Changed Items for Prostheses February 2006
Billing Product Name Further Description Size Explanation of Change
Abbott Australasia Pty Ltd
Cardio-thoracic
AY013 JoStent F1 Coronary Stent Stainless Steel 9 - 26 mm x 2.5 - 4 mm Change to Product Name
Vascular
AY015 Xact/ Xact Flex Carotid Stent Nitinol Self-Expanding stent on rapid exchange Diameter 7-10mm Length 20 + 30mm Change to Product Name
delivery system Straight; Diameter 8-6, 9-7, 10-8mm
Length 20 + 30mm Tapered
AY018 Emboshield Embolic Protection Device, including delivery Filters 3, 4, 5, and 6mm, Large and Small.. Change to Size
system, device specific procedural wire, filter Two wire lengths: 190cm for Monorail
for capturing embolic matter and retrieval system systems and 315cm for Over the Wire
Systems
Advanced Biomedical Pty Ltd
General/Miscellaneous
AB003 Bioglue Surgical Adhesive - 5ml Starter Kit Model No BG 3005 S (Bioglue Surgical One size only Change to Category
Adhesive)
Advanced Medical Optics Australia Pty Ltd
Ophthalmic
AO014 Tecnis TM Intraocular Lens Foldable Intraocular Lenses - Ultraviolet light 5-10 dioptre in 1.0 dioptre increments; Change to Further Description
absorbing posterior chamber intraocular lenses, 10.5 - 30 dioptre in 0.5 increments
Silicone/Acrylic
Advanced Surgical Technologies
Orthopaedic
AD230 Profemur Total Hip System Titanium uncemented proximal body X-small, Small, Standard 1, Standard 2, Change to Aust/L
Standard 3, Standard 4, Large
AD231 Profemur Total Hip System Titanium tapered Splined or Cylindrical Length 95 - 135mm, Diameter 10 - 22.5mm Change to Aust/L
Straight Stem
AD232 Profemur Total Hip System Titanium E Stem - without HA Plasma Spray 1 Standard - 9 Standard Change to Aust/L
AD234 Profemur Total Hip System Titanium uncemented proximal body - HA X-Small, Small, Standard 1, Standard 2, Change to Aust/L
Plasma sprayed Standard 3, Standard 4, Large
AD235 Profemur Total Hip System Titanium tapered Splined or Cylindrical Bowed Length 175 - 215mm, Diameter 10 - Change to Aust/L
Stem 22.5mm
Changed Items for Prostheses List Report Page 1 of 42
Billing Product Name Further Description Size Explanation of Change
AD236 Profemur Total Hip System Titanium Femoral Necks Length 27 - 38.5mm; Neutral to Change to Aust/L
Ante/Retro - Varus Valgus 2
AD238 Profemur Total Hip System Profemur Z, Titanium Tapered Femoral Stem Standard Length Sizes 1 - 9 Change to Aust/L
AD257 OSSStaple Osteosynthesis Staple Dynamic Compression Implants OSS Staple - Large wire 2.0-3.0 - Sizes 20x20x20, Change to Further Description & Size
Biocompatible Nitonol 22x25x22, 30x30x30, 12x15x12
AD258 OSSStaple Osteosynthesis Staple Dynamic Compression Implants OSS Staple - Small wire 1.2-1.5 - Sizes 5x7x5, 7x9x7, Change to Further Description & Size
Biocompatible Nitonol 8x11x8, 10x11x10, 10x13x10, 12x15x12,
15x15x15, 18x15x18, 15x20x15,
AD259 OSSStaple Osteosynthesis Staple Dynamic Compression Implants OSS Staple - Asymmetric - 11x15x13, 11x17x15, Change to Size
Asymmetric Staples - Biocompatible Nitonol 11x17x19, 18x 8x15
Construction
Australasian Medical & Scientific Ltd
General/Miscellaneous
AN005 Animas IR 1200 Insulin Infusion Pump (Insulin Ambulatory Insulin Infusion Pump One size only Addition of new model.
Infusion Pump IR 1200 series), Animas IR1250i
Insulin Infusion Pump (Insulin Infusion Pump
IR1200 series).
B Braun Australia Pty Ltd
Cardio-thoracic
BB106 Temporary Vena Cava System Phynox/ combination of various metals inc. One size, expands to Max length Change to Product Name
Nickel,Copper, Molubden,Steel 38mm/Max diameter 30mm
Orthopaedic
BB135 Aesculap Cervical System Titanium, rigid Medium 34 - 64mm length Change to Product Name
BB140 Aesculap Cervical System Titanium, rigid Large 67 - 103mm length Change to Product Name
BB153 Aesculap Cervical System Titanium, rigid Small 20 - 32mm Length Change to Product Name
BB158 Aesculap Cervical System Titanium with locking mechanism Dia 4 - 4.5mm, length 10 - 28mm Change to Product Name
BB219 S4 Spinal System S4 Straight Rod - Titanium 35mm - 60mm Change to Product Name
BB220 S4 Spinal System S4 Straight Rod - Titanium 70mm - 180mm Change to Product Name
BB221 S4 Spinal System S4 Straight Rod - Titanium 200mm - 500mm Change to Product Name
BB222 S4 Spinal System S4 Pre-bent Rod - Titanium 35mm - 55mm Change to Product Name
BB223 S4 Spinal System S4 Pre-bent Rod - Titanium 60mm - 100mm Change to Product Name
BB224 S4 Spinal System Polyaxial Screw - titanium various sizes Diameter 4.5mm & 5mm - all lengths 25 - Change to Product Name
60mm
Changed Items for Prostheses List Report Page 2 of 42
Billing Product Name Further Description Size Explanation of Change
BB225 S4 Spinal System Polyaxial Screw - Titanium various sizes Diameter 6.0mm, 7.0mm & 8.0mm - all Change to Product Name
lengths 25 - 60mm
BB226 S4 Spinal System Monoaxial Screw - titanium various sizes Diameter 4.5mm & 5mm - all lengths 25 Change to Product Name
- 60mm
BB227 S4 Spinal System Monoaxial Screw - titanium various sizes Diameter 6.0mm, 7.0mm & 8.0mm - all Change to Product Name
lengths 25 - 60mm
BB228 S4 Spinal System S4 Cross Connector - titanium Rigid 22mm - 41mm Change to Product Name
BB229 S4 Spinal System S4 Cross Connector - titanium Variable 43mm - 75mm Change to Product Name
BB230 S4 Spinal System Set Screw - titanium one size Change to Product Name
Vascular
BB169 Vena Cava Filter System PHYNOX Introducer system, 'J' Guidewire, Diameter 28 mm Change to Product Name
Seldinger needle, disposable scalpel
Bausch & Lomb Surgical
Ophthalmic
BL005 Storz (Coburn) Intraocular Lens 121UV; L122UV PMMA Anterior Chamber Intraocular lens 1 13.75mm length. 6.0mm optic size, Deletion Max Benefit
PMMAA Anterior Chamber Lens diopter range 3-30d. L122UV: 6.0mm
optic, 13.75mm length, power range; 5.0
to 30.0 Diopters
BL006 Posterior chamber IOLS model P359 UV, P399 UV, PMMA Posterior Chamber lens 1 piece; 12.25mm to 13.75mm length. 5.5mm to Deletion Max Benefit
68 UV, 95 BUV, or lolab PC One Piece, model 7mm optic size, diopter range -4.5 - 45d
6741B, 8591B, 8191B; Model EZE-Fit 65 to 10 - 34d; EZE-Fit 65: 6.5mm optic,
13.35mm length, Power range: 10.0 to
30.0 Diopter
BL020 Akreos Adapt acrylic foldable posterior chamber Composition: Hydrophilic acrylic polymer. 10.0 to 15.0 Diopter in 1.0 Diopter Deletion Max Benefit
intraocular lens Packaged in lens folding device in a sterile vial. increments
Four haptic design 15.0 to 25.0 Diopter in 0.5 Diopter
increments
25.0 to 30.0 Diopter in 1.0 Diopter
increments
Biomet Australia Pty Ltd
Orthopaedic
BI201 AGC Total Knee System - Dual Articular Knee Femoral, Tibial, Bearing, Stems, Chrome Size 55 to 75mm Fem, Size 59 to 83mm Change to Size
Cobalt, UHMWPE Bearing, Size 37 to 126mm stems, Size 63
to 91mm tibial
BI306 Rush Intramedullary Pins Stainless Steel (6 - 6.4mm) x (280 - 440mm) Change to Size
Plastic and Reconstructive
Changed Items for Prostheses List Report Page 3 of 42
Billing Product Name Further Description Size Explanation of Change
BI399 Lactosorb Resorbable Craniomaxillofacial Fixation Cover, solid or Holed, PGA/PLA (0.25, 0.5, 0.75mm) x 25x25mm Change to Further Description
System
BI400 Lactosorb Resorbable Craniomaxillofacial Fixation Cover, Solid or Holed, PGA/PLA (0.25, 0.5, 0.75mm) x 38x38mm Change to Further Description
System
BI401 Lactosorb Resorbable Craniomaxillofacial Fixation Cover, Solid or Holed, PGA/PLA (0.25, 0.5, 0.75mm) x 50x50mm Change to Further Description
System
BI412 Lactosorb Resorbable Craniomaxillofacial Fixation Cover, Solid or Holed, PGA/PLA (0.25, 0.5, 0.75mm) x 75x75mm Change to Further Description
System
BI413 Lactosorb Resorbable Craniomaxillofacial Fixation Cover, Solid or Holed, PGA/PLA (0.25, 0.5, 0.75mm) x 100x100mm Change to Further Description
System
BI448 Lorenz 2.4mm Locking Reconstruction System Plate, curved, std or low profile, 2.4mm 20 - 24 hole Change to Further Description & Size
system, titanium
BI452 Lorenz 2.4mm Locking Reconstruction System Plate, Straight, Std or low profile, 2.4mm 12 - 16 hole Change to Size
System, Titanium
Biotronik Australia Pty Ltd
Cardio-thoracic
BT051 KENTROX RV ICD Lead, right ventricle 65 or 75cms Reinstated with minimum benefit
Cochlear Limited
Ear, Nose & Throat
CO025 BAHA - Bone Anchored Hearing Aids Abutment Snap Coupling 5.5mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME075
CO026 BAHA - Bone Anchored Hearing Aids Flange fixture 3mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME076
CO027 BAHA - Bone Anchored Hearing Aids Flange fixture 4mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME077
CO028 BAHA - Bone Anchored Hearing Aids Cover screw unigrip One size only Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME078
CO029 BAHA - Bone Anchored Hearing Aids Flange Fixture - Titanium Self Tapping 3mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME137
CO030 BAHA - Bone Anchored Hearing Aids Flange Fixture - Titanium Self Tapping 4mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME138
CO031 BAHA - Bone Anchored Hearing Aids Flange Fixture - Titanium Self Tapping 3mm with BAHA Abutment Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME139
CO032 BAHA - Bone Anchored Hearing Aids Flange Fixture - Titanium Self Tapping 4mm with BAHA Abutment Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME140
Changed Items for Prostheses List Report Page 4 of 42
Billing Product Name Further Description Size Explanation of Change
CO033 BAHA - Bone Anchored Hearing Aid - Various The BAHA Hearing Aids (Compact, Classic Change to Aust/L, Sponsor change from
Models 300 & Cordelle II in various colours) are the Medtel Australia Pty Ltd ME176
external hearing processors which are attached
to the implanted titanium fixture by a snap
coupling. This allows the sound transmission
using bone conduction for patients where
conventional hearing devices are not indicted.
Plastic and Reconstructive
CO034 Face to Face Fixture MK II - Titanium Composition 10mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME177
CO035 Face to Face Cover Screw with Internal Hexagon One Size Only Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME178
CO036 Face to Face Abutment Complete - Titanium 3, 4, 5.5, 7mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME179
CO037 Face to Face Console Abutment Unigrip - Titanium 30, 60, 90, 110 Degrees Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME180
CO038 Face to Face Healing Abutment Unigrip - Titanium 7mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME181
ConceptVision Australia Pty Ltd
Ophthalmic
CS004 Eyeonics Inc Crystalens Silicon Multipiece Folding Accommodating Optic Diameter: 4.5mm; Overall Length: Change to Product Name
Intraocular Lens 11.5mm
Corin Australia Pty Ltd
Orthopaedic
CR025 Cenator Stem Femoral stem CoCr Stems ex-narrow, narrow, std & large Change to Product Name and Size
CR071 Alpha Lock Plug Screw; Alpha Lock Locking Screw Titanium One Size Only Change to Product Name and Further
Description, Compression of Billing
Code CR072
CR078 Oxford Universal Hip Stem Distal Femoral Stem Cocr Polished 10mm-20mm diameter,120-250mm length Change to Product Name, Further
Description & Size, Compression of
Billing Code CR082
De Puy Australia
Orthopaedic
DP124 Solution Implantable Hip System CoCr Femoral Head Various Tapers & Neck 22 or 26 or 28 or 32 mm size Change to Subgroup
Lengths
DP151 PFC Knee System Range PFC Sigma CVD or PLI Poly tibial Size 1-6 Change to Group and Sub Group
Changed Items for Prostheses List Report Page 5 of 42
Billing Product Name Further Description Size Explanation of Change
DY473 Solution Implantable Hip System CoCr Femoral Head Various Tapers & Neck 22 or 26 or 28 or 32 mm size Change to Sub Group
Lengths
Device Technologies Australia Pty Ltd
Mechanical Internal Wound Closure Products
DE004 SLS Clips Titanium Small - Large Addition of notation
DE005 SLS Clips Titanium composition Small, Medium, Large; Height 3.6 - Addition of Notation
9mm, Width 4.2 - 8.4mm
DE098 SLS Clips Titanium Clips Medium to large Additin of Notation
DE206 SLS Clips Titanium Micro, Height 2.6mm, Width 3.1mm Addition of Notation
Ophthalmic
DE205 Arcotane (Perfloro-N-Octane) Liquid perfluoro-N-Octane aid for retinal 5ml, 7ml Change to Size
surgery, pre-operative device for retinal
surgery, in particular retinal detachment (RD),
RD with giant tear, RD with proliferative
vitreal retinopathy (PVR) etc.
Orthopaedic
DE139 MBCP Micro & Macroporous Biphasic Calcium 5 x 12 to 15 x 13 Change to Size
Phosphate, composition - ceramic consituting
calcium phosphate hydroxyapatic 60% and
tricalcium phosphate beta (TCP) 40%, wedges,
round off
Endotherapeutics Pty Ltd
General/Miscellaneous
ET051 Surgiwrap Bio Absorbable Antiadhesion Barrier All sizes with and without suture holes Sponsor change from Austramedex
(VIC) Pty Ltd AR021
ESKA Australia
Orthopaedic
EK025 Type ST Biocondylar Surface Replacement Tibial Tray Component - cemented s-small, small, medium, large, x-large Change to Min Benefit, Deletion of Max
Benefit
EK026 Type ST Biocondylar Surface Replacement Tibial Tray Component - uncemented s-small, small, medium, large, x-large Deletion of Max Benefit
EK028 ESKA Modular Shoulder System Humeral Stem Universal Expansion to 5 Billing Codes
EK029 Type ST Biocondylar Surface Replacement Fixed bearing left and right femoral s-small, small, medium, large, x-large. Deletion of Max Benefit
components. Cemented Height - 8, 10, 12, 14mm
EK030 Type ST Biocondylar Surface Replacement Fixed bearing left and right femoral s-small, small, medium, large, x-large. Change to Min Benefit, Deletion of Max
components. Uncemented Height - 8, 10, 12, 14mm Benefit
Changed Items for Prostheses List Report Page 6 of 42
Billing Product Name Further Description Size Explanation of Change
EK032 Type RP Biocondylar Surface Replacement Mobile bearing. Left and Right Femoral s-small, small, medium, large, x-large Deletion of Max Benefit
components. Cemented.
EK033 Type RP Biocondylar Surface Replacement Mobile bearing. Left and Right Femoral s-small, small, medium, large, x-large Change to Min Benefit, Deletion of Max
components. Uncemented. Benefit
Global Manufacturing Technology Pty Limited
Orthopaedic
GM067 BacFix (Thoracolumbar System) Anterior washer - Titanium alloy Small, standard Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME029
GM068 BacFix (Thoracolumbar System) Multi axial bone screw - Nitinol 5 - 8mm x 30 - 60mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME030
GM069 BacFix (Thoracolumbar System) Serrated tooth locking clip - Titanium alloy Nominal, deep Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME031
GM070 BacFix (Thoracolumbar System) Spinal rod, rigid/flex - Titanium alloy 5.5 - 6mm x 50 - 125mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME032
GM071 BacFix (Thoracolumbar System) Spinal rod, rigid/flex - Titanium alloy 5.5 - 6mm x 300 - 600mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME033
GM072 BacFix (Thoracolumbar System) Non-threaded wedge with serrated teeth - 5.5 - 6mm Change to Aust/L, Sponsor change from
Titanium alloy Medtel Australia Pty Ltd ME034
GM073 BacFix (Thoracolumbar System) Hook - Titanium alloy 6.5 - 11mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME035
GM074 BacFix (Thoracolumbar System) Smooth profile flexible angle screw - Titanium 5 - 8mm x 30 - 60mm Change to Aust/L, Sponsor change from
alloy Medtel Australia Pty Ltd ME036
GM075 BacFix (Thoracolumbar System) SpeedLink fixed distance rod - Titanium alloy 5.5 - 6mm x 15 - 35mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME037
GM076 BacFix (Thoracolumbar System) SpeedLink adjustable length rod - Titanium alloy 5.5 - 6mm x 39.5 - 75mm Change to Aust/L, Sponsor change from
Medtel Australia Pty Ltd ME038
GM077 AcuFix Cancellous bone screw - Anterior cervical plate 4mm x 10 - 18mm Change to Aust/L, Sponsor change from
system - Titanium Medtel Australia Pty Ltd ME039
GM078 AcuFix Self tapping wide root screw - Anterior cervical 4mm x 10 - 18mm Change to Aust/L, Sponsor change from
plate system - Titanium Medtel Australia Pty Ltd ME040
GM079 AcuFix Rescue screw - Anterior cervical plate system - 4.5mm x 10 - 18mm Change to Aust/L, Sponsor change from
Titanium Medtel Australia Pty Ltd ME041
GM080 AcuFix 1 segment SlimLine plate - Anterior cervical 20 - 34mm Change to Aust/L, Sponsor change from
plate system - Titanium Medtel Australia Pty Ltd ME042
GM081 AcuFix 2 segment SlimLine plate - Anterior cervical 34 - 54mm Change to Aust/L, Sponsor change from
plate system - Titanium Medtel Australia Pty Ltd ME043
GM082 AcuFix 3 segment SlimLine plate - Anterior cervical 47 - 71mm Change to Aust/L, Sponsor change from
plate system - Titanium Medtel Australia Pty Ltd ME044
Changed Items for Prostheses List Report Page 7 of 42
Billing Product Name Further Description Size Explanation of Change
GM083 AcuFix 4 segment SlimLine plate - Anterior cervical 68 - 92mm Change to Aust/L, Sponsor change from
plate system - Titanium Medtel Australia Pty Ltd ME045
GM084 AcuFix 2 segment Corpectomy plate - Anterior cervical 34 - 54mm Change to Aust/L, Sponsor change from
plate system - Titanium Medtel Australia Pty Ltd ME046
GM085 AcuFix 3 segment Corpectomy plate - Anterior cervical 53 - 77mm Change to Aust/L, Sponsor change from
plate system - Titanium Medtel Australia Pty Ltd ME047
GM086 AcuFix 4 segment Corpectomy plate - Anterior cervical 68 - 101mm Change to Aust/L, Sponsor change from
plate system - Titanium Medtel Australia Pty Ltd ME048
Global Orthopaedic Technology
Orthopaedic
GO066 ApaPore Actifuse. Sterile, hydroxyapatite-based bone 10cc Change to Further Description
matrix
GO067 ApaPore Actifuse. Sterile, hydroxyapatite-based bone 20cc Change to Further Description
matrix
Guidant Australia Pty Ltd
Cardio-thoracic
GU158 Endotak Reliance SG Passive Fixation Lead Endotak Reliance SG Passive Fixation Lead: 54cm - 90cm Reinstated with Min/Max Benefit
Models 0170, 0171, 0172, and 0173
Implantable cardioverter defibrillator lead with
GORE ™ ePTFE covered coils.
GU159 Endotak Reliance G Passive Fixation Lead Endotak Reliance G Passive Fixation Lead: 54cm -90cm Reinstated with Min/Max Benefit
Models 0174, 0175, 0176 and 0177.
Implantable Cardioverter defibrillator lead with
GORE ™ ePTFE covered coils
GU160 Endotak Reliance Active Fixation Lead Endotak Reliance Active Fixation Lead: Models 54cm - 90cm Reinstated with Min Benefit
0157, 0158 and 0159 Implantable cardioverter
defibrillator lead
GU161 Endotak Reliance S Active Fixation Lead Endotak Reliance S Active Fixation Lead: 54cm - 90cm Reinstated with Min Benefit
Models 0137, 0138 and 0139
Gyrus Australasia Pty Ltd
General/Miscellaneous
GY082 SprayGel Air Assisted Sprayer SK-A-6001 SprayGel Sprayer Kit; AK-A-4210 One size only; AK-A-4210 - 5 Change to Aust/L, Sponsor change from
SprayGel Open Surgery Applicator Applicators/Box N. Stenning & Co. Pty Ltd NG036
GY083 SprayGel Adhesion Barrier Polymer Kit PK-A-6010 SprayGel Polymer Kit; PK-A- One size only; PK-A-4210 - 5 Kits/Box Change to Aust/L, Sponsor change from
4210 SprayGel Open Surgery Polymer Kit N. Stenning & Co. Pty Ltd NG037
Howmedica
Orthopaedic
Changed Items for Prostheses List Report Page 8 of 42
Billing Product Name Further Description Size Explanation of Change
HW030 Contemporary Hip System Range Exeter Contemporary Flanged Poly Cup - ID: 26, 28, 32. OD 46, 48, 50, 52, 54, Change to Further Description
Enhanced Polyethylene 56, 58, 60
HW044 Exeter Hip System X-Change Revision Mesh - Stainless Steel Acetabular, Femoral and Flat Mesh Change to Further Descritpion and Size
HW389 Xia Spine System Rod - Titanium alloy 70 - 480mm Change to Size
HW391 Xia Spine System Connector - Axial, Dual, Offset 4.5mm - 6mm Change to Size
Incision Pty Ltd
Cardio-thoracic
IP011 Jotec Flowline Bipore Vascular Graft Thin Wall with Spiral Reinforcement 40 & 50cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO040
IP012 Jotec Flowline Bipore Vascular Graft Thin Wall 40 & 50cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO041
IP013 Jotec Flowline Bipore Vascular Graft Standard Wall with Spiral Reinforcement 70 & 80cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO042
IP014 Jotec Flowline Bipore Vascular Graft Standard Wall 80cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO043
IP015 Jotec Flow Weave Vascular Graft Flow Weave 30cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO044
IP016 Jotec Flow Weave Vascular Graft Flow Weave 60cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO045
IP017 Jotec Flow Weave Vascular Graft Flow Weave BioSeal 15cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO046
IP018 Jotec Flow Weave Vascular Graft Flow Weave BioSeal 30cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO047
IP019 Jotec Flow Weave Vascular Graft Flow Weave BioSeal 60cm Change to Aust/L, Sponsor change from
Woodstock Biomedical Pty Ltd WO048
IP020 Jotec Flowline Bipore Heparin ePTFE Vascular ePTFE Vascular Graft with microporous All sizes up to 50cm in length Change to Aust/L, Sponsor change from
Graft Straight, Standard Wall structure. Standard Wall with Heparin Woodstock Biomedical Pty Ltd WO049
IP021 Jotec Flowline Bipore Heparin ePTFE Vascular ePTFE Vascular Graft with microporous All sizes at over 50cm in length Change to Aust/L, Sponsor change from
Graft Straight, Standard Wall structure. Standard Wall with Heparin Woodstock Biomedical Pty Ltd WO050
IP022 Jotec Flowline Bipore Heparin ePTFE Vascular ePTFE Vascular Graft with microporous All sizes up to 50cm Length Change to Aust/L, Sponsor change from
Graft Straight, Standard Wall with Reinforcement structure. Standard Wall with Heparin and Woodstock Biomedical Pty Ltd WO051
Reinforcement
IP023 Jotec Flowline Bipore Heparin ePTFE Vascular ePTFE Vascular Graft with microporous All sizes at over 50cm in Length Change to Aust/L, Sponsor change from
Graft Straight, Standard Wall with Reinforcement structure. Standard Wall with Heparin and Woodstock Biomedical Pty Ltd WO052
Reinforcement
IP024 Jotec Flowline Bipore ePTFE Vascular Graft, ePTFE Vascular Graft with microporous All sizes up to 50cm in Length Change to Aust/L, Sponsor change from
Straight, Thin Wall structure. Thin Wall Woodstock Biomedical Pty Ltd WO053
Changed Items for Prostheses List Report Page 9 of 42
Billing Product Name Further Description Size Explanation of Change
IP025 Jotec Flowline Bipore ePTFE Vascular Graft, ePTFE Vascular Graft with microporous All sizes at over 50cm in length Change to Aust/L, Sponsor change from
Straight, Thin Wall structure. Thin Wall Woodstock Biomedical Pty Ltd WO054
IP026 Jotec Flow Nit Bioseal Polyester Vascular Grafts, Flow Nit Bioseal Straight grafts are texturised For all diameters in 30cm lengths Change to Aust/L, Sponsor change from
Straight Grafts exterior yarns for superior tissue incorporation Woodstock Biomedical Pty Ltd WO055
and healing characteristics, with the new
Bioseal impregnation to make the grafts blood
IP027 Jotec Flow Nit Bioseal Polyester Vascular Grafts, Flow Nit Bioseal Straight grafts are texturised For all diameters in 15cm lengths Change to Aust/L, Sponsor change from
Straight Grafts exterior yarns for superior tissue incorporation Woodstock Biomedical Pty Ltd WO056
and healing characteristics, with the new
Bioseal impregnation to make the grafts blood
IP028 Jotec Flow Nit Bioseal Polyester Vascular Grafts, Flow Nit Bioseal Straight grafts are texturised For all diameters in 60 and 100cm lengths Change to Aust/L, Sponsor change from
Straight Grafts exterior yarns for superior tissue incorporation Woodstock Biomedical Pty Ltd WO057
and healing characteristics, with the new
Bioseal impregnation to make the grafts blood
IP029 Jotec Flowline Bipore ePTFE Vascular Graft, ePTFE Vascular Graft with microporous All sizes up to 50cm in Length Change to Aust/L, Sponsor change from
Straight, Standard Wall With Reinforcement structure, Straight, Standard Wall with Woodstock Biomedical Pty Ltd WO058
Reinforcement
IP030 Jotec Flowline Bipore ePTFE Vascular Graft, ePTFE Vascular Graft with microporous All sizes at over 50cm in Length Change to Aust/L, Sponsor change from
Straight, Standard Wall With Reinforcement structure, Straight, Standard Wall with Woodstock Biomedical Pty Ltd WO059
Reinforcement
IP031 Jotec Flowline Bipore ePTFE Vascular Graft, ePTFE Vascular Graft with microporous All sizes up to 50cm in Length Change to Aust/L, Sponsor change from
Straight, Thin Wall with Reinforcement structure. Thin Wall with spiral reinforcement Woodstock Biomedical Pty Ltd WO060
IP032 Jotec Flowline Bipore ePTFE Vascular Graft, ePTFE Vascular Graft with microporous All sizes at over 50cm in Length Change to Aust/L, Sponsor change from
Straight, Thin Wall with Reinforcement structure. Thin Wall with spiral reinforcement Woodstock Biomedical Pty Ltd WO061
IP033 Jotec Flow Nit Bioseal Polyester Vascular Grafts, Flow Nit Bioseal Bifurcated grafts are 45 cm length, 12x6mm, 14x7mm, Change to Aust/L, Sponsor change from
Bifurcated Grafts texturised exterior yarns for superior tissue 16x8mm, 18x9mm, 20x10mm, 22x11mm, Woodstock Biomedical Pty Ltd WO062
incorporation and healing characteristics, with 24x12mm
the new Bioseal impregnation to make the
Vascular
IP034 Jotec Flowline Bipore, thin wall with spiral ePTFE thin wall with spiral reinforcement with 50cm Change to Aust/L, Sponsor change from
reinforcement with Heparin Heparin (vascular graft, synthetic) Woodstock Biomedical Pty Ltd WO063
IP035 Jotec Flowline Bipore, thin Wall with Heparin ePTFE thin wall with Heparin (vascular graft, 80cm Change to Aust/L, Sponsor change from
synthetic) Woodstock Biomedical Pty Ltd WO064
Kvinno Centre Pty Ltd
Urogenital
KV001 Tissue Fixation System (TFS) One Size Only Change to Product Name
Link Orthopaedic Australia
Orthopaedic
Changed Items for Prostheses List Report Page 10 of 42
Billing Product Name Further Description Size Explanation of Change
LO021 Waldemar Link MP Reconstruction Hip Prosthesis Stem 14 - 25mm x 210, 250, 290 & 330mm; 12 Deletion of MaxBenefit
x 160, 180, 210, 250 - MP; 14 x 160, 180
-MP; 16 x 160, 180 - MP; 18 x 160, 180 -
MP; 20 x 160, 180 - MP; 22.5 x 160,
180 -MP; 25 x 160, 180 - MP
LO138 Waldemar Link MP Reconstruction Hip Prosthesis Stem 14 - 25mm x 210, 250, 290 & 330mm; 12 Deletion of MaxBenefit
x 160, 180, 210, 250 - MP; 14 x 160, 180
-MP; 16 x 160, 180 - MP; 18 x 160, 180 -
MP; 20 x 160, 180 - MP; 22.5 x 160,
180 -MP; 25 x 160, 180 - MP
LMT Surgical Pty Ltd
Orthopaedic
LM056 Ascension DRUJ Ulna Head, Implant System Cobalt chromium stem with PyroCarbon or 0, 1, 2, 3, 4 Change to Further Description
Cobalt Chromium Articular Surface
Mathys Orthopaedics Pty Ltd
Orthopaedic
MA016 CCA Cemented Stem Straight / standard / lateral sterile 7.50mm -17.5mm Change to Aust/L
MA017 FULFIX Cemented Stem Standard modular / lateral modular sterile 3.0mm - 12.5mm Change to Aust/L
MA018 Intramedullary Plug Cement Restricter Small to Extra Large Change to Aust/L
MA019 CBC Cementless Stem Titanium femoral stem 5-20mm Change to Aust/L
MA020 Ceramic Head Ceramic Cone 12/14 - dia 28mm-32mm Change to Aust/L
MA023 RM cup with MOM Chrome, cobalt lining Dia 46mm - 64mm Change to Aust/L
MA024 CCE Ring CCE roof reinforcement ring - Dia 46 - 58mm Change to Aust/L
MA025 Bipolar Head Bipolar prosthesis head Dia 28mm Change to Aust/L
MA026 Distal Centraliser For fullfix stem - PMMA Dia 8.0/9.5mm - 15/12mm Change to Aust/L
MA027 CCB Cemented Cup Full profile / low profile special cup 28/32 ID - 42/64 OD Change to Aust/L
MA028 Metal Heads Hip Prosthesis Head Cone 12/14 dia 28mm-58mm Change to Aust/L
MA029 Metal on Metal Head Head for MOM articulation 28mm Change to Aust/L
MA031 RM Cementless Cup Monomesh/Ceros 80/Titanium 46mm - 68mm Change to Aust/L
MA032 RM Cup Screws Titanium 4 x 22mm - 4 x 48mm Change to Aust/L
MA081 Finger Prosthesis - distal, proximal, standard, large L18 D4.0 - L26 D6.0 Change to Aust/L
MA108 Balansys Femoral Component Left & right A-E Change to Aust/L
Changed Items for Prostheses List Report Page 11 of 42
Billing Product Name Further Description Size Explanation of Change
MA109 Balansys Tibial Base Plate Metal back 64mm - 85mm Change to Aust/L
MA110 Balansys Tibial Component Tibial insert Insert 64/8 - 85/15.5 Change to Aust/L
MA111 Balansys Patella Component Polyethylene Dia 25mm Change to Aust/L
MA311 Balansys Mobile Insert Tibial Polyethylene Component Mobile 64/8mm - 85/15.5mm Change to Aust/L
MA312 Balansys Mobile Base Plate Tibial Base Plate Mobile Bearing 64/8mm - 85/15.5mm Change to Aust/L
MA419 seleXys PE Inlay Modular, Keramed CHIRULEN UHMW-PE 44mm-72mm Change to Aust/L and Product Name
insert to fit MACROFIT/TRISTABIL/
UNICAP acetabular cup systems
MA420 seleXys Cancellous Bone Screws Modular, Keramed PROTHITAN cancellous Diameter 6.5mm to fit Change to Aust/L and Product Name
screw MACROFIT/TRISTABIL/UNICUP
acetabular cup system 15-45mmL
MA421 seleXys Ceramic Inlay Modular, Keramed BIONIT ceramic insert to 44-72mm Change to Aust/L and Product Name
fit MACROFIT/TRISTABEL/UNICAP
acetubular cup systems
MA422 Articula Shoulder Prosthesis Modular shoulder prosthesis for shoulder Stem 8, 9.5, and 11mm diameter, Lengths Change to Aust/L
arthroplasty 125 & 175mm, Head 46, 48 & 50mm
diameter
MA423 Unistem 2 Cemented stem for hip arthroplasty Sizes 6-16; Length 125-165mm Change to Aust/L
MA424 GSS-CO Cementless stem for hip arthroplasty Sizes 1-7; Length 145-200mm Change to Aust/L
MA427 CBH Stem Cementless stem for hip arthroplasty 00-12 Change to Aust/L
MA428 CBK Revision Stem Uncemented revision stem for hip arthroplasty Dia 14mm-25mm; Lengths 225, 265, Change to Aust/L
305mm
MA431 Cemfix Acrylic bone cement for orthopaedic surgery CEMFIX 1 Standard viscosity; CEMFIX Change to Aust/L
2 Low viscosity
MA439 ExpanSys Cup Cementless acetabular component for hip acetabular shell/cup 44-72mm range Change to Aust/L
arthroplasty titanium expandable cup with
either p/e or m/m inlay
MA440 ExpanSys Cup Cementless acetabular component for hip UHMW-PE inlay 44-72mm range Change to Aust/L
arthroplasty titanium expandable cup with
either p/e or m/m inlay
MA441 ExpanSys Cup Cementless acetabular component for hip Metal on metal inlay 44-72mm range Change to Aust/L
arthroplasty titanium expandable cup with
either p/e or m/m inlay
MA442 seleXys Shell Modular Keramed titanium acetabular 44-72mm (2mm increments) Change to Aust/L and Product Name
component to include
MA448 Affinis Total Shoulder Prosthesis Head - CoCr; Stem - Titanium; Glenoid - Diameter 39, 41, 43, 45, 47, 49, 51, Change to Aust/L
UHMWPE
Changed Items for Prostheses List Report Page 12 of 42
Billing Product Name Further Description Size Explanation of Change
MA449 Affinis Total Shoulder Prosthesis Stem - CoCr; Stem - Titanium; Glenoid - Cemented 6, 9, 12, and 15mm;Cementless Change to Aust/L
UHMWPE 6, 7.5, 9, 10.5, 12, 13.5 and 15mm
MA450 Affinis Total Shoulder Prosthesis Glenoid - CoCr; Stem - Titanium; Glenoid - Size 1 to 4 Cemented Change to Aust/L
UHMWPE
MA451 balanSys UNI Femoral component, cemented CoCrMo A, B,C,D,E Change to Aust/L
MA452 balanSys UNI Tibial component - fixed bearing 1,2,3,4,5 Change to Aust/L
MA453 balanSys UNI Tibial component - mobile 1,2,3,4,5 Change to Aust/L
MA454 balanSys UNI PE insert - fixed bearing 5,6,7,9 Change to Aust/L
MA455 balanSys UNI PE insert - mobile 5,6,7,9 Change to Aust/L
MA456 Metal Heads Hip Prosthesis Head Cone 12/14 dia 28mm-58mm Change to Aust/L
MA457 Balansys Femoral Component Left & right A-E Change to Aust/L
MA458 Balansys Femoral Component Left & right A-E Change to Aust/L
MA459 Balansys Tibial Component Tibial insert Insert 64/8 - 85/15.5 Change to Aust/L
MA460 Balansys Mobile Base Plate Tibial Base Plate Mobile Bearing 64/8mm - 85/15.5mm Change to Aust/L
MA461 ExpanSys Cup Cementless acetabular component for hip acetabular shell/cup 44-72mm range Change to Aust/L
arthroplasty titanium expandable cup with
either p/e or m/m inlay
Medical Specialties Australia Pty Ltd
General/Miscellaneous
MS040 Medical Specialties/Unomedical "Deltec Cozmo Drug Infusion Set Box 10 Change to Size
Ancillary Equipment"
Medtronic Australasia Pty Ltd
Cardio-thoracic
MC015 Freestyle bioprosthesis Models 995xx, 995MSxx 19 - 35mm Change to Product Name, Further
Description & Size, Expansion to 2
Billing Codes
Neurosurgical
MC529 Hydrocephalus Shunt Lumbar peritoneal 84cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC530 Hydrocephalus Shunt Ventricular/Atrial, CSF Flow Control Shunts, 38cm-90cm Sponsor change from Medtronic
Cont Small Valve Sofamor Danek Australia Pty Ltd
MC531 Hydrocephalus Shunt Ventricular/Peritoneal. CSF Flow Control 12mm-90cm Sponsor change from Medtronic
Valves, BioGlide Contoured, Ventriculostomy Sofamor Danek Australia Pty Ltd
Kit-E, Neonatal Delta Snap Shunt
Changed Items for Prostheses List Report Page 13 of 42
Billing Product Name Further Description Size Explanation of Change
MC532 Hydrocephalus Shunt With Hydrostatic Valve, Delta 12mm-90cm Sponsor change from Medtronic
Valves/Shunts/BioGlide, Vent Catheters Sofamor Danek Australia Pty Ltd
MC533 Shunt: Components catheter Ventricular Catheter, CSF Catheter 1.3 - 35cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC534 Pressure valve (anti-siphon device or flushing valve Neonatal Reservior, CSF Lumbo Peritoneal 2 - 90cm Sponsor change from Medtronic
or flush pump) Sofamor Danek Australia Pty Ltd
MC535 Pressure valve (anti-siphon device or flushing valve Reservoir, CSF Vent Reservoir, Snap Assembly 6 - 90mm Sponsor change from Medtronic
or flush pump) Reservoir Sofamor Danek Australia Pty Ltd
MC536 Valves, Hydrocephalic Strata Adjustable Delta Valve 12 -16mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC581 Invisx Locks Invisx polymer cranial fixation system Single pack Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC582 Invisx Locks Invisx polymer cranial fixation system 2 pack Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC583 CSF - Ventricular Catheters PSM Range Non metallic latex free. Barium impregnated, ID 1.3mm OD 2.5mm Length 15cm, Sponsor change from Medtronic
include stainless steel stylet. Model Nos 23cm; ID 1.2mm OD 2.1mm Length Sofamor Danek Australia Pty Ltd
41101, 41115, 41207, 41103, 41308, Proximal
ventricular catheter.
MC584 CSF - Distal Catheters Non metallic and latex free, Models Distal cardiac/peritoneal catheters ID Sponsor change from Medtronic
43418,43103,43111,43209,43522,43551,27211 1.3mm OD 2.5mm Length 90cm, 96cm, Sofamor Danek Australia Pty Ltd
110cm, 120cm, ID 1.2mm, OD 2.1mm,
Length 90cm, 75cm, 58cm
MC618 Medishield Medishield is a co-polmer gel composed of 3cc Syringe Sponsor change from Medtronic
carboxymethylcellulose and polyethylene. Sofamor Danek Australia Pty Ltd
MC626 Macropore FRP (fast resorbing polymer) Polylactide and Polyglycolide polymer 1.8mm x 3-8mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC627 Macropore FRP (fast resorbing polymer) Polylactide and Polyglycolide polymer 100mm x 100mm x 0.75mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC628 Macropore FRP (fast resorbing polymer) Polylactide and Polyglycolide polymer 60mm x 80mm x 0.75mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC629 Macropore FRP (fast resorbing polymer) Polylactide and Polyglycolide polymer 50mm x 50mm 0.75mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC630 Macropore FRP (fast resorbing polymer) Polylactide and Polyglycolide polymer 25mm x 25mm x 0.75mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC631 Macropore FRP (fast resorbing polymer) screw Polylactide and Polyglycolide polymer 2.1mm x 3-8mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC638 Peritoneal Catheter PSM range with Bioglide Translucent silicone elastomer with Barium 60-90cm Sponsor change from Medtronic
impregnated stripe. Catheter surface bonded Sofamor Danek Australia Pty Ltd
with Hydrogel.
Changed Items for Prostheses List Report Page 14 of 42
Billing Product Name Further Description Size Explanation of Change
MC639 Ventricular Catheter PSM range with Bioglide Translucent silicone elastomer with Barium 15-23cm Sponsor change from Medtronic
impregnated stripe. Catheter surface bonded Sofamor Danek Australia Pty Ltd
with Hydrogel.
MC640 Strata Shunt, Unitised Adjustable CSF valve with five symmetric 8-13.5cm x 9-120cm Sponsor change from Medtronic
performance level steps. Includes strata valve, Sofamor Danek Australia Pty Ltd
pre-attached ventricular catheter, and a pre-
attached peritoneal catheter. Right Angle Clip.
Disposable Quick Release Ventricular Catheter
Introducer. Disposable Subcutaneous Catheter
Passer. Tuohy-Borst Adapter.
MC641 Strata Valve Unitised with Bioglide PSM range CSF Flow Valve. Polypropylene and acetal One size only Sponsor change from Medtronic
plastic base. Silicone elastomer dome. Sofamor Danek Australia Pty Ltd
MC642 Strata Valve Assembly with Bioglide PSM range CSF Flow Valves. Polypropylene and acetal One size Sponsor change from Medtronic
plastic base. Silicone elastomer dome. Sofamor Danek Australia Pty Ltd
MC643 Strata Valve with Bioglide PSM range CSF Flow Valve. Polypropylene and acetal 13-16mm x 35-47mm Sponsor change from Medtronic
plastic base. Silicone elastomer dome. Sofamor Danek Australia Pty Ltd
MC644 Strata Valve NSC (non siphon control) PSM range CSF Flow Valve. Polypropylene and acetal 13-16mm x 23-32mm (0.5-2.0) Sponsor change from Medtronic
plastic base. Silicone elastomer dome. Sofamor Danek Australia Pty Ltd
MC645 Strata Valve Unitised NSC (non siphon control) Adjustable CSF valve with five symmetric 8-120cm Sponsor change from Medtronic
PSM range performance level steps. Includes a strata valve, Sofamor Danek Australia Pty Ltd
pre-attached ventricular catheter, and a pre-
attached peritoneal catheter. Right Angle Clip.
Disposable Quick Release Ventricular Catheter
Introducer. Disposable Subcutaneous Catheter
Passer. Tuohy-Borst Adapter. Polypropylene
and acetal plastic base. Silicone elastomer dome.
MC646 Strata Valve Assembly NSC (non siphon control) Adjustable CSF valve with five symmetrical One size Sponsor change from Medtronic
PSM range performance level steps. Includes a strata valve, Sofamor Danek Australia Pty Ltd
an integral distal peritoneal catheter and
catheter passer, and a female leur adaptor and
prefill tubing. Polypropylene and acetal plastic
base. Silicone elastomer dome.
MC647 Delta Valve with Bioglide PSM range CSF Flow Valve. Polypropylene and acetal 36-40mm x 9-20mm (0.5-2.0) Sponsor change from Medtronic
plastic base. Silicone elastomer dome. Surface Sofamor Danek Australia Pty Ltd
of valve bonded with hydrogel (Bioglide surface
modification).
MC648 Delta Valve Unitised with Bioglide PSM range CSF Flow Valves. Polypropylene and acetal 8-13.5cm x 90-120cm (0.5-2.0) Sponsor change from Medtronic
plastic base. Silicone elastomer dome. Unitised Sofamor Danek Australia Pty Ltd
system includes the valve, integral ventricular
and peritoneal catheter (all components
connected). Surface of valve bonded with
hydrogel (Bioglide surface modification).
Changed Items for Prostheses List Report Page 15 of 42
Billing Product Name Further Description Size Explanation of Change
MC649 Delta Shunt Unitised Delta valve is a fixed pressure CSF valve, Delta Unitised Shunt small (Distal 65cm- Sponsor change from Medtronic
available in four performance levels. Delta 90cm, ventricular 11cm) - 0.5, 1.0, 1.5 Sofamor Danek Australia Pty Ltd
Unitised shunt includes a delta valve, pre- and 2.0. Delta Unitised Shunt regular
attached ventricular catheter, and a pre-attached (Distal 90cm, ventricular catheter 13cm) -
peritoneal catheter. Right Angle Clip. 0.5, 1.0, 1.5 and 2.0
Disposable Quick Release Ventricular Catheter
MC650 Delta Shunt Assembly Delta valve is a fixed CSF pressure valve, 90-120cm (0.5 - 2.0) Sponsor change from Medtronic
available in four performance levels. Includes an Sofamor Danek Australia Pty Ltd
Integral (distal) Peritoneal Catheter,
Disposable Peritoneal Catheter Passer, Female
Luer Adapter and Prefill Tubing.
MC651 Delta Valve Assembly with Bioglide PSM range CSF Flow Valves. Polypropylene and acetal 90-120cm (0.5, 1.0, 1.5, 2.0) Sponsor change from Medtronic
plastic base. Silicone elastomer dome. Sofamor Danek Australia Pty Ltd
Assembly system includes the valve, integral
peritoneal catheter, female luer adapter and
prefill tubing. Surface of the valve bonded with
hydrogel (Bioglide surface modification).
MC652 Strata Shunt Assembly Adjustable CSF valve with five symmetric 90-120cm Sponsor change from Medtronic
performance level steps. The assembly includes Sofamor Danek Australia Pty Ltd
an Integrated (distal) Peritoneal Catheter.
Disposable Peritoneal Catheter Passer. Female
Luer Adapter and Prefill tubing.
Orthopaedic
MC298 DIAM Sterile 6 - 16 mm Change to Product Name
MC346 Venture Anterior Cervical Plate Single or multi level plate, titanium alloy and 20mm - 50mm Change to Size, Expansion to 4 Billing
Nitinol Codes, Change to Minimum Benefit
MC375 Colorado Spinal System Colorado 2 Hook, Pedicular hook - small and Sponsor change from Medtronic
large, Laminar hook - small, medium and large, Sofamor Danek Australia Pty Ltd
Staple for pedicular hooks,
Closed laminar thoracic hook, Supra laminar
median hook,
Narrow laminar - 1 size, Closed laminar - 1 size
MC376 Colorado Spinal System Colorado 2 Connector For 5mm rod and 5.5mm rod Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC377 Colorado Spinal System Colorado 2 Clamp Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC378 Pyramesh Titanium Surgical Mesh 51 - 500mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC379 Pyramesh Titanium Surgical Mesh 5 - 50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC380 Interfix C Carbon Cage Diameter range from 12 - 20mm, Length Sponsor change from Medtronic
range from 20 - 29mm Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 16 of 42
Billing Product Name Further Description Size Explanation of Change
MC381 Affinity Cervical Cage - D7 - L12 to D9 - L14 Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC382 Colorado Spinal System Colorado 2 Rod 5.0mm and 5.5mm, length range 50 - Sponsor change from Medtronic
600mm Sofamor Danek Australia Pty Ltd
MC384 Colorado 2 Pedicle Screw Diameter 5.5 - 7.5 Lengths 30 - 70mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC394 CD Horizon Nut/Plug, DDT Nuts, double threaded screw Each in one size Sponsor change from Medtronic
nots, plug for closed implants, threaded screw Sofamor Danek Australia Pty Ltd
MC395 TSRH Spinal Implant System 3D -Staple, Two hole - left, right Two pronged 16 - 36mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC396 TSRH Spinal Implant System 3D - Rod Diam 4.75 - 6.35mm, Length 25mm - 80cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC397 TSRH Spinal Implant System 3D - Hook, Offset, left, right, laminar, pedicle, Large - small Sponsor change from Medtronic
Stainless steel, Titanium Sofamor Danek Australia Pty Ltd
MC398 TSRH Spinal Implant System 3D - Plate, Offset, connector, multi-span, sacral Sacral 20 - 50mm, rest 0.375 - 3.75 inches Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC399 TSRH Spinal Implant System 3D - Nut, Eyebolt locknot, locknut 1/2 inch, Each in one size Sponsor change from Medtronic
locking screws, double hex, flush break, Sofamor Danek Australia Pty Ltd
universal breakoff
MC400 TSRH Spinal Implant System 3D - Crosslink, Plate, multip-span plate, offset Sacral 20 - 50mm, rest 0.375 - 3.75 inches Sponsor change from Medtronic
plate, sacral plate Sofamor Danek Australia Pty Ltd
MC401 TSRH Spinal Implant System 3D - Bolt Small, medium, large Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC402 CD Horizon Pedicle Screws Diameter 5.5 - 7.5 Lengths 25 - 80mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC403 Colorado Spinal System Colorado 2 Plate Range length 20 - 60mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC404 CD Horizon Rod, Stainless Steel, Titanium 40mm to 600mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC405 TSRH Spinal Implant System 3D - Washer One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC406 CD Horizon Hook - various Small, Medium or Large Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC407 CD Horizon Domino 3.2mm, 3.5mm, 4.5mm, 5,5mm, 6.35mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD035, Change to Size
MC408 CD Horizon Crosslink, Plate, Multi-span late, Offset plate, 60 - 200mm Sponsor change from Medtronic
Transverse links Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 17 of 42
Billing Product Name Further Description Size Explanation of Change
MC409 CD Horizon Connector, Lateral open, lateral closed, closed Connector, Lateral open, lateral closed, Sponsor change from Medtronic
reduction, DTT Transverse, Domino, closed reduction - 1size, DTT Transverse Sofamor Danek Australia Pty Ltd
Connecting cylinder, Closed Domino, - 70 - 100mm, Domino - 5.5 - 6.35mm
Connecting Cylinder, Hopf screw, ilio sacral,
lateral, Stephanie, axial connectors
MC410 CD Horizon Bolt, Left, Right One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC411 CD Horizon Block, Right, Left 5 - 7 mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC412 Cornerstone SRC Cage Staple, Carbon composite Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC413 Cornerstone Cage Sterile and Non-sterile 4, 5, 6, 7, 8, 9, 10mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC414 CD Horizon Plate, Chopin Intrapedicular 32mm - 52mm, Sponsor change from Medtronic
Chopin plate 32 - 36mm Sofamor Danek Australia Pty Ltd
MC415 BCP Biphasic Calcium Phosphate Reabsorbable 1-3cc Sponsor change from Medtronic
Graft Supplement Sofamor Danek Australia Pty Ltd
MC416 Novus System ALIF II 10-16mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC417 Orfil Stainless Steel - Wire Spool 1-350mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC418 Atlantis Anterior Cervical Plate Plate 19.0mm - 47.5mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC419 Atlantis Anterior Cervical Plate Plate 50.0 - 60.0mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC420 Atlantis Anterior Cervical Plate Plate 62.5 - 77.5mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC421 Atlantis Anterior Cervical Plate Plate 80.0 - 95.0mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC422 Atlantis Anterior Cervical Plate Plate 100.0 - 110.0mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC423 Atlantis Fixed Angle Cancellous Screw 10-20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC424 Atlantis Variable Angle Cancellous Screw 10-20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC425 Dynalok Breakoff Nut One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC426 Dynalok Crosslink Plate 3cm - 16 cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 18 of 42
Billing Product Name Further Description Size Explanation of Change
MC427 Dynalok Long Post Bolt 30 - 55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC428 Dynalok Short Post Bolt 30 - 55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC429 Dynalok Offset, Straight, Extended Connector 5.5 - 6.35mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC430 Dynalok Washer / Stabiliser One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC431 Colorado Spinal System Staple One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC432 Colorado Spinal System Sacral Plate Left/right Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC433 Colorado Spinal System Ilio-Sacral Plate Left/right Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC434 Colorado Spinal System Connector for Sacral & Ilio-Sacral Plate One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC435 Colorado Spinal System Break off Nut One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC436 CD-Horizon C-ring One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC437 CD-Horizon Staples One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC438 Novus System Plif Cage: Cage 12 - 50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC439 CD Horizon Cannulated Pedicle Screw 20mm - 80mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD067, Change to Size
MC440 CD Horizon Eclipse: 4.5mm Rod 40 - 600mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC441 Atlas Cable System (SS) Single w/crimp and bar One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC442 Atlas Cable System (SS) Double w/2 crimps One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC443 Atlas Cable System (SS) Crimp One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC444 Atlas Cable System (Ti) Single (loop end) w/crimp One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC445 Atlas Cable System (Ti) Double w/2 crimps One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 19 of 42
Billing Product Name Further Description Size Explanation of Change
MC446 Atlas Cable System (Ti) Crimp One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC447 UCSS Cortical Screws 30 - 50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC448 UCSS Cortical Lag Screws 36 - 50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC449 Pyramesh Angled 25 - 150mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC450 Pyramesh Curved 130mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC451 Pyramesh Ovoid 8 - 70mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC452 Telamon Cage 8 - 16mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC453 Telamon Titanium Cage 8 - 16mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC454 Telamon Contour, Carbon Cage 8 - 16mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC455 Telamon Contour, Titanium Cage 8 - 16mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC456 Interfix Titanium Cage 12 x 20mm - 24 x 50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC457 LordoTec Cage (LT-Cage) Titanium, PEEK 18-28mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC458 TSRH 3D Screw 30-55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC459 TSRH 3D Extended Post Screw 30-50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC460 TSRH 3D Connector, 5.5mm 6-12mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC461 Union Carbon Cage 10 - 16mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC462 Zephir Cancellous Screw 13-17mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC463 Zephir Anterior Cervical Plate 20-70mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC464 Z Plate II Plate 4cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC465 Z Plate II Plate 5cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 20 of 42
Billing Product Name Further Description Size Explanation of Change
MC466 Z Plate II Plate 6cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC467 Z Plate II Plate 7cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC468 Z Plate II Plate 8cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC469 Z Plate II Plate 9cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC470 Z Plate II Plate 10cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC471 Z Plate II Plate 11cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC472 Z Plate II Plate 12cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC473 Z Plate II Plate 13cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC474 Z Plate II Bolt & Nut 30mm - 55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC475 Z Plate II Non Breakoff Nut One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC476 Z Plate II Screw 20 - 60mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC477 Z Plate II Slot Washer One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC478 Axis Cervical Plating System Plate 11mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC479 Axis Cervical Plating System Plate 13mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC480 Axis Cervical Plating System Plate 15mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC481 Axis Cervical Plating System Plate Longer than 15mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC482 Axis Cervical Plating System Screw: Cancellous 6 - 24mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC483 Axis Cervical Plating System Screw: Cortical 26 - 54mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC484 Orion Anterior Cervical System Convergent or Divergent Plates 21.5 - 47.5mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC485 Orion Anterior Cervical System Convergent or Divergent Plates 50 - 60mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 21 of 42
Billing Product Name Further Description Size Explanation of Change
MC486 Orion Anterior Cervical System Convergent or Divergent Plates 62.5 - 77.5mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC487 Orion Anterior Cervical System Convergent or Divergent Plates 80 - 95mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC488 Orion Anterior Cervical System Convergent or Divergent Plates 100 - 110mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC489 Orion Anterior Cervical System Cancellous Screw 10 - 17mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC490 Orion Anterior Cervical System Locking screw One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC491 TSRH Titanium Spinal Implant System: Washer One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC492 Apofix Support Rod One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC493 Apofix Clamp Single Rod Upper/lower Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC494 Tenor Pedicle Screw (incl Self Breaking Nuts) 30 - 55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC495 Tenor Spondylolisthesis Screw - Ti 30 - 55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC496 Tenor Transverse Links - Titanium 40-100mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC497 Tenor Rod (5.5mm) - Titanium 40-180mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC498 Tenor Monoclamps - Titanium One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC499 Tenor Dual Clamps - Titanium One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC500 Tenor Offset Clamps - Titanium One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC501 CD Horizon Multi-Axial screw (Stainless Steel) 25 - 80mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD132, Change to Size
MC502 CD Horizon Multi-axial screw (Titanium) 25 - 80mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD133, Change to Size
MC503 CD Horizon Fixed Angle Screw (Titanium) 25 - 90mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD134, Change to Size
Changed Items for Prostheses List Report Page 22 of 42
Billing Product Name Further Description Size Explanation of Change
MC504 CD Horizon Breakoff Set Screw 25 - 55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC505 Orfil L-Shaped Rods 5-510mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC506 Orfil Double Pearl-Tipped Wires 1 - 350mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC507 LIFT/VERTE-SPAN Vertebral Body Cages Short - Extra Long Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC508 Novus Systems Cervical Cages 10-16mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC509 CD Occipital-Cervical Loop CD Occipital-Cervical Loop One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC510 Premier Anterior Cervical Plate System Plates 23 - 90mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC511 Premier Anterior Cervical Plate System Screws 10 20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC537 Danek Unit Rod System Scoliosis Rods Widths 3/16", 5.5mm or 6.35mm; lengths Sponsor change from Medtronic
25 x 45cm Sofamor Danek Australia Pty Ltd
MC538 Tenor Nuts/plug One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC539 Pyramesh End ring/cap 10 - 25mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC540 LIFT/ VERTE-SPAN End plates (caps) Angulation: -8 - 7 degrees; left and right Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC541 Bryan Cervical Disc System Disc 14 - 18mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC542 Vertex Spinal System Connector Length 10 - 13mm; diameter 3.2 - Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC543 Vertex Spinal System Plate/rod 80 - 240mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC544 Vertex Spinal System Rod 80 - 240mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC545 Vertex Spinal System Screws Dia 3.5 - 4.0mm; length 6 - 24mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC546 Vertex Spinal System Set screw One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC577 R90 Spacer Spinal Implant (Peek) Height: 7mm - 16mm, Lordosis: 6 degrees Sponsor change from Medtronic
- 18 degrees, Length: 18 -27mm Sofamor Danek Australia Pty Ltd
MC578 Union CC System Cage 6mm - 12mm, 0 - 8 degrees Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 23 of 42
Billing Product Name Further Description Size Explanation of Change
MC579 CD Horizon Spondylolisthesis Screw Diameter: 4.5 - 7.5, Length: 25mm - Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC585 Maverick Artificial Disc Cobalt Chrome 8mm - 14mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD220, Change to Size
MC586 CD Horizon Sextant Percutaneous Cannulated Cannulated titanium percutaneous multi axial Dia 3.5 to 9.5mm, Length 15 to 65mm Sponsor change from Medtronic
Multi Axial Screw screw Sofamor Danek Australia Pty Ltd
MC587 CD Horizon Spinal System Percutaneous Rod 5.5 x 25mm to 5.5 x 350mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC588 Prestige Artificial Cervical Disc 5mm - 9mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD223, Change to Size
MC589 Affinity Anterior cervical cage System The Affinity Cage is constructed of titanium 6 x 12mm; 6 x 14mm; 7 x 12mm; 7 x Sponsor change from Medtronic
alloy - kit includes trials, reamers and inserters. 14mm; 8 x 12mm; 8 x 14mm; 9 x 12mm; 9 Sofamor Danek Australia Pty Ltd
x 14mm; 10 x 12mm; 10 x 14mm; 11 x
12mm; 11 x 14mm; 12 x 12mm; 12 x 14mm
MC590 Vertex Reconstruction System Crosslink Bar Composition - titanium alloy. The system One size only Sponsor change from Medtronic
allows for the adaptation of components from Sofamor Danek Australia Pty Ltd
other Sofamor Danek systems to provide for
constructs tailor made for individual cases.
MC591 Vertex Reconstructive System Laminar Hook Composition - titanium alloy 4.5mm / 5.5mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC592 CD Horizon System SMA Staple Length 4-10mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC593 CD Horizon System SMA Staple Length 12-18mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC594 Mastergraft Calcium Phosphate Ceramic Granules 5cc Vial Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC595 Mastergraft Calcium Phosphate Ceramic Granules 10cc Vial Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC596 Mastergraft Calcium Phosphate Ceramic Granules 15cc Vial Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC597 Mastergraft Calcium Phosphate Ceramic Granules 30cc Vial Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC598 Equation Spinal System Screw Length 25-55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC599 Equation Spinal System Rod Length 50-300mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC600 Equation Spinal System Plate Length 40-200mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 24 of 42
Billing Product Name Further Description Size Explanation of Change
MC601 Equation Spinal System Set Screw One Size Only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC602 Union Verte-Stack Flat Small 12-20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC603 Union Verte-Stack Lordotic Small 12-20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC604 Union Verte-Stack Flat Large 12-20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC605 Union Verte-Stack Lordotic Large 12-20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC606 Union Verte-Stack Centre Piece Small 5-40mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC607 Union Verte-Stack Centre Piece Large 5-40mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC608 TSRH 3D Connector Small, Medium, Large Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC609 CD Horizon Spinal System Percutaneous Set Screw 25 - 60mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC610 Z Plate System Vantage plates and Screws; Thoracic Plate 3.5 - 8cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC611 Z Plate System Vantage Plates and Screws; Thoracic Screw 5.5 x 15-50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC612 Z Plate System Vantage Plates and Screws; ATL Plate 4 - 10cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC613 Z Plate System Vantage Plates and Screws; ATL Screw 6.5 x 30-55mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC614 Z Plate System Vantage Plates and Screws; Staple One Size Only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC615 Z Plate System Vantage Plates and Screws; Lock Nut One Size Only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC616 Atlantis System Element Express Kit Includes Plate, 4 Screws, Plate 23 - 45mm Sponsor change from Medtronic
Screwdriver Shaft, Screwdriver Handle Sofamor Danek Australia Pty Ltd
MC617 Nucleus Replacement Spinal Disc Thickness 5-25mm, Diameter 10-50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC632 Verte-Stack XS Centre Piece. Stackable Corpectomy Device. Height 5-50mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC633 Verte-Stack Capstone Cage. Vertebral Body Spacer Length: 22-36mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC634 CD Horizon X10 Crosslink Multi-Span Plate: 25-81mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 25 of 42
Billing Product Name Further Description Size Explanation of Change
MC635 CD Horizon Legacy In-Line Connector Length 40-110mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC636 CD Horizon Eclipse Dual Head Screws 20-60mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC637 CD Horizon Spire Plate One size Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC653 Xantus Xantus cover Plate and Set Screw 40mm - 100mm Length in 4mm increments Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC654 Engage Breakoff Set Screw one size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC655 Xantus Xantus Plate 40mm -100mm length in 4mm increments Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC656 Pyramid Pyramid Bone Screws 6.5mm Diameter, 20 -60mm length in Sponsor change from Medtronic
5mm increments Sofamor Danek Australia Pty Ltd
MC657 Pyramid Pyramid Cover Plate and Set Screw 17mm - 35mm length in 2 mm increments Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC658 Engage Bolt 5.5 to 8.5mm diameter Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC659 Silo Screw 4.5 - 8.5mm diameter Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC660 Mastergraft Matrix 5cc Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC661 Pyramid Pyramid Plate 17mm - 35mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC662 Mastergraft Matrix 20cc Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC663 Mastergraft Matrix 10cc Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC664 Xantus Xantus Bone Screws 6.5mm Diameter, 20 - 60mm length in Sponsor change from Medtronic
5mm increments Sofamor Danek Australia Pty Ltd
MC665 Engage Connector Small, Medium, Large Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC666 CD Horizon Legacy lliac Screw 6.5mm to 8.5mm Diameter Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC667 SiLo Set Screw One Size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC668 CD Horizon Legacy lliac Lateral Connector 20mm and 30mm Length Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC669 BCP Biphasic Calcium Phosphate Reabsorbable 5cc Sponsor change from Medtronic
Graft Supplement Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 26 of 42
Billing Product Name Further Description Size Explanation of Change
MC670 BCP Biphasic Calcium Phosphate Reabsorbable 10cc Sponsor change from Medtronic
Graft Supplement Sofamor Danek Australia Pty Ltd
MC671 BCP Biphasic Calcium Phosphate Reabsorbable 20cc Sponsor change from Medtronic
Graft Supplement Sofamor Danek Australia Pty Ltd
MC672 Engage Washer 6.35mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC673 Verte-Stack Perimeter Cage Small, Medium, Large, Extra Large Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD313, Change to Size
MC674 CD Horizon Legacy set Screw one size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC675 CD Horizon Legacy Screw Diameter 4.0 - 9.5mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC676 SiLo Lateral Connector 10-40mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC677 SiLo Hook Right, left, front Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Plastic and Reconstructive
MC374 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Plate Mesh, Fan blades 11 - 18mm, Ohata 8.4 - Sponsor change from Medtronic
System 10mm Sofamor Danek Australia Pty Ltd
MC383 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Y Plate Double and Single 5 - 8 hole Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
MC385 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Straight Plate 2 - 20 hole Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
MC386 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, T Plate 4 - 8 hole Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
MC387 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Square Grid Mesh Large Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
MC388 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Square Grid Mesh Medium Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
MC389 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Square Grid Mesh Small Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
MC390 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Screw - Cruciate Head, 12 point Flat Diameter 1.0mm - 2.4mm, length 2 - 19mm Sponsor change from Medtronic
System Head Sofamor Danek Australia Pty Ltd
MC391 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, L Plate (Left and right configurations) 4 - 10 hole Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
MC392 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, H Plate 6 - 11 hole Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
MC393 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Z Plate Left and Right 4 hole - 5mm, 9.5mm Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 27 of 42
Billing Product Name Further Description Size Explanation of Change
MC512 TiMesh Maxillary Prosthesis One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC513 TiMesh Full Mandible One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC514 TiMesh Mandibular Angle, Left/Right One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC515 TiMesh Hemimandible, Left/Right One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC516 TiMesh Mandibular Symphysis One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC517 TiMesh Mandibular "J" Plate One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC518 TiMesh Titanium Mesh Panel 121 x 72mm - 125 x 125mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC519 TiMesh Squareplate 4 holes x 1mm - 4 holes x 2.2mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC520 TiMesh X Plate 4 holes x 1mm - 4 holes x 2.2mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC521 TiMesh Naso-Orbital-Ethmoid 1mm - 2.2mm; Complex 1, Complex 2, Sponsor change from Medtronic
Complex 3 Sofamor Danek Australia Pty Ltd
MC522 TiMesh Curved Plate: Standard, Rigid, Left, Right 1mm x 12 holes Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC523 TiMesh Square-rectangular Gridmesh Panel 1.0 x 4mm - 2.2 x 4mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC524 TiMesh Isogrid Panel One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC525 TiMesh Sugar Mesh Panel / Grid 11 x 7.5cm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC526 TiMesh Surgical Mesh: Anterior, Posterior, Modified One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC527 TiMesh Lateral Mesh: Left, Right One size only Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC528 TiMesh Cranial Custom Mesh 121mm x 72mm - 152 x 152mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC547 Macropore Z Plates 10 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC548 Macropore Cranial Recon 29 - 64mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC549 Macropore Cranial Recon 65 - 165mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 28 of 42
Billing Product Name Further Description Size Explanation of Change
MC550 Macropore Rectangle Plates 4 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC551 Macropore Protective Disc 25mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC552 Macropore Rectangle Plates 8 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC553 Macropore Oblong Plates 6 - 8 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC554 Macropore CraniDisk 23 - 28mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC555 Macropore Oblique Plates 6 - 8 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC556 Macropore Protective Sheets 50 x 50 x 0.5mm - 50 x 50 x 1.0mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC557 Macropore Protective Sheets 25 x 25 x 0.5mm - 25 x 25 x 1.0mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC558 Macropore Orbital Floor Liner 30mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC559 Macropore L Plates 8 hole, Left & Right Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC560 Macropore Protective Sheets 60 x 80 x 0.5mm - 60 x 80 x 1.0mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC561 Macropore Protective Sheets 100 x 100 x 0.5mm - 100 x 100 x 1.0mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC562 Macropore Y Plates 7 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC563 Macropore Straight Plates 4 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC564 Macropore Straight Plates 8 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC565 Macropore Straight Plates 20 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC566 Macropore C Plates 8 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC567 Macropore Clover Leaf Plates 4 hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC568 Macropore Bur Hole Cover 25mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC569 Macropore Screws 2.0mm x 4mm - 3.0mm x 14mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
Changed Items for Prostheses List Report Page 29 of 42
Billing Product Name Further Description Size Explanation of Change
MC570 Macropore Tacks 1.5 x 4mm - 2.0 x 6mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC571 Timesh 12 Point Screws 3 - 20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC572 Timesh Internal Drive Screws 3 - 6mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC573 Timesh Rescue Screws 3 - 7mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC574 Timesh X-Drive Screws 2 - 15mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC575 Timesh Rigid Straight Plates 1-20 Hole Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC576 Timesh Double Y Plates 3 Hole - 2.5mm - 7mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC580 Macropore Locks 2 - 20mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
MC619 TiMesh Titanium Rigid Fixation Bone Grafting and FlexMesh 1.0mm system. Composition: 113mm x 77mm, 0.3mm. 113mm x Sponsor change from Medtronic
Plating System 77mm, 0.6mm. Sofamor Danek Australia Pty Ltd
MC620 TiMesh Titanium Rigid Fixation Bone Grafting and FlexMesh 1.5mm System 148mm x 148mm, 0.6mm Sponsor change from Medtronic
Plating System Sofamor Danek Australia Pty Ltd
MC621 TiMesh Titanium Rigid Fixation Bone Grafting and FlexMesh 1.5mm System. Composition: 50mm x 56mm, 0.3mm. 50mm x 56mm, Sponsor change from Medtronic
Plating System 0.6mm Sofamor Danek Australia Pty Ltd
MC622 TiMesh Titanium Rigid Fixation Bone Grafting and FlexMesh 1.5mm System. Composition: 113mm x 77mm, 0.3mm. 113mm x Sponsor change from Medtronic
Plating System 77mm, 0.6mm Sofamor Danek Australia Pty Ltd
MC623 TiMesh Titanium Rigid Fixation Bone Grafting and FlexMesh 2.2mm System. Composition: 114mm x 82mm, 0.6mm Sponsor change from Medtronic
Plating System Titanium. Sofamor Danek Australia Pty Ltd
MC624 TiMesh Titanium Rigid Fixation Bone Grafting and FlexMesh 2.2mm System. Composition: 154mm x 154mm, 0.6mm Sponsor change from Medtronic
Plating System Titanium. Sofamor Danek Australia Pty Ltd
MC625 Modified Dual TiMesh TiMesh Surgical Mesh Modified, includes two 121mm x 77mm. 152mm x 152mm. Sponsor change from Medtronic
cranial plates. Composition: Titanium Sofamor Danek Australia Pty Ltd
MC678 TiMesh Rigid Fixation Bone Grafting and Plating Titanium, Universal Plate 12h Sponsor change from Medtronic
System Sofamor Danek Australia Pty Ltd
Vascular
MC146 Exponent RX Self Expanding Carotid Stent Delivery Nitinol Diameter: 6 - 10mm, Length: 20 - 40mm Change to Product Name, Further
System Description & Size, Expansion to 3
Billing Codes
Medtronic Sofamor Danek Australia Pty Ltd
Orthopaedic
Changed Items for Prostheses List Report Page 30 of 42
Billing Product Name Further Description Size Explanation of Change
SD171 Danek Unit Rod System Scoliosis S-Rods Widths 5.5 - 6.35mm; left and right Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
SD273 CD Horizon X10 Crosslink Fixed Plate: 16-31mm Sponsor change from Medtronic
Sofamor Danek Australia Pty Ltd
N Stenning & Co Pty Ltd
General/Miscellaneous
NG008 Horizon Ligating Clips Ligation Clips Titanium Medium (6 per cartridge), Micro (6 per Change to Size
cartridge)
Olympus Australia
General/Miscellaneous
OL003 Bile Duct Stent Polyethylene Stents 7FR - 12FR 3cm - 15cm Change to Further Description & Size
OL004 Bile Duct Stent Polyethylene Stents 7FR - 10FR 3cm - 15cm Change to Further Description & Size
Oncura Pty Ltd
General/Miscellaneous
ON001 Iodine 125 - 'Rapid Strand' Brachytherapy Implant, Rapid Strand consists of 10 welded titanium One size each Sponsor change from Amersham Health
Iodine 125 - 'OncoSeeds' Brachytherapy Implant capsules containing iodine-125 absorbed onto a Pty Ltd AH001
silver rod. OncoSeeds consists of the loose
seeds only.
ON002 Iodine 125 - Rapid Strand Brachytherapy Implant; I-125 Rapid Strand, code IMC 7000, consists One size only Sponsor change from Amersham Health
OncoSeeds Brachytherapy Implant of 10 welded titanium capsules containing Pty Ltd AH002
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 as OncoSeeds
IMC6711. To be used only if more than 120
seeds are used per patient.
Orthopaedic Solutions Pty Ltd
Orthopaedic
OE001 BioProfile Modular Pyrocarbon Radial-Head A Modular Titanium/Pyrocarbon Radial-Head One Size Only Sponsor Change from Plus Orthopaedics
Prosthesis which includes a stem, neck, head PL001
and expansion screw.
OE002 BioProfile Pyrocarbon Carpal Components Includes: Proximal Scaphoid; Scapho- One Size Only Sponsor Change from Plus Orthopaedics
Trapezium; Resurfacing Capitate & Trapezium PL002
Interposition Implants. Composition: Pyrolitic
OE003 Interference Screws, Cannulated, titanium alloy, Interference Screws, cannulated, titanium alloy, Diameter 2-9mm, Length 10-45mm Sponsor Change from Plus Orthopaedics
TioFin coated TioFin coated, custom manufactured PL003
Changed Items for Prostheses List Report Page 31 of 42
Billing Product Name Further Description Size Explanation of Change
Orthotech Pty Ltd
Orthopaedic
OH128 Anterior Lumbar Cage Titanium or PEEK Height 2 - 20mm Correction to AustL
OH129 Posterior Lumbar Cage Titanium or PEEK Height 7 - 20mm Correction to AustL
OH130 Non-Fusion Spine Stabilising Device Titanium or PEEK Height 8 - 16mm Correction to AustL
Plus Orthopedics Australia Pty Ltd
Orthopaedic
PL004 Toefit - Plus Titanium alloy Metatarsal Component XS-L Sponsor change from Global Scientific
Pty Ltd GS152
PL005 Toefit - Plus Titanium Alloy Phalangeal Component XS-L Sponsor change from Global Scientific
Pty Ltd GS153
PL006 PLUS Endoprothetik Cerclage Systems CCG Band - Pure Titanium Length 27cm Sponsor change from Global Scientific
Pty Ltd GS154
PL007 PLUS Endoprothetik Cerclage Systems CCG-GF Band - Pure Titanium Length 27cm Sponsor change from Global Scientific
Pty Ltd GS155
PL008 PLUS Hip Joint Prosthesis System PLS cementless grit blasted titanium stem 01-16 Sponsor change from Global Scientific
standard and offset Pty Ltd GS156
PL009 PLUS Hip Joint Prostheses System SL PLUS Ti/Ha Stem 1 to 12 Sponsor change from Global Scientific
Pty Ltd GS157
PL010 PLUS Hip Joint Prostheses System Revision SLR-PLUS Ti Stem 1 to 12 Sponsor change from Global Scientific
Pty Ltd GS158
PL011 PLUS Hip Joint Prostheses System Revision SLR-PLUS Stem 3 to 11 Sponsor change from Global Scientific
Pty Ltd GS159
PL012 PLUS Hip Joint Prostheses System Revision Modular Proximal Stem 1 to 12 Sponsor change from Global Scientific
Pty Ltd GS160
PL013 PLUS Hip Joint Prostheses System Revision Modular Component 1 to 12 Sponsor change from Global Scientific
Pty Ltd GS161
PL014 PLUS Hip Joint Prostheses System CPS-PLUS Stem 1 to 5 Sponsor change from Global Scientific
Pty Ltd GS162
PL015 PLUS Hip Joint Prostheses System CPS-PLUS Rev Stem 1 to 5 Sponsor change from Global Scientific
Pty Ltd GS163
PL016 PLUS Hip Joint Prostheses System Bicon-PLUS PE - Liner 1 to 9 Sponsor change from Global Scientific
Pty Ltd GS164
PL017 PLUS Hip Joint Prostheses System Bicon-PLUS PE - Hooded Liner 1 to 9 Sponsor change from Global Scientific
Pty Ltd GS165
Changed Items for Prostheses List Report Page 32 of 42
Billing Product Name Further Description Size Explanation of Change
PL018 PLUS Hip Joint Prostheses System Bicon-PLUS / Ceramic Liner 3 to 9 Sponsor change from Global Scientific
Pty Ltd GS166
PL019 PLUS Hip Joint Prostheses System Bicon-PLUS Met Liner 1 to 9 Sponsor change from Global Scientific
Pty Ltd GS167
PL020 PLUS Hip Joint Prostheses System Bicon-PLUS Cup 1 to 9 Sponsor change from Global Scientific
Pty Ltd GS168
PL021 PLUS Hip Joint Prostheses System EP Fit PLUS Ti/HA Cup 40 - 68mm Dia Sponsor change from Global Scientific
Pty Ltd GS169
PL022 PLUS Hip Joint Prostheses System EP Fit Multi/Hole Cup 40 - 68mm Dia Sponsor change from Global Scientific
Pty Ltd GS170
PL023 PLUS Hip Joint Prostheses System EP Fit PE Liner 40 - 68mm Dia Sponsor change from Global Scientific
Pty Ltd GS171
PL024 PLUS Hip Joint Prostheses System EP Fit Ceramic Liner 48 - 68mm Dia Sponsor change from Global Scientific
Pty Ltd GS172
PL025 PLUS Hip Joint Prostheses System EP Fit PLUS Met Liner 48 - 68mm Dia Sponsor change from Global Scientific
Pty Ltd GS173
PL026 PLUS Hip Joint Prostheses System EP Fit Rex Pol Liner 42 - 68mm Dia Sponsor change from Global Scientific
Pty Ltd GS174
PL027 PLUS Knee Joint Prostheses System TC-PLUS Solution (Cemented) Fem 2 to 12 Sponsor change from Global Scientific
Pty Ltd GS175
PL028 PLUS Knee Joint Prostheses System TC-PLUS Solution (Cementless) Fem 2 to 12 Sponsor change from Global Scientific
Pty Ltd GS176
PL029 PLUS Knee Joint Prostheses System TC-PLUS Tibial Cementless 2 to 12 Sponsor change from Global Scientific
Pty Ltd GS177
PL030 PLUS Knee Joint System Tibial Tray Cemented Mobile Bearing 2 to 12 Sponsor change from Global Scientific
Pty Ltd GS178
PL031 PLUS Knee Joint Prostheses System TC-PLUS Tibial Insert Mobile Bearing 2-12 : 9-19mm Sponsor change from Global Scientific
Pty Ltd GS179
PL032 PLUS Knee Joint Prostheses System TC-PLUS Patella 26mm, 29mm, 32mm Sponsor change from Global Scientific
Pty Ltd GS180
PL033 PLUS Endoprothetik Cerclage System CCG Stabilizer with Band XS - L Sponsor change from Global Scientific
Pty Ltd GS181
PL034 Femoral Head Metal Stainless Steel =32mm Sponsor change from Global Scientific
Pty Ltd GS218
Changed Items for Prostheses List Report Page 34 of 42
Billing Product Name Further Description Size Explanation of Change
PL056 Plus Hip Joint Prosthesis System Constrained Liner 1-9 Sponsor change from Global Scientific
Pty Ltd GS219
PL057 Femoral Head Chrome Cobalt =32mm Sponsor change from Global Scientific
Pty Ltd GS226
PL062 PLUS Hip Joint Prostheses System HXLPE 32mm Sponsor change from Global Scientific
Pty Ltd GS228
PL064 PLUS Hip Joint Prostheses System PE Insert 32mm Sponsor change from Global Scientific
Pty Ltd GS241
PL077 Plus Knee Joint Prostheses System TC Plus Solution, Femur PS 2-12 Sponsor change from Global Scientific
Pty Ltd GS242
PL078 Plus Knee Joint Prostheses System TC Plus Solution, Tibial Insert PS 2-12 Sponsor change from Global Scientific
Pty Ltd GS243
PL079 Plus Hip Joint Prostheses System Acetabular Shell 42-68 Sponsor change from Global Scientific
Pty Ltd GS244
PL080 Plus Hip Joint Prostheses System HXLPE Liner >32mm Sponsor change from Global Scientific
Pty Ltd GS245
PL081 Plus Hip Joint Prostheses System Ceramic Insert >32mm Sponsor change from Global Scientific
Pty Ltd GS246
PL082 Plus Knee Joint Prostheses System Tibial Insert Standard 1-6 Sponsor change from Global Scientific
Pty Ltd GS248
PL083 PLUS Knee Prostheses System RT PLUS Hinged Knee - Stem uncemented 95-120 Sponsor change from Global Scientific
Pty Ltd GS249
PL084 PLUS Knee Joint Prostheses System Revision - Tibial Augments 5mm, 10mm Sponsor change from Global Scientific
Pty Ltd GS250
PL085 PLUS Knee Joint Prostheses System Revision - Stems Cemented 80-150 Sponsor change from Global Scientific
Pty Ltd GS251
PL086 PLUS Knee Joint Prostheses System Revision - Stems Cementless 10/80 - 20/150 Sponsor change from Global Scientific
Pty Ltd GS252
PL087 PLUS Knee Joint Prostheses System Revision - Stems cementless valgus 10/80 - 20/150 Sponsor change from Global Scientific
Pty Ltd GS253
PL088 PLUS Knee Joint Prostheses System Revision - Tibial insert substituted 1-5 Sponsor change from Global Scientific
1-5 Pty Ltd GS254
PL089 PLUS Knee Prostheses System RT PLUS Hinged Knee - Femur 0-10 Sponsor change from Global Scientific
Pty Ltd GS255
PL090 PLUS Hip Joint Prostheses System Metal Insert >32mm Sponsor change from Global Scientific
Pty Ltd GS256
PL091 PLUS Knee Prostheses System RT PLUS Hinged Knee - Stem cemented 95-160 Sponsor change from Global Scientific
Pty Ltd GS257
PL092 PLUS Knee Joint Prostheses System Revision - Femur VKS1/TC2-VKS5/TC10 Sponsor change from Global Scientific
Pty Ltd GS258
PL093 PLUS Knee Prostheses System RT PLUS Hinged Knee - Stem uncemented 160 Sponsor change from Global Scientific
Pty Ltd GS259
PL094 PLUS Knee Prostheses System RT PLUS Hinged Knee - Stem uncemented 200 Sponsor change from Global Scientific
Pty Ltd GS260
Changed Items for Prostheses List Report Page 36 of 42
Billing Product Name Further Description Size Explanation of Change
PL095 PLUS Knee Prostheses System RT PLUS Hinged Knee - Femoral augments 5-10mm Sponsor change from Global Scientific
Pty Ltd GS261
PL096 PLUS Knee Prostheses System RT PLUS Hinged Knee - Tibial augments 5-10mm Sponsor change from Global Scientific
Pty Ltd GS262
PL097 PLUS Knee Prostheses System RT PLUS Hinged Knee - Tibial insert with 0-10 Sponsor change from Global Scientific
Pty Ltd GS263
PL098 PLUS Knee Prostheses System RT PLUS Hinged Knee - Screws and clamp 0-10 Sponsor change from Global Scientific
Pty Ltd GS264
PL099 PLUS Knee Prostheses System RT PLUS Hinged Knee - Tibia 0-10 Sponsor change from Global Scientific
Pty Ltd GS265
PL100 PLUS Hip Joint Prosthesis System MPF Cup - Cermaic Insert >32mm Sponsor change from Global Scientific
Pty Ltd GS266
PL101 PLUS Knee Joint Prostheses System TC-PLUS Tibial Cementless 2 to 12 Sponsor change from Global Scientific
Pty Ltd GS267
PL102 PLUS Hip Joint Prosthesis System Ceramic Head AL >32mm Sponsor change from Global Scientific
Pty Ltd GS268
PL103 PLUS Hip Joint Prosthesis System Ceramic Head Zirconium >32mm Sponsor change from Global Scientific
Pty Ltd GS269
PL104 PLUS Hip Joint Prosthesis System Ceramic Head Delta >32mm Sponsor change from Global Scientific
Pty Ltd GS270
PL105 PLUS Hip Joint Prosthesis System Ceramic Head Revision 22-60 Sponsor change from Global Scientific
Pty Ltd GS271
PL106 PLUS Hip Joint Prosthesis System MPF Cup - Acetabular shell 46/39 to 64/48 Sponsor change from Global Scientific
Pty Ltd GS272
PL107 PLUS Knee Joint Prostheses System Revision - Femoral Augments 5mm, 10mm Sponsor change from Global Scientific
Pty Ltd GS273
PL108 PLUS Hip Joint Prosthesis System MPF Cup - Ceramic Insert 32mm Sponsor change from Global Scientific
Pty Ltd GS277
PL112 PLUS Hip Joint Prosthesis System MPF Cup - HXLPE Inserts 32mm Sponsor change from Global Scientific
Pty Ltd GS279
PL114 PLUS Hip Joint Prosthesis System MPF Cup - PE Inserts 46-64 Sponsor change from Global Scientific
Pty Ltd GS280
Changed Items for Prostheses List Report Page 37 of 42
Billing Product Name Further Description Size Explanation of Change
PL115 PLUS Hip Joint Prostheses System SBG Femoral Stem HA 1 Sponsor change from Global Scientific
Pty Ltd GS281
PL116 PLUS Hip Joint Prosthesis System Femoral Head Metal - PLUSMET >32mm Sponsor change from Global Scientific
Pty Ltd GS282
PL117 PLUS Hip Joint Prosthesis System MPF Cup - Revision shell 46/39 to 72/52 Sponsor change from Global Scientific
Pty Ltd GS283
PL118 Plus Hip Joint Prosthesis System Titanium Sleeve adaptor for revision fractured Sponsor change from Global Scientific
ceramic Pty Ltd GS284
Rymed Pty Ltd
General/Miscellaneous
RY001 MiniMizer Adjustable Gastric Band Silicon elastomer 14mm wide, 16.6cm band two phase Change to Aust/L, Sponsor change from
closure, 1: 31mm inner diameter, phase 2: EMT Healthcare Pty Ltd EM017
26mm inner diameter. 40cm silicon tube
attached
Smith & Nephew Surgical Pty Ltd
Orthopaedic
SN267 Tandem/Convene Shell/Liner 22 - 64mm Change to Product Name, Further
Description, Size, Aust/L, Compression
of Billing Code SN711
SN272 Echelon Revision Hip Stem - Porous, Standard Collar Sizes 11 - 22 Change to Further Description, Size &
Aust/L, Compression of Billing Code
SN276
SN273 Echelon/Spectron Revision Hip Stem - Non-porous 135mm - 235mm Change to Product Name, Further
Description, Compression of Billing
Code SN300
SN291 Reflection Acetabular Liner XLPE 22 - 36mm, 42 - 76mm Change to Further Description &
Aust/L, Compression of Billing Code
SN301 Spectron/Synergy Femoral Stem Non Porous Offset 1- 20 Change to Product Name, Further
Description, Size & Aust/L,
Compression of Billing Codes SN302 &
SN305 Synergy/Anthem Femoral stem Porous Titanium Alloy, Std and 9-20 Change to Product Name
High Offset
SN311 Genesis II/Profix Porous Tibial Base Plate Left/Right, Size 1-8 Change to Product Name, Further
Description & Aust/L, Compression of
Billing Code SN391
SN312 Genesis II/Profix HA coated, Porous Tibial Baseplate Left & Right, Size 1-8 Change to Product Name, Further
Description & Aust/L, Compression of
Billing Code SN387
Changed Items for Prostheses List Report Page 38 of 42
Billing Product Name Further Description Size Explanation of Change
SN313 Genesis II/Profix Constrained Insert Left/Right, Size 1-8, 10-30mm Change to Product Name, Size &
Aust/L, Compression of Billing Code
SN315 Genesis II/Profix Non Porous Constrained Femoral Component Left & Right, Size 1-8 Change to Product Name, Further
Description & Aust/L, Compression of
Billing Codes SN374 & SN380
SN322 Genesis II/Profix All Poly Tibial Base Left/Right, Size 1-8 Change to Product Name & Aust/L,
Compression of Billing Codes SN388 &
SN726
SN323 Genesis II/Profix Cemented All Poly Patella 23-35mm Change to Product Name, Further
Description & Aust/L, Compression of
Billing Codes SN324, SN325 & SN705
SN327 Genesis II/Profix PS Non Porous Femoral Component Left/Right, Size 1-8 Change to Product Name, Further
Description & Aust/L, Compression of
Billing Code SN385
SN328 Genesis II/Profix PS Porous Femoral Component Left/Right, Size 1-8 Change to Product Name, Further
Description & Aust/L, Compression of
Billing Code SN386
SN350 Genesis Cemented All Poly Patella X-Small - Large Change to Further Description &
Aust/L, Compression of Billing Code
SN372 Genesis II/Profix Cruciate Retaining Insert Left/Right, Size 1-8 Change to Product Name, Further
Description, Size & Aust/L,
Compression of Billing Code SN750
SN421 ACL/PCL Reconstructions Absorbable PLLA Screw 7-12mm diameter, 25-35mm length Change to Further Description
SN703 Absorbable Suture Anchor Preloaded PLLA Suture Anchor 2.9mm & 5.0mm Change to Product Name, Further
Description & Size
SN736 Legion Revision Constrained Oxinium Femoral Component Size 1 - 9 Change to Product Name
SN772 Trigen Hindfoot Fusion Nail, Titanium Alloy 10 Diameter, 16-25cm Length Reinstated
SN773 Trigen Hindfoot Fusion Nail, Titanium Alloy 11.5mm Diameter, 16-25cm Length Reinstated
St. Jude Medical Australia Pty Ltd
Cardio-thoracic
SJ040 Frontier 3x2 Model 5510 Biventricular Stimulation Device with AF Height 48mm, Length 52mm, Depth 6mm Deletion of Max Benefit
suppression
SJ050 Verity ADx Model XL DC 5256 Dual - Chamber Dual Chamber multi-programmable rate- 11cc, 23.5g Deletion of Max Benefit
pacemaker adaptive pacing devices with extended
SJ061 Identity Adx Model XL DC 5286 Dual Chamber Identity ADx Model XL DC Model 5286 is an 11cc, 23.5g Deletion of Max Benefit
Pacemaker implantable, multi-programmable rate-adaptive
pacing device with AF suppression
SJ074 Riata Transvenous tachyarrhythmia Leads Model Tri-polar Active - Fixation, Steroid-Eluting, 60cm, 65cm, 8F introducer Deletion of Max Benefit
Single shock Coil Tachyarrhythmia; Lead
Changed Items for Prostheses List Report Page 39 of 42
Billing Product Name Further Description Size Explanation of Change
Stryker Australia Pty Ltd
Orthopaedic
SK022 Modular Revision System Fluted Distal Stems Composition - Titanium Alloy Ti A16 V4 with Stem Lengths 127 & 167mm straight & Change to Size
Arc Deposited Plasma Spray Coating bowed. Diameter 11-26mm
SK058 Stryker Modular Revision Hip System Porous Distal Stems Titanium Plasma Spray Stem Lengths 127 & 167mm straight & Change to Size
bowed. Diameter 11-26mm
SK080 Xia Spine System Multi Axial Connector Monobloc, Small, Standard 24mm - Change to Size
SK093 Xia Spine System Rod 4.5 - 6mm x 40mm -130mm Change to Size
SK112 Xia Spine System Buttress thread locking nut 4.5mm - 6mm Change to Size
SK318 SXL Trident Acetabular Inserts Sequentially cross linked polyethylene Inner diameters: 22mm, 26mm, 28mm Change to Size
32mm, 36mm, 38 - 64mm. For outer
diameter shells 40mm - 80mm.
ST570 Large Diameter Moduar Heads UNITRAX Vitallium alloy /CoCr 38-64mm OD 2mm increments Change to Product Name and Further
Description
ST574 Osteonics secur-fit HA hip stem SECUR-FIT femoral stem, titanium - HA coated Stem sizes 4-14 in 127 and 132 degree Change to Size
neck angles
ST575 Osteonics hip prostheses ACCOLADE STEM titanium - HA coated Stems sizes 0, 1, 2, 2.5,3, 3.5, 4, 4.5, 5, Change to Size
127 & 132 degree offset 5.5, 6, 7, 8
Plastic and Reconstructive
SK355 Universal Neuro Titanium Low Profile Plate Titanium Low Profile plates used for the Small, large, 20mm burr hole, 16 hole Change to Product Name and Size
fixation of cranial bone flaps without bar
SK356 Universal Neuro Titanium Low Profile Plate Titanium Low Profile plates used for the 2-hole plate, 12mm bar, 16mm bar Change to Product Name and Size
fixation of cranial bone plates
SK359 Universal Neuro Titanium Low Profile Plate Titanium Low Profile plates used for the 4 hole 6mm Bar, 2 hole 12mm bar with Change to Product Name and Size
fixation of cranial bone flaps tab, 7-14mm burr hole with tab
SK363 Universal Neuro Titanium Low Profile Plate Titanium Low Profile plates used for the 8 hole plate without bar, 2 x 2 box plate, Change to Product Name & Size
fixation of cranial bone flaps double Y 6 hole 8mm
Surgical House
Orthopaedic
SU156 ACCIS Cup - Cementless One piece acetabular cup. Composition: Outside diameter: 46 - 62mm (in 2mm Change to Min Benefit, Deletion of Max
Chrome Cobalt alloy (CrCoMo) base metal, increments) Benefit
coated with Titanium Niobium (tiNiob)
ceramic. The rear of the cup is HA coated to
enable cementless fixation in the acetabulum.
SU195 Calcanea Locking Screw Cortical Screw, Titanium Diameter 3.5mm, Length 20mm to 45mm Correction to Category
Surgical Synergies Pty Ltd
Changed Items for Prostheses List Report Page 40 of 42
Billing Product Name Further Description Size Explanation of Change
General/Miscellaneous
SS001 PainBuster Kit includes catheter, introducer needle, flow 270ml volume x 2 lines x 2 ml per hour; Change to Further Description and Size
restrictor, filter, bolus 270ml x 2ml, 5ml bolus; 270ml x 1-7ml/hr
Surgiplas Medical
Plastic and Reconstructive
SP043 OsteoMed Plating & Fixation System Plates 50 x 50mm Bioresorbable Mesh; 111 x Change to Product Name
191mm, 125 x 180mm, & Medium Mesh
Plate; 40 x 40mm, 90 x 90mm Osteoform
Mesh;
SP044 OsteoMed Plating & Fixation System Plates 100 x 100mm Bioresorbable Mesh; 150 x Change to Product Name
300mm, & Large Mesh Plate; 90 x 90mm,
95 x 165mm, & Large Pre-formed
Osteoform Mesh;
Synthes Australia Pty Ltd
Orthopaedic
SY058 AO/ASIF Plates 1.2mm and 1.3mm straight, external, T, Y 3-4 hole Change to Further Description
button plate, 2.4mm Unilock angled, straight,
T, Y condylar, DCP
SY060 AO/ASIF Intermedullary Nails Cannulated and Solid Nail - tibial / femoral 7.0mm-19mm dia 200-600mm length Change to Further Description
SY188 AO/ASIF Plates Calcaneal, Locking 3.5mm, 30 - 100mm Correction to Sponsor Name from
Mathys Australia Pty to Synthes
SY265 AO/ASIF Intermedullary Nails Locking Screws 15 -150mm Change to Size
SY270 Antegrade Femoral Nail (AFN) & Associated Synthes Antegrade Femoral Nail AFN Diameter 6.5-18mm, Length 30- Change to Min Benefit
500mm
SY278 AO/ASIF Cortex Screws Locking Head Screws Diam 2.4mm - 5.0mm, Length 6 -90mm Change to Size
SY327 Spine Solutions Prodisc Artificial mechanical disc, superior plate 6 Degree, 11 Degree, Medium, Large Change to Aust/L, Sponsor change from
component Taylor Bryant Pty Ltd TB215
SY328 Spine Solutions Prodisc Artificial mechanical disc, polyethylene inlay 10,12,14mm, Medium, Large Change to Aust/L, Sponsor change from
Taylor Bryant Pty Ltd TB216
SY329 Spine Solutions Prodisc Artificial mechanical disc, inferior plate Medium, Large Change to Aust/L, Sponsor change from
component Taylor Bryant Pty Ltd TB217
SY330 Prodisc C Composition - Titanium M/MD/L/LD/XL/XLD, heigth 5/6/7mm Change to Aust/L, Sponsor change from
Taylor Bryant Pty Ltd TB292
Tag Medical
Cardio-thoracic
Changed Items for Prostheses List Report Page 41 of 42
Billing Product Name Further Description Size Explanation of Change
TM002 CarboSeal Ascending Aortic Prosthesis, sterile, Mechanical Conduit AP 21-33mm, CP 21 - 33mm Change to Product Name & Size
CarboSeal Ascending Aortic Prosthesis with Handle
Model AP21, Model AP23, Model AP25, Model
AP27, Model AP29, Model AP31, Model AP33,
Carboseal Valsalva
TM003 Optiform Mechanical Valve 19mm to 33mm Change to Product Name and Size
Taylor Bryant Pty Ltd
Orthopaedic
TB250 Diamond Plate Carpal Fusion Plate Large, Small Change to Product Name & Size,
Expansion to 2 Billing Codes
William A Cook Aust Pty Ltd
Neurosurgical
WC061 Detachable Coil System Microembolisation Coils - Platinum 011/018 2-20mm diameter, 2 - 50cm length Change to Product Name, Further
Description & Size
Zimmer
Orthopaedic
ZI147 NexGen Knee Patella Button TM Porous Patella 26 - 41 Change to Further Description
ZI510 Optima Spinal System - Transverse Link Assembly Small, Medium, Large Change to Aust/L, Sponsor change from
Orthotech Pty Ltd OH132
ZI511 Optima Spinal System - Set Screw One size only Change to Aust/L, Sponsor change from
Orthotech Pty Ltd OH133
ZI512 Optima Spinal System - Rod Dia 5-7mm, length 40-400mm Change to Aust/L, Sponsor change from
Orthotech Pty Ltd OH134
ZI513 Optima Spinal System - Monoaxial Pedicle Screw Dia 4-8mm, length 20-60mm Change to Aust/L, Sponsor change from
System Orthotech Pty Ltd OH135
ZI514 Optima Spinal System - Polyaxial Pedicle Screw Dia 4-8mm, length 20-60mm Change to Aust/L, Sponsor change from
System Orthotech Pty Ltd OH136
Changed Items for Prostheses List Report Page 42 of 42