
30-70
Sm, Med Lg, XLg
SN835
Birmingham Mid Head Resection Stem
Birmingham PC Hip Replacement
Journey Knee System Patella Femoral Replacement
Trochlear Component
Journey Deuce Bicompartment Femoral Component
Cobal Chrome, beaded, HA with screw fixation
Shortened Synergy Stem, Titanium, beaded, HA
Femoral Component, cemented, Oxinium, posterior
stabilised (bicruciate substitute)
CoCr
Head Ceramic, AlO3, Biolox Forte
12/14, 14/16 Taper, Oxinium
Stainless steel
Polished modular stem with option of calcar
Long Stem polished Modular Titanium Calcar Buildup,
Titanium, Beaded and HA
Plasma carbarised articular surface
Trochlear Component,cemented, Oxinium
1-8
SN842
SN843
SN845
Platform Hip Stem
Anthology Hip System
Reflection
Bicompartment Femoral Component, cemented,
Oxinium
Titanium grit blasted stem
Titanium, Beaded and HA
CoCr Acetabular Insert
Amended benefit
Amended benefit
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
SN743
Changed Items for Prostheses List Report
0-12
0-20
52 - 60mm
Page 77 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SN849
SN855
SN879
SN880
SN883
Birmingham Hip
R3 Acetabular system
Genesis II Knee System Femoral Component
Profix Knee System Femoral Component
Genesis II Knee System Femoral Component
38-62
40-78mm
Left / Right 1-9
Left / Right 1-9
1-9
Amended benefit
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
SN884
Profix Knee System Femoral Component
1-8
Changed Suffix.Amended benefit.
SN887
Polar Hip System
Modular Resurfacing Head
Delta Ceramic Liner
Femoral component, Oxinium, cemented
Femoral component, Oxinium, cemented
Femoral Component, cemented, posterior stabilised,
Oxinium
Femoral Component, cemented, posterior stabilised,
Oxinium
Acetabular Reconstruction Shell
49-71mm
Amended benefit.
Annuloflex Ring or AnnuloFlo Ring
Mechanical Valve
Pericardial Bioprosthesis
26-36mm
19mm to 33mm
19-27mm
Amended benefit.
Amended benefit.
Amended benefit.
Bioceramic diameter, 12, 14, 16, 18, 20, 21, 22mm;
Synthetic Diameter, 10, 12, 14, 16, 18, 20, 22mm
Bioceramic diameter: 16, 18, 20, 22mm; Synthetic
Hydroxyapatite diameter: 16, 18, 20, 22mm
Amended benefit.
Sorin Group
Cardio-thoracic
SA127
SA129
SA130
AnnuloFlo Annuloplasty System
Optiform
Mitroflow
Spectrum Surgical
Ophthalmic
SO006
FCI Orbital Implants
SO007
FCI Orbital Implants
Orbital Implant, Bioceramic (Aluminium
Oxide)/Hydroxyapatite (Synthetic)
Mesh wrapped orbital implant: mesh wrapped
bioceramic (aluminium oxide), mesh wrapped
hydroxyapatite (synthetic), mesh wrap (polyglycolic
acid)
SO009
FCI Scleral Buckling Devices
Band/strip: solid silicone
Band - 2.0 x 0.75mm Type 40, 3.5 x 0.75mm Type
41, 4.0 x 1.25mm Type 42, 2.5 x 0.6mm Type 240,
Morin 3.5 x 0.6mm
Strip - 5.7mm Type 20, 7.2mm Type 31, 9.2mm
Type 32, 6mm Type 219, 7.5mm Type 220, 8mm
Amended benefit.
SO010
SO011
FCI Scleral Buckling Devices
FCI Scleral Buckling Devices
Fixation Sleeve: Solid silicone
Tire: Solid Silicone
O.D: 1.65 to 2.41mm, Length 30mm
Symmetrical: (2.5 mm Groove, 7 to 9mm wide),
Biconvex: (2.5mm Groove, 7 to 10mm wide),
Asymetrical: (2.5mm Groove, 7 to 10mm wide)
Amended benefit
Amended benefit.
SO012
FCI Scleral Buckling Devices
Sponge/Cord: Silicone
Cord: 1.0 to 5.0mm O.D. x 150mm length; Half Cord:
3.0mm to width x1.5mm to 2.5mm height x150mm;
Circular Sponge: 3 to 5mm; Oval Sponge: 2 to 5.5mm
x 4 to 12mm; Half Sponge: 2 to 3.1mm x 4 to 7.5mm;
Grooved Sponge: 3 to 5mm x 5 to 12mm; Gain
Sponge: 6 x 2.5mm; Sahal Sponge: 4 to 5mm x 5 to
7mm
Amended benefit
SO013
FCI Scleral Buckling Devices
Strip: Solid Silicone
Strip: 1.4 x 4.4 x 100mm, Morin Strip: 7mm wide x
100mm long, Caputo Zip Strip: 7 to 9mm wide x
120mm long, Korobelnik Oval Strip: 2 x 5mm
Amended benefit
Changed Items for Prostheses List Report
Changed Product Sub-Group, Suffix.
Amended benefit.
Page 78 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SO017
FCI Ptose-up
Expanded PTFE
15cm long x 2 or 3mm wide x 0.35mm thick
SO019
FCI Obrbital Implants
Peg & Sleeve
Standard Large
SO020
FCI Lacrimal Intubation Set
Silicone Tubing/Silicone Plug/Metal
Probes/Polypropylene Thread
Bika: 0.64mm O.D. Tube/80 x 0.8mm probes, Bika
1.18: 1.18mm O.D. Tube/40 x 1.2mm probes, Bika
for DCR: 0.94mm O.D. Tube/50 x 0.8mm probes,
Infant Bika 0.64mm O.D. Tube/55 x 0.7mm probes,
Infant Bika II: 0.64mm O.D. Tube/60 x 0.8mm
probes, Besancon-Nancy Probe: 0.64mm O.D.
Tube/80 x 0.8mm probes, Crawford Probe: 0.64mm
O.D. Tube/0.7mm thick probes, FCI 2 Probe:
0.64mm O.D. Tube/80 x 0.8mm probes, Ptosis
Probe: Tube/80 x 0.8mm probes, Mini Monoka: 0.64
x 40mm Tube/2mm Plug, Perforated Mini Monoka:
0.64 x 40mm Tube/2mm, Perforated Plug, Medium
Collarette Monoka, Wide Collarette Monoka:
0.64mm O.D. Tube/80 x 0.8mm probes/4mm Plug,
Wide Collarette Monoka for Infants: 0.64mm O.D.
Tube/60 x 0.8mm probes/4mm Plug, Ritleng Lacrimal
Intubation Set: 0.64mm O.D. Tube/ Polypropylene
thread, Self-Threading Monoka Ritleng Type:
0.64mm O.D. Tube/Polypropylene thread/4mm Plug,
Medium Collarette Self-Threading Monoka Ritleng
Type; Crawford Monoka: 0.64mm O.D. tube/0.7mm
thick probe/plug
Changed Suffix.
Amended benefit.
Changed Product Sub-Group, Suffix.
Amended benefit.
Amended benefit
SO021
FCI Lacrimal Intubation Set
PVP Coated Silicone Tubing/PVP Coated Silicone
Plug/Metal Probes/Polypropylene Thread
Amended benefit
SO023
FCI - DECA, FCI - OCTA
SO024
FCI - DECA, FCI - OCTA
7ml
Amended benefit
SO038
SO039
Keraring
Keraring
FCI - DECA: Purified perfluorodecalin, FCI OCTA: Purified perfluoro-N-octane
FCI - DECA: Purified perfluorodecalin, FCI OCTA: Purified perfluoro-N-Octane
Intracorneal rings, PMMA
Intracorneal rings, PMMA
PVP Bika: 0.64mm O.D. Tube/80 x 0.8mm probes,
PVP Differential Bika: 0.64 & 1.18mm O.D. Tube/40
x 1.2mm probes, PVP Bika for DCR: 0.94mm O.D.
Tube/50 x 0.8mm probes, PVP Infant Bika 0.64mm
O.D. Tube/55 x 0.7mm probes, PVP Infant Bika II:
0.64mm O.D. Tube/60 x 0.8mm probes, PVP
Besancon-Nancy Probe: 0.64mm O.D. Tube/80 x
0.8mm probes, PVP Ritleng Lacrimal Intubation Set:
0.64mm O.D. Tube/Polypropylene thread, PVP Mini
Monoka: 0.64 x 40mm Tube/2mm Plug, Wide
Collarette PVP Monoka: 0.64mm O.D. Tube/80 x
0.8mm probes/4mm Plug, Self-Threading PVP
Monoka Ritleng Type: 0.64mm O.D., Tube/
Polypropylene thread/4mm Plug, PVP Metaireau
Tube Oval Collar: 40mm Tube/4mm Plug, PVP
Metaireau Tube Round Collar: 40mm Tube/4mm
Plug, Lacosystem: Tube /Probe/Polypropylene
thread; Self retaining bicanaliculus stent with dilator:
silicone tubes of various length, probes and dilator.
5ml
Arc length: 90 to 160 degrees, Thickness 0.1 to
Arc length:210, thickness: 0.1 to 0.35mm
Amended benefit.
Amended benefit.
Changed Items for Prostheses List Report
Amended benefit.
Page 79 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
Stryker Australia Pty Ltd
Neurosurgical
HW384
HW385
HW386
HW389
HW390
HW391
HW392
HW393
SK080
SK093
SK112
SK223
Xia Spine System
Xia Spine System
Xia Spine System
XIA Spine System
XIA Spine System
Xia Spine System
Xia Spine System
Xia Spine System
Xia Spine System
Xia Spine System
XIA/Oasys Spine System
Oasys-Occipito Cervico Thoracic System
Polyaxial Screw
Monoaxial Screw
Rod Clamp - Parallel, Axial
Rod - Titanium alloy, Stainless Steel
Cross Link
Connector - Axial, Dual, Offset
Sacral Block
Bone Screw
Multi Axial Connector
Rod
Buttress thread locking nut
Ti-6A1-4V
Dia 4.5 - 8.5mm Length 25 - 60mm
Dia 4.5 - 8.5mm Length 25 - 60mm
One size only
30 - 600mm
Length 20mm - 99mm
4.5mm - 6mm
One size only
One size only
Monobloc, Small, Standard 24mm - 50mm
4.5 - 6mm x 40mm -130mm
3.5mm - 6mm
Cortical Plate screw Size 3.5mm (Length 6mm-24mm
in 2mm increments); Cortical Plate screw Size
4.0mm (Length 6mm-24mm in 2mm increments);
Cortical Plate screw Size 4.0mm (Length 30mm54mm in 4mm increments)
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
SK224
Oasys-Occipito Cervico Thoracic System
Ti-6A1-4V
Amended benefit.
SK225
Oasys-Occipito Cervico Thoracic System
Ti-6A1-4V
3.5mm Rod (Length 80mm); 3.5mm Rod (Length
120mm); 3.5mm Rod (Length 240mm)
Cortical Polyaxial screw Size 3.5mm Length 10mm24mm (in 2mm increments); Cortical Polyaxial screw
Size 4.0mm Length 10mm-26mm (in 2mm
increments); Cortical Polyaxial screw Size 4.0mm
Length 26mm-46mm (in 4mm increments)
SK226
Oasys-Occipito Cervico Thoracic System
Ti-6A1-4V
Amended benefit.
SK227
Oasys-Occipito Cervico Thoracic System
Ti-6A1-4V
SK241
SK242
Xia Spinal System
Xia Spinal System
Titanium or Stainless Steel Cross Connector
Titanium or Stainless Steel
SK249
SK250
Trio Spinal Fixation System
Trio Spinal Fixation System
SK251
Trio Spinal Fixation System
Titanium - Long Post Screw
Titanium - Offset Connector, Two Step Locking
Connector, Variable Offset Connector
Titanium - Standard Screw
Occiput Plate; One level Plate; Two level Plate;
Multi level Plate
Transverse Connector; Offset Connector; Rod to Rod
Connector
15-20mm
Single Hole Staple; Dual Hole Staples
(Caudal/Rostral) - Small, Medium, Large
Diameter - 6.50mm, 7.50mm (Length 40-50mm)
Offset Connector - Small, Medium, Large
Amended benefit.
SK338
VBOSS/VLIFT
Titanium
SK424
VBOSS
End cap
Diam 4.75mm Length 25-50mm, Diam 5.75mm
Length 25-55mm, Diam 6.75 Length 25-60mm, Diam
7.75mm Length 25-60mm, Diam 8.5 Length 30Available from 10 to 25mm in Diameter and from 8
to 120mm in Length
Sizes 10 to 25mm
Changed Items for Prostheses List Report
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Page 80 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SK459
SR038
SR039
SR042
SR050
Flexicore
Techtonix
Techtonix System
Xia Precision System
AVS TL Peek Spacer System
Lumbar Intervertebal disc
Plate, titanium
Screw, titanium
Screw, Cannulated, Multi Axial, Titanium
Transforaminal Lumbar Interbody Fusion cage,
35 - 40mm x 11 - 18mm
22mm-58mm
5-6mm x 25mm-60mm
5.5mm - 7.5mm x 35mm - 55mm
7-18mm x 25--30mm. 0-4 degree
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 10mm-50mm height.
Both base sizes come in 4 degree and 8 degree
Amended benefit
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
ST685
Dimso/Stryker Implants Diapason
ST687
ST689
ST690
Dimso/Stryker Implants Diapason
Dimso/Stryker Implants Diapason
Dimso/Stryker Implants Diapason
Screw - short arm + ball ring titanium, thoracic,
lumbar, sacral
Screw -long arm
Transverse - Domino titanium
Transverse rod union titanium
5, 5.5, 6.7, 7.7, 8, 9mm by 30-60mm with 5mm
increment
5.5, 6.7, 7.7mm by 30-60mm by 5mm increment
One size only
10-50mm
ST691
ST694
Dimso/Stryker Implants Diapason
Dimso/Stryker Implants Diapason
Transverse ball links (set of 2) titanium
Transverse - transverse bar titanium
One size only
50-90mm
ST695
ST708
ST709
ST711
Dimso/Stryker Implants Diapason
Dimso/Stryker Connector
Dimso/Stryker Connector
PEEK Interbody Cages
40-210mm
One size only
One size only
Size 7-18mm
ST712
ST914
ST917
ST918
ST919
ST920
PEEK Interbody Cages
REFLEX Anterior Cervical Plating System
Reflex Anterior Cervical Plate System
Reflex Anterior Cervical Plate System
Reflex Anterior Cervical Plate System
Reflex Anterior Cervical Plate System
Rods titanium
Offset sacral connector titanium
Offset connector titanium
Peek lumbar cages poly ether ether ketone 0, 4 & 8
degree
Solis cages poly ether ether ketone
Screw
Titanium, locking
Titanium, locking
Titanium, locking
Titanium, locking
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
12/5-12/7 and 14/5-14/7
Diameter 4 - 4.5mm lengths 10mm - 20mm
1 Level size, 12 - 22mm
2 Level size, 24 - 46mm
3 Level size, 39 - 69mm
4 Level size, 60 - 84mm
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Bone screw - Titanium, used with ABG11 Cups
Titanium, grit blast and HA for UHMPE insert
Titanium, grit blast and HA for ceramic insert
12,15,20,25,30,35,40,45 and 50mm lengths
Sizes 42mm to 74mm OD in 2mm increments
Sizes 44mm to 66mm OD in 2mm increments
28, 32mm
Stem sizes 1 - 8 Left, 1 - 8 Right
Head size 38 to 63
105-165mm length, Head size: 38 to 57
Stem sizes 1 - 7
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Orthopaedic
HW011
HW014
HW015
HW017
HW024
HW025
HW026
HW031
ABG Hip System
ABG 11Cup with Hydroxyapatite
ABG 11Cup with Hydroxyapatite
Stryker Biolox Forte Alumina Femoral Head
ABG11 Hip Stem Prosthesis(Various)
Austin Moore Endoprosthesis
Austin Moore Endoprosthesis
Definition PM Femoral Component
Changed Items for Prostheses List Report
Titanium, Plasma coated with HA
Long Stem - Vitallium cobalt chrome
Standard Stem - Vitallium
Femoral Stem - Vitallium
Page 81 of 94
Billing
Product Name
HW032
HW038
HW041
Stryker CoCr Femoral Head
V40 Orthinox Head
Exeter Hip System
Size
Explanation of Change
22, 26, 28, 30, 32mm
22 - 28mm dia
Stem Sizes 0-6, Offsets 30, 33, 35.5, 37.5, 44, 50 &
56mm
3.5mm X 10, 15, 20, 25, 30, 35mm
Stem sizes 0 - 8 Left & Right
OD: 40-60mm, ID: 22, 26, 28, 30
Amended benefit.
Amended benefit.
Changed Size, Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
HW047
HW055
HW403
Exeter Hip System
Citation Hip
Exeter Hip System
SK022
Modular Revision System Fluted Distal Stems
X-Change Bone Screws - Stainless Steel
TMZF - HA Stem - Titanium/HA coated
Exeter Duration Cup - Enhanced Polyethylene - Low
and High Profile
Titanium, polished, fluted, no HA
Stem Lengths 127 & 167mm straight & bowed.
Diameter 11-26mm
Stem Lengths 127 & 167mm straight & bowed.
Diameter 11-26mm
44 - 80mm OD
Shell sizes 42mm - 74mm OD
40mm Offset body with monoblock head sizes
38mm, 40mm, 41mm, 42mm, 43mm, 44mm, 45mm,
46mm, 47mm, 48mm, 49mm, 50mm, 52mm, 54mm,
Amended benefit
SK058
Stryker Modular Revision Hip System
Porous Distal Stems Titanium Plasma Spray
SK092
SK128
SK196
Stryker Hydroxyapatite coated cup with ceramic
Trident Acetabular Component System
Exeter Hip System - ETS (endoprosthesis trauma
Shell with Biolox forte ceramic liner
Titanium, arc deposited, non HA
Orthinox Stainless Steel Endoprosthesis unipolar
monoblock
SK307
SK318
Spiral Radius 90D
X3 Trident Acetabular Inserts
Rod to Rod Connector - Titanium
Modified UHMPE
Amended benefit.
Amended benefit
Femoral head with low friction ion treatment
Acetabular Shell, tritanium
One size only
Inner diameters: 22mm, 26mm, 28mm 32mm, 36mm,
38 - 64mm. For outer diameter shells 40mm - 80mm.
36mm-72mm
40mm - 80mm
SK405
SK428
LFIT Femoral Heads
Trident Tritanium Acetabular Shells
SK429
Trident Tritanium Acetabular Shells (PA coated)
Acetabular Shell, HA Coating, tritanium
40mm - 80mm
SK445
SK447
SK460
SK482
SR023
SR026
SR027
SR028
SR029
SR043
SR044
SR051
SR056
SR059
Rejuvinate SPT Femoral Hip System
Rejuvinate SPT (Monolithic Stems, TMZF) Hip
Exeter Rim Fit Flanged X3 Cup
Stryker Neck Taper Adaptor
Stryker Revision Femoral Head, Biolox Forte Alumina
Stryker CoCr Femoral Head
Accolade HFx
Stryker Delta Ceramic Heads
Stryker Large Femoral Head - Delta Ceramic
Mitch Hip System
Mitch Hip System
Mitch Hip System
Hipstar™ TMZF® Hip Stem
Mitch PER Hip System
Titanium (TMZF), plasma, HA with removable neck
Titanium (TMZF), plasma coated, HA
X3 Highly crosslinked Cup
Adaptor Sleeve for Stryker stems
With pre assembled titanium sleeve
Cobal Chrome with LFIT Treatment
CoCr,plasma not HA
Femoral Head - Delta Ceramic
Delta Ceramic
Resurfacing Head
Titanium, plasma spray, HA
Femoral Head Metal on Metal
Titanium, grit blast and HA
Proximal Epihyseal Replacement
7-12
4-12
40 - 60 OD, 22 - 44 ID
-5, -4, 0, +4, +5, +8 +10, +12, +15, +16mm offset
28, 32mm
22-32mm
Stem sizes 1-8, 127 degree neck
<32mm
36mm - 50mm
38mm - 60mm
44mm - 66mm
38mm - 60mm
Size 0 through to 12
38 - 60mm
Changed Items for Prostheses List Report
Further Description
Stainless Steel
Stainless Steel (Orthinox)
Amended benefit.
Amended benefit
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Size.
Amended benefit.
Changed Size.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Page 82 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SR062
SR070
ST541
ST548
ST551
ST554
ST561
ST565
ST569
ST570
ST573
ST574
ST575
ST576
ST584
ST586
ABGll Modular Stem
Mitch Hip System - Dysplasia Cup
Secur-Fit Plus max hip system
Trident acetabular component system
Osteonics Hip Prostheses
Stryker Securfit HA Coated Shell
Strker Omnifit/SecurFit Acetabular Insert
Alumina acetabular inserts
Head Taper Insert
UNITRAX
Omnifit hip stem
secur-fit HA Max hip stem
ACCOLADE hip prostheses
Stryker Omnifit Cemented Stem
Osteonics omnifit cemented long stem
Osteonics omnifit head/neck hip stem
1-8 (left and right)
44mm-68mm
Stem sizes 7-14
40-74mm OD in 2mm increments
One size only
40 - 80mm
22 - 36mm ID for cups 40 - 80mm OD
28, 32 & 36mm dia
-4 TO +12mm
38-64mm OD 2mm increments
Stem sizes 4-14
Stem sizes 4-14 in 127 and 132 degree neck angles
Stems sizes 0, 1, 2, 2.5,3, 3.5, 4, 4.5, 5, 5.5, 6, 7, 8
Stem sizes 4-11
Stem sizes 5-11, stem length 200, 250 AND 300mm
Stem sizes 5, 7 & 9
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
ST587
ST588
ST591
Osteonics hip prostheses
Osteonics hip prostheses
Osteonics hip prostheses
Titanium (TMZF), plasma, HA with removable neck
Dysplasia Cup
Titanium, plasma, HA
Titanium, arc deposited, with HA
Dome hole plug titanium
Titanium, arc deposited, with HA
Series I and II inserts, UHMPE
Ceramic insert, alumina
Neck extention, vitallium alloy
Vitallium alloy /CoCr
Titanium, grit blast and HA
Titanium, plasma coated, HA
Titanium, plasma coated, HA
Cemented femoral component Cobal Chrome
cobalt chrome unpolished long
Cobal Chrome, Unpolished, standard and long with
calcar
Restoration stem - 155mm titanium - HA coated
Restoration stem - 205mm titanium - HA coated
Restoration HA long stem titanium - HA coated
anatomic (left & right)
155mm length - stem sizes 7-12
205mm length - stem sizes 8-12
255mm length - stem sizes 8 - 14, left & right
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Surgical House
Neurosurgical
SU077
SU078
SU082
Cross bar clamp
Cross bar
Double loop
Hook/screw & rod spinal system component
Hook/screw & rod spinal system component
Hook/screw & rod spinal system component
For 7mm rod, for 6mm rod
30,45 & 60mm
Left & right, 3.5 & 5.0mm
SU089
SU090
SU091
Occiput rod 120mm
Screw link
Bone screw; Olerud Bone Screw
Hook/screw & rod spinal system component
Hook/screw & rod spinal system component
Hook/screw & rod spinal system component; Olerud
Bone Screw - Titanium, cannulated and non-cannulated
SU092
SU093
SU094
Occiput screw
Lamina hook short
Lamina compression hook
Hook/screw & rod spinal system component
Hook/screw & rod spinal system component, left &
Hook/screw & rod spinal system component
3.5mm diam
0 degrees, 15 degrees, 30 degrees
3.5 & 4mm diam, leng 16-65mm; Cannulated:
Diameter 3.5, 4.0mm Length 45 - 60mm, Noncannulated: Diameter 3.5, 4.0 Length 16 -65mm
4mm diam, length14-18 mm
Short & long
c1-claw
Changed Items for Prostheses List Report
Amended benefit
Amended benefit.
Amended benefit.
Page 83 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SU198
Olerud ME-Connector
for use with 3mm and 4mm Olerud screws
Amended benefit.
SU199
Olerud PF Blocks
To suit 7mm Olerud PF Rods
Changed Suffix.Amended benefit.
SU200
Olerud Pedicle Screw
Titanium. For polyaxial connection of Olerud cervical
pedicle screws to rod, claws etc for fixation of the
cervical spine.
Titanium, Threaded or Non-threaded, 0, 10, 13mm
offset
Titanium
Diameter 4, 5, 6, 7mm Length 45 - 90mm
Amended benefit.
4.0mm diam 26-60mm length, 6.5mm diam 40150mm length
2 holes, 4 holes/77mm, 4 holes/112mm
Changed Size.
2-4 hole plates
Changed Product Name, Description.
5 - 9 hole plates
Changed Product Name, Description, Size.
Left and right
Changed Product Name, Description.
8/9/10 hole, left and right
Changed Product Name, Description.
One size only
Changed Product Name, Description.
Newdeal Femoral Varus and De-rotation Osteotomy
Plates - 3 holes, Newdeal Femoral Varus and Derotation Osteotomy Plates - 4 holes, Newdeal
Reinforced Femoral Newdeal and De-rotation
Osteotomy Plates - left and right
Changed Product Name, Description, Size.
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws.
'6 - 8 holes'
Changed Product Name, Description.
Opening wedge HTO plates, left and right. Closing
wedge HTO plates, left and right. Reinforced closing
wedge HTO plates, left and right
Changed Product Name, Description.
Orthopaedic
SU007
ICOS Screw: Ideal Compression Screw
Cannulated titanium
SU177
Newdeal Reinforced Bendable Osteosynthesis Plates
SU178
Newdeal Bendable Osteosynthesis Plates
SU179
Newdeal Bendable Osteosynthesis Plates
SU180
Newdeal Distal Humeral Plates
SU181
Newdeal Femoral Osteosynthesis Plates
SU182
Newdeal Distal Femoral Varus Osteotomy Plate
SU183
Newdeal Femoral Varus and De-rotation Osteotomy
Plates
Composition - 316L Stainless Steel. To be used only
with Newdeal Screws/lock screws
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws.
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
SU184
Newdeal Proximal Humeral Plate
SU185
Newdeal HTO Plates
SU186
SU187
Newdeal Lock Screws
Newdeal Screws/Lock Screws
For use with Newdeal bone screws and plates
Screws - Cancellous, Cancellous cannulated, cortical,
cortical cannulated plus Lock screws
Diameter 2.7mm - 6.5mm
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 Name, Description.
Changed Product Name.
SU209
Plus Spinal Fixation System - Pedicle Screws
Titanium, mono-axial pedicle screws for attachment
to PLUS 6mm diameter rods to form a multi-level
spinal fixation construct
Diameter 4.5mm, Length 20mm-45mm
Diameter 5.5mm, Length 20mm-50mm
Diameter 6.5mm, Length 25mm-60mm
Diameter 7.5mm, Length 25mm-90mm
Diameter 8.5mm, Length 30mm-90mm
Changed Suffix.
Amended benefit.
SU210
PLUS Spinal Fixation System - Rod Connectors
Titanium blocks fitted with set screws for
longitudinal parallel joining of 2 PLUS system 6mm
one size each of: Dual Conector, Small Dual Rod
Connector, Open Dual Rod Connector
Amended benefit.
Changed Items for Prostheses List Report
Changed Product Name, Description.
Page 84 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SU211
PLUS Spinal Fixation System - Clip
Titanium clip that fits over the head of the PLUS
system pedicle screws to secure a 6mm rod to the
screw. Clip incorporates a set screw which tightens
the clip firmly against the rod/pedicle screw.
one size
Changed Suffix.
Amended benefit.
SU212
PLUS Spinal Fixation System - Sacral Screws
Diameter 6.5mm, Length 30-45mm
Amended benefit.
SU213
PLUS Spinal Fixatin System - Rods
Titanium bone screws used for fixation of PLUS
6mm rods to the sacrum via PLUS sacral connectors
Titanium rods of various diameters, lengths and
rigidity used to form multi-level spinal fixation
Hex rods, Rods and Stiff rods - Diameter 6mm, length
40mm, 50mm, 60mm, 70mm, 80mm, 90mm, 100mm,
110mm, 120mm, 130mm, 140mm, 150mm, 160mm,
170mm, 180mm 190mm, 200mm, 210mm, 220mm,
230mm, 240mm, 250mm, 260mm, 270mm, 280mm,
290mm, 300mm, 310mm, 320mm, 330mm,
Changed Description, Size.
Amended benefit.
SU214
PLUS Spinal Fixation System - Lateral Connectors
Single piece titanium clamp fitted to the end of a
30mm x 6mm rod. The short rod section is fixed to
the head of PLUS system pedicle screw a 90
(degrees) to the long axis of the spine. A 6mm
longitudinal rod can be fixed to the Lateral Connector
as part of pedicle screw/rod construct.
one size
Amended benefit.
SU215
PLUS Spinal Fixation System - MATC Bars
Titanium, 6mm diameter rods of various lengths for
transverse fixation between 2 PLUS system
longitudinal rods as part of a multi-level spinal
fixation construct. Available with one spherical end
or two for fixation to fixed angle MATC connectors
Double Spherical Ends: Diameter 6mm, Length
20mm-65mm
Single Spherical End: One size
Changed Description, Suffix.
Amended benefit.
SU216
PLUS Spinal Fixation System - MATC
Titanium clamp, fitted to a 6mm PLUS longitudinal
rod that fixes a short transverse support rod between
two longitudinal rods as part of pedicle screw/rod
construct. Available in either fixed angle or multi-axial
angle. The use of a combination of a fixed
One size each of fixed angle style and multi-axial
angle style
Changed Description, Suffix.
Amended benefit.
SU218
PLUS Spinal Fixation System - Sacral Connectors
left and right
Amended benefit.
SU220
PLUS Spinal Fixation System - Set Screws
Titanium connectors designed for the fixation of the
distal end of PLUS 6mm rods to PLUS bone screws
placed into the sacrum
Titanium set screws used to secure PLUS system
clips to PLUS system pedicle screws and hooks and
to tighten PLUS system connectors against 6mm
rods. All clips and connectors are supplied with set
screws pre-loaded. Separate set screws are only
Regular, Spherical
Changed Description, Suffix.
Amended benefit.
SU222
Qwix Screw
Self drilling, self tapping, cannulated, titanium screws.
Diameter 3.0mm-7.5mm, length 10mm-120mm
Changed Description, Size.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Synthes Australia Pty Ltd
Neurosurgical
SY006
Click'X Spinal Fixation System
Cap
One size only
SY008
VentroFix
Clamp
Single, Double, Fracture, Left, Right
SY010
VentroFix
Set screw
One size only
SY011
VentroFix
Parallel connector
6.0/6.0mm
Changed Items for Prostheses List Report
Page 85 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SY012
SY013
SY015
SY039
SY088
CerviFix Posterior Cervical System
CerviFix Posterior Cervical System
CerviFix Posterior Cervical System
Spinal Plate/Plate System AO/ASIF Spinal Implants
Plif Cage: Cage
Left, Right, Medial, Lateral, Pedicle, Lamina
Small, Large, Left, Right
3.5/3.5, 3.5/5.0, 3.5/6.0
Screw 45 - 60mm
Width 8 - 11mm / height 9 - 15mm
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
SY134
SY135
Cervical Spine Locking Plate (CSLP) System
Cervical Spine Locking Plate (CSLP) System
Clamp
Hook
Parallel connector
Spondylolysis hook screw (complete) small & large
Contact fusion cage - bone compression screw for
PLIF cage
Plate - Special Manuf.
Locking Screw
22 - 92mm Length
One size only
SY136
SY137
SY139
SY140
SY141
SY143
SY144
SY146
Posterior Cervical Plate System
Syncage
Spinal Plate/Plate System AO/ASIF Spinal Implants
Spinal Plate/Plate System AO/ASIF Spinal Implants
Spinal Plate/Plate System AO/ASIF Spinal Implants
Universal Spine System (USS)
Universal Spine System (USS)
Universal Spine System (USS)
Plate
Interbody fusion cage
Anterior thoracolumbar plate - locking
Anterior thoracolumbar screws - locking
Cannulated/self tapping screw (odontoid)
Rods
Fracture Clamps
Cross Link Rod
2 - 20 holes
12 -19mm Height
40mm - 109mm
Locking screw 7.5mm, length 25 - 55mm
3.5mm dia, 36-50mm length
Length 40 - 500mm
Cranial, Standard, Low Profile
40-80mm length
SY147
SY148
SY150
SY152
Universal Spine System (USS)
Universal Spine System (USS)
Universal Spine System (USS)
Universal Spine System (USS)
Connectors
Pedicle Hook Screw
Washers
Set Screw
Parallel, In-line, Transverse, SS, 15 - 25mm
Length 20- 40mm
Pointed, Flat, 4.2 - 7mm
Standard
SY174
Universal Spine System (USS)
Nut
Standard, SS
SY178
SY179
SY182
SY183
SY184
SY186
Spinal Fixation System
Spinal Fixation System
Cervical Spine Locking Plate (CSLP) System
Posterior Cervical Plate System
Posterior Cervical Plate System
Cervifix Posterior Cervical System
Pedicle screw head
Pedicle Screw (without head)
VA Plate
Plate
Plate - rod
Nut
5 - 6mm
L:30-100mm, D:4-9mm
Length 23 - 109mm
22-33 holes
Special Manufacture - One size only
One size only
SY187
SY192
SY250
SY251
SY274
SY277
Cervifix Posterior Cervical System
Universal Spine System (USS)
Universal Spine System
Ventrofix - MIS
Plivios IBF Cage
Spine Cable System
Screw
Pedicle screw
Low Profile Transconnector
Screw
Interbody Fusion Cage
Double Lead
Dia 3.2 - 4.5mm, Length 6 - 55mm
Length 70 - 140mm
18-83mm length
25-65mm
Height 7-17mm
One size only
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Amended benefit
Amended benefit
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Changed Items for Prostheses List Report
Page 86 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SY286
SY287
SY288
SY289
SY290
SY291
SY295
SY296
SY297
SY298
SY299
SY300
SY301
SY302
SY303
SY304
SY305
SY306
SY307
USS llio-Sacral Fixation system
USS llio-Sacral Fixation system
USS llio-Sacral Fixation system
USS llio-Sacral Fixation system
Anterior Tension Band
Anterior Tension Band
Synmesh
Vectra Anterior Spinal System
SynFix Spinal system
SynFix Spinal System
Vectra Anterior Spinal System
Travios
TeleFix Spinal System
TeleFix Spinal System
TeleFix Spinal System
TeleFix Spinal System
Pangea Spinal System
Pangea Spinal System
Pangea Spinal System
Locking Screw
Transconnecting bar
Sacral clamp
Polyaxial screw
Plate
Locking Screw
End rings
Cervical Plate
Locking Screw
Interbody fusion cage prefilled or unfilled
Locking Screw
Interbody fusion cage, prefilled or unfilled
Rod/Plate construct
Posterior Screw
Anterior Screw
Posterior Locking Screw
Pedicle Screw, Cannulated or Non-Cannulated
Pedicle and Lamina Hooks
Locking Cap
one size only
One size only
One size only
20mm to 140mm
30mm to 110mm
22mm to 36mm
round/oblong
10mm to 110mm
10mm to 40mm, 4.0mm diameter
5mm to 19mm
10mm to 26mm
5mm to 19mm
40mm to 140mm in length
20mm to 70mm in length
20mm to 70mm in length
One size only
Diameter, 4.0mm to 10mm. Length, 20mm to 120mm
Extra small to Extra Large
One size only
SY308
Axon Spinal System
Locking Set screw
One size only
SY310
SY325
SY326
SY327
Axon Spinal System
Universal Spine System
Spinal Plate/Plate System AO/ASIF Spinal Implants
Spine Solutions Prodisc
transverse bar
Hook
Internal fixator - cross link clamp
Artificial mechanical disc, superior plate component
one size only
Small, Medium, Large, Lamina, Thoracic, Pedicle
One size only
3 Degree, 6 Degree, 11 Degree, Medium, Large
SY328
SY329
SY334
SY335
SY337
SY338
SY339
SY340
SY341
Spine Solutions Prodisc
Spine Solutions Prodisc
Arch Fixation System
Arch Fixation System
Universal Spinal System (USS)
Vectra T Anterior Spinal System
Vectra T Anterior Spinal System
PlivioPore
Expandable Cage Titanium
Artificial mechanical disc, polyethylene inlay
Artificial mechanical disc, inferior plate component
Screws, titanium
Pre contoured mini titanium plates
Polyaxial Pedicle Screw, titanium
Titanium
Self tapping, self drilling Titanium
Ti PLIF cage
Synex II, Titanium
10,12,14mm, Medium, Large
0 Degree, 3 Degree, 8 Degree,Medium, Large
2.0mm - 2.4mm screws, 4 to 12mm
4 to 16mm
4.0mm to 9.00mm
14 to 110mm
4.0/4.5mm. 12mm to 20mm
Height 7 - 17mm / width 7 - 13mm
Height 14mm-93mm
Changed Suffix.Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Changed Product Sub-Group.Amended
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Changed Description.Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Product Sub-Group.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Changed Items for Prostheses List Report
Page 87 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
SY342
SY343
SY356
SY357
Expandable Cage Titanium
Expandable Cage Titanium
ECD - Expandable Corpectomy Device
ECD - Expandable Corpectomy Device
Synex II, Titanium endplate
Synex, Titanium, with endplates
Vertebral body replacement system, PEEK/Titanium
Locking clip, PEEK/Titanium
Angle 0 - 40 degree. Endplate Size 19x20, 22x25,
Height 14mm - 93mm, Angle 0 - 40 degree
Angle 4.5Deg/7Deg, Height 17mm - 70mm
Universal
SY359
SY361
Universal Spine System (USS)
Universal Spine System (USS)
Fracture Clamps
Cross Link Rod
Cranial, Standard, Low Profile
40 - 80mm Length
SY362
SY363
SY365
SY366
Universal Spine System (USS)
Universal Spine System (USS)
Cervical Spine Locking Plate (CSLP) System
Axon Spinal System
Pedicle Hook Screw
Sleeve
VA Plate
transverse bar
Length 20 - 40mm
3.5 - 6mm
Length 23 - 109mm
one size only
Amended benefit.
Amended benefit
Amended benefit
Changed Suffix.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit
Changed Product Group, Product Sub-Group.
SY379
Universal Spine System (USS)
USS II Polyaxial/Lotus Screw or Head
Changed Size, Suffix.Amended benefit.
SY381
Axon Occipital Fusion System
SY382
SY383
Axon Occipital Fusion System
Synmesh
Occipital Screws 4.5mm / 5.0mm diameter
Titanium Alloy
Occipital Clamp Titanium Alloy
Locking Screw, Low Profile, For Synmesh End Rings
Head 5mm / 6mmScrew diameter 4,5,6,7,8mm,
Length - 20-110mm
Length 4 - 18mm
1 or 2 holes
Small, Large
SY384
Speciality Rods
Unit Rod, Titanium / Stainless Steel
SY385
Speciality Rods
SY398
Axon Spinal System - Transconnector
Scoliosis / J/S Rod, Precontoured, Titanium /
Stainless Steel
Axon Transconnector
5mm, 6mm diameter
250mm - 500mm length
5mm, 6mm diameter. Left / Right
50mm - 500mm length
60mm - 75mm
Amended benefit
Changed Suffix.
Amended benefit.
Amended benefit.
SY412
Lotus System
Cap
One size
SY414
SY415
USS Micro-Crosslink
USS Micro-Crosslink
Crosslink Clamp
Crosslink Clamp Rod
One size only
One size only
Changed Size.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.Amended benefit.
Changed Suffix.Amended benefit.
Cannulated screws
Small Stature Plate
Broad Curved Plate or Proximal Femur Plate
Epoca Glenoid Screw
2.0mm-8.0mm
Length 20-77mm
2-26 Hole
8-30mm
Changed Size.
Amended benefit.
Changed Size.
Changed Description, Size.
Straight Graft - Thin Wall, Crimped.
Fluoropolymer/polyester, Knitted
6 to10mm x 40 to 70cm
Amended benefit.
Amended benefit.
Amended benefit
Orthopaedic
SY074
SY180
SY376
SY435
AO/ASIF Screws Steel
Cervical Spine Locking Plate (CSLP) System
LCP Plate
Epoca Custom Offset Shoulder Prosthesis
Terumo Corporation Australia
Vascular
TU009
Fluoropassiv Graft
Changed Items for Prostheses List Report
Page 88 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
TU010
Fluoropassiv Graft
6 to10mm x 30cm
Amended benefit.
TU011
Fluoropassiv Graft
6 to10mm x 40 to 70cm
Amended benefit
TU016
TU017
TU020
TU021
TU022
TU025
TU026
TU027
TU028
TU029
Gelsoft Plus Graft
Gelsoft Plus Graft
Gelsoft Plus Graft
Gelsoft Plus Graft
Gelweave Graft
SEALPTFE Graft
SEALPTFE Graft
SEALPTFE Graft
SEALPTFE Graft
SEALPTFE Graft
6 to 10mm x 75m
6 to 10mm x 100cm
6 - 24mm x 12.5 - 30cm
6-24mm x 50-60cm
6-38mm x 10-30cm
5 to 10mm x 10 to 40cm
5 to 10mm x 50 to 80cm
5 to 10mm x 10 to 40cm
5 to 10mm x 50 to 80cm
5 to 10mm x 10 to 40cm
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
TU030
SEALPTFE Graft
5 to 10mm x 50 to 80cm
Amended benefit.
TU033
SEALPTFE Graft
Straight Graft, Thin Wall, Externally Reinforced.
Fluoropolymer/polyester, Knitted
Straight Graft, Thin Wall, Externally Reinforced.
Fluoropolymer/polyester, Knitted
Polyester, Externally Reinforced, Knitted
Polyester, Externally Reinforced, Knitted
Straight, Polyester, Knitted
Straight, Polyester, Knitted
Straight, Polyester, Woven
Thin Wall, Straight, Sealed, PTFE
Thin Wall, Straight, Sealed, PTFE
Standard Wall, Straight, Sealed, PTFE
Standard Wall, Straight, Sealed, PTFE
Standard Wall, Straight, Sealed, Externally
Reinforcement, PTFE
Standard Wall, Straight, Sealed, Externally
Reinforcement, PTFE
Standard Wall, Tapered, Sealed, PTFE
4 to 7mm Taper x 40 to 50cm
Amended benefit.
Anterior Cervical Plate System: PLGA/TMC
Copolymer Screws
10-20mm
Amended benefit.
TiMax Surgical Pty Ltd
Neurosurgical
TI066
CPS Bioabsorbable Fixation System
Trans-Pacific Healthcare Pty Ltd
Neurosurgical
TP001
TPH - Fehling Formar Cages
Trapezoid frames to replace removed discs in the
region of the cervical vertebrae. Made of PEEK
Amended benefit.
William A Cook Australia Pty Ltd
General/Miscellaneous
WC123
Geenen Pancreatic Stent
Straight plastic pancreatic stent with or without
ductal flaps
Diameter 3 - 10 FR, length 2 - 15cm
Changed Description, Size.
Detachable Coil System
Microembolisation Coils - Platinum
011/018 2-20mm diameter, 2 - 50cm length
Changed Product Group.
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 Suffix.
Neurosurgical
WC061
Vascular
WC234
Zimmer Pty Ltd
Changed Items for Prostheses List Report
Page 89 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
Neurosurgical
ZI330
ZI475
ZI476
Trabecular Metal Spinal Devices
Silhouette Spinal System Implants
Silhouette Spinal System Implants
Composition - Trabecular Metal
Polyaxial Screw Assembly with Tabs
Fixed Screw with Tab Extensions
Various heights, sizes and diameters
5.5 x 25mm to 8.5 x 60mm
5.5 x 25mm to 8.5 x 60mm
Amended benefit.
Amended benefit.
Changed Product Group, Product Sub-Group.
ZI477
Silhouette Spinal System Implants
Nut, Connector, Transverse
1 size
ZI478
Silhouette Spinal System I
Adjustable Transverse Connector Rod
1 size
ZI479
Silhouette Spinal System Implants
Nut, Locking, Polyaxial
1 size
ZI480
Silhouette Spinal System
Adjustable Transverse Connector Sleeve with Set
12 - 90mm lengths
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Product Group, Product Sub-Group,
Suffix.
Amended benefit.
ZI481
ZI482
ZI483
Silhouette Spinal System Implants
Spine-Tech BAK Cervical Implant
Spine-Tech BAK "L" Cage
Rod
Cervical Cage
Lumbar Cage
5.5 dia x 10cm, 20cm and 47cm length
Amended benefit.
6 x 12mm, 8 x 12mm, 10 x 12mm, 12 x 12mm
Amended benefit.
9 x 20mm, 9 x 24mm, 11 x 20mm, 13 x 20mm, 13 x
Amended benefit.
24mm, 15 x 20mm, 15 x 24mm, 17 x 24mm, 17 x 28mm
ZI487
ZI488
ZI489
Trinica Screw
Silhouette Transverse Connector Insert
Trinica Select Anterior Cervical Plate
Titanium Screws, fixed and variable angle.
Titanium
Titanium plate for anterior cervical spine. Used to
assist spinal fusion. Attached to the bone using
4.2mm x 12/14/16/18mm; 4.6mm x 12/14/16/18mm
one size only
Plates for 1 or 2 levels are from 22 to 52mm long in
2mm increments; Plates for 3 levels are from 5172mm long in 3mm increments
Amended benefit.
Amended benefit.
Amended benefit.
ZI510
ZI517
ZI518
ZI519
ZI527
ZI536
ZI537
Optima Spinal System - Transverse Link Assembly
Trinica Anterior Lumbar/Sacral Screw
Trinica Anterior Lumbar Plate
Trinica Anterior Lumbar Plate
Optima Spinal Fixation System - Hooks
Trabecular Metal Spinal Devices
Trabecular Metal Spinal Device
Transverse Link Assembly
Screw, Titanium, Fixed or Variable Axis
Lumbar Plate, Titanium
Sacral Plate, Titanium
Titanium Alloy
Composition Trabecular Metal
Composition Trabecular Metal
Small, Medium, Large
22 to 34mm lengths
37-51mm lengths
33-51mm lengths
Various
Various heights, diameters and sizes
Various heights, sizes and diameters
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Acetabular reconstruction cage
Acetabular Reconstruction Cage - Left, right
Titanium, mesh (fibre metal), non HA
Stainless Steel
Co Cr (Zimaloy), polished and tapered
Cobalt Chrome, Core, PAEK outer matrix, Titanium
mesh with HA
46 - 60mm
52, 58, 64mm OD
Small, medium, large and extra large.
Sizes 38 - 60
Sizes 1 - 5
14 - 18 mm
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Orthopaedic
ZI001
ZI002
ZI006
ZI008
ZI009
ZI014
Zimmer Acetabular roof ring
Zimmer Acetabular Reconstruction Cage
Mayo Hip
Zimmer Austin Moore
Zimmer CPT Hip Systems Femoral Stem
Zimmer Epoch Hip Systems Femoral Stem
Changed Items for Prostheses List Report
Page 90 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
ZI015
ZI016
ZI017
ZI023
ZI025
Zimmer 'VerSys Hip Systems Femoral Stem
Zimmer 'VerSys Hip Systems Femoral Stem
Zimmer 'VerSys Hip Systems Femoral Stem
Zimmer Heritage Hip Systems Femoral Stem
Zimmer VerSys CRC Hip Systems Femoral Stem
11 - 17
9 - 18
9 - 18
11 - 17
13 - 19
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit
ZI027
ZI030
ZI033
ZI034
ZI035
ZI036
ZI037
ZI041
ZI042
ZI044
ZI045
ZI046
ZI047
ZI048
ZI049
ZI051
ZI052
ZI054
ZI055
ZI249
ZI271
ZI276
ZI296
ZI302
ZI311
ZCA Acetabular Cup
Trilogy Constrained Liner - Polyethylene
Trilogy Oblique liner
Trilogy Acetabular Cup
Trilogy Acetabular Cup
Acetabular Cup
Trilogy liner
Trilogy Acetabular Cup
Trilogy Acetabular Cup
Trilogy AB Ceramic Liner
'Longevity XLPE Acetabular liner
Acetabular Cup
Acetabular Cup
Acetabular Cup
'ZMR Taper System Modular Revision Hip
Femoral Head
Femoral Head
Femoral Head
Ceramic Femoral Head
Trabecular Metal Reconstruction Shell
Trabecular Metal acetabular Medial wall augment
Trabecular Metal Acetabular Augment
Anatomic II Hip System Femoral Stems
VerSys Hip System Femoral Stems
Spacer-G
Cemented - Cobalt Chrome unpolished
Titanium, mesh (fibre metal), non HA
Titanium, mesh (fibre metal), with HA
Cobalt Chrome, polished, straight
Cobalt Chrome, unpolished long stem with calcar
attachment option
UHMPE unmodified
UHMPE unmodified
UHMPE unmodified
Titanium mesh (fibre metal) non HA for UHMPE
Titanium mesh (fibre metal) with HA for UHMPE
Trilogy Bone Screw - Titanium
UHMPE unmodified
Titanium mesh (fibre metal) with HA for ceramic
Titanium mesh (fibre metal) non HA for ceramic insert
Biolox forte
UHMPE modified
Longevity XLPE Polyethylene Liner 20 Degree
Longevity XLPE Polyethylene Liner 10 Degree
Longevity XLPE Polyethylene Liner 0 Degree
Titanium body, plasma coating, non HA
Zimaloy - Co Cr
Zimaloy - Stainless Steel
Cobal Chrome femoral Head
Ceramic Head 12/14 Taper, Biolox Forte
Porous tantalum, reconstruction shell
Tantalum disc
Tantalum acetabular augment
Titanium, plasma Spray, no HA
Minimally invasive hip stem
Temporary implantable device for the treatment of
infected total hip replacement, Composition stainless steel core surrounded by PMMA
impregnated with Gentamicin
47 - 61
50 - 80
38 - 62
38 - 80
38 - 80
15 - 60
38 - 80 in 22, 28, 32
38 - 80
48 - 70
48 - 70
46 - 70
38 - 80
38 - 80
38 - 80
A-F
22mm, 28mm, 32mm
22mm, 28mm, 32mm
38 - 63mm
28 - 36mm
22 and 28mm diameter
26mm, 32mm and 38mm
40 - 70mm x 10, 15, 20 &30mm
Sizes 9 - 19
Sizes 9 - 19
Short Stems, Head size 46mm, 54mm, 60mm
Amended benefit.
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Changed Product Group, Product Sub-Group.
ZI312
Spacer-G
Temporary implantable device for the treatment of
infected total hip replacement, Composition stainless steel core surrounded by PMMA
impregnated with Gentamicin
Long Stems, Head size 46mm, 54mm, 60mm
Changed Product Group, Product Sub-Group.
Changed Items for Prostheses List Report
Page 91 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
ZI313
Spacer-K
Temporary implantable device for the treatment of
infected total knee replacement, Composition stainless steel core surrounded by PMMA
impregnated with Gentamicin
Small, Medium, Large
Changed Product Group, Product Sub-Group.
ZI314
ZCA All Poly Acetabular Cup - XLPE
UHMPE modified
Amended benefit.
ZI315
Trilogy Acetabular System - Longevity Eccentric
UHMPE modified
ZI317
Trilogy Acetabular System - Longevity Oblique
ZI318
Trilogy Acetabular System - Longevity Constrained
Highly crosslinked ultrahigh molecular weight
polyethylene
UHMPE modified
ZI325
ZI327
ZI329
Trabecular Metal Modular Acetabular System
M/L Taper Femoral Stem
CPT Impaction Grafting Mesh
Titanium, porous tantalum
Titanium, plasma spray, non HA
Titanium Femoral or acetabular mesh
ZI337
ZI338
ZI339
ZI346
ZI347
ZI353
ZI354
ZI355
ZI357
ZI358
ZI359
ZI360
ZI362
ZI364
ZI365
Natural Hip System
Natural Hip System
Protek Morscher PE Metasul Cup
Ceramic Femoral head for hip prosthesis
Femoral Head
Allofit Cup
Alpha Cerasul Insert
Cerasul - Ceramic
Alpha Durasul Insert
Durasul Ballhead for Inserts
Large Zimmer Femoral Heads
Converge
Natural Hip System
Natural Hip System
Natural Hip System
ZI368
ZI373
ZI376
ZI377
ZI380
ZI381
ZI382
Apollo Hooded acetabular cup
MS-30 Hip prosthesis
Cone Hip prosthesis
Wagner Revision Hip Prosthesis
Femoral Head
Ceramic Head - Sulox
Metasul Femoral Head
Unpolished, straight, Femoral Stem, CoCr
Femoral Stem Porous, Titanium
Titanium mesh, UHMPE plus metal liner
Femoral Head - Biolox Ceramic
CoCr femoral head
Titanium, macro texture, non HA
UHMPE unmodified with ceramic insert
Ceramic Femoral Head
UHMPE modified
CoCr femoral head
CoCr femoral head
Durasul Insert - Special UHMWPE
Eccentric Ball Heads - CoCr alloy
CoCr femoral head
Titanium stem with cancellous spray titanium coating
with HA, standard and high offset
UHMPE unmodified
Stainless steel, polished tapered
Titanium, grit blast, non HA
Uncemented Stem Titanium, grit blast, non HA
Head - Metal (Zweymuller Allopro) - CoCr
Head - Ceramic
Cobalt Chrome metal on metal
22, 26, 28 & 32 mm heads; 47-61mm diameter;
flanged and non-flanged
22 + 28 + 32 Head Diameters; 38 - 80mm Outer
Diameters
22 + 28 + 32 Head Diameters; 38 - 80mm Outer
Diameters
22 + 28 + 32 Head Diameters; 38 - 80mm Outer
Diameters
38-80mm diameter; Cluster, Multiholed, No Holes
9mm - 18mm in 1mm increments, 10 sizes in all
6 sizes acetabular rim (small and large), medial wall
(small and large), flat and femoral meshes
140 - 160mm
140 - 160mm
48 - 64mm
28 to 32mm
42 to 60
46 - 68mm
52 to 70mm
28mm
22mm x 42 to 28mm x 68
22, 28, 32
34 - 38mm
22/39 to 38/81mm
28/14 (S,M,L)
22 to 32mm
00 to 7
28/46mm to 28/62mm
6 to 16
13 to 24mm
190/14 to 385/25
22mm, 28mm, 32mm
22 to 32mm
28 to 40mm alloy
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Changed Items for Prostheses List Report
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Changed Product Group, Product Sub-Group.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Page 92 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
ZI384
ZI385
ZI386
ZI387
ZI388
ZI389
ZI390
ZI391
ZI392
ZI393
ZI394
ZI396
ZI397
ZI462
MS30 Hip - Cups Cemented
CLS Cups
Fitmore Cup
Protek Morscher PE Cup
Liner for CLS, Fitmore and Allofit
Metasul Liner for CLS, Fitmore and Allofit
Acetabular Reinforcement
Acetabular Reinforcement
Acetabular Reinforcement
Variall Screw Cup System
Variall Screw Cup System
Variall Screw Cup System
Variall Hip System
Alloclassic Hip Stem
UHMPE unmodified
Titanium, macro texture, non HA
Titanium mesh non HA
Titanium mesh, UHMPE unmodified
UHMPE unmodified
UHMPE unmodified with metal insert
Roof Ring - Ti alloy
Roof Ring with Hook - Ti alloy
Protrusio Cage - Ti alloy
Durasul Insert - special UHMWPE
Cerasul Insert - Ceramic
Titanium, macro texture, non HA
Titanium, grit blast, non HA
Titanium, grit blast, non HA, standard and high offset
22/36 to 32/64
46 to 62mm
42 to 68mm
22/40 to 32/64mm
22, 28, 32mm Size 46 to 62
28mm
44 to 58mm
36/23 to 64/23mm
44 to 50mm (left and right)
II28 to NN28mm
II28 to NN28mm
46 to 62mm
sizes 0 to 11,
1 - 14
ZI463
Alloclassic Hip Stem
Zweymuller, Ti alloy, Short Cone, Slender Neck
01, 0, 1, 10-13
ZI466
ZI467
ZI468
ZI472
ZI474
ZI491
Durom (Metasul)
Durom resurfacing cup
CLS Cementless Hip
Durom (Metasul) Resurfacing System - Ballhead
Durom Hip Resurfacing System - Adaptor Sleeves
Trabecular Metal Acetabular Revision System
Longevity Liner
Resurfacing femoral component
CoCr and Titanium, plasma spray, non HA
Titanium, grit blast, non HA
Forged CoCr femoral head
Forged CoCr allo
UHMPE modified
A-V
A-V
5 - 20
A1 to L1
A1 to L1
28mm x 48mm-80mm - 0deg & 10deg; 32mm x 5480mm - 0deg & 10 deg; 36mm x 58mm-80mm - 0deg
& 10deg; 40mm x 62-80mm - 0deg & 10 deg
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit.
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.
Amended benefit.
Changed Suffix.
Amended benefit.
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit
ZI492
ZI493
ZI495
ZI498
ZI499
ZI500
ZI511
ZI512
ZI513
Trabecular Metal Femoral Stem
M/L Taper Stem
Zimmer Anatomic II
Femoral Head
Femoral Head
Femoral Head
Optima Spinal System - Set Screw
Optima Spinal System - Rod
Optima Spinal System - Monoaxial Pedicle Screw
System
Alloclassic Zweymuller Hip Stem HA Coated
Ceramic primary & revision femoral head
Titanium, porous tantalum
Plasma sprayed titanium with HA
Titanium, plasma spray with HA
Zimaloy - Stainless Steel
Zimaloy - Co Cr
Head - Metal (Zweymuller Allopro) - CoCr
Screw set
Rod
Monoaxial Pedicle screw system
Sizes 9 to 18 with standard and extended offsets
Sizes 5 to 22 with standard and extended offsets
Sizes 1 - 12, left and right
36mm, 40mm
36mm, 40mm
36mm, 38mm
One size only
Dia 5-7mm, length 40-400mm
Dia 4-8mm, length 20-60mm
Amended benefit
Amended benefit
Amended benefit
Amended benefit.
Amended benefit.
Amended benefit.
Changed Suffix.Amended benefit.
Amended benefit.
Amended benefit.
Titanium, grit blast, with HA
Biolox Delta Ceramic
1 - 12
28 & 32mm
Amended benefit.
Amended benefit
ZI520
ZI538
Changed Items for Prostheses List Report
Page 93 of 94
Billing
Product Name
Further Description
Size
Explanation of Change
ZI539
ZI554
ZI555
ZI556
ZI557
Ceramic primary & revision femoral head
M/L Taper Hip Stem with Kinectiv Technology
M / L Taper Hip Stem with Kinectiv Technology
Avenir- Muller Stem
Porolock MIS Hip Stem
Biolox Delta Ceramic
Titanium, plasma, non HA
Titanium, plasma spray with HA
Titanium, grit blast, with HA
Curved uncemented MIS Stem with TiVPS coating
Amended benefit
Amended benefit
Amended benefit
Amended benefit
Amended benefit
ZI561
Trabecular Metal Acetabular Revision System
Cemented Constrained Liner
36 - 40mm
size 5, 6, 7.5, 9, 10, 11, 12.5, 13.5, 15,16.25,17.5
size 5, 6 , 7.5, 9, 10, 11, 12.5, 13.5, 15, 16.25, 17.5
Standard sizes 1-8; Lateral sizes 1-8
A 140° size 1-14 ; B137° size 1-14 ; B extended
offset 129° size 1-14 ; C127° size 1-14
50x28mm; 52x28mm; 54x32mm; 56x32mm;
58x36mm; 60x36mm; 66/68/70x36mm; 72/74x36mm;
76/78/80x36mm
ZI567
ZI568
Zimmer Hip System
Trilogy Acetabular System
VerSys Endo Adaptors
Longevity Constrained Liner
+7.0mm; +10.5mm; +14.0mm
50/52/54mmODx28mmID; 56mmODx32mmID;
58mmODx32mmID; 60mmODx36mmID;
62mmODx36mmID; 64mmODx36mmID;
66mmODx36ID; 68mmODx36mmID;
70mmODx36mmID; 72mmODx36mmID;
74mmODx36mmID; 76mmODx36mmID;
78mmODx36mmID; 80mmODx36mmID
Amended benefit.
Amended benefit.
Amended benefit.
Grand Total: 2169 Records
Changed Items for Prostheses List Report
Page 94 of 94