Changed Items for Prostheses List Billing Product Name Further Description Size Explanation of Change Stainless Steel/PTFE Everolimus Eluting Stent System ACS Multilink Coronary Stent; ACS Megalink Peripheral Stent; ACS RX Herculink Peripheral Stent. Stainless steel Stainless Steel 316L Stainless steel stent Cobalt chrome stent 9 - 26 mm x 2.5 - 5 mm 2.25mm to 4.0mm widths, 8mm to 28mm lengths 1.5mm - 8.0mm Detail and Benefit Amendment Benefit Amendment Benefit Amendment Length 1.5mm - 8.0mm Length 1.5 - 8.0mm 2.25mm to 4.0mm widths, 8mm to 38mm lengths Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Stainless Steel/PTFE Nitinol Self-Expanding stent on rapid exchange delivery system 6 Fr Exchange Sheath, Dilator, Guidewire, implantable nitinol clip pre-mounted on a Clip Embolic Protection Device, including delivery system, device specific procedural wire, filter for capturing embolic matter and retrieval system 4 - 12 mm x 12 - 58m mm Diameter 7-10mm Length 20 + 30mm Straight; Diameter 8-6, 9-7, 10-8mm Length 20 + 30mm 6 Fr Detail and Benefit Amendment Detail and Benefit Amendment Large and small. Two wire lengths: 190cm for Monorail system and 315cm for Over the wire Detail and Benefit Amendment Nitinol Cobalt Chromium Stainless Steel Balloon Expandable Peripheral Stent on 018/035 system Embolic Protection Device, including delivery system, device specific procedural wire, filter for capturing embolic matter and retrieval system. Xpert is a laser cut nitinol self expanding stent, used to treat peripheral vessel disease, Xpert is a low profile system designed for small vessels and is 4 Diameter 3-10mm Diameter 4-10mm, Length 12-58mm 018 & 035 system: 5-10mm diameter by 12, 16, 18, 28, 38, 58mm length 4.5 - 7.5; 190cm, 300cm length catheter Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 3 - 8mm in diameter, 20 - 80mm in length Detail and Benefit Amendment Nickel-Titanium Intra-vascular stent Stuture Mediated Closure Device Stuture Mediated Closure Device - Closure of Large holes 4-10mm diameter, 13-56mm length 5 - 8 French Up to 24 French Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment self expandable nitinol stent with introducer system 20,30,40,50,60,70,80,90,100,110,120mm Detail and Benefit Amendment Abbott Australasia Pty Ltd Cardio-thoracic AY012 AY023 AY025 JoStent Coronary Stent Graft Xience Everolimus Eluting Stent System Stents AY026 AY027 AY028 Multilink Coronary Stent System Multilink Coronary Stent System - Frontier Multilink Coronary Stent System - Vision Vascular CAG AY010 AY015 JOStent Peripheral Stent Graft Xact/ Xact Flex Carotid Stent AY017 Starclose AY018 Emboshield AY021 AY022 AY024 AY030 Nitinol Self Expanding Peripheral Stent Cobalt Chromium Balloon Expandable Peripheral Omnilink Stainless Steel Balloon Deployable Peripheral Stent Accunet AY031 Xpert AY032 AY033 AY034 ACCULINK Peripheral Stent System Proglide Prostar Detail and Benefit Amendment Detail and Benefit Amendment Ackermann Australia Pty Ltd General Miscellaneous AK002 Stent, oesophageal, dudodenal, rectal, biliary Changed Items for Prostheses List Report Page 1 of 144 Billing Product Name Further Description Size Explanation of Change Kirschner Wire 0.6mm to 3.0mm diameter / various lengths Detail Amendment Model 1000 - EQUINE Pericardium Bioprostheseis (non stented) 19 - 29 mm Detail Amendment Model No BG3515-5-A (BioGlue Surgical Adhesive) Model No BG3510-5-A (BioGlue Surgical Adhesive) Model No BG 3005-5 (Bioglue Surgical Adhesive) One size only One size only One size only Detail Amendment Detail Amendment Detail Amendment Model No BG 3010-5 (Bioglue Surgical Adhesive) One size only Detail Amendment Model No BGAT-SY (BioGlue Surgical Adhesive) One size only Detail Amendment Model No BGAT-10-SY (BioGlue Surgical One size only Detail Amendment Model No BGAT-27-SY (BioGlue Surgical One size only Detail Amendment Model No BG3002-5 (Bioglue Surgical Adhesive) One size only Detail Amendment Model No PSD 4506-EN Model No PSD 6006-UN Model No PSD 4506-UN Model No PSD 8006-UN Model No BGAT-RT-SY (BioGlue Surgical One size only One size only One size only One size only One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment Specialist Orthopaedic AK004 Kirschner Wires Advanced Biomedical Pty Ltd Cardio-thoracic AB070 ATS 3f Aortic Bioprosthesis (EQUINE) General Miscellaneous AB003 AB004 AB005 AB007 AB008 AB009 AB010 AB011 AB012 AB013 AB018 AB020 AB065 BioGlue Surgical Adhesive - 5ml Syringe System BioGlue Surgical Adhesive - 10ml Syringe System Bioglue Surgical Adhesive - 5ml Solutions Cartridge 5 Per pack Bioglue Surgical Adhesive - 10ml Solutions Cartridge 5 per pack BioGlue Surgical Adhesive - Syringe Standard Applicator Tip BioGlue Surgical Adhesive - Syringe Applicator Tip Extender BioGlue Surgical Adhesive - Syringe Applicator Tip Extender Bioglue Surgical Adhesive - 2ml Solutions Cartridge 5 per pack Peri-Strips Dry Peri-Strips Dry Peri-Strips Dry Peri-Strips Dry BioGlue Surgical Adhesive - Syringe Rigid Applicator Tip 34cm Advanced Medical Optics Australia Pty Ltd Ophthalmic AO007 Surgically Implanted Intraocular Viscoelastic 0.65mL Detail Amendment AO008 AO012 Viscoelastic Fluid: AMO Vitrax (sodium hyaluronate) 30mg/mL, 0.65mL Healon, Intraocular Viscoelastic Fluid Baerveldt Glaucoma Implant BG 101-350, Baerveldt Glaucoma Implant BG 103-425, Baerveldt Glaucoma Implant BG 103-250 Sodium Hyaluronate 10mg/ml Non-valved artificial drainage device, composition silicone - smooth, tumble-polished finish Healon 0.4ml, 0.55ml & 0.85ml Surface area 250, 350, 425mm2 Detail Amendment Detail and Benefit Amendment AO014 TECNIS™ Intraocular Lens (Z9002 & ZA9003) 5-10 dioptre in 1.0 dioptre increments; 10.5 - 30 dioptre in 0.5 increments Detail Amendment AO020 ReZoom Acrylic Multifocal Intraocular Lens Foldable Intraocular Lenses - Ultraviolet light absorbing posterior chamber intraocular lenses, Silicone/Acrylic Acrylic, foldable, posterior chamber, intraocular lens 6.0mm Optic Diameter x 13.0mm overall length Detail Amendment Changed Items for Prostheses List Report Page 2 of 144 Billing Product Name Further Description Size Explanation of Change AO023 TECNIS™ Multifocal Intraocular Lens (ZM900) Tecnis Multifocal foldable Posterior Chamber Diffractive Intraocular Lens Model ZM900. Posterior Chamber lens with UV light-absorbing, foldable, silicone, 3 piece with a diffractive posterior optic and a Modified Prolate Anterior Surface +5.0 Diopter to 34.0 Diopter in 0.5 diopter Detail Amendment AO024 Tecnis™ One Piece (ZCB00) +6 diopters to +30 diopters in 0.5d increments Detail Amendment AO026 TECNIS™ Multifocal Intraocular Lens (ZMA00) One piece intraocular lens with edge modification and 360 degree square edge Posterior chamber lens with UV light-absorbing, foldable acrylic, 3-piece with a diffractive posterior optic and a modified anterior surface technology with edge modification and 360 degree square edge. +5 diopters to +34 diopters in 0.5d increments Detail Amendment Titanium Titanium Stainless steel - sterile Clavicle Compression PinTitanium Screw, Double Threaded Threaded wires & pins Steinmann Pin 316L Stainless Steel, Low Profile Custom Thread Flat Head, Tappered, Titanium Standard Flat Head Screw Round Head, Titanium Titanium Titanium 2.0 - 6.5mm dia, length 4-150mm 6mm - 20mm Dia 0.7 - 2.5mm, length 100 - 230mm 3.2 & 4.0 mm x 50mm - 130mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment 1.0-5.0mm diametersvarious threaded lengths 2.8-5.0mm diameter 2 - 7 mm Diameter 12 - 24mm Length 9 - 11mm Diameter 30mm Length 7 - 11mm Diameter 20mm - 50mm Length 7-11mm Diameter 25 - 35mm Length 5 - 6mm 7 - 10mm Diameter 25 -40mm Length Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Advanced Surgical Design & Manufacture Ltd Specialist Orthopaedic AE012 AE036 AE052 AE068 ASDM Bone Screw Opening Wedge Tibial Ostectomy Plate ASDM K-wire ASDM Clavicle Compression System AE069 AE070 AE080 AE094 AE095 AE096 AE097 AE098 Threaded wires & pins ASDM Steinmann Pin Carpal Fusion System Screw ACL Fixation Screws Tapered ASDM Standard ACL Fixation Screw ACL Fixation Screws Tibial Post Screw Low Profile Tibial Screw Advanced Surgical Technologies Orthopaedic AD174 AD195 Advantim Total Knee System Advantim / Ortholoc Revision Knee Patella All Poly UHMWPE Femoral stems titanium 25,28,32mm, 35mm, 38mm, 41mm 5 Degree Size 4 10mm 5 Degree Size 6 10mm 7 Degree Size 4 10mm 7 Degree Size 6 10mm Detail Amendment Detail Amendment AD236 Profemur Total Hip System Titanium Femoral Necks Detail Amendment AD270 AD321 SLR Biploar Acetabular Shell Quadra-Fix Acetabular Shell Cast Cobalt Chrome Alloy Dysplasia Cup, Porous Coated, HA Length 27 - 38.5mm; Neutral to Ante/Retro - Varus Valgus 2 38mm - 65mm in millimetre increments O.D. 44mm - 66mm Detail Amendment Detail Amendment Specialist Orthopaedic Changed Items for Prostheses List Report Page 3 of 144 Billing Product Name Further Description Size Explanation of Change AD242 Limb Salvage System for the Skeletally Immature Repiphysis Repiphysis non invasive expandable custom designed prosthesis for the upper limb (all components delivered as one unit) Custom Made Detail Amendment PROVISC contains sodium hyaluronate, VISCOAT contains chondroitin sulfate and sodium hyaluronate PROVISC contains sodium hyaluronate Chondroitin sulfate and sodium hyaluronate Posterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light protection. Small & large packs Detail Amendment 0.55mL & 0.85mL packs 0.75mL +6.0 to +30.0 D Detail Amendment Detail Amendment Detail Amendment Alcon Laboratories (Aust.) Pty Ltd Ophthalmic AL005 DUOVISC VISCOELASTIC SYSTEM AL006 AL007 AL022 PROVISC VISCOELASTIC SOLUTION VISCOAT Viscoelastic Fluid AcrySof ReSTOR PC SN60D3 AL027 Foldable acrylic mutli-piece lens with apodised diffractive optic and blue light protection Posterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light protection +6 to +30 Diopters Detail Amendment AL028 ReSTOR multipiece apodised diffractive blue light filtering PC IOL Model MN60D3 AcrySof IQ ReSTOR SN6AD3 +6 D to + 30 D Detail Amendment AL030 AcrySof IQ ReSTOR SN6AD1 and MN6AD1 +6 D to + 30 D Detail Amendment AL031 AcrySert C Model SN6CWS Posterior Chamber, UV absorbing, foldable, acrylic, single and multiple lenses with apodised diffractive optic and blue light protection Posterior chamber, UV absorbing, foldable, acrylic, single piece lens with blue light protection and aspheric correction, in cartridge +6.0 to +30.0 D Detail Amendment AL032 AcrySof Toric Aspheric IOL Posterior chamber, UV absorbing, foldable, acrylic, toric, single piece lens with blue light protection and aspheric correction +6.0 to +30.0 D Detail Amendment Implantable acetal copolymer disk assembly, rotor assembly with three stainless steel fasteners. The fasteners, when deployed by rotating the rotor, extend about 3mm below the undersurface of the Outside diameter for the tack 30.5mm diameter by 5.6mm Height. The wires extend 3mm below the bottom surface. Detail Amendment Dacron/silicone variable diameter ring 52mmx15mmx0.09 mm Detail and Benefit Amendment Allergan Australia Pty Limited General Miscellaneous AW003 Rapid Port Tack AllVascular Pty Ltd Vascular CAG VA001 Venous Valve Ring Applied Medical Australia Pty Ltd General Miscellaneous Changed Items for Prostheses List Report Page 4 of 144 Billing Product Name Further Description Size Explanation of Change MH008 Applied Medical Laparoscopic Clip Applier Disposable Cartridge - CA001 Box of 10 Disposable Clip Applier made from polycarbonate, nylon, stainless steel, liquid crystal polymer, bone wax, titanium clip. The disposable cartridge is used in conjunction with a reuseable handle. Medium - large - 20 clips per device Detail Amendment MH014 Direct Drive laparoscopic clip applier with TiGold titanium clips Single-use, sterile 10mm laparscopic clip applier with 20 medium-large size titanium clips 10mm shaft diameter with medium-large size clips. Detail and Benefit Amendment 1.8mm x 14mm with a 6.1mm cortical wing span. Detail Amendment . Number 2 braided polyester One Size Only 1 - 2.8mm x 8.0mm x 5.0mm; 2 - 2.8mm x 13mm x 7.2mm 7 x 20mm, 7 x 25mm, 7 x 30mm, 8 x 20mm, 8 x 25mm, 8 x 30mm, 9 x 20mm, 9 x 30mm ParaFix Anchors are available in: 3mm,5mm and 6.5mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment 1.5-2.5 mesh plates, 14 x 14 holes; 1.5mm baby mesh plate 14 x 14 holes 1.5-2.5 mesh plate, 7 x 7 holes; 1.5mm baby mesh plate 7 x 7 holes 1.5mm baby plates:- 20 hole, c-plate & x-plate 7 hole, 2 hole 1.5mm plates:- 20 holes, c-plate & x-plate 7 hole, Lplate 7 hole L & R. burrhole 1.5-2.5mm plates:- 2-10 hole plates and extended, cplate & x-plate 7 hole, H-plate 8 hole, orthognathic hole and L-plate L & R 7 hole 1.5-3.1mm screw ring 5 pcs Plates 6 & 8 hole Pin 1.5 & 2 mm dia x 20-50 mm long Screws 2.8 x 40mm, 2.5 x 30mm, 4.5 x 90mm 6 x 20, 6 x 25, 6 x 30, 7 x 20, 7 x 25, 7 x 30, 8 x 20, 8 x 25, 8 x 30, 9 x 20, 9 x 25, 9 x 30, 10 x 30 Detail Amendment Diameter 3.0mm, 3.5mm, 4.0mm, 4.5/5.0mm Short, 4.5/ 5.0mm Long Detail Amendment Arthrocare Australasia Pty Ltd Specialist Orthopaedic AF001 AF002 AF003 AF004 AF005 TwinLock Knotless Twin Anchors with Suture and Suture passer AutoCuff System - Suture Cartridge AutoCuff System - Suture Cartridge AutoCuff System Magnum Arthroscopic Knotless Anchor Implant AF006 Atlantech graft fixation screw - titanium All in one Dual/Twin implant anchors for tendon to bone healing with integrated suture and suture passer. SmartStitch Magnum Wire - Ultra high tensile strength SmartStitch Suture Cartridge Magnum Knotless Implant - w/ inserter handle Arthroscopically implanted stainless steel suture anchor for rotator cuff or labrum repair Titanium ACL Screw AF008 ParaFix Anchor Tendon to bone anchor AF009 CPS Bioabsorbable Fixation System AF010 CPS Bioabsorbable Fixation System AF011 CPS Bioabsorbable Fixation System AF012 CPS Bioabsorbable Fixation System AF013 CPS Bioabsorbable Fixation System CPS Systems and Baby System Plates. Polylactic Acid Trimethylene Carbonate Copolymer CPS Systems and Baby System Plates. Polylactic Acid Trimethylene Carbonate Copolymer CPS Systems and Baby System Plates. Polylactic Acid Trimethylene Carbonate Copolymer CPS Systems and Baby System Plates. Polylactic Acid Trimethylene Carbonate Copolymer CPS Systems and Baby System Plates. Polylactic Acid Trimethylene Carbonate Copolymer AF014 AF016 AF018 AF021 AF031 CPS Screws CPS Bioabsorbable Fixation System CPS Bioabsorbable Fixation System CPS Bioabsorbable Fixation System CPS Screw Hexalon Biodegradable ACL/PCL Reconstruction Polylactic acid trimethylene carbonate copolymer OTPS fixation system: PLGA/TMC copolymer OTPS fixation system: PLGA/TMC copolymer OTPS fixation system: PLGA/TMC copolymer Biodegradable ACL/PCL Recon Screw PLLA/PGA/TMC Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment AstraZeneca Pty Ltd Plastic and Reconstructive AZ001 Astra Tech Cover Screws Changed Items for Prostheses List Report Cover Screw Page 5 of 144 Billing Product Name Further Description Size Explanation of Change AZ002 Titanium fixture with microthreaded cervical neck Diameter 3.0, 3.5 - 5.0mm, Length 8-19mm Detail Amendment AZ003 Astra Tech MicroThread Fixtures and MicroThread Osseospeed Fixtures Astra Tech Healing Abutments Healing Abutments, Healing Abutments Zebra Healing Abutments 3.0, Zebra 1.5, 3.0, 4.5, 6.0mm; Healing Abutment 5.5mm Ultra, Short, Long; 7.0mm Short, Long; ST Short, Long; ST 5.5mm Short, Long; ST 7.0mm Short, Long; Temporary Abutment 3.5, 4.0 4.0/5.0mm Detail Amendment AZ004 Astra Tech Abutments Temporary Abutment Diam 3.0 - 5.0mm Detail Amendment The Cinatra Cobalt Chromium Coronary Stent System consists of a balloon expandable Cobalt Chromium stent premounted on a rapid exchange Diameter range: 2.5mm - 3.5mm. Length range: 8mm - 25mm Benefit Amendment Radially Supported (Ringed) PTFE Standard Wall Straight PTFE Standard Wall Tapered PTFE Standard Wall Vascular Access Graft PTFE Standard Wall Radially Supported (Ringed) PTFE Thin Wall Straight PTFE Thin Wall Tapered PTFE Thin Wall Vascular Access Graft PTFE Thin Wall Bifurcate Polyster Graft Axillo-bifemoral Polyster Graft Straight Polyster Graft Straight Polyster Graft Balloon Expandable PTFE Encapsulated Stainless Steel Peripheral Vascular Stent Bifurcated PTFE Graft Balloon Expandable PTFE Encapsulated Stainless Steel Vascular Stent Balloon Expandable PTFE Encapsulated Stainless Steel Vascular Stent Balloon Expandable PTFE Encapsulated Stainless Steel Vascular Stent 4mm x 10cm - 10mm x 100cm 6mm x 10cm - 10mm x 90cm 4-6mm x 30cm - 6-8mm x 90cm 4mm x 10cm - 10mm x 100cm 4mm x 10cm - 10mm x 100cm 6mm x 10cm - 10mm x 90cm 4-6mm x 30cm - 6-8mm x 90cm 4mm x 10cm - 10mm x 100cm 12mm x 24mm - 6mm x 12mm x 40cm 8mm - 10mm 100 x 60cm 6mm x 15cm - 24mm x 30cm 6mm x 40cm - 8mm x 100cm 5mm - 12mm Diameter Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 12mm - 24mm X 6mm - 12mm Length 40cm 12 - 16 mm diameter 29mm length. 80cm and 120cm catheter lengths 12 - 16 mm diameter 41mm length. 80cm and 120cm catheter lengths 12 - 16 mm diameter 61mm length. 80cm and 120cm catheter lengths Detail and Benefit Amendment Detail and Benefit Amendment 2hole x 2hole Strip Plate Stiff 1.2mm profile, 4, 6, 8mm length between inner holes Detail Amendment Atrium Australia - Pacific Rim Pty Limited Cardio-thoracic AC030 Cinatra Cobalt Chromium Coronary Stent System Vascular CAG AC001 AC002 AC003 AC004 AC012 AC013 AC014 AC015 AC016 AC017 AC018 AC019 AC023 Atrium PTFE Vascular Graft Atrium PTFE Vascular Graft Atrium PTFE Vascular Graft Atrium PTFE Vascular Graft Atrium PTFE Vascular Graft Atrium PTFE Vascular Graft Atrium PTFE Vascular Graft Atrium PTFE Vascular Graft Atrium Ultramax PET Grafts Atrium Ultramax PET Grafts Atrium Ultramax PET Grafts Atrium Ultramax PET Grafts Advant PTFE V12 Stent Graft System AC026 AC027 Advanta SST Advanta V12 Stent Graft System AC028 Advanta V12 Stent Graft System AC029 Advanta V12 Stent Graft System Detail and Benefit Amendment Detail and Benefit Amendment Aus Systems Pty Ltd Specialist Orthopaedic AU001 Aus Systems Titanium Miniplates (Bone Plates) Changed Items for Prostheses List Report Page 6 of 144 Billing Product Name Further Description Size Explanation of Change Austofix Intramedullary Screws Austofix Intramedullary Nail Proximal Humeral Nail S2 Nail System S2 Nail System Austofix Femoral & Tibial Nailing System Austofix Femoral & Tibial Nailing System Austofix Femoral & Tibial Nailing System Austofix Femoral & Tibial Nailing System Austofix Femoral & Tibial Nailing System Austofix Femoral & Tibial Nailing System Austofix Femoral & Tibial Nailing System VRP Distal Radius Fixation System, Volar Distal Radius Plate - Wide VRP Distal Radius Fixation System Volar Distal Radius Plate - Standard VRP Distal Radius Fixation System, 3.5mm Cortical Screw, Titanium VRP Distal Radius Fixation System, Threaded, mpmthreaded, partially threaded locking, non-locking screw, peg, Titanium Humeral Head Screw, stainless steel Custom Nails, stainless steel Stainless Steel Cannulated supracondylar nail, stainless steel 6.2mm condylar screws Tibial Nail 4.0/4.8; s-s 4.0/4.8 Screws; Locking; dual thd; high nitrogen s-s F2 Femoral Nail 4.8/6.2; s-s 6.2/6.5mm Hip Screw; high nitrogen s-s F2 Hip Nail 4.8/6.5; high nitrogen s-s Washer for screws; s-s End Cap; I.M. Nails; s-s Volar Distal Radius Plate - Wide 4.3mm 5-13mm Diameter 8 mm, Length 170 mm 11/13mm x 160-380mm 6.5mm x 60-85mm Dia 8 - 11mm, Lengths 260 - 420mm Dia 4.0 - 4.8mm; Lengths 20-80mm Dia 9 - 12mm; Lengths 320 - 460mm Dia 6.2 & 6.5mm; Lengths 70 - 120mm Dia 11mm, Length 170mm - 240mm Dia 11mm & 13mm 8 - 13mm Wide, 3 and 4 hole, left and right Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Volar Distal Radius Plate - Standard Standard, 3 and 4 hole, left and right Detail Amendment 3.5mm Cortical Screw, Titanium 3.5mm diameter, 10mm-20mm lengths Detail Amendment Threaded, non-threaded, partially threaded locking, non-locking screw, peg, titanium 2.0, 2.5, 2.6mm diameter, 14mm-30mm lengths Detail Amendment AX051 AX052 Tectona Hip Plate - Cortical Screw Tectona Hip Plate - Compression Screw Cortical Screw, self tapping Comprssion screw, sterile packed Detail Amendment Detail Amendment AX053 AX054 AX055 AX056 Tectona Hip Plate - Locking Screw Tectona Hip Plate - Standard Lag Screw Tectona Hip Plate - Lag Screw HA coated Tectona Hip Plate Locking screw, self tapping Hip Lag Screw, sterile packed Hip Lag Screw HA coated, sterile packed Hip plate, locking with removable targeting jig, sterile packed 4.5mm, lengths 28-46mm Length 36mm. For compression with Tectona Lag Screw 5.0mm, lengths 28-46mm 12.5mm, 14.5mm 12.5mm - lengths 50-145mm 130, 135 and 140 degree, 2 to 8 hole 8mm diameter and 4mm height 8mm diameter, 5mm height 57mm to 110mm Detail Amendment Detail Amendment Detail Amendment Austofix Specialist Orthopaedic AX003 AX009 AX013 AX020 AX021 AX022 AX023 AX024 AX025 AX026 AX027 AX029 AX040 AX041 AX042 AX043 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Austspine Pty Ltd Neurosurgical AJ017 AJ024 AJ040 Denali Spinal System / ATR Set Screw Smartloc Spinal Fixation System / Set Screw Pyrenees Cervical Plate Changed Items for Prostheses List Report Set Screw Set screw for poyaxial pedicle screw 3, 4 and 5 level cervical plate Page 7 of 144 Billing Product Name Further Description Size Explanation of Change 90mm (3.5mm, 4.8mm) Detail Amendment 7-9 french; 10.5 french. 21mm, 25mm 5 sizes 5mm 12x12cm, 17x12cm 9cm round Detail Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 12cm round Detail and Benefit Amendment 15cm round Detail and Benefit Amendment 20cm round Detail and Benefit Amendment 15x10cm square Detail and Benefit Amendment 20x15cm square Detail and Benefit Amendment 25x20cm Oval Detail and Benefit Amendment 30x20cm oval Detail and Benefit Amendment 37x28cm oval Detail and Benefit Amendment 15x10cm square Detail and Benefit Amendment 20x15cm square Detail and Benefit Amendment 25x20cm Square Detail and Benefit Amendment 8x8cm, 9x8cm, 8.5x8cm 12cm round Detail and Benefit Amendment Detail and Benefit Amendment 15x10cm Square Detail and Benefit Amendment 15x15cm Detail and Benefit Amendment 20x15cm Oval Detail and Benefit Amendment Auto Suture Company, Australia T/A Tyco Healthcare Pty General Miscellaneous AS030 TA* Reloading Units AS052 AS134 AS135 AS137 AS138 AS139 Chemosite Implantable Venous Access System DST Series EEA Or Vil DST™ Series EEA™ XL Endo Clip III Prevadh Parietex Composite 9F AS140 Parietex Composite 12F AS141 Parietex Composite 15F AS142 Parietex Composite 20F AS143 Parietex Composite 1510F AS144 Parietex Composite 2015F AS145 Parietex Composite 2520F AS146 Parietex Composite 3020F AS147 Parietex Composite 3728F AS148 Parietex Composite 1510OS AS149 Parietex Composite 2015OS AS150 Parietex Composite 2520OS AS151 AS152 Parietex Composite Hiatal Hernia Mesh Parietene Composite 12 AS153 Parietene Composite 1510 AS154 Parietene Composite 1515 AS155 Parietene Composite 2015 Changed Items for Prostheses List Report Premium Multifire TA* Disposable Surgical Stapler and Loading Unit Port - Single Lumen (ChemoSite*) Accessory Circular Stapler Laparoscopic 5mm Clip Applier Adhesion Prevention film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophlic film Dual sided Polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion -prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film Composite Mesh Dual sided polypropylene mesh with resorbable adhesion-prevention hydrophilic film Dual sided polypropylene mesh with resorbable adhesion-prevention hydrophilic film Dual sided polypropylene mesh with resorbable adhesion-prevention hydrophilic film Dual sided polypropylene mesh with resorbable adhesion-prevention hydrophilic film Page 8 of 144 Billing Product Name Further Description Size Explanation of Change AS156 Parietene Composite 2520 25x20cm Oval Detail and Benefit Amendment AS157 Parietene Composite 3020 30x20cm Oval Detail and Benefit Amendment AS158 AS159 AS160 AS161 ABSORBATACK ™ Pleuraseal Lung Sealant System ABSORBATACK ™ Parietene ProGrip Mesh (PRE-SHAPED) 5mm, 10 tacks 1 kit/box 5mm, 20 tacks 12 x 8cm elliptic Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment AS162 AS163 Parietene ProGrip Mesh (FLAT) Vacuseal Vascular Sealant System Dual sided polypropylene mesh with resorbable adhesion-prevention hydrophilic film Dual sided polypropylene mesh with resorbable adhesion-prevention hydrophilic film Larposcopic Absorbable Fixation Device 5ml Polymer Kit, Sterile Single-use Laparoscopic Absorbable Fixation Device Pre-Cut, slit mesh with self gripping overlapping flap - right or left Mesh with self gripping FLAT 5ml Polymer Kit, Sterile, Single-use 15 x 9cm RECTANGLE 1 kit/box Detail and Benefit Amendment Detail Amendment IVS Tunneller System Trans Obuturator with two stylets and polypropylene mesh 50 cm (mesh) Benefit Amendment Epoxy/titanium Epoxy/titanium MBS/PSU Epoxy/titanium Aesculap Ligating Clips- Ligation Clips Titanium; Aesculap Ligating Clips Titanium Aesculap Ligating Clips Titanium Aesculap Ligating Clips Titanium Aesculap Ligating Clips Titanium Challenger Ligating Clips Titanium Multifire Standard/small/baby Standard/small/baby Standard/small 32x27x13mm PL561T- Large PL565T - Small PL566T - small cardiopack of 24 PL567T - medium PL568T - medium/large PL572 - small/medium Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Polyesterurethane Yasargil Yasargil Phynox Mini Yasargil Titanium Yasargil Titanium Mini Yasargil Reinforcing, Titanium/Phynox Polyurethane Polyurethane Polyurethane 12 x 14cm 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 6 x 8cm 4 x 10cm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Urogenital AS120 IVS Tunneller-Intravaginal Tunneller System B Braun Australia Pty Ltd General Miscellaneous BB082 BB083 BB084 BB086 BB294 BB297 BB298 BB299 BB300 BB301 Celsite Epoxy Single Access Port Celsite Epoxy Dual Access Port Celsite Single Access Port Celsite Epoxy Peritoneal Port Aesculap Ligating Clips Aesculap Ligating Clips Aesculap Ligating Clips Aesculap Ligating Clips Aesculap Ligating Clips Challenger Ligating Clips Neurosurgical BB015 BB108 BB109 BB110 BB111 BB112 BB113 BB114 BB115 Neuro-Patch Aneurysm Clip Aneurysm Clip Aneurysm Clip Aneurysm Clip Aneurysm Clip Neuropatch Dura Substitute Neuropatch Dura Substitute Neuropatch Dura Substitute Changed Items for Prostheses List Report Page 9 of 144 Billing Product Name Further Description Size Explanation of Change BB116 BB117 BB118 BB175 BB176 Neuropatch Dura Substitute Neuropatch Dura Substitute Neuropatch Dura Substitute Yasargil Aneurysm Clip System Yasargil Aneurysm Clip System 4 x 5cm 2 x 10cm 1.5 x 3cm 3mm - 20mm length, phynox temporary clips. 3mm- 25mm length, titanium temporary clips. Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment BB218 Kopitnik Microneurosurgical AVM Clips Polyurethane Polyurethane Polyurethane Phynox temporary clips are manufactured from Titanium termporary clips are manufactured from titanium Composition: Phynox (Cobalt-base-alloy) Detail Amendment BB290 T-Bar Yasargil Aneurysm Clip 2mm, 3mm, 4mm, 5mm - straight. 2mm, 3mm, 4mm, 5mm - curved. 5mm-9mm, 45 Deg BB291 T-Bar Yasargil Aneurysm Clip 5mm-13mm, 90 Deg Detail Amendment BB292 T-Bar Yasargil Aneurysm Clip 5mm-9mm, 45 Deg Detail Amendment BB293 T-Bar Yasargil Aneurysm Clip 5mm-13mm, 90 Deg Detail Amendment Bipolar shell plus liner Modular neck adaptors made from CoCr 38 - 60mm CCD - 130°, 135 °, 140°; Offset - 0mm, -5mm ,+5mm; Version - 7.5° left ante/right retro, 0 °, 7.5 ° left retro/right ante Detail Amendment Detail Amendment Compression Nail Compression Screw Fixation Screws Closure Screws Huckstep Fine Thread Screw Isosorb Resorbable Fixation Pin Stainless Steel Titanium Steel Nail for small bones Stainless steel Titanium cancellous and cortical screw, locking head for solid plate fixation. Titanium Osteotomy Plate, internal fixation plate used in proximal tibial repositioning osteotomy. Osteotomy Spacer Block, solid titanium. Consists of block and fixation screw. 100mmx10.5mm-610mmx12.5mm 4.5mmx64mm-4.5mmx102mm Dia 4.5mm-6mm,Length 20mm-96mm Length 8mm-10mm 4.5mmx19mm-4.5mmx57mm 2mmx60mm-3.5mmx80mm 10mm-28mm 10mm-28mm Dia 0.8mm-3.0mm, Length 70mm-310mm Dia 3mm-8mm All sizes 30mm-78mm x 4.5mm & 6.0mm diameter. Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment One size Detail Amendment 5mm - 16mm Detail Amendment 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 Detail Amendment Orthopaedic BB249 BB296 Bipolar Head Metha - Modular neck adaptors Specialist Orthopaedic BB051 BB052 BB056 BB057 BB059 BB060 BB068 BB069 BB071 BB107 BB271 BB303 BRAUN AUST Intramedullary Nails BRAUN AUST Intramedullary Nails BRAUN AUST Intramedullary Nails BRAUN AUST Intramedullary Nails BRAUN AUST Intramedullary Nails BRAUN AUST Intramedullary Nails Caspar Screws Caspar Screws Kirshner Wires all Sizes BRAUN AUST Intramedullary Nails Aesculap Schanz Screw Position HTO Implant System - Locking Screws BB311 Position HTO Implant System - HTO Plate BB312 Position HTO Implant System - Spacer Block with Fixation Screw Changed Items for Prostheses List Report Page 10 of 144 Billing Product Name Further Description Size Explanation of Change Vascular patch Vascular graft Vascular graft Vascular graft Vascular graft Vascular graft Vascular graft Vascular graft Vascular graft Vascular graft Vascular graft Phynox/ combination of various metals inc. Nickel,Copper, Molubden,Steel PTFE, Straight Standard Wall Straight Standard Wall with Helix Support Straight Standard Wall with Helix Support Straight Standard Wall with Helix Support PTFE - Straight Standard Wall PTFE - Straight Standard Wall Thin Wall Straight Thin Wall Straight Thin Wall Straight Straight Standard Wall with Helix Support Straight Standard Wall with Helix Support Straight Standard Wall with Helix Support Thin Wall Tapered Thin Wall Centre Helix Thin Wall Centre Helix Thin Wall Centre Helix Standard Tapered Standard with Centred Helix Standard with Short Taper Standard with Short Taper Easy Glide - Standard Wall Straight 12x9 to 3x4 100cm 60cm 50cm 40cm 30cm 20cm 15cm 10cm 12x6 to 24x12 12x7 to 12x12 One size, expands to Max length 38mm/Max diameter 30mm Dia 4 - 10mm, length 40 - 50cm Dia 6 - 10mm, length 10 - 50cm Dia 6 - 10mm, length 60 - 80cm Dia 5 - 8mm, length 90cm Dia 5 - 10mm, length 80cm Dia 5 - 8mm, length 90 - 100cm Dia 3 - 8mm, length 70 - 100cm Dia 3 - 8mm, length10 - 40cm Dia 3 - 8mm, length 10 - 40cm Dia 6mm x length 100cm Dia 5 - 8mm, length 80 - 90cm Dia 4 - 6mm, length 50 - 70cm Dia 4 - 8mm, length 40 - 90cm Dia 6mm, length 45cm Dia 5 - 6mm, length 45 - 50cm Dia 4 - 8mm, length 70 - 80cm Dia 4 - 8mm, length 70 - 90cm Dia 4 - 8mm, length 70 - 90cm Dia 4 - 8mm, length 30 - 70cm Dia 4 - 8mm, length 80cm Dia 6mm, length 70 - 80cm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Vascular CAG BB017 BB018 BB019 BB020 BB021 BB022 BB023 BB024 BB025 BB026 BB027 BB106 Vascular Patch Vascular Uni - Graft Vascular Uni - Graft Vascular Uni - Graft Vascular Uni - Graft Vascular Uni - Graft Vascular Uni - Graft Vascular Uni - Graft Vascular Uni - Graft Vascular Uni - Graft - Tapered Vascular Uni - Graft - Bifurcated Temporary Vena Cava System BB119 BB120 BB121 BB122 BB123 BB124 BB125 BB126 BB127 BB128 BB129 BB130 BB131 BB132 BB133 BB134 BB136 BB137 BB138 BB139 BB141 Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Page 11 of 144 Billing Product Name Further Description Size Explanation of Change BB142 BB143 BB144 BB145 BB146 BB155 BB156 BB157 BB169 Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vascugraft Vena Cava Filter System Dia 6mm, length 40 - 60cm Dia 6 - 8mm, length 40 - 70cm Dia 6 - 8mm, length 40 - 70cm Dia 4 - 7mm, length 70cm Dia 6 - 8mm, length 40 - 80cm Dia 4 - 7mm, length 30 - 70cm Dia 4 - 8mm, length 40 - 45cm Dia 4 - 8mm, length 40 - 45cm Diameter 28 mm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment BB170 Celsite Access Port for pain relief Coroflex Blue Diameter of septum:11.7mm. Height: 11.5mm. Dimension: 25.8 x 37.8mm 2-4mm diameter, 8-25mm length Detail and Benefit Amendment BB244 Easy Glide - Standard Wall Straight Easy Glide - Standard Wall with Helix Short Taper Easy Glide - Thin Wall Straight Thin Wall Centred Helix Tapered Easy Glide - Thin Wall Straight with Helix Support Standard Tapered Standard Wall with Tapered Centre Helix Standard Wall Stepped Taper PHYNOX Introducer system, 'J' Guidewire, Seldinger needle, disposable scalpel Composition - polysulphone. Kit includes tunnelling rod, filter, connectors, needles, syringe, tuohy needle Cobalt Chromium Alloy L605 Silicone Replacement Gastrostomy Device Composix Ventral mesh Composix Ventral mesh Composix Ventral mesh Composix Ventral mesh Composix Ventral mesh Composix Ventral mesh Composix Ventral mesh Small Oval w/e PTFE Medium Oval w/e PTFE Large Oval w/e PTFE Small Circle w/e PTFE Large Circle w/e PTFE Elliptical Elliptical Elliptical Elliptical Elliptical Rectangle Nitinol. Includes deployment system 18 - 24 French 10"x14" 12"x12" 2" x 4" 3" x 6" 4" x 8" 6" x 8" 8" x 10" 8 x 12 cms 11 x 14 cms 14 x 18 cms 8 x 8cms 12 x 12cms 4" x 6" (10 x 15cm) 6" x 8" (15 x 20cm) 7" x 9" (18 x 23cm) 8" x 10" (20 x 25 cm) 10" x 13" (25 x 33 cm) 10" x 14" (25 x 36 cm) Sizes - Diameter 8 - 10mm, Length 40 - 100mm Benefit Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment Bard Australia Pty Ltd General Miscellaneous BA046 BA063 BA064 BA065 BA066 BA067 BA068 BA069 BA096 BA097 BA098 BA099 BA100 BA101 BA102 BA103 BA104 BA105 BA106 BA124 The Bard Button Implantable Injection, Infusion Port Bard Mesh Bard Mesh Bard Mesh Bard Mesh Bard Mesh Bard Mesh Bard Mesh Bard Composix Kugel Hernia Patch Bard Composix Kugel Hernia Patch Bard Composix Kugel Hernia Patch Bard Composix Kugel Hernia Patch Bard Composix Kugel Hernia Patch Bard Composix E/X Mesh Bard Composix E/X Mesh Bard Composix E/X Mesh Bard Composix E/X Mesh Bard Composix E/X Mesh Bard Composix E/X Mesh Memotherm Biliary Stent Changed Items for Prostheses List Report Page 12 of 144 Billing Product Name Further Description Size Explanation of Change BA127 BA128 BA131 Composix Kugel Hernia Patch Composix Kugel Hernia Patch Bard Composix Kugel Hernia Patch Extra large oval - w/e PTFE Extra large oval - w/ePTFE The Bard Composix Kugel Hernia Patch is a selfexpanding, non-absorbable, sterile prosthesis. Two layers of monofilament, polypropylene mesh are stitched to an ePTFE sheet; an extruded monofilament PET polymer "ring" provides memory, adds stability to the 20cm X 25cm 25cm X 33cm Extra Large Oval w/e PTFE 18cm x 23cm Detail Amendment Detail Amendment Detail Amendment BA135 Bard Composix Kugel Hernia Patch The Bard Composix Kugel Hernia Patch is a selfexpanding, non-absorbable, sterile prosthesis. Two layers of monofilament, polypropylene mesh are stitched to an ePTFE sheet; an extruded monofilament PET polymer "ring" provides memory, adds stability to the Oval w/e PTFE 16cm x 31.2cm Detail Amendment BA136 Bard Ventralex Hernia Patch The Bard Ventralex Patch is a self-expanding, nonabsorbable, sterile prosthesis. Two layers of monofilament, polypropylene mesh are stitched to an ePTFE sheet; an extruded monofilament PET polymer "ring" provides memory, adds stability to the device. The 4.3 cm x 4.3 cm (1.7" x 1.7") Detail Amendment BA137 Bard Ventralex Hernia Patch The Bard Ventralex Patch is a self-expanding, nonabsorbable, sterile prosthesis. Two layers of monofilament, polypropylene mesh are stitched to an ePTFE sheet; an extruded monofilament PET polymer "ring" provides memory, adds stability to the device. The 6.4 cm x 6.4 cm (2.5" x 2.5") Detail Amendment BA160 Bard Crurasoft Patch 7cm x 6cm Small Detail Amendment BA161 Bard Crurasoft Patch 11cm x 8cm Large Detail Amendment BA162 BA163 Bard CK Parastomal Patch X Port isp X Port isp BA165 X Port duo BA166 X Port duo BA179 BA186 Bard Ventralex Hernia Patch SEPRAMesh IP Bioresorbable Coating/Permanent Mesh 12.5 x 15.5cm, 15.5 x 20.5cm Port: Base 22.6 x 28.2mm. Height: 11.7mm. Weight: 5.2g. Catheter: 9.6Fr Port: Base 22.6 x 28.2mm. Height: 11.7mm. Weight: 5.2g. Catheter: 6 & 8Fr Port: Base 38.5 x 28.5mm, Height: 12.6mm, Weight: 9.6g, Catheter: 10Fr Port: Base 38.5 x 28.5mm, Height 12.6mm, Weight: 9.6g, Catheter: 9.5Fr 8cm x 8cm 3 x 6 inch Detail Amendment Detail Amendment BA164 Dual sided mesh with PTFE mesh on one side and ePTFE mesh on the other side Dual sided mesh with PTFE mesh on one side and ePTFE mesh on the other side Bard CK Parastomal Patch Intermediate-sized MRI port with open-ended preattached or attachable Hickman single lumen catheter Intermediate-sized MRI port with open-ended preattached or attachable Chronoflex single lumen Intermediate-sized MRI port with open-ended attachable Hickman dual lumen catheter Intermediate-sized MRI port with open-ended attachable Chronoflex dual lumen catheter Bard Ventrlex Hernia Patch, Large Polypropylene & polyglycolic acid polymer mesh coated with a biopolymer: a bioresorbable coating of modified sodium hyaluronate, carboxymethylcellulose & polyethylene glycol based Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 13 of 144 Billing Product Name Further Description Size Explanation of Change BA187 SEPRAMesh IP Bioresorbable Coating/Permanent Mesh Polypropylene & polyglycolic acid polymer mesh coated with a biopolymer: a bioresorbable coating of modified sodium hyaluronate, carboxymethylcellulose & polyethylene glycol based 4 x 8 inch Detail Amendment BA188 SEPRAMesh IP Bioresorbable Coating/Permanent Mesh Polypropylene & polyglycolic acid polymer mesh coated with a biopolymer: a bioresorbable coating of modified sodium hyaluronate, carboxymethylcellulose & polyethylene glycol based 6 x 8 inch Detail Amendment BA189 SEPRAMesh IP Bioresorbable Coating/Permanent Mesh Polypropylene & polyglycolic acid polymer mesh coated with a biopolymer: a bioresorbable coating of modified sodium hyaluronate, carboxymethylcellulose & polyethylene glycol based 8 x 12 inch Detail Amendment 4mm - 10mm diameter, 3cm - 8cm length 4mm - 10mm diameter, 3cm - 12cm length 28mm Filter, 7Fr delivery System 4mm - 8mm diameter Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 3mm - 10mm diameter 4 - 8mm diameter Detail and Benefit Amendment Detail and Benefit Amendment 4 - 19mm diameter Detail and Benefit Amendment 4 - 10mm diameter Detail and Benefit Amendment 3 - 10 diameter 3 - 19mm diameter 3 - 10mm diameter 6-10mm diameter, 40 - 80cm length Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 4mm - 8mm diameter, 10cm - 50cm length Rectangle, Oval, Circle, Square 2.9mm-8mm x 6mm 9.5mm 36-45cm overall length 2.4 - 6.6 French Catheter 7 - 14.4F French Catheter 7 - 9 French Catheter 13.5 French Catheter 8 - 9.6 French Catheter 8 - 9.6 French Catheter Detail and Benefit Amendment Detail and Benefit Amendment Vascular CAG BA004 BA005 BA010 BA019 Encapsulated Carbon Lined Stent Graft Encapsulated Carbon Lined Stent Graft Recovery G2 Impra PTFE Vascular Grafts BA020 BA021 Impra PTFE Vascular Grafts Impra PTFE Vascular Grafts BA022 Impra PTFE Vascular Grafts BA023 Impra PTFE Vascular Grafts BA024 BA025 BA026 BA028 Impra PTFE Vascular Grafts Impra PTFE Vascular Grafts Impra PTFE Vascular Grafts Impra PTFE Vascular Grafts BA029 BA039 Impra PTFE Vascular Grafts Grafts Vascular AV access PTFE covered nitinol self-expanding stent Iliac / SFA PTFE covered nitinol self-expanding stent Nitinol self expanding vena cava filter ePTFE graft - radially supported, thin wall, 10 50cm long ePTFE graft - thin wall, 10 - 50cm long ePTFE graft - radially supported, thin wall, greater than 50cm long ePTFE graft - radially supported, regular wall, 1050cm long ePTFE graft - radially supported, regular wall, greater than 50cm long ePTFE graft - thin wall, greater than 50cm long ePTFE graft - regular wall, 10-50cm long ePTFE graft - regular wall, greater than 50cm long Distaflo ePTFE graft with preformed cuff and flex support Venaflo ePTFE graft with preformed cuff Polyester pledgets BA040 BA049 BA050 BA051 BA052 BA056 BA057 VitaCuff, Hickman Catheter Broviac Catheters Hickman Catheters Single Hickman Catheters Dual Hickman Catheters Triple Subcutaneous Ports Groshong Subcutaneous Ports Dialysis/Apheresis catheter, dual lumen, silicone Without VitaCuff, silicone Without VitaCuff, silicone Without VitaCuff, silicone Without VitaCuff, silicone Hickman open-ended catheter, single lumen Single or dual lumen catheter Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment Detail and Benefit Amendment Page 14 of 144 Billing Product Name Further Description Size Explanation of Change BA059 Dual Lumen Subcutaneous Ports 7 - 10 French Catheter Detail and Benefit Amendment BA060 BA089 BA093 Hickman Subcutaneous Ports Impra PTFE Vascular Grafts Impra PTFE Vascular Grafts 6 - 6.6 French Catheter 20 x 90mm 30 x 30mm, 10 x 90mm, 30 x 60mm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment BA125 Groshong Catheter Single Lumen, sizes 3fr-8fr Detail Amendment BA129 Vascular Catheter Single Lumen 3Fr - 6Fr Detail Amendment BA140 HemoGlide Long Term Haemodialysis Catheter Silicone, Polyurethane or ChronoFlex Open-ended Catheter Low-Profile ePTFE Cardiovascular Patch 0.4mm Oval ePTFE Cardiovascular, Patch 0.6mm, Rectangular, Patch 0.4 Oval, Rectangular Single Lumen, Sizes 3fr-8fr Groshong Valved-Closed ended catheter PICC - may include a Groshong Valved - Closed ended PICC, Single Lumen 3Fr-6Fr Kit contents: 14.5fr catheter, 18g guidewire introducer needle, 0.038" 70cm J-wire guidewire, 15fr PTFE introducer sheath, 8" tunnelling device, 1012fr dualator vessel dilator, 2 adhesive dressings, 2 injections caps, silicone attachable suture wing, hep 15, 19, 23 & 27cm straight kit; 19 & 23cm Pre-curved kit; 19, 24 & 28cm and 31cm Pre-curved jugular kit. Detail Amendment BA159 HemoSplit Long Term Haemodialysis catheter HemoSplit is a carbothane long term dual lumen catheter used to provide vascular access for haemodialysis. It comprises of a double D lumen configuration catheter each lumen having an ID of 2.3mm) with a fixed split tip (to 7.5cmm) which enables blood flo Standard Kit (straight15cm to42cm and pre-curved 19cm to31cm), Microintroducer Kits (straight 19cm to 42cm & pre-curved 19cm to 31cm) Detail Amendment BA171 BA175 BA177 Dynaflo AK Bypass Graft HemoGlide Long Term Haemodialysis Catheter SlimPort Ultra Low Profile Implanted Port Luminex Vascular Stent PowerPort 7 & 8mm diameter. 50, 60, 70, 80cm lengths 31cm PC2 Jugular Kit Port: 16.9 x 22.7mm (W) x 9.2mm (H); 2.9g Wt 6 Fr Catheter 4mm - 20mm diameters, 2cm - 12cm lengths One size, OF Catheter Detail and Benefit Amendment Detail Amendment Detail and Benefit Amendment BA178 BA181 BA182 BA183 BA184 BA185 PowerPICC PowerPICC PowerPICC Lifestent 6F, 55cm length 5F, 6F, 55cm Length 5F, 55cm length Diameter: 6-10mm, Length: 20-100mm Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment BA190 Lifestent - Peripheral Stent PTFE Graft 14.5Fr Double D stepped tip cuffed catheter Ultra SlimPort Low Profile Plastic/Titanium port with attachable Chronoflex® single lumen catheter Luminex nitinol self-expanding stent Sterile Titanium or MRI, subcutaneous implanted port with attachable radiopaque open ended ChronoFlex polyurethane catheter, intermediate kit Triple Lumen Power Injector Catheter Dual Lumen Power Injector Catheters Single Lumen Power Injector Catheter Laser cut nitinol self expanding stent, used to treat peripheral disease Stent: Stainless Steel composition. Items included in delivery system: nylon balloon, stent and deployment system Stent Length 15mm - 18mm, 0.035 compatible Detail and Benefit Amendment BA191 Lifestent - Peripheral Stent Stent Length 19mm - 27mm, 0.035 compatible Detail and Benefit Amendment BA192 Lifestent - Peripheral Stent Stent: Stainless Steel composition. Items included in delivery system: nylon balloon, stent and deployment system Stent: Stainless Steel composition. Items included in delivery system: nylon balloon, stent and deployment system Stent Length 28mm - 37mm, 0.035 compatible Detail and Benefit Amendment Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Page 15 of 144 Billing Product Name Further Description Size Explanation of Change BA193 Lifestent - Peripheral Stent Stent Length 38mm - 56mm, 0.035 compatible Detail and Benefit Amendment BA194 Lifestent - Peripheral Stent Stent: Stainless Steel composition. Items included in delivery system: nylon balloon, stent and deployment system Stent: Stainless Steel composition. Items included in delivery system: nylon balloon, stent and deployment system Stent Length 15mm - 18mm, 0.018 compatible Detail and Benefit Amendment BA195 Lifestent - Peripheral Stent Stent: Stainless Steel composition. Items included in delivery system: nylon balloon, stent and deployment system Stent Length 19mm - 27mm, 0.018 compatible Detail and Benefit Amendment BA196 Lifestent - Peripheral Stent Stent: Stainless Steel Composition. Items included in delivery system: nylon balloon, stent and deployment system Stent Length 28mm - 37mm, 0.018 compatible Detail and Benefit Amendment BA197 Lifestent - Peripheral Stent Stent Length 38mm - 56mm, 0.018 compatible Detail and Benefit Amendment BA198 Lifestent Peripheral Stent Stent: Stainless Steel Composition. Items included in delivery system: nylon balloon, stent and deployment system Stent: Nitinol composition with tanilum markers, Items included in the delivery system: Stent, deployment system 6-8mm Diameter, length 20-90mm Detail and Benefit Amendment BA199 Lifestent Diameter: 6-8mm, Length: 120mm Detail and Benefit Amendment BA200 Lifestent Diameter: 6-8mm, Length: 150mm Detail and Benefit Amendment BA201 Lifestent Laser cut nitinol self expanding stent, used to treat peripheral disease Laser cut nitinol self expanding stent, used to treat peripheral disease Laser cut nitinol self expanding stent, used to treat peripheral disease Diameter: 6-8mm, Length:170mm Detail and Benefit Amendment Bausch & Lomb (Australia) Pty Ltd Ophthalmic BL015 BL022 Amvisc Plus injection SofPort Advanced Optic (AO) 15mg/mL Sodium Hyaluronate for intraocular use Posterior chamber, foldable silicone IOL with anterior optic-haptic square edge, posteriof optic-haptic square edge, 360-degree optic square edge and asperic optic for aberration control 0.5mL and 0.8mL 0 D to 30.0 D Detail Amendment Detail Amendment BL023 Akreos Advanced Optic Posterior chamber, foldable acrylic IOL, with anterior optic-haptic square edge, posterior optic-haptic square edge, 360 degree optic square edge and aspheric optic for aberration control 0 D to 30.0 D Detail Amendment BL025 SofPort Advanced Optic (AO) Violet Shield Posterior chamber, aphakic, foldable silicone, anterior & posterior edge modification intraocular lens with aberration technology, a violet light 6mm optic 13mm overall lengthModified C 5 degree angulation 0-30D, 0.5D steps Detail Amendment BL026 Akreos AO Micro Incision Lens Micro Incision, posterior chamber, foldable acrylic, aphakic, anterior & posterior edge modification, preloaded, with aberration contro, intraocular lens 6mm optic overall diameter 11.0mm(10D-15D), 10.7mm (15.50-22D), 10.5mm (22.50-30D) Detail Amendment Changed Items for Prostheses List Report Page 16 of 144 Billing Product Name Further Description Size Explanation of Change BL027 Crystalens HD Accommodating lens with > 3 Dioptres of accommodation with dual mechanism of action: (1) forward axial movement of lens and (2) accommodative arching of optic. Posterior chamber, polyspheric optics, 3-piece, plate haptic, foldable UV light filtering, biconvex 10.0 to 33.0 Dioptres in .05 Dioptre steps Detail Amendment 2.0 ml (containing 1.0 ml of Sealer Protein Solution and 1.0 ml of Thrombin Solution) 4.0 ml (containing 2.0 ml of Sealer Protein Solution and 2.0 ml of Thrombin Solution) 10.0 ml (containing 5.0 ml of Sealer Protein Solution and 5.0 ml of Thrombin Solution) Module 0.5ml dose, Module 2 ml dose SV Half day, 5ml/hr, 60ml vol. LV 10, 10ml/hr, 240ml vol. SV Single day, 2ml/hr, 48ml vol. LV 5, 5ml/hr, 240ml vol. Detail Amendment Baxter Healthcare Pty Ltd General Miscellaneous BX214 TISSEEL Two Component Fibrin Sealant Syringe BX215 TISSEEL Two Component Fibrin Sealant Syringe BX216 TISSEEL Two Component Fibrin Sealant Syringe BX245 BX246 Patient Control Module Infusor Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen Sterile infusor devices, spring or elastomer driven Sterile infusor devices, spring or elastomer driven BX247 Intermate Sterile infusor devices, spring or elastomeric driven SV 200 - 200ml/hr, 100ml vol. SV 100 - 100ml/hr, 100ml vol. LV 250, 250ml/hr, 275ml vol. SV 50 50ml/hr, 100ml vol. LV 100 - 100ml/hr, 275ml vol. LV 50, 50ml/hr, 275ml vol Detail Amendment BX248 Infusor Sterile infusor devices, spring or elastomer driven LV 2, 2ml/hr, 275 ml vol; LV 1.5, 1.5ml/hr, 275ml vol; SV Multi day, 0.5ml/hr. 60ml vol; SV Seven day, 0.5ml/hr, 96ml vol Detail Amendment BX249 BX250 Multirate with PCM Basal/Bolus and Multirate Infusors Sterile infusor devices, spring or elastomer driven Sterile infusor devices, spring or elastomer driven Multirate 5, 7 or 12 ml/hr with PCM Basal/Bolus 60, Basal 0.5ml/hr, Bolus 0.5ml/hr x 65ml; Basal/Bolus 15, Basal 0.5ml/hr, Bolus 2ml/hr x 65ml; Basal/Bolus infusor, Basal 2ml/hr, Bolus 2ml/hr x 65ml; Multirate 5, 7 or 12 ml/hr x 300 ml; Multirate 2, 4, or 6 ml/hr x 300 ml; Multirate 2, 3, or 5 ml/hr x 300 ml; Multirate 1, 2 or 3 ml/hr x 100 ml Detail Amendment Detail Amendment BX252 CoSeal Surgical Sealant Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into one syringe, a dilute hydrogen chloride solution and a sodium phosphate/sodium carbonate solution 2ml Detail Amendment BX253 CoSeal Surgical Sealant Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution 4ml Detail Amendment BX254 CoSeal Surgical Sealant Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution 8ml Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 17 of 144 Billing Product Name Further Description Size Explanation of Change BX260 ADEPT Adhesion Reduction Solution ADEPT Adhesion Reduction Solution is a single use, sterile fluid for intraperitoneal administration. ADEPT is intended to be used as an instillate for the reduction of adhesions following abdominal surgery. 1500ml Detail and Benefit Amendment BX261 Tisseel Duplospray MIS Applicator 20cm A 20cm long dual lumen metal cannula Detail and Benefit Amendment BX262 TISSEEL DUPLOCATH 180cm COSEAL Spray Accessory Kit A 180cm long double lumen flexible application catheter One size available Detail and Benefit Amendment BX263 Two component Fibrin Sealant containing human derived fibrinogen and thrombin. Ttwo component Fibrin Sealant containing human derived fibrinogen and thormbin. A hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. BX264 TISSEEL DUPLOTIP 20g x 26.4cm A 26.4cm long dual umen applicator Detail and Benefit Amendment BX265 TISSEEL DUPLOTIP 5mm x 31.8cm A 31.8cm long dual lumen applicator Detail and Benefit Amendment BX266 Packs of 10 sterile packs each containing 2 tips and an installation tool A 40 cm long dual lumen metal cannula Detail and Benefit Amendment BX267 TISSEEL DUPLOSPRAY MIS APPLICATOR REPLACEMENT TIPS TISSEEL DUPLOSPRAY MIS APPLICATOR 40 cm BX268 TISSEEL DUPLOCATH 35cm MIC/MIS A 35cm long double lumen flexible application Detail and Benefit Amendment BX269 TISSEEL Easyspray Set One size Detail and Benefit Amendment BX270 COSEAL Applicator Tips 10 cm Ttwo component Fibrin Sealant containing derived fibrinogen and thrombin. Ttwo component Fibrin Sealant containing human derived fibrinogen and thormbin. Ttwo component Fibrin Sealant containing human derived fibrinogen and thrombin. Two component Fibrin Sealant containing human derived fibrinogen and thrombin. Two component Fibrin Sealant containing human derived fibrinogen and thormbin. Ttwo component Fibrin Sealant containing human derived fibrinogen and thrombin. COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. Thi A 10cm long applicator tip Detail and Benefit Amendment BX271 TiSSEEL DUPLOTIP 20g x 10.4cm 10.4cm long dual lumen applicator Detail and Benefit Amendment BX272 TISSEEL DUPLOCATH 25cm A 25cm long double lumen flexible application Detail and Benefit Amendment BX273 Floseal Endoscopic Applicator A 35cm long disposable cannulated applicator. Detail and Benefit Amendment BX274 TISSEEL DUPLOTIP 20G x 5.3cm A 5.3 cm long dual lumen applicator. Detail and Benefit Amendment BX275 COSEAL Extended Applicator 22 cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin. Ttwo component Fibrin Sealant containing human derived fibrinogen and thormbin. Used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical. Two component Fibrin Sealant containing human derived fibrinogen and thrombin. COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. Thi A 22 cm long malleable applicator Detail and Benefit Amendment Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Page 18 of 144 Billing Product Name Further Description Size Explanation of Change BX276 Floseal Curved Applicator TIP 8 cm FLOSEAL, which is listed on the Prostheses List, is used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical. This applicator is an 8 cm curved metal tip, which is attached t An 8cm long curved metal applicator tip Detail and Benefit Amendment BX277 TISSEEL DUPLOSPRAY MIS APPLICATOR 30 cm A 30 cm long dual lumen metal cannula Detail and Benefit Amendment BX278 Floseal Curved Applicator Tip 10 cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin. FLOSEAL is used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical. This applicator is an 10 cm curved metal tip, which is attached to the FLOSEAL syringe (sold separately) A 10cm long curved metal applicator tip Detail and Benefit Amendment Stainless Steel Diam 2.25-4.0mm Length 8-28mm Benefit Amendment - 3 - 4 mm x 20 cm Detail and Benefit Amendment Femoral stem, titanium, grit blast, non HA Grit Blast Distal Stems, non HA Ringloc Series shell, UHMWPE liner and Chrome Cobalt head Femoral Stem, Titanium, plasma, no HA, long acetabular augment, Porous Ti Alloy 12mm to 30mm x 250mm 150mm - 200mm 24-28mm Detail Amendment Detail Amendment Detail Amendment 220 - 300mm long, 12mm to 26mm diameter 48 to 58mm, small medium or large version Detail Amendment Detail Amendment Lactosorb Plates, 2mm System, All shapes 8 - 15 hole Detail Amendment distraction device, single tooth distraction device, multi tooth Plate & screws: Neuro pack Burr cover or multi plate set. Thinflap 4 hole plus plate sets Plate & screws: Neuro pack - single plate or thinflip 2 hole plate set Lactosorb Plates, 1.5mm System Lactosorb Plates, 1.5mm System 10-20mm 10-20mm 1.5mm or 2mm system Detail Amendment Detail Amendment Detail Amendment 1.5mm or 2mm system Detail Amendment 4 - 7 hole 8 - 15 hole Detail Amendment Detail Amendment Bio Excel Australia Pty Ltd Cardio-thoracic BE001 Gazelle Coronary Stent Bio Nova International Pty Ltd Vascular CAG BN004 Omniflow II Vascular Prosthesis - Straight Biomet Australia Pty Ltd Orthopaedic BI072 BI081 BI096 Modular Calcar Mallory Head Revision Hip System ARCOS Modular Revision Hip System Tripolar Acetabular Cup Series BI118 BI960 Modular Calcar Mallory Head Hip System Regenerex revision cup Plastic and Reconstructive BH002 BI823 BI824 BI870 Lactosorb Resorbable Craniomaxillofacial Fixation System Alveolar Ridge Distraction System - titanium Alveolar Ridge Distraction System - titanium Neurological Packs BI949 Neurological Packs BI990 BI991 Lactosorb Resorbable CMF System Lactosorb Resorbable CMF System Changed Items for Prostheses List Report Page 19 of 144 Billing Product Name Further Description Size Explanation of Change Rotator Cuff Butress, Lactosorb; PGA/PLA Screw and washer. Ti Bi Polar Shell, Titanium/ UHMWPE/Chrome Cobalt Bi Polar Head, Chrome Cobalt Bi Polar shell/ Titanium, chrome Cobalt Humeral Head, Chrome Cobalt Humeral Stem, titanium Glenoid Component, Cemented, Modular Head, Chrome Cobalt Glenoid Liner Noncemented, UHMWPE Glenoid Screw Glenoid Shell, Titanium Shoulder Offset Head, Chrome Cobalt Scan Pin, Stainless Steel Suture Button, HMWPE Interference Screw, Titanium Screw, Graft Interference, PGA/PLA Bone Mulch Screws, Titanium Forearm Nail, Titanium Screw, Distal Fixator, Titanium Set Screw w/holder, Titanium Nail End Cap, titanium Fibula Nail, titanium Cable Chrome Cobalt Cable Sleeve, Chrome Cobalt, Stainless Steel Trochanteric Grip, Chrome Cobalt Cable, Stainless Steel Dynamic Compression Plate, 3 hole, Stainless Steel Dynamic Compression Plate, 5 hole, Stainless Steel Dynamic Compression Plate, 7 hole, stainless steel Dynamic Compression Plate, 9 hole, Stainless Steel Bone Screw, Cortical, tapered, Cancellous, Stainless Steel Distal Radius Fixator, Dimension, Stainless Steel, Aluminium One size only Washer 14 - 18mm, Screw 24 - 60mm, Size 40-60mm Std to +4mm 40-60mm 40-54mm 6-15mm Small, Medium, Large x 4 or 7mm Std, +2, +4mm Low Profile 5mm x (15-40mm) Low Profile 40-54mm 16mm x 51-152mm 15mm, 19mm 15-30mm 7mm, 8mm, 9mm, 10mm 10.5mm x (20-35mm) 3.5mm x (180-260mm) One size only One size only low profile, one size only (3.5, 4.5mm) x 150mm 1.6mm or 2.0mm One Size only 1.6mm or 2.0mm 1.6mm or 2.0mm One size only One size only One size only One size only 2.4mm to 6.00mm diameter Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment One size only Detail Amendment Specialist Orthopaedic BI005 BI206 BI208 BI209 BI214 BI215 BI216 BI217 BI218 BI219 BI220 BI221 BI222 BI232 BI233 BI239 BI241 BI246 BI248 BI249 BI250 BI251 BI252 BI253 BI254 BI255 BI256 BI258 BI259 BI260 BI261 BI262 Re-Unite Orthopaedic System Arthrotek Ligament Fixation System Bi-Angular Shoulder System Bi-Angular Shoulder System Bio-Modular Shoulder System Bio-Modular Shoulder System Bio-Modular Shoulder System Bio-Modular Shoulder System Bio-Modular Shoulder System Bio-Modular Shoulder System Bio-Modular Shoulder System Bio-Modular Shoulder System Bio-Modular Shoulder System Moore Pins Arthrotek Ligament Fixation System Arthrotek Ligament Fixation System Gentle Threads Ligament Fixation Screws Arthrotek Ligament Fixation System SST Small Bone Locking Nail SST Small Bone Locking Nail SST Small Bone Locking Nail SST Small Bone Locking Nail SST Small Bone Locking Nail BMP Cable System BMP Cable System BMP Cable System BMP Cable System BMP Cable System BMP Cable System BMP Cable System BMP Cable System EBI XFIX Dynafix System BI264 EBI XFIX Dynafix System Changed Items for Prostheses List Report Page 20 of 144 Billing Product Name Further Description Size Explanation of Change BI265 EBI XFIX Dynafix System Hybrid Fixation System, Stainless Steel, Aluminium Rings - 1/3, 2/3, Rotating, 100mm-220mm. Ring Bolt - Xsmall, adult. Ring to fixator connector. Rotation adaptor - male, female, Xsmall, adult. Variable wire (1 size) or Variable Screw Carriage (fixed and angulating). Wire (1.6-2mm x 350-400mm). Washer (9 Detail Amendment BI267 EBI XFIX Dynafix System Fixator Complete - includes T-Clamp, Compression/Distraction, Dynamisation, Articulating Ankle Clamp Standard, Small, Extra Small Detail Amendment BI271 BI272 EBI XFIX Dynafix System EBI XFIX Dynafix System 160 or 200mm x (1.6 or 2.0mm) One size only Detail Amendment Detail Amendment BI277 BI287 BI304 BI306 BI320 BI342 BI343 BI344 Re-Unite Orthopaedic Bone Pin Uniflex Tibial Nail Rush Intramedullary Pins Rush Intramedullary Pins Arthrotek Harpoon System Copeland Shoulder System Copeland Shoulder System Copeland Shoulder System (1-4)mm dia x (20-70)mm 4.0, 5.0mm x (20-70mm) 3.2mm x (100-250mm) (6 - 6.4mm) x (280 - 440mm) 1 to 5 One size only Small, Std, Large (no specific size) Small, Std, Extra Deep (no specific size) Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment BI345 BI768 BI775 BI776 BI777 BI819 Copeland Shoulder System Mandibular Fracture System EBI XFIX DynaFix System EBI XFIX DynaFix System EBI XFIX DynaFix System EBI XFIX Dynafix System Small, Std, Large (no specific size) 2.0 x(5 - 13)mm One size only Small and Large Small, Medium, Long, 100mm, 150mm 4-8cm, Xsmall - Adult Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment BI820 BI827 BI828 BI829 BI830 BI831 BI832 BI834 BI835 BI843 BI849 EBI XFIX DynaFix System EBI XFIX Vision System EBI XFIX Vision System EBI XFIX Vision System EBI XFIX Vision System EBI XFIX Vision System EBI XFIX Vision System EBI XFIX DynaFix System Bio-Modular Shoulder System EBI XFIX DynaFix System EBI XFIX DynaFix System Wire Straight or Olive with Washer, Chrome Cobalt Distal Radius Fixator, Wristfix, Stainless Steel, Aluminium Bone Pin, PGA/PLA Tibial Nail Transverse Screw, Titanium Stainless Steel Stainless Steel Suture Anchor, Stainless Steel, Ti Glenoid, UHMWPE Humeral, Chrome Cobalt Glenoid Component, HA Coated, Chrome Cobalt, UHMWPE Humeral Component, Chrome Cobalt Screw, IMF 2./2.4 Mandibular Fracture, Titanium Distal radius fixator, wristfix, sterile, complete OptiROM Articulating Fixator Complete Mini fixator/lengthener with comp/dist Multi Axial Correction and Metaphyseal Arc Module complete with T-clamp Screw, HA coated, cortical, cancellous Rod Clamps/Connector, stainless steel/aluminium Clamp/Rod, stainless steel/aluminium Screw, Transfixing, Stainless steel Ring Connector Assembly, stainless steel/aluminium Post, Bone Screw, Telescoping, stainless steel Rods, Bars, stainless steel/aluminium/carbon fibre Screw, VS Osteotomy System, Ti Extended Articular Surface Humeral Head, CrCo Plate, VS Osteotomy Ti OptiROM Passive Distractor Module Dia 2-6mm Dia 9.5mm 4mm/6mm, 3-5 hole, 50-150mm 4 - 6mm diameter 1 or 2 bolt model One size only Dia 9.5mm, 150-400mm length 6mm x (30mm-110mm) 40 - 54mm 4 hole, 6 hole One Size Only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 21 of 144 Billing Product Name Further Description Size Explanation of Change BI850 BI851 EBI XFIX DynaFix System EBI XFIX Dynafix System One Size Only Ex Small, Small, Adult, 4-6mm Detail Amendment Detail Amendment BI852 EBI XFIX Dynafix System Ex Small, Small, Adult, 4-6mm Detail Amendment BI853 BI854 EBI XFIX Dynafix System EBI XFIX Dynafix System Ex Small, Small, Adult, 5-20cm Ex Small, Small, Adult, 4-6mm Detail Amendment Detail Amendment BI855 BI856 BI857 BI880 BI881 BI882 BI884 BI915 BI920 BI921 BI922 BI923 BI929 BI930 BI931 BI968 BI969 BI979 EBI XFIX Dynafix System EBI XFIX Dynafix System Kirschner Wires Mosaic Humeral Replacement System Mosaic Humeral Replacement System Mosaic Humeral Replacement System Comprehensive Fracture Stem Batcup EZLoc Femoral fixation Device EBI Paediatric Locking Nail System EBI Paediatric Locking Nail System EBI Paediatric Locking Nail System Sternalock Sternalock Sternalock ToggleLoc MaxFire Hitch suture anchor Hip Distractor Aluminium, Stainless Steel, Titanium Clamp (Straight, Transport, Rotational T-clamp, Adaptor, Lenghtener, Shim, Single) Clamp (Rotational Serrated T-clamp, Swivel, Translational, Uniplaner, CD) CD Clicker Rail Accessory (Adaptor, CD Support, Dynamization, Bridge) Wrench Rail (Carbon Fiber) Stainless Steel wire Mosaic System - CoCr, Ti Mosaic System - CoCr, Ti Mosaic System - CoCr, Ti Fracture Stem Cobalt Chrome, Titanium 6.5mm Ti Cancellous Bone Screws Ligament Anchor, Ti, PE Femoral Locking Nail - titanium; Screw Pilot Double Thread - titanium; Nail end cap, titanium Screws Ti Plates - xyphoid, "L" & square Plates - "X" & "T" Femoral Fixation Device Meniscal Repair Device Suture anchor with maxbraid sutures, PEEK Ex Small, Small, Adult, 3-6mm 100-420mm (1-3.2mm) diameter x (100 to 310mm) length Proximal Body - Std to +20 Segment - 80 to 140 mm Stem - 6.5 to 14.5 mm x 50 to 200 mm 4,6,8,10,12,14mm 12mm to 45mm 7-8; 9-10mm x Short, std or long. 28 -42cm x 5.5 - 6.5mm 20 - 68mm x 4.0mm 5.5mm - 6.5mm 2.4-2.7mm x 8-12mm 4 hole 5-8 hole 15mm-60mm one size 2.4mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Multiprogrammable, rate responsive, DDDR Multiprogrammable, Rate Responsive, SSIR Lead, pacemaker, implantable, endocardial Transvenous Bipolar Passive Steroid Ventricular Pacing Lead, fractal coated Fractal coated steroid electrode Coronary Sinus Lead Dual Chamber Rate Responsive with Home One size only One size only 45, 53, 60cm length 53 and 60cm lengths Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment 45 and 53cm lengths 77, 87cm One size only Benefit Amendment Benefit Amendment Detail and Benefit Amendment Biotronik Australia Pty Ltd Cardio-thoracic BT060 BT062 BT063 BT066 Philos II DR Philos II SR Selox SR Selox ST BT067 BT070 BT071 Selox JT Corox OTW UP Steroid Philos II DR-T Changed Items for Prostheses List Report Page 22 of 144 Billing Product Name Further Description Size Explanation of Change BT079 Cylos DR-T one size Detail and Benefit Amendment BT080 BT082 BT083 Cylos VR PRO-Kinetic Setrox S one size only 8-40mm length 2-5mm diameter length 45, 53, 60cm Benefit Amendment Benefit Amendment Benefit Amendment BT084 Linox SD 65, 75cm length, 16, 18mm elec dis Benefit Amendment BT085 Stratos LV-T One size only Detail and Benefit Amendment BT086 Lumax 340 DR-T One Size Only Detail and Benefit Amendment BT087 Lumax 300 VR-T One Size Only Detail and Benefit Amendment BT088 BT089 BT090 Lumax 300 HF-T Lumax 340 HF-T Lumax 340 VR-T One size only One Size Only One size only Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment BT091 BT092 Lumax 300 DR-T Linox TD Linox T Corox OTW BP Linox S Dextrus (marketed by Boston Scientific) One size only 65, 74 or 100cm length and 16 or 18mm electrode spacing 65, 75cm length 77, 87 cm length 65, 75cm length 7Fr, with 45cm, 53cm and 60cm length options Detail and Benefit Amendment Benefit Amendment BT093 BT095 BT096 BT097 BT098 Lumax 340 VR-T XL One Size Only Detail and Benefit Amendment BT100 LUMAX 540 VR-T Dual chamber dual sensor rate responsive with home monitoring system option single chamber dual sensor rate responsive Cobalth Chromium coronary stent system Bipolar active fixation lead with fractal coated and steroid eluting electrode Fractal coated and steroid electrode, active fixation quadrapolar Multiprogrammable Biventricular DDDRV with Home Monitoring ICD-DR 34 J with bidirectional Home Monitoring. Dual chamber ICD-VR with bidirectional Home Monitoring. Single chamber CRT-D with bidirectional Home Monitoring CRT-D 34 J with bidirectional Home Monitoring ICD-VR 34 J with bidirectional Home Monitoring. Single chamber ICD-DR with bidirectional Home Monitoring Fractal and steroid coated passive fixation quadripolar ICD lead Passive fix RV bipolar fractal coated steroid ICD lead Coronary Sinus bipolar steroid Active fix RV bipolar fractal coated steroid IC lead Bipolar, silicone, active fixation, steroid eluting, pacing lead ICD-VR with 40 J output, bidirectional Home Monitoring and High Longevity High Energy, Single-Chamber ICD (Implantable Cardiac Defibrillator) with Advanced Patient Management Via unique Home Monitoring Technology incorporatin Automatic Threshold Monitoring and Extended Longevity. Diamensions: 66*55*13 mm Volume/Weight : 37.2cc/92g Detail and Benefit Amendment BT101 Lumax 540 DR-T High Energy, Dual-Chamber ICD (Implantable Cardiac Defibrillator) with Advanced Patient Management Via unique Home Monitoring Technology incorporating Automatic Ventricular Diamensions: 66*55*13mm, Volume/Weight: 37.2cc/92g Detail and Benefit Amendment BT102 Lumax 540 HF-T High Energy, Three Chamber ICD (Implantable Cardiac Defibrillator) with Advanced Patient Management Via unique Home Monitoring Technology incorporating Automatic RV/LV Threshold Monitoring and Extended Longevity. Diamensions: 66*59*13 mm, Volume/Weight: 39.8cc/94g Detail and Benefit Amendment BT104 Cylos 990 DR Dual-chamber pacemaker with Closed Loop Stimulation (CLS) 57* 43* 6mm/28g Benefit Amendment Changed Items for Prostheses List Report Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Page 23 of 144 Billing Product Name Further Description Size Explanation of Change BT105 Cylos 990 DR-T 57*43*6mm/28g Benefit Amendment BT106 Cylos 990 SR 57 x 39 x 6mm / 27g Benefit Amendment BT107 PRO-Kinetic Energy Dual-chamber pacemaker with Closed Loop Stimulation (CLS) and Biotronik Home Monitoring Technology Single-chamber pacemaker with Closed Loop Stimulation (CLS) The PRO-Kinetic Energey stent is a tubular, balloonexpandable stent sculpted by laser from a single tube of L-605 cobalt chromium (CoCr) alloy. The stent consists of circular segments at each end followed by a transition zone and helicoidally arranged struts in the middle. Each loop of the helix is connected to the next loop by 3 longitudinal struts. The stent surface is fully coated with a layer of amorphous hydrogenrich silicon carbide (aSiC:H). This material has semiconducting properties that efficiently prevent the electron transfer from fibrinogen to the metal surface in vitro. Thereby the conversion from fibrinogen to fibrin and it's depoisition at the stent surface is reduced. Additionally, aSiC:H - coated stents exhibit a lower adhesion and activation of blood platelets and leucocytes. Finally, the release of potentially allergenic ions from a silicon carbide coated stent is substantially reduced in comparison to an uncoated metal stent3. This coating is used on all Biotronik coronary stents producedso far and was subject to extensive clinical testing. The PRO-Kinetic Energy stent is available in 66 different diameter/length combinations. It is available in lengths from 8mm to 40mm. It is premounted on a delivery system which has nominal balloon diameters between 2.0mm and 5.0mm. Benefit Amendment Peripheral self expanding nitinol, coated stent PTA Balloon Expandable Stent Rapid Exchange, Balloon expandable cobalt chromium (L-605) peripheral stent - passive coating - 0.014" / The Astron Pulsar is a nitinol self expanding stent, used to treat peripheral vessel disease. Is 4Fr compatible and a rapid exhange delivery system Dia: 6 - 12mm, Len: 30 - 100mm 5-10mm diameter / 15, 25, 38, 56mm lengths Diameter: 2.0mm - 5.0mm; Length: 10mm - 40mm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 4-12.0mm by 20-200mm Detail and Benefit Amendment Vascular CAG BT072 BT094 BT099 Astron Dynamic PRO-Kinetic Explorer BT103 ASTRON PULSAR BMDi Tuta Healthcare Pty Ltd Vascular CAG TT001 Paragon Ambulatory Drug Infusion System The top of the Paragon infuser is made of acetyl with stainless steel parts; the bottom is made of clear polycarbonate. Diam: 10cm Height: 5.8cm. Administration Sets - made from PVC and acrylic components. Infuser - 100mL Administration Sets - 0.50mL, 1mL, 2mL, 4mL, 10mL, 50mL, 100mL, or 200mL/hr Detail and Benefit Amendment TT003 Sidekick Ambulatory Disposable Delivery System Spring infusor made from high impact plastics. Administration Sets - made from PVC and acrylic components. Infuser - 50mL or 100mL, Administration Sets 50mL, 100mL or 200mL/hr Detail and Benefit Amendment Boston Scientific Australia Pty Ltd Changed Items for Prostheses List Report Page 24 of 144 Billing Product Name Further Description Size Explanation of Change Consists of a balloon expandable stent, pre-mounted on a Maverick 2 Monorail delivery catheter. 316L Stainless Steel Stent with Translute Polymer and Paclitaxel VDD Pacemaker Single chamber pacemaker Cobalt chromium alloy stent coated with a blended polymer mixed with Everolimus. Dual chamber pacemaker Dual chamber, high energy implantable cardioverter defibrillator with wireless radio frequency capability CRT-D (IS-1 and LV-1 connectors) CRT_D RF High Energy (IS-1 and LV-1 connectors) High energy single chamber ICD with 4-SITE inline RV connector (GDT-LLHH) Transvenous Left Ventricular pacing lead High energy dual chamber ICD with 4 SITE (GDTLLH) inline RV connector High energy dual chamber ICD High energy single chamber ICD with DF-1/IS-1 connector High Energy CRT-D with 4SITE (GDT-LLHH) inline RV connector High Energy CRT-D (DF-1/IS-1 & DF-1/LV1connectors) Dual chamber pacemaker with rate response Single chamber pacemaker Dual Chamber pacemaker Single Chamber pacemaker Dual chamber pacemaker Single chamber pacemaker VDD Pacemaker Dual Chamber pacemaker Single Chamber pacemaker Stent lengths: 8,12,16,20,24,28 & 32 mm Stent diameters: 2.25, 2.5, 2.75, 3.0, 3.5, 4.0, 4.5 & 5.0 mm 2.0mm-5.0mm & 8.0mm-38mm Detail and Benefit Amendment 10.0cc, 23.5g 10cc, 23.4g 2.25mm to 4.0mm diameter, 8mm to 28mm length Benefit Amendment Benefit Amendment Detail and Benefit Amendment 10.8cc, 25.4g 44cc, 87.5g Benefit Amendment Detail and Benefit Amendment 40cc, 79.5g, 14.5mm 44cc, 87.5g, 14.5mm 30.5cc, 9.9mm Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 80, 90 & 100cm 31.55cc, 9.9mm Benefit Amendment Detail and Benefit Amendment 31.5cc, 9.9mm 31.5cc, 9.9mm Detail and Benefit Amendment Detail and Benefit Amendment 32cc, 9.9mm Detail and Benefit Amendment 32.5cc, 9.9mm Detail and Benefit Amendment 10cc - 15cc 10cc - 15cc 10cc - 15cc 10cc - 15cc 10cc - 15cc 10cc - 15cc 10cc - 15cc 10cc - 15cc 10cc - 15cc Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Nitinol, self expanding stent Monofilament wire, self-expanding stent Diameters up to 25mm & lengths up to 80mm Diameters up to 10mm & lengths up to 100mm Detail Amendment Detail Amendment Cardio-thoracic BS069 Liberte Coronary Stent System BS099 Taxus Liberte Paclitaxel-Eluting Coronary Stent BS123 BS124 BS125 Insignia AVT 882 Insignia AVT 1192 Promus Everolimus Coronary Stent System BS126 BS128 Insignia AVT 1292 Confient RF HE BS129 BS130 BS132 LIVIAN CRT-D LIVIAN CRT-D HE Teligen 100 HE VR 4-SITE BS133 BS134 Acuity Spiral TELIGEN 100 HE DR 4-SITE BS135 BS136 Teligen 100 DR DF-1/IS-1 TELIGEN 100 HE VR DF-1/IS-1 BS138 COGNIS 100 HE 4-SITE BS139 COGNIS 100 HE (DF-1/IS-1 & DF-1/LV-1) BS144 BS145 BS146 BS147 BS148 BS149 BS150 BS151 BS152 Altrua 20 DR Altrua 20 SR Altrua 40 DR Altrua 40 SR Altrua 50 DR Altrua 50 SR Altrua 50 VDD Altrua 60 DR Altrua 60 SR Benefit Amendment General Miscellaneous BS047 BS051 Ultraflex Tracheobronchial Stent Wallstent Biliary Stent Changed Items for Prostheses List Report Page 25 of 144 Billing Product Name Further Description Size Explanation of Change BS052 BS053 BS070 BS082 Wallstent Biliary Stent Wallstent Enteral Stent Wallstent RX Biliary Stent Resolution Clip Device Diameters up to 10mm & lengths up to 100mm Diameters up to 30mm & lengths up to 150mm Diameters up to 10mm & lengths up to 100mm 7Fr, 11mm jaw opening Detail Amendment Detail Amendment Detail Amendment Detail Amendment BS090 BS101 WallFlex Enteral Stent (Duodenal/Colonic) Polyflex Airway Stent Diameters up to 30mm & lengths up to 150mm Diameters up to 25mm & lengths up to 80mm Detail Amendment Detail Amendment BS103 Dynamic (Y) Stent Diameters up to 25mm & lengths up to 120mm Detail Amendment BS117 BS141 BS142 WallFlex RX Biliary Stent EndoVive Initial Feeding Tube EndoVive Replacement Feeding Tube Monofilament wire, self-expanding stent Monofilament wire, self-expanding stent Monofilament wire, self-expanding stent Pre-loaded endoscopically applied clip, radiopaque stainless steel & cobalt chrome. Nitinol, self expanding stent Polyester braided material encapsulated with silicone, self expanding stent Bifurcated Tracheobronchial stent. Bronchial Limbs made of silicone and tracheal stem made of silicone with embedded stainless steel c-shape rings. Platinol, self-expanding stent Silicone enteral feeding tube Silicone enteral feeding tube Diameters up to 10mm & lengths up to 100mm Up to 24 Fr Up to 28 Fr Detail Amendment Benefit Amendment Detail Amendment Polypropylene mesh sling Ureteral stent with attached suture One size only Diameters up to 14Fr & lengths up to 40cm Detail Amendment Detail Amendment Polypropylene mesh Sling Polypropylene mesh sling Synthetic Polypropylene mesh Synthetic Polypropylene mesh assembly and fixation device Polypropylene mesh sling One size only One size only Width Up to 15cm & lengths up to 20cm One configuration Detail Amendment Detail Amendment Detail Amendment Detail Amendment One size only Detail Amendment Fibered Platinum Coil, Pushable Coils 2-30mm x3-60mm Detail and Benefit Amendment BS028 BS031 Braided Occlusion Device (BOD) Fibered Platinum Coil GDC and PVA Delivery Catheters PVA/Contour SE for embolization and delivery system Microcatheter Delivery Systems Polyvinyl alcohol foam and Microcatheter for delivery Detail and Benefit Amendment Detail and Benefit Amendment BS034 PVA Particles (contour embolisation, Contour SE Polyvinyl alcohol foam, Hydrophilic Spherical Shape 150-175cm/3-25cm 45-150 micron, 150-250 micron, 250-355 micron, 355-500 micron, 500-710 micron, 710-1000 micron, 1000-1180 micron, 150-175cm/3-25cm 45-150 micron, 150-250 micron, 250-355 micron, 355-500 micron, 500-710 micron, 710-1000 micron, 1000-1180 micron; 1ml, 2ml BS035 Expandable Endovascular Wallstent Stent Diameter x Stent Length: 6-16mm x 18-70mm Detail and Benefit Amendment BS056 Carotid Wall Stent Express Vascular LD Stent; Express Vascular SD Fully open diameter 6.0 - 10.0mm, Fully open length 22 - 37mm Diameter 4mm - 10mm, Length 14mm - 60mm Detail and Benefit Amendment BS059 Wallstent - Self-expanding stent, cylindrical braided structure with core of either tantalum or platinum Elgiloy (cobalt chromium), Flexible low profile and self expanding stent Stainless Steel, Balloon Expanding Stent Urogenital BS078 BS091 BS096 BS097 BS127 BS131 Advantage Transvaginal Mid-Urethral Sling System Percuflex; Percuflex Plus; Percuflex Tail; Percuflex Tail Plus Ureteral Stents; Ureteral Stent System Kit Lynx Suprapubic Mid-Urethral Sling System Obtryx Transoburator Mid-Urethral Sling System Polyform Synthetic Mesh Pinnacle PFR Kit BS140 Advantage Fit Transvaginal Mid-Urethral Sling System Vascular CAG BS026 Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Page 26 of 144 Billing Product Name Further Description Size Explanation of Change BS065 Vaxcel Implantable Vascular Access System Polyurethane Catheter Material with dual lumens and a staggered distal tip; polyester cuff which provides catheter security and tissue growth; clear extension tubes with clamps 16 French catheter tapering to a 14 French, lengths 19, 23, 28cm Detail Amendment BS077 BS085 Sentinol Nitinol Vascular Stent System Filterwire EZ Nitinol Stent with Uniflex Delivery System Embolic Protection Device Detail and Benefit Amendment Detail and Benefit Amendment BS087 BS088 BS137 Vaxcel PASV PICC Vaxcel PASV PICC EPIC Nitinol Stent Single lumen catheters Dual lumen catheters Implantable endoprosthesis nitinol stent system with delivery system Diameter: 5 to 10mm. Length: 20 to 120mm 3.5mm - 5.5mm on 190cm delivery system. 3.5mm 5.5mm on 300cm delivery systen. 3, 4, 5 & 6 Fr 3, 4, 5 & 6Fr 5.0mm - 14.0mm by 20mm - 120mm Ventilation tube - Silicone - T-tube, T-tube grommet Teflon, w/o wire Teflon w/wire, and titanium w/o wire Titanium w wire Teflon, w or w/o wire Titanium, w/o wire Titanium with wire Armstrong Grommet, Donaldson w & w/o Tab, Paparella 1 and Paparella 2 (1.5mm) 1.1mm; 1.27mm lumen 1.10mm, 1.25mm, 1.50mm lumen 0.76mm, 1.00mm, 1.25mm, 1.50mm lumen 1.00mm, 1.25mm, 1.50mm lumen 1.15mm lumen 1.00mm, 1.25mm lumen 1.00mm, 1.25mm lumen 1.1mm & 1.5mm lumen Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment BR & CT Enterprises Pty Ltd Ear, Nose & Throat BC010 BC011 BC012 BC013 BC014 BC015 BC016 BC017 Ventilation tube Ventilation Tubes - Collar Button Ventilation Tubes - Collar Button Ventilation Tubes - Collar Button Ventilation Tubes - Shepherd Ventilation Tubes - Shepherd Ventilation Tubes - Shepherd Ventilation Tubes - Silicone C. R. Kennedy General Miscellaneous CK001 Microline Pentax Disposable 10ml Titanium K2 Clip Cartridge Disposable cartridge containing 19 surgical grade titanium clips delivered using a re-usable hand piece applier medium/large clip Detail and Benefit Amendment CK002 Microline Pentax Disposable 10ml Titanium K2 clip Cartridge Disposable cartridge containing 10 surgical grade titanium clips delivered using a reusable hand piece applier. Medium/Large Clip Detail and Benefit Amendment CK003 Endox Visu-Loc Clip Applier Single-use laparoscopic clip applier Medium, Large Detail and Benefit Amendment Carl Zeiss Pty Ltd Ophthalmic CZ010 XL Stabi ZO, Invent ZO Hydrophilic Acrylic, Foldable, PC, Single Piece, Square Edge Design, UV Blocker, Tri-haptic, Quad Haptic, Aspheric Optic 6.0mm Optic x 10.5mm Overall Diameter Detail Amendment CZ011 XL Stabi ZO Sky, Invent ZO Sky Hydrophilic Acrylic, Foldable, PC, Single Piece, Square Edge Design, UV Blocker, Trihaptic, Quad Haptic, Aspheric Optic, Pre-Loaded 6.0mm Optic X 10.5mm Overall Diameter Detail Amendment Changed Items for Prostheses List Report Page 27 of 144 Billing Product Name Further Description Size Explanation of Change CZ014 ZEISS - Acri.Lisa 466TD Foldable aspheric single-piece intraocular lens with an aspheric toric front and an aspheric bifocal back surface, asymmetric light distribution 65 percent distance and 35 percent near, with 3.75D addition in the near focus. Overall length 11.0mm Optic size 6.0mm Detail Amendment CZ015 ZEISS - Acri.Lisa 366D Foldable aspheric single-piece intraocular lens with an aspheric front and an aspheric bifocal back surface, asymmetric light distribution 65 percent distacne and 35 percent near, with 3.75D addtiion in the near Overall length 11.0mm Optic size 6.0mm Detail Amendment Advantage I-125 seeds are sealed radioactive sources containing Iodine-125. They are intended to interstitial brachytherapy. Advantage I-125 Pre-load consists of Advantage I125 seeds pre-loaded as linked or 'stra Advantage I-125 seeds are 0.8 mm in diameter and 4.5 mm in length Detail Amendment Model CI24R (ST) coclear implant. A Nucleus 3 system cochlear implant with straight electrode array Model CI24R (CA) coclear implant. A Nucleus 3 system cochlear implant with the Contour Advance electrode array One size only Detail Amendment One size only Detail Amendment CMS Alphatech Pty Ltd General Miscellaneous CL001 Advantage I-125 Pre-load Cochlear Limited Ear, Nose & Throat CO013 Nucleus 24k Cochlear Implant CO014 Nucleus 24 Contour Advance Cochlear Implant CO019 CO020 ESPrit 3G Speech Processor - Replacement Nucleus Cochlear Implant Accessory Kit - ESPrit 3G Speech Processor Speech processor, Generation 3 Accessory set consists of accessory adapter cable, lapel microphone & lapel clip, battery cover set and accessory case Cable lengths: 6, 8, 10, 20, 28cm Lapel microphone comes in lengths of 40-150cm Detail Amendment Detail Amendment CO021 Nucleus Freedom Implant with Contour Advance Electrode Model C124RE (CA), Generation 4 Cochlear implant with perimodiolar electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable silicone seal one size only Detail Amendment CO022 CO023 CO024 CO025 Nucleus Freedom Speech Processor - Initial Nucleus Freedom Speech Processor Nucleus Freedom Implant with Straight Electrode Baha Abutment Snap Coupling Speech processor (modular) and accessories Speech processor, and accessories Speech processor and accessories - Initial Titanium abutment delivered with a gold screw and holder, individually packaged and sterile. The 5/5mm is for standard use and the 8.5mm for patients that have persistent regrowth of subcutaneous tissue One size only one size only One size only 5.5mm - 9035, 8.5mm - 90410 Detail Amendment Detail Amendment Detail Amendment Detail Amendment CO028 BAHA - Cover screw unigrip Titanium coverscrews, individually packaged and delivered sterile. The cover screws are used to prevent bone overgrowth of the implant. One size only Detail Amendment Changed Items for Prostheses List Report Page 28 of 144 Billing Product Name Further Description Size Explanation of Change CO030 Self tapping fixture with pre-mounted fixture mount Self Tapping 4mm and 3mm Detail Amendment CO032 Self Tapping 4mm and 3mm with BAHA Abutment Detail Amendment CO033 Flange fixture - self tapping fixture with pre-mounted abutment Baha Cordelle II sound processor Self tapping titanium flange fixture premounted with a disposable fixture mount. Available in two sizes: 3mm and 4mm. Used in two stage surgical Self tapping titanium flange fixture with abutment in two sizes: 3mm and 4mm A powerful sound processor for the Baha hearing system with a bodyworn unit and a head worn transducer. Available in three colours. Body worn sound processor for the Baha hearing system. One Size Detail Amendment CO040 Baha Divino sound processor One Size Detail and Benefit Amendment CO041 Baha Intenso sound processor One size Detail and Benefit Amendment CO043 Nucleus Hybrid L 24 Implant One size Detail Amendment CO044 Freedom Hybrid Sound Processor (Initial) Head worn digital sound processor for the Baha hearing system. Available in four colours and left and right side orientations. Head worn digital sound processor for the Baha hearing system. Available in four colours. A Nucleus Freedom cochlear implant featuring a special 16mm, 22 contact point electrode array The modular sound processor of the Cochlear Hybrid system provides dual electrical and acoustic processing within a single device. Acoustic amplication is delivered through the acoustic component and electrical stimuation via the Nucleus One size Detail Amendment CO045 Freedom Hybrid Sound Processor (Replacement) The modular sound processor of the Cochlear Hybrid system provides dual electronic and acoustic processing within a single device. Acoustic amplication is delivered through the acoustic component and electrical stimulation is delivered via the Nucleus Hybrid L24 implant. One size Detail Amendment Silicone intraocular lens 6.0mm Detail Amendment Niti-S Pyloric self-expanding metal stent D-type made from Nitinol in D mesh construction, uncovered, OTW or TTS Niti-S Biliary Stent D-Type Uncovered. Deployed via stent delivery system for use TTS or Niti-S Biliary is a self expanding metal stent, made from Nitinol uncovered. Stent Y-Type for TTS approach, T-Type for percutaneous approach. 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: 16 - 18mm Length: 40 - 120mm Detail Amendment 10mm Diameter x 50 - 120mm length Detail Amendment 10mm Diameter x 5 - 10cm Length Detail Amendment Diameter 8mm and 10mm Stent lengths 40-120mm Detail and Benefit Amendment ConceptVision Australia Pty Ltd Ophthalmic CS008 Preloaded Aspheric Intraocular Lens ConMed Linvatec Australia Pty Ltd General Miscellaneous LV094 Niti-S Pyloric Stent D-type LV095 Niti-S Biliary Stent D-Type LV096 Niti-S Biliary Stent Y-Type and T-Type LV097 Niti-S Biliary Covered Stent Changed Items for Prostheses List Report Page 29 of 144 Billing Product Name Further Description Size Explanation of Change LV099 Niti-S Oesophageal Fully Covered Stent Diameter16mm x 24mm, 18mm x 26mm, 20mm x 28mm and 22mm x 30mmLength60-150mm Detail and Benefit Amendment LV104 Niti-S Tracheal Stent 16mm to 20mm diameter x 3cm to 10cm length Detail and Benefit Amendment LV105 Niti-S Bronchial Stent 10mm to 14mm diameter x 3cm to 6cm length Detail and Benefit Amendment LV106 Niti-S ComVi Biliary Stent (Fully Covered) Niti-S Oesophageal fully covered self expanding nitinol stent with a covering of PTFE or silicone and nylon drawstring for removal or repositioning. Tracheal Nitinol Self Expanding Metal Stent, ePTFE covered with retrieval suture Bronchial Nitinol Self Expanding Metal Stent, Expanded Poly Tetra Fluoro Ethylene (ePTFE) covered, with retrieval suture The Niti-S ComVi Biliary Stent (Fully Covered) is comprised of 2 Nitinol D-type stents with a layer of polytetraethylene (PTFE) between that fully envelopes the proximal and distal ends of the stent, resulting in an integrated structure designed to 8mm to 10mm diameter x 4cm to 12cm length Detail and Benefit Amendment Contains screw, driver and sutures Soft Tissue Re-attachment - Titanium Soft Tissue Re-attachment - Stainless Steel Soft Tissue Re-attachment - Titanium Soft Tissue Re-attachment - PLLA Soft Tissue Re-attachment - Titanium Soft Tissue Re-attachment - Titanium Soft Tissue Re-attachment - Titanium Soft Tissue Re-attachment - Titanium Soft Tissue Re-attachment - Titanium Soft Tissue Re-attachment - Titanium Soft Tissue Re-attachment - Titanium ACL Fixation - Titanium ACL Fixation - Titanium ACL Fixation - Titanium ACL Fixation - PLLA Meniscal Repair Device - PLLA . 2.9mm predeployed diameter 2.3mm predeployed diameter 2.9mm predeployed diameter 3.5mm diameter 4mm diameter 2.7mm diameter 1.3 x 14mm - 2.5 x 20mm 14, 17mm 30 - 80mm 25 - 65mm 9.5 - 16.5mm Diameter 7.0 - 9.0mm, Length 20 - 30mm Diameter 7.0 - 9.0mm, Length 20 - 30mm Diameter 7.0 - 9.0mm, Length 20 - 40mm Diameter 7.0 - 9.0mm, Length 20 - 30mm 10mm - 16mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LV022 LV024 LV025 Linvatec Super Revo Soft Tissue Anchor Ultrafix RC, Anchor Ultrafix MiniMite StitchPak Suture Anchor Ultrafix RC StitchPak Suture Anchor Preloaded Bio-Anchor Absorbable Suture Anchor Revo Cancellous Screw Mini-Revo Screw Soft Tissue Anchoring Implant - Spiked Washer Soft Tissue Anchoring Implant - Flat Washer Soft Tissue Anchoring Implant - Cortical Screw Soft Tissue Anchoring Implant - Cancellous Screw Staple Fixation System Propel Interference Screws Guardsman Femoral Interference Screws Cannulated Interference Screws BioScrew Bioabsorbable Interference Screw BioStinger - V Bio - Absorbable Meniscal Repair Device EndoPearl Bio-Absorbable Implant - ACL Fixation Ultrafix MicroMite Small Joint Anchor Staplizer Bone Staple Cartridge ACL Fixation - PLLA Suture Anchoring Device - Titanium 5 Titanium staples per cartridge 7mm - 9mm Detail Amendment 1.5mm predeployed diameter Detail Amendment 7 x 7mm, 7 x 10mm, 10 x 7mm, 10 x 10mm, 10 x Detail Amendment 15mm, 13 x 7mm, 13 x 10mm, 13 x 15mm, 13 x 20mm, 16 x 10mm, 16 x 15mm, 16 x 20mm, 16 x 25mm LV027 Pre-Loaded Ultrafix RC Anchor Surgical Grade Stainless Steel, preloaded with 2 #2 sutures Dia 2.9mm, length 6.5mm Specialist Orthopaedic LV001 LV003 LV005 LV006 LV008 LV009 LV010 LV011 LV012 LV013 LV014 LV015 LV016 LV017 LV018 LV019 LV021 Changed Items for Prostheses List Report Detail Amendment Page 30 of 144 Billing Product Name Further Description Size Explanation of Change LV028 Violet, PLLA 10, 13, 16mm Detail Amendment LV050 LV051 LV052 LV055 LV056 LV057 LV058 LV059 LV060 LV061 LV062 LV063 LV065 LV066 LV067 Pre-loaded BioStinger Bio-Absorbable Meniscal Repair Implant Bionx Implants - Rods Bionx Implants - Rods Bionx Implants - Rods Bionx Implants - Screws Bionx Implants - Screws Bionx Implants - Screws Bionx Implants - Screws Bionx Implants - Screws Bionx Implants - Screws Bionx Implants - Screws Bionx Implants - screws SmartNail Bionx Implants - screws Bionx Implants - screws Bionx Implants - screws PGA, PLA or PLLA PGA, PLA or PLLA PGA, PLA or PLLA PLA Full Thread PLA Full Thread PLA Cannulated PLLA Lag Screw PLLA Lag Screw PLLA Lag Screw PLLA Lag Screw ACL PDLA Screws & Wedges Self-Reinforced 96L/4D PLA Bone Fixation Nail PLLA Screws (Contour Labral Nail) Biofix PLA full threaded crosshead screw Biofix PLA full threaded crosshead screw Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LV071 LV072 LV074 LV075 LV077 LV078 LV084 LV088 LV089 LV090 LV091 LV092 LV093 LV103 Contour Meniscus Arrow Contour Meniscus Arrow Contour Meniscus Arrow BioCuff C Screw BioScrew XtraLok Tibial Fixation Device UltraFix Knotless Minimite Suture Anchor SmartNail SmartPin Resorbable Bone Fixation Pin, 1.1mm Duet Suture Anchor with polyester suture Super Revo Suture Anchor with Hi-Fi Suture ThRevo Suture Anchor Duet Suture Anchor System with Hi-Fi Suture Impact Suture Anchor System with Hi-Fi Suture Matryx Interference Screw 80L/20D, LPLA & PLLA 80L/20D, LPLA, Pre-loaded Cartridge Pack of 1 80L/20D, LPLA, Pre-loaded Cartridge Pack of 3 Self-Reinforced 96L/4D PLA Screw PLLA Titanium Self-reinforced 96L / 4D PLA Bone Fixation Nail Self-Reinforced PLLA Self-Reinforced 96L/4D PLA Copolymer Anchor Titanium Suture Anchor Titanium screw-in suture anchor Self-Reinforced 96L/4D PLA Copolymer Self-Reinforced 96L/4D PLA Copolymer Matryx (SR-96L/4D PLA with ß-TCP) Inteference Screw 1.5mm x 10-70mm 2.0mm 3.2mm x 30-70mm 3.5mm 4.5mm 4.5mm 3.5mm x 10-28mm 3.5mm x 30-45mm 4.5mm x 25-70mm 6.3mm Diameter Dia 5mm, 7mm, 8mm, 9mm 1.5mm O.D x 16, 20 & 25mm L 3.5mm Dia 2mm, length 6 - 10mm Dia 2mm, length 12 - 20mm; Dia 2.7mm, length 6 24mm 1.1mm x 10, 13,16mm 1.1mm x 10, 13,16mm 1.1mm x 10, 13,16mm 6.0mm O.D x 28, 32 & 36mm L Diameter 8, 9, 10, 11mm; Length 35 & 40mm Diameter 2.3mm 2.4mm O.D x 16, 25, 35 & 45mm L 10, 20, 30 & 40mm 6.0mm O.D. x 16.5mm L 5.0mm O.D x 14.2mm L 5.0mm OD x 14.2mm L 6.0mm O.D. x 16.5mm L 3.5mm O.D. x 10.5mm L 7.3 x 20mm; 7.3 x 25mm; 7.3 x 30mm; 8 x 20mm; 8 x 25mm; 8 x 30mm; 9 x 20mm; 9 x 25mm; 9 x 30mm; 9 x 38mm; 10 x 25mm; 10 x 33mm; 10 x 38mm; 11 x 25mm; 11 x 33mm; 11 x 38mm LV107 Pinn-ACL CrossPin System Bioabsorbable, transverse femoral fixation device of soft tissue grafts in ACL and PCL repairs. 40mm/45mm/50mm Self-Reinforcved PLLA Crosspin, 8mm/9mm PLLA Graft Harness Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 31 of 144 Billing Product Name Further Description Size Explanation of Change LV108 Bio Mini-Revo Suture Anchor 3.1mm O.D Detail Amendment LV109 XO Button with Continuous Loop SmartScrew 2 LV111 Presto PEEK Suture Anchor 4.5mm x 13.5mm with Continuous Loop lengths 1560mm length 10-70mm, diameter 2 to 4.5mm, shape fully/partial threaded, cannulated/non-cannulated 2.9mm O.D x 11mm L Detail Amendment LV110 Bioabsorbable Suture Anchor with Two #2 Hi-Fi Sutures Titanium suspensor, fixation device for femoral fixation in ACT and PCL repairs Self Reinforced 96L/4D Copolymer PEEK Optima Suture Anchor, pre-threaded with one or two sutures Detail Amendment Detail Amendment Corin Australia Pty Ltd Orthopaedic CR057 Uniglide Uni Knee System Uni Tibial Component Uni tibial component, CoCr, uncemented, Titanium plasma spray, with calcium phosphate (HA) ingrowth surface with TiNi insert surface coating for mobile insert 1-8 Detail Amendment CR058 Uniglide Uni Knee System Uni Femoral Component 1-4 Detail Amendment CR059 Uniglide Uni Knee System Uni Femoral Component 1-4 Detail Amendment CR061 Uniglide Uni Knee System Uni Tibial Component Sizes 1 - 8 inclusive Detail Amendment CR101 CR114 Modular Neck for Acor & Integrale Femoral Stems Extreme Hip System Extended Neck Uni femoral component, CoCr, uncemented, Titanium plasma spray, with calcium phosphate (HA) ingrowth surface with TiNi articular surface Uni Femoral Component, CoCr, cemented, with TiNi surface coating Uni tibial component, CoCr, with TiNi insert surface coating for mobile insert Titanium neck, with varying alignments & tapers Femoral neck with extension for locking screw for stem 4 sizes 4 sizes Detail Amendment Detail Amendment 5.2 - 10mm diameter, 15 - 30mm 60,80,100 & y shaped fibres Length (mm) 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65 & 70 6mm, 8mm or 10mm x 20mm Detail Amendment Detail Amendment Detail Amendment 0° and 63°, 8-10mm x 10mm Detail Amendment 11 - 25mm Detail Amendment Specialist Orthopaedic CR031 CR032 CR070 LARS Interference Screw Lars Ligamanet Augmentation reconstruction system Alpha Lock Titanium Counter Sunk Screw Titanium Interference screw Woven polyester prosthetic ligaments Titanium Counter Sunk Screw CR118 LARS Ligament Staple CoCr synthetic ligament anchor Detail Amendment Darco Australia Specialist Orthopaedic DC019 Mini Staple DC030 Hot-Staples For fixation of osteotomies of first phalanx (e.g. Akin), 1mm diameter, straight & angled design Manufactured from Nitinol. Once implanted, staple is heated using a thermo-cautery system causing the staple shape to reduce and compress, providing efficient and continued interfragmental compression. Denward Dell Pty Ltd TA Surimex Cardio-thoracic Changed Items for Prostheses List Report Page 32 of 144 Billing Product Name Further Description Size Explanation of Change DW001 Nit-Occlud PDA Occlusion System Nitinol spiral coil and delivery system for transcatheter occlusion of PDA Distal x Proximal Coil Diameter: 4x4mm, 5x4mm, 6x5mm, 10x6mm, 12x6mm, 14x6mm; Introducer Sheath: 4F, 5F; Length Introducer: 85cm, 105cm; Coil Length configurated +-0.5mm: 3.5mm, 6.0mm, Benefit Amendment DW002 Nit-Occlud PDA Occlusion System (Medium) Nitinol spiral coil and delivery system for transcatheter occlusion of PDA Distal x Proximal Coil Diameter: 7 x 6mm, 9 x 6mm, 11 x 6mm, 12 x 6mm, 14 x 6mm; Introducer Sheath: 5F; Length Introducer: 85cm, 105cm; Coil Length configurated +-0.5mm: 4.5; 5.0; 6.0 Benefit Amendment Vascular CAG DW003 Jet Port Plus Set - Vascular Access Port Implantable injection / infusion port system: port chamber with silicone membrane; connectable polyurethane catheter; and introducer kit. Port: Diameter: 28.0mm, Height: 12.3mm; Catheter: 6.6 French, Length: 750mm Detail and Benefit Amendment DW004 Jet Port Plus Low Profile Peripheral Set - Vascular Access Port Implantable injection / infusion port system: low profile port chamber with silicone membrane; connectable polyurethane catheter; and introducer kit Port: Length: 24.0mm, Width: 20.5mm, Height: 10.3mm Catheter: 6.6 French, Length: 750mm Detail and Benefit Amendment DW005 Dual Port Set - Vascular Access Port Implantable injection / infusion port system: dual port chamber with silicone membranes; connectable double lumen polyurethane catheter; and introducer Port: Length: 53.0mm, Width: 20.0mm, Height: 13.5mm (chamber 1), 15.5mm (chamber 2); Catheter: Length: 500mm, internal diameter double D, external diameter 3mm Detail and Benefit Amendment DW006 T-Port Contrast set - Vascular access port. Injection infusion port system: titanium port chamber with silicone membrane: connectable polyurethane catheter; introducer kit. 6163653077: Port Base 27mm x 13mm, Catheter Diameter 1.3 x 2.2mm, Catheter Length 75cm. 6163652087: Port Base 27mm x 13mm, Catheter Diameter 1.6 x 2.6mm, Catheter Length 75cm. 6163663077: Port Base 23mm x 10mm, Catheter Diameter 1.3 x 2.2mm, Catheter Length 75cm.6163662087: Port Base 23mm x 10mm, Catheter Diameter 1.6 x 2.6mm, Catheter Length 75cm. Detail and Benefit Amendment Acrylic, Foldable, Single piece multi-zoned refractive aspheric multifocal with Amon-Apple 360 Degree Square edge, Anti Vaulting Haptics 6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D Addition: +14D to +25D in 1.0D increments: +8.5D to +23.5D in 0.5D increments Detail Amendment Radiopaque self-expanding nitinol stent and delivery system Diameter 10-18mm, length 20-80mm Detail Amendment ICU Akkomodative IOL- Acrylic lens Range 15-35 Dioptres in 0.5 steps Lens Dia =5.5mm Haptics Dia =9.8mm Detail Amendment Silicone shell filled with saline 195 - 205 cm3 x 620 - 650 cm3 Detail Amendment Design for Vision Pty Ltd Ophthalmic DV237 Rayner "M-Flex" Mulitfocal Foldable IOL Device Technologies Australia Pty Ltd General Miscellaneous DE259 AERO Tracheobronchial Stent System Ophthalmic DE260 ICU Akkomodative® IOL Plastic and Reconstructive DE030 Style 468 Biodimensional Saline-filled Mammary Implant Changed Items for Prostheses List Report Page 33 of 144 Billing Product Name Further Description Size Explanation of Change DE033 DE100 Style 168 Biocell Textured Mammary Implant McGhan Style 150 Biodimensional Biocell Textured Expand Gel/Saline Filled Mammary Implant, Low McGhan Style 110 & 120 Biocell Textured, Intrasheild barrier Gel-Filled Mammary Implant Allergan Style 40, 45, SSL, SSM, SSF, SSX Intrashiel Gel-Filled Round Mammary Implant Allergan Type MLP, MHP, TRL, TRM, TRF, TRX Low, Medium, High & Extra High Profile Gel-Filled Mammary Implant Silicone shell filled with saline Full height, Short Height, t Detail Amendment Detail Amendment Round: Moderate or high profile 120 - 150 cm3 x 510 - 540 cm3 9.6 -16cm width x 8 - 17cm height x 4.2 - 7.1cm projection 90 - 650 grams Round: low, medium, high & extra high profile 110 - 800 grams Detail Amendment Low, Medium, High & Extra High profile, textured surface 80 - 800 grams Detail Amendment Allergan styles CML, CMH, TSL, TSM, TSF, TSX Allergan Type SLD, SHD, SRL, SRM, SRF, SRX Smooth Silicone Gel-filled Mammary Implant McGhan Style 410 & 410 Soft Touch Biodimensional Biocell Textured Cohesive Gel-filled Mammary Prosthesis Style 510 Dual Gel Breast Prosthesis Silicone Cohesive Gel-Filled Breast Implant Low, Medium, High or Extra High Profile 80 - 800 grams 100 - 800 grams Detail Amendment Detail Amendment Full, moderate or low height, Extra Full, Full, moderate or low projection Smooth Surface - Saline Anatomical textured implant with dual gel for projection of nipple/areola complex, concave base and tapered edges for minimisation of edge/thoracic wall palpability. 125 - 775 grams Detail Amendment 120 to 510cc LX sizes from 130-575 grams, MX sizes from 145600 grams, FX sizes from 165-630 grams Detail Amendment Detail Amendment Osteotomy, Tibial - Stainless Steel PLA Cobalt Chromium Molybdenium Alloy ARTHREX Non-sheathed Bio-Cortical - PLA Titanium alloy Titanium alloy PLA Low Profile Osteotomy, Femoral - Stainless Steel PLA Anterior/posterior sloped. Stainless steel Stainless steel Polylactide Compositition Composition Poly (L-lactide) Self locking screws, cancellous and cortical PLLA composition Composition PLLA 5mm - 17.5mm 10mm - 14mm 6mm - 16mm 7 x 28mm - 12 x 28mm 8 x 17 - 11 x 17mm and 8 x 20 - 10 x 20mm 40mm & 50 mm 14 - 15mm 7mm - 9mm 4-6.5mm x 14-60mm 7.5mm - 17.5 mm 6.5mm - 10mm 5 - 15mm length Dia 6.7 - 8.5mm (reduced), length 180 - 280mm Length 18mm Diameter 5mm, length 50mm 3-6.5mm x 10-110mm Implant 35mm - 50mm, Washers 16mm Dia 5.5-9mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment DE102 DE104 DE106 DE109 DE110 DE120 DE121 DE274 Detail Amendment Specialist Orthopaedic DE055 DE059 DE062 DE068 DE069 DE070 DE071 DE072 DE077 DE078 DE080 DE094 DE096 DE126 DE127 DE128 DE163 DE166 Osteotomy Plates Arthrex Meniscal Dart Ligament Staples Interference Screws Interference Screws TransFix Implant Screw System - Arthrex Arthrex Spiked Washer Bio-Interference Screw Cancellous Bone Screws Osteotomy Plates Tissue Button Osteotomy Plates Fixion IM nail - Humeral Chondral Dart Bio-Transfix Cortical Screw Bio-Post & Washers Bio-Tenodesis Screw Changed Items for Prostheses List Report Page 34 of 144 Billing Product Name Further Description Size Explanation of Change DE167 DE168 DE169 DE170 DE171 DE172 DE173 DE174 DE195 DE196 DE197 DE198 DE214 DE215 DE216 DE217 DE220 DE224 DE225 DE252 Bio-Interference Screw Univers 3D Shoulder Prostheses Univers 3D Shoulder Prostheses Univers 3D Shoulder Prostheses Univers 3D Shoulder Prostheses Univers 3D Shoulder Prostheses Univers Fracture Prostheses Univers Fracture Prostheses Corkscrew FT Corkscrew Suture Anchor Bio - Fastak Fastak Suture Anchor (Small Bone) Cortical Screw Arthrex Osteotomy Plates Arthrex Osteotomy Plates Arthrex Osteotomy Plates Suturetak Suture Anchor Retro Screw Fastak Anchor Tightrope Syndesmosis Repair Kit Dia6.5 - 10.5mm to 8 - 12mm x 28 - 35mm length 6-12mm Small, Medium, Large Small, Medium, Large 40/14 - 54/23 Small, Medium, Large 8-13mm 43/15 - 51/22 3.5mm - 6.5mm 3.5mm - 6.5mm 3mm x 11mm Dia. 2.4mm x Length 7.5mm 10-24mm x 2.3mm 2mm - 8mm 0-17.5mm 5mm - 17.5mm 2.4 - 3.7mm diameter x 5 - 14mm length 8-10mm x 20mm 2.8mm x 11.7mm One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment DE256 DE257 DE258 DE261 DE271 Eclipse Humeral Head Prosthesis Eclipse Humeral Head Prosthesis Eclipse Humeral Head Prosthesis Pushlock Suture Anchor RetroButton Composition - PLLA, delta tapered Stem Glenoid Metal Back Glenoid PE-Inlay Metal Head Cemented glenoid Shaft Metal head Suture Anchor with Fiberwire Titanium alloy with Fibrewire suture with Fibrewire suture With Fibrewire Suture Titanium Metatarsal Tibial, Composition Titanium Femoral, Titanium Suture Anchor with Fiberwire Composition PLLA Titanium with fibrewire suture Titanium or stainless steel, with non absorbable Fiberwire suture material Eclipse Humeral Head Prosthesis Trunnion Eclipse Humeral Head Prosthesis Head Eclipse Humeral Head Prosthesis Cage Screw Knotless Suture Anchor Femoral Fixation Device Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment DE272 DE273 DE285 DE286 DE287 Bio-Compression Screw System Trim-IT Spin Pin Lapidus Plate Low Profile Screw System Low Profile MTP Plate Fixation Device Trim-IT Pin Fixation The Lapidus Plate is a fusion plate Low Profile Screw Arthrodesis Plate DE288 DE289 Swivelock AnaToemic Twist- in knotless suture anchor AnaToemic Phalangial Prosthesis 41 - 53mm 41/16 - 53/20 Small - X-Large 2.5 - 5.5 x 5 - 18.5mm 12mm Button with 15-60mm loops, 15mm Button with 15-60mm loops 16mm, 18mm, 20mm, 22mm, 24mm, 26mm 1.5 - 2.0mm x 100mm One size only 3.0 - 6.7mm x 18 - 120mm Contoured Left Short, Contoured Right Short, Contoured Left Long, Contoured Right Long 4.5mm and 5.5mm diameters 17mm, 20mm, 21.5mm, 23mm Changed Items for Prostheses List Report Detail and Benefit Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 35 of 144 Billing Product Name Further Description Size Explanation of Change DE290 H-Plates Fixation plate for fusions and osteotomies Plates, Flat - 38mm x 16mm, left,large, 38mm x 16mm, right,large, 34mm x 16mm, left, medium, 34mm x 16mm, right, medium, 28mm x 16mm left, small, 28mm x 16mm, right,small Plates, Wedge - 38mm x 16mm, 10mm wedge, left, 38mm x 16mm, 10mm wedge, right, 36mm x 16mm, 8mm wedge, left, 36mm x 16mm, 8mm wedge, right, 34mm x 16mm, 8mm wedge, right Detail Amendment DE291 QuickFix Screw Small Bone Fixation - Metal Detail Amendment DE292 DE293 QuickFix Staple System Prostop Compression Staple for Fusion Arthroereisis Subtalar implant DE295 Compression Staple Compression staple for fusion 2mm x 10mm, 2mm x 11mm,2mm x 12mm, 2mm x 13mm, 2mm x 14mm, 3mm x 13mm x 3mm x 15mm, 3mm x 17mm, 3mm x 19mm 8mm 10mm 7x12mm 8x12mm 9x14mm 10x14mm 11x16mm 12x16mm 10x10mm 10x15mm 15x10mm 15x15mm 20x20mm Plyvinyl Alcohol hydrogel microspheres in preloaded syringe 2ml- (100 - 300, 300 - 500, 500 - 700, 700 - 900, 900 - 1200 microns Detail and Benefit Amendment Detail Amendment Detail Amendment Detail Amendment Vascular CAG DE294 Bead Block EMT Healthcare Pty Ltd General Miscellaneous EM008 Intramesh Reinforcement Mesh Reinforcement mesh made from two surfaces for intra-peritoneal visceral surgery (Polypropylene/ePTFE or Polyester/Silicone) 20 x 20cm Detail Amendment EM009 Intramesh Reinforcement Mesh Reinforcement mesh made from two surfaces for intra-peritoneal visceral surgery (Polypropylene/ePTFE or Polyester/Silicone) 15 x 15cm Detail Amendment EM010 Intramesh Reinforcement Mesh 30 x 30cm Detail Amendment EM018 EM019 EM020 Abdominal Wall Reinforcement Implant BIOMESH HERNIA REINFORCING MESH KIT BIOMESH HERNIA REINFORCING MESH KIT Reinforcement mesh made from two surfaces for intra-peritoneal visceral surgery (Polypropylene/ePTFE or Polyester/Silicone) Polyester combined with polymerised silicone Laparoscopic Hernia Repair Kit with Shape Mesh Laparoscopic Hernia Repair Kit with Shape Mesh 12cm x 14cm & 12cm x 16cm EMT-KIT2BT2PMX (Bilateral) EMT-KIT2NM (Unilateral) Detail Amendment Detail Amendment Detail Amendment Endocorp Pty Ltd Ear, Nose & Throat EC018 Exmoor Plastics Ear Vent Drains - Reuter Bobbin Without hole, teflon 1.14 mm lumen dia x 2.54 mm inner flange dia x 2.54 mm outer flange dia x 0.76 inter flange. 1.52mm total length Detail Amendment EC019 Exmoor Plastics Ear Vent Drains - Collar Button Teflon 1.14 mm lumen dia x 2.24 mm inner flange dia x 2.24 mm outer flange dia x 1.27 inter flange. 1.78 mm total length Detail Amendment Changed Items for Prostheses List Report Page 36 of 144 Billing Product Name Further Description Size Explanation of Change EC020 Exmoor Plastics Ear Vent Drains - Collar Button Teflon Detail Amendment EC021 Exmoor Plastics Ear Vent Drains - Collar Button Teflon 1.14 mm lumen dia x 3.0 mm inner flange dia x 3.0 mm outer flange dia x 1.27 inter flange. 1.78 mm total length 1.4 mm lumen dia x 2.55 mm inner flange dia x 2.55 mm outer flange dia x 0.85 inter flange. 1.35 mm total length EC022 Exmoor Plastics Ear Vent Drains - Collar Button Teflon 1.75 mm lumen dia x 2.85 mm inner flange dia x 2.85 mm outer flange dia x 0.95 inter flange. 1.46 mm total length Detail Amendment EC024 Exmoor Plastics Ear Vent Drains - Shepards Drain Teflon Shephards Drain 1.14 mm lumen dia x 2.36 mm inner flange dia x 2.36 mm outer flange dia x 1.42 inter flange. 2.41 mm total length Detail Amendment EC026 Exmoor Plastics Ear Vent Drains - Teflon Shephards Drain with wire grasping feature Teflon Shephards Drain with wire Detail Amendment EC031 Exmoor Plastics Ear Vent Drains - Donaldson With tab, silicone rubber 0.97 mm lumen dia x 2.08 mm inner flange dia x 2.08 mm outer flange dia x 1.42 inter flange. 2.41 mm total length 1.1 mm lumen dia x 2.25 mm inner flange dia x 2.25 mm outer flange dia x 0.76 inter flange. 2.25 mm total length Thick or Revision Talar - Ceramic coated titanium Size 1-6 Detail Amendment Primary Talar - Ceramic coated titanium Size 1-6 Detail Amendment Glenoid Fixation Cup - Ceramic coated titanium 44mm-52mm Detail Amendment Glenoid Bearing - Polyethelene 2 to 4 Detail Amendment Humeral Resurfacing Component-Ceramic coated Titanium Humeral-Stem w / PC-Ceramic coated titanium 44mm-56mm Detail Amendment 8-14mm Detail Amendment Humeral Head-Ceramic coated titanium 44mm-52mm Detail Amendment Salvage Humeral Stem-ceramic coated titanium 8-14mm Detail Amendment All-Poly Glenoid 2-4 Detail Amendment Humeral Head Extension - Ceramic coated titanium 2.5 -10mm Detail Amendment Modular Humeral Stem Ceramic coated titanium 12mm Detail Amendment Modular Salvage Stem - Ceramic coated titanium 1-4 Detail Amendment Detail Amendment Detail Amendment Endotec Australia Pty Ltd Specialist Orthopaedic EA001 EA002 EA025 EA026 EA027 EA028 EA029 EA030 EA031 EA032 EA033 EA034 Buechel-Pappas Ultracoat Total Ankle Replacement System (Primary and Revision) Buechel-Pappas Ultracoat Total Ankle Replacement System (Primary and Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary and Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary and Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary and Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary & Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary & Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary & Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary & Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary & Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary & Revision) Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary & Revision) Changed Items for Prostheses List Report Page 37 of 144 Billing Product Name Further Description Size Explanation of Change EA035 Buechel-Pappas Ultracoat Total Shoulder Replacement System (Primary and Revision) Buechel-Pappas Ultracoat Total Ankle Replacement System (Primary and Revision) Buechel-Pappas Ultracoat Total Ankle Replacement System (Primary and Revision) Buechel-Pappas Shoulder Replacement System Bone Screw for Glenoid Fixation Cup Stem Extension - Ceramic coated titanium 8-20mm Detail Amendment Tibial componenet ceramic coated titanium 1-6 Detail Amendment Polyethylene mobile bearing 3mm - 11mm Detail Amendment Cancellous Bone Screw TiNi Coated 15mm, 20mm & 25mm Detail Amendment Vox Implants are solid, irregularly textured, medical grade Polydimethylsiloxane Elastomer implants suspended in a hydrogel carrier One size only Detail Amendment Uncovered, self-expanding nitinol stent Uncovered, self-expanding nitinol stent Bio Absorbable Antiadhesion Barrier TITANIUM PORT Adjustable Gastric Band Implant Dia 8-12mm, length 50-77mm Dia 10-14mm, length 52-77mm All sizes with and without suture holes 9.8CMS/13.3CMS 115 MM CUFF Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Uncovered, self-expanding nitinol stent Expanding microspheres designed for chemic0embolisation with chemotherapeutic agents such as Ethiodil, Cisplatin, Epirubicin, Mitomycin, etc. 2ml per implant 1ml per implant .5ml per implant Dia 6-16mm, length 22-77mm 50 - 200 microns Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Myringotomy Tube with Trocar - Gold Coated Silver; Myringotomy Tube with Trocar - Titanium; Myringotomy Tube with Trocar, with wire - Gold Coated Silver; Myringotomy Tube with Trocar, with wire - Titanium One Size Only Detail Amendment CoCr, UHMWPE with inner femoral head included various diameters Detail Amendment EA036 EA037 EA038 Endotherapeutics Pty Ltd Ear, Nose & Throat ET040 Vox Implants General Miscellaneous ET038 ET039 ET051 ET056 ET058 SX-Ella Biliary Stent SX-Ella Tips Stent Surgiwrap Soft Basket Band. INFUSION PORT. Soft Basket Band Vascular CAG ET006 ET007 ET008 ET037 ET052 Embospheres Embospheres Embospheres SX-Ella Endovascular Stent Hepasphere Enta Surgical Ear, Nose & Throat ES001 Trocar Myringotomy Tube ESKA Australia Orthopaedic EK015 ESKA Bipolar Femoral Head Changed Items for Prostheses List Report Page 38 of 144 Billing Product Name Further Description Size Explanation of Change EK034 Adapter Femoral Neck CoCr, varying versions & offsets One Size Detail Amendment Tibial Component Ankle Joint CoCrMo/HA CoCRMo/Ha 4mm, 6mm, 8mm Small, Medium, X-Medium, Large, X-Large Small, Medium, Large Detail Amendment Detail Amendment Detail Amendment For the delivery of therapeutic agents such as embolisation coils and liquid embolics. The Rebar Micro Catheter is the only one on the market which also delivers liquid embolics. Length: 135 - 170cm; Diameter: 3.0 - 1.3 Fr Detail Amendment Specialist Orthopaedic EK043 EK051 EK075 PE Articular Surface Component Ankle Joint Tibial Component Ankle Joint Cementless HA Talar Component Ankle Joint Cementless Ha ev3 Australia Pty Ltd Neurosurgical EE027 ev3 Micro Catheters Vascular CAG EE006 EE018 EE019 EE022 Protégé GPS Peripheral Stent Onyx Onyx System Spider FX Embolic Protection Device Protégé RX Peripheral Stent DSMO/Liquid Embolic Material DSMO Liquid Embolic Material The Spider FX is a rapid exchange device percutaneously delivered distal embolic protection device with components designed to capture and remove debris from vessels during interventional procedures in the vasculature. Diameter 6-10mm Length 20-60mm 18, 20, 34 (formulations) 500 Formulation Filter: 3.0 - 7.0mm; Capture Wire: 190 and 320cm Detail Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment EE024 Protégé EverFlex Peripheral Stent Diameter 5-8, Length 20-100mm Detail and Benefit Amendment EE025 Protégé EverFlex Peripheral Stent Protégé EverFlex is a self expanding Nitinol stent premounted on an OTW delivery system. Protégé EverFlex is a self expanding Nitinol stent premounted on an OTW delivery system. Diameter 5-8mm, Length 150-200mm Detail and Benefit Amendment Exactech Australia Orthopaedic EX024 EX035 Exactech M Series body Optetrak Total Knee System CCK and NMC (constrained Condylar and Non-Modular Constrained Knee) Femoral component Titanium, complex neck segment Femoral Component, cemented, CoCr, totally 32 - 49mm, -5 - +30mm Size 1 - 6(CCK), Size 1-5(NMC) Detail Amendment Detail Amendment EX036 Optetrak Total Knee System, Tibial Baseplate Tibial Baseplate, titanium, fixed insert (finned, trapezoid, offset with locking screw), cemented Size 1-6 Detail Amendment 44-66 outer diameter going up in 2mm increments Benefit Amendment 44-66 Outer diameter going up in 4mm increments Benefit Amendment Finsbury Orthopaedics Australia Pty Ltd Orthopaedic FI002 ADEPT MoP Acetabular Component FI003 ADEPT MoP Acetabular Component Changed Items for Prostheses List Report Titanium, plasma with HA cup with presembleed with unmodified UHMPE Titanium, plasma with HA cup with presembleed with unmodified UHMPE with dysplasia flange Page 39 of 144 Billing Product Name Further Description Size FI004 Delta motion acetabular cup Titanium, plasma with HA cup with presembleed delta ceramic liner 42 - 66 going in 2 mm Increments 168 - 102 Benefit Amendment Acetabular Cup - 42 OD 32 bore, 168 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 Benefit Amendment FI014 Adept MoM Acetabular Component - Extra Fixation Cup Modula SC Neck Titanium, plasma with HA cup with presembleed delta ceramic liner with dysplasia flange Porocast beaded Shell , Co Cr, HA coated, dysplasia flange The complete series of MODULA SC necks, all patented, consists of 15 sizes and makes it possible to optimise the reciprocal position of the stem and neck cup on the basis of the articular needs of the patient, by restoring the physiological off-set and le 46-66mm Outer diameter going up in 4mm Detail Amendment OX, OY, OZ, OA, OB, OC, 9X, 9Y, 9Z, 9A, 9B, 9C, 9AA, 9BB, 9CC Detail Amendment Tibial Component CoChr. Cementless Talar Component CoChr. Cementless Meniscal Insert, UHMWPE Proximal Interphalangeal Replacement Joint Small, Medium and Large Small, Medium and Large Small 5-8mm, Medium 5-8mm and Large 5-8mm Sizes 7 through to 11 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Sodium hyaluronate carbomethylcellulose membrane 13cm x 15cm Detail Amendment CoCr, Poly Liner Titanium with lateral extension for stem connection 40mm to 58mm 25mm - 35mm to 35mm - 50mm Detail Amendment Detail Amendment 20 to 50mm 18m to 56mm 7mm, 8mm, 9mm, 10mm, 12mm, 14mm, 16mm & 18mm 25mm, 40mm, to 70mm30mm, 40mm, to 70mm 20mm, 20mm, to 70mm 20mm, 25mm & 30mm Detail Amendment Detail Amendment Detail Amendment FI042 Explanation of Change Specialist Orthopaedic FI030 FI031 FI032 FI045 Box Ankle Box Ankle Box Ankle PIPR Finger Joint Genzyme Australasia Pty Ltd General Miscellaneous GE006 Seprafilm Adhesion Barrier Global Manufacturing Technology Pty Ltd Orthopaedic GM021 GM091 Classic Marathon Bipolar Head Apex Global & K2 & MSA Femoral Neck Specialist Orthopaedic GM050 GM109 GM110 Contile Fin II OsteoBridge OsteoBridge 6.5mm Ti Cnacellous Bone Screws OsteoBridge Interlocking Screw Nail GM111 OsteoBridge Spacer, Straight & Angled GM112 OsteoBridge OsteoBridge Reducing Sleeve Detail Amendment Detail Amendment Global Orthopaedic Technology Orthopaedic Changed Items for Prostheses List Report Page 40 of 144 Billing Product Name Further Description Size Explanation of Change GO014 UniSyn Hip Complex Neck 30-36mm non calcar, 45-55mm for calcar Detail Amendment GO139 GO165 R120 Femoral Neck Global Cement Restrictor Titanium, with lateral extension for stem connection, includes calcar & non calcar replacement necks, separate locking bolt CoCr, varying offsets & versions PMMA, 32-38mm length, varying degrees Various Detail Amendment Detail Amendment Titanium Leader Cable Assembly Humeral Stem, Ti Humeral Head, CrCo Pegged & Keeled Glenoid, compression moulded UHMWPE Humeral Stem, Ti Glenoid Baseplate, Ti, Porous, HA Glenoid Head, CoCr Humeral Socket Insert - UHMWPE Humeral Socket Shell - Ti Bone Screw Resofix anchor is a 2-shell expansion bolt made of amorphous poly DL-Lactide resorbablel polyester Trochanteric Grips - Titanium 1-1.3mm 6mm to 16mm 38mm to 54mm 38mm to 54mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment 6mm to 12mm Small to Large 32mm to 40mm 32mm to 40mm Neutral, +4mm, +8mm offset 3.5 x 15mm to 5 x 30mm Resofix - S Anchor - 10mm; Resofix - P Anchor 10mm Short 50mm, 2 Hole Plate 135mm, 4 Hole Plate 190mm, 6 Hole Plate Straight, Right, Left 245mm 5.0mm diameter 10mm to 50mm length 4.5mm Diameter 10mm to 50 mm length 6 Hole 185mm, 8 Hole Straight and Curved 240mm, 10 Hole Straight and Curved 290mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Anti Siphon Device With Anti Siphon Device, Pressure range low - high Pressure range low - high One size only 12, 16mm 12, 16mm Detail Amendment Detail Amendment Detail Amendment Burr-hole and flat bottom designsPressure range low - high Standard, mini, Pressure range low - high 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 Standard, mini Detail Amendment . One size only Detail Amendment Detail Amendment . Detail Amendment Specialist Orthopaedic GO092 GO141 GO142 GO143 C-Fix Cable Fixation System Foundation Shoulder System Foundation Shoulder System Foundation Shoulder System GO148 GO149 GO150 GO151 GO152 GO153 GO170 Reverse Shoulder System Reverse Shoulder System Reverse Shoulder System Reverse Shoulder System Reverse Shoulder System Reverse Shoulder System Resofix Anchor GO197 SuperCable Trochanteric Grips and Cable Plate System GO198 GO199 GO200 SuperCable Trochanteric Grips and Cable Plate System SuperCable Trochanteric Grips and Cable Plate System Iso-Elastic SuperCable Trochanteric Grips and CablePlates System Locking Screw Titanium Compression Screws Titanium Cable Plates Titanium Detail Amendment Detail Amendment Detail Amendment Detail Amendment Global Scientific Pty Ltd Neurosurgical GS001 GS003 GS004 GS011 GS014 Heyer-Schulte In Line Valve System Heyer-Schulte Pudenz Flushing Valve Heyer-Schulte Pudenz Flushing Valve with Integral Conn Heyer-Schulte Mishler Dual Chamber Flushing Valve System LPV Shunt System Edwards Barbaro Syringo Peritoneal Shunt GS017 Heyer-Schulte In Line Valve System GS005 Changed Items for Prostheses List Report Page 41 of 144 Billing Product Name Further Description Size Explanation of Change GS018 GS134 GS137 Heyer-Schulte In Line Valve System Shunt Shunt small, standard 80cm Low - High pressure range Detail Amendment Detail Amendment Detail Amendment GS140 Heyer Schulte Ultra VS Valve Kit Neonatal Style Peritoneal catheter 90cm, ventricular catheter 18cm Detail Amendment GS141 Ultra VS Shunt Kit Standard - Heyer Schulte Ultra VS Shunt Valve, Pressure low - high Lumbar Pressure valve (anti-siphon device or flushing valve or flush pump) 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 Detail Amendment GS142 Novus Hydrocephalic Shunt - Heyer Schulte Novus valve made from silicone/polysulfone, each valve is packed with a valve and a right angled catheter guide Standard size - low & medium pressure; Mini size low & medium pressure Detail Amendment GS143 LPV Shunt System Kit - Heyer Schulte Standard - low, medium, high pressure; Mini - low, medium, high pressure Detail Amendment GS144 GS209 Spetzler In Line Valve - Heyer Schulte Neonatal Shunt System Low, Medium, High Pressure Medium, low or low-low pressure Detail Amendment Detail Amendment GS213 Lumboperitoneal Shunt Assemblies Straight or "T" tube Detail Amendment GS217 Siphon Limiting Device Composition silicone, kit includes LPV valve, peritoneal catheter, ventricular catheter, right angle catheter guide Composition silicone, valve with integral connectors Shunt Assembly, includes separate ventricular catheter, integral distal catheter CSF LP Shunt includes: silicone catheter, stainless steel trocar, suture tabs Silicone Shunt Accessory for control of CSF overdrainage 15mm length, 4.5mm height, 10mm width Detail Amendment Model 4458, Model 4459 Model 4456, Model 4457 Model 4479, Model 4480 Model 4472, Model 4473 & Model 4474 Model 4469, Model 4470 & Model 4471 Model 4033, Model 4034, Model 4035, Model 4063, Model 4064 Model 4340, Model 4341, Model 4342 & Model 4343 Model 4312 and 4316 Model 4510, Model 4511, Model 4512 Transvenous Coronary Sinus Lead Titanium Passive fixation single coil defibrilation leads Model 0147, Model 0148 & Model 0149, defibrillation lead, 9fr introducer (silicone coated), steroid eluting, high impedence 52cm, 58cm 52cm, 58cm 45cm, 52cm 45cm, 52cm, 58cm 45cm, 52cm, 58cm 45cm , 52cm, 59cm Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment . 54cm and 35cm 65cm, 72cm, 80cm Benefit Amendment Benefit Amendment Benefit Amendment 3.2mm/IS-1 59cm, 64cm 59cm, 64cm, 90cm Benefit Amendment Detail and Benefit Amendment Benefit Amendment Guidant Australia Pty Ltd Cardio-thoracic GU009 GU011 GU012 GU013 GU016 GU023 GU028 GU037 GU056 Fineline II Sterox IROX Lead Fineline II Sterox IROX Lead Fineline II Sterox IROX Lead Fineline II EZ Sterox IROX Lead Fineline II EZ Sterox IROX Lead Guidant Aust Selute Picotip Steroid Eluting Bipolar Lead Guidant Aust Selute Picotip VDD Lead Myocardial Pacing Lead Easytrak Lead GU079 GU112 GU115 Pulsar Model VDD 870 Endotak Reliance S Passive Endotak Reliance Lead Changed Items for Prostheses List Report Page 42 of 144 Billing Product Name Further Description Size Explanation of Change GU120 Dual Chamber Rate Responsive Permanent Pacemaker One size only Benefit Amendment GU121 GU122 Insignia Plus DR Model 1297, Insignia Plus DR Model 1298 Insignia Entra DR Models 1294,1295,1296 Flextend Lead Models 4086, 4087 & 4088 Dual Chamber Rate Responsive Permanent Pacemaker Bipolar, steroid eluting, transvenous silicon pace/sense leads with an extendable/retractable active fixation for implantation into the atrium or ventricle One size only 45,52,59cm Benefit Amendment Benefit Amendment GU123 Endotak SQ Array XP Lead Model 0085 70 cm Benefit Amendment GU124 GU126 GU129 Insignia Entra SR Models 1195 & 1198 Insignia Plus SR Model 1194 LV-1 Lead Adaptor to IS-1 One size only One size only One size only Benefit Amendment Benefit Amendment Benefit Amendment GU130 Y Adaptor Endotak SQ Array XP Lead Model 0085 is used in addition to an Endotak endocardial leads for patients with a high DFT (Defibrillation Threshold) Single Chamber Rate Responsive Permanent Single Chamber Rate Responsive Permanent Connects Left ventricular leads to IS-1 ports in pacemakers and defibrillators to replace abnormal cardiac excitation Connects multiple defibrillator electrodes to a common port, enabling the use of shocks to revert Ventricular Tachycardia and normal cardiac function One size only Benefit Amendment GU138 Easytrak 2, Model 4514,4515, 4516, 4517, 4518, 4519, 4520 The Easytrak 2 lead is a dual electrode version of the Easytrak lead. The Easytrak 2 lead is a coronary sinus lead, steroid eluting, dual electrode, pace/sense lead. The lead provides chronic pacing and sensing of the left ventricle by placement in the . Benefit Amendment GU139 GU140 GU141 GU142 Insignia Ultra SR Model 1190 Insignia Ultra DR Model 1291 Insignia Ultra DR Model 1290 Contak Renewal TR2 CRT - P Model H140, Model H145 Contak Renewal 4 HE CRT-D Model H197, Model H199 Contak Renewal 4 CRT-D Model H190, Model Vitality 2 EL VR - Model T177 Vitality 2 DR - Model T165 Vitality 2 EL DR - Model T167 Vitality 2 VR - Model T 175 Easytrak IS-1 Lead, Models 4535 to 4538 Easytrak 2 Is-1 Lead - Models 4542, 4543 & 4544 Contak Renewal 4 AVT CRT -D - Model M170 and M175 Contak Renewal 4 AVT HE CRT - D - Model M177, M179 Easytrak 3 Lead - Models 4521, 4522, 4523, 4524, 4525, 4526 and 4527 Implantable Cardiac Pacemaker Implantable Cardiac Pacemaker Implantable Cardiac Pacemaker Implantable Cardiac pacemaker One size only One size only One size only 45x54x8.5mm, 14cc, 26gm Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Implantable dual-chamber defibrillator one size only Detail and Benefit Amendment Implantable dual-chamber defibrillator Implantable Cardiac Defibrillator Implantable Cardiac Defibrillator Implantable cardiac Defibrillator Implantable cardiac defibrillator Implantable left ventricular pacemaker lead Implantable left ventricular pacemaker lead Implantable Cardioverter Defibrillator with Cardiac Resynchronisation Therapy Implantable Cardioverter Defibrillator with cardiac resynchronisation Therapy Implantable left ventricular pacemaker lead One size only 35cc 90g 30cc ; 82g 35cc ; 90g 30cc; 82g 80 - 90cm 80 to 100cm 37cc; 89g Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment 40cc; 89g Detail and Benefit Amendment 80 to 100cm Benefit Amendment GU144 GU147 GU148 GU149 GU150 GU151 GU152 GU153 GU154 GU155 GU156 Changed Items for Prostheses List Report Page 43 of 144 Billing Product Name Further Description Size Explanation of Change GU157 Vitality AVT - Model A155 30cc Benefit Amendment GU158 Endotak Reliance SG Passive 54cm - 90cm Detail and Benefit Amendment GU159 Endotak Reliance G Passive 54cm -90cm Detail and Benefit Amendment GU162 Easytrak 3 IS-1 Lead Implantable cardiac defibrillator with both Atrial and Ventricular tachyarrhythmia therapy Endotak Reliance SG Passive Fixation Passive fixation single coil defibrilation leads with ePTFE Passive fixation dual coil defibrillation leads with ePTFE covered coils Models 4548, 4549 and 4550. Silicone and polyurethane insulation and polyurethane protective sleeve Sizes 80 to 100cm Benefit Amendment GU163 ENDOTAK RELIANCE G Active 59-90cm Detail and Benefit Amendment GU164 ENDOTAK RELIANCE SG Active 59-90cm Detail and Benefit Amendment GU165 Acuity Steerable Lead Active fixation Dual coil defibrillator leads with ePTFE covered coils Active fixation single coil defibrillation with ePTFE covered coils Steerable IS-1 bipolar CS LV LeadModels 4554, 4555, 4556 80cm, 90 cm, 100cm Benefit Amendment Infusion pump, general purpose Approx. 14.0 cm H x 9.7 cm W x 5.1cm D Detail and Benefit Amendment Hospira Pty Limited General Miscellaneous HO001 GemStar Infusion Pump Imaxeon Pty Ltd Cardio-thoracic IX001 Amazonia CroCo Balloon expandable intracoronary cobalt chromium stent premounted onto a rapid exchange delivery catheter Lengths: 8mm, 12mm, 16mm, 20mm, 24mm, 28mm, 32, 36, and 40mm. Diameters: 2.25mm, 2.5mm, 2.75mm, 3.0mm, 3.5mm, 4.0mm, 4.50 and 5.00 mm in all lengths Detail and Benefit Amendment IX002 Nile CroCo Intracoronary stent pre-mounted on two rapid exchange delivery systems for bifurcation lesions Diameter : 2.50 - 3.50mm. MB and 2.00-3.00mm SB Detail and Benefit Amendment Insight Surgical Pty Ltd Ophthalmic IS008 Quatrix Aspheric Micro-Incision 2.2mm Intraocular Lens Posterior chamber IOL, acrylic, single piece with 360 degree square edge includign the optic haptic junction, 8 point stability, evolutive aspheric, packaged with disposable syringe and cartridge. +10 to +30 Detail Amendment IS009 Quatrix Aspheric Preloaded Intraoular Lens Preloaded posterior chamber IOL, acrylic, single piece with 360 degree square edge including the optic haptic junction, 8 point stability, evolutive aspheric, packaged in a preloaded syringe. +10 to +30 Detail Amendment Integra Neurosciences Pty Ltd Neurosurgical Changed Items for Prostheses List Report Page 44 of 144 Billing Product Name Further Description Size IG001 Horizontal-Vertical (H-V) Lumbar valve system The H-V Lumbar Valve adjusts to changes in posture to maintain pressure appropriate levels in both standing and recumbent positions. Has a unique antigravity mechanism automatically increasing flow resistance when the patient resumes a standing or sitti 903-325A 85-125 205-285 small children, 903Detail Amendment 335A 85-125 265-365 tall children, adults, 903345A 85-125 325-445 tall adults, 903-320A 50-80 170-240 small children, 903-330A 50-80 230-320 tall children, adults, 903-340A 50-80, 290-400 tall Explanation of Change Chromis deep - Cobalt Chromium, pre-mounted balloon expandable, 0.014" compatable stent Diameter: 2.0 mm 4.0mm Length: 10mm - 76mm Detail and Benefit Amendment Invatec Technology Center GmbH Vascular CAG IV001 Chromis deep cobalt Chromium, infrapopliteal OTW stent IQ Medical Ophthalmic IQ003 Tetraflex Acrylic single piece, foldable accommodating intraocular lens with sqare edge design, custom control precision and closed loop haptic design 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 Detail Amendment IQ004 Softec Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation and aberration technology Available in dioptric powers from -5.0 to +36.0, 1D steps: -5.0 to +10.0 and +31.0 to +36.0; 0.5D steps: +10.5 to +18.0 and +25.0 to +29.5; 0.25D steps: +18.0 to +25.0 Detail Amendment Balloon expandable, stainless steel, heparin coated Stainless steel stent Stainless steel coronary stent mounted on a balloon delivery system Stainless steel coronary stent with Rapamycin (an immunosuppressive and antiproliferative drug) bound to the stent struts . Diameter: 2.25-5.0 mm; Length 8 - 33 mm Dia 2.25 - 4.0mm, lengths 8 - 33mm Benefit Amendment Benefit Amendment Benefit Amendment Diameter 2.25 - 5.0mm, length 8-33mm Benefit Amendment Johnson & Johnson Medical Pty Ltd Cardio-thoracic JJ026 JJ200 JJ239 BX Velocity with Hepacoat System BX Velocity Stent and Delivery System BX Sonic JJ302 CYPHER Sirolimus-Eluting Stent & Delivery System Model CRS - 23300, 08225, 08250, 08275, 08300, 28225, 28250, 28275, 28300, 33225, 33250, 33275, 33300, 13225, 13250, 13275, 18225, 18250, 18275, 18300, 23225, 23250, 23275, 23350, 23400, 08350, 08400, 2835 JJ481 CYPHER SELECT Sirolimus-Eluting Stent & Delivery System Stainless steel coronary stent with Sirolimus (an immunosuppressive and anti-proliferative drug) bound to the stent by a polymer. Model CRA23300, 08225, 08250, 08275, 08300, 28225, 28250, 28275, 28300, 33225, 33250, 33275, 33300, 13225, 13250, 13275, 182 Diameter 2.25 - 5.0mm, length 8 - 33mm Benefit Amendment JJ587 CYPHER Select Plus Sirolimus Eluting Coronary Diameter 2.25 - 5.00mm, Length 8 - 33mm Benefit Amendment JJ670 Presillion CoCr Coronary Stent on RX System Stainless steel coronary stent with Sirolimus bound to the stent by a polymer Cobalt Chromium, bare metal coronary stent Stent Length (mm) x Stent Diameter (mm) 8 x 2.50, 2.75, 3.0, 3.50, 4.0; 12 x 2.50, 2.75, 3.0, 3.50, 4.0; 17 x 2.50, 2.75, 3.0, 3.50, 4.0; 24 x 2.75, 3.0, 3.50, 4.0; 33 x 2.75, 3.0, 3.50, 4.0; Detail and Benefit Amendment Changed Items for Prostheses List Report Page 45 of 144 Billing Product Name Further Description Size Explanation of Change Oxidized Regenerated Cellulose Vicryl/Prolene Composite Mesh 1 sheet/box Polydioxanone clips contained in a plastic cartridge Polyglactin 910 - synthetic absorbable mesh. Vicryl (polyglactin 910) / Prolene (polypropylene) composite mesh Composition - equal part Vicryl polyglactin yarn non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques 7.6cm x 10.2cm Medium - 15cm x 15cm Large - 30cm x 30cm Small to Extralarge 15cm x 15cm 30cm x 30cm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Small 6 x 11cm Detail Amendment General Miscellaneous JJ010 JJ019 JJ020 JJ036 JJ173 JJ179 Interceed Absorbable Adhesion Barrier Vypro Mesh Vicryl Mesh Absolok* Extra Absorbable Ligating Clips VICRYL Mesh VYPRO Mesh JJ240 VYPRO II Mesh JJ241 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques Medium 12 x 10cm Detail Amendment JJ242 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques Large 15 x 10cm Detail Amendment JJ243 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques Extra large 15 x 15cm Detail Amendment JJ433 SURGICEL Nu knit Absorbable Haemostat 15.2 x 22.9cm Detail Amendment JJ446 JJ447 JJ448 JJ449 JJ450 JJ451 JJ452 JJ453 JJ454 JJ455 JJ456 JJ464 JJ465 JJ466 PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh PROCEED Surgical Mesh Divide Absorbable Adhesion Barrier ULTRAPRO Mesh ULTRAPRO Mesh High density , oxidised regenerated cellulose, the material is biocompatible and also bactericidal. PROCEED Surgical Mesh B1 PROCEED Surgical Mesh R1 PROCEED Surgical Mesh N1 PROCEED Surgical Mesh D1 PROCEED Surgical Mesh M1 PROCEED Surgical Mesh G1 PROCEED Surgical Mesh H1 PROCEED Surgical Mesh J1 PROCEED Surgical Mesh T1 PROCEED Surgical Mesh W1 PROCEED Surgical Mesh L1 Oxidised regenerated cellulose ULTRAPRO Mesh S3 ULTRAPRO Mesh P3 2x4 (inches) 3x6 inches 4x6 inches oval 4x8 inches 6x6 inches 6x8 inches oval 8x10 inches oval 8x12 inches 10x13 inches oval 10x14 inches 12x12 inches 3.8 x 5.1cmm 6 x 11cm 10 x 12cm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 46 of 144 Billing Product Name Further Description Size Explanation of Change JJ467 JJ468 JJ469 JJ470 JJ565 JJ568 ULTRAPRO Mesh ULTRAPRO Mesh ULTRAPRO Mesh ULTRAPRO Mesh ULTRAPRO Mesh Echelon Endocutter 10 x 15cm 15 x 15cm 15x30cm 30x30cm 7.6cm x 15cm 60mm and 45mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ576 JJ585 Ethicon Omnex Surgical Sealant Ultrapro Hernia System 0.5 ml Small to Large Oval Detail Amendment Detail Amendment JJ602 ULTRAPRO Plug ULTRAPRO Mesh N3 ULTRAPRO Mesh M3 ULTRAPRO Mesh T1 ULTRAPRO Mesh L1 Composite Mesh Multifire disposable surgical stapling insturment 60mm and 45mm Omnex Surgical Sealant Ultrapro Hernia System. Mesh Made From Composite of Monocryl & Prolene 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 Detail Amendment JJ636 Spongostan Absorbable Haemostatic Gelatin Powder 1 g Porcine Absorbable Haemostatic Gelatin Powder 1 gram Detail and Benefit Amendment Stainless steel alloy AVM Micro Clip Stainless steel Graft Clip (with teflon graft) 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 Blade length 2-9.5 mm Blade 2-5mm diameter, 3-7mm length 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 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Neurosurgical JJ130 JJ131 JJ134 JJ136 JJ137 JJ138 JJ139 JJ140 JJ141 JJ142 JJ143 JJ144 JJ146 JJ147 JJ148 JJ149 JJ150 JJ151 JJ152 JJ153 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 Aneurysm Clips Changed Items for Prostheses List Report Page 47 of 144 Billing Product Name Further Description Size Explanation of Change JJ154 JJ155 JJ156 Aneurysm Clips Aneurysm Clips Hakim Precision Valve System Stainless steel standard clip, slightly curved to curved Stainless steel standard clip, bayonet to right angle Precision valve standard. Silicone casing & catheter; stainless steel ruby ball in cone mechanism with fixed pressure 8-20mm length 6-25mm length Peritoneal Catheter length 80 cm, Ventricular catheter length 14 cm Detail Amendment Detail Amendment Detail Amendment JJ157 Hakim Precision Valve System Peritoneal Catheter length 80 cm, Ventricular catheter length 14 cm Detail Amendment 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 Detail Amendment 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 Detail Amendment JJ160 JJ161 Hakim Ventricular Catheter with Bactiseal Silicone Codman-Medos Non-programmable Valve System Ventricular catheter length 14 cm Peritoneal Catheter length 25-80cm Detail Amendment Detail Amendment JJ162 Codman-Medos Non-programmable Valve System Peritoneal Catheter length 65 cm Detail Amendment JJ163 Peritoneal Catheter length 80 cm, Ventricular Catheter length 15 cm One size only One size only 14mm diameter One size only One size only One size only One size only Detail Amendment JJ164 JJ165 JJ166 JJ167 JJ168 JJ169 JJ170 Hakim Ventricular and Peritoneal Catheter Set with Bactiseal Silicone Siphonguard CSF Control Device Burr Hole Button Burr Hole Button Burr Hole Button Burr Hole Button Burr Hole Button Burr Hole Button Silicone antibiotic impregnated catheter Silicone fixed pressure lumber/peritoneal catheter, James design Silicone fixed pressure lumber/peritoneal catheter, Holter design Silicone ventricular/peritoneal catheter 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 Detail Amendment Detail Amendment Detail Amendment JJ219 Hakim Programmable Valve System One size only Detail Amendment JJ220 Hakim Precision Valve System One size only Detail Amendment Changed Items for Prostheses List Report 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 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, Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 48 of 144 Billing Product Name Further Description Size Explanation of Change 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 Detail Amendment JJ225 HOLTER Intracranial Pressure Shunt 90cm in length Detail Amendment JJ226 HOLTER Intracranial Pressure Shunt 90cm in length Detail Amendment 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 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ263 ACCU-FLO Intracranial Pressure shunt One size only Detail Amendment JJ264 ACCU-FLO Intracranial Pressure shunt One size only Detail Amendment JJ436 JJ437 Codman Hakim Programmable Valves 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 Mountaineer OCT Spinal System - Inner screw Expedium Spine System Duraform Dural Graft Implant - 1" x 1" (2.5x2.5cm) Duraform - 1" x 3" (2.5x7.5cm) Duraform Dural Graft Implant - 2" x 2"(5x5cm) Duraform Dural Graft Implant - 3" x 3" (7.5 x 7.5cm) Duraform Dural Graft Implant - 4" x 5" (10x12.5cm) 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 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 Titanium inner screw DI Favoured Angle Reduction Tab Polyaxial Screw Collagen-based dural graft implant Collagen-based dural graft implant Collagen-based dural graft implant Collagen-based dural graft implant Collagen-based dural graft implant One Size Only One Size Only Detail Amendment Detail Amendment Pressure settings 10, 40, 70, 100 and 130mmH2O Detail Amendment Pressure settings 10, 40, 70, 100 and 130mmH2O Detail Amendment 10, 40, 70, 100, and 130mmH2O One size only 4.35-10mm Diameter 20 - 100mm Length 1'x1' (2.5x2.5cm) 1x3"(2.5x7.5cm) 2'x2' (5x5cm) 3" x 3" (7.5 x 7.5cm) 4" x 5" (10x12.5cm) Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment PFC Sigma Knee; Tibiak Stems cemented and fluted uncemented, titanium and cemented, fluted stem Bipolar femoral head, CoCr with fixed UHMWPE Bipolar femoral head, CoCr with UHMWPE insert Hardinge cement Restrictor (ea) Sizes 30-150mm Detail Amendment Size 36 - 56 28mm inner diameter, 39-65mm outer diameter One size only Detail Amendment Detail Amendment Detail Amendment JJ438 JJ439 JJ440 JJ691 JJ738 JJ740 JJ741 JJ742 JJ743 JJ744 Orthopaedic DP143 PFC Sigma Knee System tibial stems DP171 DP188 DP233 Hastings Bipolar Prosthesis Self Centering Bipolar Head Hardinge Cement Restrictor Changed Items for Prostheses List Report Page 49 of 144 Billing Product Name Further Description Size Explanation of Change DP448 DP575 BIO Stop G C-Stem End Cap size 8-20 Size 8- 20 Detail Amendment Detail Amendment DY215 DY367 Pinnacle Femoral Head PFC Sigma TC3 Knee System Tibial Insert 28, 36, 40, 44, 48 mm Size 1.5 to 5 thickness of 10mm to 30mm Detail Amendment Detail Amendment JJ651 JJ753 JJ754 ASR PLUS Cup - ASR Hip System Hardinge Cement Restrictor DePuy Femoral Cement Restrictor Biostop Restrictor (Gelatin, Glkycerol, PHBM, End Cap Biostop Restrictor (Gelatin, Glycerol, PHBM, water) CoCr , metal on metal, Tibial Insert, totally constrained, mobile bearing, UHMWPE, with post Acetabular Cup UHMWPE cement restrictor UHMWPE cement restrictor 42-70mm One size only Size 0 to 10 Detail Amendment Detail Amendment Detail Amendment 0.6mm thickness, 65 x 65mm, 90 x 92mm 1 kit 1 kit 1 kit 1 kit 1 kit 1 kit 1 kit 1 kit Low profile 0.3mm, 1.5mm diam hole, 12 - 18mm diam plate 1.5mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Plastic and Reconstructive JJ258 JJ492 JJ493 JJ494 JJ497 JJ498 JJ500 JJ505 JJ506 JJ544 BIOPLATE Biomesh BIOPLATE Sterile Packs BIOPLATE Sterile Packs BIOPLATE Sterile Plates BIOPLATE Sterile Packs BIOPLATE Sterile Packs BIOPLATE Sterile Packs BIOPLATE Sterile Packs BIOPLATE Sterile Packs BIOPLATE Low Profile Titanium cranial biomesh, packaged non-sterile 813573, 2-Hole straight plate and screws - 1.5mm 813574, 2-Hole compression plate and screws - 1.5mm 813575, 2-Hole straight plate and screws - 1.5mm 813578, X-plate and screws - 1.5mm 813579, 4-Hole plate and screws - 1.5mm 813581, 2-Hole straight plate and screws - 1.9mm 813586, X-plate and Screws - 1.9mm 813587, Boxcar plate and screws - 1.9mm Low Profile Flex Contoured Burr Hole Cover JJ638 BIOPLATE Neurosurgery Fixation System BIOPLATE Low Profile Plate and Screw Sterile Packs PDS Plates Five Hole T-Plate with Screws - Titanium Absorbable synthetic (poly-p-dioxanone) plate/foil 0.25mm x 30mm x 40mm 0.5mm x 30mm x 40mm 0.25mm x 40mm x 50mm 0.5mm x 40mm x 50mm Bioplate - Two hole straight plate with 2 self drilling screws sterile kit Bioplate - 2 x two hole straight plate with 4 selfdrilling screws sterile kit Sterile low profile kit -2 hole plate w/ 2 self drill scews 11-19mm plates and 3-5mm self-drilling screws Detail Amendment Sterilised low profile kit containing 2 x 2 hole compression plates and 4 x self-drilling screws 11 - 19mm plates and 3-5mm self drilling screws Detail Amendment Eccentric Head, Cobalt chrome alloy Revision Stem Titanium alloy Stem Standard, Titanium alloy Orthosorb K-Wire Screw Cancellous Titanium Double Wire 44- 56mm x 18, 21mm 8mm x 200mm - 14mm x 220mm 6mm - 16mm L300 D2.0mm Thread Each Diameter 4.5-6.5mm One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ687 JJ734 JJ735 Detail Amendment Detail Amendment Specialist Orthopaedic DP020 DP029 DP030 DP039 DP040 DP045 Global Advantage Shoulder Global Advantage Shoulder Global Advantage Shoulder Orthosorb Absorbable Pin Bone Screw Isola System (Stainless Steel) Changed Items for Prostheses List Report Page 50 of 144 Billing Product Name Further Description Size Explanation of Change DP077 DP081 DP086 DP088 DP089 DP090 DP091 DP092 DP093 DP094 DP095 Global Advantage Shoulder Global Shoulder Global Shoulder Orthosorb Absorbable Pin Orthosorb Absorbable Pin Orthosorb Absorbable Pin Orthosorb Absorbable Pin Orthosorb Absorbable Pin Orthosorb Absorbable Pin Orthosorb Absorbable Pin Orthosorb Absorbable Pin Size 8 to 14 or Length 6-16mm Size 15 - 21 Size 40-56 40 x 1.3mm 40mm x 2mm 1mm x 40mm x 1.3mm 40 x 2.0mm 1 x 40mm x 1.3mm Pk 3 50 x 1.3mm 40mm x 2.0mm 40 x 1.3mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment DP232 DP330 Suture Wire Tibial Nail System 10-36G 8-13mm x 25.5-42.5cm Detail Amendment Detail Amendment DP331 DP339 DP343 DP363 DP367 DP371 DP391 DP480 DP528 DP529 DP531 DP571 DP572 DP573 DP592 DP593 DP597 DP598 DP605 DP608 DP612 Tibial Nail System Femoral Nail Femoral Nail System Control Cable Humeral Nail System Humeral Nail System Ace External Fixator Isola System (Stainless Steel) Nancy Nail System Nancy Nail System Nancy Nail System Art Retrograde Nail Nancy Nail System Neuflex Finger Small / Large Fragment Set Small / Large Fragment Set Small / Large Fragment Set Small / Large Fragment Set Small / Large Fragment Set Small / Large Fragment Set Small / Large Fragment Set Global Advantage Stem STD or Long Chrome Global Advantage HUM HD Global FIN/ Peg Glenoid Orthosorb - Polydiaxanone Fixation Pins 3 pins per Orthosorb - Polydiaxanone 3 pins per pkt Orthosorb Pkt 1 - Polydiaxanone Orthosorb Pkt 1 - Polydiaxanone Orthosorb K Wire - Stainless Steel Tapered Pins Orthosorb -Polydiameterxanone Orthosorb - Polydiaxanone 2 pins per pkt Orthosorb Arthroscopic Fix-Set - Polydiaxanone 5 pins per pkt Wire Suture Stainless Steel Tibial Nail or Dynamic Tibial Nail Titanium Unsterile or Sterile End Cap Titanium End Cap Titanium Femoral Nail Titanium Sterile or Unsterile Control Cable sleeve Humeral Nail Titanium Sterile or Unsterile End Cap Various Titanium Unsterile or Sterile Pin Holder Bolt - Titanium Wire with Button or Beaded Wire Pediatric Flexible Nail Pediatric Flexible Nail Pediatric Flexible Nail Femoral Nail Titanium Unsterile or Sterile Pediatric Flexible Nail Neuflex MCP implant - Anasil Silicone Cannulated Cancellous Lag Screw Titanium Cannulated Cancellous Screw Solid Cortical Screw Titanium Cannulated Bone Screw Cancellous Lag Screw Titanium Straight Plate Titanium Active Compression Plate Titanium One size only One size only 8 -15mm x 30- 240mm One size only 20 – 30 cm One size only All sizes 18 and 20 gauge wire 2.5 or 3.0 mm x 190 -290mm 3.5 mm x 270-350mm 4.0 mm x 330-450mm 9 -12mm x 30 - 50cm 2.0 mm x 130 - 190mm Size 0-60 6.5 - 8mm or 22 mm threaded screw 4mm or 16mm or 32mm Thread, 26-120mm Length 3.5 - 6.5mm; 10 - 120mm Length 3.5 mm length 50-60 mm 4.8 - 6.5mm 3-12 Hole 3.5mm 5 to 10 Hole Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 51 of 144 Billing Product Name Further Description Size Explanation of Change DP613 DP615 DP617 DP618 DP627 DP632 DP635 DP638 DP640 DP643 Small / Large Small / Large Small / Large Small / Large Small / Large Small / Large Small / Large Small / Large Small / Large Small / Large Wide - Narrow - Long - Extra Long 3.5mm with 8 to 10 holes 3.5mm with 12-14 holes 3.5mm with 3 to 7 holes 4mm or 5mm Dia 10-76 mm Length 5.0mm Length 50 - 80mm 4mm Dia 10-60mm Length 4mm Dia 50-110mm Length 4mm 10 to 70mm Length 4 x 10 -100mm Length Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment DP646 DP654 DP664 DP668 DP672 DP675 DP678 DP683 DP689 DP695 DP719 DP759 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 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 Small / Large Fragment Set S/S One size only 3.5 or 4.5 x 12 - 48mm Length 20-150mm Length 50-145mm 2-8 Hole 95 to 150 Deg 3-6 Hole for 1.5mm 2.7mm or 3.5mm with 2 - 12 Hole 0.8-1.2mm x 280-600 All sizes 2 + 2 + 4 or 4 + 4 + 4 Slots 4.5 - 6.5mm 3-8 Hole One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment DP793 DP809 DP837 DP854 Small / Large Fragment Set S/S Small / Large Fragment Set S/S Peak Channelled Plate System Songer Cable System - Titanium 0.8 to 3.0 mm x 6-9" or 150-500mm 0.2-3.5mm 3.5mm 35mm/30mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment DP858 DP859 DP860 DP862 DP864 DP871 DP878 Songer Cable System - Stainless Steel Songer Cable System - Stainless Steel Songer Cable System - Stainless Steel Songer Cable System - Titanium Songer Cable System - Titanium Agility Ankle System Barouk System Staples Humeral and Radial Plate Titanium Various Universal Reconstruction Ribbon Titanium Universal Reconstruction Ribbon Titanium Universal Reconstruction Ribbon Titanium Solid Cancellous Screw Titanium Solid Cancellous Screw Titanium Solid Cancellous Lag Screw Partial Thread Titanium Solid Cancellous Bone Screw Full Thread Titanium Cancellous Cannulated Lag Screw Partial Thread Cannulated Cancellous Screw Full Threaded Stainless Steel Washer Titanium - Flat/Cup/Countersink Cortical Screw Diameter - Stainless Steel Cannulated Cancellous Screw 16 or 32 Thread CHS Lag Screw Stainless Steel CHS Plate Standard & Short Barrel Sterile Broad Bone Plate Stainless Steel Small or Narrow DCP Plate Cerclage Wire Loop Stainless Steel Condylar Plate & Mini Condylar Plate Y-Plate Stainless Steel Reconstruction Plate Washer Spiked, Standard, Cancellous, Cortical & Fastening Wire K/Wire Stainless Steel K-wire standard Cortical Bone Screw Flex Bar - Large/Small or Flanged Crimp 2 Hole Bar /Flat Bar (Pk 2) Flanged Crimp/Flat Bar (Pk2) or 2 Hole Bar (Pk 2) Isola Single Cable & Crimp (Pkt 6) Double Loop Cable with 2 Crimps Double Loop Cable with 2 Crimps Isola Single Cable & Crimp (Pkt 6) Agility Ankle Talar Varisation Staple Stainless Steel One size only One size only One size only One size only One size only Size 1 - 6 26-90Deg x 8-10mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Fragment Set Fragment Set Fragment Set Fragment Set Fragment Set Fragment Set Fragment Set Fragment Set Fragment Set Fragment Set Changed Items for Prostheses List Report Page 52 of 144 Billing Product Name Further Description Size Explanation of Change DP879 DP880 DP883 Barouk System Staples Barouk System Staples Barouk SCR Sys Staples and Buttons 12-20mm Long 1.6 - 2.5 Dia 7-24mm width 13/15-36/50mm Length 8-20mm Detail Amendment Detail Amendment Detail Amendment DP888 DP893 DP898 DP899 DP900 DP901 DP904 DP905 DP906 DP907 DP911 DP915 DP916 DP929 DP931 DP952 DP954 DP956 Calcaneal Periarticular Plate Rockwood Clavical Pin S-Fit Metal Glenoid S-Fit Metal Glenoid Albizza Nail Albizza Nail Periarticular Plating System Periarticular Plating System Periarticular Plating System Periarticular Plating System Periarticular Plating System Periarticular Plating System Periarticular Plating System Supacondylar Nail System Small / Large Fragment Set Delta Shoulder system Delta Shoulder system Delta Shoulder system Extra small to Ex Large 2.5 to 4.5mm Size 40-52 Size 40-52 240-320mm Length 3.5 or 4.5 0r 5.5 mm 25-75 mm length Small - Large 5 Hole 3 Hole Sm - Lge 3 Hole Sm -Lge 5 Hole 5 Hole 7 Hole 10 to 12 mm x 15-30cm 6.5mm x 40 - 100mm Size 36-40 /42 3.5mm and 4.5mm Size 1-4 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment DP957 DP958 DP962 Delta Shoulder system Delta Shoulder system Delta Shoulder system Size 1-4 in 26-42mm 36 - 42mm in +0 to +9/STD/LAT/STD Retentive 36 - 42 mm in +0-+4 Detail Amendment Detail Amendment Detail Amendment DP964 DP965 Delta Shoulder system Delta Shoulder system Dia 36/42 + 9 Size 1-4 Detail Amendment Detail Amendment DP966 DY082 DY083 DY129 DY136 DY137 DY138 Global FX Shoulder Agility LP Ankle System Agility LP Ankle System Global Advantage CTA Head Restore Orthobiologic Soft Tissue Implant Acclaim Elbow Acclaim Elbow Memory Staple - Titanium Alloy TIFLEX Staple / Pin - Titanium Barouk Screw System Button Prosthesis - SS or Ceramic Calcaneal Periarticular Plate - Titanium Nut Clavical Pin S/S S-FIT Glenoid Bearing S-FIT M/B Glenoid Albizza Nail - Stainless Steel Albizza Nail Cotter Screw Plate Calcaneal - Titanium Fibula Composite Plate - Titanium Medial Pilon Plate - Titanium Meta Plate - Titanium Meta Plate - Titanium Medial Pilon Plate - Titanium Medial Pilon Plate - Titanium Supracondylar Titanium Nail Sterile or Unsterile Solid Cortical Screw Titanium Centror Glenoid INOX / ST.Steel / Nichtrostender St. Metaglene Screw Stainless Steel Cementless Diaphysis INOX/ ST. Steel + Aluminia+HAC Cemented Epiphysis INOX/ ST. Steel + Humeral Cup Laterilised Polyethylene DELTA Humeral Head INOX / ST.Steel / Nichtrostender St. Humeral Spacer INOX / ST.Steel / Nichtrostender St. Revision Cementless Diaphysis INOX / ST. Steel + Aluminia+HAC Global FX Stem Chrome Agility Ankle Tibial Shell Right and Left Agility Ankle Tibial Insert 6-12mm and STD and revision 160-220mm length Size 1-6 Size 1-6 44 x 18 - 56 x 23 One size only 100-200mm 60-85mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Restore Patch Humeral Stem, Std/Lge Ulnar Stem, Std/Lge-Left/Right Page 53 of 144 Billing Product Name Further Description Size Explanation of Change DY140 DY223 DY225 DY226 DY227 DY228 DY229 DY230 DY231 DY234 DY236 DY237 DY238 DY240 DY241 DY242 DY243 DY245 DY248 DY249 DY251 DY252 DY253 DY256 DY257 DY258 DY259 DY260 DY262 DY263 DY264 DY266 DY267 DY268 DY271 Acclaim Elbow Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Ace External Fixator Linked Ulnar Metal Bearing or Polyethylene Yoke Ring, aluminium Ring, composite Ring, composite Ring, composite Threaded Rod, titanium Threaded Rod, titanium Threaded Rod, titanium Threaded Rod, titanium Titanium half pin thread Spacer with bolt, titanium Ring, aluminium Ring, composite Ring, aluminium Ring, composite Stainless steel transfix pin Titanium Transfix Pin TIP CapS, polyethylene Adaptor rod, titanium Pin holder adaptor, aluminium Anchor assembly, titanium Articulation, titanium Bolt clevis, titanium Locking nut, titanium Nut, stainless steel Position pins I/C foot plate, titanium Ring adapter bolt, titanium Ring connector, titanium Spherical nut and washer, titanium U rings, aluminium Universal joint, titanium Wire bolt hinge, titanium Wire fixation bolt, cannulated or slotted (stainless Connecting rod, aluminium Ring adaptor, titanium One size only 1/3 ring small 6" diameter 1/3 ring large 1/3 ring medium 1/3 ring small 1/4" x 10cm 1/4" x 15cm 1/4" x 20cm 1/4" x 25cm 15-80mm, 155 x 5mm to 220 x 5mm 2.5-5mm 2/3 ring, Medium - Large 2/3 ring, medium - Large 2/3 ring, small 6" diameter 2/3 ring, small 250/300 x 5mm with 40-70mm thread 250/300 x 5mm with 40-70mm thread 3-5mm 8mm 90" One size only One size only One size only One size only One size only One size only One size only One size only One size only One size only One size only One size only One size only X-Short, short, medium or long One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 54 of 144 Billing Product Name Further Description Size Explanation of Change DY294 DY323 DY324 DY325 DY326 Bremer Halo Crown System Ace Trochanteric Nail Ace Trochanteric Nail Ace Trochanteric Nail Ace Trochanteric Nail Aluminium Crown & Vest Trochanteric Lag Screw Sterile Trochanteric Anti Rotation Screw Sterile Trochanteric End Cap Sterile Trochanteric Nails Sterile in Standard or Left or Right Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment DY360 DY380 DY381 DY382 DY383 DY386 DY400 DY408 DY409 DY414 DY415 DY418 DY419 DY477 Global Advantage Shoulder Versa Nail Versa Nail Versa Nail Versa Nail Hoffman Wrist Kit Neuflex Finger Mobility Ankle Agility LP Ankle System Guepar Radial Implants Guepar Radial Implants Mobile Ankle Mobile Ankle BioIntrafix Tibial Soft Tissue Fastener (Sheath) JJ071 JJ072 JJ076 JJ077 JJ078 JJ083 JJ084 JJ085 JJ087 JJ089 JJ091 JJ093 JJ095 JJ096 JJ097 Mitek Kurosaka Advantage Fixation Screw Mitek Kurosaka Fixation Screw Mitek Ethibond Knotless Suture Anchor Mitek Polypropylene Meniscus Fastner Rigidfix ACL Cross Pin System Mitek GII Anchor Threader Tab Mitek Rotator Cuff Anchor Threader Tab Mitek Super Anchor Threader Tab to bone Mitek Tacit Quick Anchor Mitek GII QuickAnchor Plus Mini Quick Anchor with Suture Mitek Rotator Cuff Quick Anchor Plus Mitek Super Quick Anchor Plus Mitek Fastin Anchor Fastin RC Anchor System Anchor Peg Glenoid TTC Fusion Nail Sterile TTC Fusion Nail Unsterile TTC Nail Cap Unsterile Impinging and Non Impinging TTC Nail Cap Sterile Impinging and Non Impinging Hoffman Sterile Wrist Kit Neuflex PIP Mobile Bearing Wide Ankle Talus Radial Stem, Radial Head Radial Stem, Radial Head Tibial Tray Talus Absorbable composite (TCP/PLA) fixation device (sheath) used in conjunction with a screw Titanium Screw Cannulated - Advantage Titanium Screw Cannulated - Profile Titanium anchor Polypropylene anchor Polylactic acid pin Titanium Suture Anchor Titanium Suture Anchor Titanium Suture Anchor Titanium Suture Anchor Titanium Anchor, with various sutures Anchor with Suture Titanium Anchor, with various sutures Titanium Anchor, with various sutures Titanium Suture Anchor Titanium Anchor, with various sutures Standard & 3D 60 to 120mm 60 to 100mm 5 to 25mm 125 - 130 deg, 9 - 11mm, 320 - 420mm, sterile and non-sterile 40 to 56 mm 10mm x 15cm up to 12mm x 30cm 10mm x 15cm up to 12mm x 30cm One Size One Size One size only 1 to 20 1-6 from 3-11mm Size 1-6 +0 to+4 14/12mm to 16/16mm Size 1-6 Size 1-6 30mm 7 & 9mm x (15 to 40mm) 7,8 & 9mm x (20 to 30mm) 2.7 x 10.8 mm 6 & 8mm x 4mm 2.7 & 3.3mm x 42mm 2.4 x 8.8mm 2.8 x 11mm 2.8 x 11.4mm 2.0 x 3.6mm 2.4 x 8.8mm Anchor with Suture and Multiple size needles 2.8 x 11mm 2.8 x 11.4mm 3 x 8.4mm, 4 x 9.7mm, 5.2 x 11.5mm 5 & 6.5mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 55 of 144 Billing Product Name Further Description Size Explanation of Change JJ098 Panalok RC Anchor System 2.9 x 11.0mm Detail Amendment JJ099 Panalok Anchor System 4.1 x 6.0mm Detail Amendment JJ100 JJ124 JJ125 JJ126 JJ127 JJ128 JJ231 JJ233 Micro Quick Anchor Intrafix Tibial Sheath Intrafix Tibial Tapered Screw Contack Fastener Absolute Absorbable Interference Screw Cuff Link Bioknotless Anchor System Panalok RC QuickAnchor Plus DS Panacryl Suture 1.3 x 3.7mm 7 to 10mm x (15 to 30mm) 6 to 10mm x (15 to 30mm) (3.5 to 7.5mm) x11.5mm 7 to11mm x (23 to 30mm) 8mm Dia 3.9mm, length 9mm Anchor diameter 2.9mm, length 11mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ234 Panalok RC QuickAnchor Plus DS Ethibond Suture Anchor diameter 2.9mm, length 11mm Detail Amendment JJ307 2/0 Detail Amendment JJ420 JJ421 JJ422 JJ424 JJ425 JJ426 JJ427 JJ429 JJ431 JJ457 MiniLok Quick Anchor Plus with Suture MicroFix Anchor with Suture MiniLok Quick Anchor with Suture Panalok RC Loop Anchor with Ethibond Suture Panalok RC Loop Anchor with Panacryl Suture Bioknotless RC Anchor with Panacryl Suture Lupine Loop Anchor System Bioknotless RC Anchor with Ethibond Suture Lupine Loop Anchor System Spiralok Anchor System Straight needle, 12 degree curved needle, 27 degree curved needle 7x23mm; 7x30mm; 8x23mm; 8x30mm, 9x23mm; 9x30mm; 10x23mm; 10x30mm; 11x30mm Anchor with Suture and Multiple size needles Anchor with Suture and Multiple size needles Anchor with Suture and Multiple size needles One size only One size only One size only Dia 3.9mm Length 9mm One size only Dia 3.9mm Length 9mm 5mm, 6.5mm Detail Amendment JJ337 Rapidloc Meniscal Repair PLA Tophat with Ethibond Suture Rapidloc Meniscal Repair PLA Tophat with Panacryl Suture Biocryl - TCP/PLA Interference Screw Polylactic acid absorbable anchor with absorbable and non-absorbable suture Polylactic acid absorbable anchor with absorbable and non-absorbable suture Titanium Suture Anchor High density polyethylene sheath Plastic tapered screw Polylactic acid tack Polylactic acid screw High density plastic link PLA absorbable material with various sutures Anchor composed of PLA, Suture composed of PLA and PGA Anchor composed of PLA, Suture composed of polyester Composition: PLA Implant and Ethibond Suture, non absorbable suture Composition: PLA Implant and Panacryl Suture JJ458 Spiralok Anchor System 5mm, 6.5mm Detail Amendment JJ460 Spiralok Anchor System 5 & 6.5mm Detail Amendment JJ461 RapidLoc Meniscal Repair System with PDS One size only Detail Amendment JJ471 Spiralok Anchor System 5 - 6.5mm Detail Amendment JJ308 Changed Items for Prostheses List Report Composition - Tricalcium Phosphate & Polylactic Anchor composition is PLA Anchor with suture Anchor with Suture Anchor composition is PLLA Anchor composition is PLLA Anchor composition is PLLA PLLA with various sutures Anchor composition is PLLA 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 PLA (absorbable) backstop and PDS (absorbable) top hat and Panacryl absorbable suture connecting the top hat and backstop Spiralok Absorbable PLA Anchor with absorbable suture without needles Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 56 of 144 Billing Product Name Further Description Size Explanation of Change JJ472 JJ473 BioKnotless Anchor System BioIntrafix Tibial Soft Tissue Fastener Dia 3.9mm Length 9mm 6 to 10mm by length 30mm Detail Amendment Detail Amendment JJ483 Spiralok Anchor System 5mm, 6.5mm Detail Amendment JJ484 MILAGRO (TCP/PLGA) Interference Screw 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 MILAGRO (TCP/PLGA) Interference ACL Screw System 7mm x 23mm, 7mm x 30mm, 8mm x 23mm, 8mm x 30mm, 9mm x 23mm, 9mm x 30mm, 9mm x 35mm, 10mm x 23mm, 10mm x 30mm, 10mm x 35mm, 11mm x 30mm, 11mm x 35mm, 12mm x 30mm, 12mm x 35mm Detail Amendment JJ548 JJ549 JJ550 JJ551 JJ552 JJ553 JJ554 JJ555 JJ556 JJ557 JJ558 JJ559 JJ560 JJ561 JJ588 DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend DELTA Xtend Femoral Intrafix System 1 + 2 8, 10, 12, 14mm 1 + 2 8, 10, 12, 14mm 10, 12, 14, 16mm 1+2 1 + 2 Left + Right 38 + 42; 3, 6, 9mm 48 + 52; 21, 26mm 38 + 42 38 + 42 4.5mm; 18, 24, 30, 36, 42 4.5mm; 24, 30, 36, 42, 48 38 + 42; 3, 6, 9mm 38 + 42; 6mm 9mm 7 to 10mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ611 JJ613 Global AP Shoulder Global AP Shoulder Monobloc Humeral Cemented Epiphysis Standard Monobloc Humeral Cemented Epiphysis Revision Modular Humeral Diaphysis Modular Centered Epiphysis HA coated Modular Eccentric Epiphysis High Mobility Humeral PE Cup Delta Xtend CTA Head Extended Lip Eccentric Glenosphere Standard Glenosphere Non Locking Metaglene Screw Dia 4.5 Locking Metaglene Screw Dia 4.5 Standard Humeral PE Cup Retentive Humeral PE Cup Humeral Spacer Screw and Sheath Fixation System for the Femur in ACL repairs Humeral Stem Long Humeral Head Humeral Stem Long - 8mm, 10mm, 12mm, 14mm Humeral Heads - 40x15, 40x18, 44x15, 44x18, 44x21, 48x15, 48x18, 48x21, 52x15, 52x18, 52x21, 56x18, 56x21 Detail Amendment Detail Amendment JJ614 Global AP Shoulder Humeral Head-Eccentric Humeral Heads - 40x15, 40x18, 44x15, 44x18, 44x21, 48x15, 48x18, 48x21, 52x15, 52x18, 52x21, 56x18, 56x21 Detail Amendment JJ615 JJ616 JJ618 JJ619 Global AP Shoulder Global AP Shoulder Distal Radius Fracture Repair System Distal Radius Fracture Repair System Fixed 135 Degree taper Assembly Ball Taper Adjustable Neck Assembly DVR-A, distal volar radius locking plate, titanium DVR-A, distal volar radius locking plate, titanium Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ620 Distal Radius Fracture Repair System DNP, dorsal nail plate, titanium 135 Degree Angle N/A Standard, left & right Narrow, wide, short, X-large, XX-large narrow-left & right Standard, left & right Changed Items for Prostheses List Report Detail Amendment Page 57 of 144 Billing Product Name Further Description Size Explanation of Change JJ621 JJ622 Distal Radius Fracture Repair System Distal Radius Fracture Repair System Right, left, straight, Y 2.5mm x 14-40mm Detail Amendment Detail Amendment JJ623 JJ624 JJ625 JJ626 JJ627 JJ628 JJ629 JJ630 Distal Radius Fracture Repair 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 HI S3 Shoulder Fixation System HI S3 Shoulder Fixation System Fragment locking plate, titanium Locking peg, threaded, partly threaded, smooth, titanium/cobalt chrome Locking cortical bone screw, titanium S3 Shoulder Plate S3 Shoulder Plate, Titanium S3 Shoulder Plate, Titanium Peg, Standard Stainless Steel Peg, Threaded Stainless Steel Peg, Threaded Stainless Steel Peg, Threaded Stainless Steel Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ631 JJ632 JJ633 JJ637 Screw, Multidirectional Stainless Steel Screw, 90 Deg Locking Stainless Steel Set Screw, 90 Deg Locking Cross Linked Polyethylene Glenoid Implant Intramedullary Nail Intramedullary Nail Fixation System Kit 1.6mm and 1.1mm 1.6mm and 1.1mm Detail Amendment Detail Amendment JJ672 HI S3 Shoulder Fixation System HI S3 Shoulder Fixation System HI S3 Shoulder Fixation System Global Advantage Shoulder – Cross Linked Anchor Peg Glenoid Small Bone Fixation System - Small Bone Flexible Small Bone Fixation System - Small Bone Fixation System Kit VersaNail IM Nailing Platform 2.5mm-3.5mm x 10-28mm 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 4mm x 37.5mm 4mm x 40mm, 45, 47.5mm, 50mm, 52.5mm, 55mm, 57.5mm, 60mm, 62.5mm, 65mm, 3.8mm x 20, 22, 24, 26, 28, 30, 32, 34, 36 & 38 3.8mm x 20, 22, 24, 26, 28, 30, 32, 34, 36 & 38 One size 40 to 56 mm including XL 9-13mm x 28-48CM Detail Amendment JJ673 VersaNail IM Nailing Platform 7-10 mm x 150-280mm Detail Amendment JJ674 JJ675 JJ678 VersaNail IM Nailing Platform VersaNail IM Nailing Platform Versalok Bone Anchor System with Orthocord 8-13mm x 25 - 50cm Flush, impinging & 5-15mm One size only Detail Amendment Detail Amendment Detail Amendment JJ680 JJ681 JJ682 Polyax Plating System Polyax Plating System Polyax Plating System 8-60mm 6-18 holes 25-90mm Detail Amendment Detail Amendment Detail Amendment JJ683 JJ684 JJ685 JJ686 JJ696 Polyax Plating System Polyax Plating System Polyax Plating System Polyax Plating System Lupine BR Anchor System Troch Entry and Universal Femoral Nails, Titanium, Locking, cannulated. Humeral Nails, Universal and Proximal, Titanium, Locking, cannulated Tibial Nails, Titanium, Locking, cannulated. End caps for VersaNail IM Nail Platform Anchor, sterile, pre-mounted on inserter shaft with 2 free strands of Orthocord suture Cortical Locking Screw, Titanium Distal Femoral Locking Plate, Titanium Polyaxial Cancellous Cannulated Locking Screw, Titanium Polyaxial Cancellous Locking Screw, Titanium Cancellous Non-Locking Screw, Titanium Cancellous Locking Screw, Polyaxial, Titanium Proximal Tibial Locking Plate, Titanium Biocryl Rapide anchor with two strands of Orthocord suture 25-100mm 40-100mm 50-100mm 2-14 holes One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ639 JJ641 Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 58 of 144 Billing Product Name Further Description Size Explanation of Change JJ698 Bioknotless BR Bone Anchor System One size only Detail Amendment JJ707 JJ708 JJ709 JJ710 JJ711 JJ713 JJ714 JJ715 JJ716 JJ717 JJ719 JJ720 ATN Trochanteric Nail System ATN Trochanteric Nail System ALPS - Anatomic Locked Plating System ALPS - Anatomic Locked Plating System ALPS - Anatomic Locked Plating System ALPS SFS ALPS SFS ALPS SFS ALPS SFS ALPS SFS ALPS SFS ALPS LFS 40 - 150mm 40-150mm 1-4 holes 5-10 hole plates 5-10 holes 10-150MM 10-70MM 10-70MM 2.7-3.5 x6-70MM 6-70MM Flat and cupped 1-4 hole Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ721 ALPS LFS 5-10 hole Detail Amendment JJ722 ALPS LFS 11-20 hole Detail Amendment JJ723 JJ724 JJ725 JJ726 JJ727 ALPS LFS ALPS LFS ALPS LFS ALPS LFS ALPS LFS 26-100MM 6.5mm diameter 8-100MM 4.5mm x 14-70mm 4-25 holes Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment JJ728 JJ729 ALPS LFS ALPS Anatomic Locked plating system 4.5-6.5mm 5-10 holes Detail Amendment Detail Amendment JJ730 ALPS-Anatomic Locked Plating system 11-20 holes Detail Amendment JJ731 JJ737 JJ774 JJ783 JJ784 JJ785 JJ787 ALPS Distal Tibia Compression Hip Screw System Healix PEEK Suture Anchor ALPS Hand Fracture System - CoCr Pegs ALPS Hand Fracture System - Titanium Pegs ALPS Hand Fracture System - Locking Plate Global CAP Resurfacing Humeral Head Implant BIOKNOTLESS BR anchors with Orthocord or Panacryl suture Titanium anti-rotational screw for Trochanteric nail Titanium lag screw for Trochanteric nail 3.5MM Titanium 100° Tubular Plate 3.5MM Titanium LOCKING COMPRESSION 3.5MM Titanium 100° Tubular Plate Cancellous Titanium Bone Screws Cancellous Titanium Locking Bone Screws Cannulated Cancellous Titanium Bone Screws Cortical Titanium Bone Screws Cortical Locking Titanium Bone Screws Flat and cupped Titanium washers 4.5mm locked narrow and broad 1-4 hole titanium compression plate 4.5mm locked narrow and broad 5-10 hole titanium compression plate 4.5mm locked narrow and broad 11-20 hole titanium compression plate Cancellous Titanium locking screws Cancellous Titanium non-locking screws Cortical Titanium locking screws Cortical Titanium non- locking screws Offset, Reconstruction and 4.5mm Spider and Tplates, Titanium Flat and cupped Titanium washers Anterolateral and Medial Distal Tibial Anatomic Locking Plate, Titanium Anterolateral and Medial Distal Tibial Anatomic Locking Plate, Titanium Polyaxial Titanium locking screws Compression hip screw plate, stainless steel PEEK anchor with Orthocord suture Locking pegs & screws, threaded, partly threaded, Pegs, threaded, partly threaded, titanium Locking plates, titanium, various shapes Global CAP Conservative Anatomical Prosthesis (Shoulder Humeral Head Surface Replacement) 20-60mm 25-38mm, 2-16 holes, 95-150 degrees 4.5 - 6.5mm anchor diameter 10 - 2.5mm x 4 - 40mm 1.0 - 2.5mm x 4 - 40mm 1.0mm - 2.5mm locking plates 40-56mm Diameter Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 59 of 144 Billing Product Name Further Description Size Explanation of Change JJ788 Global AP CTA Humeral Head CTA Humeral Head Sizes 44-56mm Detail Amendment Vascular CAG JJ057 JJ058 JJ068 JJ224 Palmaz Balloon Expandable Stent Palmaz Balloon Expandable Stent SMART .018" Peripheral Stent System TruFill Pushable coil Stainless steel stent Stainless steel stent Nitinol carotid stent and delivery system Platinum pushable coil of 1. Straight, 2. C, 3. Flat spiral and 4. Complex shapes. Embolic coil and delivery tube. Diameter 4-12mm, length 20-30mm Extra-large 6 - 10 mm Size .014" outer diameter. Size 2 - 10mm and length 2 - 100mm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment JJ235 SMART Peripheral stent system Dia 6 - 8mm, length 120mm Detail and Benefit Amendment JJ304 Diameter 3-8mm, length 12-39mm Detail and Benefit Amendment Diameter 4-8mm, length 12-39mm Detail and Benefit Amendment JJ306 JJ419 Palmaz Genesis Peripheral Stent and Delivery System on Slalom Palmaz Genesis Peripheral Stent and Delivery System on Opta Pro Palmaz Genesis Peripheral Stent SMART Control Peripheral Stent System Diameter 4-12mm, length 11-79mm Dia 6 – 14mm; Length 20 – 100mm Detail and Benefit Amendment Detail and Benefit Amendment JJ423 OPTEASE retrievable vena cava filter Suitable for vessels up to 30mm Detail and Benefit Amendment JJ445 ANGIOGUARD XP Emboli Capture Guidewire Laser cut nitinol tube. Available in long stents to treat large vessel lesions. Stainless steel balloon expandable stent mounted on a slalom balloon Stainless steel balloon expandable stent mounted on an Opta Pro Balloon Stainless steel peripheral stent SMART Control is a laser cut nitinol self expanding stent, used to treat peripheral vessel disease. OPTEASE is a laser cut nitinol vena cava filter, used to treat patients at high risk of pulmonary Distal protection device and delivery system Detail and Benefit Amendment JJ463 PRECISE RX Nitinol Stent System JJ479 JJ480 PALMAZ GENESIS on CORDIS AMIIA RX .014 Delivery System Angioguard RX Emboli Capture Guidewire System JJ567 PALMAZ® BLUE™ .018 Peripheral Stent System JJ592 SMART Nitinol Stent System L605 Cobalt Chromium Alloy Balloon Expandable Stent Long 120mm Stent, 6F compatible Length: 300cm, diameter: 0.014, Basket sizes 4mm, 5mm, 6mm, 7mm, and 8mm Stent Lengths 20, 30, 40mm; Stent Diameter: 5, 6, 7, 8, 9, 10mm Lengths: 12, 15, 18, 24mm. Diameter: 4, 4.5, 5, 5.5, 6, 6.5, 7mm Length 180cm, Diameter 0.014"; basket sizes 4mm, 5mm, 6mm, 7mm and 8mm 12, 15, 18, 24mm length 4, 5, 6, 7mm diameter JJ617 SMART Nitinol Stent System Long 150mm stent, 6F compatible JJ646 JJ688 Precise Pro Rx Nitinol Stent System Palmaz Blue .014 Renal Stent System (on Aviator Nitinol self expanding stent CoCr balloon expandable stent JJ305 Nitinol self expandable stent and repid exchange delivery system Peripheral balloon expandable stent and rapid exchange delivery system Distal protection device and delivery system Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 6-8mm diameter, 120mm stent length, 120cm Detail and Benefit Amendment delivery system 6-8mm diameter, 150mm length, 120cm delivery Detail and Benefit Amendment system Diameter: 5, 6, 7, 8, 9, 10mm; Length: 20, 30, 40mm Detail and Benefit Amendment 12, 15, 18, 24mm Lengths Detail and Benefit Amendment 40, 50, 60, 70mm diameters 80, 142cm shaft lengths Kendall Australasia Pty Ltd T/A Tyco Health Care Australia Vascular CAG Changed Items for Prostheses List Report Page 60 of 144 Billing Product Name Further Description Size Explanation of Change KA007 Mahurkar Subclavian Catheter Kit Chronic haemodialysis, long term vascular access for haemodialysis and apheresis. Constructed of radiopaque silicone rubber. Kit contains: Catheter, 18ga Introducer Needle, J/Straight 0.038" Guidewire, 10cc Syringe, Tunnelling Stylet, Pull-Apart Sheath/Dilator, (4) Gauze Sponges, (2) Wound Dressings, (2) Injection Sealing Caps. 36, 40cm Detail Amendment KA008 Single Lumen Right Atrial Catheter 84cm, 1.3mm OD, 94cm 2.2mm OD, 94cm 3.2mm OD Detail Amendment KA009 RAAF Dual Lumen Catheter Triple Lumen Right Arterial Catheter 4.5mm (Catheter), 95cm (Catheter Overall Length); 3.2mm (Catheter), 102cm (Catheter Overall Length) 3.9mm Detail Amendment KA010 KA011 Permcath Dual Lumen Catheter Central Venous Catheters constructed of radiopaque silicone rubber Central Venous Catheter constructed of radiopaque silicone rubber Central Venous Catheter constructed of radiopaque silicone rubber Chronic Haemodialysis, long term vascular access for haemodialysis and aphaeresis. Constructed of radiopaque silicone rubber. Kit contains: Catheter, 18ga Introducer Needle, J/Straight 0.038" Guidewire, 10cc Syringe, 10Fr. Dilator (28cm only), 12Fr. Dilator (except 28cm), #11 Scalpel, Tunnelling Stylet, Oval Pull-Apart Sheath/Dilator, (4) Gauze Sponges, (2) Wound Dressing, (2) Injection Sealing Caps. 36cm, 40cm Detail Amendment KA012 Mahurkar Subclavian Catheter Kit Acute haemodialysus, short term vascular access. Catheters constructed of radiopaque polyurethane. Tips are made of polyvinyl chloride and are more radiopaque than the rest of the catheter. Kit contains: 10 or 11.5 Fr Catheter, 18ga Introducer Needle, J/Straight Guidewire, 10 Fr Dilator, 12 Fr Dilator, 2 x Adhesive Wound Dressings. 11.5 Fr, 13.5cm Straight Extension, 11.5 Fr, 16cm Straight Extension, 11.5 Fr 19.5cm Straight Extension, 10 Fr 12cm Curved Extension, 10 Fr 15cm Curved Extension, 11.5 Fr 16cm Curved Extension, 11.5 Fr 16cm Curved Extension, 11.5 Fr 19.5cm Curved Extension Detail Amendment KA013 Permcath Dual Lumen Catheter Chronic haemodialysis, long term vascular access for haemodialysis and aphaeresis. Constructed of radiopaque silicone rubber. 28, 36, 40cm Detail Amendment KA014 Mahurkar Maxid Catheters Catheters constructed of radiopaque polyurethans, high kink resistant. The arterial lumen is shorter than the venous lumen at the catheter's distal end in order to reduce recirculation during haemodialysis Size, 38, 43, 48, 53cm Detail Amendment KA018 Palindrome Haemodialysis catheter 14.5Fr. 19, 23, 28, 33, 55cm Insertion Lengths, with 36, 40, 45, 50, 72cm Overall length, with side slots, symmetric tip Detail Amendment KA019 Mahurkar 12Fr Triple Lumen Catheter 12Fr - 13cm, 16cm, 19cm & 24cm lengths available Detail Amendment KA020 Mahurkar 13.5Fr Q-Plus Dual Lumen Catheter Mahurkar 12Fr Triple Lumen Catheter Curved Extension Kit Mahurkar 13.5Fr Q-Plus Curved Extension Double Lumen Catheter Kit 13.5Fr - 13.5cm, 16cm, 19cm & 24cm lengths available Detail Amendment Acrylic, Aspheric, Toric Pseudophakic Secondary IOL : Sulcus-fixated with Undulating Haptics and Posterior Haptic Angulaiton 6.5mm / 13.5mm - 5.0D+5.0D Spheres : Increments up to + 5.00D Cylinder Detail Amendment Detail Amendment Kevin Grundy (IBD) Pty Ltd Ophthalmic KG005 Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary I.O.L - Standard Changed Items for Prostheses List Report Page 61 of 144 Billing Product Name Further Description Size Explanation of Change KG007 KG010 Rayner M-Flex Toric (Standard) 6.5mm/13.5mm - 5.0D to +5.0D sphere: increments up to 11.0D cylinder Acrylic, Foldable, Single piece multi-zoned refractive aspheric multifocal with Amon-Apple 360 Degree Square edge, Anti Vaulting Haptics Acrylic, Foldable, Single Piece, Multi-zoned Refractive Aspheric Toric Mulitfocal with AmonApple enhanced 360 degree Square edge, Anti 6.5mm/13.5mm - 5.0D sphere: increments up to 11.0D cylinder 6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D Addition: +14D to +25D in 1.0D increments: +8.5D to +23.5D in 0.5D increments 5.75mm / 12.0mm: 6.25mm / 12.5mm +3.00D or +4.00D Addition FAR: +14.0D to +32.00D in 0.5 STEPS: +2.00D Cylinder. NEAR: +14.0D to 27.0D in 0.5 STEPS: +2.00D Cylinder Detail Amendment KG009 Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary IOL (Premium) Rayner "M-Flex" Mulitfocal Foldable IOL KG011 Rayner "M-Flex" Toric (Non Standard) Acrylic, Foldable, Single Piece, Muli-Zoned Refractive, Toric Multifocal with Amon-Apple enhanced 360 Degree square edge, Anti-vaulting Haptics, Patient Specific. 5.75/12.0mm: 6.25/12.5mm +3.00D to +4.00D Addition FAR: +14.0D to +32.0D in 0.5D Increments: NEAR: +14.0D to +27.0D in 0.50D Increments Cylinder: 1.0D to 1.5D and 2.5D to 6.00D in 0.5 increments Detail Amendment Armstrong, Collar Button, Shepard, Reuter, Donaldson, Paparella, Shah 1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm Detail Amendment Detail Amendment Detail Amendment Lifehealthcare Pty Ltd Ear, Nose & Throat LH404 NeoZoline Otological Ventilation Tubes General Miscellaneous LH377 Durasphere FL Composition: Pyrolitically carbon coated silica bead in an aqueous gel. Injectable bulking agent for the treatment of Faecal Incontinence. Syringe plus needle. Syringe 1ml Detail Amendment LH378 Durasphere FL Composition: Pyrolitically carbon coated silica bead in an aqueous gel. Injectable bulking agent for the treatment of Faecal Incontinence. Syringe plus needle. Syringe 3ml Detail Amendment Sugita Clips, Standard Slightly Curved, Sugita Clip, Temporary Straight/S, Sugita Clip, Temporary Straight/L Sugita Clips: Standard Straight-Short #1/Long #2 Sugita Titanium Anneurysm Clips: Standard Straight/s, Straight-L, Bayonet, Angled, StraightSmall, STD Temp-STD Small, STD TempStraight/Large, STD Temp-Bayonet, STD TempCVD, Mini Straight-Small, Mini Straight/Large, Mini Curve, Mini Angled, Mini Curve One Size Each One Size Each Detail Amendment Detail Amendment One Size Each One Size Each Detail Amendment Detail Amendment Sugita Titanium Clips: Standard Slight Angle, Side CVD, CVD, Angled, Bayonet-Small/Large, StraightMedium, Slight CVD, Straight Large, L AngleSmall/Medium/Large, 45D CVD Small/Medium/Large, STD Temp Slight CVD, Temp Mini Straight/Large, Temp Mini Angle, One Size Each Detail Amendment Neurosurgical LH116 LH117 Aneurism Clip Aneurism Clip LH118 LH119 Aneurism Clip Aneurism Clip LH147 Aneurism Clip Changed Items for Prostheses List Report Page 62 of 144 Billing Product Name Further Description Size Explanation of Change LH148 Aneurism Clip Sugita Titanium Clips: Standard Side CVD Bayonet, Small CVD, Side Angled, Slight CVD, J AngleSmall/Medium/Large, Slight CVD Small, Temp Mini Straight Slim, Standard L Curved- Small/Large, Mini Straight Slim, Curve Slim, One Size Each Detail Amendment LH149 LH150 LH151 LH152 LH153 LH154 LH155 LH156 LH157 Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip One Size Each One Size Each One Size Each One Size Each One Size Each One Size Each One Size Each One Size Each One Size Each Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LH158 Aneurism Clip Sugita Titanium Clips: Booster Sugita Clips: Mini Straight Slim, CVD Slim Sugita Clips: Fenest, Lrg L Shaped W/CVD Sugita Clips, Mini CVD Slim Sugita Clips, Long Sugita Clip, Large Straight/Short Sugita Clip, Temporary Bayonet, Bent Sugita Clip, STD Sideward CVD Sugita Clip, Large Sideward Bent, Bent, BayonnetShort/Large, Straight-Medium/Long Sugita Clip, Large L Shaped-Short/Medium/Large, Large J Shaped-Short/Medium/Large, Fenest Large Straight-S/M/L, Large Bent-S/M/L, Fenest Large L Shaped-S/M/L One Size Each Detail Amendment LH159 Aneurism Clip 5-7mm length x 1.2mm width, closing force 125gms Detail Amendment LH160 Aneurism Clip Sugita Clip, Temporary Mini Straight, Bent, Mini Straight/Short, Bent, SDEWARD CVD, CVD Sugita Clip, Mini CVD Detail Amendment LH161 LH162 LH163 Aneurism Clip Aneurism Clip Aneurism Clip Sugita Clip, Mini CVD Sugita Clip, Large Slightly Crv-Short/Long Sugita Clip, Large 45 D Angle/s, Slightlyn Crv/s, Temporary Slighly Crv, Mini Straight Slim, Large 1/4 CVD, Mini 4mm length x 1.2mm width, closing force 120 & 124gms 5mm length x 1.2mm width, closing force 132gms One Size Each One Size Each LH164 LH165 LH166 LH167 LH168 LH169 Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip Aneurism Clip One Size Each One Size Each One Size Each One Size Each One Size Each One Size Each Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LH170 LH171 Aneurism Clip Aneurism Clip Sugita Clip, Large Straight, Bayonet, Mini Bayonet Sugita Clip, Large L Shaped W/CRV-S/L, 1/4 CVD-S/L Sugita Clip, Large 45D Angle-M/L Sugita Clip, Fenest Large L Shaped-L, Bayonet Sugita Clip, Fenest Large L Shaped W/CVD Sugita Clips, Standard Bayonnet, Bent, Sideward Bent, Sideward Curve, Slight Bent Sugita Clips, Standard Sideward Curve, Curved Sugita Clips, Standard Slight CVD, CVD Detail Amendment Detail Amendment LH294 Mizuho - Titanium Fenestrated Aneuysm Clips One Size Each 11mm length x 1.2 width, closing force 125-160gms; 9mm length x 1.2 width, closing force 120-155gms Closing Force 95 to 160 gms Changed Items for Prostheses List Report Straight (S/M/L), Bent (S/ M/L), L-Shaped (S/M/L), Bayonet, L Shaped curved to left (S/M/L), LShaped curved to right (S/M/L) Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 63 of 144 Billing Product Name Further Description Size Explanation of Change LH296 Duraseal Dural Sealant 5ml of hydrogel sealant Detail Amendment LH369 DuraSeal Xact Spinal Dural Sealant DuraSeal is a Synthetic, absorbable, Polyethylene Glycon, hydrogel sealant used as an adjunct to sutured dural repair to achieve watertight closure. Xact Dural Sealant for spine )Packaged in sterile single use disposable tray with MicroMyst Applicator & precurser syringes) 2ml vial Detail Amendment Bipolar shell and UHMPE liner Cobalt chrome 42 - 60mm in 1mm increments Standard, varus, valgus, antiverted right, antiverted left Detail Amendment Detail Amendment SR Hand MCP/PIP/TMC (Basal Thumb) Implants CoCr- Titanium Alloy, UHMWPE Metallic Hemiarthroplasty resurfacing prosthesis for the Metatarsophalangeal Joint Left and Right, Tined Carpal Fusion Plate Left and Right Radial Components Carpal Screws Carpal Ball Carpal Component MCP Finger Joint Implant Crimp Two Pack - Titanium Double Loop Cable w/Four Crimps - Titanium Single Loop Cable w/Two Crimps - Titanium Articular Component - Chrome Cobalt XS/S/M/L/XL, 1,2,3,4,5 Detail Amendment 8mm - 23 mm Detail Amendment Small, Large Large, Small Small, Medium, Large 15, 18, 22, 26, 30mm Small, Medium, Large Small, Medium, Large 00/10/20/30/40/50/60mm One size only One size only One size only Articular Component 25mm - 2.5mm x 2.5mm to 5.0mm x 5.0mm offset; Articular Component 30mm - 4.5mm x 4.5mm to 7.0mm x 7.0mm offset; Articular Component 35mm - 6.0mm x 6.0mm to 9.5mm x 9.5mm; Articular Component 40mm - 8.0mm x 8.0mm to 12.0mm x 12.0mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Orthopaedic LH064 LH184 Groupe Lepine Modular U Necks Specialist Orthopaedic LH197 SR Hand Implant System LH232 Toe Joint LH248 LH250 LH253 LH254 LH255 LH256 LH257 LH272 LH273 LH274 LH306 SCS Distal Radius Plate System Diamond Plate/Carpal Button Total Wrist Implant System Total Wrist Implant System Total Wrist Implant System Total Wrist Implant System Preflex Blackstone - Posterior Cervical System Blackstone - Posterior Cervical System Blackstone - Posterior Cervical System HemiCAP Contoured Articular Resurfacing Shoulder System LH307 HemiCAP Contoured Articular Resurfacing Shoulder System Fixation Screw - Titanium Fixation component for 25mm, 30mm, 35mm, 40mm Artuclar Components Screw 10.5mm Dia & 12.5mm Dia & 13.7mm Dia Detail Amendment LH315 LH323 Delivery Track I.T.S. Volar Angle Locking Plate (VAL) Composition: Peek Cancellous Stabilization Screw Detail Amendment Detail Amendment LH324 I.T.S. Volar Angle Locking Plate (VAL) Cortical Screw LH326 Metaflex Low compression screw LH327 MiniFix Finger Mini Fixator System 8 x 20/25/30mm D=3.5mm, Length = 14mm-30mm (with incremental of 2) D=3.5mm, Length=14mm-24mm (with incremental of 2) Diameter: 1.2, 1.4, 1.6, 2.0 - 2.5mm, Length: 10mm 30mm One size Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Page 64 of 144 Billing Product Name Further Description Size Explanation of Change LH328 LH329 LH330 LH331 LH333 LH334 LH335 LH336 LH337 LH338 LH339 LH340 LH341 LH342 LH343 LH344 LH346 LH347 MCP Finger Prosthesis "Ariadna" PIP Finger Prosthesis 'DGT" MCP Finger Prosthesis "Ariadna" RadioFix Trapezio Metacarpal Prosthesis DLC Carpal Screw Elektra Stem Elektra Neck Memofix Staples Trapezio Metacarpal Prosthesis DLC Trapezio Metacarpal Prosthesis DLC Poing Fix Wrist Fixator PFII MicroFix Percufix PIP Finger Prosthesis "DGT" Elektra Cup Hemi CAP Articular Resurfacing Great Toe System Distal part, Stainless Steel Proximal part Stainless Steel textured in Cobalt Proximal part, Stainless Steel Radio Fixator System Stem - Cobalt Chrome Titanium Cobalt Chromium/Hydroxyapatite coated Cobalt Chromium Nitinol Cup, Polyethylene Neck Cobalt Chrome Wrist Fixator System Wrist Fixator System Finger Mini Fixator System Titanium Distal part, Stainless Steel texture with Cobalt Chrome Cobalt Chromium and Hydroxyapatite coating Articular Component Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LH348 LH358 LH367 Hemi CAP Articular Resurfacing Great Toe System Screws Fassier-Duval Telescopic IM System Component: Fixation Component Diamond Carpal Screws The Fassier-Dual Telescopic IM System is an endomedular nail designed for patients suffering from Osteogenesis Impecfecta (OI), Skeletal Displasia, Congenital Tibial Pseudoarthosis, Limb lengthening over nail, Segmental Tumor removal and other bone deform 1,2 or3 1,2 or3 1,2,or 3 One size 1 or 2 2.5mm diameter in sizes 12mm - 20mm length 6-8mm Extra Short, Short, Medium, Long 10-17mm x 12-20mm Length One size only Short, Medium or long One size One size one size Diameter: 2-2.5mm, Length 22-40mm 1,2 or3 One size only 12mm (1-2mm x 1.5-3mm offset), 15mm (1.5-2.5mm x 2.5-4.5mm offset) 8mm x 16mm, 9.5mm x 18mm 12, 14, 16mm The syste is composed fo a total of 108 rods in 9 different diameters per type. The nail is manufactured in both Ti alloy (Ti6A14V ASTM136) and medical grade Stainless Steel (315L, ASTM 138). It is available in five diameters: 3.2, 4,4.8,5.6 LH368 Fassier-Duval Telescopic IM System Component: Female The Fassier-Duval Telescopic IM System is an endomedular nail designed for patients suffering from Osteogenesis Imperfecta (OI), Skeletal Displasia, Congenital Tibial Pseudoarthrosis, Limb lengthening over nail, Segmental Tumor removal and other bone defo The system is composed of a total of 108 rods in 9 different diameters per type. The nail is manufactured in both Ti alloy (Ti6A14V ASTM136) and medical grade stainless steel (316L, ASTM 138). It is available in five diameters: 3.2,4.4,8,5.6 Detail Amendment LH371 Stability Sigmoid Notch Total DRUJ system / Stability Sigmoid Notch Radial Stem The Stability Sigmoid Notch Radial Stem is made from implantable Cobalt chromium (ASTM 1537-94) with a CPTi plasma spray on the back for bone ongrowth. It has a fixation post about 18mm in length and has a single hole in its base to accept a single cancellous bone screw. The front of the stem is highly polished and has raised edges to accept a Small & Large Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Page 65 of 144 Billing Product Name Further Description Size Explanation of Change LH372 Stability Sigmoid Notch Total DRUJ System / Stability Sigmoid Notch Radial Insert The Stability Sigmoid Notch Radial Insert is made of UHMW Polyethylene. It is formed to fit onto the Stability Sigmoid Notch Radial Plate and slides onto the plate and secures firmly via a peripheral lock and a ramp lock snap fit. It has a concave surface and a smooth back. The Stability Sigmoid Notch radial Insert has two sizes, small and large and each size has just one Detail Amendment LH373 Stability Sigmoid Notch Total DRUJ System / Sigmoid Notch Screw The Sigmoid Notch Radial Screw is a low profile self tapping cortical screw made of implantable CoCr. It is designed to be placed bi cortical in the radius and is introduced into the Radial stem thru a hole. It is placed into the stem and tightened down The Sigmoid Notch screw is available in 2mm increments from 18mm - 32mm and has a diameter of approx 4mm. Detail Amendment LH374 AutoFIX The Sbi AutoFIX Twin Pitch Cannulated Compression Screw System implants are indicated in the treatment of fractures, nonunions, pseudarthrosis and degenerative changes, as well as corrective osteotomies geared towards a functionally stable 2.0mm and 2.5mm Cannulated Compression Screw Detail Amendment LH375 StaFIX The StaFIX Staples are retained implants and removable used primarily for the following applications: Synthesis of fractures; Synthesis of osteotomies; Arthrodesis; Reattachment of ligaments ot tendons. The aim of the StaFIX staple is to provide a effective fixation of the bone fragments 6x6, 6x12,8x8, 8x16, 10x10, 10x20, 12x24 Detail Amendment LH390 Artelon Co-polymer biomaterial built on well known chemical components (PUUR) - Polycaprolactone & Urethrane Urea Standard & Large Detail Amendment LH400 LH401 LH402 LH403 LH419 Ulnar Head Implants Ulnar Head Implants Radial Head Implants Radial Head Implants SBi Precise SD Distal Volar Plate UlnarHead CoCr Ulnar Stem CoCr Radial Head Radial Stem An anatomically contoured locking titanium plate and titanium alloy screw/peg system intended for fixation of distal radius fractures via open reduction 1,2,3,4 1,2,3,4 2,3,4,4N 2,3,4,4N Left Distal Volar Plate, 22 x 52mm (Narrow) Left Distal Volar Plate, 25 x 52mm (Standard) Left Distal Volar Plate, 22 x 75mm (Narrow-Long) Left Distal Volar Plate, 25 x 75mm (Standard-Long) Right Distal Volar Plate, 22 x 52mm (Narrow) Right Distal Volar Plate, 25 x 52mm (Standard) Right Distal Volar Plate, 22 x 75mm (Narrow-Long) Right Distal Volar Plate, 25 x 75mm (Standard-Long) Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LH420 SBi Precise SD Screw An anatomically contoured locking titanium plate and titanium alloy screw/peg system intended for fixation of distal radius fractures via open reduction 2.7mm Cortical, Locking, Self-Tapping 10-30mm 2.7mm Cortical, Non-Locking, Self-Tapping 1030mm 2.7mm Lag, Non-Locking, Self-Tapping 10-30mm 3.5mm Cortical, Locking, Self-Tapping 8-20mm Detail Amendment LH421 SBi Precise SD Smooth Peg (Locking) An anatomically contoured locking titanium plate and titanium alloy screw/peg system intended for fixation of distal radius fractures via open reduction 1.9mm Smooth Pegs, Locking 12-28mm Detail Amendment LH422 LH433 SBi K-Wire LINK STAR Ankle Prosthesis K-Wire Talar Component, cemented 1.6mm xx-Small - x- large Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 66 of 144 Billing Product Name Further Description Size Explanation of Change LH434 LH435 LH436 LH437 LH438 LINK STAR Ankle Prosthesis LINK STAR Ankle Prosthesis LINK STAR Ankle Prosthesis LINK STAR Ankle Prosthesis LINK STAR Ankle Prosthesis Tibial Component, cemented UHMWEPE Sliding Core Talar Component, cmentless Tibial Component, cementless RevisionTibial Component, Cemented xx-small - x-large 6- 14mm xx- small - x-large xx-small - x-large Extra small - Extra large Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Injectable Bulking agent for Stress Urinary Injectable Bulking agent for Stress Urinary 1ml 3ml Detail Amendment Detail Amendment Vectra, Biocompatible Polyurethane Vascular Access Graft Vectra, Biocompatible Polyurethane Vascular Access graft Vectra, Biocompatible Polyurethane Vascular Access Graft Length 40cm Detail and Benefit Amendment Length 50cm Detail and Benefit Amendment Length 20cm Detail and Benefit Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Urogenital LH376 LH379 Durasphere SUI Durasphere SUI Vascular CAG LH004 Thoratec, Vectra Vascular Graft - Synthetic LH005 Thoratec, Vectra Vascular Graft - Synthetic LH006 Thoratec, Vectra Vascular Graft - Synthetic Lima Orthopaedics Australia Pty Ltd Orthopaedic LC004 LC014 LC019 Lima F2L modular neck Sam-Fit modular neck Lima bipolar Total Hip Replacement System Titanium Modular neck Bipolar shell, inset and head LC029 LC030 LC031 H-Max Femoral neck Lima Revision Total Hip System Lima Revision Total Hip System Modular neck Titanium, grit blast, non HA Titanium, grit blast, non HA Short & Long (Straight & Angled) S1-S6, L1-L6 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57mm 1-6 14, 16, 18 20, 22, 24 Cemented Glenoid RPS Additional Spacer Randelli/SMR Eccentrical Adapter Uncemented Glenoid Uncemented Glenoid Liner Randelli/SMR Neutral Taper Randelli/SMR Humeral Body with Locking Screw Randelli SMR shoulder cemented stem Randelli/SMR Shoulder Uncemented Stem RPS Total Shoulder Replacement Stem Mini, Small, Standard 40, 60, 90, 120mm 0 - 6mm Mini, Small, Standard Mini, Small, Standard 0 - 6mm One size only 8, 10, 12, 14, 16mm 11-24mm 200, 240, 280mm Detail Amendment Detail Amendment Detail Amendment Specialist Orthopaedic LC008 LC036 LC037 LC038 LC039 LC040 LC041 LC042 LC043 LC044 Randelli/SMR Shoulder System Lima RPS Tumor System Randelli/SMR Total Shoulder Randelli/SMR Shoulder System Randelli/SMR Shoulder System Randelli/SMR Total Shoulder Randelli/SMR Total Shoulder Randelli/SMR Total Shoulder Randelli/SMR Total Shoulder Lima RPS Tumor System Changed Items for Prostheses List Report Page 67 of 144 Billing Product Name Further Description Size Explanation of Change LC045 LC046 LC047 LC048 Randelli/SMR Total Shoulder Lima RPS Tumor System Lima Humeral Nail Randelli/SMR Total Shoulder Randelli/SMR Humeral Head RPS Humeral Head Stainless steel Randelli/SMR shoulder revision cemented stem 42, 44, 46, 48, 50, 52, 54mm 46, 52, 58mm Dia 7 - 8mm, length 200 - 300mm 200, 240, 280mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Shell with unmodified polyethylene plus locking ring P/E Intramedullary Plug 44-65mm 12 to 20 mm Detail Amendment Detail Amendment 90mm 90mm Length 470mm, Diameter sizes of 0.4mm, 0.5mm, 0.6mm, 0.7mm, 0.8mm. Packet size of 10 6.0mm wide, 240mm Complete, length with lock: 165mm, width 5mm Detail Amendment Detail Amendment Detail Amendment 1.75 - 7.00mm ID 0.4,0.6mm 6,7,8,9,10,11,12 4.5,6,8,10,12.5mm Length 2.2 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Length 7.0 - 7.2mm Length 2.8 Detail Amendment Detail Amendment Length 12.4 Detail Amendment Length 2.2mm Length 1.5mm Detail Amendment Detail Amendment Length 6 - 12mm Length 1.5 Detail Amendment Detail Amendment Link Orthopaedics Australia Orthopaedic LO036 LO106 Vario bipolar Cup Intramedullary Plug Specialist Orthopaedic LO100 LO101 LO147 LINK Arthrodesis Pin LINK Arthrodesis Pin Bone Cerclage Wire Cobalt Chromium Tilastan Cerclage Wire LO148 LO149 Thabe Titanium Cerclage Band with Lock Bone Cerclage Band with Lock Thabe Titanium Cerclage Band is crimped at the lock The Cerclage Band with a locking mechanism consists of a band, manufactured from stainless steel, 165mm long and 5mm wide and a lock Detail Amendment Detail Amendment LMA PacMed Pty Ltd Ear, Nose & Throat PM028 PM032 PM033 PM057 PM065 Stapes K-Piston Montgomery Thyroplasty Implant System Provox Voice Prosthesis Tympo Vent PM066 PM068 Tympo Vent Tympo Vent PM072 Tympo Vent PM074 PM075 Tympo Vent Tympo Vent PM079 PM083 Tympo Vent Tympo Vent Changed Items for Prostheses List Report Bell/Aerial/Angular Prosthesis/Piston - Gold/Titanium Gold/Titanium Silicone Long term indwelling; Silicone Otological ventilation tubes, short medium term, Donaldson fluoroplastic/blue Otological ventilation tubes, straight tube Otological ventilation tubes, short medium term, star tube, silicone Otological ventilation tubes, short medium term, shepard with tail, silicone/blue Otological ventilation tubes, paparella with tab Otological ventilation tubes, collar button, tubingen type gold, gilded silver Otological ventilation tubes, t-tube Otological ventilation tubes, long term, collar button tubingen type, titanium Page 68 of 144 Billing Product Name Further Description Size Explanation of Change PM086 Tympo Vent Length 1.6 Detail Amendment PM088 Tympo Vent Length 1.5mm - 9.8mm Detail Amendment PM089 Tympo Vent Length 1.8 Detail Amendment PM090 PM091 Tympo Vent Tympo Vent Length 3.8 - 10.0mm Length 2.0 Detail Amendment Detail Amendment PM102 PM103 PM104 Tracheal Cannula System Tracheal Cannula System Montgomery Safe-T-Tube Diameter 9-13mm; Length 37m & 101mm 4-10 Paediatric/Standard - Clear/Radioplaque Detail Amendment Detail Amendment Detail Amendment PM106 Montgomery Safe-T-Tube Otological ventilation tubes, short medium term, reuter bobbin without holes, titanium Otological ventilation tubes, donaldson, reuter bobbin, shepard Otological ventilation tubes, short medium term, bevel bobbin, fluoroplastic/blue Otological ventilation tubes, armstrong Otological ventilation tubes, short medium term, collar button, fluoroplastic/blue Short and long term Cannula (Medical Grade Silicone) Cannula Speaking Valves (Medical Grade Plastic) Paediatric, Standard, Thoracic, Extra-Long, Tapered and Hebeler in clear and radiopaque Paediatric, Standard, Thoracic, Extra-Long, Tapered, Hebeler and HMS, in clear and radiopaque Detail Amendment PM107 PM115 Laryngeal Keel Montgomery Safe-T-Tube ID 8/10, 10/13, 12, 15, 18mm; Length 76, 77, 79, 159, 163mm 12-16mm Keel ID 7, 9, 11mm; Length 100, 110mm PM117 Passy-Muir Speaking Valve 15mm I.D./ 22 & 23mm O.D. Detail Amendment Paediatric, Standard, Thoracic, Extra-Long, Tapered, Hebeler and HMS Tracheostomy and Ventilator Detail Amendment Detail Amendment Specialist Orthopaedic PM012 PM013 PM061 PM062 PM063 PM092 Anodised aluminium and stainless steel Anodised aluminium and stainless steel Anodised aluminium and stainless steel Anodised aluminium and stainless steel Anodised aluminium and stainless steel Complete System Sterile One size only One size only One size only One size only One size only One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment PM095 Orthofix External Fixation System Ankle Fixator Orthofix External Fixation System Pennig Wrist Orthofix External Fixation System Elbow Fixator Orthofix External Fixation System Hybrid Fixator Orthofix External Fixation System Knee Fixator Orthopaedic External Fixation System - Radiolucent Wrist Fixator Orthopaedic External Fixation System Screw Detail Amendment PM097 Orthopaedic External Fixation System Osteotite Screw PM098 Metadiaphyseal Fixator Articulated Ankle Fixator One size only Detail Amendment Hybrid Fixator One size only Detail Amendment PM108 PM109 Orthopaedic External Fixation System - Xcaliber External Fixator Orthopaedic External Fixation System - Xcaliber External Fixator Orthopaedic External Fixation System - Xcaliber External Fixator Orthofix Limb Reconstruction System Orthofix External Fixation Systems Shaft Dia 3.0 - 6.0mm, Thread Dia 6.0 - 2.0mm, Total Length 40 - 260mm, Thread Length 15 Shaft Dia 3.0 - 6.0mm, Thread Dia 6.0 - 2.0mm, Total Length 40 - 260mm, Thread Length 15 - 90mm One size only Detail Amendment Detail Amendment PM110 Orthofix External Fixation Systems Pennig Minifixator Adult and paediatric - Short, Standard and Long Short, Standard, Long and Articulated Horizontal and Vertical Axis Short, Standard, Long PM099 PM100 Changed Items for Prostheses List Report MiniRail System Detail Amendment Detail Amendment Detail Amendment Page 69 of 144 Billing Product Name Further Description Size Explanation of Change PM111 PM112 PM113 PM114 PM116 PM118 Gotfried PC.C.P. Neck, Shaft & Locking Screws Neck, Shaft & Locking Screws Neck, Shaft & Locking Screws ISKD Internal Limb Lengthening System Orthofix eight-Plate Internal Hip Compression Plate Telescopic, Self-Tapping, Primary, Revision Telescopic, Self-Tapping, Primary, Revision Telescopic, Self-Tapping, Primary, Revision Titanium Alloy Guided Growth Plate for correction of angular deformities, Titanium, two hole plate, figure eight shaped One size only Neck L90 - 140mm; Primary Locking L20 - 75mm Shaft L31-43mm: Revision Locking L20-75mm Diameter 12.5 - 14.5mm 12mm; 16mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LMT Surgical Pty Ltd Specialist Orthopaedic LM001 LM002 LM005 LM007 LM008 LM009 LM010 TriMed Wrist Fixation System TriMed Fixation System TriMed Fixation Systems TriMed Fixation System Spider and Mini-Spider Limited Wrist Fusion System The Subtaler MBA Implant Universal Total Wrist Implant System (UTW) Washer Plates, Stainless Steel Multiple stainless steel wire forms Bone Screw Stainless Steel Titanium Consists of 3 parts, proximal radius component made of cobalt/chrome, distal titanium plate, titanium screws and polyethylene joint surface . Various sizes various sizes Various 8 hole spider plate, 6 hole mini-spider plate 6, 8, 9, 10, 12mm and guide pin 2mm Radial Component - Small - left & right, Medium left & right, Large - left & right; Carpal Component Small, Medium, Large; Polyethylene Carpal Component - Small - Standard, +1, +2, Medium Standard, +1, +2, Large - Standard, +1, +2; Bone Screws - 4. Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LM011 Ascension Finger Joint Replacement Pyrocarbon, distal or proximal Detail Amendment LM012 LM014 LM015 Ascension MCP Joint Replacement Trimed Marked K-Wire Kinetik Great Toe Implant LM016 Kinetik Great Toe Implant 1, 2, 3 Right & Left Detail Amendment LM018 LM028 LM029 LM031 LM033 Ascension Silicone Finger joint replacement Ascension pyrocarbon carpal implant Kompressor K2 Hemi Toe Implant System Trimed Wrist Fixation System, Volar Peg Plate Pyrocarbon, distal or proximal Stainless Steel Phalangeal Component made of titanium alloy 012010, 01-2012, 01-2014, 01-2016 Metatarsal Component made of chrome cobalt 012002, 01-2004, 01-2006, 01-2003, 01-2005, 01-2007 MCP/PIP moulded silicone finger joint Pyrocarbon carpal prostheses Titanium compression screw Cobalt Chrome with Titanium plasma coating Stainless Steel 05D/05P/10D/10P/20D/20P/30D/30P/ 40D/40P/50D/50P 10D/10P, 20D/20P, 30D/30P, 40D/40P, 50D/50P, Diameter 0.9 - 1.1mm 0,1,2,3 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LM041 Trimed Bearing Plate, Fixation Pegs Various Multiple sizes 10-34mm 1-4 Volar Peg Plate 3-hole, Right & Left, 4 and 5 Peg; Volar Peg Plate 5-hole, Right & Left, 4 and 5 Peg Pegs - 2.3 x 10-34mm Threaded or unthreaded pegs Changed Items for Prostheses List Report The fixation pegs are made of medical grade 316 stainless steel Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 70 of 144 Billing Product Name Further Description Size Explanation of Change LM043 Ascension Radial Head The Ascension Radial Head is modular with a Pyrocarbon Head and Metal Stem which is made of Cobalt Chromium Alloy compliant with ASTM F1537-00, also available in all CoCr Head Size - 20 Short and Long, 22 Short and Long, 24 Short and Long; Stem Size - 01/02/03/04 Detail Amendment LM048 LM049 LM050 LM051 LM052 LM053 Ascension Radial Head Locking Plate and screws BioTech Compression Screws Biotech Easy Lock Osteosystem Biotech Easy Lock System Ascension Compression Screw Osteotec Silicone PIP Joint Replacement 10mm - 40mm 1.7-10mm diameter/10-100mm length 2-10 holes straight Various 2-5mm diameter ; 12 - 40mm length 5 - 50 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LM054 LM056 Argomedical Malleolar Plate Ascension DRUJ Ulna Head, Implant System 6 - 10 Hole Plates 0, 1, 2, 3, 4 Detail Amendment Detail Amendment LM057 LM060 LM061 LM062 LM063 LM064 LM066 LM068 LM069 LM070 Ascension Radial Head Locking Plate and Screws BioTech Xpode 4 BioTech Xpode 4 ArgoMedical Pedofix ArgoMedical Pedofix TriMed Ulnar Osteotomy System TriMed Olecranon Sled Normed fracture fixation plates Normed Foot screws Surgicraft Ligament Augmentation Reconstruction System Trimed Hook Plate Elix (plate) Surgicraft Bone Screws Memometal Memory Staples Ascension HRA - Humeral Resurfacing Arthroplasty Titanium pre-formed anatomical radial head Screws Titanium and Stainless compression screws Titanium and PEEK Easy Lock Plating System Titanium Compression Screw 2 component hinged joint replacement for the proximal interphalangeal joint Titanium Cobalt chromium stem with PyroCarbon or Cobalt Chromium Articular Surface Titanium pre-formed anatomical radial head plate PEEK curved and round plate Screws titanium Titanium fixed angle plate for foot surgery Titanium screws Stainless Steel Ulnar Osteotomy Plate Washer Titanium plates, various sizes and shapes Titanium plates, various sizes and shapes Woven Polyester Prosthetic Ligament small and large Mini 1, 2, 3 & 4 6 - 70mm length 2.7mm 2.7mm x 8 - 28mm Length 5 - 9 holes one size Various multiple Various Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment stainless steel 4 and 6 hole plates Anatomically shaped plate with PEEK inserts Surgicraft Bone Screws Memory Metal Implants A anatomic semi constrained, monobody device intended for resurfacing of the humeral head. Fixation Washers Bone Fixation Screws A cement less Trapezo- Metacarpal prosthesis. 4 and 6 holes/right and left 4 Hole, right and left plate. 2-4mm diameter/10-40mm length 10 mm to 25 mm 40mm x 16mm to 56mm x21mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment 0.5-3mm 2mm diam. X11mm lenth to 2mm x 16mm Cup sizes 9-11 mm, Head Short medium and long, Stem size 1,2,3,4. 12.5cm - 18.5cm; ABC Carbon Polyester & ABC Polyester/Polyester - one size only Detail Amendment Detail Amendment Detail Amendment LM072 LM074 LM075 LM077 LM078 LM081 LM082 LM083 LM085 Surgicraft Washers Fixos Screws Memometal Ivory Trapezo - metacarpal cement less prosthesis ABC Prosthetic Ligament Changed Items for Prostheses List Report Cruciate prosthesis carbon fibre/polyester, ABC Carbon/Polyester Medial/Lateral Collateral Ligament, ABC Polyester/ Polyester Medial/Lateral Collateral Ligament Detail Amendment Page 71 of 144 Billing Product Name Further Description Size Explanation of Change LM086 LM088 LM089 Surgicraft NewClip Variable Angle Periarticular Fixation Plates BioComposites Little Grafter One size only size 1 to 8 4mm diameter varying lengths 13mm to 27mm Detail Amendment Detail Amendment Detail Amendment LM090 LM093 Memometal Anchor Fixation System New Clip Titanium Bone Screws Fixation Bollard Stainless steel and titanium plates An absorbable cannulated compression screw providing fixation for small bone fractures Anchors Titanium Screws for fixation of plates to bone Detail Amendment Detail Amendment LM094 LM095 CCI Evolution Hinged finger joint Total ankle replacement Hinged finger joint replacement Various 4 mm diam x10mm length to 4mm 32mm and 4.5mm 10mm to 35mm standard, standard plus, large, large plus 5 sizes screw component - 4 x 18mm, 5 x 18mm, 6 x 20mm, 7 x 22mm, 8 x 25mm; 1 size pivot component Cervical Plate 57mm to 80mm > 55 Detail Amendment Cement Restricter Titanium with lugs and CoCr bonded bearing surface plus UHMWPE sandwich Stainless steel with fixed UHMWPE insert Titanium with lugs bonded bearing surface Titanium bonded bearing surface UHMWPE Titanium and CoCr bonded bearing surface plus UHMWPE sandwich Ceramic, zirconia alumina combination, supplied with titanium taper sleeve Ceramic, zirconia alumina combination, large diameters, supplied with titanium taper sleeve Titanium, grit blast, non HA Titanium, grit blast, non HA Small to Extra Large 46mm - 68mm Detail Amendment Detail and Benefit Amendment 28mm Inner diameter, 42-58mm outer diameter 46mm - 68mm 46-64mm 46-64mm Detail Amendment Benefit Amendment Benefit Amendment Detail and Benefit Amendment 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 Detail Amendment 14, 16, 18 20, 22, 24 Detail Amendment Detail Amendment L18 D4.0 - L26 D6.0 Diameter 39, 41, 43, 45, 47, 49, 51, 53mm Cemented 6, 9, 12, and 15mm;Cementless 6, 7.5, 9, 10.5, 12, 13.5 and 15mm Size 1 to 4 Cemented 6/125, 9/125, 12/125, 12/125, 9/200, 12/200 42, 45, 48 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment LSS Surgical Pty Limited Neurosurgical LS027 MATRIS Cervical Plate System Mathys Orthopaedics Pty Ltd Orthopaedic MA018 MA023 Intramedullary Plug RM Classic Acetabular Cup, Metal on Metal MA025 MA031 MA472 MA473 Mathys Bipolar Femoral Head RM Classic Acetabular Cup RM Pressfit Cup RM Pressfit Acetabular Cup, Metal on Metal MA484 Ceramys Ceramic Revision Femoral Head MA485 Ceramys Large Ceramic Revision Femoral Head MA500 MA501 Lima Revision Total Hip System Lima Revision Total Hip System Detail Amendment Specialist Orthopaedic MA081 MA448 MA449 Finger Affinis Total Shoulder Prosthesis Affinis Total Shoulder Prosthesis Prosthesis - distal, proximal, standard, large Head - CoCr; Stem - Titanium; Glenoid - UHMWPE Stem - CoCr; Stem - Titanium; Glenoid - UHMWPE MA450 MA479 MA480 Affinis Total Shoulder Prosthesis Affinis Fracture - Stem Affinis Fracture - Head Glenoid - CoCr; Stem - Titanium; Glenoid Affinis Fracture Stem Affinis Fracture Head Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Page 72 of 144 Billing Product Name Further Description Size Explanation of Change MA481 Affinis Fracture - Central Part Affinis Fracture - Central Part Part 1 - diam 15.5, Part 2 - diam 18 Detail Amendment Mayo group General Miscellaneous CM007 Vascular Ports - Implantable Vascular Access System Arrow Model No.'s VARRX AP01007, AP06010, AP06013, AP06014, AP06015, AP06018, AP06520. Titanium Port with self sealing silicone septum and either attached or detached silicone catheters. Include relevant size Introducer Kit. Ports - H15.5mm x L28.6mm, Weight 9.2grams, Internal Vol. 0.8ml. Catheter 75cm Detail Amendment CM008 Vascular Ports - Implantable Vascular Access System Arrow Model No.'s AP6528, AP06530, AP06535, . Double Titanium ports with self sealing silicone septums and either attached or detached dual lumen silicone catheters. Include relevant sized Introducer Ports - H15.5/17.1mm x L28.6mm, Weight 19.9grams, Internal Vol. 0.8 - 1.0ml each side. Detail Amendment CM009 Low Profile Ports - Implantable Vascular Access System Arrow Model No.'s VARRX AP01040, AP06046, AP06016, AP06020, AP06012, AP06022, AP06025. Plastic low profile ports with self sealing silicone septum and either attached or detached silicone catheters. Include relevant sized Introducer Kit. Ports - H10mm, L25mm, Weight 9grams, Internal Vol. 0.3ml. Catheter75cm Detail Amendment CM010 Low Profile Ports - Implantable Vascular Access System Arrow Model No.'s VARRX AP06036, AP06040, AP06042, AP06045. Titanium Low Profile Ports with self sealing silicone septum and either attached or detached silicone catheters. Include relevant sized Introducer Kit. Ports - H10mm, L25mm, Weight 9grams, Internal Vol. 0.3ml. Catheter75cm Detail and Benefit Amendment Vascular CAG CM015 ARROWg+ard Blue Haemodialysis Catheters Haemodialysis Catheters (of various lengths, sizes and lumen confiurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter CS-22122 - 12Fr 16cm, Dual Lumen CS-22123 – 12Fr 16cm, Triple Lumen CS-25122 – 12Fr x 20cm, Dual Lumen CS-22142CF – 14Fr x 15cm, Dual Lumen, Curved, Firm CS-22142F – 14Fr x 15cm, Dual Lumen Firm CS-25122 – 12Fr x 20cm, Double Lumen CS-25123 – 12Fr x 20cm, Triple Lumen CS- 25142CF – 14Fr x 20cm, Double Lumen, Curve, Firm CS-25142F – 14Fr x 20cm, Double Lumen, Firm CS-26142F – 14Fr x 25cm, Double Lumen, Firm CU-22122 – 12Fr x 16cm, Double Lumen, Curved CU-23122 – 12Fr x 13cm, Double Lumen, Curved CU-25122 – 12Fr x 20cm, Double Lumen, Curved Detail Amendment CM016 ARROWg+ard Blue Single Lumen Central Venous Catheters A polyurethane central venous catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter body. CS-24301 - 16g x 20cm, Single Lumen, Adult CS-24306E-16g x 16cm, Single Lumen Adult CS-24701 - 14g 20 cm, Single Lumen Adult CS-24706E -14g x 16cm, Single Lumen, Adult Detail Amendment Changed Items for Prostheses List Report Page 73 of 144 Billing Product Name Further Description Size Explanation of Change CM017 ARROWg+ard Four & Five Lumen Central Venous Catheters A polyurethane central catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material CS-22854E - 8.5 Fr x 16cm, Quad Lumen CS-25854E - 8.5Fr x 20cm, Quad Lumen CS-22855 - 8.5 x 16cm, Five Lumen CS-25855 - 8.5Fr x 20cm, Five Lumen Detail Amendment CM018 ARROWg+ard Blue Double & Triple Lumen Central Venous Catheters A polyurethane central venous catheter with Blue FlexTip (of various lengths, sizes and lumen configurations) with antimicrobial impregnation (chlorhexidine and silver sulphadiazine) on the external surface of the polyurethane catheter material CS-24402 - 4Fr x13cm, Dual Lumen CS-22502 - 5FR x 5cm, Dual Lumen CS-25402 - 4Fr x 8cm, Dual Lumen CS-25502 - 5Fr x 12cm, Dual Lumen CS-22702E - 7Fr x 16cm, Double Lumen CS-26702 - 7Fr x 20cm, Double Lumen CS-27702E - 7Fr x 20cm, Double Lumen CS-25553 - 5.5Fr x 8cm, Triple Lumen CS-22703E - 7Fr x 16cm, Triple Lumen CS-26553 5.5Fr x 13cm, Triple Lumen CS-24703E - 7Fr x 30cm, Triple Lumen CS-25703E - 7Fr x 20cm, Triple Lumen Detail Amendment CM019 ARROWg+ard Blue Plus QUAD Lumen Central Venous Catheters Central Venous Catheters (of Various lengths, sizes and lumen configurations with antimicrobial impregnation on: 1. The external indwelling surface of catheter material (chorhexidine and silver sulphadiazine) 2. The entire internal fluid pathway including catheter, extension-lines and hubs (chlorhexidine CS-42854E - 8.5Fr x 16cm, Quad Lumen CS-45854E - 8.5Fr x 20cm, Quad Lumen Detail Amendment CM020 ARROWg+ard Blue Plus Double & Triple Lumen Central Venous Catheters Double & Triple Lumen Central Venous Catheters (of various lengths sizes and lumen configurations) with antimicrobial impregnation on: 1. The external indwelling surface of catheter material (chlorhexidine and silver sulphadiazine) 2. The entire internal fluid pathway including catheter, extension-lines and hubs (chlorhexidine CS-45802E - 8 Fr x 20cm, Dual Lumen CS-46702E - 7Fr x 20cm, Dual Lumen CS-47702E - 7Fr x 20cm, Dual Lumen CS-42703E - 7Fr x 16cm, Triple Lumen CS-45703E - 7Fr x 20cm, Triple Lumen Detail Amendment CM021 Arrow double lumen pressure injectable peripherally inserted central catheter (PICC) set Arrow single lumen pressure injectable peripherally inserted central catheter (PICC) set Arrow double lumen pressure injectable PICC (peripherally inserted central catheter) set Single lumen pressure injectable peripherally inserted central catheter (PICC) set 5Fr x 50cm, Double Lumen Detail Amendment 4 Fr x 50cm, Single lumen Detail Amendment Stainless Steel, with UHMWPE insert 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 Detail Amendment ESOP Femoral Stem Diaphyseal Ti polished Size 9-15 Detail Amendment CM022 Medacta Australia Pty Ltd Orthopaedic MU021 Medacta Bipolar Head Medartis Orthopaedic EO027 ESOP HA Changed Items for Prostheses List Report Page 74 of 144 Billing Product Name Further Description Size Explanation of Change EO044 MRP-TITAN Neck Segment Body without fin with locking screw Cone 12/14, body with fin with locking screw Cone 12/14, body with trocanter with locking screw Cone 12/14, special implant for trocanter K, M, L Detail Amendment Specialist Orthopaedic EO008 Aptus Hand &Foot Plates Aptus Hand &Foot Plates 1.2/1.5/2.0/2.3/2.5/2.8; straight plate 4-16 hole; curved 16 hole; offset 16 hole; T plate, Y plate, L plate 4-10 hole; T plate offset 11-12 hole; gridrectangular, trapezoid, angled, square 4 hole-12 hole, 1 hole plate and Wing Plate Detail Amendment EO009 Aptus Radius Locking plates Aptus Radius Locking plates (fracture plate, correction plate volar, correction plate long volar, correction plate with flap volar, correction plate long with flap volar, frame plate volar, frame plate long volar, H plate dorsal, Adaptive Plate; Radial Head Plate; 4 Corner Plate 2.5mm locking plates, 1.6-2.00mm thickness Detail Amendment EO032 Forefoot Snap off Screws Auto Compressive long L10 - L34 Detail Amendment EO033 EO034 EO035 Forefoot Snap off Screws Forefoot Snap off Screws Forefoot Snap off Screws Titanium Alloy Screws with Snap-off Grip / Cannulated Titanium Alloy Screws with Snap-off Grip Titanium Alloy Screws with Snap-off Grip Titanium Alloy Screws with Snap-off Grip / FSA 2 part 9-21/14-26 Weil self tapping L9 - L15 Arthrodesis large diameter L28 - L40 Detail Amendment Detail Amendment Detail Amendment 2.7mm Threadlock System, angled and straight plates, titanium Screw Fami Anchor Titanium Titanium Distractor RED II Aluminium Cranium Frame and Carbon Fibre Rods Titanium Distraction Device. Complex Midface and Reconstructive Mesh PDLLA (resorbable) Mesh PDLLA (resorbable) =>3mm thick, 2.7mm threadlock system Detail Amendment 1.5 - 2.0mm Diameter 8 - 15mm 10 to 20mm One Size Only Detail and Benefit Amendment Detail Amendment Detail Amendment 15 - 60mm distraction length Detail Amendment 0.5 to 0.8mm thick, 1 to 10cm2 area 0.5 to 0.8 thick, 26 to 50cm2 area Detail Amendment Detail Amendment Small, medium and large,2mm,4mm and 17mm collar Small, medium and large 130 to 280mm stem,13 to 15mm body, 16 to 23mm head. 4 to 9 Hole 2.1, 2.7, 3.5, 4.0mm diameter, 6mm to 28mm length Detail Amendment Detail Amendment Detail Amendment Medical & Optical Instruments Australia Pty Ltd Plastic and Reconstructive MO002 Martin Mandibular Fracture System MO134 MO135 MO236 Martin Osteosynthesis System Martin Internal Distraction System Martin Rigid External Distraction System II (RED II) MO239 Intra-Oral Distraction System MO300 MO305 Martin Level One Fixation SonicWeld and Resorb x Martin Level One Fixation SonicWeld and Resorb x Specialist Orthopaedic MO145 MO146 MO147 Martin Ulna Head prosthesis Martin Ulna Head prosthesis Acumed Shoulder Joint Prostheses Stem Titanium Ceramic Head, Chromium Cobalt Titanium MO150 MO153 Acumed Congruent Plate System Acumed Congruent Plate System Foot & Ankle Plate, Titanium Screw Titanium Changed Items for Prostheses List Report Detail Amendment Detail Amendment Page 75 of 144 Billing Product Name Further Description Size Explanation of Change MO154 MO156 MO158 MO159 MO161 MO162 MO165 MO166 MO177 Polarus Proximal Humeral Fixation System Polarus Proximal Humeral Fixation System Polarus Humeral Rod System Polarus Humeral Rod System Polarus Humeral Rod System Tension Band Pin Osteo Clage Cable System Osteo Clage Cable System Acutrak Fixation Screw Polarus Proximal Humeral Rod Standard/Plus Titanium Polarus Screws Cancellous/Cortical Titanium Polarus Washer Polarus Ulna Rod Titanium Polarus Radius Rod Titanium Stainless Steel CoCr, Stainless Steel Cable Sleeve CoCr, Stainless Steel Cable Wire Kirschner Stainless Steel Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment MO178 MO179 MO180 Acutrak Fusion Screw Acutrak Fixation Screw Acutrak Headless Compression Screw MO194 Acumed Congruent Plate System Titanium Acutrak Compression Screw Titanium Acutrak 4/5, 5/5, 6/7 Plus, cannulated, headless, variabled thread Elbow plate titanium, locking radial head 150 - 300mm length 12.5 to 60mm length 3.5mm 210 to 270mm length 190 to 230mm length 50 to 90mm 2mm 850mm 0.70mm to 1.6mm diameter, 4 to 9in (10.16 to 22.86mm) length 12 - 37mm 8mm to 50mm 25 - 80mm Detail Amendment MO200 MO202 MO208 MO209 Polarus Proximal Humeral Fixation System Acumed Bone Plate Acumed Bone Plate Acumed Congruent Plate System End cap, titanium MCP Fusion Plate - Titanium Wrist Fusion Plate - Titanium Threaded K-Wire - Titanium Locking radial head, 3 hole std curve 31mm, 5 hole std curve 46mm, 3 hole curve 31mm, 5 hole curve Only size only 4 Hole left and right Standard, Mini WT-1606STT: Length 15cm x Diameter 0.62"; WT0906STT: Length 15cm x Diameter 0.35"; WS2408STT length 20.32cm x Diameter 0.24cm MO211 Acumed Locking Clavical Plating System Locking Clavical Plates Detail Amendment MO243 MO249 Polarus Proximal Humeral Plate ACU- LOC Distal Radius Plate System MO257 Acu-Loc Distal Radius Plate System Titanium Humeral Plate Threaded, non-threaded, locking, non-locking screw, peg, Titanium Distal radius plate, titanium Locking mid shaft superior, locking distal superior, locking anterior Left, Right, Large, Small, Two Part 2.3mm / 3.5mm diameter, 14-32mm length Detail Amendment MO270 MO271 MO272 Acumed Total Radial Head Acumed Total Radial Head Acumed Tap Loc Elbow plates Head Stem Variable angle locking plate system MO274 MO278 Acutrak 2 Acumed Locking Calcaneal Plates Headless Compression screw Locking Plate, Calcaneal, Titanium Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular 20-28mm 6-10mm diameter, 0-8mm neck height Medial / Lateral, lft and right, Olecranon / Proximal Ulna left and right, coronoid 6-20hole 8mm-50mm lengthmicro, mini, standard Small, Medium & Large, Left & Right Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 76 of 144 Billing Product Name Further Description Size Explanation of Change MO279 Anatomic Midshaft Forearm Plates Internal Fixation Plate Anatomic Forearm, Ulna & Radius Midshaft Ulna Plates: 6 hole 80mm, 8 hole plate 100mm, 10 hole 130mm, 12 hole, 160mm, Midshaft ulna shortening plates: 6 hole 80mm, Midshaft Dorsolateral Radius Plates: 6 hole (80mm), 8 hole (100mm), 10 hole 9130mm) 12 hole (160mm); Midshaft Volar Radius Plates: 6 hole (80mm), 8 hole (100mm), 10 hole (130mm), 12 hole (160mm) Detail Amendment MO280 Acumed Fibula Rod System Intramedullary Nail, fibula lower limb specific 3.00mm & 3.6mm diameter left and right specific rods with lengths of 110mm, 145mm, 180mm Detail Amendment Double chamber, textured, magnetic, with suture tabs. Catalogue number: 20799 470mm-780mm Detail Amendment Flexible monoblock implant to restore finger articulation, 2001 00-7 Detail Amendment Ambulatory Infusion Pump System, Administration Sets and Accessories Walkmed Infusion Pump System Detail and Benefit Amendment MS030 Medical Specialties "Walkmed Infusion Pump System" Powered Drug Infusion System and Ancillary Equipment (McKinley, USA) TiMESH light Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating 10 x15 cm TiMESH light Detail Amendment MS032 TiMESH extralight Prosthetic warp-knitted fabric made of monfil polypropylene threads with an encapsulating titanic coating 10 x 15cm TiMESH extralight Detail Amendment MS033 TiMESH light Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating 15 x 15cm TiMESH light Detail Amendment MS034 TiMESH extralight 15 x15cm TiMESH extralight Detail Amendment MS035 TiMESH light Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating 20 x 15cm TiMESH light Detail Amendment MS036 TiMESH extralight Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating 20 x 15cm TiMESH extralight Detail Amendment MS038 TiMESH Extra Large Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating Extra Large TiMESH Detail Amendment Medical Device Alliance Pty Ltd Plastic and Reconstructive MP044 Silimed Tissue Expander Specialist Orthopaedic MP011 Phalangeal Joint Implant Medical Specialties Australia Pty Ltd General Miscellaneous MS021 Changed Items for Prostheses List Report Page 77 of 144 Billing Product Name Further Description Size Explanation of Change MS043 TiPLUG/TiPATCH System TiPLUG Detail Amendment MS044 TiPLUG/TiPATCH System Titanized polypropylene composite. Prosthetic warp-knitted fabric made of monofilament polypropylene threads with an encapsulating titanic Titanized polypropylene composite. Prosthetic warp-knitted fabric made of monofilament polypropylene threads with an encapsulating titanic TiPATCH Detail Amendment Plastic/magnetic. Programmable valve. Programmer kit and shunts kit. 3, 8 settings Detail Amendment Neurosurgical MS003 Sterile Hydrocephalic Shunts Vascular CAG MS009 MS010 MS014 MS015 MS016 MS052 Catheterisation kits(Horizon Medical) Catheterisation kits(HDC corp) Injection/Infusion Ports Sterile Injection/Infusion Ports Sterile Injection/Infusion Ports Sterile Relay Thoracic Stent Graft Central Venous Catheter - right atrial catheter, silicone Central Venous Catheter - right atrial catheter, silicone Plastic/titanium, single lumen Plastic/titanium, dual lumen Plastic/titanium, paediatric Duralloy Nitinol Surgical Graft Material Braided Polyester PFTE impregnated Suture Dual Sheath Delivery System 2.7 -14F 2 - 12F 5-15F 10, 10.5, 12F 5, 6, 7,8, 9.6F Diameter 22 - 46mm, Length 103 - 179mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment MS053 Relay Thoracic Stent Graft Duralloy Nitinol Surgical Graft Material Braided Polyester PFTE impregnated Suture Dual Sheath Delivery System Diamter 22 - 46mm, Length 180 - 271mm Detail and Benefit Amendment Silicone tracheal and bronchial stents - Dumon Nitinol wire - tracheal and bronchial stenets - Dumon 10 - 20mm diameter, 20 - 60mm length 12 - 20mm diameter, 20 - 90mm length Detail Amendment Detail Amendment Sterile granules of talc implanted in pleural space to act as permanent adhesive 3 grams & 4 grams Detail Amendment Orbital Sphere Models 6316, 6326, 6327, 6317 and 6322 8702-8704. COI implant, models 7222, 7223 & 80026. MCOI implant, models 7207 - 7209 Quad Motility Implants 9866 - 9868 & 80022 Orbital Sphere Models 6316: 14mm, 6326: 16mm, 6327: 18mm, 6317: 20mm, 6322: 22mm, 8702: 19mm, 8703: 21mm, 8704: 23mm, COI Implants 7222: Approx 4ml, 7223: Approx 5ml, 80026: Approx 6ml, MCOI 7207: Approx 3ml, 7208: Approx 4.2ml, 7209: Approx 5.6ml, QUAD Detail and Benefit Amendment Reconstruction Anatomical Textured Asymmetric Textured Right Asymmetric textured Left 180cc to 600cc 200cc to 450cc 200cc to 450cc Detail Amendment Detail Amendment Detail Amendment Medical Vision Australia Pty Ltd Ear, Nose & Throat MF001 MF002 Endoxane Tracheobronxane Silmet General Miscellaneous MF003 Steritalc Ophthalmic MF034 Sphere Plastic and Reconstructive MF006 MF007 MF008 Pip Breast Implant Gel Filled Pip Breast Implant Gel Filled Pip Breast Implant Gel Filled Changed Items for Prostheses List Report Page 78 of 144 Billing Product Name Further Description Size Explanation of Change MF011 MF012 MF013 MF014 Pip Breast Implant Gel Filled Pip Breast Implant Gel Filled Pip Breast Implant Gel Filled Pip Breast Implant Gel Filled Round textured Standard profile Round Textured High profile Round Smooth Extra High profile Round Textured Extra High profile 85cc to 705cc 90cc to 680cc 245cc to 495cc 245cc to 495cc Detail Amendment Detail Amendment Detail Amendment Detail Amendment CP Stent Uncovered CP Stent Covered CP Stent Uncovered, mounted on BIB balloon CP Stent Covered, mounted on BIB balloon 16, 22, 28, 24, 39 & 45mm length 16, 22, 28, 24, 39 & 45mm length 16, 22, 28, 24, 39 & 45mm length 16, 22, 28, 24, 39 & 45mm length Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Nitinol Wire Mesh Nitinol Wire Mesh Nitinol Wire Mesh Nitinol Wire Mesh Nitinol wire mesh, double disc occluder and delivery system Self expandable multiple Nitinol wire mesh PDA occlusion device 5 - 24mm 4mm - 40mm 4 - 24mm 25mm & 35mm 4-24mm, Length 7-10mm Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Waist diameter 3-6mm, Nominal length 4-6mm Detail and Benefit Amendment One way valve Small, Medium, Large Detail Amendment Suture Mediated Closure Device Self expandable nitinol wire mesh The AMPLATZER Vascular Plug II is a selfexpandable, multi-lobed cylindraical device made from a nitinol wire mesh. The device is secured on both ends with platinum marker bands, A stainless steel micro screw is welded to one of the platinum marker bands, which allows attachment to a delivery wire. The plug is preloaded into a loader attached to a nitinol pusher wire and is coiled in a hoop dispenser Sheath sizes: 6F and 8F Diameter 4mm - 16mm, Length 7 & 8mm 9-AVP2-003, 3mm Diameter, 6mm Plug Length.9AVP2-004, 4mm Diameter, 6mm Plug Length.9AVP2-006, 6mm Diameter, 6mm Plug Length.9AVP2-008, 8mm Diameter, 7mm Plug Length.9AVP2-010, 10mm Diameter, 7mm Plug Length.9AVP2-012, 12mm Diameter, 9mm Plug Length.9AVP2-014, 14mm Diameter, 10mm Plug Length.9AVP2-016, 16mm Diameter, 12mm Plug Length.9AVP2-018, 18mm Diameter, 14mm Plug Length.9AVP2-020, 20mm Diameter, 16mm Plug Length.9AVP2-022, 22mm Diameter, 18mm Plug Length Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Vascular CAG MF015 MF016 MF017 MF018 CP Stent CP Stent CP Stent CP Stent Medtel Australia Pty Ltd Cardio-thoracic ME065 ME066 ME067 ME068 ME074 Amplatzer Duct Occluder Amplatzer Septal Occluder Amplatzer Muscular VSD Occluder Amplatzer PFO Occluder Amplatzer Membranous VSD Occluder ME187 AMPLATZER Duct Occluder II General Miscellaneous ME124 Emphasys Endobronchial Valve Vascular CAG ME107 ME182 ME186 Superstitch Amplatzer Vascular Plug AMPLATZER Vascular Plug - II Medtronic Australasia Pty Ltd Cardio-thoracic Changed Items for Prostheses List Report Page 79 of 144 Billing Product Name Further Description Size Explanation of Change MC002 Medtronic Sprint Quattro Lead Model 6944RV/SVC 65cm; Model 6944RV/SVC 75cm; or Model 6944RV/SVC 100cm; Medtronic Sprint Quattro Lead Model 6944RV/SVC 58cm Silicone and polyurethane 65-100cm Benefit Amendment MC008 MC009 MC010 Medtronic Capsurefix Model 5568 Pacing Leads Medtronic Epicardial Pacing Leads IS-1 Model 5071 Medtronic Capsure SP Novus Model 5092; Capsure SP Novus Lead Model 5592; Medtronic Capsure Model 4023 Lead; Medtronic Capsure Model 4024 Lead (med.dexamethasone) Medtronic Capsure Model 4523(MED) Medtronic Capsure Model 4524 Lead; Medtronic Capsure Model Silicone Polyurethane Silicone Silicone Polyurethane 30 - 85cm 35 - 53cm 45 -110cm Benefit Amendment Benefit Amendment Benefit Amendment MC011 Silicone 25 - 60cm Benefit Amendment MC026 Capsure EPI steroid eluting bipolar epicardial lead Model 4968 - ventricle Medtronic Transvene SVC Lead Model 6937; 35 - 110cm x 660mm Benefit Amendment MC027 Model 6721 Unipolar Epicardial Patch Leads S/M/L 370, 660, 840mm Benefit Amendment 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 Model 6937-35, Model 6937-52, Model 6937-58, Model 6937-110; Silicone; Model 6721S-50, Model 6721M-50, Model 6721L50; Silicone Pin Plug Kits to Seal Unused Pacemaker or Defibrillator Port; Sizing Sleeve - Silicone or Polyurethane One Size Per Model Benefit Amendment MC052 Medtronic Capsure VDD2 Model 5038 AV Pacing Silicone; Contents: 1 x lead with anchoring sleeve, stylet & guide, 1 x vein lifter, 2 x fixation tools, extra stylets 11.5cm, 13.5cm, 15.5cm Benefit Amendment MC053 Capsure EPI steroid eluting unipolar epicardial lead Model 4965 ventricle Medtronic AVE S660 Coronary Stents, S670 Coronary Stents, S7 Coronary Stents, BeStent2, Silicone 25 - 50cm Benefit Amendment Stainless Steel S660 Coronary Stent - Diameter (2.5mm-2.75mm), Length (9mm-24mm); S670 & S7 Coronary Stent Diameter (3mm-4mm), Length (9mm-30mm); BeStent2 - Diameter (2.5mm-4mm), Length (9mm30mm); Benefit Amendment MC208 Medtronic Sprint Quattro Secure Lead Model 6947 58cm; Model 6947 65cm; Model 6947 75cm; Model 6947 100cm Leads, Defibrillator, Implantable, Silicone, polyurethane, platinized tantalum coils, steroid eluting tip 58-100cm Benefit Amendment MC225 MC226 Attain Over the Wire Model 4193 Medtronic Insync III Triple Chamber Pacemaker Model 8042 Medtronic Capsure SP Novus Model 5594 Lead DF-I Y-Adaptor/Extender Model 6726 25cm & 37cm Implantable Subcutaneous Defibrillator Lead Model 6996SQ 41cm, 58cm, 85cm CapSure Sense pacemaker lead Models 4073 Titanium, polyurethane Titanium 78-88cm One size only Benefit Amendment Benefit Amendment Silicone, platinum Silicone Silicone and Platinum Alloy 30-100cm Lengths 25cm, 37cm Lengths 41-85cm inclusive Benefit Amendment Benefit Amendment Benefit Amendment Titanium Nitride 30 - 85cm Benefit Amendment MC197 MC229 MC246 MC251 MC254 Changed Items for Prostheses List Report Page 80 of 144 Billing Product Name Further Description Size Explanation of Change MC301 Model 3830 PACING LEADS 59 - 75 cm Benefit Amendment MC329 Medtronic Driver, Micro Driver Coronary Stent Active fixation pacemaker leadComposition: Insulation is polyurethane, Electrodes are Titanium Nitride coated Platinum, the screw is steriod-coated Cobalt Alloy Driver Stent: diameter (2.25 - 4.5mm), length (830mm); Micro-Driver Stent: diameter (2.25 2.75mm), length (8 - 24mm) Benefit Amendment MC336 Medtronic Capsure Z Novus Model 5054 Pacing Lead Silicone; Contents: 1 x lead with anchoring sleeve, stylet & guide, 1 x vein lifter, 2 x fixation tools, extra stylets 45-58cm Benefit Amendment MC337 Medtronic Capsure Z Novus Model 5554 Pacing Lead Silicone; Contents: 1 x lead with anchoring sleeve, stylet & guide, 1 x vein lifter, 2 x fixation tools, extra stylets 45-58cm Benefit Amendment MC338 Medtronic Capsurefix Novus Model 5076 Pacing Lead 45-85cm Benefit Amendment MC360 EnRhythm 21g, 13cc Benefit Amendment MC371 Medtronic Capsurefix Model 6940 Pacing Lead; Medtronic Tined IS-1 Model 4557M; Medtronic Capsurefix Model 4067/8/4568 Pacing Leads; Medtronic Capsurefix Model 5067 Pacing Leads; Medtronic Capsurefix Model 5068 Pacing Leads; Capsure SP Novus Pacing Lead Silicone; Contents: 1 x lead with anchoring sleeve, stylet & guide, 1 x vein lifter, 2 x fixation tools, extra stylets Model P150 1DR, Rate Responsive dual chamber pacemaker with Anti-Tachycardia functions: Silicone Polyurethane 30 - 85cm Benefit Amendment MC372 CapSure Sense pacemaker lead Models 4074 & 4574 Titanium Nitride Benefit Amendment MC699 MC713 MC720 Attain OTW Model 4194 Lead Adapta Pacemaker Concerto CRT-D MC721 Virtuoso 37cc, 68g Detail and Benefit Amendment MC722 Virtuoso 37cc, 68g Detail and Benefit Amendment MC726 Adapta Pacemaker 11.1-14.2cc23.6g-31.3g Benefit Amendment MC728 MC730 MC732 MC763 MC768 MC769 MC778 MC811 Adapta Pacemaker Attain StarFix LV Lead Endeavour Drug Eluting Coronary Stent System Reveal XT Reveal DX Endeavor Sprint Drug Eluting Stent System Oscor Adaptor Attain Ability 4196 LV Lead Model 4194 VDDR PacemakerModels ADVDD01 Implantable Cardioverter Defibrillator with Cardiac Resynchronisation Therapy DR ModelImplantable Cardioverter Defibrillator, Dual Chamber VR ModelImplantable Cardioverter Defibrillator, Single Chamber DR PacemakerModels ADDR01, ADDRS1, ADDRL1, ADDR06, ADDR03 SR PacemakerModels ADSR01, ADSR06, Over the wire left Ventricular Lead Cobalt Alloy, ABT - 578 Reveal XT Insertable Cardiac Monitor Insertable Cardiac Monitor Cobals Alloym ABT - 578 Adaptor for LV-1 lead to unipolar and bipolar IS-1 Over the wire dual electrode left ventricular lead CapSure Sense Lead Model 4074 - 30cm to 85cm; CapSure Sense Lead Model 4574 - 30cm to 53cm 78cm, 88cm 11.1cc23.6g 38cc 9.7 - 11.0cc21.5 - 22.5g 78, 88, 103cm Diameter: 2.25mm-4.5mm; Length: 8.00mm-38.0mm 61 x 19 x 8 mm with a volume of 9cc 61 x 19 x 8 mm with a volume of 9cc Diameter: 2.25mm-4.0mm; Length: 8.0mm-30.0mm 10cm, 17cm and 40cm 78, 88, and 103 cm Benefit Amendment Detail and Benefit Amendment Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Changed Items for Prostheses List Report Benefit Amendment Benefit Amendment Detail and Benefit Amendment Page 81 of 144 Billing Product Name Further Description Size Explanation of Change MC812 Consulta CRT-D Fully Automatic, Wireless Implantable cardioverter defibrillator with cardiac resynchronization therapy (CRT), and therapies for ventricular and atrial tachyarrhythmia 38cc Detail and Benefit Amendment MC813 Secura VR Fully Automatic, Wireless Implantable cardioverter defibrillator with high energy capability and therapies for ventricular tachyarrhythmia 37cc Detail and Benefit Amendment MC814 Secura DR 37cc Detail and Benefit Amendment MC816 MC831 Endeavor Resolute Drug Eluting Coronary Stent Medtronic Lead Extender Kit Model: 6984M, 6981M, 6985M,6986m Adaptor Kit Model 5866-24M, 5866-40M, 586637M, Bipolar Lead Adaptor Kit Model 2872 CapSureFix Novus Model 4076 Pacing Lead Sprint Quattro Secure S Fully Automatic, Wireless Implantable cardioverter defibrillator with high energy capability and therapies for ventricular and atrial tachyarrhythmia Cobalt Alloy, ABT - 578, BioLinx Polymer Silicone Diameter:2.25mm-4.0mm; Length: 8.00mm-30.0mm 37 - 50cm Benefit Amendment Benefit Amendment Silicone 14cm Benefit Amendment Active fixation pacemaker lead Model 6935, Active Fixation Single Coil Defibrillation Lead 45 - 85cm 52 - 100cm Benefit Amendment Benefit Amendment ePTFE - expanded polytetrafluroethyelene 0.75cm x 40cm x 0.6mm; 0.4cm x 20cm x 0.6mm; 0.6cm x 20cm x 0.6mm 0.6 - 0.8mm x 3.0 - 4.0mm x 7.0 - 8.0mm 0.6 - 1.17mm x 0.3 - 4.0mm x 4.75 - 8.0mm 0.4 - 1.17mm x 2.2 - 8.8mm x 3.5 - 10.0mm 0.5 - 0.6mm x 3.5 - 6.0mm and One Size Only 3cm Right - One size only, Left - One size only, Wedge One size only & Strip - One size only 0.76 - 1.52mm x 2.1 - 9.5mm x 1.0 - 12.0mm 1.02 - 1.27mm x 0.9 - 2.4mm 1.27 x 2.9 x 1.3mm 1.02 - 1.27mm, 1.58 - 2.7mm 1.02 - 1.52mm x 0.9 - 4.45mm 1.02 - 1.27mm x 1.3 - 3.0mm 0.76 - 1.27mm x 1.0 - 7.5mm 0.89 - 1.52mm x 2.3 - 12.0mm 0.76 - 1.27mm x 1.5 - 12.0mm 1.02 - 1.27mm x 2.7 - 9.1mm 1.02 - 1.52mm x 1.3 - 12.0mm Detail Amendment MC832 MC833 MC834 Ear, Nose & Throat MC255 MC260 MC261 MC262 MC263 MC264 MC265 Medtronic Xomed Australia Material Implantable Sterile - Gore Thyroplasty Middle Ear Prosthesis Universal Ossicular Reconstruction Implants Partial Ossicular Reconstruction Implant Total Ossicular Reconstruction Implant Septal Button Silicone Blocks MC268 MC269 MC270 MC271 MC272 MC273 MC276 MC277 MC278 MC279 MC280 Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tubes Medtronic Vent Tube Changed Items for Prostheses List Report Total Ossicular Reconstruction Implants Malleus + Incus + Stapes Malleus + Incus Malleus + Incus + Stapes Silicone Netterville Phonoform Block - Right, Left, Wedge & Strip Fluoroplastic Activent Antimicrobial Ventilation Tube Antibacterial/Antimicrobial Stainless Steel Titanium Fluoroplastic Silicone Fluoroplastic, C-Flex Silicone Antimicrobial Ventilation Tube Antibacterial/Antimicrobial Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 82 of 144 Billing Product Name Further Description Size Explanation of Change MC918 The Big Easy Piston 0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 4.75mm Detail Amendment MC919 MC920 MC921 MC922 Prostheses Malleus Flex H/A Incus Necrosis Prostheses Middle Ear Prostheses Middle Ear Prostheses Big Easy Range - MRI Safe, Triple Width Platinum Band, Double Width Platinum Shaft with Offset Versions Hydroxyapatite Detail Amendment Detail Amendment Detail Amendment Detail Amendment MC923 Middle Ear Prostheses Stapes MC924 Middle Ear Prostheses Malleus MC925 MC926 MC927 Vent Tube Medtronic Vent Tube Medtronic Vent Tube Fluoroplastic Activent Antimicrobial Ventilation Tube 0.6 - 4.0mm x 2.7 - 5.0mm x 1.5 - 10.0mm 2.5 - 4.0mm x 10.0mm Small, Medium, Large, 0.6 x 2.2 x 8.0mm 0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 4.75mm 0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 4.75mm 0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 4.75mm 1.02 - 1.27mm x 1.0 - 3.5mm 1.14 - 1.27mm x 0.9 - 3.0mm 1.02 - 1.52mm x 1.3 - 12.0mm Medishield is a co-polmer gel composed of carboxymethylcellulose and polyethylene. 3cc Syringe Detail and Benefit Amendment Malleus+ Incus Stapes Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment General Miscellaneous MC618 Medishield Neurosurgical MC061 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 Detail Amendment MC064 Implantable Drug Pump Accessories 8590-8, 8590-9 - Synchromed catheter accessory kit Radiopaque silicone, 8590RAC - Right angled connector - Titanium, polyurethane, 8591-38, 859160, 8590-41 Tunnelling rods - Stainless Steel, 8575 Synchromed connector (40 degree) with catheter 20cm; one size only; 38-60cm Detail Amendment MC313 Synchro Med II Pump 20 ml & 40 ml Detail Amendment MC384 MC402 MC413 MC437 MC450 MC451 MC459 MC497 MC529 MC530 Colorado 2 CD Horizon Cornerstone Cage CD-Horizon Pyramesh Pyramesh TSRH 3D Tenor Hydrocephalus Shunt Hydrocephalus Shunt Model No's 8637-20 & 8637-40, Composition Titanium Pedicle Screw Pedicle Screws Sterile and Non-sterile Staples Curved / Round Ovoid Extended Post Screw Rod (5.5mm) - Titanium Lumbar peritoneal Ventricular/Atrial, CSF Flow Control Shunts, Cont Small Valve Diameter 4.5 - 8.5mm Length 30 - 80mm Diameter 4.5 - 7.5mm Length 25 - 80mm 4 - 14mm 10 - 30mm 20 - 150mm 8 - 130mm 30 - 60mm 40 - 240mm 84cm 38cm-90cm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 83 of 144 Billing Product Name Further Description Size Explanation of Change MC531 Hydrocephalus Shunt 12mm-90cm Detail Amendment MC532 Hydrocephalus Shunt 12mm-90cm Detail Amendment MC533 MC534 1.3 - 35cm 2 - 90cm Detail Amendment Detail Amendment Reservoir, CSF Vent Reservoir, Snap Assembly Reservoir Strata Adjustable Delta Valve Screws Spinal Implant (Peek) 6 - 90mm Detail Amendment MC536 MC545 MC577 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 Vertex Spinal System R90 Spacer Ventricular/Peritoneal. CSF Flow Control Valves, BioGlide Contoured, Ventriculostomy Kit-E, Neonatal Delta Snap Shunt With Hydrostatic Valve, Delta Valves/Shunts/BioGlide, Vent Catheters Ventricular Catheter, CSF Catheter Neonatal Reservior, CSF Lumbo Peritoneal Detail Amendment Detail Amendment Detail Amendment MC583 CSF - Ventricular Catheters PSM Range Non metallic latex free. Barium impregnated, include stainless steel stylet. Model Nos 41101, 41115, 41207, 41103, 41308, Proximal ventricular catheter. 12 -16mm Diameter 3.5 - 4.5mm Length 6 - 52mm Height 7 - 16mm Lordosis 6 - 18 degrees ID 1.3mm OD 2.5mm Length 15cm, 23cm; ID 1.2mm OD 2.1mm Length 15cm, 23cm MC584 CSF - Distal Catheters Non metallic and latex free, Models 43418,43103,43111,43209,43522,43551,27211 Distal cardiac/peritoneal catheters ID 1.3mm OD 2.5mm Length 90cm, 96cm, 110cm, 120cm, ID 1.2mm, OD 2.1mm, Length 90cm, 75cm, 58cm Detail Amendment MC590 Vertex Reconstruction System Crosslink Bar Composition - titanium alloy. The system allows for the adaptation of components from other Sofamor Danek systems to provide for constructs tailor made for individual cases. One size only Detail Amendment MC591 MC602 MC603 MC634 MC638 Vertex Reconstructive System Laminar Hook Union Union CD Horizon Peritoneal Catheter PSM range with Bioglide Composition - titanium alloy Verte-Stack Verte-Stack X10 Crosslink Translucent silicone elastomer with Barium impregnated stripe. Catheter surface bonded with Hydrogel. 4.5 - 6.0mm 8 - 20mm 8 - 20mm Multi-Span Plate: 25-81mm 60-90cm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment MC639 Ventricular Catheter PSM range with Bioglide 15-23cm Detail Amendment MC640 Strata Shunt, Unitised Translucent silicone elastomer with Barium impregnated stripe. Catheter surface bonded with Hydrogel. 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 Detail Amendment MC641 Strata Valve Unitised with Bioglide PSM range One size only Detail Amendment MC642 Strata Valve Assembly with Bioglide PSM range CSF Flow Valve. Polypropylene and acetal plastic base. Silicone elastomer dome. CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome. One size Detail Amendment MC535 Changed Items for Prostheses List Report Detail Amendment Page 84 of 144 Billing Product Name Further Description Size Explanation of Change MC643 Strata Valve with Bioglide PSM range 13-16mm x 35-47mm Detail Amendment MC644 Strata Valve NSC (non siphon control) PSM range 13-16mm x 23-32mm (0.5-2.0) Detail Amendment MC645 Strata Valve Unitised NSC (non siphon control) PSM range 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 Detail Amendment 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 Detail Amendment MC647 Delta Valve with Bioglide PSM range 36-40mm x 9-20mm (0.5-2.0) Detail Amendment MC648 Delta Valve Unitised with Bioglide PSM range CSF Flow Valve. Polypropylene and acetal plastic base. Silicone elastomer dome. Surface of valve bonded with hydrogel (Bioglide surface modification). 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) Detail Amendment 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 Detail Amendment 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) Detail Amendment 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) Detail Amendment 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 Detail Amendment MC668 MC675 MC689 MC735 MC736 CD Horizon CD Horizon Neurostimulation System - Lead Revision Kits Rivulet Vertex Max Cannulated Screw Legacy lliac Lateral Connector Legacy Screw Octad Lead Revision Kits Model 3550-26 & 3550-27 Ventricular Catheter Posterior cannulated cervical screw 20 - 60mm Diameter 4.0 - 10.5mm 30 & 45cm; 60 & 75cm 4cm - 23cm Diameter 3.5 - 4.5mm Length 20 - 60mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 85 of 144 Billing Product Name Further Description Size Explanation of Change MC741 Indura Intrathecal Catheter One size only Detail Amendment MC750 MC751 MC752 MC753 MC754 MC770 Durepair Durepair Durepair Durepair Durepair Snap Lid Connector 1" x 1" 2" x 2" 1" x 3" 3" x 3" 4" x 5" 2.5" x 5.0" Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment MC774 8578 Sutureless Pump Connector One size only Detail Amendment MC776 Specify 5-6-5 Surgical Lead 30, 65cm Detail Amendment MC817 Medtronic Intrathecal Catheter Revision Kit 66cm Detail Amendment MC818 Medtronic Intrathecal Catheter Revision Kit (Distal) 38.1cm Detail Amendment MC822 MC823 MC859 MC929 CD Horizon CD Horizon Venture Anterior Cervical Plate Medtronic RestoreULTRA Neurostimulator Sutureless pump connector, Silicone, Titanium and Nylon Dura Substitute, Collagen Dura Substitute, Collagen Dura Substitute, Collagen Dura Substitute, Collagen Dura Substitute, Collagen 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 Revision kit to repair proximal end of intrathecal catheter (8596SC) Revision kit to repair distal end of intrathecal catheter (8598A) Legacy Multiaxial Iliac Screw Legacy Fixed Iliac Screw Single or multi level plate, titanium alloy and Nitinol 16 Electrode Rechargeable implantable Neurostimulator for pain management (37712) 5.5mm to 8.5mm Diameter 5.5mm to 8.5mm Diameter 57.5mm - 150mm 22cc Detail Amendment Detail Amendment Detail Amendment Benefit Amendment Orfil Atlas Cable System (SS) Atlas Cable System (SS) Atlas Cable System (SS) Atlas Cable System (Ti) Atlas Cable System (Ti) Atlas Cable System (Ti) Orfil Stainless Steel - Wire Spool Single w/crimp and bar Double w/2 crimps Crimp Single (loop end) w/crimp Double w/2 crimps Crimp Double Pearl-Tipped Wires 1-350mm One size only One size only One size only One size only One size only One size only 1 - 350mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment MC153 Talent AAA Aorto Uni lliac Stent Graft 22 - 36mm x 75 - 310mm Detail and Benefit Amendment MC847 Endurant Aorto-Uni-Iliac (AUI) Talent Endoluminal Stent Graft System - AUI Tapered System. Endurant Endoluminal Stent Graft System - AUI 23 - 36mm X 120mm Detail and Benefit Amendment Nitinol Diameter: 6 - 10mm, Length: 20 - 40mm Detail and Benefit Amendment Specialist Orthopaedic MC417 MC441 MC442 MC443 MC444 MC445 MC446 MC506 Vascular Vascular CAG MC146 Exponent RX Self Expanding Carotid Stent Delivery System Changed Items for Prostheses List Report Page 86 of 144 Billing Product Name Further Description Size Explanation of Change MC148 Talent AAA Bifurcated Stent Graft 24-36 x 8-24 x 140-170mm Detail and Benefit Amendment MC158 MC160 MC203 Talent Aortic Extension Stent Graft Talent lliac Extension Graft Talent Occluder System 22 - 36mm x 26 - 30mm 8 - 26mm x 60 - 200mm Standard Sizes, 8 - 24mm x 31 - 35mm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment MC206 Talent Thoracic Stent Graft 22 - 46mm x 130mm Detail and Benefit Amendment MC328 MC370 Racer Renal Stent System GuardWire Plus Temporary Occlusion and Aspiration System Endoluminal Stent Graft System -Bifurcated Graft & Contralateral Limb Talent Endoluminal Stent Graft - Aortic Extension Talent Endoluminal Stent Graft - lliac Extension Nitinol stents attached to polyester graft sealed both ends Talent Endoluminal Stent Graft - Thoracic Stent Graft System Cobalt Alloy GuardWire temporary occlusion balloon, MicroSeal adaptor, EZ Flator, Export Aspiration Catheter and filter. Materials: nitinol hypotube, a soft elastic polymer, polycarbonate, polyurethane, stainless steel Diameter: 4-7mm; Lengths: 12 &18mm Length 200 and 300cm; Balloon Occlusion Diameter: 3.0-6.0mm; Distal Tip Length: 2.5cm; Guard Wire Shaft O.D: 3.5mm Detail and Benefit Amendment Detail and Benefit Amendment MC679 MC702 MC715 AngioLink Vascular Closure Device Aurora Stents: Self Expanding Stent Delivery System Interceptor Plus Filter System Titanium staple Stainless Steel, Nitinol Braided Nitol Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment MC729 Stainless Steel, Nitinol MC743 MC744 MC747 MC748 MC760 MC773 MC809 MC810 MC845 Bridge Assurant Stents: Balloon Expandable Stent Delivery System Complete SE Stent Complete SE Stent Valiant Endovascular Stent Graft Valiant Endovasculat Stent Graft Complete SE Stent Assurant Cobalt Stent Valliant Endovascular Stent Graft Valliant Endovascular Stent Graft Endurant AAA Stent Graft Bifurcation 6F - 8F Diameter: 6 - 10mm, Length: 20 - 80mm Filter: 3.5 - 6.5mm; Length: 180cm; Profile: 0.032 0.036" Diameter: 6 - 10mm, Length: 20 - 80mm 20mm - 80mm 100mm - 120mm 22-46mm diameter, 110mm length 22-46mm diameter, 150mm length 150mm Diameter: 6 - 10mm , Length: 20 - 80mm 24 - 46 diameter, up to 179mm 24 - 46 diameter, 180 - 227mm length 23 - 36mm x 13 - 20mm x 135 -185mm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment MC846 Endurant AAA Contralateral Iliac Limb 10 - 28mm X 80 - 120mm Detail and Benefit Amendment MC848 Endurant AAA Iliac Extension 10 - 28mm x 80mm Detail and Benefit Amendment MC849 Endurant AAA Aortic Extension 23 - 36mm x 60mm Detail and Benefit Amendment MC850 Endurant AAA Abdominal Tube 23 - 36mm X 85mm Detail and Benefit Amendment MC851 Defender Coronary and Carotid Filter System Filter 2.5 - 6.5mm; Length 180cm; Profile 0.014 0.070"(0.356 - 1.78mm) Detail and Benefit Amendment Nitinol Nitinol Nitinol and polyester system Nitinol and polyester system Nitinol Iliac balloon expandable stent system Nitinol and polyester system Nitinol and polyester system Endurant Endoluminal Stent Graft System Bifurcated Graft Endurant Endoluminal Stent Graft System Contralateral Iliac Limb Endurant Endoluminal Stent Graft System - Iliac Extension Endurant Endoluminal Stent Graft System - Aortic Extension Endurant Endoluminal Stent Graft System Abdominal Tube Distal embolic protection device and delivery system Detail and Benefit Amendment Mentor Medical Systems Changed Items for Prostheses List Report Page 87 of 144 Billing Product Name Further Description Size Explanation of Change Saline Mammary Prostheses . . Volume 275cc - 650cc 150, 200, 250, 300, 350, 400, 500, 600, 700. 800cc 75, 200, 225, 250, 275, 300, 325, 350, 400, 450, 500, 550cc 120,135,155,180,215,245,280,315,355,395,440,480,5 30,640,775cc 125cc-Model 350-1254BC; 150cc-Model 3501504BC; 175cc-Model 350-1754BC; 200cc-Model 350-2004BC; 225cc-Model 350-2254BC; 250ccModel 350-2504BC; 275cc-Model 350-2754BC; 300cc-Model 350-3004BC; 325cc-Model 3503254BC; 350cc-Model 350-3504BC; 375cc-Model Detail Amendment Detail Amendment Detail Amendment MN018 Mentor Siltex Spectrum Saline Tissue Expander Mentor Siltex Becker Expander/Mammary Mentor Siltex Low Bleed Gel-Filled (High Profile) Mammary Prostheses Breast, Permanently Mentor Medical Systems Contour Profile Gel-filled Mammary Prostheses, Breast, Permanently Smooth High Profile Gel-filled Mammary Prostheses MN019 Siltex High Profile Gel-filled Mammary Prostheses Mammary Prostheses 125cc-Model 354-4125; 150cc-Model 354-4150; 175cc-Model 354-4175; 200cc-Model 354-4200; 225cc-Model 354-4225; 250cc-Model 354-4250; 275cc-Model 354-4275; 300cc-Model 354-4300; 325cc-Model 354-4325; 350cc-Model 354-4350; 375cc-Model 354-4375; 400cc-Model 3 Detail Amendment MN023 Smooth Round High Profile Saline-Filled Mammary Prosthesis Model 350-3170; Model 350-3190; Model 350-3210; Model 350-3230; Model 350-3250; Model 3503270; Model 350-3290; Model 350-3310; Model 350-3330; Model 350-3380; Model 350-3420; Model 350-3460; Model 350-3500; Model 350-3560; 170cc, 190cc, 210cc, 230cc, 250cc, 270cc, 290cc, 310cc, 330cc, 380cc, 420cc, 460cc, 500cc, 560cc, 630cc Detail Amendment MN024 Round Cohesive Gel-Filled Mammary Prosthesis Model 354-1009; Model 354-1259; Model 354-1509; Model 354-1759; Model 354-2009; Model 3542259; Model 354-2509; Model 354-2759; Model 354-3009; Model 354-3259; Model 354-3509; Model 354-3759; Model 354-4509; Model 354-5009; Model 354-5509; Model 354-6009; 100cc, 125cc, 150cc, 175cc, 200cc, 225cc, 250cc, 275cc, 300cc, 325cc, 350cc, 375cc, 400cc, 450cc, 500cc, 550cc, 600cc, 700cc, 800cc Detail Amendment Plastic and Reconstructive MN004 MN013 MN016 MN017 . Mammary prostheses Detail Amendment Detail Amendment Morton Surgical Pty Ltd t/a Matrix Surgical Company Ear, Nose & Throat MG003 Micromedics Ventilation Tubes Micromedics;Shepard;1.0mm / 1.14mm lumen;Fluroplastic / Silicone;w.tab / w.wire;box of 6 / box of 50 Detail Amendment MG011 Micromedics Ventilation Tubes Detail Amendment MG012 Micromedics Ventilation Tubes MG013 Micromedics Ventilation Tubes Micromedics; Donaldson; 1.14mm lumen; Silicone / Fluroplastic; w.tab; box of 6 / box 50 Micromedics; Paparella-I / Paparella-II; 1.14mm / 1.42mm lumen; Silicone; box of 6 / box of 50 Micromedics; T-tubes; (12x10)/(5x8)/(5x4)/(8x5.5); 1.14mm / 1.27mm / 1.4mm lumen ; silicone; box of 6 / box of 50; MG014 Micromedics Ventilation Tubes Micromedics; Armstrong; bevelled straight / grommit / w.wire; 7mm / 7.5mm / 1.14mm; silicone / fluroplastic; box of 6 / box of 50 Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Page 88 of 144 Billing Product Name MG015 Micromedics Ventilation Tubes MG016 Micromedics Ventilation Tubes MG017 Micromedics Ventilation Tubes Size Explanation of Change Micromedics; Collar Button; 1.27mm lumen; fluroplastic; box of 6 / box of 50 Micromedics;Reuter Bobbin;1.0mm / 1.14mm lumen; fluroplastic; box of 6 / box of 50 Micromedics; Shah with wire; mini 0.76mm lumen; fluroplastic; box of 6 / box of 50 Detail Amendment Intra-abdominal implant biface Intra-abdominal implant biface Intra-abdominal implant biface Intra-abdominal implant biface Synthetic cyanoacrylic surgical glue. N-Butyl (2) cyanoacrylate and methacryloxysulfolane co- Tintra S 14x15cm Tintra R 12.5cm, 15cm Tintra M 22x15x10cm Tintra L 30x30x20cm 1ml Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Biliary Stent Silicone Covered Nitinol Wire 99% Pure Gold complete with delivery device Tracheal Airway Stent Silicone Nitinol Wire 99% Pure Gold Complete with delivery device Diameter: 8mm - 10mm Length: 50mm - 100mm Detail Amendment Diameter: 12mm - 22mm Usable Length: 30mm 80mm Total Length: 40mm - 80mm Detail Amendment Nucletron selectSeed Model # 130002 consists of cylindrical silver rod, coated with radioactive Iodine125 layer. Active silver rod is encapsulated in hollow titanium tube. Laser welding, using sperical shaped end welds, seals the tube. One size only Detail Amendment Adjustable Length Titanium Ossicular Chain Reconstruction Prosthesis Head Size 2.5mm x 3.5mm; Length 2.0mm - 8.0mm; Distal Diameter 0.8mm - 1.2mm Detail Amendment Rapid Strand consists of 10 welded titanium capsules containing iodine-125 absorbed onto a silver rod. OncoSeeds consists of the loose seeds only. Per Patient up to 120 seeds. One size each Detail Amendment Further Description Detail Amendment Detail Amendment General Miscellaneous MG019 MG020 MG021 MG022 MG032 Surgimesh XB non-adherent Surgimesh XB non-adherent Surgimesh XB non-adherent Surgimesh XB non-adherent Glubran 2 N Stenning & Co Pty Ltd General Miscellaneous NG047 Hanarostent Biliary Stent NG049 Hanarostent - Covered Tracheal airway Stent Nucletron Pty Limited General Miscellaneous NU001 selectSeed O R Paradigm Pty Ltd Ear, Nose & Throat OS001 ALTO Prosthesis Oncura Pty Limited General Miscellaneous ON001 Iodine 125 - 'Rapid Strand' Brachytherapy Implant, Iodine 125 - 'OncoSeeds' Brachytherapy Implant Changed Items for Prostheses List Report Page 89 of 144 Billing Product Name Further Description Size Explanation of Change ON002 Iodine 125 - Rapid Strand Brachytherapy Implant; OncoSeeds Brachytherapy Implant I-125 Rapid Strand, code IMC 7000, consists of 10 welded titanium capsules containing iodine 125. This assembly is sterile, the acitivity of the capsules "seeds" is available from 0.18mCi to 0.70mCi. Individual I-125 capsules (seeds) are also available a One size only Detail Amendment ON003 RAPID Strand Rx Kit Custom size up to 100 seeds Detail and Benefit Amendment ON004 RAPID Strand Rx Seeds Pre-loaded, variable per patient prescription version of RAPID Strand I-125 RAPID Strand Rx, pre-loaded titanium capsules containing iodine 125. To be used only if more than 100 seeds are used per patient. Benefit is Custom Detail Amendment 316LVM Stainless Steel Balloon Expandable Stent (Tubular) L605 Cobalt Chromium alloy balloon expandable vascular prosthesis Lengths - 9-33mm; Diameters - 2.5-4.0mm Benefit Amendment Expanded Stent Diameter 2.5 to 4.0mm, Stent Length 9 to 33mm Benefit Amendment OrbusNeich Medical Pty Ltd Cardio-thoracic NM003 R Stent Evolution 2 Coronary Delivery System NM004 Blazer Coronary Stent Delivery System Orthocare Pty Limited Specialist Orthopaedic OC009 Orthomed Osteotomy & Ligament Staples Osteotomy Staple. Cast Chromium-cobalt nonabsorbable. Stainless Steel non-absorbable. Nonsterile 57-73 5mm Detail Amendment OC010 Orthomed Osteotomy & Ligament Staples Osteotomy Staple. Cast Chromium-cobalt nonabsorbable. Stainless Steel non-absorbable. Nonsterile 57-74 10mm Detail Amendment OC011 Orthomed Osteotomy & Ligament Staples 15mm Detail Amendment OC012 Orthomed Osteotomy & Ligament Staples 6mm Detail Amendment OC013 Orthomed Osteotomy & Ligament Staples 8mm Detail Amendment OC014 Orthomed Osteotomy & Ligament Staples 11mm Detail Amendment OC015 Orthomed Osteotomy & Ligament Staples Osteotomy Staple. Cast Chromium-cobalt nonabsorbable. Stainless Steel non-absorbable. Nonsterile 57-75 Ligament Staple. Cast Chromium-cobalt staples, non-absorbable. Non-sterile Ligament Staple. Cast Chromium-cobalt staples, non-absorbable. Non-sterile Ligament Staple. Cast Chromium-cobalt staples, non-absorbable. Non-sterile Ligament Staple. Cast Chromium-cobalt staples, non-absorbable. Non-sterile 16mm Detail Amendment Titanium 7 - 12 Detail Amendment Orthopaedic Solutions Pty Ltd Specialist Orthopaedic OE005 Futura Conical Subtalar Implant Changed Items for Prostheses List Report Page 90 of 144 Billing Product Name Further Description Size Explanation of Change OE006 Stayfuse Titanium inter-digital fusion device Prox 2.8mm Blue; Mid 3.8mm x 6mm Blue; Mid 4.3mm x 6mm Blue; Prox 3.3mm Grey; Prox 3.8mm Grey; Mid 3.8 x 6mm Grey; Mid 4.3 x 6mm Grey; Mid 5.0 x 5mm Grey; Mid 5.0 x 6mm Grey; Prox 6.5mm Gold; Distal 5.5 x 10mm Gold; Distal 6.5 x Detail Amendment OE007 Nexfix MTP Fusion System 3.2mm x 12mm, 14mm, 16mm, 18mm, 20mm Detail Amendment OE008 NexFix MTP Fusion System Unique low profile stainless steel locking screw for use with NexFix MTP Fusion plates, indicated for use in osteoporotic bone A bendable stainless steel bone plate and screw system with unique low profile locking screw option. Indicated for use in primary MTP fusion Left 2 + 3; Right 2 + 3 Detail Amendment OE009 Nexfix MTP Fusion System A bendable stainless steel bone plate and screw system with unique low profile locking screw option. Indicated for use in primary and revision MTP fusion Left: 2+3; Right: 2+3 Detail Amendment OE010 Nexfix MTP Fusion System 2.7mm x 12mm, 14mm, 16mm, 18mm, 20mm, 24mm, 28mm Detail Amendment OE013 CoverLoc Screws 2.7mm & 3.3mm x 10mm-26mm in 2mm increments Detail Amendment OE014 CoverLoc Volar Plate Unique low profile stainless steel locking screw for use with NexFix MTP Fusion plates, indicated for use in normal bone CoverLoc Screws, stainless steel, (lag & cortical) & Pegs (threaded & unthreaded) A stainless steel volar plate system intended for fixation of fractures and osteotomies involving the distal radius. The CoverLoc feature is unique and allows both compression and lagging with fixed angle '22mm x 3, 4 & 8 hole left & right 25mm x 3 & 4 hole left & right Detail Amendment Variable Locking Screw Nut 13.8mm Detail Amendment Titanium, complex neck segment 32 - 49mm, -5 - +30mm Detail Amendment Metacarpophalangeal Joint Prosthesis Double loop titanium spinal cable plus crimps Titanium Wire (packet 10) stainless steel Foot staple Footscrew Footscrew Footscrew Foot plate Foot plate screw Foot screw 7.2 3, 4, 5, 6 One size only One size only 1.2mm diam & 0.9mm diam 8-10mm 11-14mm 11-28mm 12-34mm 40-55mm 9-55mm 7.2 x 50-120mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Orthotech Pty Ltd Neurosurgical OH049 Synergy/Polaris Spinal System Orthopaedic OH061 Exactech M Series body Specialist Orthopaedic OH202 OH258 OH259 OH260 OH334 OH335 OH336 OH337 OH339 OH340 OH343 Daphne Songer cable system Songer Cable System - 2 Crimps Hartshill EOS Footset - Varisation staple EOS Footset - Entos EOS Footset-Pyxis EOS Footset-Antares Fyxis plate Fyxis plate screw Unima Screw Changed Items for Prostheses List Report Page 91 of 144 Billing Product Name Further Description Size Explanation of Change OH344 OH345 OH346 Unima Screw Pareous staple Eleos staple Foot screw 4.5 Foot staple Foot staple 4.5 x 30-50mm 1.5mm 6-14 and 2.5mm 14-30 4-34/38mm Detail Amendment Detail Amendment Detail Amendment Polyester Fibre optic catheter Polyester Fibre optic fibre catheter 2.5 and 2.2mm 0.457mm, 0.9mm, 1.4mm, 1.7mm and 2.0mm Detail and Benefit Amendment Detail and Benefit Amendment Cochlear Implant Tempo+ Auditory Implant Speech Processor Cochlear implant speech processor and accoustic hearing aid combined in one device Cochlear implant speech processor, fine structure speech processing, remote control, interface for assistive listening devices according to the international hearing aid standard (initial patient kit) One Size Only One Size Only Length 53.5mm, width 8.5mm, Height 58.4mm (one size only) 54.0mm x 35.1mm x 8.7mm Detail Amendment Detail Amendment Detail Amendment Pacing Importers Pty Ltd - Life Systems Cardio-thoracic PI001 PI002 Excimer Laser Stent Excimer Laser Stent Ear, Nose & Throat PI005 PI006 PI007 Combi C40+ Implantable Auditory Stimulator Tempo+ Auditory Implant Speech Processor Duet EAS Hearing System PI009 OPUS 2 Speech Processor PI010 Opus 2 Speech Processor Replacement Cochlear implant speech processor, fine structure speech processing, remote control, interface for assistive listening devices according to the international hearing aid standard (replacement kit) 54.0mm x 35.1mm x 8.7mm Detail Amendment PI011 Sonata Ti 100 Cochlear Implant Cochlear implant, titanium casing, 24 independent current sources, sequential and parallel stimulation modes up to 50,074 pulses per sec, 19 or 24 ovalshaped platinium electrodes, different sizes 45.7mm length, width at coil 29.0mm, width at stimulator 24.8mm, thickness at coil 3.7mm, thickness at stiulator 5.9mm. Standard Electrode length 31.5mm, spacing 2.4mm; Medium - length: 20.9mm, Spacing 1.9mm; Compressed (short) length 12.1mm, Electro Detail Amendment PI012 PULSAR CI 100 Cochlear implant, ceramic casing, 24 independent current sources, sequential and parallel stimulation modes up to 50,074 pulses per sec, 24 oval-shaped platinium electrodes. Stimulator with standard length electrode array (contact extent 26.4mm) Length: 31.5mm, Electrode Spacing: 2.4mm Detail Amendment PI013 PULSAR CI 100 Cochlear implant, ceramic casing, 24 independent current sources, sequential and parallel stimulation modes up to 50,074 pulses per sec, 24 oval-shaped platinium electrodes. Stimulator with medium length electrode array (contact extent 20.9mm) Length: 20.9mm, Electrode Spacing: 1.9mm Detail Amendment PI014 PULSAR CI 100 Cochlear implant, ceramic casing, 24 independent current sources, sequential and parallel stimulation modes up to 50,074 pulses per sec, 24 oval-shaped platinium electrodes. Stimulator with short length electrode array (contact extent 12.1mm) Length: 12.1mm, Electrode Spacing: 1.1mm Detail Amendment Changed Items for Prostheses List Report Detail Amendment Page 92 of 144 Billing Product Name Further Description Size Explanation of Change PI015 PULSAR CI 100 Cochlear implant, ceramic casing, 24 independent current sources, sequential and parallel stimulation modes up to 50,074 pulses per sec, 24 oval-shaped platinium electrodes. Stimulator with double electrode array (contact extent 4.4mm and 6.6mm) Length: 4.4mm & 6.6mm, Electrode Spacing 1.1mm Detail Amendment PI016 PULSAR CI 100 Cochlear implant, ceramic casing, 24 independent current sources, sequential and parallel stimulation modes up to 50,074 pulses per sec, 19 oval-shaped platinium electrodes. Stimulator with standard length electrode array (contact extent 26.4mm) with incr Length: 26.4mm, Electrode Spacing: 2.4mm Detail Amendment PI017 PULSAR CI 100 Cochlear implant, ceramic casing, 24 independent current sources, sequential and parallel stimulation modes up to 50,074 pulses per sec,19 oval-shaped platinium electrodes. Stimulator with medium length electrode array (contact extent 20.9mm) with increas Length: 20.9mm, Electrode Spacing: 1.9mm Detail Amendment Phynox construction, adapted sizes & diameters Dia 5 - 9mm Length: 20 - 100mm Detail and Benefit Amendment Vascular CAG PI004 Stentself Stent 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 Detail Amendment PD022 M-COR Femoral Neck 31mm to 47mm lateral offset, 23mm to 33mm vertical height, 3 lengths Detail Amendment PD029 M-COR-R Revision Hip Stem System /M-COR-R Distal Stem Bowed P M-COR-R Revision Hip Stem System/ M-COR-R Distal Stem Bowed M-COR-R Revision Hip System / M-COR-R Distal Stem Straight P M-COR-R Revision Hip Stem System/ M-COR-R Distal Stem Straight Titanium Neck for M-COR System with lateral extension for stem connection. Contains threaded sealing plug. Plasma sprayed, titanium distal stem, long lengths 10-23mm diameter, 200-275mm length Detail Amendment Grit blasted, titanium distal stem, long lengths 10-23mm diameter, 200-275mm length Detail Amendment Plasma sprayed, titanium distal stem, standard lengths 10 - 23mm diameter, 155-175mm length Detail Amendment Grit blasted, titanium distal stem, standard lengths 10 - 23mm diameter, 155 - 175mm length Detail Amendment Nickel Titanium Alloy Nickel Titanium Alloy 4 - 12 x 30 - 100mm 40 x 7, 8, 9, 10mm; 60 x 7, 8, 9, 10mm; 80 x 7, 8, 9, 10mm Detail Amendment Detail Amendment Sinus-wave nitinol stent Sinus-wave nitinol Stent 4 - 12mm x 30 - 100mm 4 - 12mm x 30-100mm Detail and Benefit Amendment Detail and Benefit Amendment PD030 PD032 PD034 Pyramed (Australia) Limited General Miscellaneous PY002 PY004 Optimed Biliary Sinus Stent Sinus-Endoflex-Biliary Sinus Stent Vascular CAG PY005 PY006 Optimed Iiiac Sinus Stent Optimed Femoral Sinus Stent Changed Items for Prostheses List Report Page 93 of 144 Billing Product Name Further Description Size Explanation of Change 27-29mm, 19mm, 21mm, 23mm, 25mm, 25-33mm, 27-29mm, 31-33mm, 23mm, 25mm Benefit Amendment 17mm cannula / 30cm tubing 17mm cannula / 80cm tubing 17mm cannula only 13mm cannula / 30 cm tubing 13mm cannula / 60 cm tubing 13mm cannula / 80 cm tubing 13mm cannula only 8mm cannula / 30cm tubing 8mm cannula / 60cm tubing 8 mm cannula / 80 cm tubing 8 mm cannula only 10 mm cannula / 30 cm tubing 10mm cannula / 60cm tubing 10mm cannula / 80cm tubing 10 mm cannula only 6 mm cannula (with 10cm tail) 8 mm cannula (with 10 cm tail) 10 mm cannula (with 10 cm tail) Transfer sets 20 cms Transfer sets 50 cms Transfer sets 70 cms Cap 3.15mL Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Reid Healthcare Cardio-thoracic RH001 Aortic On-X Prosthetic Heart Valve Models ONXA19; ONXA-21; ONXA-23; ONXA-25; ONXA27/29; ONXM-23; ONXM-25; ONXM-27/29; ONXM31/33; ONXMC25/33 Roche Diagnostics Australia Pty Ltd General Miscellaneous RO021 RO022 RO023 RO024 RO025 RO026 RO027 RO028 RO029 RO030 RO031 RO032 RO033 RO034 RO035 RO036 RO037 RO038 RO039 RO040 RO041 RO042 RO043 Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Accu-Chek Infusion Set Tenderlink 1. Tenderlink 1. Tenderlink 1. Tenderlink 1. Tenderlink 1. Tenderlink 1. Tenderlink 1. FlexLink FlexLink FlexLink FlexLink FlexLink FlexLink FlexLink FlexLink Rapid-Dlink Rapid-Dlink Rapid-Dlink Rapid-Dlink Rapid-Dlink Rapid-Dlink Protective Blue Cap Plastic Cartridge (H-Tron & Spirit) Sherwood Davis & Geck General Miscellaneous SG002 Dexon Mesh Danbury 7979-00 Changed Items for Prostheses List Report Beige polyglycolic acid absorbable surgical mesh fabric 18 x 23cm Detail Amendment Page 94 of 144 Billing Product Name Further Description Size Explanation of Change Bipolar Head, CoCr UHMWPE insert with insertable locking ring UHMWPE with titanium surround Stainless steel with titanium plasma spray coating and HA and pegs & flanges, that has polished inner surface for dual mobility with constrained 39mm-60mm Detail Amendment 48 -70mm 43-67MM Detail Amendment Detail Amendment Uni Femur - Oxinium - It is UniCondylar Femur A tibial baseplate used for the Legion Hinge system. Biolox Option Sleeve Biolox Option Head Biolox Option Sleeve Cement Restrictor Shell/Liner Lug Metaphyseal Stem Tibial screws Uni Femoral component, CoCr, cemented Femoral Component, Oxinium, Cemented, totally constrained CR HA Porous Modular Neck - CoCr highly polished trapezoidal for MDF stem/MIS stem multiple options of version height and neck length Size 1 to Size 7 Please refer to the pocket guide Size 2 to 7 Left, Right ≤32mm >32mm >32mm 18.5 - 35mm 22 - 64mm One size only 1-8 15-50mm X-Small - Magnum Plus Size 1 - 9 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment 1-8 24mm - 36.5mm Detail Amendment Detail Amendment Titanium alloy Titanium Alloy CCG Band - Pure Titanium CCG-GF Band with fixation spikes - Pure Titanium CCG Stabilizer with Band Chromium Cobalt Polyethylene Chromium Cobalt Humeral Stem Body Inclination Set Metatarsal Component XS-L Phalangeal Component XS-L Length 27cm Length 27cm XS - L Distal Insert 13 - 17mm Polyethylene Distal Insert 11 - 15mm Proximal Insert 6, 7, 8 01 to 6 30 - 35 - 40mm 20 - 22 - 24 - 26mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Smith & Nephew Surgical Pty Ltd Orthopaedic SM038 PLUS Bipolar Head SM043 SM131 Bofor Acetabular Insert POLAR CUP ACETABULAR Cementless Shell SM156 SM160 SM166 SM167 SM168 SN263 SN267 SN318 SN319 SN329 SN338 SN736 Journey Uni Femur-Oxinium Legion Hinge Tibial Baseplate Revision Delta Ceramic Femoral Head Sleeve Revision Delta Ceramic Femoral Head Revision Delta Ceramic Femoral Head Sleeve Buck Tandem/Convene Genesis II Genesis II Genesis II Genesis II Uni Femoral Component Legion Knee System Femoral Component SN877 SN898 Genesis II MDF Revision System Specialist Orthopaedic SM008 SM009 SM010 SM011 SM033 SM045 SM046 SM047 SM110 SM111 SM112 Toefit - Plus Toefit - Plus PLUS Endoprothetik Cerclage Systems PLUS Endoprothetik Cerclage Systems PLUS Endoprothetik Cerclage System Toefit - Plus Toefit - Plus Toefit - Plus Promos Shoulder Replacement Promos Shoulder Replacement Promos Shoulder Replacement Changed Items for Prostheses List Report Page 95 of 144 Billing Product Name Further Description Size Explanation of Change SM113 SM114 SM146 SM147 SM148 SM149 Promos Shoulder Replacement Promos Shoulder Replacement Bioraptor 2.3 PK TWINFIX FT PK FOOTPRINT Peri-Loc PFP Ball head anatomic Glenoid PEEK optima suture anchor PEEK optima fully threaded suture anchor Non-knot tying PEEK suture anchor Proximal Femur Locking Plate - 360L stainless steel Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SM150 Peri-Loc PFP Proximal Femur Locking Screw - 360L stainless steel SM155 InterTAN CHS-Integrated Interlocking Screws Integrated Interlocking Screws R19/H14-R26/H21 1-23: - 4-29 2.3mm 5.5mm and 6.5mm 5.5mm and 6.5mm 2H R & L 104MM, 4H R & L 144MM, 6H R & L 180MM, 9H R & L 234MM 60MM X 22MM THRD - 130mm X 22MM THRD 60mm X Full Thread - 130mm Full Thread 11mm x 7.0mm diameter, 65mm Lag Screw/60mm Compression Screw (65/60), 70/65, 75/70, 80/75, 85/80, 90/85, 100/95, 105/100, 110/105, 115/110, 120/115, 125/120, 130/125, 135/130, 140/135. SM162 SPYROMITE A non-absorbable polymer (PEEK) anchor for use in ligament/tendon reconstruction in small joint applications 2mm in diameter Detail Amendment SM163 DYNOMITE 2mm in diameter Detail Amendment SM164 BIOSURE 6-12mm in diameter Detail Amendment SN001 SN002 SN004 TC 100 Quarter Tubular plates (2.7mm cortex screws) TC 100 3.5mm Cortical Screws Bioabsorbable screw 23 - 63mm 45 - 85mm 7 x 20mm - 12 x 35mm Detail Amendment Detail Amendment Detail Amendment SN006 SN007 SN008 SN011 SN012 SN013 SN014 SN018 SN022 SN031 TC 100 1.5mm Mini Plates TC 100 3.5mm Cortical Screws Rotorloc Absorbable PLA Suture Anchor System TC 100 3.5mm Small Fragment (Compression) plates TC 100 3.5mm One Third Tubular plates TC 100 3.5mm Curved Reconstruction plates TC 100 4.5mm Cortical Screws TC 100 4.5mm Cortical Screws Osteotomy Plates Original Ilazarov System Straight 3-6 holes, T-Plates 3-4 holes 10 - 40mm One size only 169 - 265mm 25 - 97mm 70 - 94mm 14 - 60mm 100 - 145mm 40 - 80mm Adult and Paediatric Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SN032 SN044 SN061 SN062 Compass Universal Hinge TC 100 3.5mm Small Fragment (Compression) Plates TC 100 4.5mm Cortical Screws TC 100 A non-absorbable polymer (PEEK) anchor for use in ligament/tendon reconstruction in small joint applications A non-absorbable polymer (PEEK) interference screw for use in ligament/tendon reconstruction Sterile Hex, Cruciate or Self Tapping BioRCI-HA Screw, Medial, Portal, Reverse thread, Tibial specific, Trans-tibial Stainless steel, Sterile Sterile, Hex or Cruciate Sterile, 14 - 26 hole Sterile, 2 - 8 holes Sterile, 6 - 8 holes Hex, Cruciate or Self-tapping Hex, Cruciate or Self-tapping Blade, Adult osteotomy 4 hole External circular fixation system, stainless steel and composite carbon fibre Circular external hinged fixator, graphite composite Sterile, 2 - 7 holes Hex, Cruciate or Self-tapping Narrow Compression Plate One size only 25mm - 85mm 62 - 95mm 4.5mm, 5 - 7 holes Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Page 96 of 144 Billing Product Name Further Description Size Explanation of Change SN063 SN065 SN068 SN069 SN071 SN073 SN075 SN076 SN078 SN080 SN081 SN082 SN083 SN087 SN088 SN098 SN104 SN107 SN108 SN109 SN112 SN116 SN118 SN119 SN126 SN129 SN130 SN131 SN132 SN133 SN134 SN135 SN136 SN137 SN138 TC 100 2.7mm Small Fragment (Compression) plates TC 100 4.5mm T-Buttress plates TC 100 TC 100 3.5mm Reconstruction plates TC 100 4.5mm Narrow Compression plates TC 100 TC 100 TC 100 TC 100 4.5mm Broad Compression plates TC 100 4.5mm T-plate TC 100 2.0mm H-plates TC 100 2.7mm Cortical Screws TC 100 2.0mm T-plates TC 100 Semi Tubular plates TC 100 TC 100 4.5mm Reconstruction plates TC 100 TC 100 4.5mm Condylar Buttress plates TC 100 TC 100 3.5mm Reconstruction plates TC 100 2.0mm Cortical Screws TC 100 2.7mm T-plates TC 100 3.5mm Small Fragment (Compression) plates TC 100 4.5mm T-plate TC 100 4.5mm Condylar Buttress plates TC 100 1.5mm Mini Plates TC 100 3.5mm One Third Tubular plates TC 100 4.5mm Narrow Compression plates TC 100 4.5mm Narrow Compression plates TC 100 4.5mm Narrow Compression plates TC 100 3.5mm Reconstruction plates TC 100 95 Degree Condylar Plates TC 100 Small T-Plates TC 100 Neer 3 Total Shoulder System 2 - 12 holes Sterile, 4 - 6 holes Plate: Condylar Sterile, Straight 9 - 11 holes Sterile, 2 - 4 holes L - Plates & T - Plates Plate: Reconstruction Plate: Curved Reconstruction Sterile, 20 - 26 holes Sterile, 5 - 8 holes Sterile Hex, Cruciate or Self-tapping Sterile, 9 hole shaft 8 - 12 holes Semi Tubular plates Sterile, 14 - 16 holes 1/3 Tubular Plate with Collar Sterile, right, 11 - 15 hole Plate: Broad Compression Sterile, Straight 4 - 8 holes Self Tapping, Hex or cruciate Sterile Sterile, 8 - 12 hole Sterile, 3 - 4 holes Sterile, Left and right, 7 - 9 hole Stainless steel, Sterile Sterile, 9 - 12 holes Sterile, 14 - 24 holes Sterile, 11 - 13 holes Sterile, 8 - 10 holes Sterile, Straight 16 - 22 holes Small stature Sterile, right angled and oblique Plate: Broad Compression Humeral stems 20 - 100mm 80 - 112mm 1.5mm, 2.0mm &2.7mm 106 - 130mm 39 - 71mm 2.0mm & 2.7mm 3.5mm & 4.5mm, 10 - 15 holes 3.5mm, 10 -18 holes 326 - 423mm 100 - 148mm One size only 6 - 55mm 3 - 4 holes 135 - 199mm 2 - 7 holes 221 - 253mm 3 - 10 Hole 221 - 285mm 4.5mm, 3 - 10 holes 46 - 94mm 6 - 38mm One size only 97 - 145mm 68 - 84mm 158 - 190mm H-Plates 4 holes 109 - 145mm 231 - 390mm 183 - 215mm 135 - 167mm 190 - 263mm Shaft length 92 - 299 mm, blade length 50 - 80mm 3 - 4 holes in head, 3 - 6 holes in shaft 4.5mm, 6 - 8 holes Head size 15 - 16, stem diam 8 - 12mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 97 of 144 Billing Product Name Further Description Size Explanation of Change SN141 SN143 SN146 T-Bar Suture Retention System TC 100 4.5mm Reconstruction plates Taylor Spatial Frame One size only 45 - 141mm One size only Detail Amendment Detail Amendment Detail Amendment SN284 SN395 SN397 SN398 Screws Cofield Cofield Cofield Fastfix 3 - 9 holes Pre-assembled circular external fixator, carbon-fibre rings, telescopic rods Cancellous Humeral stem component Glenoid All Polyethylene component Glenoid Component Metal backed Detail Amendment Detail Amendment Detail Amendment Detail Amendment SN400 SN403 SN404 SN409 SN413 SN414 SN415 SN416 SN417 SN418 SN420 SN421 SN422 SN423 SN424 SN425 SN426 SN427 SN428 SN429 SN430 SN432 SN434 SN435 SN436 SN437 SN438 Modular Cofield Modular Cofield Modular Cofield Modular Cofield Shoulder Reconstruction Shoulder Reconstruction Shoulder Reconstruction Shoulder Reconstruction T-Bar Suture Retention System T-Bar Suture Retention System ACL/PCL Reconstruction ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions ACL/PCL Reconstructions Half Pin Half Pins Half Pins Hex Fix Pins Hip Pin + 2 insert Humeral Head Humeral Stem Standard Articular Insert 3.7mm TAG & Wedge Suture Wedge Suretac Absorbable Staple TAG Bioabsorbable Anchor Wedge Fastentor Suture Anchor T-Fix RCG T-Fix Single & Double RCI Screws Titanium Absorbable PLLA Screw Acufex Fixation Post Acufex Tibial Fixation Anchor Acufex Spiked Washer Cannuflex Silk & Soft Silk Interference Screw EndoButton Fixation Button EndoButton CL EndoButton Tape EndoFix Bioabsorbable Screw Tibial Post Screw Arrow Hex Fix Titanium Ilizarov Stainless Steel Cancellous Crane Pin Threaded Cannulated 15mm - 50mm Standard & Long, small- large Small, Standard Standard Base. Base Insert. Glenoid Comp Sm, Stan, St W/off Small, Standard, Standard with offset 14x36mm - 36x58mm 6mmx115mm - 16mmx245mm Small, Standard 3.7mm 6-8 x 16mm 3.7mm One size only 1.8mm T-Fix Suture Bar, Straight Needle, Double Suture 7-11mm diameter, 25-40mm length 7-12mm diameter, 25-35mm length 25 -55mm One size only One size only 5.5 x 20mm - 9x30mm 4 x 12mm, 4mm x 18mm 12-17mm 20-50mm One size only 7 x 20mm - 9mm x30mm Small, Standard 4-6mm x 20-80mm 4-6mm x 20-80mm 4 x 120 -180mm 30mm 35mm - thread 50mm conic 5/8" - 1 1/4" 30-135mm Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 98 of 144 Billing Product Name Further Description Size Explanation of Change SN439 SN440 SN441 SN442 SN443 SN445 SN446 SN447 SN449 SN450 SN451 SN459 SN460 SN463 Ilizarov Ilizarov Ilizarov Mini TAG Reis Steinmann Pins Steinmann Pins Steinmann Pins Washer Washer Wire Wire Wire Bone Staple Jurgan Pin Balls Wires Wires with stopper Suture Anchor 2.0mm Cable and Swage Skeletal Traction Pin-Cove Point Skeletal Traction Pin-Cove Point Non Threaded, Various Tips Screw washers For Cannulated screw systems, Titanium Kirschner Suture Cerclage Fixation - Osteotomy Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SN464 SN465 SN466 SN467 SN468 SN469 SN470 SN471 SN473 SN475 SN476 SN478 SN479 SN480 Bone Staple Bone Staple Bone Staple Compressing Screw Compression Hip Screw System Compression Hip Screw System Compression Hip Screw System Compression Hip Screw System Compression Hip Screw System Compression Hip Screw System Compression Hip Screw System Compression Hip Screw System Compression Hip Screw System Compression Hip Screw System SN481 SN488 SN489 SN490 SN492 SN493 Compression Hip Screw System Intermediate Osteotomy System Intermediate Osteotomy System Intermediate Osteotomy System Paediatric Osteotomy System Paediatric Osteotomy System Fixation - Short Leg Fixation - Table Krackow HTO For Intramedullary and compression Hip Screw Ambi Standard Barrel Plates Ambi Standard Barrel Plates Ambi Standard Barrel Plates Ambi Short Barrel Plates Classic Standard Barrel Plates Classic Standard Barrel Plates Classic Short Barrel Plates Classic Supracondylar Plate Hip Screw Clip (ambi only) Intramedullary Hip Screw (IMHS), Centering Sleeve, Stainless Steel Lag Screw Compressing Lag Plate (hip screw) Lag Screw Plate (hip screw) 0.7-5.0mm 300-370 length x 1-1.8mm diameter 300-370 length x 1-1.8mm diameter 2.0mm 1.6 & 2.0mm 150-200mm 250mm+ 9"x5/64 - 9"x3/16 2, 7/3, 7/4, 0/4.5 One size only Various 1.3 - 304.8mm 18Ga - 28Ga 0.6mmx175mm - 0.8mmx200mm Fixation Staple 5mm- 14mm. McConnel HTO PF 15mm 0-S Xsmall - large Small -Medium 13mm - 16mm. 12,14,16mm 19mm & 28.5mm 60mm -80mm, 2-3 slot 100mm -220mm, 4-10 slot 260mm+, 12-14 slot 100mm, 4-5 slot 60-140mm, 2-3 slot 260mm+, 12-14 slot 100 - 120mm 90-95 6-12SL One size only One size only 55 - 140mm One size only 35 mm - 85mm, 1 1/2" - 3-3/4" 90-150Deg 22mm- 40mm With Prox slot 90D - 140D Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 99 of 144 Billing Product Name Further Description Size Explanation of Change SN496 SN497 SN498 SN509 Intramedullary Nailing System Intramedullary Nailing System Intramedullary Nailing System Russel Taylor Foresight Nail Knee Fussion Nail, Stainless Steel Nail Cap Intramedullary Hip Screw Nail (IMHS) Stainless Steel Detail Amendment Detail Amendment Detail Amendment Detail Amendment SN519 SN520 SN521 SN522 SN532 SN540 SN542 SN543 SN557 SN569 SN570 SN571 SN572 SN573 SN574 SN577 SN578 SN581 SN582 SN593 SN595 SN602 SN606 SN607 SN609 SN612 SN621 SN625 SN626 SN627 TriGen TriGen TriGen TriGen TC 100 Plate TC 100 1.5mm Screw TC 100 Plate TC 100 Plate TC 100 Plate TC 100 Plate TC 100 Plate TC 100 Plate TC 100 Plate TC 100 Plate TC 100 Plate TC 100 Plate TC 100 TC 100 Plate TC 100 Plate TC 100 Screw TC 100 Screw TC 100 Screw TC 100 4mm Cancellous Screw TC 100 TC 100 4mm Cancellous Screw TC 100 3.5mm Cortex Screw TC 100 3.5mm Cortex Screw TC 100 Screw TC 100 Washers TC 100 Washers Capture Reconstruction Screws Titanium Captured Screws Titanium Nail: TAN & FAN, titanium Knee Nail 2.0mm Straight Plate Hex, Cruciate or Self-tapping Multifragment Plates Pelvic Fragment Plates 4.5mm Broad Compression Plate Calcaneal Plate Sterile Cloverleaf Plate Cloverleaf Plate Cloverleaf Plate Cloverleaf Plate Cobra Head Plate Hook Plate Plate: Spoon & L-Buttress Lateral Tib Head Buttress Plate Lateral Tib Head Buttress Plate 6.5mm Cancellous Screw 6.5mm Cancellous Screw Fully Threaded 6.5mm Cancellous Screw Partially Threaded Fully or Partially Threaded 4mm Cancellous Screw Fully or Partially Threaded Hex, Cruciate or Self-tapping Hex, Cruciate or Self-tapping Malleolar Bone Screw, Sterile Stainless Steel Titanium Non Sterile 4-5mm Diameter 20-26cm Length 11x 65-75 & 12 x 65-85cm One size only Standard 10-16mm 21 cm length, Long 10-12mm Diameter Right& Left 34-42cm Length 6.4mm diameter 65-125mm length 4.5 & 5.0mm diameters, 20-110mm lengths 10, 11.5 &13mm diameter 8.8, 10, 11.5 & 13mm diameters, 26-50cm lengths 3-20 hole 6-24mm One size only 3-18 hole, 45-190mm 14-18 hole 60mm,70mm & 9 hole 3-4 hole 5-6 hole 7-8 hole 9 hole 8-11 hole 123mm 4 hole 3 - 18 holes 3-7 hole Left & Right 9-13 hole Left & Right 25 - 150mm length 6.5mm Diameter, 115mm-150mm 6.5mm Diameter, 32mm thread, 130mm+ Length 10 - 20mm 22 - 50mm 55mm + 85mm + 10 - 40mm 25x12mm - 70x32mm 7-13mm 4.5mm -13mm Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 100 of 144 Billing Product Name Further Description Size Explanation of Change SN628 SN631 SN635 SN636 SN637 SN638 SN639 SN641 SN642 SN643 SN644 SN651 TC 100 Washers Cannulated Hip Pins Cannulated Screw Cannulated Screw Cannulated Screw Cannulated Screw Cannulated Screw Cannulated Screw Cannulated Screw Cannulated Screw Cannulated Screw OBL Anchor System Titanium Sterile Rush Nails, Round Bevil Point Hook Pins Partial Thread, Stainless Steel Partial Thread, Stainless Steel Partial and Fully Threaded, Stainless Steel Partial and Fully Threaded, Stainless Steel 6.5mm & 7.0mm screw Titanium 5.5mm screw Titanium 2.5mm - 4.0mm Screw 8mm Cannulated screws 6.4mm Cannulated screws Preloaded Soft Tissue Anchor System Material: Titanium Alloy or Polyacetal Polymer. Comes with Insertion device and 2 Braided Polyester Sutures 4.5mm -13mm 20.3mm - 254mm 6.5mm Diameter, 16&20mm Thread, 20-135mm 6.5mm Diameter, 32mm thread, 45-130mm 5.5mm Diameter, 20-120mm 7.0mm Diameter, 30-150mm 30 - 150mm Length 5.5mm Diameter 8x20mm- 32x120mm 2.5mm - 4.0mm Diameter 8 -70mm length 8mm Diameter 65-125mm 6.4mm diameter 65-125mm length Anchor sizes - Titanium: 2.8, 3.5, 4.0 5.0, 6.5mm Anchor size - Polymer: 5.0mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SN652 OBL Anchor System 4.0 and 6.5mm Detail Amendment SN669 Standard Humeral Components 11.25 - 25mm Height, 40 - 49.5mm Diameter Detail Amendment SN675 SN676 SN703 SN708 SN709 SN713 SN714 SN730 SN731 SN732 SN733 SN735 SN739 SN740 SN745 SN761 SN762 SN763 SN764 HTO Screws Genoid Components Absorbable Suture Anchor Jet X Bar Jet X Central Trigen TwinFix Accord Accord Accord Accord Accord Trigen Trigen Peri-Loc IMHS CP IMHS CP IMHS CP IMHS CP Soft Tissue Anchor System Non-preloaded Material: Titanium Alloy Modular Shoulder System Humeral Head, Chromium Cobalt Titanium Anatomic Glenoid Component, Ti-6A1-4V, Preloaded PLLA Suture Anchor External Fixation Bar with Cap Modular Versitile Ankle Fixation Frame Stable-Lok Nut Quick-T Orthopaedic Cable System, Titanium Plate Orthopaedic Cable System, Sm Cable Grip Orthopaedic Cable System, SS Cable w/clamp Orthopaedic Cable System, SS Button Plate Adapter Orthopaedic Cable System, Std Cable Grip Self Tapping Cortical Screw Humeral Nail 2.7mm, 3.5mm & 4.5mm Locking Plate, Subtrochanteric lag screw Captured locking screw Intramedullary Hip Nail, stainless steel Intramedullary Hip Nail, stainless steel 4.5mm Diameter, 20 - 80mm Length Extra Small & Standard 2.9mm, 5.0mm & 6.5mm 100mm to 600mm 99mm to 158mm One Size Only 2.8 - 6.5mm 150-250mm 75-255mm 2.0mm One Size Only 85-265mm 20mm - 60mm 7-11cm x 16-30cm 3 - 19 Holes 12.7mm x 70mm to 12.7mm x 140mm 4.5mm x 22mm to 4.5mm x 64mm 10 - 16mm x 19.5cm left and right 10 - 14mm x 32 - 44cm left and right Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 101 of 144 Billing Product Name Further Description Size Explanation of Change SN765 SN766 Peri-Loc Peri-Loc 10 - 80mm 3.5mm Detail Amendment Detail Amendment SN768 Peri-Loc 4.0mm -5.0mm Detail Amendment SN769 Peri-Loc 5.7mm Detail Amendment SN770 Peri-Loc 5 & 6.5mm Detail Amendment SN772 SN774 SN775 SN777 SN782 Trigen IMHS CP IMHS CP GTS Sleeve Peri-Loc 10 - 11.5mm Diameter 19mm Standard one size only 4.5mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SN783 Peri-Loc 4.5mm. 6-16 hole Detail Amendment SN784 Peri-Loc 4.5mm. 18-22 hole Detail Amendment SN790 Peri-Loc 3.5mm, 10mm - 85mm length Detail Amendment SN792 Peri-Loc 4.0mm, 80mm - 100mm length Detail Amendment SN793 Peri-Loc 4.5mm, 10mm -110mm length Detail Amendment SN794 Peri-Loc 4.5mm, 115mm -130mm length Detail Amendment SN795 Peri-Loc 3.5mm Detail Amendment SN796 Peri-Loc SN797 Peri-Loc SN798 Peri-Loc SN800 Peri-Loc SN801 Peri-Loc SN829 SN831 Peri-Loc UE Peri-Loc UE SN832 Peri-Loc UE 2.7mm & 4.0mm Non Locking Screw Fixation Device, Internal, Non-Locking, Stainless Steel, Cortical & Cancellous Screw Size: 3.5mm Fixation Device, Internal, Locking, Stainless Steel, Cortical & Cancellous Screw Fixation device, internal, locking and non-locking, stainless steel, cortical and cancellous screw Fixation device, internal, locking and non-locking, stainless steel, cortical and cancellous screw Hindfoot Fusion Nail, Titanium Captured Compression Screw, Stainless Steel Set Screw, Stainless Steel Polypropylene non-absorbable woven mesh Plates, Stainless Steel, Non-Locking, Narrow, Lefts & Rights Plates, Stainless Steel, Non-Locking, Broad, Left & Rights Plates, Stainless Steel, Non-Locking, Broad, Left & Rights Fixation Device, Internal, Locking, Stainless Steel, Cortical & Cancellous Screw Fixation Device, Internal, Locking and Non-Locking, Stainless Steel, Cortical & Cancellous Screw Fixation Device, Internal, Non-Locking, Stainless Steel, Cortical & Cancellous Screw Fixation Device, Internal, Non-Locking, Stainless Steel, Cortical & Cancellous Screw Plates, Stainless Steel, Locking, Compression & Tubular, Lefts and Rights Plates, Stainless Steel, Locking, Compression, Lefts and Rights Plates, Stainless Steel, Locking, Compression, Lefts and Rights Plates, Stainless Steel, Locking, Compression, Lefts and Rights Plates, Stainless Steel, Non-Locking, Reconstruction, Lefts and Rights Plates, Stainless Steel, Non-Locking, Reconstruction, Lefts and Rights 2.7mm Locking Recon Plate 6-14 Holes Locking plates SS: Distal Radius, Olecrannon, Humerus, Clavicle Self Tapping Cortex Locking Screw Changed Items for Prostheses List Report 3.5mm, 4 - 12 holes Detail Amendment 3.5mm, 14 - 18 holes Detail Amendment 3.5mm, 20 - 22 holes Detail Amendment 3.5mm, 4-10 holes Detail Amendment 3.5mm, 12-14 holes Detail Amendment 48mm - 113mm 2.5-4.5mm, 3-14 holes Detail Amendment Detail Amendment 2.5-2.7mm, 10-60mm length Detail Amendment Page 102 of 144 Billing Product Name Further Description Size Explanation of Change SN833 SN838 SN839 SN841 SN846 SN853 SN854 SN888 Peri-Loc UE Trigen InterTAN Nail Trigen InterTAN Nail Trigen META KINSA Endobutton Fast-Fix Ultra PROMOS Reverse Modular Shoulder System Self Tapping Cortex Non Locking Screw Nail, Titanium Lag/Compression Screw, Titanium Metaphyseal Nail, Titanium Suture Anchor, Polmer With Polyester Suture Fixation for ACL/PCL reconstruction Meniscal suture anchor PE Insert - UHMWPE Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SN889 SN890 SN891 Promos Modular Shoulder system PROMOS Reverse Modular Shoulder System Promos Reverse Modular Shoulder System Glenoid Base Plate with Ti/HA-Ti 6A i4V Glenoid Bone Screw Glenosphere SN892 SN893 Promos Reverse Modular Shoulder System Promos Reverse Modular Shoulder System Glenoid Base Plate Body 2.5mm, 10-30mm length diameter 10-13mmlength 18-46cmAngle 125°-135° 30-120 8.5-13mm15x50cm 2.9mm 5-9mm, 15-60mm One Size 36/6mm, 36/9mm, 36/12mm, 42/6mm, 42/9mm, 42/12mm 5-20mm, 1-5, Small, Medium, Large 6/20mm 6/25mm, 6/30mm, 6/35mm, 6/40mm centric 36mm, centric 42mm, eccentric 36/+5mm, eccentric 42/+5mm 5-20mm 1-5 Small Medium Large 36/mm, 36/10mm, 36/15mm, 42/5, 42/10mm, 42/15mm Injection/Infusion Ports, Sterile - PORT-A-CATH II Trans Arterial Percuataneous System Injection/Infusion Ports, Sterile - PORT-A-CATH P.A.S Port T2 System Injection/Infusion Ports, Sterile - PORT-A-CATH Peritoneal System Injection/Infusion Ports, Sterile - PORT-A-CATH Arterial Titanium System Injection/Infusion Ports, Sterile - PORT-A-CATH Titanium Venous Portal Injection/Infusion Ports, Sterile - PORT-A-CATH Implantable Access System - Venous Portal, with introducer set Port - single lumen One size only Detail Amendment Port - single lumen 1.9 mm O.D. PolyFlow Polyurethane Catheter Detail Amendment Port - single lumen One size only Detail Amendment Port - single lumen 2.3 mm silicone catheter Detail Amendment Port - single lumen 2.8 mm silicone catheter & 9 French introducer set Detail Amendment Port - single lumen 1.9mm polyurethane catheter Detail Amendment Injection/Infusion Ports, Sterile - PORT-A-CATH Low Profile Implantable Venous System, with Injection/Infusion Ports, Sterile - PORT-A-CATH II Titanium Venous System, with introducer set Injection/Infusion Ports, Sterile - PORT-A-CATH II Titanium Venous System with introducer set Injection/Infusion Ports, Sterile - PORT-A-CATH Titanium Venous System with introducer set Port - single lumen 1.9 mm polyurethane catheter Detail Amendment Port - single lumen 2.8 mm silicone catheter Detail Amendment Port - single lumen 1.9 mm polyurethane catheter Detail Amendment Port - single lumen 2.6 mm polyurethane catheter Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Smiths Medical Australasia Pty Ltd General Miscellaneous SI001 SI003 SI005 SI007 SI008 SI010 SI012 SI014 SI016 SI017 Changed Items for Prostheses List Report Page 103 of 144 Billing Product Name Further Description Size Explanation of Change SI019 Injection/Infusion Ports, Sterile - PORT-A-CATH II Low Profile Titanium Venous System with introducer set Injection/Infusion Ports, Sterile - PORT-A-CATH II Epidural Low Profile System Injection/Infusion Ports, Sterile - PORT-A-CATH II Intraspinal Low Profile System Injection/Infusion Ports, Sterile - PORT-A-CATH II Dual Lumen Titanium Venous system and introducer set Port - single lumen 1.9 mm polyurethane catheter Detail Amendment Port - single lumen 1.2 mm O.D. polyurethane catheter Detail Amendment Port - single lumen 0.9 mm O.D. polyurethane catheter Detail Amendment Port - dual lumen 3.4 mm silicone catheter Detail Amendment Active Implantable pacemaker Titanium Titanium, dual chamber ICD with CRT Titanium, single chamber, sterile, VR 6250, 34J Titanium dual chamber ICD, 29 cc Dual Chamber permanent Pacemaker with Rate Response Modulation Single chamber permenent pacemaker with rate response modulation 1 size only one size only 30cc 29cc 29cc 8cc, Weight: 20grams, Dimensions:41.2 x 41.5 x 6.1mm Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment Benefit Amendment 37 x 41.5 x 6.1mm 19 Grams 7.5 cm3 Benefit Amendment Single Chamber Rate Responsive Pacemaker Volume 5.9cc, Weight 12.8gm Benefit Amendment Left Ventricular Pacing Lead Dual Chamber multi-programmable rate-adaptive pacing devices with extended longevity Dual - Chamber, multi-programmable, rateresponsive pacemaker withAF suppression Single Chamber multi-programmable rate-adaptive pacing device with extended longevity Single Chamber multi-programmable rate-adaptive pacing device with extended longevity Single Chamber multi-programmable rate-adaptive pacing device with extended longevity Dual-Chamber, multi-programmable, rate-adaptive pacing devices with AF suppression Single Chamber multi-programmable rate-adaptive pacing device 75cm 11cc, 23.5g Benefit Amendment Benefit Amendment 45x52x6mm,11cc, 23g, 5mm or 6mm M/S Benefit Amendment 10.5cc, 23g Benefit Amendment 8cc, 18g Benefit Amendment 11cc, 23.5g Benefit Amendment ADx DR 5380: 43x44x6mm, 18g and 8ccADx XL DR 5386: 44x52x6mm, 23.5g and 11cc 8cc, 18g Benefit Amendment SI020 SI021 SI023 Sorin Group Cardio-thoracic SA136 SA137 SA138 SA139 SA140 SA141 Symphony DR 2550 Symphony SR OVATIO CRT-D 6750 OVATIO VR 6250 OVATIO DR 6550 Reply™ DR SA142 Reply™ SR St. Jude Medical Australia Pty Ltd Cardio-thoracic SJ027 SJ053 St Jude Medical Microny II SR+ Model 2525T Pacemaker Aescula LV Model 1055K Verity ADx Model XL DC 5256 Dual - Chamber pacemaker Verity Adx Implantable Pacemaker, Models XL DR 5356 and XL DR 5357M/S Verity Adx Model XL SC 5056 implantable SJ054 Identity ADx Model VDR 5480 implantable SJ057 SJ059 Verity ADx Model XL VDR 5456 implantable pacemaker Identity ADx Models DR 5380 and XL DR 5386 SJ060 Identity ADx Model SR 5180 implantable pacemaker SJ033 SJ050 SJ051 Changed Items for Prostheses List Report Benefit Amendment Page 104 of 144 Billing Product Name Further Description Size Explanation of Change SJ061 Identity Adx Model XL DC 5286 Dual Chamber Pacemaker 11cc, 23.5g Benefit Amendment SJ066 SJ069 Atlas + VR - C Model V-193C ICD St Jude Medical Biocor Porcine Prosthetic Heart Valve Identity ADx Model XL DC Model 5286 is an implantable, multi-programmable rate-adaptive pacing device with AF suppression Single chamber implantable cardio-verter defibrillator St Jude Medical Biocor Porcine Prosthetic Heart Valve is manufactured from selected procine aortic valve cusps that have been cross-linked with a glutaraldehyde solution 38cc, 77g Aortic Valves - Tissue Annulus Diameter - 21-29mm, Implant Height - 11-15c; Mitral Valves - Tissue Annulus Diameter - 25-35mm, Implant Height - 810mm Detail and Benefit Amendment Detail Amendment SJ072 Frontier II - Model 5596 49mm(h) x 52(1) x 6(t), 25g Benefit Amendment SJ073 Tendril SDX Models 1688T and 1688TC Riata Transvenous tachyarrhythmia Leads Model 100cm, 25cm, 34cm, 40cm, 46cm, 52cm, 58cm, 85cm, 7F 60cm, 65cm, 8F introducer Benefit Amendment SJ074 SJ075 One size only Benefit Amendment 11cc, 23g Benefit Amendment SJ077 Riata Transvenous Tachyarrhythmia Lead Model 1580, Model 1581 Verity Adx Model XL SR 5157 M/S implantable pacemaker Verity Adx Models XL SR 5156 implantable 11cc, 23g Benefit Amendment SJ078 IsoFlex S, Models 1645K, 1643K, 1635K 34cm, 40cm, 46cm, 52cm, 58cm, 85cm, 7F Benefit Amendment SJ079 QuickSite Model 1056K Biventricular Cardiac Resynchronisation Device with AF suppression algorithm - Titanum Endocardial Steroid-Eluting Active Fixation Pacing Lead Tri-polar Active - Fixation, Steroid-Eluting, Single shock Coil Tachyarrhythmia; Lead Quadripolar, dual-coil, steroid eluting, active fixation tachyarrhythmia leads Single Chamber multi-programmable rate-adaptive pacing devices with extended longevity Single Chamber multi-programmable rate-adaptive pacing devices with extended longevity Endocardial, Steroid Eluting, Silicone, Passive Fixation Leads with Fast-Pass Coating Unipolar, Steroid Eluting, Titanium Nitride Electrode, Guidewire/Stylet-placed Left Heart Lead with FastPass Coating 75cm, 6F and 86cm, 6F Benefit Amendment SJ081 Benefit Amendment 34cm, 40cm, 46cm, 52cm, 58cm, 85cm, 7F, 120cm Benefit Amendment SJ084 Riata i Transvenous Tachyarrhythmia Lead Model 60cm, 65cm, 75cm, 8F introducer Benefit Amendment SJ089 SJ090 SJ091 Victory XL DR 5816 and DR 5810 Victory SR 5610 Premere PFO Closure System 44x52x6mm; 23.5g; 11cc 41x44x46mm 17g 8cc Left Atrial Anchor diameter 20mm, 25mm and 30mm Benefit Amendment Benefit Amendment Detail and Benefit Amendment SJ096 Riata ST 7000/7001/7002 60, 65cm 7F introducer Benefit Amendment SJ097 Isoflex P 1644T and 1648T 1648T - 34-85cm 1644T - 34-42cm Benefit Amendment SJ099 QuickSite 1056T Active fixation leads, Steroid Eluting, Dual Shock Coil Defibrillation Lead endocardial, Steroid Eluting, Silicone, Passive Fixation Pacing Leads with Fast-Pass Coating Active Fixation, Steroid Eluting, Single Shock Coil Defibrillation Lead Dual Chamber Rate Responsive Pacemakers single chamber rate responsive pacemaker Percutaneous, transcatheter, self-expanding, dual anchor, occlusion and apposition device Active-Fixation True-Bipolar, Dual-Coil, (7002 Single-Coil) Steroid-Eluting Steroid Eluting, Endocardial Defibrillation Leads Endocardial, Steroid Eluting, Polyurethane, PassiveFixation Bipolar Pacing Leads with Fast-Pass Coating Bipolar Steroid-Eluting, Titanium Nitride Coated Electrodes Guidewire/Stylet-Placed Keft Heart Lead with Fast-Pass Coating 60cm, 65cm, 75cm, 8F introducer SJ082 Riata i Transvenous Tachyarrhythmia Leads Model 1590/1591 Isoflex S, Models 1646T, 1642T and 1636T 75cm, 6F and 86cm, 6F Benefit Amendment SJ103 Zephyr XL DR 5826 and DR 5820 Dual Chamber Rate-Responsive Pacemaker 5826 - 23.5g, 11cc and 5820 - 18g, 8.5cc Benefit Amendment SJ076 Changed Items for Prostheses List Report Benefit Amendment Page 105 of 144 Billing Product Name Further Description Size Explanation of Change SJ105 SJ109 Zephyr SR 5620 Atlas II+ HF V-367 8cc, 17g 41cc, 79g Benefit Amendment Detail and Benefit Amendment SJ110 Riata ST Transvenous Tachyarrhythmia Leads 7040/41/42 and 7050/51/52 Single Chamber Rate-Responsive Pacemaker Cardiac Resynchronisation Therapy Defibrillator with V-V Timing Programmability Riata ST 7040/41 Passive-Fixation True-Bipolar, Dual-Coil, Steroid-eluting, Endocardial Defibrillation Leads, 7042 - Single Coil, 7050/51 - Integrated Bipolar, Dual Coil, 7052 - Integrated Bipolar, Single 60 - 75cm, 6.3 Fr, 7 Fr Introducer Benefit Amendment SJ114 SJ115 SJ117 SJ118 Atlas II VR-168 Atlas II+ DR V-268 Promote CRT-D 3107 OptiSense 1699T/1699TC 38cc, 77g 39cc, 78g 41cc, 80g 40-58cm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Benefit Amendment SJ120 Current DR RF 2207 80g, 42cc Detail and Benefit Amendment SJ121 SJ122 Current VR 1107-36 Riata ST Optim 7020/1/2 and 7030/1 Single chamber cardioverter defibrillator Dual Chamber Cardioverter Defibrillator Cardiac Resynchronisation Therapy Defibrillator Endocardial, Bi-polar Active-fixation Pacing Leads with Optim Insulation Dual Chamber Cardioverter Defibrillator with RF Telemetry Single Chamber Cardioverter Defibrillator 7020/1 - Active fixation, true bipolar, 7022 - Active fixation, true bipolar - single coil, 7030/1 - Active fixation, integrated bipolar, dual coil steroid eluting endocardial defibrillation leads with Optim insulation overlay 38cc 76g 60, 65 and 75cm length and 7Fr introducer Detail and Benefit Amendment Benefit Amendment SJ123 SJ124 Current DR 2107 Current RF VR 1207-36 Dual Chamber Cardio-verter Defibrillator Single Chamber Cardioverter Defibrillator with RF Telemetry Endocardial Bipolar Steroid-Eluting Active Fixation Pacing Leads Bipolar, Steroid-Eluting, Titanium Nitride Coated Electrodes, Guidewire/Stylet-Placed Left Heart Lead with Fast-Pass Coating Proximal embolic protection device and delivery Cardiac Resynchronisation Therapy Defibrillator with RF Telemetry Endocardial Bi-polar Steroid-Eluting Active Fixation Pacing Leads Passive Fixation, True bipolar, Dual Coil, Steroid Eluting, Endocardial Defibrillation Leads with Optim insulation overlay Single-Chamber Rate-Responsive Pacemaker Steroid-Eluting Bipolar Sutureless Myocardial Pacing Lead with Titanium Nitride Electrodes Stented Porcine tissue valve 39cc 78g 79g, 41cc Detail and Benefit Amendment Detail and Benefit Amendment 40cm, 46cm, 52cm, 58cm, 65cm Benefit Amendment 75-86cm Detail and Benefit Amendment 6F and 7F 43cc, 82g Detail and Benefit Amendment Detail and Benefit Amendment 46-65cm Benefit Amendment 60, 65 and 70cm length, 7Fr introducer Benefit Amendment 23.5g and 10.4cc 35cm and 54cm Benefit Amendment Benefit Amendment Aortic Valves - Tissue Annulus Diameter - 21 29mm Mitral Valves - Tissue Annulus Diameter - 25-35mm Detail Amendment SJ125 Tendril ST 1788T/TC and 1782TC SJ126 QuickSite XL 1058T SJ127 SJ128 Proxis Embolic Protection System - Long Sheath Promote RF CRT-D 3213 SJ129 Tendril ST 1888TC and 1882TC SJ130 Riata ST Optim 7070/1 SJ131 SJ132 Zephyr XL SR 5626 Myodex 1084T SJ136 SJM Biocor Heart Valve Changed Items for Prostheses List Report Page 106 of 144 Billing Product Name Further Description Size Explanation of Change SJ139 Quickflex 1156T and XL 1158T Length 75 and 86cm Benefit Amendment SJ140 Myodex 1084T and FasTac Flex Lead Implant Tool Bipolar, Steroid-Eluting, Titanium Nitride Coated Elextrodes, Guidewire/Stylet-Placed Left Heart Lead with Fast-PassTM Coating Steroid -Eluting Bipolar Sutureless Myocardial Pacing Lead with Titanium Nitride Electrodes and Lead implant tool with articulating distal end. 35cm and 54cm, Lead implant tool - 44cm Benefit Amendment SJ142 Analyst VR CD1217-36 79g, 41cc Detail and Benefit Amendment SJ143 AnalyST Accel DR CD2219-36 80g, 42cc Detail and Benefit Amendment SJ144 AnalyST DR Model CD2217-36 80g, 42cm Detail and Benefit Amendment SJ145 Promote Accel CD3215-30 76g, 39cc Detail and Benefit Amendment SJ146 Isoflex 1944T & 1948T 46cm, 52cm, 58cm Benefit Amendment SJ147 Current Accel VR RF CD1215-36 79g, 38cc Detail and Benefit Amendment SJ150 Promote Accel RF CD3215-36 82g, 43cc Detail and Benefit Amendment SJ151 OptiSense Model 1999 40, 46 & 52cm Benefit Amendment SJ152 SJM Confirm Model DM2102 6.5cc, 12g Detail and Benefit Amendment SJ153 Current Accel DR RF CD2215-36 80g, 42cc Detail and Benefit Amendment SJ154 AnalyST Accel VR CD1219-36 79g, 41cc Detail and Benefit Amendment SJ157 Durata 7120, 7121, 7122, 7130, 7131 60, 65, 75cm Benefit Amendment SJ158 Durata 7170, 7171 Single Chamber Cardioverter Defibrillator with RF Telemetry and ST Segment Monitoring Dual Chamber cardioverter defibrillator with RF telemetry and ST Segment Monitoring Dual Chamber cardioverter defibrillator with RF telemetry and ST Segment Monitoring Cardiac Resyncronisation Therapy Defibrillator with RF Telemetry Passive-Fixation, Bipolar, Steriod Eluting, Endocardial Pacing Lead with Optim insulation Single Chamber Cardioverter Defibrillator with RF Telemetry Cardiac Resynchronisation Therapy Defibrillator with RF Telemetry Active-Fixation Bipolar, Steroid Eluting, endocardial, atrial pacing lead with Optim insulation Implantable cardiac monitor with atrial fibrillation monitoring. Dual Chamber Cardioverter Defibrillator with RF Telemetry Single Chamber Cardioverter Defibrillator with RF Telemetry and ST Segment Monitoring Active fixation bipolar, dual-coil/single coil Steroideluting Endocardial Defibrillation Leads Passive fixation, true bipolar, dual coil, steroid eluting, endocardial defibrillation leads with Optium insulation overlay 60, 65 and 70cm Benefit Amendment SJ159 SJM Confirm Model DM2100 Implantable cardiac monitor 6.5cc, 12g Detail and Benefit Amendment Tripole 8 (3208), Tripole 8C (3210) and Exclaim Tripole 16C - 3214, 3128, 3219, 3220, 3221 Length - 60cm 30-110cm Detail Amendment Detail Amendment Angio-Seal Haemostatic Puncture Closure Device, Models 6F-STS Platform and 6F STS Plus Angio-Seal Haemostatic Puncture Closure Device, Models 8F-STS Platform and 8F STS Plus Woven Bifurcated 6F Detail and Benefit Amendment 8F Detail and Benefit Amendment 18mm x 9mm - 24mm x 12mm Detail and Benefit Amendment Neurosurgical SJ137 SJ138 Lamitrode Leads - Tripole 8, Tripole 8C and Exclaim Lamitrode Lead - Tripole 16C Vascular CAG SJ014 SJ015 SJ042 Angio-Seal Vascular Closure Device - STS Platform and STS Plus Angio-Seal Vascular Closure Device - STS Platform and STS Plus Intergard W Changed Items for Prostheses List Report Page 107 of 144 Billing Product Name Further Description Size Explanation of Change SJ043 Intergard W Woven Aortic Arch Detail and Benefit Amendment SJ045 SJ046 SJ047 Intergard K Intergard K Intergard K Knitted Bifurcated Knitted Radially Supported Knitted Axillobifemoral SJ080 SJ094 Proxis Embolic Protection System Angio-Seal VIP SJ095 Angio-Seal VIP 8F Detail and Benefit Amendment SJ107 SJ112 SJ155 InterGard HemaBridge InterGuard UltraThin Knitted Angio-Seal Evolution Proximal embolic protection device and delivery Angio-Seal Haemostatic Puncture Closure Device Models 6F STS Platform, 6F STS Plus and 7F VIP Angio-Seal Haemostatic Puncture Closure Device Models 8F STS Platform, 8F STS Plus and 8F VIP Aortic Graft Radially Supported Straight Haemostatic Puncture Closure Device 6F-8F 24mm x 10mm x 8mm x 8mm x 50cm - 30mm x 10mm x 8mm x 8mm 12mm x 6mm - 24mm x 12mm 6mm x 70cm - 8mm x 60cm Diameter (mm) Length (cm) 8 x 8 100/60; 10 x 10 100/60; 8 x 6 x 6 85/55; 8 x 8 85/55; 8 x 8 100/55 7F and 8F 6F 20 x 10mm - 36 x 10mm diameter, 35 x 40cm length 6mm - 70cm to 8mm - 70cm 6F and 8F Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Fisch Incus Prostheses: short, medium, large, Titanium Fisch Neomalleus Prostheses, Titanium Fisch Total Prostheses: with foot, Titanium All Sizes 1.1x5mm 0.6x10mm Detail Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Stryker Australia Pty Ltd Ear, Nose & Throat ST795 ST796 ST798 Titanium Middle Ear Prostheses Titanium Middle Ear Prostheses Titanium Middle Ear Prostheses General Miscellaneous SK461 PainPump 2 Programmable or Preset pump with bolus option and digital display providing controlled infusion of a Local Anaesthetic directly into a surgical site for post-operative pain management 250ml & 400ml kits Detail and Benefit Amendment SR068 PainPump 2 Continuous Peripheral Nerve Block Kit & PainPump 2 BlockAid Kit Re-programmable & refillable pumps with bolus option nd digital display providing controlled infusion of a local anaesthetic directly innervating the surgical site for post-operative pain management. 400ml kits Detail and Benefit Amendment SR069 Painpump 2 Programmable pump with bolus option and digital display providing controlled infusion of a local anaesthetic directly into dual surgical sites for postoperative pain management 250ml & 400ml Dual Site kits Detail and Benefit Amendment 3.5mm x 10mm - 40mm 4.0mm x 10mm - 50mm 10cc Detail Amendment 1" x 1" (2.5cm x 2.5cm) 1" x 3" (2.5cm x 7.5cm) 4" x 5" (10cm x 12.5cm) Detail Amendment Detail Amendment Detail Amendment Neurosurgical SK225 Oasys-Occipito Cervico Thoracic System Multiaxial Screw SK426 Cortoss Vertebral Augmentation Kit SK492 SK493 SK494 DuraMatrix DuraMatrix DuraMatrix Cortoss Cement 10cc, Delivery Gun, Mix Tips, Percutaneous Administration Kit Resorbable Collagen Dura Substitute Membrane Resorbable Collagen Dura Substitute Membrane Resorbable Collagen Dura Substitute Membrane Changed Items for Prostheses List Report Detail Amendment Page 108 of 144 Billing Product Name Further Description Size Explanation of Change SK495 SK496 SR042 ST712 Dura Matrix DuraMatrix MANTIS Solis Cervical Cage Resorbable Collagen Dura Substitute Membrane Resorbable Collagen Dura Substitute Membrane Screw, Cannulated, Multiaxial, Ti PEEK Cervical Interbody Cage 3" x 3" (7.5cm x 7.5cm) 2" x 2" (5cm x 5cm) 4.5mm - 7.5mm x 25mm - 60mm 12/4-12/9 and 14/4-14/9 Detail Amendment Detail Amendment Detail Amendment Detail Amendment PMMA Oncology Femoral Stem - Vitallium GMRS Adaptors Male/Female Taper, Titanium/Forged Cobalt Chrome Neck for the ABGII stem Neck for Rejuvinate SPT Stem Chobalt-Chome; HA Coated; Anatomic Dual Mobility Cup Cancellous bone screw, Titanium Bipolar shell and polyethylene insert (factory Assembled) Cement restrictor Polyethylene 6,9 and 12 Leaf 127mm and 203mm length 11, 13, 15, 17mm diameter Male Taper; Female Taper Detail Amendment Detail Amendment Detail Amendment Long & Short 30-38mm Left and Right; 48-46mm Detail Amendment Detail Amendment Detail Amendment 6.5mm & 5.5mm dia ID 22, 26, 28, 32mm dia Detail Amendment Detail Amendment Universal and sizes 1-8 Detail Amendment Orthopaedic HW001 HW247 SK172 Hardinge Cement Restrictor Howmedica Modular Resection System Howmedica Modular Resection System SK444 SK446 SK500 ABG II Modular Hip System Rejuvinate SPT Femoral Hip System Restoration ADM Cup (Anatomic Dual Mobility) ST545 ST566 Osteonics hip prostheses Osteonics hip prostheses ST582 Osteonics hip prostheses Plastic and Reconstructive SR040 Universal Quick Flap System Sterile pack containing 3 x Titanium 2 hole plates (SK356), 6 x Viper self drilling 1.5 x 4mm screws (SK301) . Detail and Benefit Amendment SR041 Universal Quik Flap System Sterile pack containing, 3 x Titanium 2 hole Plates (SK356), 6 x self-tapping screws 1.5 x 4mm . Detail and Benefit Amendment Wire mesh - Stainless Steel Distal Component - Vitallium Circlip - Vitallium Plug Screw Axis - Vitallium Wedge - Vitallium Bearing - Vitallium Humeral Bearing - Vitallium Humeral Head Fixed - Vitallium Distal Humerus Cone - Vitallium Distal Humerus Flange - Vitallium Humerus Connection Piece - Vitallium Humerus Connecting Screw - Vitallium Humerus Hex Socket Bolt - Vitallium 50 x 50mm 30 to 55mm in 5mm increments One size only One size only One size only One size only One size only One size only One size only One size only One size only One size only One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Specialist Orthopaedic HW049 HW186 HW199 HW200 HW202 HW203 HW213 HW214 HW216 HW217 HW218 HW219 HW220 Trochanteric Mesh First Step High Tibial Osteotomy System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Changed Items for Prostheses List Report Page 109 of 144 Billing Product Name Further Description Size Explanation of Change HW221 HW222 HW223 HW224 HW254 HW255 HW256 Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System Howmedica Modular Resection System HMRS Oncology Humeral Head/Cap Howmedica Modular Resection System HMRS Oncology Humeral Stem Humerus Extension Piece - Vitallium Humeral Anchorage Piece - Vitallium Ulna Joint - Vitallium Humeral Axis - Vitallium Cobalt Chromium Oncology Humeral Body - Titanium Cobalt Chromium Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment HW257 HW258 HW259 HW260 HW274 HW297 HW298 HW299 HW302 HW303 HW305 HW306 HW307 HW308 HW309 HW310 HW311 HW313 HW315 HW317 HW318 HW319 HW328 HW330 HW331 HW332 HW333 Wichita Fusion Nail System Wichita Fusion Nail System Wichita Fusion Nail System Wichita Fusion Nail System Alta Modular Trauma System - Components Asnis Guided Screw System Asnis Guided Screw System Asnis Guided Screw System Dall Miles Cable Grip System - Stainless Steel Dall Miles Cable Grip System - Stainless Steel Dall Miles Cable Grip System - Stainless Steel Dall Miles Cable Grip System - Stainless Steel Dall Miles Cable Grip System - Stainless Steel Dall Miles Cable Grip System - Stainless Steel Dall Miles Cable Grip System - Vitallium Dall Miles Cable Grip System - Vitallium Dall Miles Cable Grip System - Vitallium Dall Miles Cable Grip System - Vitallium Dall Miles Cable Grip System - Vitallium Rutherford Staple Rutherford Staple Rutherford Staple Howmedica Dynamic Joint Distractor Omega Plus Compression Hip Screw System Omega Plus Compression Hip Screw System Omega Plus Compression Hip Screw System Omega Plus Compression Hip Screw System Femoral Component - Vitallium Tibial Component - Vitallium Compression Screw - Vitallium Transverse Screw - Vitallium Cortical Screw/Screw Nut Assembly - Titanium Guide Pin, Stainless Steel Washer, Stainless Steel Washer - Titanium Stainless Steel: Trochanter Grip - Stainless Steel Stainless Steel: Cable & Sleeve - Stainless Steel Stainless Steel Plate:5 hole - Stainless Steel Stainless Steel Plate:7 hole - Stainless Steel Stainless Steel Plate:9 hole - Stainless Steel Stainless Steel Plate:11 hole - Stainless Steel Vitallium: Cable - Vitallium Vitallium: Sleeve - Vitallium Vitallium: Trochanter Grip - Vitallium Vitallium: Grooved Button - Vitallium Vitallium: Cable and Sleeve - Vitallium Ellison Arched Staple, Vitallium Ellison Flat Staple, Vitallium Ellison Soft Tissue Retainer, Vitallium Complete Straight Body Frame - Stainless Steel Hip Sideplate - Standard Barrel - Stainless Steel Hip Sideplate - Short Barrel - Stainless Steel Supracondylar Sideplate - Stainless Steel Lag Screw - Standard - Stainless Steel 5, 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165mm 9, 10, 11, 12mm One size only One size only 40, 44mm, Cap 40 - 140mm in 20mm increments 7x75mm, 7x115mm, 9x75mm, 9x115mm, 11x115mm, 25mmx75mm, 25mmx100mm, 50mmx75mm, 50mmx100mm,75mmx100mm, 100mmx50mm 18mm 12mm One size only 30-60mm in 5mm increments 5mm 1.4,2.0,3.2mm One size only 4, 5, 6.5,8mm Small, Medium, Large 1.6 and 2mm 6 inches 8 inches 10 inches 12 inches 1.6 and 2mm 1.6 and 2mm Small, Medium and Large One size only 1.6 and 2mm 9,12,15mm x 23mm 8,11,14 x 23mm 8,11,14mm One size only 2,3,4,5 hole 130-150 degrees 6,8,10,12 hole 130-150 degrees 6,8,10,12,14 holes 50-130mm length Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 110 of 144 Billing Product Name Further Description Size Explanation of Change HW334 HW335 HW337 HW354 HW368 HW373 Omega Plus Compression Hip Screw System Omega Plus Compression Hip Screw System Omega Plus Compression Hip Screw System Metaizeau Nail Osteo Kirschner Wire Howmedica Mainstay Soft Tissue Anchor Lag Screw - Super - Stainless Steel Compression Screw - Stainless Steel Cancellous - Stainless Steel Stainless Steel K wire - Stainless Steel With suture - Titanium Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment HW374 HW375 Howmedica Mainstay Soft Tissue Anchor Howmedica Mainstay Soft Tissue Anchor Without suture - Titanium Zip anchor - Titanium HW377 HW378 HW379 HW380 HW381 HW404 Souter Strathclyde Elbow Souter Strathclyde Elbow Souter Strathclyde Elbow Souter Strathclyde Elbow Radial Head Prostheses First Step High Tibial Osteotomy System Humeral - Long stem, left and right Ulnar - Retentive, non retentive Revision Humeral - Custom, Long Stem Revision Ulnar - Custom, Long stem Radial Head - Small, Medium, Large Proximal Component SK006 SK007 SK008 SK009 SK014 SK015 Stryker Trauma Locking Nail System Hoffmann II External Fixation System Hoffmann II External Fixation System Hoffmann II External Fixation System Hoffmann II Hoffmann II SK016 Hoffmann II 2mm Detail Amendment SK017 SK018 SK019 SK020 SK021 SK023 SK024 SK038 SK045 Hoffmann II Hoffmann II Hoffmann II Hoffmann II Hoffmann II ACL Wedge Interference Screw Stryker Cross-screw Leibinger Titanium Implant system Hoffmann II Titanium - Humeral Nail Hoffmann II Compact -Compression/Distraction Rod Hoffmann II Compression/Distraction Tube Hoffman II Miami Post Hoffmann II Mini- Linking Pivot for 2mm & 3mm Hoffmann II Mini- Shank Straight Pin Holder - for 1.5mm & 2.0mm pins Hoffmann II Mini- Shank 'T' Offset Pin Holder - for 1.5mm & 2.0mm pins Hoffmann II Mini- 3 Hole Vise Hoffmann II Mini- Simple Swivel Clamp Hoffmann II Mini- Insulated Smooth Vise Hoffmann II Mini- Articulating Coupling Hoffmann II Mini- Adjustable Swivel Clamp Threaded titanium screw for ligament/tendon fixation Threaded titanium screw for ligament/tendon fixation Profyle hand and small fragment plate system Hoffmann II Mini- Shank Offset Pin Holder - for 1.5mm & 2.0mm pins 50-130mm length 25mm length 6.5mm dia 2-4mm x 400-500mm Diameter 1.0 - 2.0mm 4.5 anchor with #2 and #5 suture, 2.7 anchor with #0 suture 4.5, 3.5 and 2.7 anchor Sip 4.5 anchor with #5 suture and #2 suture 2 strands, zip 3.5 anchor with #2 suture and #0 suture 2 strands, zip 2.7 anchor with #0 suture Medium, Large 50 - 90mm (Non), 70 - 90mm (Retentive) A, B, C, D Small, Medium 8 - 15mm 5mm, 10mm and 15mm steps, 60-90mm in 5mm increments Dia 7,8,9mm length 140 - 320mm One size only One size only One size only One size only 2, 3 mm One size only One size only One size only 3x3, 2x3 One size only Dia 7 - 12mm, length 20 - 40mm 8mm x 40-60mm 2.3mm system L, compr 10 hole T bar 2, 3mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 111 of 144 Billing Product Name Further Description Size Explanation of Change SK046 Stryker Wedge Interference Screw Dia 7 - 12mm, length 20 - 40mm Detail Amendment SK047 SK048 SK049 SK053 SK054 SK055 SK057 SK064 SK067 SK069 SK070 SK071 SK073 SK074 SK075 SK077 SK081 SK082 SK083 SK084 SK086 SK088 SK094 SK095 SK096 SK097 SK098 SK099 SK100 SK102 SK103 SK105 SK106 Stryker Wedge Interference Screw Stryker Cuff Anchor Stryker Plating System Stryker Plating System Screws - Cancellous Stryker Plating System Screws - Cancellous Matta Pelvic System Matta Pelvic System Skryker Plating System Matta Pelvic System Matta Pelvic System Matta Pelvic System Matta Pelvic System Matta Pelvic System Matta Pelvic System Stryker Plating System Basic Fragment Set Stryker Plating System Basic Fragment Set Stryker Plating System Small Fragment Set Stryker Plating System Small Fragment Set Stryker Plating System Small Fragment Set Stryker Plating System Small Fragment Set Stryker Plating System Screws Stryker Plating System Basic Fragment Set Stryker Plating System Small Fragment Set Stryker Plating System Screws Stryker Plating System Screws Stryker Plating System Screws Stryker Plating System Small Fragment Set Stryker Plating System Small Fragment Set Stryker Plating System Stryker Plating System Small Fragment Set Stryker Plating System Stryker Plating System Screws Stryker Plating System Screws Threaded bioabsorbable screw for ligment/tendon fixation Threaded biosteon screw for ligment/tendon fixation Titanium anchor kit for soft tissue reattachment Cancellous bone screws 6.5mm Diameter, full and partial thread 6.5mm Diameter, full and partial thread Straight acetabular plate Straight acetabular plate Matta Pelvic Plates Curved Pelvic Plate Radius 108 Curved Pelvic Plate Radius 108 Curved Pelvic Plate Radius 108 Curved Pelvic Plate Radius 88 Curved Pelvic Plate Radius 88 Curved Pelvic Plate Radius 88 4.5mm Reconstruction Plate 4.5mm Reconstruction Plate Waisted compression plate Waisted compression plate Standard compression plate Standard compression plate Cortical bone screws 4.5mm diameter Waisted Compression Plate Broad Calcaneal Plate Cortical bone screws 4.5mm diameter Cortical bone screws 4.5mm diameter Cortical bone screws 4.5mm diameter Stainless steel, reconstruction plate One Third Tubular Plate with Collar Small Fragment Plates Cloverleaf Plate Cortical bone screws Cortical bone screws Cortical bone screws Dia 7 - 12mm, length 20 - 40mm Length 5-8mm 4.0mm diameter, 8 - 150mm lengths Length 55-95mm Length 100-150mm 10-14 Holes 15-20 Holes Curved, Straight and Symphysis Pubis 2 - 30 hole 4-9 Holes 10-14 Holes 15-20 Holes 4-9 Holes 10-14 Holes 15-20 Holes 3-9 Holes 10-16 Holes 2-10 Holes 11-20 Holes 2-9 Holes 10-20 Holes 22-38mm 15-26 Holes 70-80mm 40-64mm 65-95mm 100-150mm 10-22 Holes 9-14 Holes T-Plates 2 - 10 hole 6-10 Holes 2.7mm diameter, 22 - 80mm lengths Dia 3.5mm, screw length 10-20mm Dia 3.5mm, screw length 22-38mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 112 of 144 Billing Product Name Further Description Size Explanation of Change SK107 SK110 SK117 SK154 SK155 Stryker Plating System Stryker Plating System Leibinger Screws Stryker Cross-Screw Wedge Interference screw 3.5mm diameter, 40 - 150mm lengths 2 - 22 Holes 1.5 - 2.0mm Diameter Dia 6mm: Length 40-60mm Dia 7-12mm, Length 20-40mm; pin length standard Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SK176 Stryker Cuff Anchor Dia 3 - 8mm Detail Amendment SK177 SK199 SK201 SK202 SK203 SK204 SK206 SK211 SK212 SK213 SK214 SK215 SK216 SK219 SK228 SK229 SK230 SK243 SK244 Stryker Cuff Anchor Stryker Trauma Locking Nail System Stryker Trauma Locking Nail System Stryker Trauma Locking Nail System Stryker Trauma Locking Nail System Stryker Trauma Locking Nail System Stryker External Fixation System Hoffmann II External Fixation System Hoffmann II External Fixation System Hoffmann II External Fixation System Stryker Trauma Locking Nail System Stryker Trauma Locking Nail System Stryker Trauma Locking Nail System Stryker Plating System Omega Plus Compression Hip Screw System Omega Plus Compression Hip Screw System Hansson Pin Gamma LN Stryker Intramedullary Hip Screw Cortical bone screws Compression Plates Tenxor Kirschner Wires HA/PLLA screw for ligament/tendon fixation Threaded PLLA screw with cross pin for ligament/tendon fixation Bio Zip PLLA anchor for soft tissue ligament/tendon fixation Glenoid Titanium anchor kit for soft tissue Proximal Humeral Nail Proximal Humeral Nail SCN SCN SCN Hoffmann II Micro Hoffmann II Micro Hoffmann II Micro Hoffmann II Micro Reconstruction Nail Reconstruction Nail Reconstruction Nail Periarticular Plates Cephalic Implants Cephalic Implants Cephalic Implants Lag Screw - Titanium Gamma3 Long Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SK245 SK246 Gamma LN Gamma LN Locking Screw - Titanium Standard - Titanium SK247 SK248 SK256 SK337 SK364 SK365 Gamma LN Gamma LN TwinFix Cannulated Compression Screw System Stryker Trauma Locking Nail System Hoffman II External Fixation System Hoffman II External Fixation System Set Screw - Titanium Proximal/Extension Plug - Titanium Dia 2 - 3mm Nail Left/Right Proximal Humerous Washer round/square Diameter 11m - 14mm, Length 170mm - 240mm Condyle Screws 5mm x (40mm-120mm) Nut for Condyle Screws 5mm Couplings, Rod to rod, Pin to Rod and Multipin Carbon rods 3mm (30-120mm) Stainless steel rods 3mm x (30-120mm) K-wire Recon Nail Left/Right Recon Lag Screw Blocking Screw 2 - 18 holes, 3.5 - 6.5mm Diameter Hansson Twin Hook 50-140mm Hansson Twin Hook Compression Screw 25mm Hansson Pin 70-140mm 10.5mmx70mm - 10.5mmx130mm 120, 125, 130 Deg; Diameter 10-13mm; Length 280420mm 5x25mm - 5x95mm 120, 125, 130 Deg; Diameter 10-12mm; Length 170200mm 8x17.5mm 0mm, +5mm, +10mm Diameter 3.2mm, lengths 14-34mm Arthrodesis Nail Left/Right; 11.5mm and 13mm Sterile Tibia Kit Sterile Ankle Kit Changed Items for Prostheses List Report Arthrodesis Nail - Knee Hoffman II Sterile Pre-Packs Hoffman II Sterile Pre-packs Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 113 of 144 Billing Product Name Further Description Size Explanation of Change SK366 SK368 Universal Distal Radius System Stryker Plating System Universal SMARTLook Locking Plates SPS Locking Plate System Detail Amendment Detail Amendment SK369 SK373 SK374 SK375 Stryker Locking Plate System Hoffman II External Fixation system Hoffman II External Fixation System Hoffman II External Fixation System Variax Screws and Pegs Hoffman II MRI Hoffman II MRI Hoffman II MRI Coupling SK377 SK378 SK379 SK381 SK383 Stryker Plating System Hoffman II External Fixation System Stryker Plating System Stryker Plating System Stryker Plating System SPS Locking Plate System Hoffman II Sterile Pre-Packs SPS Locking Plate System Stryker locked plating system SPS Locking Plate System SK390 SK391 Hoffman II External Fixation System Leibinger Universal Distal radius System SK392 SK393 Stryker Locking Plate System Hoffman II External Fixation System Hoffman II MRI Universal Distal Radius SMARTLock Column Locking Plates Svariax Screws & Pegs Hoffman II MRI Standard, Narrow and Wide in Long and short Distal Medial and Lateral tibia 3 Holes to 10 Holes left and right 1.7 - 3.5mm diameter 10 - 70mm long Pelvic Clamp Posts 8mm and 5mm Pin to Rod, Rod to Rod, Tube to Rod, Pin Clamp Assembly Distal Femur - 4 holes to 16 holes, Left and Right Sterile Pelvic Kit Proximal Humerus 3 Holes to 10 Holes Left and Distal Humerus, Lateral and Medial, 1-8 holes Proximal Tibia, Lateral and Medial, 4 hole to 12 holes, left and right Compression/Dystraction Tube, Dynamisation Tube Radial Column - Long and Short; Ulna Column - Long and Short, Left and Right 1.7mm - 3.5mm diameter 10mm - 50mm long 8mm Connecting rod (100mm - 500mm), 5mm Connecting rod (100mm - 500mm), Semi Circular Curve Rod SK395 SK398 SK399 SK400 Stryker Plating System Trochanteric Grip Trochanteric Grip Trochanteric Grip Locking Screws: 3.0mm - 6.5mm diameter 100mm - 200mm 110mm - 210mm Small, Medium and Large Detail Amendment Detail Amendment Detail Amendment Detail Amendment SK401 Trochanteric Grip Small, Medium and Large Detail Amendment SK402 SK403 SK427 SK449 SK450 Trochanteric Grip Trochanteric Grip Solar Reunion Humeral Fracture System Stryker Plating System T2 Ankle Arthrodesis Nail 100mm - 200mm 110mm - 210mm Short & Long 2 Hole to 22 Hole 10, 11, 12mm Diameters & 150,200 & 300mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SK451 SK452 XCEL Anchor Stryker Plating System 2mm-10mm 2.7mm - 4.5mm Diameter8mm - 150mm Length Detail Amendment Detail Amendment SK454 SK462 VariAx Plate Stryker Compression Hip Screw System Narrow & Standard; Short & Long; Right & Left 130-150 degree, 2-12 gike, 47-207 mm Detail Amendment Detail Amendment Changed Items for Prostheses List Report SPS Locking Plate System Dall-Miles Trochanteric Grip Plate Dall-Miles Trochanteric Grip Plate Dall-Miles Trochanteric Grip with 2 Stainless Steel Cables Dall-Miles Trochanteric Grip with 2 Chrome Cobalt Cables Dall-Miles Trochanteric Grip Plate, with 2 Cables Dall-Miles Trochanteric Grip Plate, with 2 Cables Solar Reunion Humeral Fracture System Locking Compression Anatomical Shape T2 Ankle Arthrodesis Type II Anodized Titanium Alloy (Ti6A14V) Bio-absorbable Suture Anchor Self-Tapping/Cortical Sterile ScrewsStainless Steel or Titanium Alloy Volar Plate, Polyaxial Locking Omega3 compression Hip screw Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 114 of 144 Billing Product Name Further Description Size Explanation of Change SK463 SK464 SK465 SK483 SK484 SK485 Stryker Compression Hip Screw System Stryker Locking Plate System Stryker Intermedullay Nailing System HA Apex Pins Stryker Cannulated Screw System Hoffmann Xpress - Universal Pin Clamp Omega3 Supracondylar Plate Screw; Locking, Cancellous & Cortical T2 Retrograde/Antegrade/Compression Nails HA coated bone screw Asnis III Cannulated screws Hoffmann Xpress External Fixation Device Adapted to fit the needs of medically trained staff of such occupations as the Armed Forces 95 hole, 6-14 hole, 111-239mm Diameter 1.2 to 2.7mm, Length 2mm to 48mm 7-15mmDiameter, 140 to 480mm lengths 4-6mm diameters, various lengths. 4.0 - 8.0 mm diameter One size to fit the Rod to Rod Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SK486 Hoffmann Xpress - connecting tube Hoffman Xpress External Fixation Device - Adapted to fit the needs of medically trained staff of such occupations as the Armed Forces 15 mm diameter / 150 to 440 mm in length Detail Amendment SK487 Hoffmann Xpress - 5 Pin Clamp Posts Hoffmann Xpress External Fixation Device - adapted to fit needs of medically trained staff of such occupations as the Armed Forces 2 categories, a 1 post clamp and a 2 post clamp Detail Amendment SK490 U-Blade U-Blade Lag Screw Set Detail Amendment SK491 SK499 SR055 SR058 SR071 SR072 U-Blade End Cap Stryker Locking Plate system Stryker Locking Plate System Stryker Cannulated Screw System Stryker Locking Plate System Dall miles Trochanteric grip with divergent hooks SR073 SR075 ST003 ST004 ST005 ST006 ST007 ST008 Stryker Locking Plate System Stryker Locking Plate System Stryker Plating System Screws - Cortical 2.7 & 3.5 Stryker Plating System Screws - Cortical 4.5mm Stryker Plating System Screws - Cancellous Stryker Plating System Screws - Cancellous 4.0mm Stryker Plating System - K Wires Stryker Plating System Small & Basic Fragment Compression Plate Stryker Plating System Small & Basic Fragment Calcaneal Plate Stryker Plating System Small Fragment Set Solar - Dual Offset Humeral Head Stryker Trauma Locking Nail System: Compression Screw Stryker Plating System Small & Basic Fragment - T Plate U-Blade Lag Screw End Cap Variable angle locking plate for olecranon fractures Plates including Locking, Standard & Compression Asnis Micro Cannulated screw Calcaneus Locking Plates stainless steel dall miles trochanteric grip with diverging proximal hooks Screw; Locking, Cancellous & Cortical Locking Plates Stainless Steel/Titanium Titanium or Stainless Steel 6.5mm Stainless Steel or Titanium Stainless Steel or Titanium, Full or Partial Thread Stainless Steel or Titanium Narrow or Broad All Gamma 3 U-Blade's are 10.5mm in diameter, ranging from 70-130mm in 5mm increments One size 9mm x 10.5mm (diameter) All lengths Straight, Curved, L, T, Y & 3-D 2.0mm-3.0mm, Diameters, 8mm-40mm lengths Small, Medium & Large small, medium, large 43-53mm Diameter 2.7 to 3.5mm, Length 10mm to 70mm Straight, Curved, H, T, L & 3-D Diameter 2.7mm, screw length 8-20mm 10-20mm 20-50mm 10-60mm Screw Length 150mm length in 1.25, 1.6, 2.0mm diameter 2-20 holes, 26-260mm plate length Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Stainless Steel or Titanium 50-60mm Detail Amendment Stainless Steel Cobalt Chrome Titanium 4-9 Holes 40-50mm diameter, 15-21mm thickness One size only Detail Amendment Detail Amendment Detail Amendment Oblique T Plate or T Plate, Stainless Steel or Titanium, Oblique 42-86mm Length Detail Amendment ST017 ST025 ST027 ST035 ST036 Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 115 of 144 Billing Product Name Further Description Size Explanation of Change ST037 ST038 ST039 Stryker Plating System SmallFragment Set Stryker Plating System - Reduction Pin Stryker Plating System Small & Basic Fragment - L Plate Stryker Plating System - Washers & Nuts One Third Tubular Plate with Collar 4.5mm Diameter, Stainless Steel Stainless Steel or Titanium, Left or Right 2-8 Holes One size only 3-20 Holes, 67-339mm Plate Length Detail Amendment Detail Amendment Detail Amendment Stainless Steel or Titanium Detail Amendment Waisted Compression Plate Broad Titanium ST045 ST051 ST672 ST673 ST674 ST675 ST676 ST722 Stryker Plating System Basic Fragment Set Stryker Trauma Locking Nail System: Locking Screw with & without shaft Stryker Trauma Locking Nail System: End Cap Stryker Plating System Small Fragment Set Osteonics Solar Shoulder Prostheses Osteonics Solar Shoulder Prostheses Osteonics Solar Shoulder Prostheses Osteonics Solar Shoulder Prostheses Osteonics Solar Shoulder Prostheses Leibinger Titanium Implant System Nuts 5.0 or 4.5mm thickness; Washers 7 - 13mm diameter 6-14 holes 20-120mm Standard, +5, +10, +15 3-5 Holes 40-55mm by 12-34mm 40,45,50mm Diameter by 15, 18, 21mm Thickness 3,5,7,9,11 5,7,9,11 22mm with 0, +2 and +4mm neck lengths 1.2mm system, 4x2 holes Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ST730 ST738 Leibinger Titanium Implant System Leibinger Titanium Implant System 1.7mm, 6 holes 1.7mm system, 2x2 holes Detail Amendment Detail Amendment ST741 Leibinger Titanium Implant System 1.7mm system, 4x2 holes Detail Amendment ST764 Leibinger Titanium Implant System 2.3mm system, 4x2 holes Detail Amendment ST783 Leibinger Titanium Implant System Diameter 2.3mm, Length 8mm - 22mm Detail Amendment ST786 Leibinger Titanium Implant System 4 holes Detail Amendment ST787 Leibinger Titanium Implant System 6 holes Detail Amendment ST788 ST818 ST819 ST820 ST830 Leibinger Titanium Implant System Osteonics Solar Elbow System - humeral assembly Osteonics Solar Elbow System - long humeral Osteonics Solar Elbow System - ulna component Stryker Wedge Interference Screw 1 - 4 holes Standard, large Standard, large Small, standard, large Diameter 7 - 9mm, Length 20 - 25mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ST877 ST884 ST885 Osteonics Solar Shoulder Prostheses Apex Pins Howmedica Dynamic Joint Distractor 22mm with 0, +2 and +4mm neck lengths 2 - 6mm One size only Detail Amendment Detail Amendment Detail Amendment ST040 ST041 ST043 Changed Items for Prostheses List Report Titanium Cloverleaf Plate Humeral head polyethylene Dual offset humeral head polyethylene Humeral stem polyethylene Glenoid component polyethylene Solar bipolar humeral inner head, cobalt chromium Leibinger profyle hand & small fragment system, fixation plate, 3D plate, titanium Hand system, fixation plate, L-shape, right/left Leibinger profyle hand & small fragment system, fixation, 3D plate, titanium Leibinger profyle hand & small fragment system, 3D plate, titanium Leibinger Profyle Hand & Small Fragment System, fixation plate, 3D plate, Titanium Leibinger Forefoot Reconstruction System, screw, Titanium Leibinger Forefoot Reconstruction System, straight plate, Titanium Leibinger Forefoot Reconstruction System, straight plate, Titanium Leibinger System, anatomical shap, Titanium Titanium alloy with polyethylene bushing Titanium alloy with polyethylene bushing Titanium alloy Small threaded titanium screw for ligament/tendon fixation Solar bipolar humeral outer head, cobalt chromium Stainless Steel Orthopaedic Pins Y Body Assembly - Stainless Steel Detail Amendment Detail Amendment Page 116 of 144 Billing Product Name Further Description Size Explanation of Change ST886 ST888 ST889 ST890 ST892 ST935 ST936 ST937 ST938 ST939 ST940 ST942 Howmedica Dynamic Joint Distractor Howmedica Dynamic Joint Distractor Howmedica Dynamic Joint Distractor Steinmann Pins Hoffmann II Compact External Fixation System Hoffman II External Fixation System Hoffman II External Fixation System Hoffman II External Fixation System Hoffman II External Fixation System Hoffman II External Fixation System Hoffman II External Fixation System Hoffman II External Fixation System One size only One size only One size only 7,9" One Size Only 8/8mm 8/4, 5mm One size only One size only 8mm x 65-500mm 8mm x 65-500mm Small, Medium, Large Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ST943 ST945 ST946 ST947 ST948 ST949 ST950 ST951 ST952 ST953 ST954 Hoffman II External Fixation System Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System Long, short 15mm 20mm 25mm 15mm 20mm 25mm 15, 20, 25mm 15, 20, 25mm 15, 20, 25mm 15, 20, 25mm, 15/20mm, 20/25mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ST955 Monotube External Fixation System One size only Detail Amendment ST962 ST963 ST964 ST965 ST966 ST967 ST968 Monotube External Fixation System Monotube External Fixation System Monotube External Fixation System TenXor External Fixation System TenXor External Fixation System TenXor External Fixation System TenXor External Fixation System 150, 200, 250, 300mm 150, 200, 250, 300mm 150, 200, 250, 300mm 150, 180, 210, 250mm One size only One size only One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ST970 TenXor External Fixation System Pin Stop Collar - Stainless Steel Complete Y Body Frame - Stainless Steel Straight Body Assembly - Stainless Steel Stainless Steel Pin clamp assembly with no post Anodised metal alloy, rod to rod coupling Anodised metal alloy, pin to rod coupling Anodised metal alloy, 30 deg angled post, stainless Anodised metal alloy, straight post, stainless steel Anodised metal alloy, aluminium connecting rod Anodised metal alloy, carbon connecting rod Anodised metal alloy, curved aluminium rod semicircular Anodised metal alloy, adjustable connecting rod Anodized metal alloy, dynamic tube assembly yellow Anodized metal alloy, dynamic tube assembly blue Anodized metal alloy, dynamic tube assembly red Anodized metal alloy, dynamic tube assembly yellow Anodized metal alloy, dynamic tube assembly blue Anodized metal alloy, dynamic tube assembly red Anodized metal alloy, pin clamp yellow, blue, red Anodized metal alloy, single pin clamp yellow, blue, Anodized metal alloy, T-Adapter yellow, blue, red Anodized metal alloy, tube to tube clamp yellow, blue, red, yellow/blue, blue/red Anodized metal alloy, hybrid clamp blue, hybrid clamp red Carbon tube yellow 015 Carbon tube blue 015 Carbon tube red 015 Anodized metal alloy, open ring Anodized metal alloy, ring clamp Anodized metal alloy, wire post, pin post Anodized metal alloy, ring to monotube triax tube clamp Anodized metal alloy, Monticelli Spinelli kirschner wire holder One size only Detail Amendment Changed Items for Prostheses List Report Page 117 of 144 Billing Product Name Further Description Size Explanation of Change ST971 ST972 TenXor External Fixation System TenXor External Fixation System Anodized metal alloy, with sliding clamp Anodized metal alloy,with sliding clamp and spacer One size only One size only Detail Amendment Detail Amendment 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 3mm diam 10-34mm length 4.0mm diam 26-60mm length, 6.5mm diam 40150mm length Diameter 2mm, Length 11-14mm; Diameter 2.7mm, Various Lengths; Diameter 3.0mm, Various Lengths 9 - 17mm diameter 70mm, 100mm, 200mm length 1.7mm diam 15-25mm length 8 & 10mm length Width 11mm - 30mm, Length 13mm - 32mm; Notched - Width 11mm - 30mm, Length 13mm 32mm; Detail Amendment Detail Amendment Surgical House Orthopaedic SU209 Plus Spinal Fixation System - Pedicle Screws Detail Amendment Specialist Orthopaedic SU006 SU007 Bold Compression Screw ICOS Screw: Ideal Compression Screw Cannulated titanium Cannulated titanium SU008 Spin Screw: Snap Off Screw Titanium SU009 SU010 SU011 SU012 SU013 Kalix K-Wire (Kirschner) Tac-Pin (Threaded) Solustaple Standard Staple Uni-Clip Compression Staple Flat foot implant titanium/UHMWP Stainless steel Compression pin-titanium Stainless steel 90 deg & 26 degree Stainless steel SU113 SU114 SU115 SU116 SU169 Hintegra Total Ankle Prosthesis Hintegra Total Ankle Prosthesis Hintegra Total Ankle Prosthesis Hintegra Total Ankle Prosthesis Hallu-Fix Plates SU177 SEM Rotator Cuff Tendon and Prosthesis for Tenoplasty Newdeal Reinforced Bendable Osteosynthesis Plates Right and left, sizes 1 - 6 Right and left, sizes 1 - 5 Sizes 1 - 5, thickness 5 - 9mm Length 12 - 42mm Hallu-C Plate left and right 40,45,50mm; Hallu-S Plate right 50,55mm, left 60mm 1, 2, 3, 4 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SU174 Tibial implant Talar implant Sliding insert Cortical fixation screw, Composition - Stainless Steel Composition - titanium, Hallu-C Plate: left and right, Hallu-S Plate: left and right Polyester To be used only 2 holes, 4 holes/77mm, 4 holes/112mm Detail Amendment SU178 Newdeal Bendable Osteosynthesis Plates To be used only 2-4 hole plates Detail Amendment SU179 Newdeal Bendable Osteosynthesis Plates To be used only 5 - 9 hole plates Detail Amendment SU180 Newdeal Distal Humeral Plates To be used only Left and right Detail Amendment SU181 Newdeal Femoral Osteosynthesis Plates Composition - 316L Stainless Steel. with Newdeal Screws/lock screws Composition - 316L Stainless Steel. with Newdeal screws/lock screws. Composition - 316L Stainless Steel. with Newdeal screws/lock screws Composition - 316L Stainless Steel. with Newdeal screws/lock screws Composition - 316L Stainless Steel. with Newdeal screws/lock screws To be used only 8/9/10 hole, left and right Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 118 of 144 Billing Product Name Further Description Size Explanation of Change SU182 Newdeal Distal Femoral Varus Osteotomy Plate One size only Detail Amendment 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 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 Detail Amendment SU184 Newdeal Proximal Humeral Plate '6 - 8 holes' Detail Amendment SU185 Newdeal HTO 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. Detail Amendment 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 Opening wedge HTO plates, left and right. Closing wedge HTO plates, left and right. Reinforced closing wedge HTO plates, left and right 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 SU188 SU191 SU193 SU194 SU195 SU196 SU201 SU202 SU203 SU204 SU205 SU206 SU207 Hintegra Total Ankle Prosthesis Hintegra Total Ankle Prosthesis Basal Osteotomy Plate Calcanea, Calcaneal Fracture Plate Calcanea Locking Screw Calcanea Variable Angle Screw Panta Arthrodesis Nail Panta Arthrodesis Nail Panta Arthrodesis Nail Uni-Clip Compression Staple (Sterile) Solustaple Standard Staple (Sterile) Spin Screw: Snap Off Screw (Sterile) B-BOP Plantar Basal Osteotomy Plate (Sterile) Talar Implant - Flat talar resection Tibial Implant Titanium Titanium Cortical Screw, Titanium Cortical Screw, Titanium Ankle Nail, Titanium Locking Screw, Titanium End Cap, Titanium Stainless Steel, Notched and Non-Notched Stainless Steel Titanium Titanium Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SU208 SU221 Bold Compression Screw (Sterile) Newdeal Surfix Style Screws SU222 Qwix Screw Cannulated Titanium Titanium bone screw +locking screw for the fixation of specific Newdeal bone plates Self drilling, self tapping, cannulated, titanium screws. Left - Size 1-5, Right - Size 1-5 Right & Left, Sizes 1 - 6, Thickness 8mm or 12mm 5 Deg, Left and Right, 10Deg, Left and Right Small, Medium, Large Diameter 3.5mm, Length 20mm to 45mm Diameter 3.5mm, Length 20mm to 45mm Diameter 10 -13 mm Length - 150-240 mm Diameter 5 mmLength - 20 - 110 mm One Size Width 11-30mm, Length 13-32mm 26°, 90°, 8-10mm Diameter 2-3mm, Length 10-34mm Moderate Correction(5°) Left, Right. Severe Correction (10°) Left, Right 10-34mm Diameter 3.5mm, Length 10-50mm; Diameter 4.5mm, length 14-65mm; Diameter 6.5, length 20-100mm Diameter 3.0mm-7.5mm, length 10mm-120mm Titanium Compression Screw, Cannulated 1-1.5mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Surgical Specialties Specialist Orthopaedic SQ017 CBS Screw Changed Items for Prostheses List Report Page 119 of 144 Billing Product Name Further Description Size Explanation of Change Surgiplas Medical Plastic and Reconstructive SP010 SP011 Nagor Tissue Expander Nagosil SFS-LP-Saline Filled Low Profile Smooth Surface Breast Prostheses, Nagosil SFS-HP-Saline Filled High Profile Smooth Surface Breast Prostheses Remote port - silicone shell Smooth surface 10 to 2000cc 100 to 600cc Detail Amendment Detail Amendment SP012 Nagotex SFX-LP-Saline Filled Low Profile Textured Surface, Nagotex SFX-HP-Saline Filled High Profile Textured Surface Breast Prostheseses Logic Distraction System Gel Filled Mammary Prosthesis Models GFX-LP, GFX and GFX-EHP Gel Filled Mammary Prosthesis Models CoGel-XR, CoGel-XRH, CoGel-XL, CoGel- XM and CoGel XA OsteoMed Plating & Fixation System Textured surface 100 to 600cc Detail Amendment Distractor, spacers & activation set Textured Round Straight, Curved 18-52mm 80 to 800ml Detail Amendment Detail Amendment CoGel High Cohesive 100 to 790gm Detail Amendment Plates 50 x 50mm Bioresorbable Mesh; Mesh 11 to 25 cm2 area Detail Amendment SP045 SP047 SP049 SP105 Specialist Orthopaedic SP029 OsteoMed Plating & Fixation System Plates - Fracture; Screws - Cannulated Lag 6 Hole Fracture Plate 47 - 52mm; 2 x 2 Hole Angled Fracture Plate; 3 x 3 Hole Angled Fracture Plate; 6.5mm x (30 -150)mm; 7.3mm x (30 - 150)mm Detail Amendment SP035 SP036 SP037 SP038 SP050 OsteoMed Plating & Fixation System OsteoMed Plating & Fixation System OsteoMed Plating & Fixation System OsteoMed Plating & Fixation System The Radius Plating System - Screws 2.0mm x (6 - 16)mm; 2.4mm x (6 - 20)mm 2.0mm x (18 - 42)mm; 2.4mm x (22 - 50)mm 3.0mm x (10 x 28)mm; 4.0mm x (12 - 30)mm 3.0mm x (30 x 40)mm; 4.0mm x (32 - 52)mm 2.7-3.0mm diameter screws, 8-38mm length. Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SP051 CONTOUR Hand Screws Screws - Cannulated Lag Screws - Cannulated Lag Screws - Cannulated Lag Screws - Cannulated Lag The Radius System - 2.7-3.0mm diameter Locking anchor, cancellous, bone screws. Screws Detail Amendment SP052 CONTOUR Hand Contour Hand - Plates 1.2, 1.7 and 2.3mm in diameter screws ranging between 4 and 24 mm in length. XS / S / M / L; straight plate 4-16 hole; Z plate, Y plate, T plate, L plate 5-9 hole; Straight plate, T plate with stabilizers 5-6 hole; Square, Grid-rectangular plate 4-8 hole; Straight, T, Y Compression Plate 4-7 hole; Condylar plate w/out stabilizer 5-6 hole. SP053 The Radius Plating System - Locking Plates Distal radius plate system Detail Amendment SP054 ExtremiFix Screws Headless Cannulated Compression Screw SP055 SP056 Hemi-Great Toe Implant Bio-Action Great Toe Implant SP057 Bio-Action Great Toe System Great Toe implant, Cobalt Chromium Bio-Action Phalangeal Implant, Titanium Alloy and UHMWPE. Bio-Action Metatarsal Implant Cobalt Chrome Fracture plates volar and dorsal 2.0mm thickness, left and right of short and long. Diameter 2.0mm, 2.4mm, 3.0mm, 4.0mm. Length 10mm to 52mm. XS, S, M, L Small neutral/ small modified/ large modified. Small neutral / small left/ small right/ large neutral Detail Amendment Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 120 of 144 Billing Product Name Further Description Size Explanation of Change SP061 Reflexion 1st MPJ Implant System Reflexion metatarsal stems, 3 part 1st MPJ reconstruction system, 2 part composition titanium/cobalt chrome, 1 part composition titanium/UHMWPE, Small, medium, large Detail Amendment SP062 Reflexion 1st MPJ Implant System Reflexion metatarsal heads, 3 part 1st MPJ reconstruction system, 2 part composition titanium/cobalt chrome, 1 part composition titanium/UHMWPE, Standard, long, extra-long Detail Amendment SP063 Reflexion 1st MPJ Implant System ReflexionPhalangeal Bases, 3 part 1st MPJ reconstruction system, 2 part composition titanium/cobalt chrome, 1 part composition titanium/UHMWPE, Small, medium, large Detail Amendment Locking Cap Plate - Special Manuf. Cervical Plate One Size >55 >55 Detail Amendment Detail Amendment Detail Amendment Injectable Bone Cement Injectable Bone Cement Fast Set Putty Fast Set Putty 5cc 10cc 5cc 10cc Detail Amendment Detail Amendment Detail Amendment Detail Amendment Titanium Emergency Release Pin Locking Plate - straight 1.5/2.0 Orbital Floor Plate Vertical mandibular, maxilla alveolar ridge distractor Three Quarter Mandible Full Mandible Full Mandible Ramus Hemi Mandible Sterile Rapid resorbable reconstruction plate One Size only 20 or 30 holes S, M, L 8-16mm One size One size only One size One size 1.0 to 1.99mm thick,15 to 32 holes Detail and Benefit Amendment Detail and Benefit Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Cloverleaf Calcaneal Reconstruction Plate Steel, left & right, T & L plates 3-6 hole, length 104mm Length 60 - 70mm 2 - 24hole 3-12 hole Detail Amendment Detail Amendment Detail Amendment Detail Amendment Synthes Australia Pty Ltd Neurosurgical SY448 SY454 SY519 Spinal Fixation System Cervical Spine Locking Plate (CSLP) System Vectra Anterior Spinal System Orthopaedic SY281 SY282 SY331 SY332 Norian® Norian® Norian® Norian® Plastic and Reconstructive SY345 SY347 SY391 SY399 SY408 SY409 SY410 SY411 SY510 Titanium Sternal Fixation System Titanium Sternal Fixation System PolyMax Resorbable Fixation System Alveolar Distractor Mandible External Fixator Mandible External Fixator Mandible External Fixator Mandible External Fixator CMF Rapid Resorbable fracture or reconstruction Specialist Orthopaedic SY016 SY017 SY018 SY019 AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates Changed Items for Prostheses List Report Page 121 of 144 Billing Product Name Further Description Size Explanation of Change SY020 SY023 AO/ASIF Plates AO/ASIF Plates 5-12 hole 3-13 hole Detail Amendment Detail Amendment SY024 SY029 SY030 AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates Spoon plate Steel, left & right, lateral, proximal, tibial, buttress, 4.5mm lateral tibial Cobra head straight & shaped plate DHS plates Detail Amendment Detail Amendment Detail Amendment SY033 SY034 SY035 SY036 SY037 SY038 SY040 SY041 SY046 SY049 SY050 SY051 SY052 SY053 SY054 SY056 SY057 SY059 AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Intramedullary Nails AO/ASIF Plates AO/ASIF Screws AO/ASIF Screws AO/ASIF K-Wires, Pins, Washers AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates Cortex Screws AO/ASIF K-Wires, Pins, Washers etc AO/ASIF Plates 8-11 hole 2.0mm - 2.7mm, 2 - 50 hole 130-150 deg/ 2-16 hole / 43-27mm length / barrel 25 38mm 2 - 28 hole 2-28 hole 2-28 hole 2-28 hole 2-28 hole 3-16 hole 4 Hole /blade 40 - 110mm / 90-130 deg 7.0mm-19mm dia 200-600mm length 2.0mm - 2.7mm 3.0mm dia / 8 - 40mm length 1.8mm buttress pin 12 - 30mm 4.0/3.0mm & 4.0 - 6mm / 80 - 250mm L 2.4mm 125-160deg 2-28 hole 50-145mm L 2.7mm - 5.0mm diameter, 5mm - 150mm length 2mm - 6mm 2mm - 50mm SY060 SY064 SY065 SY068 AO/ASIF Intermedullary Nails Titanium Elastic Nail Cortex Screw AO/ASIF Screws Detail Amendment Detail Amendment Detail Amendment Detail Amendment SY069 SY071 SY072 AO/ASIF Screws AO/ASIF Screws Steel AO/ASIF Screws Steel Cortex Screw Cancellous,- ligament, bunionectomy, full & short thread Malleolar Screws Cannulated screws Cannulated screws 7.0mm-19mm dia 200-600mm length 1.5mm - 4.0mm ≤2.7mm 4.0mm dia / 10 - 105mm Detail Amendment Detail Amendment Detail Amendment SY073 AO/ASIF Screws Steel 4.5mm cannulated screws SY074 AO/ASIF Screws Steel Cannulated screws 25mm - 110mm 2.7mm-4.49mm 1/3 thread & long thread / 10 - 50mm /4.0mm cannulated Short thread, 1/3 thread, full thread / 20 - 72mm, 4.5mm cannulated ≥4.50mm Changed Items for Prostheses List Report Semi tubular Broad DCP 4.5mm broad, DCP/LCDCP 1/3 Tubular plate Wrist fusion plate DHS Trochanteric stabilising plate Osteotomy plate - adult Femoral Nail condylar plate Mini cannulated screw Plate pin Seldrill Distal radius plate - volar plates - left & right DHS/DCS plate DHS/DCS lag screw Wire mount & spacer Unilock, angled, straight, T, Y, condylar, DCP, LCDCP, left & right, mandible and locking plates Cannulated and Solid Tibial Nail Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 122 of 144 Billing Product Name Further Description Size Explanation of Change SY076 SY082 SY085 SY087 SY089 SY091 SY092 SY093 SY097 SY100 SY101 AO/ASIF Screws Steel AO/ASIF Screws AO/ASIF Screws AO/ASIF K-Wires, Pins, Washers etc - Steel AO/ASIF K-Wires, Pins, Washers etc - Steel AO/ASIF k-Wires, Pins, Washers etc AO/ASIF K-Wires, Pins, Washers etc. AO/ASIF Plates AO/ASIF Plates - Steel AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates SY104 SY105 SY106 SY107 SY109 SY110 SY111 SY112 SY113 SY114 SY115 SY116 SY117 SY118 SY121 SY122 SY124 SY125 SY126 SY127 AO/ASIF Plates AO/ASIF Plates - Steel AO/ASIF Plates - Steel AO/ASIF Plates - Steel AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Plates AO/ASIF Intramedullary Nails AO/ASIF Intramedullary Nails AO/ASIF Intramedullary Nails AO/ASIF Intramedullary Nails Osteotomy plate - high tibial Condylar & small condylar, angled plate Angled blade plate DCS DHS plate DHS/DCS compression screw DHS/DCS locking device screw Specially manufactured plate Plate 2.0mm condylar 3.5mm - 5.0mm Straight DCP/LCDCP 3.5mm, T- PLATE - right & oblique angle 4.5mm recon plate T & L plate - left & right 4.5mm, head buttress plate lateral tibial left & right Condylar, angled plate Angled plate Proximal sleeve End cap Spiral blade Shaft screw Custom made 10-150mm L Diameter 5.0 - 7.3mm, 20-150mm L 0.06 - 3.0mm / length 70 - 400mm 0.25 & 15mm / dia .08 - 3.0mm & length 70-300mm Asymetric small and large 1.0mm - 16mm dia Custom made 4.5mm, 2 - 28 hole 3-12 hole 4 hole, 5-6 hole/30-40mm blade length/ 90 - 100 deg, 10- 20 mm displacement 90 deg, blade 40 - 60mm, displ 10 - 15mm Child, toddler & infant, 115 deg bifurcated, blade 25 45mm, 80 - 100 deg, 4 - 8mm offset, displ 7 - 12mm, height 49- 54mm 95 deg condylarprox tibia , 50-60 mm, displ 155 - 24 hole, blade length 50 - 90mm, 95 degree 3 - 26 hole, length 25 - 110mm, 90 - 130 degree 95 - 150 degree, 2 - 22 hole, length 25 - 38mm barrel 36mm length One size only 1.0mm - 6.5mm 1.0mm - 2.7mm Left & right 2-28 hole 2-8 hole 2-28 hole ≥4.5mm diameter 5 - 15 hole 4-22 hole 4-22 hole Standard 130 deg antigrade, spiral blade 0 - 40mm Length 20 - 150mm 5.0mm , length 70 - 125mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SY102 SY103 Cannulated implant Cancellous screws Cannulated screws K-wire single ended K-wires threaded Pinless pins/clips Washers/nuts Specially manufactured plate all sizes broad straight plate DCP/LCDCP 4.5mm Hook Plate Osteotomy Plate - Adult / LC angle blade / cannulated angle blade Osteotomy plate - adolescent Osteotomy plate - infant Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 123 of 144 Billing Product Name Further Description Size Explanation of Change SY128 SY129 SY130 SY131 SY132 SY153 SY161 SY162 SY163 SY164 SY165 SY166 SY172 SY173 AO/ASIF Intramedullary Nails AO/ASIF Intramedullary Nails AO/ASIF Arthrodesis system AO/ASIF Intramedullary Nails AO/ASIF Intramedullary Nails AO/ASIF Plates - Steel LCP Plate LCP Plate LCP Plate LCP Plate LCP Plate LCP Plate LCP Plate AO/ASIF Screws 8 - 9 mm , length 255 - 420mm 6.0 - 12.0 mm length 100 - 400mm 26 - 240mm 3.9 - 4.9mm , length 18 - 100mm 3.0mm-6.0mm Dia 10-150mm Length Dislocation 80-90 deg. blade length 35 - 40mm Dia 3.5mm, length 2-16 hole Dia 3.5 - 5.0mm, length 4-24 hole 1 - 24 hole Dia 5.0mm, length 4-22 hole Dia 5.0mm, length 2-8 hole Dia 3.5mm, length 3-12 hole Dia 3.5 - 5.0mm, length 2-20 hole Diameter 3.5 - 5.0mm, Length 8 - 100mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SY188 SY193 SY194 SY195 SY196 SY197 SY198 AO/ASIF Plates Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Tibial unreamed - steel Humeral Nail Arthrodesis Locking bolts - steel Locking bolts Osteotomy plate - shoulder 1/3 Tubular Plate Distal Tibial Plate, sterile/non-sterile Tibial Plate, Sterile/Non Sterile Distal Femoral Buttress Plate, Sterile/Non Sterile Tomofix Plate, Sterile/Non Sterile Locking Proximal Humeral Plate, sterile/non sterile Straight Plate, Sterile/Non Sterile Self drilling, Self Tapping, Conical Locking, Sterile/Non-Sterile Calcaneal, Locking Rod / Bar Curved and straight rod - carbon fibre Protective caps for rods, protection caps Rod/Bar Hybrid Rings Distractors and lengthening apparatus 3.5mm, 30 - 100mm 2.0mm-15.0mm dia 20.0mm-445mm L 4mm - 11mm One size only 450mm length - 650mm Length 11mm diameter 1/4 ring - 205mm diameter full ring Mini - lengthening apparatus, mini distractor/lengthening apparatus, medium and large distractor Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SY199 SY200 SY201 SY202 SY203 SY204 SY205 SY206 SY207 Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems 4-6mm Diameter 4-6mm Diameter 1.25-8.0mm Diameter 1.8-11mm Diameter 11mm Diameter 4-6mm Diameter 3-4mm Diameter 4.0mm 8 - 14mm diameter Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SY224 SY228 Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems External fixator clamps, double clamp External fixator clamps, transverse clamp External fixator clamps, clamp or open clamp External fixator clamps, clamp for hybrid External fixator clamps, tube to tube/universal clamp External fixator clamps, open/clip on clamp External fixator clamps, connecting clamp External fixator clamps, adjustable clamp External fixator clamp components, threaded rod, MRI Safe External fixator clamp components, angled piece External fixator clamp components, vice/connecting plate 1.25-11.0mm 1.25-8.0mm Detail Amendment Detail Amendment Changed Items for Prostheses List Report Page 124 of 144 Billing Product Name Further Description Size Explanation of Change SY230 SY233 SY234 SY236 SY237 SY238 SY239 Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems 1.25-6.0mm 3mm 3mm 1.25-6.0mm 1.25-6.0mm 1.25-6.0mm 1.25-8.0mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SY240 Orthopaedic External Fixator Systems 1.25-6.0mm Detail Amendment SY242 SY246 SY247 SY249 1.25-6.0mm 1.25-6.0mm 1.25-6.0mm 1.5, 2.0mm Diameter Detail Amendment Detail Amendment Detail Amendment Detail Amendment Foot & hand plates - steel - titanium multiple hole Cerclage Wire - coils with and without eye 1 - 4mm 0.4-2.5mm Detail Amendment Detail Amendment SY259 Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems Orthopaedic External Fixator Systems AO/ASIF K Wires, Pins Washers - Steel/Ti Sterile & Non Sterile AO/ASIF Plates A/O/ASIF K-wires, Pins, Washers etc - Steel - Sterile & Non Sterile Locking Distal Radius Plate System External fixator clamp components, intermediate External fixator clamp components, angle External fixator clamp components, angulator External fixator clamp components, halo with visor 3 degree, 6 degree, 11 degree. Medium, Large External fixator clamp components, connecting tube External fixator clamp components, angled piece with nut External fixator clamp components, bar for lower jaw for children External fixator clamp components, bar for upper jaw External fixator clamp components, sliding carriage External fixator clamp components, double joint Hybrid Pins - Spade point wires/reduction wires Small & Mini Fragment Plates - Volar Plate Detail Amendment SY262 SY263 SY264 SY265 SY266 SY270 SY276 SY277 SY279 SY280 SY283 SY284 AO/ASIF Intramedullary Nails AO/ASIF Intramedullary Nails AO/ASIF Intramedullary Nails AO/ASIF Intramedullary Nails AO/ASIF Screws AO/ASIFIntramedullary Nails Spine Cable System Spine Cable System Small & Mini Fragment Plates Small & Mini Fragment Plates LCP Plate LCP Plate Femoral Nail Hip Pin Distal Femoral Nail - DFN Locking Screws Malleolar Screws Antegrade/Retrograde Femoral Nail Single Lead Double Lead Locking Distal Radius Plate System Locking Distal Radius Ulna Column Plate System LCP Olecranon Plate, left and right, non sterile/sterile LCP Distal humerus plate, dorso-lateral, left and right, non sterile/sterile; LCP Distal humerus plate, dorso-lateral with support, left and right, non sterile/sterile; LCP Distal humerus plate, medial, left and right, non sterile/sterile LCP - Volar Plate 2.4mm Left & Right, 2.4 Volar Plates Straight 9-15mm dia / 120-150 deg / 170 - 500mm Length 30-200mm Length 9-15mm / 160-420mm Length 15 -150mm 20.0 - 45.0mm Diameter 6.5-18mm, Length 30-500mm One size only One size only LCP Dorsal T, L, Straight Plates 2.4mm Long/Short 2.0mm - 2.4mm 2-20 hole plates 2-20 hole plates SY285 SY292 SY320 AO/ASIF Blade Facet Interference Screw AO/ASIF Screw Helical blade Cannulated Screw Locking Head Screw 2.0mm 50-150mm length 7.5mm Length: 6-40mm Detail Amendment Detail Amendment Detail Amendment SY253 SY257 Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 125 of 144 Billing Product Name Further Description Size Explanation of Change SY321 SY350 SY351 SY352 SY353 SY354 SY376 SY377 SY378 SY416 SY417 AO/ASIF Screw AO/ASIF Plate AO/ASIF Plates Cortex Screws Cortex Screws Small & Mini Fragment Plates LCP Plate Orthopaedic Cable System Trochanteric Reattachment Device AO/ASIF Intramedullary Nails ASLS Titanium Wire, Barb and Needle Short thread 15-40mm; Long Thread 5-35mm 2-24 holes 3.5mm, 30-100mm length 1.00mm 2.6mm diameter, 5mm - 100mm length 2.7mm - 5.0mm diameter, 5.0mm - 100mm Length 2.4mm 2-26 Hole 1.0mm - 1.7mm, 750mm Standard and Long 4-6mm, 26-125mm One size only Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment SY418 Distraction Osteogenesis Ring System One size Detail Amendment SY419 Distraction Osteogenesis Ring System 1mm-50mm Detail Amendment SY420 SY421 SY422 SY423 SY424 SY425 SY426 SY427 SY428 SY430 SY431 SY432 SY433 SY434 SY435 SY436 SY437 SY438 Distraction Osteogenesis Ring System Distraction Osteogenesis Ring System Distraction Osteogenesis Ring System Distraction Osteogenesis Ring System Distraction Osteogenesis Ring System Distraction Osteogenesis Ring System Distraction Osteogenesis Ring System Distraction Osteogenesis Ring System Distraction Osteogenesis Ring System Epoca Custom Offset Shoulder Prosthesis Epoca Custom Offset Shoulder Prosthesis Epoca Custom Offset Shoulder Prosthesis Epoca Custom Offset Shoulder Prosthesis Epoca Custom Offset Shoulder Prosthesis Epoca Custom Offset Shoulder Prosthesis Epoca Custom Offset Shoulder Prosthesis Epoca Custom Offset Shoulder Prosthesis Epoca Resurfacing Head 2.4mm Cannulated Screw Reconstruction Plate Calcaneal Plating System Cortex Screws pack of four Cortex Screws pack of four LCP Radial Head Plates Proximal Femur Plate Cable with Crimp Titanium alloy reattachment device with cables Intramedullary Angular Stable Locking System Titanium wire surture and needle with titanium alloy barb fixation Bolt-connecting, clamp, eye, wire offset, wire slotted, MRI safe. Spherical/Spacing Washer; Nut-Speed, Square, Hexagonal, Standoff; MRI Safe Wire Post MRI Safe Threaded Rod, MRI Safe Femoral Arch Plate, Titanium Femoral Arch Plate, Carbon Fibre Half,5/8 Ring, MRI Safe, Titanium Full Ring, MRI safe, Titanium Half, 5/8 ring, carbon fibre Foot Plates, Carbon Fibre Locking Hinge, MRI safe Epoca Stem Epoca ZF Cementless Stem Epoca Head Epoca Eccenter Epoca Glenoid Epoca Glenoid Screw Epoca Reco Glenoid Epoca Glenoid Insert The humeral head surface replacement is designed to replace the humeral articulating surface and is chrome cobalt with hydroxyapatite coating underneath Short, Long 250mm-350mm 90mm-120mm, 180mm-240mm 90mm-120mm, 180mm-240mm 80mm-240mm Diameter 140mm-200mm Diameter 100mm-200mm Diameter 100mm-180mm One Size 6 - 14mm, Length: 115 - 215mm 6 - 14mm, Length: 115 - 135mm 40 - 54mm, Height: 15 - 20.25mm One size only 40mm - 54mm 8-30mm 42 - 52mm 42 - 54mm Diameter 40 - 54mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Tekmed Pty Ltd Changed Items for Prostheses List Report Page 126 of 144 Billing Product Name Further Description Size Explanation of Change ASH, TESIO-BioFlex with cuff HemoFlow HFS-Carbothane with cuff Mecomp Pro-PICC CT power injection and PICC therapy catheter sets, incl. micro-puncture set, tearaway introducer sheath, nitinol marked guidewire with platinum tip, positive pressure valved cap(s), syringe, statlock, mini scalpel, 21g echo tip needle 10, 14 French 24,28,32 & 36cm lengths 14.5 French 24,28,32 & 36cm lengths Single and double lumen, 4, 5, and 6 french, 65cm or 130cm nitinol guidewire Detail Amendment Detail Amendment Detail Amendment Stainless Steel mounted on balloon catheter Diameter 2.0mm - 4.0mm, Length 8mm - 30mm Benefit Amendment Bifurcated Aortic System, Ultrathin woven polyester, nitinol ring stents, tantalum markers Aortic Extension Cuff. Ultrathin woven polyester, nitinol ring stents, tantalum markers Iliac Extension Cuff. Ultrathin woven polyester, nitinol ring stents, tantalum markers Iliac Leg, Ultrathin woven polyester, nitinol ring stents, tantalum markers Straight, Polyester, Woven, Unsealed Bifurcate, Polyester, Woven, Unsealed Straight Graft - Thin Wall, Crimped. Fluoropolymer/polyester, Knitted Straight Graft - Thin Wall, Crimped. Fluoropolymer/polyester, Knitted Straight Graft, Thin Wall, Externally Reinforced. Fluoropolymer/polyester, Knitted Straight Graft, Thin Wall, Externally Reinforced. Fluoropolymer/polyester, Knitted Bifurcated, Polyester, Woven Bifurcated, Polyester, Knitted Polyester, Externally Reinforced, Knitted Polyester, Externally Reinforced, Knitted Axillo-bifemoral, Polyester, Knitted, Externally reinforced Femoro-femoral, Polyester, Knitted, Externally reinforced Straight, Polyester, Knitted Straight, Polyester, Knitted 18 - 34mm Detail and Benefit Amendment 18 - 34mm Detail and Benefit Amendment 8 - 18mm Detail and Benefit Amendment 8 - 18mm Detail and Benefit Amendment 6-24mm x 50-60cm 12mm x 6mm x 45cm to 24mm x 12mm x 45cm 5 to10mm x 30 to 40cm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment 5 to10mm x 50 to 70cm Detail and Benefit Amendment 5 to10mm x 30 to 40cm Detail and Benefit Amendment 5 to10mm x 50 to 70cm Detail and Benefit Amendment Vascular CAG TK005 TK006 TK007 Medcomp Long Term Catheter sets for Haemodialysis Medcomp Long Term Catheter sets for Haemodialysis Pro-PICC CT power injection and PICC therapy catheter sets Terumo Corporation Australia Cardio-thoracic TU001 Tsunami Gold Vascular CAG TU002 Anaconda Endovascular Graft System TU003 Anaconda Endovascular Graft System TU004 Anaconda Endovascular Graft System TU005 Anaconda Endovascular Graft System TU006 TU007 TU008 Twillweave Graft Twillweave Graft Fluoropassiv Graft TU009 Fluoropassiv Graft TU010 Fluoropassiv Graft TU011 Fluoropassiv Graft TU013 TU014 TU016 TU017 TU018 Gelweave Graft Gelsoft Plus Graft Gelsoft Plus Graft Gelsoft Plus Graft Gelsoft Plus Graft TU019 Gelsoft Plus Graft TU020 TU021 Gelsoft Plus Graft Gelsoft Plus Graft Changed Items for Prostheses List Report 12mmx 6mmx 45 cm to 24mmx12mm x 45cm Detail and Benefit Amendment 12mmx6mmx45cm to 24mmx12mmx45cm Detail and Benefit Amendment 6 to 10mm x 75m Detail and Benefit Amendment 6 to 10mm x 100cm Detail and Benefit Amendment 8x8mm/100x60cm; 8x7mm/90x40cm; 10x8mm/90x40cm Detail and Benefit Amendment 6mmx30cm to 8mmx40cm Detail and Benefit Amendment 6 - 24mm x 12.5 - 30cm 6-24mm x 50-60cm Detail and Benefit Amendment Detail and Benefit Amendment Page 127 of 144 Billing Product Name Further Description Size Explanation of Change TU022 TU023 TU025 TU026 TU027 TU028 TU029 Gelweave Graft Gelweave Graft SEALPTFE Graft SEALPTFE Graft SEALPTFE Graft SEALPTFE Graft SEALPTFE Graft 6-38mm x 10-40cm 6-38mm x 50-60cm 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 Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment TU030 SEALPTFE Graft 5 to 10mm x 50 to 80cm Detail and Benefit Amendment TU032 SEALPTFE Graft 5 to 10mm x 60 to 80cm Detail and Benefit Amendment TU033 TU035 SEALPTFE Graft SEALPTFE Graft Straight, Polyester, Woven 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 Thin Wall, Straight, Sealed, Externally Reinforced, PTFE Standard Wall, Tapered, Sealed, PTFE Thin Wall, Straight, Sealed externally Reinforced, Vascular Artificial Arteries/Prostheses of PTFE, Sealed with Gelatin 4 to 7mm Taper x 45 to 50cm 5 to 10mm x 50cm Detail and Benefit Amendment Detail and Benefit Amendment TU039 Rapidax™ Rapid Access Haemodialysis Graft Triple layered self sealing haemodialysis Access Graft. ePTFE internal and external layer with proprietary elastomer inner layer - Straight and Pre- 6mm x 20-40cm Detail and Benefit Amendment TU040 Rapidax™ Rapid Access Haemodialysis Graft 6mm x 45-50cm Detail and Benefit Amendment TU041 Anaconda Endovascular Graft System Triple layered self sealing haemodialysis Access Graft. ePTFE internal and external layer with proprietary elastomer inner layer - Straight and PerFlared iliac limb. Ultrathin woven polyester, nitinol ring stents, tantalum markers Diameter: proximal end 12-17mm, distal end 1523mm; Length: 80-130mm Detail and Benefit Amendment 6.5-15mm - 1mm increm wide, 66-167mm long Diameter: 37,39,41,43,46,48,50,52mm 31mm,35mm,39mm dia (small, medium & large) 24mm diameter 36 & 42mm wide x 9mm high Small, Medium, Large Radial Head - (Small, Medium, Large); Radial Stem (Diameter - 5mm, 6.5mm) Small, Medium, Large, Extra Large Diam 6.5mm - 130mm and 170mm lengths, Diam 9mm - 130mm, 180mm and 210mm lengths. Diam 12mm - 130mm, 180mm and 210mm lengths Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment 90mm length with 3-holes shaft and 120mm length with 5-hole shaft Detail Amendment Tornier Pty Ltd Specialist Orthopaedic TO002 TO003 TO004 TO006 TO011 TO013 TO014 Aequalis Primary Shoulder Prostheses Aequalis Primary Shoulder Prostheses Aequalis Primary Shoulder Prostheses Bone Plug Aequalis Shoulder Prostheses Reverse Tornier Latitude Total Elbow Prosthesis Tornier Latitude Total Elbow Prosthesis Aequalis Primary stem, Ti Ta Aequalis Primary Eccentric Humeral Head, CoCr UHMWPE Keeled Glenoid Component UHMWPE - Cement Plug CoCr Reverse Humeral Neck Ulnar Cap Radial Head, Radial Stem TO015 TO029 Aequalis Pegged Glenoid USA Aequalis Fracture Shoulder HA Coated Pegged Glenoid Polyethylene (UHMWPE) Fracture shoulder humeral stem Cobalt Chrome, HA coated TO030 Aequalis Humeral Plate Proximal Humeral Plate Changed Items for Prostheses List Report Detail Amendment Detail Amendment Page 128 of 144 Billing Product Name Further Description Size Explanation of Change TO031 Aequalis Resurfacing Shoulder Resurfacing humeral head Detail Amendment TO032 Aequalis Humeral Plate Screws Proximal humeral plate screws (Cancellous selftapping locking screws, Cortical self-tapping locking screws or Cortical Self-tapping compression screws) 12 head sizes from 37mm x 13.5mm to 54mm x 27mm, 3 stem lengths: 30, 35 and 40mm Proximal locking screws: 4mm, cortical self tapping locking screws: 20 to 60mm length; proxmial inferior locking screws: 3.5mm, cortical self tapping locking screws: 10 to 40mm length; distal compression screws: 3.5mm, cortical self-tapping compression and locking screws: 10 to 50mm length TO037 Aequalis Reversed Shoulder - Revision Base Plate (Metaglene) Aequalis Reversed Shoulder Eccentric Glenosphere Long pegged base plate/ metaglene for revision reversed shoulder. Eccentric Glenoid Sphere for Aequalis Reversed Shoulder Wear Compensation Glenoid Sphere for Aequalis Reversed shoulder. One Size: Long Peg Detail Amendment 36mm and 42mm, eccentricity +2mm, 4mm or 6mm. Detail Amendment 36mm and 42mm, wear compensation 5 degrees or 10 degrees, combination wear compensation 5 degrees or 10 degrees and eccentricity +2mm, 4mm or 6mm. 36mm and 42mm, 2mm eccentric +6mm and +9mm, 4mm eccentric +9mm and +12mm One Size D.36mm & 42mm D.36mm & 42mm Detail Amendment D. 6.5, 9 , 12, 15mm L 100, 150, 180, 210mm Detail Amendment D. 36mm +6mm, D.36mm +9mm, D.36mm +12mm, D.42mm +6mm, D. 42mm +9mm, D.42mm +12mm D45mm, L20 to 50mm Detail Amendment Titanium Monobloc Humeral Stem CoCr and HA Coated proxinally Monobloc Humeral Stem CoCr and HA coated proximally D. 4.5mm, L 18 to 45mm Length 130mm Dia 7 9 11 13 15 Detail Amendment Detail Amendment Length 170, 180 or 210mm Dia 7 9 11 13mm Detail Amendment Composition: Stainless Steel, Model No: 200-000-A to 200-930-K Composition: Stainless Steel, Model Nos: 200 - 950L to 200-970-Q Dia 0.7-2.8mm, Length 100-230mm Detail Amendment Dia 3.0 - 5.0mm Detail Amendment Balloon based local anaesthetic infusion system One size only Detail Amendment TO038 TO039 Aequalis Reversed Shoulder Wear Compensation Glenosphere TO040 Aequalis Reversed Shoulder Eccentric humeral Insert (High Mobility Cup) Aequalis Reversed Shoulder -Glenoid Base Plate Aequalis Reversed Shoulder -Glenoid Sphere Aequalis Reversed Shoulder -Metaphysis (Cemented or Cementless) Aequalis Reversed Shoulder - Stem (Cemented or Cementless) Aequalis Reversed Shoulder - Lateralized Insert Eccentric Humeral Insert (High Mobility Cup) for Aequalis Reversed Shoulder Ti HA Coated CoCr, Ti Alloy Cemented: CoCr and UMWHPE, Cementless: CoCr, HA Coated and UMWHPE Cemented: CoCr Cementless: Ti, HA coated Titanium TO047 TO048 Aequalis Reversed Shoulder - Fixation Screw for Articular Implant Fixation Screw for Articular Implant Aequalis Reversed fracture-standard TO049 Aequalis Reversed Fracture Shoulder - Revision TO041 TO042 TO043 TO044 TO045 TO046 UMWHPE Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Trewavis Surgical Instruments Pty Ltd Specialist Orthopaedic TS001 Trewavis Surgical Kirschner Wires TS002 Trewavis Surgical Steinmann Pins Ultimate Medical Pty Ltd General Miscellaneous UM001 LA Bubble Changed Items for Prostheses List Report Page 129 of 144 Billing Product Name Further Description Size Explanation of Change The GORE HELEX Septal Occluder consists of an implantable endoprosthesis and a catheter delivery system. The Occluder is comprised of a nickeltitanium (Nitinol) wire frame covered with expanded polytetrafluoroethylene (ePTFE). The ePTFE is treated with Diameters: 15, 20, 25, 30 and 35mm Detail and Benefit Amendment 1mm Thickness 2.5 x 10cm 1mm Thickness 5 x 10cm (Rectangle), 5 x 10cm (Key Hole) 1mm Thickness 5 x 13cm (Configured for Vaginal Prolapse), 5 x 15cm 1mm Thickness 18 x 24cm 1mm Thickness 20 x 30cm 1mm Thickness Oval 26 x 34cm 1mm Thickness Oval 10 x 15cm 1mm Thickness Oval 15 x 19cm 1mm Thickness 6cm x 12cm 1mm Thickness 20cm x 30 1mm thickness Oval 26 x 34cm 1mm Thickness 7.5 x 10cm 1mm Thickness 8 x 12cm 1mm Thickness Oval 10 x 15cm 1mm Thickness Oval 15.0 x 19.0cm 1mm Thickness 18 x 24cm 1mm Thickness 20 x 30cm 1mm Thickness Oval 26 x 34cm 2mm Thickness Oval 10 x 15cm 2mm Thickness Oval 15 x 19cm 2mm Thickness 18 x 24cm 2mm Thickness 20 x 30cm 2mm Thickness Oval 26 x 34cm 1mm Thickness 7.5 x 10cm 15.0 x 19.0cm x 1mm Oval Short or Long Catheter 8-10mmx4-8cm Detail Amendment Detail Amendment W L Gore & Associates Cardio-thoracic GT223 Helex 1.5 Septal Occluder General Miscellaneous GT065 GT066 Gore-Tex ePTFE Mycro-Mesh Biomaterial Gore-Tex Mycro-Mesh Biomaterial ePTFE ePTFE GT067 Gore-Tex Mycro-Mesh ePTFE GT068 GT069 GT070 GT071 GT072 GT074 GT084 GT087 GT092 GT093 GT094 GT095 GT096 GT097 GT098 GT099 GT100 GT101 GT102 GT103 GT104 GT107 GT116 Gore-Tex Mycro-Mesh Biomaterial Gore-Tex Mycro-Mesh Biomaterial Gore-Tex Mycro-Mesh Biomaterial Gore-Tex Mycro-Mesh Biomaterial Gore-Tex Mycro-Mesh Biomaterial Gore-Tex Mycro-Mesh Biomaterial Gore-Tex MycroMesh Plus Gore-Tex MycroMesh Plus Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex Dual Mesh Gore-Tex DualMesh PLUS Gore-Tex DualMesh PLUS Gore Biliary Endoprostheses ePTFE ePTFE ePTFE ePTFE ePTFE Configured for Inguinal Hernia repair ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 130 of 144 Billing Product Name Further Description Size Explanation of Change GT201 GT202 GT203 GT204 GT205 GT206 GT207 GT208 GT209 GT210 GT224 Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial Dualmesh Plus Biomaterial GORE SEAMGUARD® Bioabsorbable Staple Line Reinforcement ePTFE ePTFE, oval ePTFE ePTFE ePTFE, oval ePTFE, oval ePTFE, oval ePTFE, ePTFE, ePTFE, oval As packaged, GORE SEAMGUARD Bioabsorbable Staple Line Reinforcement constitutes preformed porous bioabsorbable sheets held into the form of sleeves (one cartridge device, one anvil device) through the use of a non-absorbable polyester braided suture. A TY 8cm x 12cm x 1mm 10cm x 15cm x 1mm 18cm x 24cm x 1mm 20cm x 30cm x 1mm 26cm x 34cm x 1mm 10cm x 15cm x 2mm 15cm x 19cm x 2mm 18cm x 24cm x 2mm 20cm x 30cm x 2mm 26cm x 34cm x 2mm Ethicon Endo-Surgery Endopath ETS45; Ethicon Endo-Surgery Endopath ETS45; Ethicon EndoSurgery Endopath EZ45; Ethicon Endo-Surgery Endopath Echelon 45, Ethicon Endo-Surgery Endopath Echelon 60; Ethicon Endo-Surgery Endopath ETS Flex 60; USS Endo GIA Unive Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment GT228 GORE SEAMGUARD® Bioabsorbable Staple Line Reinforcement, Endoscopic Staplers As packaged, GORE SEAMGUARD Bioabsorbable Staple Line Reinforcement constitutes preformed Ethicon Endo-Surgery ENDOPATH 25 and PROXIMATE 25; Ethicon Endo-Surgery ENDOPATH 29 and PROXIMATE 29; Ethicon Endo-Surgery ENDOPATH 33 and PROXIMATE 33; Autosuture CEEA 25; Autosuture CEEA 28; Autosuture CEEA 31; Autosuture CEEA 34; Detail Amendment ePTFE ePTFE ePTFE ePTFE ePTFE ePTFE 0.7mm Thickness 6 x 6cm 0.7mm Thickness 6cm x 12cm 0.3mm Thickness 2 x 10cm 0.3mm Thickness 5 x 6 cm 0.3mm thickness 6 x 10cm 0.3mm thickness 10 x 12cm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Stretch Bifurcated Graft with Thin Walled Limbs (ePTFE) Ringed Grafts REMOVABLE THIN WALL STRETCH (ePTFE) Vascular Grafts - Aorto -Pulmonary & SystemicPulmonary Shunts (ePTFE) ePTFE & Nitinol Self Expanding Endoluminal Graft System ePTFE & Nitinol Self Expanding Endoluminal Graft System 12x6mm to 24x12mm 40-50cm long Detail and Benefit Amendment 6-8mm Diameter x 80cm Length - Ringed Section 70cm Length 3.5-5mm Diameter x 15-20cm Length Detail and Benefit Amendment Viabahn 2.5mm - 13mm Diameter, 5cm Length; Hemobahn 6 - 13mm Diameter, 5cm Length Viabahn 2.5mm - 13mm, 10cm Length; Hemobahn 6 13mm Diameter 10cm Length Detail and Benefit Amendment Neurosurgical GT054 GT055 GT056 GT057 GT058 GT059 Preclude Spinal Membrane Preclude Spinal Membrane Preclude Dura Substitute Preclude Dura Substitute Preclude Dura Substitute Preclude Dura Substitute Vascular CAG GT006 Gore-Tex Stretch Bifurcated Graft GT008 Gore-Tex Vascular Ring Graft GT009 Gore-Tex Vascular Grafts GT020 Viabahn Endoprosthesis GT021 Viabahn/Hemobahn Endoprosthesis Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Page 131 of 144 Billing Product Name Further Description Size Explanation of Change GT022 Viabahn/Hemobahn Endoprosthesis Excluder Endovascular Prostheses Excluder AAA Endovascular Prostheses Viabahn 2.5mm - 13mm Diameter, 15cm Length; Hemobahn 6 - 11mm Diameter, 15cm Length 34, 37 & 40mm Diameter x 20cm Lengths 23-28.5mm Diameter, 14-18cm Length Detail and Benefit Amendment GT023 GT024 GT029 Gore Tips Endoprosthesis ePTFE & Nitinol Self Expanding Endoluminal Graft System Thoracic Stent Graft Nitinol & ePTFE AAA Abdominal Stent Graft Nitinol & ePTFE - two piece system (1/2) Trunk - Ipsilateral Limb ePTFE Detail and Benefit Amendment GT132 GT136 GT138 GT139 GT143 GT145 GT146 GT147 GT148 GT149 GT150 GT151 GT152 GT157 GT158 GT159 GT160 GT161 GT164 GT167 Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-Tex Stretch Thin Walled Vascular Graft Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-Tex Vascular Grafts Gore-tex Vascular Grafts GT168 Gore-tex Vascular Grafts Diameter 3.5 - 5mm, Length 10cm Detail and Benefit Amendment GT171 GT172 GT175 Gore-tex Vascular Grafts Gore-tex Vascular Grafts Gore-tex Vascular Grafts Diameter 4-6mm & 4-7 mm, Length 45 - 48cm Diameter 4-7 mm, Length 70cm 4-7 mm x 70cm - Rings 30cm Length Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment GT179 Gore-tex Vascular Ring Graft Standard Wall Grafts (ePTFE) Standard Wall Grafts (ePTFE) Standard Wall Grafts Stretch (ePTFE) Standard Wall Grafts Stretch (ePTFE) Standard Wall Grafts Stretch (ePTFE) Standard Wall Grafts Stretch (ePTFE) Standard Wall Grafts Stretch (ePTFE) Standard Wall Grafts Stretch (ePTFE) Standard Wall Grafts Stretch (ePTFE) Thin Wall Grafts (ePTFE) Thin Wall Grafts (ePTFE) Thin Wall Grafts (ePTFE) Thin Wall Grafts Stretch (ePTFE) Thin Wall Grafts Stretch (ePTFE) Thin Wall Grafts Stretch (ePTFE) Thin Wall Grafts Stretch (ePTFE) Thin Wall Grafts Stretch (ePTFE) Thin Wall Grafts (ePTFE) Thin wall grafts (ePTFE) Vascular Grafts - Aorto-Pulmonary & SystemicPulmonary Shunts (ePTFE) Stretch & Non Stretch Vascular Grafts - Aorto-Pulmonary & SystemicPulmonary Shunts (ePTFE) Stretch & Non Stretch Standard Wall Grafts Stretch Tapered (ePTFE) Standard Wall Grafts Stretch Tapered (ePTFE) Ringed Grafts Removable Standard Wall Tapered (ePTFE) Ringed Grafts Removable Thin Wall (ePTFE) 8-12mm Diameter 4-8cm Graft-Lined Length 2cm Unlined Length Diameter 4 - 8mm, Length 10cm Diameter 4 - 10mm, Length 80cm Diameter 4 - 8mm, Length 10cm Diameter 6 - 10mm, Length 20 - 30cm Diameter 6 - 10mm, Length 70cm Diameter 4 - 10mm, Length 90 - 100cm Diameter 12 - 24mm, Length 20cm Diameter 12 - 24mm, Length 30cm Diameter 12 - 24mm, Length 40cm Diameter 4 - 10mm, Length 10cm Diameter 6 - 10mm, Length 20cm Diameter 6 - 10mm, Length 30cm Diameter 6 - 10mm, Length 40cm Diameter 4 - 10mm, Length 90 - 100cm Diameter 4 - 10mm, Length 10cm Diameter 6 - 10mm, Length 20cm Diameter 6 - 10mm, Length 30cm Diameter 6 - 10mm, Length 40cm Dia 3 - 10mm, length 70cm Diameter 3.5 - 5mm, Length 5cm Detail and Benefit Amendment GT180 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall (ePTFE) Diameter 5 - 6mm x 70cm Length, Ringed Section 60cm Length Diameter 5 - 6mm x 80cm Length, Ringed Section 60cm Length Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Page 132 of 144 Billing Product Name Further Description Size Explanation of Change GT182 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall (ePTFE) Detail and Benefit Amendment GT183 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall (ePTFE) GT185 Gore-tex Vascular Ring Graft Ringed Grafts Removable Thin Wall Stretch (ePTFE) GT186 GT187 Gore-tex Stretch Removable Ringed Vascular Graft Gore-tex Stretch Removable Ringed Vascular Graft Stretch Thin Walled Removable Ringed (ePTFE) Graft Stretch Thin Walled Removable Ringed (ePTFE) Graft GT188 Excluder AAA Endovascular Prostheses GT189 Excluder Endovascular Prostheses Diameter 23 - 28.5mm, Length 3.3cm Detail and Benefit Amendment GT190 GT191 GT193 GT195 GT200 GT211 Excluder Endovascular Prostheses Excluder Endovascular Prostheses Gore-tex Vascular Grafts Gore-tex Vascular Graft Gore-tex Vascular Graft Gore-Tex Intering Stretch Thin Walled Vascular Graft Gore-Tex Stretch Intering Vascular Graft GT213 Gore-Tex Intering Vascular Graft GT216 GT221 GT222 GT225 Gore-tex Axillobifemoral Vascular Graft Gor-Tex Propaten Stretch Thin Walled Vascular Gortex Stretch Thin Walled Propaten Graft Gore Viabahn ® endoprosthesis with heparin bioactive surface Diameter 10 - 14.5mm, Length 7cm Diameter 26-40mm x 10cm Length 6-10mm Diameter x 40cm Length Diameter 6mm x 20cm length Diameter 6-12mm x 20cm length Diameter 6-8mm, 40cm radial supported length x 40cm length Dia 6-8mm, 60cm radial supported length x 60cm length Dia 6-8mm, 80cm radial supported length x 80cm length Diameter 8mm x 90cm 40cm 6-8mm diameter, non-Ringed 40cm length 6-8mm diameter Non-Ringed 80cm length 5mmx2.5cm VIABAHN 120cm CATH 5mmx5cm VIABAHN 120cm CATH 6mmx2.5cm VIABAHN 120cm CATH 6mmx5cm VIABAHN 75cm CATH 6mmx5cm VIABAHN 120cm CATH 7mmx2.5cm VIABAHN 120cm CATH 7mmx5cm VIABAHN 75cm CATH 7mmx5cm VIABAHN 120cm CATH 8mmx2.5cm VIABAHN 120cm CATH 8mmx5cm VIABAHN 75cm CATH 8mmx5cm VIABAHN 120cm CATH Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment GT212 AAA Stent Graft Nitinol & ePTFE Two piece system (2/2) Contralateral Limb Abdominal Stent Graft Nitinol & ePTFE - Aortic Extender Abdominal Stent Graft Nitinol & ePTFE - Iliac Thoracic Stent Graft Nitinol & ePTFE Standard Wall Grafts (ePTFE) Standard wall grafts (ePTFE) Standard wall grafts stretch (ePTFE) ePTFE integrated rings in the wall of a stretch thin walled graft Stretch Thin Walled ePTFE graft with Integrated Diameter 6mm, Lengths 80 - 90 cm, Ringed Section 60cm Length Diameter 8mm, Lengths 80 - 90 cm, Ringed Section 70cm Length Diameter 6mm x 80cm Length, Ringed Section 30cm Length Diameter 6mm x 70cm Length, Ringed Section 60cm Diameter 6 - 8mm x 70cm Length, Ringed Section 60 - 70cm Length Diameter 12 - 14.5mm x 10 x 14cm Length Changed Items for Prostheses List Report ePTFE integrated rings in the wall of a stretch thin walled graft Stretch vascular graft with removable rings (ePTFE) Stretch Thin Walled Graft (ePTFE) - Heparin Stretch Thin Wall Graft (ePTFE)- Heparin Bonded Gore Viabahn ® endoprosthesis with heparin bioactive surface is a flexible, self expanding endoluminal device consisting of an ePTFE lining with external nitinol support Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Page 133 of 144 Billing Product Name Further Description Size Explanation of Change GT226 Gore Viabahn ® endoprosthesis with heparin bioactive surface Gore Viabahn ® endoprosthesis with heparin bioactive surface is a flexible, self expanding endoluminal device consisting of an ePTFE lining with external nitinol support 5mmx 15cm VIABAHN 120cm CATH 6mmx 15cm VIABAHN 75cm CATH 6mmx 15cm VIABAHN 120cm CATH 7mmx 15cm VIABAHN 75cm CATH 7mmx 15cm VIABAHN 120cm CATH 8mmx 15cm VIABAHN 75cm CATH 8mmx 15cm VIABAHN 120cm CATH Detail and Benefit Amendment GT227 Gore Viabahn ® endoprosthesis with heparin bioactive surface Gore Viabahn ® endoprosthesis with heparin bioactive surface is a flexible, self expandinbg endoluminal device consisting of an ePTFE lining with external nitinol support 5mm x 10cm VIABAHN 120cm CATH 6mm x 10cm VIABAHN 75cm CATH 6mm x 10cm VIABAHN 120cm CATH 7mm x 10cm VIABAHN 75cm CATH 7mm x 10cm VIABAHN 120cm CATH 8mm x 10cm VIABAHN 75cm CATH 8mm x 10cm VIABAHN 120cm CATH Detail and Benefit Amendment Self expanding Metal Biliary Stent System Self expanding Metal Biliary Stent with Fusion Introducer System TriClip Endoscopic Clipping Device Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft Diameters: 6, 8, 10mm; Lengths: 4, 6,8cm Diameters: 6, 8 & 10mm; length: 4, 6 & 8cm Detail Amendment Detail Amendment 7Fr - 3 Prong 12mm, 8Fr - 3 prong 12mm 13cm x 15cm Detail Amendment Detail and Benefit Amendment William A Cook Australia Pty Ltd General Miscellaneous WC174 WC200 Zilver Biliary Stent System Fusion Zilver Biliary Stent System WC213 WC242 Endoscopic Clipping Device Biodesign Surgisis Hernia Graft WC243 Surgisis Biodesign Anal Fistula Plug Surgisis Biodesign Anal Fistula Plug is a small intestine submucosal porcine derived, rolled and shaped collagen matrix, non cross-linked, that signals the body and provides support for native tissue remodeling, healing and closure of anal fistulas 0.6cm Width Tapering to 0.2cm Width x 9.5cm Length. Conical Shape Detail Amendment WC244 Biodesign Surgisis 8-layer Tissue Graft Biodesign Surgisis 8-layer Tissue Graft is 8 layers of compressed and perforated porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 13cm x 15cm Detail and Benefit Amendment WC247 Biodesign Surgisis 8-Layer Tissue Graft Biodesign Surgisis 8-layer Tissue Graft is 8 layers of compressed and perforated porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 13cm x 22cm Detail and Benefit Amendment WC248 Biodesign Surgisis 8-Layer Tissue Graft Biodesign Surgisis 8-layer Tissue Graft is 8 layers of compressed and perforated porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 20cm x 20cm Detail and Benefit Amendment WC249 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 13cm x 22cm Detail and Benefit Amendment WC250 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 20cm x 20cm Detail and Benefit Amendment Changed Items for Prostheses List Report Page 134 of 144 Billing Product Name Further Description Size Explanation of Change WC251 Biodesign Surgisis Hernia Graft 20cm x 30cm Detail and Benefit Amendment WC265 Biodesign Surgisis Inguinal Hernia Graft Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft Biodesign Surgisis Inguinal Hernia Graft is a biologically derived [porcine] sis collagen, non crosslinked graft, that remodels into strong host tissue reinforcement for the inguinal floor 10cm x 15cm Detail and Benefit Amendment WC266 Biodesign Surgisis Inguinal Hernia Graft Biodesign Surgisis Inguinal Hernia Graft is a biologically derived [porcine] sis collagen, non crosslinked graft, that remodels into strong host tissue reinforcement for the inguinal floor 8cm x 15cm Detail and Benefit Amendment WC270 Zilver Biliary Stent System Self expanding metal biliary stent system Diameters 6, 8, 10mm; Lengths 4, 6, 8 cm Detail Amendment 6.0/10.0 Fr, & 7.0/14.0 Fr, Multiple Length Multiple French Sizes, Multi-length 6/9.5 Fr & 7/14.0Fr , Multiple Length Stent 8.5 French, 65cm long Detail Amendment Detail Amendment Detail Amendment Detail Amendment Synthetic Thermosensitive Ureteral Stent Set with Heparin Coating Multiple French Sizes and Lengths Detail Amendment Thoracic Body Extension Stent graft indicated for the repair of in situ AAA stent grafts 22mm to 42mm diameter; 77mm to 81mm length Proximal diameter 22-36mm, distal diameter 12mm, lengths 108-125mm Benefit Amendment Detail and Benefit Amendment Diameters: .025, .035, .038 and .052, Extended Lengths: 1cm to 20cm, Coil Taper Diameters: 2mm to 10mm Diameters: .018, .035 and .038, Coil Taper Diameters: 2mm to 10mm Diameters: .018, Extended Lengths: .5cm to 6cm, Coil Diameters: Straight to 10mm Filter Catheter French Size 11.0 Length 40, 75 cm Introducer Sheath Assembly French Size 12.0 Femoral/Jugular Approach Particle Size Ranges (microns) 50-100, 100-200, 200300,300-500, 500-700, 700-1000, 1000-1500, 15002000, 2000-2800 Detail and Benefit Amendment Diameter 20 thru 36 Length 80-85 Diameter 18 thru 24 Length 55 Diameter 22 thru 36 Diameter 22-32 mm Length 122-239mm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Urogenital WC018 WC023 WC024 WC236 WC237 C-Flex Endoureteratomy Stent Set Greene Renal Transplant Stent Set Ultrathane Endoureteratomy Stent Set Paterson-Forrester Subcutaneous Urinary Diversion Stent Radiance Ureteric Stent Set Transplant stent set Subcutaneous Urinary Diversion Stent Vascular WC188 WC235 Zenith Thoracic Endovascular Graft Zenith Renu AAA Ancillary Graft - Converter Vascular CAG WC037 Coil - Embolisation MWCE Standard Stainless Steel WC038 Coil - Embolisation Coils MWCE-TORNADO Tornado Platinum WC039 Cook Embolization Coil Hilal Platinum WC043 Inferior Vena Cava Filter Birds Nest Vena Cava Filter WC044 PVA Embolisation particles Embolization & Occlusion WC045 WC047 WC048 WC049 Zenith Endovascular Graft Zenith Endovascular Graft Zenith Endovascular Graft Zenith AAA Endovascular Graft Converter Leg Extensions Body Extensions Bifurcated Extension Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Page 135 of 144 Billing Product Name Further Description Size Explanation of Change WC093 Cook Implantable Injection/Infusion Ports 3 - 12 Fr pre-attached or detached catheter or valve system Detail and Benefit Amendment WC094 Cook Implantable Injection/Infusion Ports Petite or Standard, single or multiple chamber Polysulfone Port which may include micropuncture or standard introducer set Mini or Petite or Standard, single or multiple chamber titanium Port which may include micropuncture or standard introducer set 3 - 12 Fr pre-attached or detached catheter or valve system Detail and Benefit Amendment WC096 WC103 WC111 Cook Vena Cava Filter Zenith Iliac Plug Cook Central Venous Catheterisation Kit Universal Filter Zenith AAA Endovascular Graft Single lumen peripherally inserted catheter set, which may include catheter, standard or micropuncture introducer set Diameter up to 40mm, Length up to 60mm Diameter 14, 16, 18, 20, 22, 24mm 3 - 6 Fr, 40 - 80cm Detail and Benefit Amendment Detail and Benefit Amendment Detail Amendment WC112 Cook Central Venous Catheterisation Kit Double or triple lumen peripherally inserted catheter set, which may include catheter, standard or micropuncture introducer set 3 - 8 Fr 40 - 80cm Detail Amendment WC113 Cook Central Venous Catheterisation Kit Fr 3, 4, 5 and Length 50 and 60cm Detail Amendment WC114 Cook Central Venous Catheterisation Kit Single lumen peripherally inserted catheter set, includes catheter, needle, J-wire, MPIS wire and Double lumen peripherally inserted catheter set, includes catheter, needle, J-wire, MPIS wire and introducer Fr 6, 7 and Length 58 and 60cm Detail Amendment WC115 Cook Implantable Injection/Infusion Port Cook Central Venous Long Term Catheter WC117 Cook Central Venous Long Term Catheter Cook TPN single lumen catheter set WC118 Cook Central Venous Long Term Catheter Cook TPN double lumen catheter WC119 WC133 WC159 Cook Central Venous Long Term Catheter Set Zenith Flex AAA Endovascular Graft - body only Zenith TAA Endovascular Graft WC160 Zenith TAA Endovascular Graft Cook TPN double lumen catheter set Stainless steel TX1, one piece thoracic stent-graft, woven polyester and stainless steel Thoracic Proximal Extension 3 - 12 Fr pre-attached or detached catheter or valve system Fr 3, length 55, 65cm; Fr 4, length 65cm, Fr 6.5, 9.5, length 90cm Fr 3, length 55; Fr 4, length 65cm, Fr 6.5 length 65, 90cm, Fr 9.5, length 90cm Fr 5, length special; Fr 7, length 65cm, Fr 9 length 80, 90cm, Fr 12, length special Fr 7, length 65cm, Fr 9 length 90cm, Fr 12, 90, special Dia 22 - 32mm, length 82 - 140mm 22 - 42mm diameter and 115 - 216mm long Detail and Benefit Amendment WC116 Mini, single or multiple chamber titanium Port which may include micropuncture introducer set Cook TPN single lumen catheter Dia 22 Length 77; Dia 24 Length 77;Dia 26 Length 77; Dia 28 Length 80; Dia 30 Length 80; Dia 32 Length 80; Dia 34 Length 77; Dia 36 Length 77; Dia 38 Length 77; Dia 40 Length 81 Diameter 42 Length 81 Detail and Benefit Amendment WC164 Cook Implantable Injection/Infusion Ports Cook Vascular/Biliary Stent WC173 Cook Embolisation Coils Nester Platinum WC190 Detachable Mreye Embolization Coils Standard Mreye 3 - 12 Fr pre-attached or detached catheter or valve system 5/6 Fr delivery system, 4 - 14mm diameter, 2 - 8cm length Diameters: .018 and .035, Extended Lengths: 14cm, Coil Diameters: 3mm to 10mm Diameters: .035 and .038, Extended Lengths: 1cm to 20cm, Coil Diameters: 3mm to 20mm Detail and Benefit Amendment WC168 Dual or Multiple Chamber Titanium Port which may include micropuncture or standard introducer set Vascular/Biliary stent Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Detail Amendment Detail Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Page 136 of 144 Billing Product Name Further Description Size Explanation of Change WC201 Cook Central Venous Catherisation Kits Turbo-Flo Peripherally Inserted Central Venous Catheter Set, Single Lumen Polyurethane with Micropuncture Peel-Away Sheath Introducer and Wire Guide 4Fr - 60cm and 5Fr - 60cm Detail Amendment WC202 Cook Central Venous Catheterisation Kits Turbo-Flo Peripherally Inserted Central Venous Catheter Set, Single Lumen Polyurethane with Peel Away Sheath Introducer and Wire Guide 5Fr - 60cm Detail Amendment WC203 Cook Central Venous Catherisation Kits 5Fr - 60cm Detail Amendment WC204 Cook Central Venous Catheterisation Kits Turbo-Flo Peripherally Inserted Central Venous Catheter Set, Dual Lumen Polyurethane with PeelAway Sheath Introducer and Wire Guide Turbo-Flo Over-The-Wire Peripherally Inserted Central Venous Catheter Set, Single Lumen Polyurethane with Micropuncture Peel-Away Sheath Introducer and Wire Guide 4Fr - 60cm and 5Fr -60cm Detail Amendment WC205 Cook Central Venous Catheterisation Kits Turbo-Flo Over-The Wire Peripherally Inserted Central Venous Catheter Set, Dual Lumen Polyurethane with Micropuncture Peel-Away Sheath Introducer and Wire Guide 5Fr - 60cm Detail Amendment WC206 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central Venous Catheter Set, Single Lumen Silicone with Micropuncture PeelAway Sheath Introducer and Nitinol Wire Guide 3Fr - 50cm and 4Fr and 5Fr - 60cm Detail Amendment WC207 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central Venous Catheter Set, Catheter without Clamp, Single Lumen Silicone with Micropuncture Peel-Away Sheath Introducer and Wire Guide 3Fr - 50cm and 4Fr and 5Fr - 60cm Detail Amendment WC208 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central Venous Catheter Set, Catheter without Clamp, Single Lumen Silicone with Micropuncture Peel-Away Sheath Introducer and Nitinol Wire Guide 4Fr - 60cm and 5Fr - 60cm Detail Amendment WC222 Cook Spectrum Silicone Long Term Catheter Set 7Fr Detail Amendment WC223 Cook Spectrum Silicone Long Term Catheter Set 8Fr Detail Amendment WC230 5Fr, 7Fr, 9Fr Detail Amendment 5 lumen CVC with antibiotic impregnation 10Fr Detail Amendment Stent graft indicated for the repair of in situ AAA stent grafts Bifurcated branch vessel stent graft with openings to connect the common iliac, sidebranch, and external iliac segments. Made of stainless steel and nitinol zstents and woven polyester, mounted on H&LB one shot delivery system Proximal diameter 22 - 36mm, Length (covered section) 43 - 62mm Common iliac lengths 45 or 61mm, external iliac lengths 41 or 58mm and distal cuff diameters 10 or 12mm Detail and Benefit Amendment WC233 Cook Spectrum CVC Catheter 3 Lumen with antibiotic impregnation Cook Spectrum 5 Lumen CVC Catheter with antibiotic impregnation Zenith Renu AAA Ancillary Graft - Main Body Extension Zenith Branch Endovascular Graft - Iliac Bifurcation Dual lumen catheter CVC impregnated with antibiotic with or without clamp Triple lumen catheter CVC impregnated with antibiotic with or without clamp Triple lumen CVC line with antibiotic impregnation WC234 Formula 414 Rx Renal Stent System Balloon Expandable Vasc/Biliary Stent Detail and Benefit Amendment WC238 Zenith Thoracic Endovascular Graft Thoracic Proximal Grft Rapid exchange 014/018, 80-135cm delivery system. Diameters 4-10mm, lengths 0.8 - 4cm 22mm to 42mm diameter, 115mm to 179mm Length WC231 WC232 Changed Items for Prostheses List Report Detail and Benefit Amendment Detail and Benefit Amendment Page 137 of 144 Billing Product Name Further Description Size Explanation of Change WC239 WC240 WC241 WC258 Thoracic Proximal Grft Thoracic Distal Graft Thoracic Distal Graft Leg Extension 22mm to 42mm diameter, 180mm to 216mm Length 26mm to 42mm diameter, 127mm to 179mm Length 26mm to 42mm diameter, 180mm to 207mm Length Diameters from 8 to 24mm, Lengths from 37 to 122mm Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Leg extension with Captor valve Diameters from 8 to 24mm, lengths from 37 to 122mm Detail and Benefit Amendment WC260 Zenith Thoracic Endovascular Graft Zenith Thoracic Endovascular Graft Zenith Thoracic Endovascular Graft Zenith AAA Endovascular Graft Contralateral/Ipsilateral Lliac Legs Zenith AAA Endovascular Graft Contralateral/Ipsilateral Lliac Legs Zenith Fenestrated AAA Endovascular Graft Distal Bifurcated Body Detail and Benefit Amendment WC261 Zenith Fenestrated AAA Endovascular Graft with Distal Bifurcated Body with Flexor sheath WC262 Zenith Fenestrated AAA Endovascular Graft Proximal Fenestrated Body WC263 Zenith Fenestrated AAA Endovascular Graft with Proximal Fenestrated body with Flexor sheath Diameter 12 - 24mm, 1st length 28 - 62mm, 2nd length 76 - 121mm Diameter 12 - 24mm, 1st length 28 - 62mm, 2nd length 76 - 121mm 1 or 2 internal stents, 24 - 36mm Diameter, 73 129mm Length 1 or 2 internal stents, 24 - 36mm Diameter, 73 129mm Length Detail Amendment WC259 Detail and Benefit Amendment Detail and Benefit Amendment Detail and Benefit Amendment Zimmer Pty Ltd Neurosurgical ZI660 Nex-Link Spinal Fixation System, Polyaxial Screws ZI661 Nex-Link Spinal Fixation System, Transverse Connectors 3.5mmx10mm - 4.00mmx22mm; 4.5 x 20-40mm(5mm increments); 5.5mm x 20-45mm (5mm increments) 4.00mm Rod x 25mm - 45 length; 4.00mm Rod x 4.00mm & 5.5mm (band), 4.00mm Rod x 4.00 &5.5mm (inline) ZI706 Nex-Link Spinal Fixation System, Open Screw Closure 4.00mm Detail Amendment 20 - 60mm 20 - 80mm 8 - 23mm Outer Diameter 38 - 72mm, Inner Diameter 22,28, or 32mm Extra Small, Small, Regular 1 to 7 28/14 (S,M,L) 140 to 260 x 14 to 24 One size only size K, S, A, E, P, X, B, G, R, C, J, D, K1, S1, AA, E1, P1, X1, K2, E2, BB, G1, R1 ,S2, P2, G2, CC, J1, X2, R2, J2, DD Detail Amendment Detail Amendment Detail Amendment Detail Amendment Petite, Left, Right Detail Amendment Detail Amendment Orthopaedic ZI079 ZI089 ZI226 ZI286 Miller Galante I Miller Galante II Zimmer Bone Plug Zimmer Acetabular Cup Bone Screw - Ti Bone Screw - Ti Allen Medullary Plug Multipolar (Bipolar) Cup-Co Chr W/WHMWPE ZI328 ZI356 ZI362 ZI379 ZI451 ZI553 Coonrad/Morrey Elbow Cement Restrictor Medullary Plug, MS 30 Natural Hip System PFM Hip series Allofit screw hole plugs M/L Taper Kinectiv Neck PMMA/Plastic Centring Plug, cement restrictor, hip - PE Eccentric Ball Heads - CoCr alloy Uncemented Stems, titaniuam, grit blast and non HA Sterile, 7 per set Neck component for M/L taper stem Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Specialist Orthopaedic ZI003 Coonrad-Morrey Elbow Changed Items for Prostheses List Report Ulna - Titanium Page 138 of 144 Billing Product Name Further Description Size Explanation of Change ZI004 ZI005 ZI132 ZI133 ZI149 Coonrad-Morrey Elbow Coonrad-Morrey Elbow NexGen Knee High Tibial Osteotomy System NexGen Knee High Tibial Osteotomy System Periarticular Plates Humerus - Titanium Bushing - Polyethylene, Titanium Plate - Ti Screw - Ti Periarticular 6.5mm Cancellous Screws - Stainless Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ZI150 ZI151 Periarticular Plates Periarticular Plates ZI152 Periarticular Plates 10 - 80mm Detail Amendment ZI153 ZI154 ZI157 Periarticular Plates Periarticular Plates Zimmer Internal Fixation Systems: Compression Hip Screw Zimmer Internal Fixation Systems: Compression Hip Screw Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cable System Zimmer Internal Fixation Systems: Cannulated Screw Periarticular 4.0mm Cancellous Screws - Stainless Periarticular 4.5mm Self Tapping Screws - Stainless Steel Periarticular 3.5mm Self Tapping Screws - Stainless Steel Periarticular Tibial Plateau Plates - Stainless Steel Periarticular Femoral Condylar Plates - Stainless Steel Freelock/Versa-fx tube plate - Stainless Steel 4, 6, 8 inch, Left & Right 1&2 1 - 10 4.5 - 10 - 80 mm, 6.5 - 10 - 80 mm 16mm Thread - 35-90mm Long, 32mm Thread - 4590mm Long, Fully Threaded - 25-90mm Long Part thread - 30-60 mm, Full thread 30-110 mm 26 - 90mm 2 holes - 14 holes Left & Right 4 holes - 18 holes Left & Right 2 holes - 20 holes Detail Amendment Detail Amendment Detail Amendment Freelock/Versa-fx lag screw - Stainless Steel 50 mm - 150 mm long Detail Amendment Cable-Ready Stainless Steel Cable-Ready Plate Cable Stainless Steel Cable-Ready GTR Distal end Cable - Cobalt Chrome Cable-Ready 6 Hole Plate - Stainless Steel Cable-Ready 8 Hole Plate - Stainless Steel Cable-Ready 10 Hole Plate - Stainless Steel Cable-Ready Pin - Stainless Steel Cable-Ready GTR Cable - Proximal Cable-Ready Stainless Steel Cable Magna-FX - Stainless Steel Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Mini Magna-FX - Stainless Steel Scaphiod - Titanium Herbert/Whipple - Titanium Cannulated 4.5mm - Titanium Cannulated 6.5mm - Titanium Statak/Mini-Statak - Suture, Stainless Steel 1.3 mm 610 mm long 635 mm long 187mm long 246mm long 305mm long 35, 40, 45, 65mm long 635mm long 1.8mm 16 mm Thread - 30-30 mm; 32 mm Thread - 40-120 mm; Fully Threaded - 30-130 mm Long 4 & 5mm diameters Scaphoid - 12 - 30mm length 12 mm - 30 mm 30 - 70mm 25 mm - 100mm 2, 5 mm - 5, 0mm 1.5mm Cortical Screws 2.0mm Cortical Screws 2.7mm Cortical Screws 6 - 18mm 6 - 24mm 6 - 50mm Detail Amendment Detail Amendment Detail Amendment ZI158 ZI161 ZI163 ZI164 ZI167 ZI168 ZI169 ZI170 ZI173 ZI174 ZI176 ZI177 ZI178 ZI179 ZI180 ZI181 ZI182 ZI199 ZI200 ZI201 Zimmer Internal Fixation Systems: Cannulated Screw Zimmer Internal Fixation Systems: Herbert Bone Screw Zimmer Internal Fixation Systems: Herbert Bone Screw Zimmer Internal Fixation Systems: Herbert Bone Screw Zimmer Internal Fixation Systems: Herbert Bone Screw Zimmer Internal Fixation Systems: Soft Tissue Reattachment Device Zimmer ECT Screws Zimmer ECT Screws Zimmer ECT Screws Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 139 of 144 Billing Product Name Further Description Size Explanation of Change ZI202 ZI203 ZI204 ZI205 ZI206 ZI207 ZI209 ZI210 ZI211 ZI212 ZI214 ZI215 ZI216 ZI217 ZI218 ZI219 ZI220 ZI222 ZI223 ZI224 ZI225 ZI227 ZI228 ZI230 ZI231 ZI234 ZI243 ZI289 ZI290 Zimmer ECT Screws Zimmer ECT Screws Zimmer ECT Screws Zimmer ECT Screws Zimmer ECT Screws Zimmer ECT Screws Zimmer Large-Frag System Zimmer Large-Frag System Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates Zimmer Plates ZPS ZPS ZPS ZPS Cable System Periarticular Plates Bigliani Shoulder System Cable Ready Cable Grip System 10 - 130 mm 10 - 60 mm 14 - 120mm 14 - 70mm 25 - 70mm 25 - 110mm Small & Large Small & Large 3 - 8 Hole 3 - 8 Hole 3 - 8 Hole 3 - 12 Hole 4 - 12 Hole 4 - 6 Hole 5 - 6 Hole 68 - 147mm 88 - 104mm 2 - 6 Hole 3 - 8 Hole 2 - 12 Hole 5 - 14 Hole 6 Hole 6 Hole 6 Hole 4 Hole 2,5mm - 5,0mm 2 - 20 Hole Lengths 130 - 200mm, Thickness 6 - 16mm 23 x 53mm, 1.8 x 635mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ZI293 ZI294 Zimmer Wires Zimmer Wires 3.5mm Cortical Screws 4.0mm Cancellous Screws 4.5mm Cortical Screws 4.5mm Self tapping Cortical Screws 4.5 Malleo Screw 6.5mm Cancellous Screws Cortical Nut for 4.5mm screw Washer/Spiked washer ZPS SC 1/3 Tubular Plate - Forearm ZPS Semi Tubular Small Narrow Plate Mini Straight & Epiphysis Plates Mini SCP Plate SCP Forearm plate T Buttress Plates Spoon Plates T-Plates Cloverleaf plates Epiphysis plates 1/4 Tubular Plate Standard DC Plate Broad Plates 3.5mm Straight Recon Plates 3.5mm Curved Recon Plates 4.5mm Straight Recon Plate Recon Bridge Plate Cable Ready, Cable Button Stainless Steel Cobalt Chrome Titanium - comes with two cables (Co Cr), Integral Crimps Stainless Steel Stainless Steel Detail Amendment Detail Amendment ZI297 ZI298 ZI299 Cable Ready Cable Grip System Cable Ready Cable Grip System Cable Ready Cable Grip System Titanium Titanium Titanium Length 23cm, Thickness 2mm, 0-4mm, 8mm Length 7, 6cm - 23cm, Thickness 0mm, 7mm - 2mm, 0mm 5 hole GTR with 4 cables 2 hole GTR with 4 cables 4 hole GTR with 4 cables Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Page 140 of 144 Billing Product Name Further Description Size Explanation of Change ZI300 ZI304 ZI319 ZI320 ZI321 ZI322 ZI323 ZI326 ZI331 ZI336 ZI342 ZI343 ZI344 ZI345 ZI370 ZI398 ZI399 ZI400 ZI440 ZI441 ZI442 ZI443 ZI444 Bigliani Shoulder System Bigliani Shoulder System Bigliani Flatow Total Shoulder System - Glenoids ITST Intramedullary Nails Intramedullary Nail Caps ITST Intramedullary Nailing System - Lag screw Zimmer Wires Bigliani/Flatow Trabecular Metal Humeral Shoulder Zimmer Periarticular Locking Plates Polypin Resorbable Bone Pin GSB Cemented Elbow GSB Cemented Elbow GSB Cemented Elbow GSB Cemented Elbow Cancellous Screws High Tibia Osteotomy Cancellous Screws Cortical Screws Anatomical Select Shoulder Select Shoulder Select Shoulder BiPolar Head 40, 46, 52, 52mm diameters 40, 46 and 52mm diameters Diameter 40 - 52mm Diameter 10 - 14mm; Length 18 - 50cm Diameter 0 - 20mm Diameter 11mm: Length 70mm - 120mm Diameter 2.4 - 6.4mm; Length 2.5 - 52.7cm 6mm-19mm diameter Various lengths and numbers of holes 1.5, 2.0, 2.7mm 76,86,86L One size only 12/71,12/61,16/71,16/61 2/12,4/12,6/12,2/16,4/16,6/16 20 to 60 L shaped steel alloy plate; Standard & Long 6.5/15 to 6.5/70mm 4.5/30 to 60mm S, M, L 44/19 to 56/32 S, M, L, XL 7mm Short to 14.5mm 26/42 to 26/60 Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ZI445 ZI446 ZI447 ZI448 ZI459 ZI464 ZI465 ZI471 ZI484 Intermedics Select Shoulder Intermedics Select Shoulder Bioresorbable Screw Cannulated Screw Collagen Meniscus Implant GSB Elbow GSB Elbow NCB Plates Wristore 40 x 16mm to 56 x 32mm 7 to 14.5mm One size only One size only 7.5mm, 9mm One size only Length 76 - 86mm Plate size 60 to 324mm long Wristore Pack Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment ZI522 SIRUS Nail Bigliani-Flatow Shoulder - Heads (Cobalt chrome) Bigliani-Flatow shoulder - Glenoid (UHMWPE) Trabecular Metal Backed Glenoid (uncemented) Stainless Steel Intertrochanteric Nailing System Stainless Steel Intertrochanteric Nailing System Stainless Steel Intertrochanteric Nailing System Stainless Steel Rushpins Porous Tantulum Humeral Stem Periarticular Locking Plating System Polylactide GSB Humerus - CoCr alloy/PE GSB Humeral Medullary Plug - PE GSB Ulna Component - CoCr alloy GSB Washer - PE Orthopaedic Screws - Ti alloy High Tibia Osteotomy - Ti alloy Screws- Cancell - Ti alloy Screws- Cortical - Ti alloy Glenoid - PE Humeral Head Eccentric - CoCr alloy Glenoid - PE Stem - Ti alloy Humeral Head used with Select Shoulder Humeral Stem - CoCr alloy/ PE UniPolar Head -metal alloy Long Stem - Ti alloy Polylactide Ti alloy Porous collagen-glycosaminoglcan matrix Ulna Extension Special Bushing for Humerous Polyaxial locking plates, special titanium alloy Disposable External Fixation device for the treatment of distal radial fractures. Sirus Tibial Nail 8, 9, 10mm diam x 240 to 420mm in 14mm increments Detail Amendment Changed Items for Prostheses List Report Page 141 of 144 Billing Product Name Further Description Size Explanation of Change ZI523 SIRUS Nail Sirus Femoral Nail Detail Amendment ZI524 ZI525 ZI526 ZI528 SIRUS Nail SIRUS Nail SIRUS Nail Zimmer Trabecular Metal Reverse Shoulder System ZI529 Zimmer Trabecular Metal Reverse Shoulder System Sirus Locking Screws Sirus Cervical Screws Sirus End Cap Trabecular Metal Humeral Stem Titanium Alloy and Tantalum Polyethylene Liner 9, 10, 11, 12, 13mm diam x 300 to 480mm in 20mm increments 3.9, 4.9mm x 24 to 100mm 6.5mm diam x 60 to 140mm in 5mm increments 5-25mm length in 5mm increments 12mm x 130mm; 12mm x 170mm; 14mm x 130mm Standard 7 Deg. & Retentive 65 Deg; 36mm Neutral, Plus 3mm, Plus 6mm; 40mm - Neutral, Plus 3mm, Plus 6mm Detail Amendment ZI530 ZI531 ZI532 ZI533 Zimmer Trabecular Metal Reverse Shoulder System Zimmer Trabecular Metal Reverse Shoulder System Zimmer Trabecular Metal Reverse Shoulder System Zimmer Trabecular Metal Reverse Shoulder System 9mm, 12mm Taper Insert One Size Only 36mm, 40mm One Size Only Detail Amendment Detail Amendment Detail Amendment Detail Amendment ZI534 Zimmer Trabecular Metal Reverse Shoulder System Detail Amendment ZI541 Zimmer Universal Locking System 3.5mm Universal Locking System Reconstruction Plates, Straight-Sterile-Sterile & Non Sterile 18mm, 24mm, 27mm, 30mm, 33mm, 36mm, 42mm, 48mm 3 hole 40mm; 4 hole 53mm; 5 hole 79mm; 7 hole 92mm; 8 hole 105mm; 9 hole 118mm; 10 hole 131mm; 11 hole 144mm; 12 hole 157mm ZI542 Zimmer Universal Locking System 3.5mm Locking Dual Compression Plate Sterile and Non Sterile Detail Amendment ZI543 Zimmer Universal Locking System 3.5mm Locking T Plate Sterile and Non-Sterile 4 hole 53mm; 5 hole 66; 6 hole 79mm; 7 hole 92mm; 8 hole 105mm; 9 hole 118mm; 10 hole 131mm; 11 hole 144mm; 12 hole 157mm; 14 hole 183mm 3 hole head 5 hole shaft 73mm length; 4 hole head 6 hole shaft 85mm length; 3 hole head 3 hole shaft left 51mm length; 3 hole head 4 hole shaft left 63mm length; 3 hole head 3 hole shaft right 51mm length; 3 hole head 4 hole shaft right 63mm length. ZI544 Zimmer Universal Locking System Zimmer Universal Locking system ZI546 Zimmer Universal Locking System 5 hole 68mm; 6 hole 81mm; 7 hole 94mm; 8 hole 107mm; 10 hole 133mm 13 hole; 14 hole; 15 hole; 16 hole; 18 hole; 20 hole; 22 hole 16 hole; 20 hole Detail Amendment ZI545 ZI547 Zimmer Universal Locking System 3 hole; 4 hole; 12 hole; 14 hole Detail Amendment ZI548 Zimmer Universal Locking System 3.5mm Locking One-Third Tubular Plate - Sterile and non-sterile 3.5 mm Optional Locking Reconstructive PlateSterile and Non-Sterile 3.5mm Optional Locking dual Compression Plate Sterile and Non-Sterile 3.5mm Optical Locking-Third Tubular Plate-Sterile & Non Sterile 2.7mm Universal Locking Screw Length:8mm; 10mm; 12mm; 14mm; 16mm; 18mm; 20mm; 22mm; 24mm; 26mm; 28mm; 30mm; 32mm; 34mm; 36mm; 38mm; 40mm; 42mm; 44mm; 46mm; 48mm; 50mm; 55mm; 60mm Detail Amendment ZI549 Zimmer Universal Locking System 2.7mm Universal Locking System Reconstruction Plates, Straight - Sterile & Non Sterile 6 hole 49mm; 8 hole 65mm Detail Amendment Changed Items for Prostheses List Report Spacer Dual Taper Insert Glenosphere - CoCr - Mo Alloy Trabecular Metal Reverse Base Plate - Ti Alloy & Tantalum Inverse/Reverse Screw 4.5mm Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 142 of 144 Billing Product Name Further Description Size Explanation of Change ZI550 Zimmer Universal Locking System 2.7mm Locking Dual Compression Plate Sterile and Non Sterile Detail Amendment ZI551 Zimmer Universal Locking System 2.7 mm Locking T & L Plate Sterile and Non-Sterile 2 hole 26mm; 4 hole 49mm; 6 hole 72mm; 7 hole 84mm; 8 hole 95mm; 9 hole 107mm; 10 hole 118mm; 12 hole 141mm; 16 hole 187mm 2 hole head 3 hole shaft 39mm length; 2 hole head 5 hole shaft 62mm length; 3 hole shaft left 39mm; 3 hole shaft right 39mm; 3 hole shaft oblique left 42mm; 3 hole shaft oblique right 42mm; 5 hole shaft left 62mm; 5 hole shaft right 62mm; 5 hole shaft obl ZI552 Zimmer Universal Locking System ANATOMICAL SHOULDER ZI564 ANATOMICAL SHOULDER ZI565 ANATOMICAL SHOULDER ANATOMICAL INVERSE/REVERSE GLENOID HEAD ANATOMICAL FRACTURE HUMERAL HEAD 3 hole 36mm; 4 hole 47mm; 5 hole 59mm; 6 hole 70mm;l 7 hole 82mm; 8 hole 93mm D40 H14; D42 H15; D44 H16; D46 H16; D48 H17; D50 H18; D52 H19; D48 H20; D50 H21; D52 H23. 36mm; 40mm Detail Amendment ZI562 2.7mm Locking One-Quarter Tubular Plate-Sterile and Non-Sterile ANATOMICAL REMOVABLE HEAD Detail Amendment ZI575 ANATOMICAL SHOULDER ANATOMICAL FRACTURE STEM ZI577 ANATOMICAL SHOULDER ZI578 ANATOMICAL SHOULDER One size only. Detail Amendment ZI579 ANATOMICAL SHOULDER ANATOMICAL INVERSE/REVERSE HUMERAL POLY INLAY ANATOMICAL INVERSE/REVERSE GLENOID FIXATION ANATOMICAL CEMENTED HUMERAL STEM 40mm Left & Right; 44mm Left & Right; 48mm Left and Right. 7-14mm x 130mm; 7mm x 170mm; 9, 11, 13mm x 200mm. 36mm x 0, 3 & 6mm; 40mm x 0, 3 & 6mm. Detail Amendment ZI580 ANATOMICAL SHOULDER ANATOMICAL INVERSE/REVERSE HUMERAL CUP 7 x 100mm; 9 x 110mm; 12 x 110mm; 7 x 200mm; 9 x 210mm; 14 x 210mm Zero degree Retro; Zero degree Retro +6; +10 degree Retro; –10 degree Retro; +20 degree Retro; -20 degree Retro;9mm 0 degree Retro; 9mm 0 degree Retro +6. ZI581 ZI582 ANATOMICAL SHOULDER ANATOMICAL SHOULDER ANATOMICAL PEGGED GLENOID ANATOMICAL PRESS-FIT HUMERAL STEM Detail Amendment Detail Amendment ZI596 ZI597 ZI598 ZI599 ZI600 ZI601 ZI602 ZI603 ZI604 ZI605 ZI606 ZI708 NCB System NCB Plating System NCB System NCB System NCB System NCBSystem Trans Fx LITE Ankle Implant Kit Trans Fx LITE - Pelvic Resuscitation Kit Trans Fx LITE Trans Fx LITE - Wrist Kit Trans Fx LITE Universal Clamp NCB Screw Self Tapping NCB Spacers & Screw Caps NCB Cancellous Screws NCB Cortical Screws NCB Cannulated Screws NCB Cannulated Cancellous Screws MRI Ankle Bridging Implant Kit MRI Pelvic Resuscitation Kit MRI Knee Spanning Implant Kit Wrist Spanning Frame MRI Universal Clamp Universal Clamp Small, Medium and Large 7 x 100mm, 9 x 110mm, 10.5 x 110mm, 12 x 110mm, 14 x 110mm 5.00mm x 14-85; 4.00mm x 14-48, 1, 2 and 3 4.5mm x 30-65, 5.0mm x 32-90, 4.5mm x 30-65 C/FT 5.00mm x 14-85; 4.00mm x 14-90; 3.5mm x 14-75. 14mm to 65mm 4.5mm x 30-90mm Large Large Large Small One size only 5.5mm Changed Items for Prostheses List Report Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Detail Amendment Page 143 of 144 Billing Product Name Further Description Size Explanation of Change Grand Total: 3321 Records Changed Items for Prostheses List Report Page 144 of 144