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Billing Code Product Category Benefits Product Name Description Size Sponsor AE039 Knee 3052 Active Knee Femoral Component Allegra Orthopaedics Pty Ltd AE040 Knee 1989 Active Knee Tibial Baseplate Sizes 1-5 Allegra Orthopaedics Pty Ltd AE041 Knee 3792 Active Knee Femoral Component Allegra Orthopaedics Pty Ltd AE050 Knee 555 Active Knee Patella Patella, cemented, UHMWPE Sizes 1 - 5 Allegra Orthopaedics Pty Ltd AE071 Knee 1187 Active Knee Posterior Block Posterior Femoral Block 1 - 5, 4 - 8mm Allegra Orthopaedics Pty Ltd AE072 Knee 1187 Active Knee Femoral Distal Spacer Femoral Distal Block 1 - 5, 4 - 8mm Allegra Orthopaedics Pty Ltd AE073 Knee 1187 Active Knee Femoral Augments 1-5, 4 - 8mm Allegra Orthopaedics Pty Ltd AE074 Knee 1187 Active Knee Revision System - Tibial Half Block Spacer Half Block Wedge 1-5, 5 - 10 Deg Allegra Orthopaedics Pty Ltd AE076 Knee 1187 Active Knee Tibial Full Block Wedge 1-5, 5 - 10 Deg Allegra Orthopaedics Pty Ltd AE077 Knee 1187 Active Knee Half Block Wedge 1-5, 5 - 10 Deg Allegra Orthopaedics Pty Ltd AE099 Knee 2498 Active Knee Tibial Baseplate Allegra Orthopaedics Pty Ltd AE251 Knee 1054 Active Knee Tibial Insert Tibial Insert, UHMWPE Allegra Orthopaedics Pty Ltd AL002 Ophthalmic 140 Models MZ60BD, MC50BD, CZ70BD Other:PMMA Alcon Laboratories (Aust.) Pty Lt AL003 Ophthalmic 140 MTA2UO - MTA6UO PMMA +5 to +30 D Alcon Laboratories (Aust.) Pty Lt AL004 Ophthalmic 290 Acrysof Multipiece Models MA50BM, MA60AC -5 D to +30 D Alcon Laboratories (Aust.) Pty Lt AL011 Ophthalmic 290 Acrysof Model SA60AT Alcon Laboratories (Aust.) Pty Lt AL016 Ophthalmic 328 Alcon Acrysof Natural Model SN60AT +6 to +40D Alcon Laboratories (Aust.) Pty Lt AL021 Ophthalmic 346 Alcon AcrySof SN60WF + 6.0 D to +30.0 D Alcon Laboratories (Aust.) Pty Lt AL023 Ophthalmic 666 Alcon AcrySof Toric PC IOL Models Alcon Laboratories (Aust.) Pty Lt AL024 Ophthalmic 364 AcrySert model SN60WS +6 to +30 D Alcon Laboratories (Aust.) Pty Lt AL025 Ophthalmic 328 AcrySof Multipiece Models MN60MA, MN60AC - 5 D to + 30 D Alcon Laboratories (Aust.) Pty Lt AL028 Ophthalmic 778 AcrySof IQ ReSTOR SN6AD3 +6 D to + 34 D Alcon Laboratories (Aust.) Pty Lt AL030 Ophthalmic 778 AcrySof IQ ReSTOR SN6AD1, SV25T0 and MN6AD1 +6 D to + 34 D Alcon Laboratories (Aust.) Pty Lt Femoral Component, Cemented, CoCr Sizes 00 - 5 Left & Right Tibial baseplate, Cemented, CoCr Femoral Component, uncemented, distally beaded with HA Sizes 00 -- 5 Left & Right Combined Distal and Posterior Block, CoCr Tibial full block of full wedge, CoCr Half Block or Half Wedge, Tibial Baseplate, HA, uncemented, beaded, stemmed , CoCr Sizes 1 to 5 (A-Narrow & B-Wide) Sizes 1 - 5 Thickness 6 - 17.5mm Range of Powers:-10 to +34 D Foldable Acrylic Multi-piece Lens Foldable Acrylic Single- piece Lens, asymmetric optic/consistent edge Range of Powers: +6 to +40 D Foldable Acrylic Single- piece Lens, asymmetric optic/consistent edge, with blue light protection Foldable Acrylic Single- piece Lens with Blue Light Protection and Aspheric Posterior chamber, UV absorbing, foldable, acrylic, toric, single piece lens with blue light +6 to +34 D spherical; 1.50 to 6.00 D cylinder Foldable Acrylic Single- piece Lens with Blue light protection and aspheric correction, in cartridge. Foldable Acrylic multi-piece Lens with Blue light Posterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light Posterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light

[XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

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Page 1: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

AE039 Knee 3052 Active Knee Femoral Component Sizes 00 - 5 Left & Right Allegra Orthopaedics Pty Ltd Changed Benefit.

AE040 Knee 1989 Active Knee Tibial BaseplateTibial baseplate, Cemented, CoCr

Sizes 1-5 Allegra Orthopaedics Pty Ltd Changed Benefit.

AE041 Knee 3792 Active Knee Femoral Component Sizes 00 -- 5 Left & Right Allegra Orthopaedics Pty Ltd Changed Benefit.AE050 Knee 555 Active Knee Patella Patella, cemented, UHMWPE Sizes 1 - 5 Allegra Orthopaedics Pty Ltd Changed Benefit.AE071 Knee 1187 Active Knee Posterior Block Posterior Femoral Block 1 - 5, 4 - 8mm Allegra Orthopaedics Pty Ltd Changed Benefit.AE072 Knee 1187 Active Knee Femoral Distal Spacer Femoral Distal Block 1 - 5, 4 - 8mm Allegra Orthopaedics Pty Ltd Changed Benefit.

AE073 Knee 1187 Active Knee Femoral Augments 1-5, 4 - 8mm Allegra Orthopaedics Pty Ltd Changed Benefit.AE074 Knee 1187 Active Knee Revision System - Tibial Half Block Spacer Half Block Wedge 1-5, 5 - 10 Deg Allegra Orthopaedics Pty Ltd Changed Benefit.

AE076 Knee 1187 Active Knee Tibial Full Block Wedge Tibial full block of full wedge, CoCr

1-5, 5 - 10 Deg Allegra Orthopaedics Pty Ltd Changed Benefit.AE077 Knee 1187 Active Knee Half Block Wedge Half Block or Half Wedge, CoCr 1-5, 5 - 10 Deg Allegra Orthopaedics Pty Ltd Changed Benefit.

AE099 Knee 2498 Active Knee Tibial Baseplate Allegra Orthopaedics Pty Ltd Changed Benefit.

AE251 Knee 1054 Active Knee Tibial InsertTibial Insert, UHMWPE

Allegra Orthopaedics Pty Ltd Changed Benefit.

AL002 Ophthalmic 140 Models MZ60BD, MC50BD, CZ70BDOther:PMMA

Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.AL003 Ophthalmic 140 MTA2UO - MTA6UO PMMA +5 to +30 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL004 Ophthalmic 290 Acrysof Multipiece Models MA50BM, MA60ACFoldable Acrylic Multi-piece Lens

-5 D to +30 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL011 Ophthalmic 290 Acrysof Model SA60AT Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL016 Ophthalmic 328 Alcon Acrysof Natural Model SN60AT +6 to +40D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL021 Ophthalmic 346 Alcon AcrySof SN60WF + 6.0 D to +30.0 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL023 Ophthalmic 666 Alcon AcrySof Toric PC IOL Models Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL024 Ophthalmic 364 AcrySert model SN60WS +6 to +30 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL025 Ophthalmic 328 AcrySof Multipiece Models MN60MA, MN60AC - 5 D to + 30 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL028 Ophthalmic 778 AcrySof IQ ReSTOR SN6AD3 +6 D to + 34 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL030 Ophthalmic 778 AcrySof IQ ReSTOR SN6AD1, SV25T0 and MN6AD1 +6 D to + 34 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

Femoral Component, Cemented, CoCr

Femoral Component, uncemented, distally beaded with HA

Combined Distal and Posterior Block, CoCr

Tibial Baseplate, HA, uncemented, beaded, stemmed , CoCr Sizes 1 to 5 (A-Narrow & B-

Wide)Sizes 1 - 5 Thickness 6 - 17.5mmRange of Powers:-10 to +34 D

Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge

Range of Powers: +6 to +40 D

Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge, with blue light protection

Foldable Acrylic Single-piece Lens with Blue Light Protection and Aspheric CorrectionPosterior chamber, UV absorbing, foldable, acrylic, toric, single piece lens with blue light protection +6 to +34 D spherical; 1.50

to 6.00 D cylinderFoldable Acrylic Single-piece Lens with Blue light protection and aspheric correction, in cartridge.

Foldable Acrylic multi-piece Lens with Blue light ProtectionPosterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light protection

Posterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light protection

Page 2: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

AL031 Ophthalmic 364 AcrySert C Model SN6CWS +6.0 to +30.0 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL032 Ophthalmic 702 AcrySof IQ Toric IOL Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL033 Ophthalmic 1116 AcrySof IQ ReSTOR multifocal toric IOL (SND1T2-5; SV25T2-6) Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL038 Ophthalmic 328 Acrysof Aspheric UV-absorbing IOL + 6.0 D to +30.0 D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL039 Ophthalmic 364 AcrySof IQ Aspheric IOL with UltraSert pre-loaded delivery system +6.0D to +30.0D Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL040 Ophthalmic 778 AcrySof IQ PanOptix Presbyopia Correcting IOL Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AL041 Ophthalmic 796 Alcon Laboratories (Aust.) Pty Ltd Changed Benefit.

AO001 Ophthalmic 178 Intraocular Lens: Model AC 51L AMO Australia Pty Ltd Changed Benefit.

AO002 Ophthalmic 290 AMO Australia Pty Ltd Changed Benefit.

AO014 Ophthalmic 328 TECNIS® Intraocular Lens (Z9002 & ZA9003) AMO Australia Pty Ltd Changed Benefit.

AO016 Ophthalmic 612 Verisyse AC IOL AMO Australia Pty Ltd Changed Benefit.

Posterior chamber, UV absorbing, foldable, acrylic, single piece lens with blue light protection and aspheric correction, in cartridge

Posterior chamber, UV absorbing, foldable, acrylic, toric, single piece lens with blue light protection and aspheric correction

+6 to +30 D spherical, +31.0 to +34.0 (1.0 D increments); 1.00 to 6.00 D cylinder.

Posterior chamber UV absorbing foldable, acrylic, aspheric, toric single piece lens with apodised diffractive optic and blue light protection. +6 to +34 D spherical; 1.00

to 3.00 D cylinderFoldable Acrylic Single-piece Lens with UV Absorbing and Aspheric CorrectionPre-loaded foladable Acrylic Single-piece Lens with Blue light protection and Aspheric correction (SN60WF)

Trifocal posterior chamber, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic and blue light protection.The apodised diffractive trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate focus).

+13.0 to +30.0D in 0.5 Diopter increments and +31.0 to +34.0D in 1.0 Diopter increments

AcrySof IQ PanOptix Presbyopia Correcting IOL with UltraSert pre-loaded delivery

Pre-loaded Trifocal posterior chamber, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic andblue light protection. The apodised diffractive trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate) +13.0 to +27.0D in 0.5

Diopter incrementsDuralens PMMA, Anterior Chamber IOL

6.00 mm Optic Diameter x 13.0mm in overall length

Sensar AR40 Monofocal Acrylic IOL, Sensar OptiEdge AR40e Foldable Acrylic IOL

Soft Acrylic, Foldable, UV Absorbing, Posterior

Range available from -10D to +30D. 6 mm Optic Diameter x 13mm in overall length.

Foldable Intraocular Lenses - Ultraviolet light absorbing posterior chamber intraocular lenses, Silicone/Acrylic

5-10 dioptre in 1.0 dioptre increments; 10.5 - 30 dioptre in 0.5 increments

Phakic Intraocular Lens: Model Myopia. Composition: PMMA

5mm Optic Diameter x 8.5 overall length; 6mm Optic Diameter x 8.5 overall length

Page 3: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

AO017 Ophthalmic 612 Verisyse AC IOL AMO Australia Pty Ltd Changed Benefit.

AO019 Ophthalmic 225 Verisyse AC IOLAphakic Model

AMO Australia Pty Ltd Changed Benefit.

AO024 Ophthalmic 328 Tecnis® One Piece (ZCB00) AMO Australia Pty Ltd Changed Benefit.

AO025 Ophthalmic 651 VeriFlex Foldable Phakic IOL AMO Australia Pty Ltd Changed Benefit.

AO026 Ophthalmic 740 TECNIS® Multifocal Intraocular Lens (ZMA00) AMO Australia Pty Ltd Changed Benefit.

AO027 Ophthalmic 740 TECNIS® Multifocal 1-Piece Lens, Models ZMB00, ZKB00, ZLB00 AMO Australia Pty Ltd Changed Benefit.

AO029 Ophthalmic 1222 Verisyse Toric (Custom)Phakic intraocular lens: Model toric

AMO Australia Pty Ltd Changed Benefit.

AO030 Ophthalmic 950 Verisyse Toric (Custom)Phakic intraocular lens: Model toric

AMO Australia Pty Ltd Changed Benefit.

AO033 Ophthalmic 1078 TECNIS® Multifocal Toric

Toric Multifocal Intraocular Lens

AMO Australia Pty Ltd Changed Benefit.

AO034 Ophthalmic 337 TECNIS® iTec 1-Piece Pre-Loaded IOL AMO Australia Pty Ltd Changed Benefit.

AO036 Ophthalmic 758 TECNIS® Multifocal 1-Piece IOL with iTec Preloaded delivery system AMO Australia Pty Ltd Changed Benefit.

Phakic Intraocular Lens: Model Hyperopia. Composition: PMMA 5mm Optic Diameter x 8.5

overall length5mm Optic Diameter x 8.5 overall length

One piece intraocular lens with edge modification and 360 degree square edge

+5 to +34 diopter powers in 0.5d increments. Overall diameter 13mm, Optic size 6mm

Anterior chamber foldable phakic silicone intraocular lens

-2 to -14.5d in 0.5d increments. Overall diameter 8.5mm. Optic 6.0mm

Posterior chamber lens with UV light-absorbing, foldable acrylic, 3-piece with a diffractive posterior optic and a modified anterior surface technology with edge modification and 360 degree square edge.

+5 to +34 diopter powers in 0.5d increments. Overall diameter 13mm, Optic size 6mm

A multifocal posterior chamber lens with UV-blocking, foldable acrylic, 1-piece with a diffractive posterior optic and a modified anterior surface technology with edge modification and a 360 degree square edge.

6.0mm Optic Diameter x 13.0mm in overall length. +5.0 Diopter to +34.0 Diopter in 0.5 Diopter increments. ZMB00 +4.00 Diopter add, ZKB00 +2.75 add,5mm Optic Diameter x 7.5mm overall length5mm Optic Diameter x 7.5mm overall length

Available +5.0 Diopters to +34.0 Diopters in 0.5 Diopter increments. Cylinder powers 1.50D, 2.25D, 3.00D and 4.00D (as measured on the IOL plane).

1-piece IOL Posterior Chamber Intraocular lens, incorporates a proprietary wavefront-designed aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects. Supplied pre-loaded in a screw style disposable injector.

+5.0 to +34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, Optic size 6mm

Preloaded 1-Piece Multifocal posterior chamger IOL +5.0 to 34.0 diopter powers

in 0.5 diopter increments Overall diamter 13mm, Optic size 6mm

Page 4: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

AO037 Ophthalmic 740 TECNIS® Symfony Extended Range of Vision (ZXR00) AMO Australia Pty Ltd Changed Benefit.

AO038 Ophthalmic 1078 TECNIS Symfony Toric Extended Range of Vision (ZXT00) AMO Australia Pty Ltd Changed Benefit.

AO040 Ophthalmic 938 TECNIS® Toric 1-Piece IOL AMO Australia Pty Ltd Changed Benefit.

AO041 Ophthalmic 684 Tecnis Toric 1-Piece IOL AMO Australia Pty Ltd Changed Benefit.

AO042 Ophthalmic 666 Tecnis Toric 1-Piece Pre-Loaded IOL AMO Australia Pty Ltd Changed Benefit.AX103 Hip 879 U2 Femoral Head Unipolar Femoral heads, CoCr Size 42 - 56mm Austofix Changed Benefit.AY012 Cardiac 2900 GRAFTMASTER RX Coronary Stent Graft Stainless Steel/PTFE 16-26 mm x 2.8 - 4.8 mm Abbott Australasia Pty Ltd Changed Benefit.

AY023 Cardiac 3105 Xience Everolimus Eluting Stent SystemEverolimus Eluting Stent System

Abbott Australasia Pty Ltd Changed Benefit.

AY028 Cardiac 1123 Multilink Coronary Stent System - VisionCobalt chrome stent

Abbott Australasia Pty Ltd Changed Benefit.

Extended Range of Vision Posterior Chamber IOL +5.0 to 34.0 diopter powers

in 0.5 diopter increments Overall diamter 13mm, Optic size 6mm

Extended Range of Vision Toric Multifocal Posterior Chamber IOL +6 to +30 in 0.5d steps

Available Cyl powers +1.0d, 1.5d, 2.25d, 3.00d, 3.50d

1-piece IOL Posterior chamber Intraocular lens, incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.

+5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 7.00 diopter, 8.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.

1-piece IOL Posterior chamber Intraocular lens , incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.

+5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 1.00 diopter, 1.50 diopter, 2.25 diopter, 3.00 diopter, 3.75 diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.

1-piece IOL Posterior chamber Intraocular lens , incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.

+5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 1.00 diopter, 1.50 diopter, 2.25 diopter, 3.00 diopter, 3.75 diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.

2.25mm to 4.0mm widths, 8mm to 28mm lengths2.25mm to 4.0mm widths, 8mm to 38mm lengths

Page 5: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

AY037 Cardiac 3105 Abbott Australasia Pty Ltd Changed Benefit.

AY039 Cardiac 1123 Abbott Australasia Pty Ltd Changed Benefit.

AY040 Cardiac 3105 XIENCE Xpedition Everolimus Eluting Coronary Stent System Abbott Australasia Pty Ltd Changed Benefit.

Xience PRIME LL Everolimus Eluting Coronary Stent; Xience PRIME Everolimus Eluting Coronary Stent; Xience PRIME SV Everolimus Eluting Coronary Stent

Coronary Artery Stent, Drug Eluting

XIENCE PRIME LL 2.50; 2.75; 3.00; 3.50; 4.0 x 33MM; XIENCE PRIME LL 2.50; 2.75; 3.00; 3.50; 4.0 x 38MM; XIENCE PRIME SV 2.25 x 08; 12; 15; 18; 23; 28MM; XIENCE PRIME 2.50 x 08; 12; 15; 18; 23; 28MM; XIENCE PRIME 2.75 x 08; 12; 15; 18; 23; 28MM; XIENCE PRIME 3.00 x 08; 12; 15; 18; 23; 28MM; XIENCE PRIME 3.50 x 08; 12; 15; 18; 23; 28MM; XIENCE PRIME 4.00 x 08; 12; 15; 18; 23; 28MM

MULTI-LINK 8 Coronary Stent System, MULTI-LINK 8 SV Coronary Stent System and MULTI-LINK 8 LL Coronary Stent System

The MULTI-LINK 8, MULTI-LINK 8 SV, MULTI-LINK 8 LL Coronary Stent System (CSS) is comprised of two main components: the cobalt chromium (CoCr) stent and the balloon expandable delivery system.

MULTI-LINK 8: Diam: 2.5, 2.75, 3.0, 3.5, 4.0mm, Stent Length: 8, 12, 15, 18, 23, 28mm; MULTI-LINK 8 SV CSS: Diam: 2.25mm, Stent Length: 8, 12, 15, 18, 23, 28mm; MULTI-LINK 8 LL CSS: Diam: 2.5, 2.75, 3.0, 3.5, 4.0mm, Stent Length: 33 and 38mm

Coronary Artery Stent, Drug Eluting

Xience Xpedition DES - 2.25 x (8,12,15,18,23,28) RX CE, 2.50 x (8,12,15,18,23,28,33,38,48) RX CE; 2.75 x (8,12,15,18,23,28,33,38,48) RX CE; 3.00 x (8,12,15,18,23,28,33,38,48) RX CE; 3.25 x (8,12,15,18,23,28,33,38) RX CE; 3.50 x (8,12,15,18,23,28,33,38,48) RX CE; 4.00 x (8,12,15,18,23,28,33,38) RX CE;

Page 6: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

AY044 Cardiac 3105 XIENCE Alpine Everolimus Eluting Coronary Stent System

Drug eluting coronary artery stent

Abbott Australasia Pty Ltd Changed Benefit.

AY045 Cardiac 3105 Absorb Bioresorbable Vascular Scaffold System

Drug eluting coronary artery stent

Abbott Australasia Pty Ltd Changed Benefit.

BB196 Knee 5689 E.motion Total Knee System F2 - F8 Right Left B Braun Australia Pty Ltd Changed Benefit.

BB198 Knee 1054 Emotion Total Knee System (TKS) Tibial Insert Tibial Insert, UHMWPE, mobile

T1 to T8 Size: 10 to 24mm B Braun Australia Pty Ltd Changed Benefit.

BB199 Knee 1110 Emotion Total Knee System (TKS) Tibial Insert T1 to T8 Sizes: 10 to 24mm B Braun Australia Pty Ltd Changed Benefit.

BB200 Knee 1164 Emotion Total Knee System (TKS) Tibial and Femoral Stems B Braun Australia Pty Ltd Changed Benefit.

BB201 Knee 3608 e.MOTION Total Knee T1-T8, left and right B Braun Australia Pty Ltd Changed Benefit.

BB202 Knee 555 Emotion Total Knee System (TKS) Patellar Component B Braun Australia Pty Ltd Changed Benefit.

BB204 Knee 3376 Columbus Total Knee System (TKS) Tibial Baseplate T1 to T5 B Braun Australia Pty Ltd Changed Benefit.

BB205 Knee 3052 Columbus Total Knee System (TKS) Femoral Component F1 - F7, Left and Right B Braun Australia Pty Ltd Changed Benefit.

BB206 Knee 3145 Columbus Total Knee System (TKS) Femoral Component F1 - F7, Left and Right B Braun Australia Pty Ltd Changed Benefit.BB207 Knee 1054 Columbus Total Knee System (TKS) Tibial Insert Tibial Insert, UHMWPE, fixed T1 - T5 B Braun Australia Pty Ltd Changed Benefit.

BB208 Knee 555 Columbus Total Knee System (TKS) Patellar Component P1 - P4 B Braun Australia Pty Ltd Changed Benefit.

BB209 Knee 1110 Columbus Total Knee System (TKS) Tibial Insert T1 - T5 B Braun Australia Pty Ltd Changed Benefit.

BB210 Knee 671 Columbus Total Knee System (TKS) Tibial Stems B Braun Australia Pty Ltd Changed Benefit.

2.00 mm x (08, 12, 15, 18, 23, 28) mm2.25 mm x (08, 12, 15, 18, 23, 28) mm2.50 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm2.75 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm3.00 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm3.25 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm3.50 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm4.00 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm

2.5 mm x (8, 12, 18, 23, 28) mm 3.0 mm x (8, 12, 18, 23, 28) mm3.5 mm x (12, 18, 23, 28) m

Posterior Stabilised Knee Component cemented

Tibial Insert, UHMWPE, mobile, posterior stabilised with pegTibial and femoral stems, CoCr, cemented or uncemented

Short, D: 10mm to 20mm , Medium, D: 10mm to 20mm, Long, D: 10mm to 20mm

Tibial baseplate, cemented, CoCR with polished surface for mobile insertAll poly patellar, UHMWPE cemented, 3 pegs, onlay

P1 to P6, 26 - 41 x 7 - 12mm

Tibial baseplate, cemented, CoCr for fixed insertFemoral component, cemented, CoCrFemoral component, cemented, CoCr, posterior stabilised

All poly patellar, UHMWPE cemented, 3 pegs, onlayTibial Insert, UHMWPE, fixed, posterior stabilised with included screw for fixation to baseplateTibial Stem (cap), cemented or uncemented, short (mini) (obturator stem) CoCr, usually required when stem not used

Small & Large D: 12mm & D: 14mm

Page 7: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BB232 Knee 3792 Emotion Total Knee System (TKS) Femoral Component F1 - F8, Left and Right B Braun Australia Pty Ltd Changed Benefit.

BB233 Knee 3099 Emotion Total Knee System (TKS) Tibial Baseplate T1 - T8 B Braun Australia Pty Ltd Changed Benefit.BB235 Hip 2424 Biolox Delta Ceramic Liner Biolox Delta Liner 28, 32, 36 & 40mm B Braun Australia Pty Ltd Changed Benefit.

BB236 Hip 694 Polyethylene Acetabular Cup

Unmodified Polyethylene

B Braun Australia Pty Ltd Changed Benefit.

BB237 Hip 758 Plasmacup PE insert

UMHPE unmodified liner

B Braun Australia Pty Ltd Changed Benefit.BB238 Hip 127 Acetabular Fixation Screws Isotan 16mm-68mm B Braun Australia Pty Ltd Changed Benefit.BB239 Hip 3978 BiContact Cementless Femoral stem, grit blast and HA 8-21 B Braun Australia Pty Ltd Changed Benefit.

BB240 Hip 1942 BiContact cemented 8-18 B Braun Australia Pty Ltd Changed Benefit.

BB241 Knee 671 Emotion Total Knee System (TKS) Tibial Stem B Braun Australia Pty Ltd Changed Benefit.

BB242 Knee 1164 Columbus Total Knee System (TKS) Tibial Stem B Braun Australia Pty Ltd Changed Benefit.BB243 Hip 2498 Plasmacup Titanium, plasma, HA 44mm-68mm B Braun Australia Pty Ltd Changed Benefit.BB245 Hip 146 Distal centraliser PMMA 7mm - 18mm B Braun Australia Pty Ltd Changed Benefit.

BB246 Hip 740 Metal HeadIsodur CoCr Femoral Head

B Braun Australia Pty Ltd Changed Benefit.BB247 Hip 2929 Reconstruction Shell Isotan 52-64mm, left and right B Braun Australia Pty Ltd Changed Benefit.BB249 Hip 793 Bipolar Head Bipolar shell plus liner 38 - 60mm B Braun Australia Pty Ltd Changed Benefit.BB250 Hip 1942 Biolox Delta Ceramic Head Biolox Delta Ceramic Head 28 & 32mm diameter B Braun Australia Pty Ltd Changed Benefit.

BB253 Knee 3608 Columbus Total Knee System (TKS) Tibial Baseplate T1- T5 B Braun Australia Pty Ltd Changed Benefit.BB255 Knee 1054 Columbus Total Knee System (TKS) Tibial Insert Tibial Insert, UHMWPE, Mobile T1- T5 B Braun Australia Pty Ltd Changed Benefit.BB274 Hip 4625 Excia Hip System plasma titanium, HA 8mm-18mm B Braun Australia Pty Ltd Changed Benefit.

BB275 Hip 1711 Excia Hip SystemCemented stem cobalt chromium

9mm-18mm B Braun Australia Pty Ltd Changed Benefit.BB277 Hip 148 Excia Hip System Cement plug 8mm-18mm B Braun Australia Pty Ltd Changed Benefit.BB295 Hip 4625 Metha - modular short stem Short stem, plasma, HA 1 -6 B Braun Australia Pty Ltd Changed Benefit.

BB296 Hip 1135 Metha - Modular neck adaptors B Braun Australia Pty Ltd Changed Benefit.BB302 Hip 2128 Biolox Delta Ceramic Head Biolox Delta Ceramic Head 36 & 40mm diameter B Braun Australia Pty Ltd Changed Benefit.

BB318 Hip 4828 Plasmacup Delta B Braun Australia Pty Ltd Changed Benefit.

BB319 Knee 722 Emotion Total Knee System Femoral Stem Extension One size only B Braun Australia Pty Ltd Changed Benefit.

Femoral Component, uncemented, CoCr Titanium plasma spray (Plasmapore), HA coated

Tibial baseplate, uncemented, CoCr, Titanium plasma spray (Plasmapore) with polished insert surface, HA coated for mobile insert

22.2mm-32mm articulations; 40mm-64mm diameters

44mm-68mm diameters, 22.2mm-32mm articulations

Cemented stem cobal chrome

Tibial Stem (cap), cemented or uncemented, short (mini) (obturator stem) CoCr, usually required when stem not used

12mm, 14mm & 16mm in cemented and uncemented

Tibial Stem, cemented or uncemented, CoCr

12mm & 14mm, in uncemented, 12mm & 14mm in cemented.

22.5mm, 26mm, 28mm, 32mm

Tibial Baseplate, Cemented, CoCr for mobile insert, polished insert surface

Modular neck adaptors made from CoCr CCD - 130°, 135 °, 140°;

Offset - 0mm, -5mm ,+5mm; Version - 7.5° left ante/right retro, 0 °, 7.5 ° left retro/right ante

36mm combination plasmacup HA coated shell & Biolox Delta liner

32mm x 44mm - 46mm diameter36mm x 48mm - 54mm diameter

Revision nut for Femur Extension Stem

Page 8: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BB320 Knee 1187 Emotion Total Knee System Tibial and Femoral Augments 4mm to 12mm B Braun Australia Pty Ltd Changed Benefit.

BB348 Knee 3052 e.motion Total Knee System FP/UC Femoral Component cemented 1-8, Left and right B Braun Australia Pty Ltd Changed Benefit.

BB350 Knee 6244 EnduRo Rotating Hinge Knee Femoral Component B Braun Australia Pty Ltd Changed Benefit.

BB351 Knee 722 Enduro Rotating Hinge Knee Femoral Stem locking nut neutral B Braun Australia Pty Ltd Changed Benefit.

BB352 Knee 1830 B Braun Australia Pty Ltd Changed Benefit.

BB353 Knee 1164 B Braun Australia Pty Ltd Changed Benefit.

BB354 Knee 4070 EnduRo Rotating Hinge Knee Tibial Component 1-3 B Braun Australia Pty Ltd Changed Benefit.

Medial/Lateral Tibial, Distal Femoral and Postero-Distal Augmentse.motion mobile bearing FP/UC Femoral Component cementedThe EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon to treat complex revision knee arthroplasty as well as unstable knees.

1-3 Right1-3 Left

The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon to treat complex revision knee arthroplasty as well as unstable knees.

1 size neutral (for all femoral stems)

EnduRo Rotating Hinge Knee Meniscal component includes Rotation Axle, PEEK bushing and Tibial locking nut

The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon totreat complex revision knee arthoplasty as well as unstable knees

Meniscal Components to match Femoral component 1-3 10mm-24mm includes rotation axle,PEEK bushing and Tibial locking nut.

EnduRo Rotating Hinge Knee Tibial and Femoral Extension Stems cementless and cemented

The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon totreat complex revision knee arthoplasty as well as unstable knees Tibial Stems cemented

length 52mm 12, 15 & 18mm, length 92mm 12, 15 & 18mmFemoral stems cemented 6 degree length 77mm 12, 15 & 18mm, length 157mm 12, 15 &18mmTibial Stems cementless length 92mm 11-20mm, length 172mm 11-20mmFemoral Stems cementless length 117mm 5 degree 12-20mm, length 117mm 7 degree 12-20mm, length 177mm 5 degree 12-20mm, length 177mm 7 degree 12-20mm

The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon totreat complex revision knee arthoplasty as well as unstable knees

Page 9: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BB355 Knee 1187 EnduRo Rotating Hinge Knee Tibial and Femoral Augments/Spacers B Braun Australia Pty Ltd Changed Benefit.

BH032 Hip 2886 ARCOS Revision Hip System - Broached proximal body Zimmer Biomet Pty Ltd Changed Benefit.

BH034 Hip 2886 ARCOS Calcar Proximal Body Zimmer Biomet Pty Ltd Changed Benefit.

BH036 Hip 2128 Biolox Delta Option Ceramic Femoral Headsceramic modular head, biolox delta

36mm to 60mm Zimmer Biomet Pty Ltd Changed Benefit.

BH037 Hip 481 Biolox Delta Option TaperTaper Sleeve, Titanium

Zimmer Biomet Pty Ltd Changed Benefit.

BH038 Hip 4625 Bi Metric Hip Zimmer Biomet Pty Ltd Changed Benefit.

BH039 Hip 2498 Avantage Reload Dual Mobility Cementless Acetabular Cup 44mm - 64mm Zimmer Biomet Pty Ltd Changed Benefit.

BH040 Hip 1665 Avantage Dual Mobility Cemented Acetabular Cup 44mm - 50mm Zimmer Biomet Pty Ltd Changed Benefit.BH041 Hip 1698 Avantage Dual Mobility Acetabular Cup Inlay UHMWPE Dual Mobility Liner 44-66mm diameter shells Zimmer Biomet Pty Ltd Changed Benefit.

BH043 Hip 3978 Exception Femoral Stem Sizes 1-9 Zimmer Biomet Pty Ltd Changed Benefit.

BH063 Knee 2498 Regenerex Sleeve Augment Zimmer Biomet Pty Ltd Changed Benefit.

BH120 Knee 6244 RHK Knee - Femoral Component Zimmer Biomet Pty Ltd Changed Benefit.

BH121 Knee 555 RHK Knee - PatellaPatella

Zimmer Biomet Pty Ltd Changed Benefit.BH122 Knee 4070 RHK Knee - Stemmed Tibial Tray Tibial Component, stemmed tray 63-71mm Zimmer Biomet Pty Ltd Changed Benefit.BH123 Knee 4070 RHK Knee - Modular Tibial Tray Tibial Component, modular tray 63 to 71mm Zimmer Biomet Pty Ltd Changed Benefit.

BH124 Knee 1054 RHK Knee - Tibial Bearing (63-71)mm x (12-20)mm Zimmer Biomet Pty Ltd Changed Benefit.

BH125 Knee 1187 RHK Knee - Augments Zimmer Biomet Pty Ltd Changed Benefit.

BH130 Hip 2886 ARCOS Revision Hip System Cone Proximal Body 50mm body Zimmer Biomet Pty Ltd Changed Benefit.

BH131 Hip 4181 ARCOS Revision Hip System Cone Proximal Body 60-80mm body Zimmer Biomet Pty Ltd Changed Benefit.

BH132 Hip 3256 ARCOS Modular Revision Hip System Short Distal Stems 115mmE Zimmer Biomet Pty Ltd Changed Benefit.

BH133 Hip 5106 ARCOS Modular Revision Hip System Distal Stems 150 to 250mm length. Zimmer Biomet Pty Ltd Changed Benefit.

The EnduRo is a Rotating Hinge Knee prosthesis that enables the Orthopaedic Surgeon totreat complex revision knee arthoplasty as well as unstable knees

Tibial Spacer(augment) to match Tibial component 4, 8, 12 & 16mm Femoral Spacer distal (augment) to match femoral component 4, 8 & 12mmFemoral Spacer posterior/distal (augment) to match femoral component4x4,4x8,4x12,8x4,8x8,8x12, 12x4, 12x8 and 12x12

Broached proximal body porous plasma spray

Standard or High Offset A B C D E and F

Calcar Proximal Body porous plasma spray

Calcar body 50mm Std +10 +20 bodies, Std or high offset Body A To E

-6mm, -3mm, Std, +3mm and +6mm

Femoral Stem, HA coated, porous plasma spray, titanium

(7 to 21) mm diameter, Standard or lateralised

Revision Acetabular Cup polished inner surface, with flanges, Porous HA Coating, Stainless Steel

Acetabular shell, polished inner surface, Stainless Steel

Standard or Varised, Left or Right Titanium Alloy, HA coatedAugment, cone or finned sleeve, SSK/OSS Systems, Ti

(25mm to 40mm, Type A or B) x Extra small/Large

Rotating hinge, cemented, CoCr with hinge assembly. Small right, Standard right,

Small left, Standard left.Small (31mm), Medium (34mm), Large (37mm)

Tibial Insert, ArCom Bi-Helical Rotating BearingAugment, Femoral or Coned Tibial Augments

(63-79)mm x 20mm, small or std x (10-30)mm

Cone Proximal Body Porous plasma sprayed coatedCone Proximal Body Porous plasma sprayed coatedDistal Stem bullet or slottedtip, porous plasma sprayDistal Stem bullet or slotted tip, porous plasma spray

Page 10: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BH134 Knee 7494 Orthopaedic Salvage System 63-83mm Zimmer Biomet Pty Ltd Changed Benefit.

BH135 Knee 7494 Orthopaedic Salvage System 63-83mm Zimmer Biomet Pty Ltd Changed Benefit.

BH136 Knee 3194 Orthopaedic Salvage System Zimmer Biomet Pty Ltd Changed Benefit.BH137 Knee 2128 Orthopaedic Salvage System Tibial bearing Insert UHMWPE 12-22mm Thick Zimmer Biomet Pty Ltd Changed Benefit.

BH365 Hip 2128 G7 Acetabular Shell Zimmer Biomet Pty Ltd Changed Benefit.

BI015 Hip 2886 Reach Revision Hip SystemTitanium, Cobal Chrome, non HA

Proximal Body #1-6 Zimmer Biomet Pty Ltd Changed Benefit.

BI031 Knee 2128 Oxford Meniscal Knee System Uni Femoral Component Zimmer Biomet Pty Ltd Changed Benefit.

BI033 Knee 1619 Oxford Meniscal Knee System Uni Tibial Baseplate (38-53mm) x sizes 26-34 Zimmer Biomet Pty Ltd Changed Benefit.

BI047 Hip 1711 Echo FX Stem 7-17mm Zimmer Biomet Pty Ltd Changed Benefit.

BI051 Hip 3422 Bi-Metric Hip System 9-15mm Zimmer Biomet Pty Ltd Changed Benefit.

BI052 Hip 5458 Bi-Metric Hip System 9-17mm Zimmer Biomet Pty Ltd Changed Benefit.

BI056 Hip 2220 Exceed M2A Femoral Head Zimmer Biomet Pty Ltd Changed Benefit.

BI057 Hip 1942 M2A taper Standard Zimmer Biomet Pty Ltd Changed Benefit.

BI058 Hip 1850 Modular Ceramic System 28-32mm -6mm to +12mm Zimmer Biomet Pty Ltd Changed Benefit.

BI060 Hip 569 Austin Moore Self Locking Hip Prosthesis System 38-55mm Zimmer Biomet Pty Ltd Changed Benefit.

BI062 Hip 569 FR Thompson Hip Prosthesis System 38mm - 55mm Zimmer Biomet Pty Ltd Changed Benefit.

BI066 Hip 1942 Stanmore Total Hip System Size 1-5 Zimmer Biomet Pty Ltd Changed Benefit.

BI067 Hip 694 Stanmore Total Hip System 25-32mm x size 40-53mm Zimmer Biomet Pty Ltd Changed Benefit.BI069 Hip 1711 Biomet Taperloc Hip System Titanium unpolished 7.5mm to 20mm diameter Zimmer Biomet Pty Ltd Changed Benefit.

BI073 Hip 2368 Modular Ceramic System Zimmer Biomet Pty Ltd Changed Benefit.BI074 Hip 4532 Biomet Taperloc Hip System Titanium unpolished 4mm- 25mm diameter Zimmer Biomet Pty Ltd Changed Benefit.BI075 Hip 4995 Biomet Taperloc Hip System titanium, plasma, HA 4mm - 25mm Zimmer Biomet Pty Ltd Changed Benefit.BI081 Hip 2886 ARCOS Modular Revision Hip System Grit Blast Distal Stems, non HA 150mm - 200mm Zimmer Biomet Pty Ltd Changed Benefit.

BI092 Hip 1698 Mallory Head Hip System 28-38mm Zimmer Biomet Pty Ltd Changed Benefit.BI098 Hip 185 Kent Hip System Transverse Screws, Titanium 4.5mm x (26-55mm) Zimmer Biomet Pty Ltd Changed Benefit.

BI106 Hip 1073 Ringloc Acetabular Liners 22-36mm Zimmer Biomet Pty Ltd Changed Benefit.

Tibial Component, Resurfacing or Segmental, Non-Modular tray, CoCr, TiTibial Component, Resurfacing or Segmental, Non-Modular tray, CoCr, TiFemoral/Tibial Interlocking devices:locking pin, femoral and tibial bushings, tibial bearing. Axle, reinforced Yoke, locking screws CoCr, Ti

One size only except srew - small or large, Tibial bearing 12-22mm

Acetabular Shell, porous plasma, non-HA

42mm to 68mm in 2 mm increments

Uni Femoral Component, CoCr, Cemented (Phase III)

Small, Medium, Large, Extra Large.

Uni Tibial Baseplate, cemented, polished insert surface, for mobile insert (Phase III) Femoral Stem, Chrome Cobalt, Cemented unpolished Head Neck calcar Femoral Stem, Chrome Cobalt, Cemented, unpolished 200 and 250 lengths

Revision 200 Stem, Titanium, plasma non HAHead, Chrome Cobalt, Metal on metal

28mm, -6mm to +12mm neck

Metal Acetabular Insert, Chrome CobaltCeramic Head, Aluminium Alloy, biolox DeltaStraight Standard Femoral Prostheses, TitaniumModular Curved Femoral Stem, Titanium.Polished Femoral Stem - Standard and Straight, Chrome Cobalt

Acetabular Cup, unmodified UHMWPE

Acetabular Ceramic/ Polyethylene Liner, UHMWPE

28mm to 44mm in 4mm increments

Acetabular Liner, Constrained, Ringloc, UHMWPE

Acetabular Liner, UHMWPE, modified

Page 11: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BI109 Hip 127 Mallory Head Hip SystemScrew, Acetabular

Zimmer Biomet Pty Ltd Changed Benefit.

BI111 Hip 2498 Mallory Head Hip System 40-80mm Zimmer Biomet Pty Ltd Changed Benefit.BI122 Hip 370 Mallory Head Hip System Trochanter Bolt, Titanium Round/Oblong Zimmer Biomet Pty Ltd Changed Benefit.BI123 Hip 426 Mallory Head Hip System Trochanter Plate, Titanium Sizes 40-70 Zimmer Biomet Pty Ltd Changed Benefit.BI124 Hip 426 Modular Calcar Mallory Head Revision Hip System Trochanteric Claw, Titanium Medium, Large Zimmer Biomet Pty Ltd Changed Benefit.BI125 Hip 527 Modular Calcar Mallory Head Revision Hip System Trochanteric Connector Sizes 40-70mm Zimmer Biomet Pty Ltd Changed Benefit.

BI127 Hip 3256 Modular Calcar Mallory Head Revision Hip System 170-300mm Zimmer Biomet Pty Ltd Changed Benefit.BI129 Hip 694 Mallory Head Hip System Acetabular cup, UHMWPE 40-80mm Zimmer Biomet Pty Ltd Changed Benefit.BI130 Hip 148 Bio-Plug Cement Restrictor Canal Plug, UHMWPE 7-20mm Zimmer Biomet Pty Ltd Changed Benefit.BI131 Hip 146 Mallory Head Hip System Femoral Centraliser, UHMWPE 9-17mm Zimmer Biomet Pty Ltd Changed Benefit.BI132 Hip 1711 Mallory Head Hip System Cobalt Chrome, Unpolished 7-19mm Zimmer Biomet Pty Ltd Changed Benefit.BI139 Hip 4532 Mallory Head Hip System Titanium, plasma 7-19mm x 135 -180mm Zimmer Biomet Pty Ltd Changed Benefit.

BI140 Hip 158 Mallory Head Hip System Size 1 Zimmer Biomet Pty Ltd Changed Benefit.BI141 Hip 4995 Mallory Head Hip System Titanium, plasma and HA 7-19mm Zimmer Biomet Pty Ltd Changed Benefit.

BI147 Knee 3052 AGC System femoral component 55-80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI149 Knee 1054 AGC Total Knee System Tibial Insert 59-91mm Zimmer Biomet Pty Ltd Changed Benefit.

BI150 Knee 3145 AGC System femoral component 55 to 80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI153 Knee 2914 AGC Knee System Tibial Baseplate 63-91mm Zimmer Biomet Pty Ltd Changed Benefit.

BI159 Knee 3422 AGC System femoral component 55-80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI165 Knee 3515 AGC System femoral component 55-80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI169 Knee 3376 Biomet Universal Tibial Baseplate 59-91mm Zimmer Biomet Pty Ltd Changed Benefit.

BI171 Knee 1164 Maxim Complete Knee System Femoral and Tibial Stems 40mm 80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI172 Knee 1054 Maxim Complete Knee System Tibial Insert 59-91mm Zimmer Biomet Pty Ltd Changed Benefit.BI173 Knee 130 Maxim Complete Knee System Tibial Locking Bar Insert locking pin, Titanium One size only Zimmer Biomet Pty Ltd Changed Benefit.

BI176 Knee 555 Biomet Universal Patellar component size 25 to 37mm Zimmer Biomet Pty Ltd Changed Benefit.

BI182 Knee 1989 Biomet Universal Tibial Baseplate 59-91mm Zimmer Biomet Pty Ltd Changed Benefit.

(6.5 - 5.5)mm dia x (15 - 70)mm length

Acetabular shell, Titanium Alloy, plasma, non HA

Femoral Component, Distal. Titanium

Acetabular Shell, Ringloc. Replacement Ring, Titanium alloy

Femoral Component, cemented, CoCr, left and right sided (anatomic)Tibial Insert 'Tradition' fixed, UHMWPE with locking pin Femoral Component, cemented, CoCr, left and right sided (anatomic), posterior stabilised Tibial baseplate, CoCr, Moulded, V2 (version 2), UHMWPE, cementedFemoral Component, uncemented, CoCr with titanium plasma sprayed surface (Porous plasma spray PPS) left and right sided (anatomic),

Femoral Component, uncemented, CoCr with titanium plasma sprayed surface (Porous plasma spray PPS) left and right sided (anatomic), posterior stabilised

Tibial baseplate, Cemented, Titanium, which allows for attachmnet of a variety of different stems and for fixed inserts

Femoral and Tibial Stems, Titanium, curved and straight, cemented Tibial Insert, UHMWPE, fixed with locking pin

All poly Patella, cemented, UHMWPE, domed Tibial baseplate, Cemented, one piece, Ti or CoCr

Page 12: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BI183 Knee 1187 Maxim Complete Knee System Femoral and Tibial Augments 55-80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI184 Knee 1164 Biomet Universal Tibial and femoral stems 55-80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI186 Knee 2498 Maxim Complete Knee System Tibial Baseplate 59 - 91mm Zimmer Biomet Pty Ltd Changed Benefit.

BI195 Knee 3145 Vanguard Rotating Platform Femoral Component 60-75mm Zimmer Biomet Pty Ltd Changed Benefit.BI196 Knee 2220 Vanguard Rotating Platform Tibial Baseplate Tibial Baseplate Chrome Cobalt 63-87mm Zimmer Biomet Pty Ltd Changed Benefit.BI197 Knee 1054 Rotating Platform Knee System Tibial Bearing, UHMWPE 60-75mm Zimmer Biomet Pty Ltd Changed Benefit.

BI202 Knee 1156 Repicci resurfacing Tibial Bearing 20-42mm Zimmer Biomet Pty Ltd Changed Benefit.

BI203 Knee 2128 Repicci II Unicondylar Knee System Uni femoral component 35-60mm Zimmer Biomet Pty Ltd Changed Benefit.

BI204 Knee 1434 Repicci II Unicondylar Knee System Uni Tibial baseplate Std, Large, Xlarge Zimmer Biomet Pty Ltd Changed Benefit.

BI205 Knee 731 Repicci II Unicondylar Knee System Uni tibial insert Uni Tibial insert, fixed , UHMWPE

Std, Large, Xlarge Zimmer Biomet Pty Ltd Changed Benefit.

BI692 Hip 5458 Reach Revision Hip SystemTitanium plasma no HA

Zimmer Biomet Pty Ltd Changed Benefit.

BI700 Hip 462 Par 5 Protrusio Acetabular System Short, Medium or Long Zimmer Biomet Pty Ltd Changed Benefit.BI702 Hip 127 Par 5 Protrusio Acetabular System Screws - Titanium Metal 6.5mm Zimmer Biomet Pty Ltd Changed Benefit.

BI704 Hip 2929 Par 5 Protrusio Acetabular System 56 - 72mm Zimmer Biomet Pty Ltd Changed Benefit.

BI770 Hip 2498 Exceed Acetabular SystemAcetabular shell, solid, plasma, HA

Shell sizes 40-70mm Zimmer Biomet Pty Ltd Changed Benefit.

BI778 Hip 5004 PLR Splined Revision Stem 14-24mm x 270mm Zimmer Biomet Pty Ltd Changed Benefit.

BI810 Knee 2914 Vanguard Complete Knee System 59 -91mm Zimmer Biomet Pty Ltd Changed Benefit.

BI811 Knee 3376 Offset Tibial Tray System 59-91mm Zimmer Biomet Pty Ltd Changed Benefit.

BI836 Hip 2929 Par 5 Protrusio Acetabular System 56 - 72mm Zimmer Biomet Pty Ltd Changed Benefit.

BI837 Hip 3718 Reach Revision Hip System Proximal Body #1 - 6 Zimmer Biomet Pty Ltd Changed Benefit.BI841 Hip 4301 Resurfacing Hip System Acetabular Shell CoCr, Ti 44 - 66mm Zimmer Biomet Pty Ltd Changed Benefit.

BI842 Hip 4764 Resurfacing Hip System 44 - 66mm Zimmer Biomet Pty Ltd Changed Benefit.

BI860 Knee 1850 Oxford Meniscal Knee System Uni Tibial Baseplate (38-53) x (26-34)mm Zimmer Biomet Pty Ltd Changed Benefit.

BI861 Knee 731 Oxford Meniscal Knee System Uni Tibial Insert (Small - Extra Large) x (3-9) Zimmer Biomet Pty Ltd Changed Benefit.

Tibial and femoral half wedges and half blocks, TitaniumTibial and Femoral Stems, Titanium, curved and straight, cementedTibial baseplate, uncemented, Titanium plasma sprayed surface (Porous plasma spray PPS) with HA

Femoral Component, Cemented, CoCr, Posterior Stabilised

Uni tibial Component, all poly Cemented, UHMWPEUni Femoral Component, Cemented, CoCr Uni Tibial baseplate, Cemented, Titanium, for fixed insert

Sizes 13 - 19 (L&R) by 200 - 250mm)

Obturator Hook or Blade or Flange, Ti

Acetabular reconstruction Shells - Titanium Metal, no HA

Splined Straight Stem, Ti, grit blast, non HATibial bearing & tray, ' Mono Lok' Cruciate Retaining or Posterior Stabilised, CoCr UHMWPETibial baseplate, Cemented, Titanium, which allows for attachment of the offset adaptor Acetabular reconstruction Shell CrCo, Ti, HA CoatedModular Reach Proximal Body - Collared/Collarless, Ti, HA Coated

Acetabular Shell CoCr, Ti, HA CoatedUni Tibial Baseplate, uncemented Titanium plasma sprayed surface (Porous plasma spray PPS) with HA (Phase III)

Uni Tibial Insert conforming surface, mobile bearing, UHMWPE (Phase III)

Page 13: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BI863 Knee 3052 AGC Knee System Tibial Baseplate (63-91) x (8-22)mm Zimmer Biomet Pty Ltd Changed Benefit.

BI864 Knee 2809 Orthopaedic Salvage SystemStem, Cemented or Porous, Ti

Zimmer Biomet Pty Ltd Changed Benefit.

BI865 Knee 7407 Orthopaedic Salvage System 30 - 70mm Zimmer Biomet Pty Ltd Changed Benefit.

BI866 Knee 1977 Orthopaedic Salvage System

Femoral or Tibial Augment, Ti

Zimmer Biomet Pty Ltd Changed Benefit.

BI868 Knee 4079 Orthopaedic Salvage System Zimmer Biomet Pty Ltd Changed Benefit.

BI871 Knee 1850 Vanguard unicondylar Knee SystemTibial Component, CoCr UHMWPE

(A-E) x (5-8) Zimmer Biomet Pty Ltd Changed Benefit.BI875 Hip 879 Endo II Head Modular Head - CoCr 41 mm through 61mm Zimmer Biomet Pty Ltd Changed Benefit.

BI876 Hip 481 Endo II HeadModular Head Taper Insert - CoCr

-6mm to +6mm Zimmer Biomet Pty Ltd Changed Benefit.BI877 Hip 879 Freedom 36 mm Modular Head Modular Head 36mm, -6mm to +9mm Zimmer Biomet Pty Ltd Changed Benefit.

BI878 Hip 1698 Freedom Constrained Liner Zimmer Biomet Pty Ltd Changed Benefit.

BI885 Knee 1110 ROCC Tibial Insert Zimmer Biomet Pty Ltd Changed Benefit.

BI886 Knee 3422 Vanguard Total Knee System Zimmer Biomet Pty Ltd Changed Benefit.

BI887 Knee 3885 ROCC Femoral Component 1-8 Zimmer Biomet Pty Ltd Changed Benefit.

BI888 Knee 1054 Vanguard Total Knee System Zimmer Biomet Pty Ltd Changed Benefit.

BI889 Hip 4764 Orthopaedic Salvage System 7cm Left or Right Zimmer Biomet Pty Ltd Changed Benefit.

BI897 Knee 3145 Vanguard Total Knee System Zimmer Biomet Pty Ltd Changed Benefit.

BI898 Knee 3052 Vanguard Total Knee System Zimmer Biomet Pty Ltd Changed Benefit.

BI899 Knee 555 ROCC Patellar Component 1-8 Zimmer Biomet Pty Ltd Changed Benefit.

BI900 Knee 3099 Vanguard Tibial Baseplate 59-91mm Zimmer Biomet Pty Ltd Changed Benefit.

BI904 Knee 1156 Vanguard Total Knee System Zimmer Biomet Pty Ltd Changed Benefit.

Tibial baseplate, titanium, Moulded, V2 (version 2), uncemented with titanium plasma sprayed surface (Porous plasma spray PPS)

(9-19)mm diameter x (90-300)mm length

Femoral Component, Resurfacing or Segmental, CoCr,Ti

Femoral Sleeve - One Size; OR Femoral Flange - One Size; OR Tibial Block Augment 10-20mm; OR Tibial Augment Sleeve - Small/Large

Diaphyseal Segment or Diaphyseal Coupler, Stacking Adapter and Locking Screws, Ti

Diaphyseal Segment 1-23cm, Diaphyseal coupler 10-30cm

Constrained Acetabular Liner - UHMWPE, Ti

23mm to 62mm in 1mm increments

Tibial Insert, mobile bearing, rotating platform, UHMWPE

1-6 (tray size), 10-20mm (bearing size)

Femoral Component, CR, uncemented, anatomic, CoCr, Ti 55, 57.5, 60, 62.5, 65, 67.5,

70, 75, 80 Left and RightFemoral Component, uncemented, Titanium plasma sprayed surface (Porous plasma spray PPS) with HA

Tibial Bearing, CR, curved or lipped, UHMWPE 59, 63/67, 71/75, 79/83,

87/91 widths, 10, 12, 14, 16, 18, 20mm thicknesses

Proximal Femoral Component, Letson or Finn, Anatomic, TiFemoral Component, Posterior Stabilised, Cemented, anatomic, CoCr.

55, 57.5, 60, 62.5, 65, 67.5, 70, 75, 80 Left and Right

Femoral Component, CR, Cemented, anatomic, CoCr. 55, 57.5, 60, 62.5, 65, 67.5,

70, 75, 80 Left and RightAll poly Patella, cemented, UHMWPE, anatomically shapedTibial Baseplate, uncemented, Titanium plasma sprayed surface (Porous plasma spray PPS) with HA for mobile insert

Tibial Bearing, PS, PS+. UHMWPE

(59 to 91)mm width x (10 to 24)mm thickness

Page 14: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BI905 Knee 1110 AGC Total Knee System Tibial Insert 59-91mm Zimmer Biomet Pty Ltd Changed Benefit.

BI910 Knee 3515 Vanguard Rotating Platform Femoral Component 60 - 75mm Zimmer Biomet Pty Ltd Changed Benefit.

BI911 Knee 3885 Vanguard Rotating Platform Femoral Component 60 -75mm Zimmer Biomet Pty Ltd Changed Benefit.BI933 Knee 5781 Vanguard SSK Knee System Femoral Component, CoCr, Ti 55 to 80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI939 Knee 1156 Vanguard SSK Knee System 59-75mm x (10-24mm) Zimmer Biomet Pty Ltd Changed Benefit.

BI944 Hip 2220 M2a 38 Femoral Head 38mm Zimmer Biomet Pty Ltd Changed Benefit.

BI951 Knee 3515 Vanguard Total Knee System 55-80 Zimmer Biomet Pty Ltd Changed Benefit.

BI952 Knee 1187 Vanguard Total Knee System 5-15mm x 55-80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI953 Hip 1443 Stage One Select Hip Mould Zimmer Biomet Pty Ltd Changed Benefit.

BI956 Knee 1249 Offset Tibial Tray System Zimmer Biomet Pty Ltd Changed Benefit.

BI958 Knee 3885 Vanguard Total Knee System 55-80 Zimmer Biomet Pty Ltd Changed Benefit.

BI960 Hip 3052 Regenerex revision cup Zimmer Biomet Pty Ltd Changed Benefit.

BI961 Knee 2498 Tibial Tray System 59-91 Zimmer Biomet Pty Ltd Changed Benefit.

BI962 Knee 3792 Vanguard Total Knee System 55 - 80 Zimmer Biomet Pty Ltd Changed Benefit.

BI963 Knee 9583 Compress Compliant Prestress System Zimmer Biomet Pty Ltd Changed Benefit.BI964 Knee 4161 Compress Compliant Prestress System Medullary Centering Sleeve 13-25mm Zimmer Biomet Pty Ltd Changed Benefit.BI965 Knee 1572 Compress Compliant Prestress System Femoral Adapter OSS or Finn Adapter Zimmer Biomet Pty Ltd Changed Benefit.

BI966 Knee 2312 Oxford Meniscal Knee System Small - Extra Large Zimmer Biomet Pty Ltd Changed Benefit.

BI970 Hip 2929 Regenerex Revision Shell Zimmer Biomet Pty Ltd Changed Benefit.

BI971 Hip 3099 Regenerex Ringloc+ 48 to 72mm OD Zimmer Biomet Pty Ltd Changed Benefit.

Tibial Insert 'Tradition', Posterior Stabilised with peg, UHMWPE with locking pin Femoral Component, uncemented, CoCr, Titanium plasma sprayed surface (Porous plasma spray PPS), Posterior Stabilised

Femoral Component, uncemented, CoCr, Titanium plasma sprayed surface (Porous plasma spray PPS) with HA, Posterior Stabilised

Tibial Bearing Insert, PSC, UHMWPEMetal on Metal Femoral Head, Cobalt ChromeFemoral Component, Posterior Stabilised, anatomic, Plasma Porous Coated, CoCr & Ti alloyFemoralor Tibial Augments, anatomic, distal or posterior, Ti alloyModular Spacer Mould, Stainless Steel, Silicon.

Stem 9 - 17mmHead 43 - 64 Head

Offset Adapter for connection to tibial stems and baseplate, titanium

0mm, 2.5mm, 5mm, 7.5mm Offset

Femoral Component, Posterior Stabilised, Anatomic, HA, Plasma Porous Coated, CoCr & Ti Alloy

acetabular augment, Porous Ti Alloy

48 to 58mm, small medium or large version

Tibial Tray System - Primary, one piece, highly polished, uncemented, HA, plasma porous coated

Femoral Component, Cruciate Retaining, Anatomic, HA, Plasma Porous Coated, CoCr & Ti alloy

Anchor Assembly: Plug, Transverse pin, spindle, nut, cap. 10-24mm femoral canal

diameter,

Femoral Component, Porous HA Coated CoCr, Ti, HAAcetabular support component Porous Ti Alloy

54 to 76mm OD, 44 to 66 ID

Acetabular shell, solid, limited hole or multi hole, Porous Ti Alloy

Page 15: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BI972 Hip 1073 E-Poly HXLPE Liner Zimmer Biomet Pty Ltd Changed Benefit.

BI973 Hip 740 Modular Head Implants

Femoral Modular Head

Zimmer Biomet Pty Ltd Changed Benefit.

BI974 Hip 879 Modular Head Implants

Femoral Modular Head

Zimmer Biomet Pty Ltd Changed Benefit.

BI975 Knee 1110 Vanguard E-Poly PS bearing 59 - 91 x (10 - 18mm) Zimmer Biomet Pty Ltd Changed Benefit.

BI976 Knee 1054 Vanguard E-Poly CR Tibial bearing 59 to 91 x (10 -18mm) Zimmer Biomet Pty Ltd Changed Benefit.

BI977 Knee 2128 Regenerex Tibial Tray Zimmer Biomet Pty Ltd Changed Benefit.BI978 Knee 1164 Regenerex Tibial Tray Stem, PressFit, Ti Alloy 40, 80mm Zimmer Biomet Pty Ltd Changed Benefit.

BI980 Hip 3580 Echo Hip System 7 - 17mm Zimmer Biomet Pty Ltd Changed Benefit.

BI981 Hip 4162 Echo Hip System Bi Metric Femoral Stem 7 - 17mm Zimmer Biomet Pty Ltd Changed Benefit.

BI982 Hip 1319 Mainstream Burch/Schneider Reinforcement Ring Zimmer Biomet Pty Ltd Changed Benefit.

BI983 Hip 1319 Max-Ti Modular Protrusio Cage Zimmer Biomet Pty Ltd Changed Benefit.

BI984 Hip 1295 Max-Ti Modular Protrusio Cage Zimmer Biomet Pty Ltd Changed Benefit.

BJ001 Hip 3580 SCR Revision Stem 1 size (195mm) Motion Orthopaedics Pty Ltd Changed Benefit.

BJ004 Hip 5004 SCR Revision Stem Motion Orthopaedics Pty Ltd Changed Benefit.

BJ005 Hip 2128 Ceramic Modular head 36, 40 and 44mm Motion Orthopaedics Pty Ltd Changed Benefit.

BJ006 Hip 1942 Ceramic modular head 28 and 32mm Motion Orthopaedics Pty Ltd Changed Benefit.

BJ007 Hip 2424 Biolox Delta Acetabular Liner Motion Orthopaedics Pty Ltd Changed Benefit.

Highly cross linked PE liner, stabilised with Vit E

28mm to 44mm in 4mm increments22 - 32mm diameter, - 6 to =12mm neck, collared, no collar36mm diameter , - 6 to + 12mm neck, collared, no collar

Vitamin E infusion Highly Cross linked Polythylene Posterior Stabilised Tibial BearingVitamin E infused Highly Cross linked Polyethylene /cruciate Retaining Tibial bearing.Tibial Baseplate, modular. Regenerex porous coat, Ti Alloy

59, 63, 67, 71, 75, 79, 83 mm

Press Fit Femoral Component, titaniumEcho Bi Metric Cementless Titanium Femoral ComponentBurch/Schneider Reinforcement Ring Cemented

44/50 Left and Right, 50-56 Left and Right

Acetabular Support Component, Porous Ti Alloy 52, 56, 60, 64, 68 and

72mm Left and 52, 56, 60, 64, 68 and 72 mm Right

Acetabular Augment, Porous Ti Alloy

Dome Augment (1 Hole Large, 2 Hole Large, 1 Hole Small), iliac flange Augment (6 mm)

Femoral Stem for Revision of THR (Double-tapered straight Stem with rectangular profile)Femoral Stem for Revision of THR (Double - tapered straight Stem with rectangular profile)

8 sizes (4 - 11)200mm-243mm

Biolox Delta Ceramic heads > 32mmBiolox Delta Ceramic heads 32mm or lessBiolox Delta ceramic acetabular liner

28mm, 32mm, 36mm, 40mm

Page 16: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BJ008 Hip 1073 Motion Orthopaedics Pty Ltd Changed Benefit.

BJ009 Hip 2498 Global Acetabular Shell 42-72mm Motion Orthopaedics Pty Ltd Changed Benefit.

BL005 Ophthalmic 140 Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

BL022 Ophthalmic 328 SofPort Advanced Optic (AO) 0 D to 30.0 D Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

BL023 Ophthalmic 328 Akreos Advanced Optic 0 D to 30.0 D Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

Global Acetabular System HCLA (highly Cross-Linked and Annealed) Acetabular Liner

HCLA (highly Cross-Linked and Annealed) Acetabular Insert

68-76mm/3668-76mm/3268-76mm/2860-66mm/3660-66mm/3260-66mm/2856-58mm/3656-58mm/3256-58mm/2852-54/3252-54mm/2850mm/2846-48mm/28

10 Degree

68-76mm/3668-76mm/3268-76mm/2860-66mm/3660-66mm/3260-66mm/2856-58mm/3656-58mm/3256-58mm/2852-54/3252-54mm/2850mm/2846-48mm/28

Titanium, plasma spray, HA with variable number of holes

Storz (Coburn) Intraocular Lens 121UV; L122UV PMMA Anterior Chamber Lens

PMMA Anterior Chamber Intraocular lens 1 piece

13.75mm length. 6.0mm optic size, diopter range 3-30d. L122UV: 6.0mm optic, 13.75mm length, power range; 5.0 to 30.0 Diopters

Posterior chamber, foldable silicone IOL with anterior optic-haptic square edge, posterior optic-haptic square edge, 360-degree optic square edge and asperic optic for aberration control

Posterior chamber, foldable acrylic IOL, with anterior optic-haptic square edge, posterior optic-haptic square edge, 360 degree optic square edge and aspheric optic for aberration control

Page 17: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BL026 Ophthalmic 337 Akreos AO Micro Incision Lens Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

BL030 Ophthalmic 328 enVista Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

BL032 Ophthalmic 684 enVista Toric Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

BL034 Ophthalmic 778 FineVision Micro F Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

BL035 Ophthalmic 364 MICRO+ AY 123 Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

BL036 Ophthalmic 1116 FineVision Toric POD FT Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

BL037 Ophthalmic 364 MicroPure 123 Bausch & Lomb (Australia) Pty Ltd Changed Benefit.

Micro Incision, posterior chamber, foldable acrylic, aphakic, anterior & posterior edge modification, preloaded, with aberration control, intraocular lens

6mm optic overall diameter 11.0mm(10D-15D), 10.7mm (15.50-22D), 10.5mm (22.50-30D)

The enVista, Model MX60, is an ultra-violet-absorbing, posterior chamber, hydrophobic acrylic one-piece foldable intraocular lens (IOL) Has an aspheric lens optic, square posterior edge, modified C haptics and available in dioptric powers ranging from +0.0 to +34.0D.

Overall diameter 12.5mm, optic body diameter 6.0mm in dioptric powers ranging from +0.0 to +34D0.0D to 10.0D in 1 Diopter increments11.0D to 30.0D in 0.5 Diopter increments31.0D to 34.0D in 1 Diopter increments

The enVista toric (Model MX60T) is a one-piece glistening-free hydrophobic foldable IOL. The enVista Toric, model MX60T IOL has a Toric aspheric lens optic, a square posterior edge and modified C haptics, an overall diameter of 12.5mm and an optic body of 6.0mm. It is available in multiple spherical and cylindrical powers.

Overall diameter is 12.5mm for the entire lens power range, with spherical equivalent powers from +6.0 to +30.0 Diopters in 0.5 Diopter steps and cylinder powers from +1D to 6D Diopters (at the IOL plane).

Posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with apodised diffractive , trifocal optic and blue light protection

An overall diameter of 10.75mm and optic diameter of 6.15mm. From 0 to +35 dopters with 0.5 diopter increments.

Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with blue light protection.

An overall diameter of 10.75mm and optic diamter of 6.15mm. From 0 to +35 diopters with 0.5 diopter increments.

Posterior chamber, toric, trifocal diffractive (aspheric), UV and blue light blocker, single piece acrylic IOL.

An overall diameter of 11.40mm and optic diameter of 6.00mm. From 0 to +35 Diopters with 0.5 diopter increments.

Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece hydrophobic glistening-free Intra Ocular Lens.

Overall diameter of 10D to 24.5D: 11.00mm25D to 30D: 10.75mm

Optic diameter of 10D to 24.5D: 6.00mm25D to 30 D: 5.75mm

Power from 10D to 30D with 0.5 diopter increments.

Page 18: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BS069 Cardiac 1123 Liberte Coronary Stent System Boston Scientific Australia Pty Ltd Changed Benefit.BS133 Cardiac 2808 Acuity Spiral Unipolar passive fixation 80, 90 & 100cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS151 Cardiac 8424 Altrua 60 DR 10cc - 15cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS153 Cardiac 1544 Myopore 25-54cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS170 Cardiac 8100 Endotak Reliance S 4-SITE 50-70cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS174 Cardiac 8100 Endotak Reliance SG 4-SITE 50-70cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS178 Cardiac 8100 Endotak Reliance 4-SITE 50-70cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS179 Cardiac 8100 Endotak Reliance S 4-SITE 50-70mm Boston Scientific Australia Pty Ltd Changed Benefit.

BS180 Cardiac 8100 Endotak Reliance G 4-SITE 50-70cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS181 Cardiac 8100 Endotak Reliance SG 4-SITE 50-70 Boston Scientific Australia Pty Ltd Changed Benefit.

BS182 Cardiac 8100 Endotak Reliance G 4-SITE 50-70cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS183 Cardiac 8100 Endotak Reliance 4-SITE 50-70cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS205 Cardiac 43731 INCEPTA DF-4 CRT-D 32cc, 9.9mm. 72g Boston Scientific Australia Pty Ltd Changed Benefit.

BS206 Cardiac 41184 INCEPTA DR ICD 31.5cc, 9.9mm, 72g Boston Scientific Australia Pty Ltd Changed Benefit.

BS208 Cardiac 38376 INCEPTA VR ICD 31.5cc, 9.9mm, 72g Boston Scientific Australia Pty Ltd Changed Benefit.

BS209 Cardiac 43056 INCEPTA CRT-D 32.5cc, 9.9mm, 72g Boston Scientific Australia Pty Ltd Changed Benefit.

BS211 Cardiac 1123 OMEGA Bare Metal Stent Boston Scientific Australia Pty Ltd Changed Benefit.

BS212 Cardiac 72 Pacemaker/Defibrillator port safety plug 3.2mm x 38mm Boston Scientific Australia Pty Ltd Changed Benefit.

BS213 Cardiac 72 Lead Cap Kit 4.75mm and 3.2mm Boston Scientific Australia Pty Ltd Changed Benefit.

Consists of a balloon expandable stent, pre-mounted on a Maverick 2 Monorail delivery catheter.

Stent lengths: 8,12,16,20,24,28 & 32 mm Stent diameters: 2.25, 2.5, 2.75, 3.0, 3.5, 4.0, 4.5 & 5.0 mm

Dual chamber rate responsive pacemakerBipolar sutureless myocardial pacing leadPassive fixation single coil defibrillation leads & 4-SITE connector.Active fixation single coil defibrillation leads with ePTFE covered coil & 4-SITE connector.

Active fixation dual coil defibrillation leads with 4-SITE connectorActive fixation single coil defibrillation leads & 4-SITE connectorPassive fixation dual coil defibrillation leads with ePTFE covered coils & 4-SITE connector

Passive fixation single coil defibrillation leads with ePTFE covered coil & 4-SITE connectorActive fixation dual coil defibrillation leads with ePTFE covered coils & 4-SITE connector.

Passive fixation dual coil defibrillation leads with 4-SITE connectorHigh energy CRT-D with DF-4 RV connector and lS-1 LV connector

Hight energy dual chamber ICD with DF-1 RV connectorHigh energy single chamber ICD with DF-1 RV connectorHigh energy CRT-D with DF-1 RV connector & lS-1 (N163) or LV-1 (N165) LV connectorPlatinum Chromium Bare Metal Stent

2.25mm to 4.50mm Diameter. 8mm to 38mm Length.

Pacemaker/Defibrillator Plug that seals unused IS-1 and DF-1 port

Caps used to protect lead terminal connector pin

Page 19: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BS234 Cardiac 10296 INGENIO MRI EL DR 14cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS235 Cardiac 10296 INGENIO MRI DR 12cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS236 Cardiac 5335 INGENIO MRI SR 11.5cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS260 Cardiac 8100 RELIANCE 4-FRONT Length: 59cm -70cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS261 Cardiac 8100 RELIANCE 4-FRONT Length: 59cm - 70cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS262 Cardiac 12168 INLIVEN IS-1 15cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS263 Cardiac 12168 INLIVEN LV-1 15cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS268 Cardiac 10296 FORMIO MRI DR 12cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS269 Cardiac 10296 VITALIO MRI EL DR 14cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS271 Cardiac 5335 VITALIO MRI SR 11.5cc Boston Scientific Australia Pty Ltd Changed Benefit.

BS272 Cardiac 3105 SYNERGY Boston Scientific Australia Pty Ltd Changed Benefit.

BS273 Cardiac 3105 PROMUS PREMIER Boston Scientific Australia Pty Ltd Changed Benefit.

BS274 Cardiac 43731 DYNAGEN CRT-D DF-4 32.5cc, 9.9mm Boston Scientific Australia Pty Ltd Changed Benefit.

BS275 Cardiac 43056 DYNAGEN CRT-D DF-1 32.0cc, 9.9mm Boston Scientific Australia Pty Ltd Changed Benefit.

BS276 Cardiac 40203 AUTOGEN ICD VR DF-4 Boston Scientific Australia Pty Ltd Changed Benefit.

BS277 Cardiac 43092 AUTOGEN ICD DR DF-4 Boston Scientific Australia Pty Ltd Changed Benefit.

BS278 Cardiac 39528 AUTOGEN ICD VR DF-1 Boston Scientific Australia Pty Ltd Changed Benefit.

BS279 Cardiac 42417 AUTOGEN ICD DR DF-1 Boston Scientific Australia Pty Ltd Changed Benefit.

BS280 Cardiac 39051 DYNAGEN ICD VR DF-4 Boston Scientific Australia Pty Ltd Changed Benefit.

BS281 Cardiac 41859 DYNAGEN ICD DR DF-4 Boston Scientific Australia Pty Ltd Changed Benefit.

BS282 Cardiac 38376 DYNAGEN ICD VR DF-1 Boston Scientific Australia Pty Ltd Changed Benefit.

Dual Chamber Pacemaker, Extended Life, MRI CompatibleDual Chamber Pacemaker, MRI CompatibleSingle Chamber Pacemaker, MRI CompatibleActive, Single/Dual coil, defibrillation leadPassive, single/dual coil, defibrillation leadCardiac Resynchronization therapy pacemakerCardiac Resynchronization therapy pacemakerDual Chamber Pacemaker, MRI CompatibleDual Chamber Pacemaker, extended life MRI CompatibleSingle Chamber Pacemaker, MRI CompatibleEverolimus-Eluting Platinum Chromium Coronary Stent System with Bioabsorbable Polymer

8mm to 38mm in length, diameter of 2.25 mm - 4.0 mm

Platinum chromium alloy stent coated with a blended polymer mixed with everolimus.

8mm to 38mm in length, diameter of 2.25 mm - 4.0 mm

ICD with cardiac resynchronization therapy.High energy CRT-D with DF-1 RV connector & lS-1 (G156) or LV-1 (G151) LV connector.

Single Chamber implantable cardioverter defibrillation, 4IJ, DF-4 RV connector

26.5cc - 29.5cc, 60.0g - 68.9g, 9.9mm

Dual Chamber implantable cardioverter defibrillation, 4IJ, DF-4 RV connector

28.0cc - 31.0cc, 62.5g - 71.4g, 9.9mm

Single Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector

28.5cc -31.5cc, 61.9g - 70.7g, 9.9mm

Dual Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector

28.5cc - 31.5cc, 62.3g - 71g, 9.9mm

Single Chamber implantable cardioverter defibrillation, 4IJ, DF-4 RV connector

26.5cc - 29.5cc, 60g - 68.9g, 9.9mm

Dual Chamber implantable cardioverter defibrillation, 4IJ, DF-4 RV connector

28.0cc - 31.0cc, 62.5g - 71.4g, 9.9mm

Single Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector 28.5cc - 31.5cc, 61.9g -

70.7g, 9.9mm

Page 20: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BS283 Cardiac 41184 DYNAGEN ICD DR DF-1 Boston Scientific Australia Pty Ltd Changed Benefit.

BS284 Cardiac 47475 AUTOGEN CRT-D DF-4 32.5cc, 73.6g, 9.9mm Boston Scientific Australia Pty Ltd Changed Benefit.

BS285 Cardiac 47475 AUTOGEN X4 CRT-D DF-4 32.5cc, 73.8g, 9.9mm Boston Scientific Australia Pty Ltd Changed Benefit.

BS286 Cardiac 46800 AUTOGEN CRT-D DF-1 32.0cc, 72.8g, 9.9mm Boston Scientific Australia Pty Ltd Changed Benefit.

BS287 Cardiac 46800 AUTOGEN X4 CRT-D DF-1 32.0cc, 73.4g, 9.9mm Boston Scientific Australia Pty Ltd Changed Benefit.

BS291 Cardiac 1123 REBEL Boston Scientific Australia Pty Ltd Changed Benefit.

BS292 Cardiac 5616 ACUITY X4 86cm, 95cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS295 Cardiac 1123 Ingevity 45cm to 59cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS296 Cardiac 1123 IngevityActive MR conditional pacing lead

45cm to 59cm Boston Scientific Australia Pty Ltd Changed Benefit.

BS297 Cardiac 38376 EMBLEM S-ICD Pulse Generator Boston Scientific Australia Pty Ltd Changed Benefit.

BT066 Cardiac 1123 Selox ST 53 and 60cm lengths Biotronik Australia Pty Ltd Changed Benefit.

BT067 Cardiac 1123 Selox JT Lengths: 45, 53 cm Biotronik Australia Pty Ltd Changed Benefit.

BT083 Cardiac 1123 Setrox S length 45, 53, 60cm Biotronik Australia Pty Ltd Changed Benefit.

BT095 Cardiac 5616 Corox OTW BP; Corox OTW-S BP; Lengths: 77, 87 cm Biotronik Australia Pty Ltd Changed Benefit.

BT097 Cardiac 1123 Dextrus (marketed by Boston Scientific) Biotronik Australia Pty Ltd Changed Benefit.

Dual Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector

28.5cc - 31.5cc, 62.3g - 71g, 9.9mm

ICD with cardiac resynchronization therapy. PaceSafe RV, RA, and LV auto threshold.

ICD with cardiac resynchronization therapy.High energy CRT-D with DF-1 RV connector & lS-1 (G173) or LV-1 (G175) LV connector. PaceSafe RV, RA, and LV auto threshold.

High energy CRT-D with DF-1 RV connector & lS4 LV connector

REBEL is a balloon expandable platinum chromium (PtCr) alloy stent pre-mounted on a monorail catheter.

8mm to 32mm in length, diameter of 2.25mm to 4.50mm

Left ventricular family of quad leads with four pacing and sensing electrodes. Three lead configurations offered to assist in LV lead placement and avoid phrenic nerve stimulation and high thresholds.

Passive MR conditional pacing lead

Subcutaneous Implantable Cardioverter Defibrillator

59.5cc: (W) 83.1mm x (H) 69.1mm x (D)12.7mm

Transvenous Bipolar Passive Steroid Ventricular Pacing Lead, fractal coatedBipolar, passive fixation, steroid eluting pacing lead with fractal coating and J-shapeBipolar active fixation lead with fractal coated and steroid eluting electrodeBipolar, steroid eluting coronary sinus pacing lead with fractal coatingBipolar, silicone, active fixation, steroid eluting, pacing lead

Lengths: 45, 53 and 60 cm, Diameter: 7Fr

Page 21: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BT107 Cardiac 1123 PRO-Kinetic Energy Biotronik Australia Pty Ltd Changed Benefit.

BT108 Cardiac 5335 Entovis SR-T Biotronik Australia Pty Ltd Changed Benefit.

BT110 Cardiac 5335 Evia SR-T Biotronik Australia Pty Ltd Changed Benefit.

BT114 Cardiac 10296 Evia DR-T Biotronik Australia Pty Ltd Changed Benefit.

BT115 Cardiac 10296 Entovis DR-T Biotronik Australia Pty Ltd Changed Benefit.

BT116 Cardiac 1123 Siello S Biotronik Australia Pty Ltd Changed Benefit.

BT117 Cardiac 1123 Siello JT Biotronik Australia Pty Ltd Changed Benefit.

BT118 Cardiac 1123 Siello T Biotronik Australia Pty Ltd Changed Benefit.

BT119 Cardiac 8100 Linox SMART TD Biotronik Australia Pty Ltd Changed Benefit.

BT120 Cardiac 8100 Linox SMART SD Biotronik Australia Pty Ltd Changed Benefit.

BT121 Cardiac 5616 Corox OTW-L BP Biotronik Australia Pty Ltd Changed Benefit.

Balloon-expandable cobalt chromium (CoCr) stent. The stent surface is fully coated with amorphous hydrogen-rich silicon carbide (aSiC:H). Lengths: 8 - 40mm,

Diameters: 2.0 - 5.0mm.Fully automatic, single chamber pacemaker with Closed Loop Stimulation, Home Monitoring and extended longevity

Size: 53mm x 39mm x 6.5mm (W x H x D), Volume: 11cc, Mass: 24g

Fully automatic, single chamber pacemaker with Closed Loop Stimulation, Home Monitoring and extended longevity

Size: 53mm x 39mm x 6.5mm (W x H x D), Volume: 11cc, Mass: 24g

Fully automatic, dual chamber pacemaker with Closed Loop Stimulation, Home Monitoring, Vp suppression and extended longevity

Size: 53mm x 43mm x 6.5mm (W x H x D), Volume: 11cc, Mass: 26g

Fully automatic, dual chamber pacemaker with Closed Loop Stimulation, Home Monitoring, Vp suppression and extended longevity

Size: 53mm x 43mm x 6.5mm (W x H x D), Volume: 11cc, Mass: 26g

Sub 6F, steroid-eluting, trasvenous, endocardial, bipolar active-fixation lead with an extendable/retractable, electrically active screw. Lengths: 45, 53, 60 cm;

Diameter: 5.6FrSub 6F, steroid-eluting, transvenous, endocardial, bipolar passive-fixation lead that carries a J-shaped distal end.

Lengths: 45, 53 cm; Diameter: 5.6Fr

Sub 6F, steroid-eluting, transvenous, endocardial, bipolar passive-fixation lead

Lengths: 53, 60 cm; Diameter: 5.6Fr

Dual-shock coil ICD lead with passive fixation and hydrophilic coating on lead body.

Lengths: 65, 75 cm, Diameter: 7.8Fr

Dual-shock coil ICD lead with active fixation helix and hydrophilic coating on lead body. Lengths: 60, 65, 75 cm,

Diameter: 7.8FrCorox OTW-L BP is a bipolar coronary sinus lead, intended for permanent implantation in the venous system and left ventricular pacing with appropriate single or multi chamber cardiac pacemakers or ICDs as part of cardiac resynchornisation therapy (CRT). The lead body is insulated with silicone and coated with polyurethane.

Length: 75, 85cm; Diameter: 5.4F

Page 22: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BT123 Cardiac 1123 Safio S Biotronik Australia Pty Ltd Changed Benefit.

BT125 Cardiac 8100 Linox SMART SD X Biotronik Australia Pty Ltd Changed Benefit.

BT135 Cardiac 5616 CELERITY PILOT Biotronik Australia Pty Ltd Changed Benefit.

BT136 Cardiac 5616 CELERITY 2D, CELERITY 3D Biotronik Australia Pty Ltd Changed Benefit.

BT138 Cardiac 1123 TILDA T 53, 60cm length Biotronik Australia Pty Ltd Changed Benefit.

BT139 Cardiac 1123 TILDA R length 45, 53, 60cm Biotronik Australia Pty Ltd Changed Benefit.

BT141 Cardiac 1123 TILDA JT Length 45, 53cm Biotronik Australia Pty Ltd Changed Benefit.

BT143 Cardiac 39528 Ilesto 7 VR-T Biotronik Australia Pty Ltd Changed Benefit.

BT144 Cardiac 39528 Ilesto 7 VR-T DX Biotronik Australia Pty Ltd Changed Benefit.

BT145 Cardiac 42417 Ilesto 7 DR-T Biotronik Australia Pty Ltd Changed Benefit.

BT146 Cardiac 46800 Ilesto 7 HF-T Biotronik Australia Pty Ltd Changed Benefit.

BT147 Cardiac 12168 Evia HF-T Biotronik Australia Pty Ltd Changed Benefit.

Steroid eluting active fixation pacemaker lead with an electrically active extendable/ retractable screw for fixating the lead in the myocardium. The lead body is insulated in Silicone. The entire lead is conditionally safe to be used in a MRI system.

Length: 53, 60cm; Diameter: 6.6F

LinoxSmart S DX pentapolar, single-coil ICD lead with floating atrial dipole. Permanent, transvenous implantation in the right ventricle.

Length: 65cm. Distance of dipole from tip: Linox Smart SD X 65/15: 15 (cm), Linox Smart SD X 65/17: 17 (CM)

Bipolar, steroid eluting coronary sinus pacing lead with fractal coating

Lengths: 77, 87cm (in model number as 75 and 85 for simplicity)

Bipolar, steroid eluting coronary sinus pacing lead with fractal coating. 2D preshaped curved distal end; 3D - preshaped helix distal end

Lengths: 77, 87cm (model shows 75 and 85 for simplicity)

Bipolar, passive fixation, steroid eluting pacing lead with fractal coatingBipolar active fixation lead with fractal coated and steroid eluting electrodeBipolar, passive fixation, steroid eluting pacing lead with fractal coating and J-shapeSingle Chamber ICD, rate adaptive pacing, max. 40J shock energy, Home Monitoring, MRI conditional, IS-1/DF-1 connector W x H x D (mm) 65 x 55 x

11, Volume: 31cc, Mass: 80g

Single Chamber ICD, rate adaptive, additional atrial detection, max. 40J shock energy, Home Monitoring, MRI conditional, IS-1/DF-1 connector

W x H x D (mm) 65 x 55 x 11, Volume: 31cc, Mass: 80g

Dual Chamber ICD, rate adaptive, Max. 40J shock energy, Home Monitoring, MRI conditional, IS-1/DF-1 connector

W x H x D (mm) 65 x 55 x 11, Volume: 31cc, Mass: 80g

Triple Chamber CRT-D device, rate adaptive, max. 40J shock energy, Home Monitoring, MRI conditional, IS-1/DF-1 connector W x H x D (mm) 65 x 58.5 x

11, Volume: 33 cc, Mass: 80g

MRI conditional Multiprogrammable biventricular pacemaker with Home Monitoring

53mm x 49mm x 6.5mm (W x H x D), Volume: 14cm3 Mass: 26 grams

Page 23: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BT148 Cardiac 8100 Linox Smart S Lengths; 60, 65, 75 cm Biotronik Australia Pty Ltd Changed Benefit.

BT149 Cardiac 8100 Linox Smart T 65 cm length Biotronik Australia Pty Ltd Changed Benefit.

BT150 Cardiac 40203 Ilesto 7 VR-T DF-4 Biotronik Australia Pty Ltd Changed Benefit.

BT151 Cardiac 43092 Ilesto 7 DR-T DF-4 Biotronik Australia Pty Ltd Changed Benefit.

BT152 Cardiac 47475 Ilesto 7 HF-T DF-4 Biotronik Australia Pty Ltd Changed Benefit.

BT154 Cardiac 8100 Volta 1 CT 65cm length Biotronik Australia Pty Ltd Changed Benefit.

BT155 Cardiac 8100 VOLTA 2 CR Biotronik Australia Pty Ltd Changed Benefit.

BT156 Cardiac 2808 Sentus OTW UP H Biotronik Australia Pty Ltd Changed Benefit.

BT157 Cardiac 8100 Volta 1CR Lengths: 60, 65 and 75 cm Biotronik Australia Pty Ltd Changed Benefit.

BT158 Cardiac 8100 Volta 2 CT Biotronik Australia Pty Ltd Changed Benefit.

BT159 Cardiac 8100 Linox Smart ProMRI SD Biotronik Australia Pty Ltd Changed Benefit.

BT160 Cardiac 8100 Linox Smart ProMRI S Lengths: 65cm, 75cm Biotronik Australia Pty Ltd Changed Benefit.

BT161 Cardiac 8100 Linox Smart ProMRI S DX Biotronik Australia Pty Ltd Changed Benefit.

BT162 Cardiac 5616 Corox ProMRI OTW (-S) (-L) BP Lengths: 77, 87cm Biotronik Australia Pty Ltd Changed Benefit.

Single shock coil ICD lead with active fixation, fractal coating and steroid elution. Coated in SilGlide silicone based coating for improved gliding

Single-shock coil ICD lead with passive fixation, and SilGlide technologySingle Chamber ICD, rate adaptive, max. 40J shock energy, Home Monitoring, MR conditional, IS-1/DF4 connector

W x H x D (mm) 65 x 55 x 11, Volume: 31cc, Mass: 80g

Dual chamber ICD, rate adaptive, max. 40J shock energy, Home Monitoring, MR conditional, IS-1/DF4 connector

W x H x D (mm) 65 x 55 x 11, Volume: 31 cc, Mass: 80g

Triple Chamber CRT-D device, rate adaptive, max. 40J shock energy, Home Monitoring, MR conditional, lS-1/DF4 connector.

W x H x D (mm) 65 x 56 x 11, Volume: 33 cc, Mass: 80g

Singe-shock coil ICD lead with passive fixation, and SilGlide technologyFractal coated and steroid electrode, active fixation quadrapolar

60, 65, 75cm length, 16, 18mm electrode spacing

4.8F Unipolar, steroid eluting coronary sinus pacing lead

overall length 77, 87, 97 cm, 4.8F

Single shock coil ICD lead with active fixation, fractal coating and steroid elution. Coated in SilGlide silicone based coating for improved gliding

Fractal coated and steriod electrode, active fixation, quadrapolar

Lengths: 65, 75 cm, Diameter: 7.8Fr

Dual-shock coil ICD lead with active fixation helix and hydrophilic coating on lead body. MRI conditional use

LENGTHS: 65, 75CM; Diameter: 7.8Fr

Single shock coil ICD lead with active fixation, fractal coating and steroid elution. Coated in SilGlide coating for improved gliding. MRI condional use

Pentapolar, single-coil ICD lead with floating atrial dipole. Permanent, transvenous implantation in the right ventricle. MRI conditional use

Length: 65cm. Distance of dipole from tip: 15cm or 17cm

Bipolar, steroid eluting coronary sinus pacing lead with fractal coating

Page 24: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BT163 Cardiac 1123 Solia T Biotronik Australia Pty Ltd Changed Benefit.

BT164 Cardiac 1123 Solia S Biotronik Australia Pty Ltd Changed Benefit.

BT165 Cardiac 8100 Protego ProMRI SD Biotronik Australia Pty Ltd Changed Benefit.

BT166 Cardiac 8100 Protego SD Biotronik Australia Pty Ltd Changed Benefit.

BT167 Cardiac 40203 Iperia 7 VR-T Biotronik Australia Pty Ltd Changed Benefit.

BT168 Cardiac 43092 Iperia 7 DR-T Biotronik Australia Pty Ltd Changed Benefit.

BT169 Cardiac 47475 Iperia 7 HF-T Biotronik Australia Pty Ltd Changed Benefit.

BT170 Cardiac 39528 Itrevia 7 VR-T Biotronik Australia Pty Ltd Changed Benefit.

Sub 6F, steoid-eluting transvenous, endocardial, bipolar passive-fixation lead MRI conditional

Lengths: 53, 60cm; Diameter: 5.6Fr

Sub 6F, steroid-eluting, transvenous, endocardial, bipolar active fixation lead with an extendable/retractable, electrically active screw. MRI conditional

Lengths: 45, 53, 60cm; Diameter: 5.6Fr

Dual-shock coil ICD lead with active fixation helix and DF4 connector, MRI conditional

Length: 65, 75cm; 16mm, 18mm electrode spacing

Dual-shock coil ICD lead with active fixation helix and DF4 connector

Length: 61cm, 65cm, 75cm; 16mm, 18mm electrode spacing

Single Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-4, IS-1 connector

65mm x 52mm x 11mm, 31cm3, 80grams

Dual Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-4, IS-1 connector

65mm x 56mm x 11mm, 32cm3, 82grams

Triple Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-4, IS-1 connector

65mm x56mm x 11 mm, 33cm3, 82grams

Single Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-1, IS-1 connector

65mm x 55mm x 11 mm, 33cm3, 80grams

Page 25: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BT171 Cardiac 39528 Itrevia 7 VR-T DX Biotronik Australia Pty Ltd Changed Benefit.

BT172 Cardiac 42417 Itrevia 7 DR-T Biotronik Australia Pty Ltd Changed Benefit.

BT173 Cardiac 46800 Itrevia 7 HF-T Biotronik Australia Pty Ltd Changed Benefit.

BT174 Cardiac 5616 Sentus OTW BP L Biotronik Australia Pty Ltd Changed Benefit.

BT175 Cardiac 8100 Protego S Length: 61cm, 65cm, 75cm Biotronik Australia Pty Ltd Changed Benefit.

BT176 Cardiac 8100 Protego T & TD Biotronik Australia Pty Ltd Changed Benefit.

BT177 Cardiac 47475 Inventra 7 HF-T QP Biotronik Australia Pty Ltd Changed Benefit.

BT178 Cardiac 3105 Orsiro Biotronik Australia Pty Ltd Changed Benefit.

Single Chamber ICD, ventricular capture control, physiological rate adaption, additional atrial detection (DX),automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-1, IS-1 connector

65mm x 55mm x 11mm, 33cm3, 81grams

Dual Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-1, IS-1 connector

65mm x 55mm x 11mm, 33cm3, 81grams

Triple Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-1, IS-1 connector

65mm x 58.5mm x 11mm, 34cm3, 83grams

Bipolar, steroid eluting coronary sinus pacing lead with fractal coating

Lengths: 77cm, 87 cm, 97cm 4.8F

Tripolar ICD lead with active fixationT - Quadripolar Single Coil ICD lead with passive fixation, fractal/steroid coating, Silglide and DF4 connectorTD - Quadripolar Dual Coil ICD lead with passive fixation, fractal/steroid coating, Silglide and DF4 connector

T - Length: 65cm, Electrode spacing 15mm, 7.8FTD - Length: 65cm, 75cm; Electrode spacing 16mm & 65cm, 18mm @ 65cm & 75cm, 7.8 F

Triple Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-4, IS-4 quadripolar connector

65mm x 58.5mm x 12.5mm, 38cm3, 91grams

Sirolimus Coronary Artery Stent, Drug Eluting Co/Cr Alloy coated in PLLA

Stent diameters ø 2.25 -4.0mm Lengths: 9-40mm

Page 26: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

BT180 Cardiac 5335 Eluna 8 SR-T Biotronik Australia Pty Ltd Changed Benefit.

BT181 Cardiac 10296 Eluna 8 DR-T Biotronik Australia Pty Ltd Changed Benefit.

BT182 Cardiac 5335 Etrinsa 8 SR-T Biotronik Australia Pty Ltd Changed Benefit.

BT183 Cardiac 10296 Etrinsa 8 DR-T Biotronik Australia Pty Ltd Changed Benefit.

BT184 Cardiac 47475 Iperia 7 HF-T QP Biotronik Australia Pty Ltd Changed Benefit.

BT185 Cardiac 5616 Sentus ProMRI OTW QP L & S Biotronik Australia Pty Ltd Changed Benefit.

CR007 Knee 1054 Rotaglide + Total Knee System, Tibial Insert 7mm - 17mm Corin Australia Pty Ltd Changed Benefit.CR008 Knee 1054 Rotaglide + Total Knee System, Tibial Insert Tibial Insert, fixed, UHMWPE 9.5mm - 17mm Corin Australia Pty Ltd Changed Benefit.

CR020 Hip 2220 Metalok Femoral HeadMetal on metal, CoCr

Corin Australia Pty Ltd Changed Benefit.

CR024 Hip 1942 Taperfit Femoral Stem Corin Australia Pty Ltd Changed Benefit.

CR029 Hip 740 CoCr Femoral HeadCoCr Femoral Head

Corin Australia Pty Ltd Changed Benefit.CR033 Hip 185 Cormet Dysplasia Cup Screw Dual threaded locking screw Lengths 25 - 70mm Corin Australia Pty Ltd Changed Benefit.

Single Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, IS-1 connector

53 x 39 x 6.5 mm, 11cm3 , 24grams

Dual Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, IS-1 connector

53 x 44.5 x 6.5 mm, 12cm3, 25grams

Single Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, IS-1 connector

53 x 39 x 6.5 mm, 11cm3, 24grams

Dual Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, IS-1 connector

53 x 44.5 x 6.5 mm, 12cm3, 25grams

Triple Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI conditional, DF-4,IS-1, IS-4 quadripolar connector

65mm x 58.5mm x 11mm, 36cm3, 87grams

Quadripolar, steroid eluting left ventricular lead with fractal coating. IS4 Connector & MRI Conditional for CRT

Lengths: 77cm, 87 cm, 97cm 4.8F

Tibial Insert, Mobile bearing, UHMWPE

Head 28mm (short/med/long neck)

Double taper stainless steel femoral stem

sizes 0-4 with 4 different offsets22,26,28,32mm with 3 choices of taper

Page 27: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

CR041 Hip 111 Canal Occluder Corin Australia Pty Ltd Changed Benefit.

CR042 Hip 694 Cenator Acetabular CupFlanged Cemented UHMWPE

Corin Australia Pty Ltd Changed Benefit.

CR057 Knee 1850 Uniglide Uni Knee System Uni Tibial Component 1-8 Corin Australia Pty Ltd Changed Benefit.

CR058 Knee 2451 Uniglide Uni Knee System Uni Femoral Component 1-4 Corin Australia Pty Ltd Changed Benefit.

CR059 Knee 2266 Uniglide Uni Knee System Uni Femoral Component 1-4 Corin Australia Pty Ltd Changed Benefit.

CR060 Knee 731 Uniglide Uni Knee System Uni Tibial Insert Corin Australia Pty Ltd Changed Benefit.

CR061 Knee 1619 Uniglide Uni Knee System Uni Tibial Component Sizes 1 - 8 inclusive Corin Australia Pty Ltd Changed Benefit.CR070 Hip 127 Titanium Counter Sunk Screw Titanium Counter Sunk Screw Lengths 15-70mm Corin Australia Pty Ltd Changed Benefit.

CR084 Hip 879 Unipolar Modular Head, CoCrCoCr Modular Head

Corin Australia Pty Ltd Changed Benefit.

CR086 Hip 4625 Tri-Fit TS Femoral Stem Sizes 1- 11 Corin Australia Pty Ltd Changed Benefit.

CR091 Knee 1156 Uniglide Uni Knee System Uni Tibial Component Corin Australia Pty Ltd Changed Benefit.

CR098 Hip 481 Taper Adaptor Sleeve 2 Sizes Corin Australia Pty Ltd Changed Benefit.

CR117 Hip 3978 Metafix Femoral Stem Corin Australia Pty Ltd Changed Benefit.CR123 Hip 4764 METS Smooth Trochanter Titanium, uncoated small and standard Corin Australia Pty Ltd Changed Benefit.CR124 Hip 4181 METS Spiked Trochanter Titanium, HA coated Small and Standard Corin Australia Pty Ltd Changed Benefit.

CR125 Hip 426 METS Trochanter plate One size Corin Australia Pty Ltd Changed Benefit.CR126 Hip 127 METS Trochanter Screw Titanium Short, Medium, Long Corin Australia Pty Ltd Changed Benefit.CR127 Hip 74 METS Trochanter Reattachment Wire CoCr 0.6m Corin Australia Pty Ltd Changed Benefit.CR128 Hip 3958 METS Total Femoral Link Component Curved titanium link shaft 165mm, 225mm Corin Australia Pty Ltd Changed Benefit.CR129 Hip 3958 METS Principal Shaft Titanium shaft 45mm-150mm Corin Australia Pty Ltd Changed Benefit.

CR133 Knee 7431 METS Tibial Fixed HingeCoCr-Molybdenum

Corin Australia Pty Ltd Changed Benefit.

CR134 Knee 1977 METS Tibial Plateau PlateCoCr

Corin Australia Pty Ltd Changed Benefit.CR135 Hip 740 METS CoCr Femoral Head CoCr 28mm-32mm Corin Australia Pty Ltd Changed Benefit.

CR137 Knee 7431 METS Proximal Tibia Fixed Hinge Small and standard Corin Australia Pty Ltd Changed Benefit.

Cement plug, UHMWPE, multi-layered

08/10mm, 12/14mm, 16/18mm,20/22mm and universal.Dia 40 - 62mm, 22, 26, 28 heads

Uni tibial component, CoCr, uncemented, Titanium plasma spray, with calcium phosphate (HA) ingrowth surface with TiNi insert surface coating for mobile insert

Uni femoral component, CoCr, uncemented, Titanium plasma spray, with calcium phosphate (HA) ingrowth surface with TiNi articular surface coating

Uni Femoral Component, CoCr, cemented, with TiNi surface coatingUni tibial insert, mobile bearing, UHMWPE

Height 4, 5, 6, 7, 8, 9, 10, 11, 12mm; Size 1-4

Uni tibial component, CoCr, with TiNi insert surface coating for mobile insert

38 - 60mm, short, standard and long necks

Titanium stem proximally coated with plasma spray and HAAll poly uni tibial component, cemented Sizes 3, 5 & 7, thicknesses

7mm to 13mmAdaptor sleeve to adjust taper from 10-12 to 12-14,Titanium, for Ceramic HeadsTitanium femoral stem striated and fully coated with HA

standard, lateralised and 125 degree

Titanium with plasma spray of titanium and HA

Stem lengths 140mm and 180mmSmall and standard in 4 thicknesses

CoCr-Molybdenum proximal tibial component including bumper

Page 28: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

CR138 Knee 7431 METS Proximal Tibia Fixed Hinge Coated Small and standard Corin Australia Pty Ltd Changed Benefit.

CR139 Hip 4551 METS stippled Integral Shaft and Stem Corin Australia Pty Ltd Changed Benefit.

CR140 Knee 4161 METS Stippled CollarTitanium, HA coated, round or oval

4 sizes round, 4 sizes oval Corin Australia Pty Ltd Changed Benefit.

CR141 Knee 4161 METS Smooth CollarTitanium, uncoated, round or oval

4 sizes round, 4 sizes oval Corin Australia Pty Ltd Changed Benefit.CR142 Knee 2809 METS Stem Titanium, curved and straight 6 diameters, 10-15mm Corin Australia Pty Ltd Changed Benefit.CR145 Knee 2809 METS Tibial Stem Titanium 5 diameters 9-13mm Corin Australia Pty Ltd Changed Benefit.CR146 Knee 4161 METS Tibial Collar Coated Titanium collar with HA coating 5 diameters 20-32mm Corin Australia Pty Ltd Changed Benefit.

CR147 Hip 3958 METS Smooth Integral Shaft & Stem Corin Australia Pty Ltd Changed Benefit.

CR149 Knee 2809 METS Integral Shaft & Stem Coated Corin Australia Pty Ltd Changed Benefit.CR150 Knee 4079 METS Tibial Shaft Titanium shaft 45-115mm Corin Australia Pty Ltd Changed Benefit.CR151 Knee 7431 METS Proximal Tibia Rotating Hinge Titanium with UHMWPE bearing Small and standard Corin Australia Pty Ltd Changed Benefit.

CR152 Knee 7494 METS Tibial Component Rotating Hinge Small and standard Corin Australia Pty Ltd Changed Benefit.

CR153 Knee 1977 METS Femoral Plateau PlateTitanium

Corin Australia Pty Ltd Changed Benefit.

CR157 Hip 4625 MiniHip Stem 9 sizes Corin Australia Pty Ltd Changed Benefit.

CR158 Hip 2424 Biolox Delta Acetabular Liner Corin Australia Pty Ltd Changed Benefit.

CR163 Hip 1073 Trinity polyethylene liner Corin Australia Pty Ltd Changed Benefit.

CR164 Hip 1942 Trinity Metal Liner Corin Australia Pty Ltd Changed Benefit.

CR165 Hip 2498 Trinity Acetabular Cup Corin Australia Pty Ltd Changed Benefit.

CR179 Hip 2128 Ceramic Modular head 36, 40 and 44mm Corin Australia Pty Ltd Changed Benefit.

CR180 Hip 1942 Ceramic modular head 28 and 32mm Corin Australia Pty Ltd Changed Benefit.

CR183 Knee 7407 METS Tibial Rotating Hinge Polyethylene Corin Australia Pty Ltd Changed Benefit.

CR184 Knee 2128 METS Tibial Rotating Hinge Polyethylene N/A Corin Australia Pty Ltd Changed Benefit.

CR185 Knee 7407 METS Tibial Rotating Hinge Metal Casing Corin Australia Pty Ltd Changed Benefit.

CR193 Hip 1942 Biolox Option (≤32mm) 28mm, 32mm Corin Australia Pty Ltd Changed Benefit.

CR194 Hip 2128 Biolox Option (>32mm) 36mm and 40mm Corin Australia Pty Ltd Changed Benefit.

CoCr-Molybdenum with HA coated patella tendon reattachment mechanism and bumper

Titanium, HA coated, shaft and stem with round or oval collar

L=15,30mm; D=27,30mm (round); D=30x38,36x44mm (oval)

Titanium, uncoated, shaft and stem with round or oval collar

L=15,30mm D=27,,30mm (round) D=30x38, 36x44 (oval)

HA coated titanium collar, shaft and stem

Shaft Length 15-55mm, stem length 120mm

CoCr-Molybdenum with UHMWPE bumper pad

Small & Standard, 4 thicknesses

Short stem, Titanium, Plasma Spray with HABiolox Delta ceramic acetabular liner

28mm, 32mm, 36mm, 40mm

Highly cross linked Polyethylene liner in neutral +4mm offset +4mm oblique and 4mm elevated wall variants for use with the Trinity acetabular multi-bearing shell

28mm, 32mm, 36mm, 40mm

Metal liner for use with the Trinity acetabular shell

28mm, 32mm, 36mm, 40mm

Tri-liner hemispherical shell. Titanium (Ti6A14V) material with Titanium and HA coated plasma spray

44 - 68 mm in 2mm increments

Biolox Delta Ceramic heads > 32mmBiolox Delta Ceramic heads 32mm or lessCoCr-Molybedenum tibial component

Stem length 105mm and 114mm

UHMWPE tibial bearing componentTi casing and CoCr-Mo tibial component

Stem lengths 140mm and 180mm

Biolox Option Ceramic Femoral HeadsBiolox Option Ceramic Femoral Head

Page 29: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

CR196 Hip 240 Biolox Option (Titanium Sleeve) Corin Australia Pty Ltd Changed Benefit.

CR197 Knee 7431 METS Proximal Tibia Rotating Hinge Coated Small and Std Corin Australia Pty Ltd Changed Benefit.

CR198 Knee 4818 METS Femoral Knee and Stem Corin Australia Pty Ltd Changed Benefit.

CR199 Knee 2809 METS Intergral Shaft and Stem Corin Australia Pty Ltd Changed Benefit.

CR200 Knee 8081 METS Femoral Knee Corin Australia Pty Ltd Changed Benefit.

CR216 Hip 1073 Trinity ECiMA Liner Corin Australia Pty Ltd Changed Benefit.CR220 Hip 2646 SMR Modular Femoral Stem Proximal Body Titanium, grit blast, non HA, 40 to 70mm Corin Australia Pty Ltd Changed Benefit.

CR221 Hip 185 SMR Locking Screw 40 to 70mm Corin Australia Pty Ltd Changed Benefit.CR222 Hip 2646 SMR Modular Hip System Calcar Component 40 to 70mm Corin Australia Pty Ltd Changed Benefit.

CR223 Hip 2886 SMR Femoral Stem

SMR Distal Component <200mm

Corin Australia Pty Ltd Changed Benefit.

CR224 Hip 4274 SMR Femoral Stem

SMR Distal Component 240mm

Corin Australia Pty Ltd Changed Benefit.CR225 Knee 4079 METS Tibial Shaft - silver coated Titanium shaft, silver coated 45 - 115mm Corin Australia Pty Ltd Changed Benefit.

CR226 Knee 4161 METS Smooth Collar - silver coated 45 - 150mm Corin Australia Pty Ltd Changed Benefit.

CX001 Hip 1597 UniSyn Hip Complex Neck Consensus Australia Pty Ltd Changed Benefit.

CX002 Hip 189 UniSyn Hip Connecting Nut short & long Consensus Australia Pty Ltd Changed Benefit.CX003 Hip 3256 UniSyn Hip Fluted Femoral Stem Titanium, highly polished, fluted <200mm Consensus Australia Pty Ltd Changed Benefit.

CX004 Hip 5106 UniSyn Hip Fluted Long Femoral Stem >200mm Consensus Australia Pty Ltd Changed Benefit.CX005 Hip 3256 UniSyn Hip Plasma Femoral Stem Titanium, plasma spray, non HA <200mm Consensus Australia Pty Ltd Changed Benefit.

Titanium Sleeve for use with the Biolox Option Ceramic Femoral Heads

28mm, 32mm 36mm and 40mm

Titanium with UHMWPE bearing and HA coated patella tendon reattachment mechanismCoCR-molybdenum hinged component with stem includes axle, bushes and circlip

Small and Std Left and Right

Titanium stem for use with tibial collar

Shaft 30-70mm, stem 120mm

CoCR-molybdenum hinged femoral component includes axle, bushes and circlip

Small left; small right; standard left; standard right

Cross linked polyethylene with vitamin E

Size 1-5, 28mm, 32mm, 36mm, 40mm

Locking Screw for Proximal Body to Stem

SMR Distal Component 14 x 160mm, SMR Distal Component 16 x 160mm, SMR Distal Component 17 x 160mm, SMR Distal Component 18 x 160mm, SMR Distal Component 19 x 160mm, SMR Distal Component 20 x 160mm, SMR Distal Component 22 x 160mm, SMR Distal Component 14 x 160mm

SMR distal component 14x 240mm, SMR distal component 16 x 240mm, SMR distal component 17x240mm, SMR distal component 18 x 240mm, SMR distal component 19 x 240mm, SMR distal component 20 x 240mm, SMR distal component 22 x 240mm

Titanium, uncoated, round or oval silver coatedTitanium, with lateral extension for stem connection, includes calcar & non calcar replacement necks, separate locking bolt

30-36mm non calcar, 45-55mm for calcar

Titanium, locking nut, supplied seperately

Titanium, highly polished, fluted, long, straight & bowed

Page 30: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

CX006 Hip 2886 UniSyn Proximal Femoral Body non HA

Titanium, plasma spray, non HA

Consensus Australia Pty Ltd Changed Benefit.

CX007 Hip 3256 UniSyn Proximal Femoral Body with HA

Titanium, plasma spray, with HA

Consensus Australia Pty Ltd Changed Benefit.CX008 Hip 740 Consensus Femoral Head CoCr 22-32mm Consensus Australia Pty Ltd Changed Benefit.

CZ015 Ophthalmic 740 AT LISA 809M Carl Zeiss Pty Ltd Changed Benefit.

CZ016 Ophthalmic 328 CT ASPHINA 409M Carl Zeiss Pty Ltd Changed Benefit.

CZ017 Ophthalmic 328 CT ASPHINA 509M Carl Zeiss Pty Ltd Changed Benefit.

CZ020 Ophthalmic 666 AT TORBI 709M Carl Zeiss Pty Ltd Changed Benefit.

CZ024 Ophthalmic 1350 AT LISA toric 909M Carl Zeiss Pty Ltd Changed Benefit.

CZ025 Ophthalmic 1078 AT LISA toric 909M Carl Zeiss Pty Ltd Changed Benefit.

CZ027 Ophthalmic 937 AT TORBI 709M Carl Zeiss Pty Ltd Changed Benefit.

CZ028 Ophthalmic 337 CT ASPHINA 409MP Carl Zeiss Pty Ltd Changed Benefit.

single height, variable diameter and variable medial projectionssingle height, variable diameter and variable medial projections

ZEISS micro incision, aspheric multifocal IOL. Diffractive bifocal anterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus.

6mm optic, 11mm diameter. Diopter range 0.0D to +32.0D (0.5D steps)

ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation

6mm optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range)

ZEISS Micro Incision Aspheric (aberration correcting) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation

6mm Optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range)

STANDARD RANGE BITORIC - ZEISS Micro Incision Aspheric (abberation neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation

6mm optic, 11mm overall diameter. Diopter range: Sph -10.0 to +32.0D, Cyl +1.0 to 6.5D (all 0.5D steps)

ZEISS micro incision, multifocal toric IOL (high cyl range). Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus.

6mm optic, 11mm diameter. Diopter range: Sph -10.0D to +32.0D, Cyl +7.0 to 12.0D (all 0.5D steps)

ZEISS micro incision, multifocal toric IOL (standard cyl range). Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus.

6mm optic, 11mm diameter. Diopter range: Sph -10.0D to +32.0D, Cyl +1.0 to 6.5D (all 0.5D steps)

HIGH CYLINDER BITORIC - ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable square edged, single piece IOL for capsular bag fixation

6mm optic, 11mm overall diameter. Diopter range: Sph -10.0 to +32.0D, +7.0 to 12.0D (all 0.5D steps)

Preloaded, micro incision, aspheric (aberration neutral), foldable square-edged single piece intraocular lens for capsular bag fixation.

Diopter range: 0.0 to 32.0D; Optic size: 6.0mm; Overall length: 11.0mm

Page 31: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

CZ029 Ophthalmic 290 CT 53N Carl Zeiss Pty Ltd Changed Benefit.

CZ030 Ophthalmic 328 CT ASPHINA 404 Carl Zeiss Pty Ltd Changed Benefit.

CZ031 Ophthalmic 684 AT TORBI 709MP (Standard Range) Carl Zeiss Pty Ltd Changed Benefit.

CZ032 Ophthalmic 955 AT TORBI 709MP (high cyl) Carl Zeiss Pty Ltd Changed Benefit.

CZ033 Ophthalmic 758 AT LISA 809MP Carl Zeiss Pty Ltd Changed Benefit.

CZ034 Ophthalmic 758 AT LISA tri 839MP Carl Zeiss Pty Ltd Changed Benefit.

CZ035 Ophthalmic 1096 AT LISA toric 909MP Carl Zeiss Pty Ltd Changed Benefit.

Foldable, 3-piece, monofocal, square-edged, hydrophilic acrylic (with hydrophobic surface properties) intraocular lens for capsular bag or sulcus fixation. Diopter range: 0.0 to 40.0,

Optic size: 6.0mm, Overall length: 13.0mm

Small incision, foldable, single piece, monofocal, aspheric (aberration neutral), square-edged, hydrophilic acrylic (with hydrophobic surface properties) intraocular lens for capsular bag fixation. (Monofocal lens for powers outside standard 409MP MICS range).

Diopter range: -10.0 to 42.0, Optic size: 6.0mm, Overall length: 11.0mm

Bitoric, preloaded, micro incision, aspheric (aberration neutral), foldable, square-edged, single-piece IOL for capsular bag fixation

Diopter range: Sph -10.0 to 32.0, Cyl +1.0 to 6.5Optic size: 6.0mm, Overall length: 11.0mm

Bitoric, preloaded, micro incision, aspheric (aberration neutral), foldable, square-edged, single-piece IOL for capsular bag fixation

Diopter range: Sph -10.0 to 32.0, Cyl +7.0 to 12.0, Optic size: 6.0mm. Overall Length 11.0mm

Preloaded, micro incision, aspherical bifocal, square edged, single-piece IOL for capsular bag fixation. The anterior aspheric bifocal surface has an asymmetric light distribution 65/35 for distance/near vision, and 3.75D add for the near focus. Diopter range: 0.0 to 32.0

Optic size: 6.0mm. Overall length: 11.0mm

Trifocal (aspheric) micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision. Diopter range: 0.0 to

+32.0D (0.5D increments). Optic size: 6.0mm. Overall Length: 11.0mm

ZEISS pre-loaded, micro incision, multifocal toric IOL. Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance/ 35% near), and 3.75D addition for near focus.

6mm optic, 11mm diameter. Diopter range: Sph +6.0D to 24.0D, Cyl +1.0 to 4.0D (all 0.5D steps)

Page 32: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

CZ036 Ophthalmic 1096 AT LISA tri Toric 939MP Carl Zeiss Pty Ltd Changed Benefit.

CZ037 Ophthalmic 337 CT ASPHINA 509MP Carl Zeiss Pty Ltd Changed Benefit.

CZ038 Ophthalmic 1078 AT LISA tri toric 939M low cylinder Carl Zeiss Pty Ltd Changed Benefit.

CZ039 Ophthalmic 1350 AT LISA tri toric 939M high powered cylinder Carl Zeiss Pty Ltd Changed Benefit.

CZ040 Ophthalmic 290 CT SPHERIS 209M Carl Zeiss Pty Ltd Changed Benefit.

CZ041 Ophthalmic 290 EC-3 Carl Zeiss Pty Ltd Changed Benefit.

DD001 Hip 4024 Linear Hip Stem DJO Australasia Pty Ltd Changed Benefit.

DD006 Hip 1711 Foundation Hip System 450, 460 DJO Australasia Pty Ltd Changed Benefit.

DD007 Hip 3580 Foundation Hip System, 440, 470, 480 DJO Australasia Pty Ltd Changed Benefit.

DD017 Knee 3052 3D Knee System Femoral Component Size 2 to 12 DJO Australasia Pty Ltd Changed Benefit.

Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and + 1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision, Diopter range -10.00 to

+28.0 and +1 to +4.0 DC Optic size: 6..00mml; Overall length: 11.mm

Preloaded, micro incision, aspheric (aberration correcting), foldable square-edged single-piece intraocular lens for capsular bag fixation

Diopter range: 0.0 to + 32.0D; Optic Size: 6.0mm; Overall length: 11.0mm

Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.

Diopter range: -10.00 to + 32.0 DS and +1 to +6.5DCOptic Size: 6.0mm. Overall Length: 11.0mm

Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.

Diopter range: -10.00 to + 32.0 DS and +7 to +12 DCOptic Size: 6.0mm. Overall Length: 11.0mm

Micro incision, Spherical aberrated, foldable square-edged single-piece intraocular lens for capsular bag fixation.

Diopter range :0.00 to + 32.0. Optic Size : 6mm Overall Length : 11mm

Foldable, 3-piece, monofocal, square-edged, hydrophobic acrylic intraocular lens.

Diopter size: 4.0 to 34.0 DS. Optic size: 6mm. Overall length: 13mm

Linear Hip Stem Standard or Lateral Offset (reduced neck)

Sizes 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 17 and 19 (standard and lateral offsets)

Foundation Non-porous, cemented Stem

8, 9, 10.5, 12, 13.5, 15, and 16.5

Foundation Porous, Press Fit, fracture Stem with or without collar 8, 9, 10.5, 12, 13.5, 15,

16.5, 18.0Femoral Component, cemented, CoCr

Page 33: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DD018 Knee 3422 3D Knee System Femoral Component Size 2 to 12 DJO Australasia Pty Ltd Changed Benefit.

DD019 Knee 1989 3D Knee System Tibial Baseplate Tibial Baseplate, cemented, CoCr

Size 1 to 12 DJO Australasia Pty Ltd Changed Benefit.

DD020 Knee 2128 3D Knee System Tibial Baseplate Size 1 to 12 DJO Australasia Pty Ltd Changed Benefit.

DD021 Knee 1054 3D Knee System Tibial Insert Size 1 to 12, 9mm to 19mm DJO Australasia Pty Ltd Changed Benefit.

DD022 Knee 555 3D Knee System Patellar component All poly, cemented patella, 3 pegs

Size 26 to 38mm DJO Australasia Pty Ltd Changed Benefit.

DD023 Hip 2320 FMP Acetabular Shell 42-70mm DJO Australasia Pty Ltd Changed Benefit.DD025 Hip 127 FMP Acetabular Screws Titanium, cancellous screws 25mm to 50mm DJO Australasia Pty Ltd Changed Benefit.

DD026 Hip 1711 R120 Cemented Femoral Stem Size 1 to 6 DJO Australasia Pty Ltd Changed Benefit.

DD027 Hip 3580 R120 Uncemented Femoral Stem Size 1 to 6 DJO Australasia Pty Ltd Changed Benefit.

DD028 Hip 1135 R120 Femoral NeckCoCr, varying offsets & versions

DJO Australasia Pty Ltd Changed Benefit.

DD038 Hip 879 R120 Metal Femoral HeadR120 Metal Femoral Head >32mm

36mm DJO Australasia Pty Ltd Changed Benefit.

DD039 Hip 740 R120 Metal Femoral HeadR120 Metal Femoral Head <32mm

28mm, 32mm DJO Australasia Pty Ltd Changed Benefit.

DD040 Hip 1901 R120 Ceramic Femoral Head 36mm DJO Australasia Pty Ltd Changed Benefit.

DD041 Hip 1850 R120 Ceramic Femoral Head DJO Australasia Pty Ltd Changed Benefit.

DD042 Hip 240 Foundation Unipolar System - CoCr Unipolar Sleeves DJO Australasia Pty Ltd Changed Benefit.

DD043 Hip 2128 FMP Acetabular System - Acetabular cup insert, metal on metal DJO Australasia Pty Ltd Changed Benefit.

DD044 Hip 1073 FMP Acetabular System - Acetabular Cup Insert UHMWPE DJO Australasia Pty Ltd Changed Benefit.

DD045 Hip 158 FMP Acetabular System - Constrained Liner Locking Ring DJO Australasia Pty Ltd Changed Benefit.

Femoral Component, uncemented, beaded, CoCr

Tibial Baseplate, uncemented, beaded, CoCr and TitaniumTibial insert, UHMWPE, fixed with lateral pivot with locking screw

Titanium, non HA, beaded, variable screw holes

CoCr, unpolished, tapered, collared, separate neckFemoral Stem porous/HA coated, Modular, CrCo, standard lengths

32-38mm length, varying degrees

R120 Ceramic, Biolox Femoral Head > 32mmR120 Ceramic, Biolox Femoral Head <32mm 28mm - 3.5mm to +3.5mm

32mm - 4.0mm to +4.0mm

Unipolar sleeves are used in conjunction with Unipolar CoCr Femoral Heads to provide -3.5mm, +0mm, +3.5mm, +7.0mm & +10mm neck length options when used in conjunction with a femoral hip component in hemi-arthroplasty operations.

-3.5mm,+0mm (neutral), +3.5mm, +7mm & +10mm

Modular metal on metal liner, available in 28mm ID, 34mm ID, 38mm ID, to fit FMP Acetabular Cup system

28mm ID, 34mm ID, 38mm ID, to fit FMP Acetabular Cups from 48 mm to 70mm OD

Acetabular cup inserts, UHMWPE compression moulded and cross-linked. 22mm, 28mm and 32mm Internal Diameters available in 0-degree (neutral), 10-degree hooded and 20-degree hooded options.

ID of 22mm, 28mm, 32mm to suit Acetabular shells of OD 40mm-70mm, available in 0,10,20-degree hooded options

28mm constrained liner locking ring, manufactured from titanium, is used with the FMP constrained acetabular liners.

one size, to fit all 28mm ID constrained liners

Page 34: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DD046 Hip 1698 FMP Acetabular System - Constrainer Liner DJO Australasia Pty Ltd Changed Benefit.

DD047 Hip 4024 DJO Australasia Pty Ltd Changed Benefit.

DD048 Hip 3580 DJO Australasia Pty Ltd Changed Benefit.

DD049 Hip 879 Foundation Unipolar System - CoCr Unipolar Femoral Heads DJO Australasia Pty Ltd Changed Benefit.

DD050 Hip 740 FMP Acetabular System - CoCro Femoral Heads DJO Australasia Pty Ltd Changed Benefit.DD051 Hip 2220 FMP Femoral Head CoCr Femoral Head 22-32mm DJO Australasia Pty Ltd Changed Benefit.DD052 Hip 2220 FMP Femoral Head CoCr Femoral Head 34-38mm DJO Australasia Pty Ltd Changed Benefit.

DE389 Ophthalmic 1350 Oculentis LENTIS Mplus LU-313MFT Device Technologies Australia Pty Ltd Changed Benefit.

DE390 Ophthalmic 666 Oculentis LENTIS Tplus LU-313T Device Technologies Australia Pty Ltd Changed Benefit.

DE391 Ophthalmic 938 Oculentis LENTIS Tplus LU-313T Device Technologies Australia Pty Ltd Changed Benefit.

DE393 Ophthalmic 976 Oculentis LENTIS T plus LU-313-TY Device Technologies Australia Pty Ltd Changed Benefit.

28mm constrained liner and titanium locking ring is used with the FMP acetabular system to treat recurrent dislocation.

28mm ID, from MP5 to MP12 (40mm through to 70mmOD)

Revelation Hip System - Femoral Component, Ti, Grit Blast, non HA, standard & lateral offset

Non modular femoral hip stem, designed for uncemented use, left & right specific with 130 degree neck angle & 12 degrees of built-in anteversion. Proximal circumferential "3D" beading, a highly polished neck & highly polished distal stem

16 stems: 8 sizes Left & 8 sizes Right - 8.0, 9.0, 10.5, 12.0, 13.5, 15.0 & 16.5

CLP Hip System - Femoral Component, Ti, Grit Blast, non HA, standard and lateral offset

Non modular femoral hip stem, designed for uncemented use, and to be used with CoCro or Ceramic heads in total hip arthroplasty, or Bipolar heads in hemi-arthroplasty 14 x standard offset

components and 12 lateral offset components

CoCr unipolar femoral heads, 40mm to 64mm. Unipolar Femoral Heads

40mm to 64mm in 2mm increments

CoCro femoral heads in 22mm and 32mm diameters to fit with FMP acetabular liners and FMP acetabular shells

22mm in +0,+4,+8mm and 32mm in -4.0, +4, +8, +12mm, diameters

Patient specific one-piece multifocal-toric acrylic plate haptic IOL Overall Length 11.0mm and

Optic size 6.0mm +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +6.99D to +12.0D inclusive in 0.01D increments

Patient Specific: Foldable one-piece monofocal toric acrylic IOL Optic Size 6.0mm, overall

length 11.0mm. Sph +/-10.0D to +35.0D (in 0.01D increments) Cyl +0.25 to +6.99D cyl (in 0.01D increments)

Patient Specific: Foldable one-piece monofocal toric acrylic IOL Optic Size: 6.0mm, overall

length 11.00mm. Sph +/-10.0D to +35.0D (in 0.01D increments) Cyl +6.99D to +12.0D cyl (in 0.01D increments)

Patient Specific: Foldable one-piece monofocal toric acrylic IOL. Violet Light Filter. Optic Size: 6.0mm, overall

length 11.00mm. -10.0D to +35.0D (0.01D increments) Available diopters: Cyl +7.00D to +12.0D inclusive in 0.01D increments.

Page 35: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DE394 Ophthalmic 1116 Oculentis LENTIS Mplus Toric LU-313 MF30TY Device Technologies Australia Pty Ltd Changed Benefit.

DE395 Ophthalmic 1388 Oculentis LENTIS Mplus LU-313 MFTY Device Technologies Australia Pty Ltd Changed Benefit.

DE397 Ophthalmic 666 Oculentis LENTIS Tplus LS-313 T1-T6 Device Technologies Australia Pty Ltd Changed Benefit.

DE398 Ophthalmic 290 Oculentis LENTIS L-302-1 Device Technologies Australia Pty Ltd Changed Benefit.

DE484 Ophthalmic 328 Oculentis LENTIS L-402 Device Technologies Australia Pty Ltd Changed Benefit.

DE485 Ophthalmic 337 Oculentis LENTIS L-402 Pre-loaded Device Technologies Australia Pty Ltd Changed Benefit.

DE486 Ophthalmic 346 Oculentis LENTIS LS-312Y Device Technologies Australia Pty Ltd Changed Benefit.

DE487 Ophthalmic 364 Oculentis LENTIS LS-312Y Pre-loaded Device Technologies Australia Pty Ltd Changed Benefit.

DE488 Ophthalmic 702 Oculentis LENTIS LU-313 TY Device Technologies Australia Pty Ltd Changed Benefit.

Patient specific one-piece multifocal-toric plate haptic acrylic IOL. Overall Length 11.0mm and

Optic Size 6.0mm, +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25D to +6.99D inclusive in 0.01D increments.

Patient specific one-piece multifocal toric plate haptic acrylic IOL. Violet Light Filter Overall Length 11.00mm

and Optic Size 6.0mm +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +7.00D to +12.0D inclusive in 0.01D increments.

Foldable one-piece monofocal toric acrylic IOL. Optic Size 6.0mm, Overall

Length 11.00mm. Available diopters: +10.0D to +30.0D (0.5D). Cyl: (T1 +1.5D) (T2 +2.25D) (T3 +3.0D) (T4 +3.75D) (T5 +4.5D) (T6 +5.25D)

Foldable one-piece monofocal C loop acrylic IOL. Optic Size 6.0mm, Overall

Length 12.00mm. +-0.0D to +35.0D (1.0D steps) and +15.5D to +26.5D (0.5D steps).

Foldable three piece monofocal acrylic IOL Optic Size 6.0mm, Overall

Length 13.00mm. +-0.0D to +35.0D (1.0D) + 15.5D to +26.5D (0.5D). Minus range on demand.

Pre-loaded foldable three piece monofocal acrylic IOL. Optic Size 6.0mm, Overall

Length 13.00mm. +-0.0D to +35.0D (1.0D) +15.5D to +26.5D (0.5D). Minus range on demand.

Foldable one-piece monofocal C Loop Acrylic IOL. Violet Light Filter. Optic Size 6.0mm, Overall

Length 12.0mm. Available Diopters: +-0.0D to 35.0D (1.0D steps) +15.5D to 26.5D (0.5D steps).

Pre-loaded Foldable one-piece monofocal C Loop Acrylic IOL. Violet Light filter. Optic Size 6.0mm. Overall

Length 12.0mm. Available Diopters +-0.0D to 35.0D (1.0D steps) +15.5D to 26.5D (0.5D steps).

Patient Specific: Foldable one-piece monofocal toric acrylic IOL. Violet Light Filter

Optic size: 6.0mm, Overall Length 11.00mm. Sph +/_ 0.0D to +35.0D In 0.01D increments) Cyl +0.25D to +6.99D cyl (in 0.01D increments).

Page 36: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DE489 Ophthalmic 720 Oculentis LENTIS LU-313-TY Pre-loaded Device Technologies Australia Pty Ltd Changed Benefit.

DE490 Ophthalmic 328 Oculentis LENTIS L-312 Device Technologies Australia Pty Ltd Changed Benefit.

DE491 Ophthalmic 337 Oculentis LENTIS L-312 Pre-loaded Device Technologies Australia Pty Ltd Changed Benefit.

DE492 Ophthalmic 328 Oculentis LENTIS L-313 Device Technologies Australia Pty Ltd Changed Benefit.

DE493 Ophthalmic 337 Oculentis LENTIS L-313 Pre-loaded Device Technologies Australia Pty Ltd Changed Benefit.

DE494 Ophthalmic 1078 Oculentis LENTIS Mplus Toric LU-313MFT Device Technologies Australia Pty Ltd Changed Benefit.

DE495 Ophthalmic 1096 Oculentis LENTIS Mplus Toric LU-313MFT Pre-loaded Device Technologies Australia Pty Ltd Changed Benefit.

DE496 Ophthalmic 740 Oculentis LENTIS Mplus LS-313 MF Device Technologies Australia Pty Ltd Changed Benefit.

DE497 Ophthalmic 758 Oculents LENTIS Mplus LS-313MF Preloaded Device Technologies Australia Pty Ltd Changed Benefit.

Patient Specific: Pre-loaded foldable one-piece monofocal toric acrylic IOL. Violet Light Filter

Optic Size: 6.0mm, Overall Length 11.00mm. Sph -10.0D to +35.0D (in 0.01D incrments). Cyl +0.25D to +6.99D cyl (in 0.01D increments)

Foldable one-piece monofocal acrylic C Loop IOL

Opric size 6.0mm. Overall Length 12.00mm. Central Thickness 1.02mm (+22.0D). Available Diopters: -10.0D to 35.0D (1.0D steps). +10.5D to 29.5D (0.5D steps).

Pre-loaded foldable one-piece monofocal acrylic C Loop IOL Optic size 6.0mm. Overall

length 12.00mm. Central thickness 1.02mm (+22.0D). Available Diopters: -10.0D to 35.0D (1.0D steps). +10.5D to 29.5D ( 0.5D steps).

Foldable one-piece monofocal acrylic plate haptic IOL

Optic Size 6.0mm, Overall length 11.0mm. Available Diopters: +-10.0D to 36.0D (1.0D steps) +10.5D to 29.5D (0.5D steps)

Pre-loaded foldable one-piece monofocal acrylic plate haptic IOL

Optic Size 6.0mm, Overall Length 11.00mm. Available Diopters: +-10.0D to 35.0D (1.0D steps). +10.5D to 29.5 D (0.5D steps).

Patient specific one-piece multifocal-toric plate haptic acrylic IOL

Overall Length 11.0mm and Optic Size 6.0 + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25 to +6.99D inclusive in 0.01D increments

Patient specific one-piece multifocal-toric plate haptic acrylic IOL

Overall Length 11.0mm and Optic Size 6.0 + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25 to +6.99D inclusive in 0.01D increments

Foldable one-piece multifocal plate haptic acrylic IOL

Overall Length 11.0mm and Optic Size 6.0mm. Available diopters +-10.0D to +36.0D (0.05D steps)

Pre-loaded Foldable one-piece multifocal plate haptic acrylic IOL.

Overall Length 11.0mm and Optic Size 6.0mm. Available diopters +-10.0D to +36.0D (0.05D steps)

Page 37: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DE498 Ophthalmic 346 Oculentis LENTIS LS-313Y Device Technologies Australia Pty Ltd Changed Benefit.

DE499 Ophthalmic 364 Oculentis LENTIS LS-313Y Pre-loaded Device Technologies Australia Pty Ltd Changed Benefit.

DP001 Hip 925 Reef Femoral Wing Sizes 1-3 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP003 Knee 3885 LCS Complete Knee System femoral component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DP004 Knee 3515 LCS Complete Knee System femoral component Femoral cemented, CoCr Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP005 Hip 2886 Reef Hip Proximal Body & Neck 25-35mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP009 Hip 4644 Reef Hip Femoral Stem Length 225 - 375mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP014 Hip 1698 Duraloc & Pinnacle Constrained Inserts Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP026 Knee 1054 LCS Complete Knee System rotating platform tibial Insert Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP031 Knee 2729 MBT Knee System tibial baseplate Sizes 1 - 7 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP032 Knee 2220 MBT Knee System tibial baseplate Sizes 1 - 7 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP035 Knee 3099 MBT Knee System tibial baseplate Size 1-7 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP121 Hip 6382 Solution Calcar Replacement Femoral Stem Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP124 Hip 740 DePuy Femoral Head 22-32 mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP143 Knee 1164 PFC Sigma Knee System tibial stems Sizes 30-150mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP148 Knee 3422 PFC Sigma Knee System femoral component Size 1-6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP149 Knee 3145 PFC Sigma Knee System femoral component Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP150 Knee 5781 PFC Sigma Knee System TC3 femoral component Size 1-6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP152 Knee 555 PFC Sigma Knee System patella component 25-50mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

Foldable one-piece monofocal acrylic plate haptic IOL. Violet Light Filter. Optic Size 6.0mm, Overall

Length 11.00mm. Available Diopters: +-0.0D to 35.0D (1.0D steps). +15.5D to 26.5D (0.5 steps).

Pre-loaded foldable one-piece monofocal acrylic plate haptic IOL. Violet Light Filter. Optic Size 6.0mm, Overall

Length 11.00mm. Available Diopters: +-0.0D to 35.0D (1.0D steps). +15.5D to 26.5D (0.5 steps).

Titanium grit blasted with HA trochanteric replacement/augment

Femoral component, uncemented, CoCr, beaded (Porocoat)

Titanium neck combined with small proximal body of varying size, grit blast, HA. With locking screw

Titanium modular femoral stem with optional distal locking, grit blast and full HA coatingUHMWPE, constrained liner with titanium alloy locking ring

Inner diameter 28-44mm, 36-76mm outer diameter

Tibial insert, for rotating platform, UHMWPE Tibial baseplate, uncemented, CoCr, beaded (Porocoat) for rotating platform, (keeled and non keeled)

Tibial baseplate, cemented, CoCr, for rotating platform, (keeled and non keeled) Tibial baseplate, uncemented, CoCr, HA (Duofix), beaded (Porocoat) for rotating platform, ( non keeled only)

CoCr calcar replacement stem, uncemented, beaded (Porocoat)

Size 7-10 inch (175 - 250mm)

CoCr Femoral Head Various Tapers & Neck LengthsTibial stems cemented and fluted uncemented, titaniumFemoral component, uncemented, CoCr, Beaded Femoral component, cemented, CoCr, posterior stabilised

Size 1-6 including narrow sizes

Femoral component, cemented, CoCr, totally constrainedCemented, all poly, oval dome, round dome and inset patella

Page 38: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DP155 Knee 282 PFC Sigma Knee System femoral stem bolts Neutral +/- 2mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP158 Knee 1187 PFC Sigma Knee System femoral augments Sizes 1 - 6. 4-16mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP161 Knee 1187 PFC Sigma Knee System tibial augments Size 1-6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP162 Knee 1054 PFC Sigma Knee System tibial insert Sizes 1 - 6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP166 Knee 1054 PFC Sigma Knee System tibial insert Sizes 1 - 6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP167 Hip 569 Thompson Hip head size 40-54 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP168 Hip 569 Austin Moore Hip Prosthesis Head size 38-60mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP171 Hip 793 Hastings Bipolar Prosthesis Size 36 - 56 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP173 Hip 1295 PLAD Acetabular Rim Augment 22- 28mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DP175 Hip 3284 Charnley Hip Long Femoral Stem Stainless steel Ortron 90 stem 10"- 15" (250-375mm) Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP180 Hip 1711 Charnley Standard Femoral Stem Sizes less than 200mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP188 Hip 793 Self Centering Bipolar Head 39-65mm outer diameter Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP203 Hip 1711 Elite Plus Femoral Stem Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP212 Hip 3284 Elite Plus Long Femoral Stem Sizes 3-5 (200-250mm) Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP222 Hip 758 DePuy Custom Made Acetabular Liners Made to order Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP224 Hip 231 Charnley & Wroblewski Trochanteric Spring Wire 0.5-3.00mm, 18 to 20g Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DP233 Hip 111 Hardinge Cement Restrictor Hardinge cement Restrictor (ea) One size only Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP238 Knee 1054 LCS Classic and Universal Knee System meniscal bearing tibial Insert Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP250 Hip 158 Duraloc Cup Locking System Size 36-76mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP254 Knee 6244 SROM Noiles Knee System femoral component Sizes xxsmall-large Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP255 Knee 130 SROM Noiles Knee System bumper and hinge bearing replacements Sizes xxsmall - medium. Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP257 Knee 1156 SROM Noiles Knee System tibial insert XXSml - Large Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DP264 Knee 555 SROM Noiles Knee System patella All poly, cemented patella Sizes 25 - 38mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

Bolts to connect femoral stem, straight and offset Distal and posterior femoral augments, CoCr , with screwsTibial wedges (full and hemi) and hemi blocks, CoCr, with screwTibial insert for AMK Duofix tibial baseplate with locking post and clip, UHMWPETibial Insert, rotating platform UHMWPEStainless steel (Ortron 90), Thompson unipolar monoblock femoral componentStainless steel (Ortron 90), AMP unipolar monoblock femoral componentBipolar femoral head, CoCr with fixed UHMWPE insertMetal & polyethylene curved plate for screw attachment to UHMWPE cemented cups. Includes 4 screws.

Stainless steel, (Ortron 90) fixed & attachable femoral headsBipolar femoral head, CoCr with UHMWPE insertStainless steel, Ortron 90, cemented femoral stem, unpolished

CDH, Size 1-7 and all offsets

Stainless steel, Ortron 90, cemented femoral stem, unpolishedUHMWPE custom liner for obsolete DePuy shellsStainless steel wire for trochanteric attachment

Tibial inserts, meniscal bearing medial and lateral (by 2 per procedure)

Sizes small to large+. 10-20mm

Titanium locking Ring for Duraloc insert, seperately listed, only for revisionRotating Hinge, cemented, CoCr femoral component.Replacements for UHMWPE axis bearings and bumpers, for hinged prosthesis Tibial insert, rotating platform, hinged, with metal axis ring incorporated and polyethylene axis bearings

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DP269 Knee 1187 SROM Noiles Knee System femoral augments Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP270 Knee 1110 SROM Noiles Knee System tibial insert Xsm-lrg. 10-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP360 Hip 2320 Duraloc Acetabular Shells Size 36-76 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP448 Hip 111 BIO Stop G size 8-20 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP523 Knee 1251 LCS Complete Knee System patella component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP524 Knee 555 LCS Complete Knee System patella component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP546 Hip 1942 C- Stem & C- Stem AMT Femoral Stems Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP550 Hip 3284 C- Stem & C- Stem AMT Femoral Stem Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP557 Hip 2690 Duraloc Acetabular Shell with HA Inner 36-70 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP575 Hip 111 C-Stem End Cap Size 8- 20 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP943 Hip 4348 Corail Femoral StemTitanium, grit blast, full HA coating,

Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP944 Hip 127 DePuy Hip Bone ScrewsTitanium, cancellous screws

Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DP968 Hip 758 SROM Acetabular UHMWPE Liner UHMWPE 22-32mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP969 Hip 1698 SROM Acetabular Constrained UHMWPE Liner Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP976 Hip 167 SROM Acetabular Insert Locking Pin 3.5mm - 5.0mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP981 Hip 2710 SROM ZTHA Femoral Sleeve Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP982 Hip 2886 SROM ZTT Femoral Sleeve 12A-24F Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP986 Hip 534 SROM Trochanteric Washer 40 x 31, 60 x 45, 70 x 54 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DP998 Hip 148 DePuy Acetabular Apical Plugs One size only Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DV246 Ophthalmic 291 Rayner Sulcoflex Ashperic (Premium) I.O.L. Designs for Vision Pty Ltd Changed Benefit.

DV247 Ophthalmic 346 HOYA AF-1 iMics1 NY-60 +6.0D to 30.0D (0.5 steps) Designs for Vision Pty Ltd Changed Benefit.

DV248 Ophthalmic 778 HOYA PY-60MV +14.0D to 27.0D (0.5 steps) Designs for Vision Pty Ltd Changed Benefit.

Distal or posterior and combined distal and posterior femoral augments

Sizes xxsmall - xlarge. 5-10mm

Tibial insert, UHMWPE, posterior stabilised, rotating platform

Titanium, beaded, (Porocoat) non HA, with or without holes &/or spikesBiostop Restrictor (Gelatin, Glkycerol, PHBM, Water)Metal backed, CoCr, rotating, cemented All Poly patella, UHMWPE, cementedStainless steel Ortron 90, highly polished, triple taper

Size 1-8 standard, Size 1-8 High Offset, CDH and 0A to 3A sizes

Stainless steel Ortron 90, highly polished, triple taper, long stem

Size 3-8 x 200-240mm length

Titanium, beaded, Duofix,HA, with or without holes End Cap Biostop Restrictor (Gelatin, Glycerol, PHBM, water)

Size 6 to 20 or in lengths 110 -190mmSize 3.5-6.5 diameter 5-120mm length

UHMWPE Constrained liner includes locking ring

0Deg, 10 Deg, 28mm, 32mm,

Titanium pin provided seperately from insertTitanium, grit blasted with HA, (proximal femoral cone)

Small / Large /XX Large size 14B-24F

Titanium, beaded without HA, proximal femoral coneTitanium, fixation with separate screw (DY020) to calcar replacing SROM Femoral StemTitanium, apical hole plug for Duraloc, Pinnacle & SROM Acetabular shellsPseudophakic Supplementary I.O.L.O.L.

-10.0D to -5.50D in 0.5D increments. +5.50D to 10.00D in 0.5D increments

Mini Incision, Aspheric, Blue-blocker, Single-piece, Hydrophobic

Preloaded in cartridge, Multifocal, Aspheric, Blue-blocker, Single Piece, Hydrophobic

Page 40: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DV250 Ophthalmic 364 Hoya-PS AF-1 (UY) PY-60AD Designs for Vision Pty Ltd Changed Benefit.

DV251 Ophthalmic 702 HOYA AF - 1 311 Toric T3/T4/T5 Designs for Vision Pty Ltd Changed Benefit.

DV252 Ophthalmic 364 HOYA iSert® 251 +6.0D to 30.0D (5 steps) Designs for Vision Pty Ltd Changed Benefit.

DV253 Ophthalmic 720 HOYA AF-1 351 Toric T3/T4/T5/T6/T7/T8/T9 Designs for Vision Pty Ltd Changed Benefit.

DV254 Ophthalmic 1078 Rayner Premium Sulcoflex Multifocal Toric Supplementary IOL Designs for Vision Pty Ltd Changed Benefit.

DV255 Ophthalmic 1078 Rayner Standard Sulcoflex Multifocal Toric Supplementary IOL Designs for Vision Pty Ltd Changed Benefit.

DV262 Ophthalmic 364 Hoya 751 Intra Ocular LensIntra Ocular Lens

Designs for Vision Pty Ltd Changed Benefit.

DV263 Ophthalmic 337 Rayner C-flex Advance Aspheric IOL Designs for Vision Pty Ltd Changed Benefit.

DV264 Ophthalmic 364 Hoya Vivinex iSert Preloaded IOL (Model XY1)Intra Ocular Lens

Designs for Vision Pty Ltd Changed Benefit.

DY020 Hip 185 SROM Trochanteric Washer Screw 42mm, 52mm, 62mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY031 Hip 2690 Duraloc Option Acetabular ShellTitanium, beaded with HA (duofix)

46-66 mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY034 Hip 2368 Duraloc Option Acetabular Shell Ceramic Insert Ceramic, Biolox Forte 46-66 mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY036 Hip 1073 Duraloc Marathon Acetabular UHMWPE Cross Linked Liner UHMWPE, highly cross linked, Sizes 36-76mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY064 Hip 1319 Protrusio Acetabular Reconstruction Cage 49-69ID Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY077 Hip 148 Apex Hole eliminator Hole eliminator screw Titanium One size only Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY134 Hip 4856 Summit Femoral Stem Size 1-10 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY148 Knee 5781 LCS Complete Knee System femoral component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY151 Knee 4070 MBT Knee System Revision Tibial base Plate Sizes 1-7 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY153 Knee 1187 LCS Complete Knee System Augments Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY156 Knee 2498 LCS, PFC and SROM Knee Systems, femoral metaphyseal sleeve 20 - 46mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

Preloaded in cartridge, Aspheric, Blue blocker, Foldable, Single-Piece, Hydrophobic Acrylic +6.0D to +30.0D (0.5D

steps)Correct Corneal Astigmatism, Micro-incision,Aspheric, Blue-Blocker, Single Piece, Hydrophobic

lOL Power: 6.0D to 30.0D (0.5 steps)lOL Cylinder Power: 1.50D (311T3), 2.25D (311T4), 3.00D (311T5)

Preloaded injector system, Micro-incision, Aspheric, Blue-Blocker, Single Piece, Hydrophobic

Preloaded injector system, correct corneal astigmatism micro-incision, ashperic, blue-blocker, single piece hydophobic.

IOL Power: + 10.0 to 30.0 (0.5 steps), IOL Cylinder power: 1.50D (351T3), 2.25D (351T4), 3.00D (351T5), 3.75D (351T6), 4.50D (351T7), 5.25D (351T8), 6.00D (351T9)

653Z-Premium Multifocal Toric Supplementary IOL

-7D to +7D (Spherical Equivalent) Cylinder 1D, 4D, 5D, 6D Addition 3.5D

653Z-Standard Multifocal Toric Supplementary IOL

-3D to +3D (Spherical Equivalent) Cylinders 2D and 3D Addition 3.5DPower +10 dioptres - +26 dioptres

Mini incision pre-loaded aspheric IOL

Power range +8.0 - +34.0 dioptres in 0.5 incrementsPower +6 dioptres - +30 dioptres

Titanium, attaches washer to calcar replacement stem

Titanium, grit blast, proximal distal flange, left & right sided

Titanium, beaded proximally with HA, duofix distal grit blastFemoral component, cemented, CoCr, totally constrainedTibial baseplate, cemented, CoCr, for rotating platform, also usable with specific hinged insert

Femoral distal and posterior augments, CoCr, with screws

Sizes small to large+. 5-15mm

Universal femoral metaphyseal sleeve, Porocoat, smaller size cemented, larger sizes uncemented, titanium

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DY157 Knee 2498 MBT Knee Systems tibial metaphyseal sleeve 29 - 61mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY159 Knee 1187 MBT Knee System tibial augments Tibial blocks, with screws, CoCr Sizes 1-7. 5-15mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY187 Hip 6466 Limb Preservation System Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY188 Knee 7407 Limb Preservation System XX Small and X Small Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY189 Knee 4233 Limb Preservation System Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY190 Knee 2809 Limb Preservation System Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY191 Knee 4070 Limb Preservation System 55 mm Length Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY192 Knee 4070 Limb Preservation System 25 to 125mm Length Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY193 Knee 4233 Limb Preservation System Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY194 Knee 2809 Limb Preservation System Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY195 Knee 7431 Limb Preservation System Tibial Replacement Component XX Small - Med Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY196 Knee 3194 Limb Preservation SystemTibial Hinge Insert

Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY210 Hip 1073 Pinnacle Acetabular Cross Linked UHMWPE Insert 22-48mm ID Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY217 Knee 6741 Limb Preservation System 55mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY367 Knee 1156 PFC Sigma TC3 Knee System Tibial Insert Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY368 Knee 5596 LCS Complete Knee System femoral component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY371 Knee 3145 LCS Complete System femoral component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY372 Knee 1110 LCS Complete Knee System rotating platform tibial insert Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY373 Knee 4024 LCS Complete Knee System femoral component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY374 Knee 3191 LCS Complete Knee System femoral component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY377 Knee 2729 MBT knee system tibial baseplate Sizes 1 - 7 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY402 Hip 879 Cathcart Unipolar Head 41 to 60mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

Universal tibial metaphyseal sleeve, Porocoat, smaller size cemented or uncemented, larger sizes uncemented, titanium

Beaded, 'Porocoat' Standard & Trochanter Replacement

Neutral, 15deg Left & Right in both styles

Distal Femoral Replacement Component Left/RightLPS Diaphyseal Stem, Cemented, Bowed, with 2cm Beaded Collar 11mm - 17mm diameter x

150 - 200mm lengthLPS Diaphyseal Stem Fully Beaded, Bowed, with 2cm Beaded Collar

Porocoat 12.5mm - 18.5mm diameter x 150mm - 200mm length

Total Femoral Segment Component (Male/Male)Segmental Component (Male/Male)LPS Diaphyseal Stem, Cemented, Straight, with 2cm Beaded Collar 9mm - 17mm diameter, 100

- 125mm lengthLPS Diaphyseal Stem Fully Beaded, Straight, with 2cm Beaded Collar

Porocoat 10.5mm - 18.5mm diameter x 100mm - 125mm length

XX Small - Large, 12 - 31mm

UHMWPE, highly cross linked insertIntercalary Segment Component (Male/Female)Tibial Insert, totally constrained, mobile bearing, UHMWPE, with post

Size 1.5 to 5 thickness of 10mm to 30mm

Femoral component, cemented, CoCrFemoral Component, cemented, CoCr, posterior stabilisedTibial insert, rotating platform with post, UHMWPE

Sizes small to large+. 10-30mm

Femoral component, uncemented, Porocoat, beaded Titanium with TiN surface treatment

Femoral component, cemented, Titanium with TiN surface treatment Tibial baseplate, uncemented, Titanium, TiN, beaded (Porocoat) for rotating platform, (non keeled only)

CoCr Unipolar Femoral head. Needs to be used with DY403 Head Taper insert

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

DY403 Hip 481 Cathcart Taper Insert -3 to +10mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY404 Knee 3145 PFC Sigma Knee System RPF/PS150 femoral component Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY405 Knee 1110 PFC Sigma Knee System RPF tibial insert Size 1 - 6. 10-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY457 Knee 1110 PFC Sigma Knee System tibial insert Sizes 1 - 6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY464 Hip 2128 DePuy Delta Ceramic Femoral Head Ceramic delta >32mm >32mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY467 Knee 3376 PFC Sigma Knee System tibial baseplate Size 1-6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY471 Knee 3052 PFC Sigma Knee System femoral component Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY481 Knee 1054 PFC Sigma Knee System tibial insert Sizes 1 - 6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY502 Knee 1251 LCS Complete Knee System patella component Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY510 Hip 5291 SROM Femoral Calcar Replacement Stem, long Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY511 Hip 5291 SROM Femoral Stem Long Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY512 Hip 2424 Pinnacle Acetabular Cup System Pinnacle ceramic liner 44 - 66mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY514 Hip 3978 Kar (Corail Revision) Femoral Stem Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY515 Hip 5319 Kar (Corail Revision) Femoral Stem Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY517 Hip 5319 Solution Implantable Hip System Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY520 Hip 2690 Pinnacle Acetabular Shell 38 - 80mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY521 Hip 2690 Pinnacle Acetabular Shell 38 - 80mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY530 Hip 2220 Pinnacle Femoral Head CoCr metal on metal 33-48mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY531 Hip 2220 Pinnacle Femoral Head CoCr metal on metal 28-32mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY547 Hip 4828 Delta motion acetabular cup 42 - 68mm OD Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY551 Hip 1942 Delta modular head Delta ceramic modular head 32mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.DY552 Hip 2128 Delta modular head Delta ceramic modular head 36-58mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

DY553 Hip 240 Delta Modular Head - sleeve S - XL, -3.5 to +7 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

EA006 Knee 3561 Endotec Australia Pty Ltd Changed Benefit.

CoCr head taper insert for use with Unipolar Head (DY402)Femoral component, cemented, CoCr, high flex, posterior stabilised Size 1-6 including narrow

sizesTibial insert, UHMWPE, rotating platform for high flex with post Tibial insert, posterior stabilised, rotating platform UHMWPE

Tibial baseplate, cemented, keeled, Titanium, standard and offset keels with capacity for augment and stem attachment

Femoral component, cemented, CoCr

Size 1-6 including narrow sizes

Tibial insert, UHMWPE, standard and posterior lippedMetal backed, CoCr, rotating, uncemented Titanium, fluted, distal polished femoral long stem & neck, bowed and straight with Calcar Replacement

9 -21mm diameter, greater than 200mm length

Titanium, fluted, distal polished femoral long stem & neck, bowed and straight

9 -21mm diameter, greater than 200mm length

Titanium, grit blast, full HA coating, fluted distally

Size ≤13, (length less than 200mm)

Titanium, grit blast, full HA coating, fluted distally

Sizes 14 - 20, (length 200mm & greater)

Revision Standard & MMA 8 straight or bowed porous coated collarless, coxa vara or high offset uncemented stem

8 inch (200mm) size 10.5 - 22.5

Titanium. Beaded with HA (Duofix) acetabular cupTitanium, beaded (Porocoat), not HA, acetabular cups

Titanium, plasma with HA cup with preassembled delta ceramic liner

sleeve for use with Delta Modular Head

Buechel-Pappas Ultracoat Total Knee Replacement System (Primary and Revision)

Ceramic Coated, Titanium Femoral and Tibial components with mobile Polyethylene inserts, all polyethylene patella ceramic coated, titanium backed polyethylene mobile patella BP TKR Ultracoat Primary

Femoral sizes 1-6(inc) Left & Right

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

EA008 Knee 2729 Endotec Australia Pty Ltd Changed Benefit.

EA010 Knee 1054 1-6(inc) Endotec Australia Pty Ltd Changed Benefit.

EA011 Knee 1251 Endotec Australia Pty Ltd Changed Benefit.

EA012 Knee 555All poly patella, cemented, 3 pegs

1-6(inc) Endotec Australia Pty Ltd Changed Benefit.

EA013 Knee 3561 1-6(inc) Left & Right Endotec Australia Pty Ltd Changed Benefit.

EA015 Knee 3978 1-6(inc) Endotec Australia Pty Ltd Changed Benefit.

EA023 Knee 1164 Endotec Australia Pty Ltd Changed Benefit.

EA024 Knee 130 Endotec Australia Pty Ltd Changed Benefit.

EG009 Ophthalmic 225 Artisan Anterior Chamber Intraocular Lens Emagin Pty Ltd Changed Benefit.

EG010 Ophthalmic 651 Artiflex Anterior Chamber Intraocular Lens Emagin Pty Ltd Changed Benefit.

EG012 Ophthalmic 612 Artisan Anterior Chamber IOL Emagin Pty Ltd Changed Benefit.EG014 Ophthalmic 702 REVERSO Multifocal Intraocular lens -3 to +3 Emagin Pty Ltd Changed Benefit.EG015 Ophthalmic 684 ARTIS T PL Preloaded Toric Intraocular lens +18 to +25D / C +1.50D Emagin Pty Ltd Changed Benefit.EG016 Ophthalmic 337 ARTIS PL E Preloaded Intraocular lens 0 to 35D Emagin Pty Ltd Changed Benefit.EG017 Ophthalmic 337 LUXIOL 60 Preloaded Intraocular lens +10 to +35D Emagin Pty Ltd Changed Benefit.

EG019 Ophthalmic 1035 Artisan Toric (Custom) T1AC Iris clip IOL Toric

Emagin Pty Ltd Changed Benefit.

EG020 Ophthalmic 1307 Artisan Toric (Custom) T2AC Iris clip IOL Toric

Emagin Pty Ltd Changed Benefit.

ER281 Ophthalmic 702 IC-8, Hydrophobic Small Aperture Intraocular Lens Emergo Asia Pacific Pty Ltd Changed Benefit.

ER295 Hip 1443 Spacer-G Emergo Asia Pacific Pty Ltd Changed Benefit.

Buechel-Pappas Ultracoat Total Knee Replacement System Tibial Baseplate

Tibial Baseplate, uncemented, beaded, Titanium, TiNi Insert and bone ingrowth surface treated, for a mobile insert

1-6(inc)

Buechel-Pappas Ultracoat Total Knee Replacement System Tibial Insert

Tibial Insert, UHMWPE, mobile bearing

Buechel-Pappas Ultracoat Total Knee Replacement System Patellar Component

Patellar component, metal backed, uncemented, beaded, Titanium, TiNi surface treatment for bone and mobile patella poly

BP TKR Ultracoat Mobile Patella sizes 1-6(inc)

Buechel-Pappas Ultracoat Total Knee Replacement System Patellar Component

Buechel-Pappas Ultracoat Total Knee Replacement System Femoral Component

Femoral Component, Titanium, uncemented, beaded, TiNi articular and bone surface treatment

Buechel-Pappas Ultracoat Total Knee Replacement System Tibial Baseplate

Tibial Baseplate, uncemented, beaded, Titanium, TiNi Insert and bone ingrowth surface treated, for a mobile insert

Buechel-Pappas Ultracoat Total Knee Replacement System Femoral and Tibial Stems

Femoral and Tibial stems, titanium, TiNi surface treatment, uncemented

BP TKR Revision stems 9mm -20mm (inc)

Buechel-Pappas Ultracoat Total Knee Replacement System Rebar Screws

Screws used for augmentation of bone defects and reinforcement of PMMA, TiNi surface treatment BP Rebar screws 15mm-

50mm (inc)Aphakia ModelComposition: PMMA

5.00mm Optic Diameter x 8.5 in overall length

Optic: Hydrophobic Polysiloxane. Haptic: PMMA

6mm optic diameter x 8.5 in overall length

Phakic Intraocular Lens Myopic / Hyperopic

5.00mm Optic Diameter x 8.5 in overall length;

5.00mm Optic Diameter x 7.5 Overall5.00mm Optic Diameter x 7.5 Overall

A hydrophobic posterior chamber intraocular lens (IOL), embedded with a central circular mask, which operates under the principle of small aperture optics to reduce near vision blur and provide seamless extended range vision from distance to near.

The overall diameter is 12.5 millimetres with a 6 millimetre diameter aspheric optic.

Temporary implantable device for the treatment of infected total hip replacement, Composition - stainless steel core surrounded by PMMA impregnated with Gentamicin Short Stems, Head size

46mm, 54mm, 60mm

Page 44: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ER296 Hip 1443 Spacer-G Emergo Asia Pacific Pty Ltd Changed Benefit.

ER297 Knee 1923 Spacer-K Small, Medium, Large Emergo Asia Pacific Pty Ltd Changed Benefit.

EU011 Knee 555 Europ standard & Postero cemented Patella Diameters 25,29,32,35mm Euros Orthopaedics Australia Pty Ltd Changed Benefit.

EU012 Knee 130 Europ knee cancellous screwKnee cancellous screws

Euros Orthopaedics Australia Pty Ltd Changed Benefit.EU013 Knee 3052 Europ standard cemented condyle Knee cemented condyle 1 to 6, right and left Euros Orthopaedics Australia Pty Ltd Changed Benefit.

EU014 Knee 1054 Europ standard Polyethylene (UHMW) insert

Knee insert

Euros Orthopaedics Australia Pty Ltd Changed Benefit.EU015 Knee 3422 Europ Standard Uncemented Condyle Knee Uncemented Condyle 1 to 6, right and left Euros Orthopaedics Australia Pty Ltd Changed Benefit.EU016 Knee 1989 Europ Standard & Postero Cemented Monobloc Plate Knee Cemented Monobloc plate 1 to 6 Euros Orthopaedics Australia Pty Ltd Changed Benefit.

EX001 Hip 2368 Novation Ceramic AHS Liner Exactech Australia Changed Benefit.

EX002 Hip 3978 Novation Element HA Exactech Australia Changed Benefit.

EX003 Hip 879 L-Series Unipolar Head Exactech Australia Changed Benefit.

Temporary implantable device for the treatment of infected total hip replacement, Composition - stainless steel core surrounded by PMMA impregnated with Gentamicin Long Stems, Head size

46mm, 54mm, 60mmTemporary implantable device for the treatment of infected total knee replacement, Composition - stainless steel core surrounded by PMMA impregnated with Gentamicin

Europ Standard & Postero Cemented Patella

diameter: 6.5mm lengths 25,30,35,40,45,50mm

SMALL (thickness: 7,9,11,13,15mm) MEDIUM (thickness: 7,9,11,13,15mm) LARGE (thickness: 7,9,11,13,15mm)

Novation Ceramic AHS is indicated for use in primary total hip arthroplasty in skeletally mature patients with non-inflmmatory degenerative joint disease.

Group 1 brown 28mm ID, Group 2 Blue 32mm ID, Group 3 gray 36mm, Group 4 purple 36mm ID, Group 5 green 36mm ID

Novation Press-Fit Element Stems are intended for press-fix fixation and manufactured from Titanium 6A1-4V and have rectangular cross-sectional geometry with transverse proximal grooves and distal parallell grooves.

collarless: standard offset, 12/14, sizes 8-18 Extended offset 12/14, sizes 8-18, collared: standard offset 12/14, sizes 8-18

L-Series unipolar is a modular endoprosthesis consisting of a truncated spherical head and interchangeable neck sleeves. The device is fully machined from cobalt chrome conforming to ASTMF 1537-94

unipolar head: 42mm, 43mm, 44mm, 45mm, 46mm, 47mm, 48mm, 49mm, 50mm, 51mm, 52mm, 53mm, 54mm, 55mm taper sleeve: 12/14-3.5mm, 12/14 +0mm, 12/14 +3.5mm, 12/14 +7mm, 12/14 +10mm

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

EX004 Hip 1073 Novation GXL Liner Exactech Australia Changed Benefit.

EX005 Hip 1698 Novation Crown Cup Constrained Liner and Ring Exactech Australia Changed Benefit.

EX006 Hip 127 Novation Crown Cup Screws

Titanium cortical bone screws

Exactech Australia Changed Benefit.

The GXL Liner are indicated for use in skeletally mature individuals undergoing primary surgery for total hip replacement

Liner Neutral: Group 1: 28mm ID, Group 2: 28mm IS, 32mm ID, Group 3: 32mm ID, 36mm ID; Group 4: 32mm, 36mm, Group 5: 32mm, 36mm, Liner "Lipped": Group 1: 28mm, Group2: 28mm, 32mm, Group 3: 36mm, Group 4: 32mm, 36mm, Group 5: 36mm, Liner "+5 Lateralised" G

Sphere and taper liner diameter geometry for compatability with the Novation Crown Cup Locking Ring is one size

and Constrained Liner: Group 1: 48/50mm, shells, 38mm ID; Group 2: 53/54mm, shells, 32mm ID; Group 3: 56/58mm shells, 36mm ID; Group 4: 60/62mm shells, 36mm ID; Group 5: 64/66/68mm shells, 36mm ID

Full radius tip: 6.5mm x 15mm, 6.5mm x 20mm, 6.5mm x 25mm, 6.5mm x 30mm, 6.5mm x 35mm, 6.5mm x 40mm, 6.5mm x 45mm, 6.5mm x 50mm, 6.5mm x 55mm, 6.5mm x 60mm, 6.5mm x 70mm; Peripheral Rim screw: 4.5mm x 25mm, 4.5mm x 30mm, 4.5mm x 35mm, 4.5mm x 40mm, 4.5mm x 45mm, 4.5mm x 50mm, 4.5mm x 55mm, 4.5mm x 60mm, 4.5mm x 65mm, 4.5mm x 70mm; Pointed tip: MBA 6.5mm x 15mm, MBA 6.5mm x 20mm, MBA 6.5mm x 25mm, MBA 6.5mm x 30mm, MBA 6.5mm x 35mm, MBA 6.5mm x 40mm, MBA 6.5mm x 45mm, MBA 6.5mm x 50mm, MBA 6.5mm x 55mm, MBA 6.5mm x 60mm

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

EX007 Hip 2498 Novation Crown Cup Shell - plasma and HA coated Exactech Australia Changed Benefit.

EX008 Hip 793 L-Series Bipolar Head Exactech Australia Changed Benefit.

EX009 Hip 4625 Novation Tapered and Splinned Femoral Stem Exactech Australia Changed Benefit.

Novation Crown cup and liners - no-hole and cluster hole design options. Shells manufactured from titanium (Ti) alloy with plasma coating and an additional hydroxylapitite (HA) coating option. Sphere and taper inner diameter geometry.

Shell: No-Hole Shell size 48-68, 2mm increments; Cluster Hole Size 48-68, 2mm increments; Multi-Hole Size 48-56, Multi-Hole with Rim Fixation, Size 56-68

The L-Series Bipolar Head is a modular two piece device consisting of a spherical cobalt chrome shell and interchangeable polyethylene liner inserts 28mm 40mm OD, 28mm

41mm OD, 28mm 42mm OD, 28mm 43mm OD, 28mm 44mm OD, 28mm 45mm OD, 28mm 46mm OD, 28mm 47mm OD, 28mm 48mm OD, 28mm 49mm OD, 28mm 50mm OD, 28mm 51mm OD, 28mm 52mm OD, 28mm 53mm OD, 28mm 54mm OD, 28mm 55mm OD, 28mm 57mm OD, 28mm 59 mm OD, 28mm 61mm OD, 22mm 40mm OD, 33mm 41mm OD, 22mm 42mm OD, 22mm 43mm OD, 22mm 44mm OD, 22mm 45mm OD, 22mm 46mm OD, 22mm 47mm OD, 22mm 48mm OD, 22mm 49mm OD, 22mm 50mm OD, 22mm 51mm OD, 22mm 52mm OD, 22mm 53mm OD, 22mm 54mm OD, 22mm 55mm OD, 22mm 56mm OD

Novation Press-Fit femoral components are manufactured from titanium alloy. The stem has a circulo-trapezoidal cross-sectional geometry and distal taper.

tapered: Standard Offset, size 9-18, Extended Offset, Size 9-18; HA, Standard Offset, Size 9-18; HA, Extended Offset, Size 9-18, splinned: Standard Offset, Size 9-18; Extended Offset, Size 9-18, RDD Standard Offset size 11-18, RDD Extended Offset Size 9-18; HA RDD Standard Offset size 11-18, HA RDD Extended Offset size 11-18

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

EX010 Hip 240 L-Series Taper Sleeve for Unipolar Head Exactech Australia Changed Benefit.

EX011 Hip 2128 Novation Crown Cup Shell - plasma coated Exactech Australia Changed Benefit.

EX012 Hip 1711 Exotech Novation C femoral stem 1-8 Exactech Australia Changed Benefit.EX013 Hip 4625 Exactech Femoral Stem Novation Hip System 9-18 Exactech Australia Changed Benefit.

EX014 Hip 2886 Exactech M series modular Hip System 25-27mm, S, M, L, XL Exactech Australia Changed Benefit.

EX015 Hip 2886 Exactech M series modular Hip System 21 - 23mm, S, M, L, XL Exactech Australia Changed Benefit.

EX016 Hip 2886 Exactech Total Hip System 29-31mm, S, M, L, XL Exactech Australia Changed Benefit.

EX017 Hip 3256 Exactech M series modular Hip System 11 - 21mm x 135-165mm Exactech Australia Changed Benefit.EX018 Hip 2886 Exactech M Series Total Hip System Femoral Cone with calcar 21-31mm Exactech Australia Changed Benefit.

EX019 Hip 5106 Exactech Total Hip System 11-21mm x 200mm Exactech Australia Changed Benefit.

EX020 Hip 5106 Exactech Total Hip System 11-21mm x 250mm Exactech Australia Changed Benefit.

EX021 Hip 5106 Exactech Total Hip System 11-21mm x 300mm Exactech Australia Changed Benefit.EX022 Hip 740 Exactech Femoral Head Cobalt Chrome Head -2 to -5mm, +0 to 10mm Exactech Australia Changed Benefit.

EX023 Hip 1850 Exactech Femoral Head -2 to -5mm, +0 to +10mm Exactech Australia Changed Benefit.

EX024 Hip 1597 Exactech M Series body Titanium, complex neck segment

32 - 49mm, -5 - +30mm Exactech Australia Changed Benefit.

EX025 Knee 1187 Optetrak Total Knee System Tibial Augments Size 1 - 6 Exactech Australia Changed Benefit.

EX026 Knee 1187 Optetrak Total Knee System Femoral Augments Size 1-6 Exactech Australia Changed Benefit.

EX027 Knee 1164 Optetrak Total Knee System Femoral and Tibial Stems Size 1 - 6 Exactech Australia Changed Benefit.

EX028 Knee 1156 Optetrak Total Knee System Tibial Insert Size 1 - 6 Exactech Australia Changed Benefit.

The L-series unipolar is a modular endoprosthesis consisting of a truncated spherical head and interchangeable neck sleeves. The device is fully machined from cobalt chrome conforming to ASTM F1537-94.

taper sleeve: 12/14 -3.5mm, 12/14 +0mm, 12/14 +3.5mm, 12/14 +7mm, 12/14 +10mm

Novation Crown Cup and Liners: No-Hole and Cluster Hole design options, shells manufactured from titanium (Ti) alloy with plasma coating, sphere and taper inner diameter geometry.

Shell: No-Hole shell size 48-68, 2mm increments; Cluster Hole Size 48-68, 2mm increments; Multi-Hole Size 48-56, Multi-Hole with Rim Fixation, Size 56-68

Femoral stem cemented unpolished

Modular Titanium Revision Hip - Metaphyseal SegmentFemoral cone, titanium, plasma, not HAModular Titanium Revision Hip - Metaphyseal SegmentModular femoral stem, titanium, polished, non HA

Modular stem Titanium polished, non HAModular stem Titanium polished, non HAModular Titanium Revision Hip - Stem

Ceramic/Femoral Head, Biolox Forte

Tibial Augments for CCK femoral component, half and third blocks, titanium, screw fixation Femoral Augments for CCK femoral component, distal and posterior blocks, titanium, screw fixation

Femoral and Tibial Stems for Optetrak Knee System, titanium, cemented or uncemented, femoral stem requires stem extension adapter on every occasion, tibial stem requires screw fixation

Tibial Insert, UHMWPE, fixed and totally stabilised with peg and reinforced with screw/post fixation (Spine stiffening screw)

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

EX029 Knee 722 Opetrak Total Knee System Femoral Stem Extension Adpater One size only Exactech Australia Changed Benefit.

EX030 Knee 130 Optetrak Total Knee System Tibial Stem Extension Screw One size only Exactech Australia Changed Benefit.

EX031 Knee 3052 Optetrak Total Knee System Femoral Component Size 1 - 6 Exactech Australia Changed Benefit.

EX032 Knee 1989 Optetrak Total Knee System, Tibial Baseplate Size 1-6 Exactech Australia Changed Benefit.

EX033 Knee 3145 Optetrak Total Knee System Femoral Component Size 1 - 6 Exactech Australia Changed Benefit.

EX034 Knee 3145 Optetrak Hi Flex Femoral Component 1-6 Exactech Australia Changed Benefit.

EX035 Knee 3238 Exactech Australia Changed Benefit.

EX036 Knee 1989 Optetrak Total Knee System, Tibial Baseplate Size 1-6 Exactech Australia Changed Benefit.

EX037 Knee 3515 Optetrak Hi Flex Femoral Component 1-6 Exactech Australia Changed Benefit.EX038 Knee 555 Optetrak Total Knee System Patellar 26-41mm Exactech Australia Changed Benefit.

EX039 Knee 1054 Optetrak Total Knee System, Tibial Insert Size 1-6 Exactech Australia Changed Benefit.

EX040 Knee 2220 Optetrak RBK (Rotating Bearing Knee) Tibial Baseplate 1-6 Exactech Australia Changed Benefit.

EX041 Knee 1110 Optetrak Total Knee System, Tibial Insert Size 1-6 Exactech Australia Changed Benefit.

EX042 Knee 1110 Optetrak Total Knee System, Tibial Insert Size 1-6 Exactech Australia Changed Benefit.

EX043 Knee 1110 1-6 Exactech Australia Changed Benefit.

EX044 Knee 2128 Optetrak Uni Condylar Knee System Femoral Component 1-6 Exactech Australia Changed Benefit.EX045 Knee 1156 Optetrak Uni Condylar Knee System Tibial Component Uni Tibial, all poly, Cemented 1-6 Exactech Australia Changed Benefit.

Femoral Stem Extension Adapter that provides for set changes in angulation of stem needs to be used on every occasion

Tibial Stem Screw for Tibial stem fixation Femoral Component, cemented, CoCrTibial Baseplate, titanium, fixed insert, cementedFemoral Component, cemented, CoCr, posterior stabilised Femoral Component, Cemented, CoCr, High Flex (Hi Flex), posterior stabilised

Optetrak Total Knee System CCK and NMC (constrained Condylar and Non-Modular Constrained Knee) Femoral component

Femoral Component, cemented, CoCr, totally stabilised Size 1 - 6(CCK), Size 1-

5(NMC)Tibial Baseplate, titanium, fixed insert (finned, trapezoid, offset with locking screw), cementedFemoral Component, uncemented, CoCr beaded, high flex (Hi Flex), posterior stabilised

Tibial Insert, UHMWPE, Fixed (Cruciate retained)Tibial Baseplate, titanium with polished insert surface, cemented, for a mobile insert Tibial Insert, UHMWPE, Fixed (Posterior Stabilised)Tibial Insert, UHMWPE, Fixed (Hi Flex)

Optetrak RBK (Rotating Bearing Knee) Total Knee System Tibial Insert

Tibial Insert, UHMWPE, mobile, posterior stabilised Uni Femoral Component, cemented, CoCr

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

EX052 Hip 694 All Polyethylene cemented acetabular component Exactech Australia Changed Benefit.

EX053 Hip 1711 Novation Cemented Plus Femoral Stem Exactech Australia Changed Benefit.

EX054 Hip 146 Novation Distal Centralizer, PMMA Exactech Australia Changed Benefit.

EX056 Knee 1156 Exactech Australia Changed Benefit.

The All Polyethylene cemented acetabular components are indicated for use in skeletally mature individuals undergoing primary surgery for total hip replacement due to osteoarthritis, rheumatoid arthritis, osteonecrosis, ankylosing spondylitis, congential hip dysplasia, post-traumatic degenerative problems of the hip, and for treatment of proximal femoral fractures where prosthetic replacement is determined by the surgeon as the preferred treatment.

22mm ID: 44mm OD, 46mm OD, 48mm OD, 50mm OD, 52mm OD, 54mm OD 28mmID: 48mmOD, 50mmOD, 52mmOD, 54mm OD, 56mm OD, 58mm OD, 60mm OD 32mm ID: 52mm OD, 54mmOD, 56mm OD, 58mm OD, 60mm OD

The Exatech Novation Cemented Femoral Stems are a line addition to the AcuMatch C-Series Cemented femoral stems, as follows: The trapezoidal cross-sectional area was modified to a circulo-trapezoidal geometry. A change to the sizing range and neck length. 12/14 trunnion on neck to connect to femoral heads.

Size 10, 11, 12, 13, 14, 15, 17

The Exatech distal centralizer is used for cemented only hip arthroplasty, it centralises the stem position in the femur.

Size 10mm, 11mm, 12mm, 13mm, 14mm, 15mm, 17mm

Optetrak Net Compression Molded Cruciate Retaining All Polyethylene Tibial Component

The Exatctech Optetrak Comprehensive Knee System is a knee joint prosthesis intended for use in treating human knee joint diseases. It consists of femoral components, tibial components, patella components and a variety of optional augmentation blocks and stems.Twoic models are used to address specific indications and customer preferences: Cruciate Retaining (CR), Posterior Stabilised (PS), ptetrak tibial inserts are made of direct-compression molded UHMWPE

Size 1 - 9mm, 11mm, 13mmSize 2 - 9mm, 11mm, 13mmSize 3 - 9mm, 11mm, 13mmSize 4 - 9mm, 11mm, 13mmSize 5 - 9mm, 11mm, 13mmSize 6 - 11mm, 13mm

Page 50: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

EX057 Knee 1156 Exactech Australia Changed Benefit.

EX066 Knee 5781 Size 1 - 6 Exactech Australia Changed Benefit.

GM042 Hip 481 BioBall - Revision Neck Adaptor Global Manufacturing Technology Pty LtdChanged Benefit.

GM047 Hip 2498 Fin II Acetabular Shell 44 to 72mm Global Manufacturing Technology Pty LtdChanged Benefit.

GM048 Hip 758 Fin II UHMWPE InsertUHMWPE

Global Manufacturing Technology Pty LtdChanged Benefit.GM049 Hip 2368 Fin II Ceramic Insert Ceramic, Biolox Forte 44 to 72mm Global Manufacturing Technology Pty LtdChanged Benefit.GM051 Hip 1319 Fin II Revision Ring Titanium with hook & flanges 52 to 72mm Global Manufacturing Technology Pty LtdChanged Benefit.GM056 Hip 740 SMR Femoral Head CoCr 22 to 40mm Global Manufacturing Technology Pty LtdChanged Benefit.GM057 Hip 1850 SMR Ceramic Femoral Head Ceramic, Biolox Forte 28 to 36mm Global Manufacturing Technology Pty LtdChanged Benefit.

GM058 Hip 127 Fin II Acetabular Screw 15 - 80mm Global Manufacturing Technology Pty LtdChanged Benefit.GM066 Hip 879 BioBall Femoral Head Femoral Head Vivium > 32mm 36mm to 58mm Global Manufacturing Technology Pty LtdChanged Benefit.

GM090 Hip 4625 APEX Global Femoral Stem Sizes 2-8 Global Manufacturing Technology Pty LtdChanged Benefit.

GM091 Hip 1597 Apex Modular Neck Global Manufacturing Technology Pty LtdChanged Benefit.GM092 Hip 740 Apex Global Femoral Head CoCr 28mm to 40mm Global Manufacturing Technology Pty LtdChanged Benefit.GM093 Hip 1850 Apex Global Ceramic Femoral Head Ceramic, Biolox Forte 28mm to 36mm Global Manufacturing Technology Pty LtdChanged Benefit.

GM107 Hip 481 APEX Global Neck Adaptor variable tapers Global Manufacturing Technology Pty LtdChanged Benefit.

GM108 Hip 2128 BioBall Delta Femoral HeadFemoral Head Biolox Delta

Global Manufacturing Technology Pty LtdChanged Benefit.

GM113 Hip 2498 Global Acetabular Shell 42-72mm Global Manufacturing Technology Pty LtdChanged Benefit.GM114 Hip 2368 Global Acetabular Ceramic Insert Ceramic, Biolox Delta 44-72mm Global Manufacturing Technology Pty LtdChanged Benefit.GM115 Hip 758 Global Acetabular UHMWPE Insert UHMWPE 44-72mm Global Manufacturing Technology Pty LtdChanged Benefit.

Optetrak Net Compression Molded Posterior Stabilised All Polyethylene Tibial Component

The Exactech Optetrak Comprehensive Knee System is a knee joint prosthesis intended for use in treating human knee joint diseases. It consists of femoral components, tibial components, patella components and a variety of optional augmentation blocks and stems.Twoic models are used to address specific indications and customer preferences: Cruciate Retaining (CR), Posterior Stabilised (PS), ptetrak tibial inserts are made of direct-compression molded UHMWPE

Size 1 - 9mm, 11mm, 13mmSize 2 - 9mm, 11mm, 13mmSize 3 - 9mm, 11mm, 13mmSize 4 - 9mm, 11mm, 13mmSize 5 - 9mm, 11mm, 13mmSize 6 - 11mm, 13mm

Optetrak Total Knee System CCK (Constrained Condylar Knee) Femoral Component

Femoral Component, cemented, CoCr, totally stabilisedTitanium, varying tapers & lengths, for ceramic & metal heads

12/14 standard, 12/14 offset, 14/16 standard,V40 standard, V40 offset, PCA standard, PCA offset, Type 1 standard, PCA offset 11/13 standard, 11/13 offset, small to 5 XL, M to 5 XL, M to 5XL for each.

titanium, Plasma sprayed, HA, with variable screw options

44 to 72mm, 0 & 5 degree hood

Titanium, '6.5mm Cancellous Bone Screws

Titanium, plasma coated, proximal HA , standard and short lengths

Titanium and CoCr with lateral extension for stem connection

25mm - 35mm to 35mm - 50mm

Titanium neck adaptor for variable tapers, used in revision with ceramic head

36mm, 38mm, 40mm, 44mm, 48mm

Titanium, plasma spray, HA with variable number of holes

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

GM116 Hip 127 Global Acetabular Cancellous Screw 15mm to 50mm Global Manufacturing Technology Pty LtdChanged Benefit.

GM119 Hip 1942 Global Metal Acetabular Inserts Multiple sizes Global Manufacturing Technology Pty LtdChanged Benefit.

GM124 Hip 1698 Global Manufacturing Technology Pty LtdChanged Benefit.

GM125 Hip 1073 Global Manufacturing Technology Pty LtdChanged Benefit.

GM126 Hip 1698 Global acetabular system - constrained liner

constrained polyethylene liner

Global Manufacturing Technology Pty LtdChanged Benefit.

GM127 Hip 1942 Contile Finn II, Acetabular system, insert metal

Acetabular Insert Metal

Global Manufacturing Technology Pty LtdChanged Benefit.

GM128 Hip 694 Contile Fin II Acetabular, Mueller Cup 28mm and 32mm

Mueller Cup

Global Manufacturing Technology Pty LtdChanged Benefit.

Titanium 6.5mm cancellous bone screwCoCr, metal on metal, varying diameter

Global Acetabular System- Highly cross-linked and Annealed constrained liner

highly cross linked and annealed constrained liner 28mm, 32mm 36mm

Diameter Neutral, 10 degree and 20 degree size range 44mm to 72mm

Global Acetabular System HCLA (highly Cross-Linked and Annealed) Acetabular Liner

HCLA (highly Cross-Linked and Annealed) Acetabular Insert

68-76mm/3668-76mm/3268-76mm/2860-66mm/3660-66mm/3260-66mm/2856-58mm/3656-58mm/3256-58mm/2852-54/3252-54mm/2850mm/2846-48mm/28

10 Degree

68-76mm/3668-76mm/3268-76mm/2860-66mm/3660-66mm/3260-66mm/2856-58mm/3656-58mm/3256-58mm/2852-54/3252-54mm/2850mm/2846-48mm/28

Diameter 28mm, 32mm and 36mm 44mm to 72mm Neutral, 10 degree and 20 degree

metal on metal 28mm 44mm to 50mmmetal on metal 32mm 48mm to 62mmmetal on metal 36mm 52mm to 72mm28mm Neutral and 10 Degree, 32mm Neutral and 10 Degree

Page 52: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

GM129 Hip 1073 Contile Fin II Acetabular Insert Highly Cross Linked Polyethylene Global Manufacturing Technology Pty LtdChanged Benefit.

GM130 Hip 2424 Contile Fin II Acetabular Biolox Delta Ceramic Liners Global Manufacturing Technology Pty LtdChanged Benefit.

GM131 Hip 1942 Biolox Delta Ceramic Femoral Heads Global Manufacturing Technology Pty LtdChanged Benefit.

GM132 Hip 2128 Biolox Delta Ceramic Femoral Heads

Biolox Delta Femoral Head 36mm

Global Manufacturing Technology Pty LtdChanged Benefit.GM145 Hip 750 BioBall Femoral Head Femoral Head Vivium > 32mm 36mm to 58mm Global Manufacturing Technology Pty LtdChanged Benefit.GM146 Hip 740 BioBall Femoral Head Femoral Head Vivium < 32mm 28mm, 32mm Global Manufacturing Technology Pty LtdChanged Benefit.

GO001 Knee 555 RBK Total Knee System Patella component 24mm - 40mm Global Orthopaedic Technology Changed Benefit.

GO002 Knee 1054 RBK Total Knee System Tibial Insert 1-5, 10-20mm Global Orthopaedic Technology Changed Benefit.

GO003 Knee 2220 RBK Total Knee System Tibial Baseplate 0 - 5 Global Orthopaedic Technology Changed Benefit.

GO004 Knee 2729 RBK Total Knee System Tibial Baseplate 1-5 Global Orthopaedic Technology Changed Benefit.

GO005 Knee 3099 RBK Total Knee System Tibial Baseplate 1-5 Global Orthopaedic Technology Changed Benefit.

GO006 Knee 3052 RBK Total Knee System Femoral Component 0 - 5 Global Orthopaedic Technology Changed Benefit.

GO007 Knee 3422 RBK Total Knee System Femoral Component 1-5 Left and Right Global Orthopaedic Technology Changed Benefit.

GO008 Knee 1251 RBK Total Knee System Patella component sizes 1 - 5 Global Orthopaedic Technology Changed Benefit.

GO031 Knee 1156 Global re-surfacing uni-compartmental (GRU) knee tibial component -2-5, 6.5-9.5mm regular Global Orthopaedic Technology Changed Benefit.

GO032 Knee 2128 Global re-surfacing uni-compartmental knee femoral component Global Orthopaedic Technology Changed Benefit.

Acetabular Insert Highly Cross Linked Polyethylene

Diameter 28mm 44mm to 72mm Neutral to 10 Degree, Diameter 32mm 44mm to 72mm Neutral to 10 Degree, Diameter 36mm 44mm to 72mm Neutral to 10 Degree, Diameter 40mm 44mm to 72mm Neutral to 10 Degree

Contile Fin II Acetabular Biolox Delta Ceramic Liner inserts 28mm,32mm, 36mm & 46mm Inserts 28mm 44mm to

46mm, Inserts 32mm 48mm to 66mm, Inserts 36mm 52mm to 66mm, Inserts 40mm 56mm to 66mm

Biolox Delta Ceramic Femoral Heads 28mm 32mm Biolox Delta Femoral Head

28mm - -3.5mm to +3.5mm and Biolox Delta Femoral Head 32mm - 3.5mm to +7mm

Biolox Delta Femoral Head 36mm -4.0mm to +8.0mm, 40mm -4.0mm to +8.0mm

Patella component All poly, UHMWPE, cemented, 3 pegsTibial Insert, UHMWPE, mobile bearingTibial baseplate, grit blast, CoCr, cemented, for mobile bearing insert Tibial baseplate, CoCr, beaded, uncemented, for mobile bearing insert Tibial baseplate, CoCr, uncemented, beaded, with Titanium plasma spray and HA for mobile bearing insert

Femoral Component, CoCr, cementedFemoral Component, uncemented, CoCr, Porous coated

Patella component, metal back, CoCr, mobile, titanium plasma sprayed with HA, uncementedGRU Tibia.All poly, uni compartment, tibial component, UHMWPEUni Femoral component, CoCr, cemented

Size 1-5 Right medial/left lateral; Size 1-5 Left medial/right lateral

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

GO035 Knee 2544 RBK Total Knee System Patello Femoral (trochlear component) Size 00 to 5 Global Orthopaedic Technology Changed Benefit.

GO047 Hip 2220 ICON Femoral Head 38-58mm Global Orthopaedic Technology Changed Benefit.

GO048 Hip 4764 ICON Acetabular Cup 44-66mm cups Global Orthopaedic Technology Changed Benefit.

GO049 Hip 3099 ICON Resurfacing Head 38-58mm head Global Orthopaedic Technology Changed Benefit.

GO113 Knee 5689 RBK Total Knee System Femoral Component Size 0 to 5 Global Orthopaedic Technology Changed Benefit.

GO114 Knee 1164 RBK Total Knee System Stems Global Orthopaedic Technology Changed Benefit.

GO115 Knee 3608 RBK Total Knee System Tibial Baseplate Size 00 to 5 Global Orthopaedic Technology Changed Benefit.

GO116 Knee 1187 RBK Total Knee System Tibial Augments 5mm and 10mm thick Global Orthopaedic Technology Changed Benefit.

GO117 Knee 1110 RBK Total Knee System Tibial Insert Global Orthopaedic Technology Changed Benefit.

GO118 Knee 1187 RBK Total Knee System Femoral Augments 4mm and 10mm thick Global Orthopaedic Technology Changed Benefit.

GO119 Knee 3194 RBK Total Knee System Rotating hinge bushing mechanism Complete mechanism Global Orthopaedic Technology Changed Benefit.

GO120 Knee 130 RBK Total Knee SystemScrew, Ti

Global Orthopaedic Technology Changed Benefit.

GO155 Knee 2220 RBK Universal Knee System Tibial Baseplate 1 - 5 Global Orthopaedic Technology Changed Benefit.

GO156 Knee 2729 RBK Universal Knee System Tibial Baseplate 1 - 5 Global Orthopaedic Technology Changed Benefit.

GO157 Knee 3099 RBK Universal Knee System Tibial Baseplate 1 -5 Global Orthopaedic Technology Changed Benefit.

GO158 Knee 282 RBK Universal Knee System Insert Bolt 10mm - 20mm Global Orthopaedic Technology Changed Benefit.

GO159 Knee 1054 RBK Universal Tibial Insert Size 1- 5, 10mm - 20mm Global Orthopaedic Technology Changed Benefit.

GO160 Knee 1054 RBK Universal Tibial Insert 1-5, 10mm - 20mm Global Orthopaedic Technology Changed Benefit.

GO164 Hip 1942 Global Cemented Femoral StemCoCr, Polished, Double Taper,

Global Orthopaedic Technology Changed Benefit.GO165 Hip 146 Global Centraliser Femoral Centraliser Various Global Orthopaedic Technology Changed Benefit.GO166 Hip 146 Global Distal Centraliser PMMA, Various Global Orthopaedic Technology Changed Benefit.

GO169 Knee 6244 RBK Total Knee System Femoral Component Size 0 to 5 Global Orthopaedic Technology Changed Benefit.

GO189 Knee 555 Apex Knee, All-Poly Patella

All-Poly Dome 3 Peg Patella

Global Orthopaedic Technology Changed Benefit.

Trochlear Component, cemented, CoCr CoCr, metal on metal, large diameterCoCr, beaded, HA coating, with fins, resurfacing, metal on metalCoCr, cemented, resurfacing, metal on metalFemoral Component, cemented, CoCr, posterior stabilised Tibial and Femoral Stems, cemented, Titanium including locking bolt

10mm to 24mm thick x 80mm to 170mm long

Tibial Baseplate, for mobile insert, CrCo, cementedTibial hemi blocks and wedges, CoCr, TitaniumTibial Insert, UHMWPE, mobile bearing, posterior stabilised with peg, separate bolt fixation that passes down the peg

Size 0 to 5, 10mm to 20mm thick

Distal and posterior femoral blocks, titaniumRotating Hinge Bushing Mechansim

5mm to 5.7mm x 5mm to 17.5mm long

Tibial Baseplate, short keel, cemented, CoCr, for mobile insert

Tibial Baseplate, short keel, uncemented, CoCr, beaded, for mobile insert Tibial Baseplate, short keel, uncemented, CoCr, beaded, with titanium plasma spray and HA, for mobile insert

Insert bolt for RBK universal pegged and non pegged insertsTibial Insert, UHMWPE, fixed, requiring fixation with separate bolt

Tibial Insert, UHMWPE, mobile bearing, requiring fixation with separate bolt

Sizes 000 - 4, with various offsets

Femoral Component, cemented, CoCr, totally constrained

29mm x 10mm & 8mm, 32mm x 10mm & 8mm, 35mm x 10mm & 8mm, 38mm x 10mm & 8mm, 41mm x 10mm

Page 54: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.GO190 Knee 282 Apex Knee, Locking Bolt Tibial Insert Locking Bolt One size Global Orthopaedic Technology Changed Benefit.

GO191 Knee 1054 Apex Knee, Tibial Insert Global Orthopaedic Technology Changed Benefit.

GO192 Knee 130 Apex Knee, Bone Screw

6.5mm Bone Screw

Global Orthopaedic Technology Changed Benefit.

GO193 Knee 2498 Apex Knee, Tibial Base Plate - Porous

Tibial Baseplate, Cementless

Global Orthopaedic Technology Changed Benefit.

GO194 Knee 1989 Apex Knee, Tibial Base Plate - Cemented Global Orthopaedic Technology Changed Benefit.

GO195 Knee 3422 Apex Knee, CR Femoral Component Porous Coated Global Orthopaedic Technology Changed Benefit.

GO196 Knee 3052 Apex Knee - Cemented Femoral Component Global Orthopaedic Technology Changed Benefit.

GO233 Hip 2498 Novae Dual Mobility Cup Global Orthopaedic Technology Changed Benefit.

GO234 Hip 1942 Novae Double Mobility Cup Insert Global Orthopaedic Technology Changed Benefit.

GO247 Hip 2424 Contile Fin II Acetabular Biolox Delta Ceramic Liners Global Orthopaedic Technology Changed Benefit.GO256 Knee 3376 Apex Revision Knee System A modular tibial baseplate sizes 1-6 Global Orthopaedic Technology Changed Benefit.

GO257 Knee 1110 Apex Revision Knee Tibial InsertApex Revision Knee Tibial Insert

size 1 to 6mm x 10 to 28mm Global Orthopaedic Technology Changed Benefit.

Tibial Insert, Standard, Ultra & Congruent, Size 1-7, 10mm to 20mm.

Size 1, 10mm to 20mm, size 2, 10mm to 20mm, size 3, 10mm to 20mm, size 4, 10mm to 20mm, size 5, 10mm to 20mm, size 6, 10mm to 20mm, size 7, 10mm to 20mm.

20mm, 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm, 65mm & 70mm.

Size 1 Left & Right, Size 2 Left & Right, Size 3 Left & Right, Size 4 Left & Right, Size 5 Left & Right, Size 6 Left & Right

Tibial Baseplate, Cemented, Non-Porous, Size 1 - 7 Left & Right Size 1 Left & Right, size 2

Left & Right, size 3 Left & Right, size 4 Left & Right, size 5 Left & Right, size 6 Left & Right, size 7 Left & Right.

CR Femoral Component Porous Coated Size 1 to 6 left & Right. Size 1 Left & Right, size 2

left & Right, size 3 Left & Right, size 4 Left & Right, size 5 left & Right, size 6 Left & Right

CR Cemented Femoral Component, Non-Porous, Size 1 to 6

Size 1 Left & Right, size2 Left & Right, size 3 Left & Right, size 4 left & Right, size 5 Left & Right, size 6 Left & Right

A cementless metal acetabular dual mobility cup designed to be used with a polyethylene liner.

43mm to 69mm diameter in 2mm increments

A cementless metal acetabular dual mobility cup designed to be used with a polyethylene liner.

22mm x 43 - 69mm diameter in 2mm increments28mm x 47 - 69mm diameter in 2mm increments

Contile Fin II Acetabular Biolox Delta Ceramic Liner inserts 28mm,32mm, 36mm & 46mm Inserts 28mm 44mm to

46mm, Inserts 32mm 48mm to 66mm, Inserts 36mm 52mm to 66mm, Inserts 40mm 56mm to 66mm

Page 55: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

GO259 Knee 130 Apex Revision Knee - Femoral and Tibial Augment Locking Screw/Bolt Global Orthopaedic Technology Changed Benefit.

GO260 Knee 1187 Apex Revision Knee Global Orthopaedic Technology Changed Benefit.

GO261 Hip 127 Novae Double Cup Cortical Bone Screw

Cortical Bone Screw

Global Orthopaedic Technology Changed Benefit.

GO262 Knee 130 Apex Revision Knee - Tibial Insert Locking Peg/BoltTibial Insert Locking Peg/Bolt

Global Orthopaedic Technology Changed Benefit.

GO282 Hip 1665 Novae STICK Dual Mobility Cup Global Orthopaedic Technology Changed Benefit.

GO283 Knee 1164 Apex Revision Knee Stems Global Orthopaedic Technology Changed Benefit.GO284 Knee 671 Apex Revision Knee Modular Tibia Cup Modular Tibia Cup Only One size Global Orthopaedic Technology Changed Benefit.GO285 Hip 4625 Paragon Hip Stem Paragon Femoral Stem 1-12 Global Orthopaedic Technology Changed Benefit.

GO286 Knee 5689 Apex PS Cemented Revision Femoral Component Global Orthopaedic Technology Changed Benefit.

GO287 Knee 3145 Apex PS Cemented Femoral Component Global Orthopaedic Technology Changed Benefit.

GT270 Cardiac 9180 GORE® CARDIOFORM Septal Occluder W L Gore & Associates Changed Benefit.GU009 Cardiac 1123 Fineline II Sterox IROX Lead Bipolar passive fixation 52cm, 58cm Guidant Australia Pty Ltd Changed Benefit.GU011 Cardiac 1123 Fineline II Sterox IROX Lead Bipolar passive fixation 52cm, 58cm Guidant Australia Pty Ltd Changed Benefit.GU012 Cardiac 1123 Fineline II Sterox IROX Lead Bipolar, passive fixation 45cm, 52cm Guidant Australia Pty Ltd Changed Benefit.GU013 Cardiac 1123 Fineline II EZ Sterox IROX Lead Bipolar, active fixation 45cm, 52cm, 58cm Guidant Australia Pty Ltd Changed Benefit.GU016 Cardiac 1123 Fineline II EZ Sterox IROX Lead Bipolar, active fixation 45cm, 52cm, 58cm Guidant Australia Pty Ltd Changed Benefit.GU115 Cardiac 8100 Endotak Reliance Lead Passive Dual Coil 59cm, 64cm, 90cm Guidant Australia Pty Ltd Changed Benefit.GU123 Cardiac 4212 Endotak SQ Array XP Lead Model 0085 Sub-Q Array for high DFT 70cm Guidant Australia Pty Ltd Changed Benefit.GU138 Cardiac 5616 Easytrak 2, Model 4514, 4515, 4516, 4517, 4518, 4519, 4520 Bipolar, passive fixation . Guidant Australia Pty Ltd Changed Benefit.GU153 Cardiac 5616 Easytrak 2 Is-1 Lead - Models 4542, 4543 & 4544 Bipolar, passive fixation 80 to 100cm Guidant Australia Pty Ltd Changed Benefit.

GU156 Cardiac 5616Bipolar, passive fixation

80 to 100cm Guidant Australia Pty Ltd Changed Benefit.

GU158 Cardiac 8100 Endotak Reliance SG Passive 54cm - 90cm Guidant Australia Pty Ltd Changed Benefit.

Femoral and Tibial Locking Screw/Bolt

Femoral Augment Locking Screw/Bolt - one size onlyTibial Augment Locking Screw/Bolt - 4mm, 8mm, 12mm

Apex Revision Knee Femoral and Tibial Augments

Femoral, Size 0-6+, 5mm/10mm/15mmTibial, Size 0-6, 4mm

5mm diameter, 30 to 65mm length in 5mm increments10; 11; 12; 14; 16; 18; 20; 24 and 28mm

A cemented metal acetabular dual mobility cup designed to be used with a polyethylene liner

43-69mm diameter in 2mm increments

Apex Revision Knee Femoral and Tibial Stems Modular Stem - 9-25mm x

75-150mmOffset - 9-25mm x 75-15mm x 2-4mmAngled Stem - 9-25mm x 75x150mmModular Tibial Keels 1-16

The femoral component of a total knee revision system that incorporates a proportionally sized box.

Sizes 1-6, plus Sizes 1+ to 5+ Left and Right

The femoral component of a total knee system that incorporates a proportionally sized box. Sizes 1-6, plus Sizes 1+ to

5+ Left and RightThe GORE® CARDIOFORM Septal Occluder consists of an implantable occluder comprised of a platinum-filled nickel-titanium (Nitinol) wire frame covered with expanded polytetrafluoroethylene (ePTFE). The occluder is available in sizes of 15, 20, 25, and 30 mm.

15mm Nominal Disc Diameter; 20mm Nominal Disc Diameter; 25mm Nominal Disc Diameter; 30mm Nominal Disc Diameter

Easytrak 3 Lead - Models 4521, 4522, 4523, 4524, 4525, 4526 and 4527

Passive Single Coil wih GORE ePTFE covered coils

Page 56: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

GU159 Cardiac 8100 Endotak Reliance G Passive 54cm - 90cm Guidant Australia Pty Ltd Changed Benefit.GU162 Cardiac 5616 Easytrak 3 IS-1 Lead Bipolar, passive fixation Sizes 80 to 100cm Guidant Australia Pty Ltd Changed Benefit.

GU163 Cardiac 8100 ENDOTAK RELIANCE G Active 59-90cm Guidant Australia Pty Ltd Changed Benefit.

GU164 Cardiac 8100 ENDOTAK RELIANCE SG Active 59-90cm Guidant Australia Pty Ltd Changed Benefit.GU165 Cardiac 5616 Acuity Steerable Lead Bipolar, passive fixation 80cm, 90cm ,100cm Guidant Australia Pty Ltd Changed Benefit.

HE001 Cardiac 3105 BioMatrix Flex Drug Eluting Coronary Stent System HELEX-A PTY. LTD. Changed Benefit.HW001 Hip 111 Hardinge Cement Restrictor PMMA 6,9 and 12 Leaf Stryker Australia Pty Ltd Changed Benefit.

HW011 Hip 127 ABG Hip System Stryker Australia Pty Ltd Changed Benefit.

HW012 Hip 80 ABG Hip System 7mm, 8mm, 9mm lengths Stryker Australia Pty Ltd Changed Benefit.

HW014 Hip 2498 ABG 11Cup with Hydroxyapatite Stryker Australia Pty Ltd Changed Benefit.

HW015 Hip 2498 ABG 11Cup with Hydroxyapatite Stryker Australia Pty Ltd Changed Benefit.HW017 Hip 1850 Stryker Biolox Forte Alumina Femoral Head Hip - Femoral Head 28, 32mm Stryker Australia Pty Ltd Changed Benefit.

HW024 Hip 4625 ABG11 Hip Stem Prosthesis(Various)Titanium, Plasma coated with HA

Stryker Australia Pty Ltd Changed Benefit.

HW025 Hip 569 Austin Moore Endoprosthesis Head size 38 to 63 Stryker Australia Pty Ltd Changed Benefit.

HW026 Hip 569 Austin Moore EndoprosthesisStandard Stem - Vitallium

Stryker Australia Pty Ltd Changed Benefit.

HW029 Hip 866 Duration Polyethelene cemented acetabular component 22 - 36 mm ID Stryker Australia Pty Ltd Changed Benefit.

HW030 Hip 889 Contemporary Hip System Range Stryker Australia Pty Ltd Changed Benefit.HW031 Hip 1942 Definition PM Femoral Component Femoral Stem - Vitallium Stem sizes 1 - 7 Stryker Australia Pty Ltd Changed Benefit.HW032 Hip 740 Stryker CoCr Femoral Head Hip - Femoral Head 22, 26, 28, 30, 32mm Stryker Australia Pty Ltd Changed Benefit.

HW034 Hip 146 Definition PM Femoral Component 11-22mm Stryker Australia Pty Ltd Changed Benefit.HW038 Hip 740 V40 Orthinox Head Stainless Steel 22 - 28mm dia Stryker Australia Pty Ltd Changed Benefit.

HW040 Hip 3284 Exeter Hip System 37.5 and 44mm offsets Stryker Australia Pty Ltd Changed Benefit.

HW041 Hip 2312 Exeter Hip System

Stainless Steel (Orthinox)

Stryker Australia Pty Ltd Changed Benefit.

HW043 Hip 770 Brunswick CupPolyethylene

Stryker Australia Pty Ltd Changed Benefit.

HW047 Hip 127 Exeter Hip System Stryker Australia Pty Ltd Changed Benefit.HW064 Hip 1319 Kerboull - Vitallium Petrusio cage 44, 48, 52, 56, 60mm OD Stryker Australia Pty Ltd Changed Benefit.

HW072 Hip 1073 Vitalock Acetabular system 12 Crossfire linerUHMPE

Stryker Australia Pty Ltd Changed Benefit.

HW084 Knee 130 Duracon Knee System Augment Locking Screw 5mm, 10mm Stryker Australia Pty Ltd Changed Benefit.

HW085 Knee 1096 Duracon Knee System Modular Stabilizer Box Stryker Australia Pty Ltd Changed Benefit.

HW086 Knee 2128 Duracon Knee System Tibial Baseplate Stryker Australia Pty Ltd Changed Benefit.

Passive Dual Coil with GORE ePTFE covered coils

Active Dual Coil with GORE ePTFE covered coilsActive Single coil with GORE ePTFE covered coils

Coronary Artery Stent, Drug Eluting

(8 - 38)mm length x (2.25 - 4.0)mm diameter

Bone screw - Titanium, used with ABG11 Cups

12,15,20,25,30,35,40,45 and 50mm lengths

Spikes - Titanium, used with ABG11 CupsTitanium, grit blast and HA for UHMPE insert

Sizes 42mm to 74mm OD in 2mm increments

Titanium, grit blast and HA for ceramic insert

Sizes 44mm to 66mm OD in 2mm increments

Stem sizes 1 - 8 Left, 1 - 8 Right

Long Stem - Vitallium cobalt chrome

105-165mm length, Head size: 38 to 57

Duration Poly Cup - Enhanced PolyethyleneExeter Contemporary Flanged modified Enhanced Polyethylene ID: 26, 28, 32. OD 46, 48,

50, 52, 54, 56, 58, 60

Distal Centraliser - PMMA - Ring Centraliser

Stainless Steel (Orthinox) polished long

Stem Sizes 0-6, Offsets 30, 33, 35.5, 37.5, 44, 50 & 56mm44, 48, 50, 52, 54, 56mm OD

X-Change Bone Screws - Stainless Steel

3.5mm X 10, 15, 20, 25, 30, 35mm

22mm,26mm,28mm, 32mm ID

Augment Locking Screw, CoCr (Vitallium)Modular Stabilizer Box, CoCr (Vitallium)

Small, Medium, Medium-Large, Large, Extra-Large

Tibial baseplate, uncemented, beaded, CoCr (Vitallium)

Small, Medium, Large, Extra-Large

Page 57: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

HW091 Knee 1054 Duracon Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

HW092 Knee 1110 Duracon Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

HW097 Knee 130 Duracon Knee System Tibial Baseplate Screw Stryker Australia Pty Ltd Changed Benefit.

HW098 Knee 1164 Duracon Knee System Stems Stryker Australia Pty Ltd Changed Benefit.

HW099 Knee 1187 Duracon Knee System Tibial Augments Stryker Australia Pty Ltd Changed Benefit.

HW102 Knee 1054 Duracon Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

HW105 Knee 555 Duracon Knee System Patella Component Stryker Australia Pty Ltd Changed Benefit.

HW108 Knee 740 Scorpio Knee System Patella Component Stryker Australia Pty Ltd Changed Benefit.

HW140 Knee 555 Kinemax Knee System Patella Component Small, Medium, Large Stryker Australia Pty Ltd Changed Benefit.

HW141 Knee 3839 MRH (Modular Rotating Hinge) Tibial Baseplate Small, Medium, Large Stryker Australia Pty Ltd Changed Benefit.

HW143 Knee 6244 Left, Right Stryker Australia Pty Ltd Changed Benefit.

HW144 Knee 3194 KRH (Kinematic Rotating Hinge) Tibial Bearing Component Stryker Australia Pty Ltd Changed Benefit.

HW145 Knee 3194 Small & standard Stryker Australia Pty Ltd Changed Benefit.

HW153 Knee 1187 Stryker Australia Pty Ltd Changed Benefit.

Minimally stabilised, AP Lipped tibial insert, UHMWPE, (Duration) Small, Medium, Large,

Extra-Large in each thickness 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm

Posterior stabilised tibial insert, with reinforcing pin, UHMWPE, (Duration)

Small, Medium, Large, Extra-Large in each thickness 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm

Tibial baseplate screw, CoCr (Vitallium) 6.2mm diameter in 15mm,

20mm, 25mm, 30mm, 35mm, 40mm, 50mm, 55mm, 60mm lengths

TS (Total Stabilizer) Stems, CoCr (Vitallium), uncemented

40mm, 80mm, 155mm lengths

Tibial Augments Full wedge (angled) & Full block (flat), CoCr (Vitallium), cemented

Left & right, full & angled, 5mm & 10mm

Minimally stabilised, tibial insert to match PCA femur with Duracon baseplate, UHMWPE (Duration)

Small, Medium, Large, Extra-Large in each thickness 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm, 28mm, 31mm

Patella component, UHMWPE (Duration), cemented

Small, Medium, Large, Xlarge

Patella component, Metal backed, CoCr, uncemented, beaded, PA (Hydroxyapatite), Moulded UHMWPE (N2VAC), Fixed Small, Medium, Large,

XlargePatella component Symmetric & Asymmetric, UHMWPE (Duration), cementedMRH Tibial baseplate, CoCr (Vitallium), fixed insert with central hole for hinged insertion, w/attachable stem

MRH (Modular Rotating Hinge) (Modular Rotating Hinge) Femoral Component

MRH Rotating Hinge Femoral component, CoCr (Vitallium), cemented, w/attachable stem, Fixed

KRH Rotating Hinge Tibial bearing component, CoCr, Mobile

Small and Medium 11mm/15mm by 110mm/180mm

GMRS (Global Modular Replacement System) MRH (Modular Rotating Hinge) Kinematic Rotating Hinge (KRH) Femoral Bushings & Bumpers

GMRS, MRH, KRH Rotating Hinge Femoral Bushings & Bumpers UHMWPE, (Duration)

Kinemax Knee System & Modular Rotating Hinge Distal & Posterior Femoral Augments & Spacers

Distal & posterior femoral blocks & spacers, CoCr (Vitallium), cemented Kinemax: Full, Distal &

Posterior Augments: xs-xl; 5mm /10mm MRH Distal Femoral Augments xs-xl; 5mm / 10mm

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

HW160 Knee 1054 Kinemax Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

HW161 Knee 1156 Kinemax Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

HW162 Knee 1054 Interax Knee System Patella Stryker Australia Pty Ltd Changed Benefit.

HW167 Knee 130 Kinemax Knee System Tibial Fixation Peg 20mm Stryker Australia Pty Ltd Changed Benefit.

HW168 Knee 1187 Kinemax Knee System Full Tibial Augment xs-xl, 10mm thickness Stryker Australia Pty Ltd Changed Benefit.

HW169 Knee 1187 Kinemax Knee System Hemi Tibial Augment Stryker Australia Pty Ltd Changed Benefit.

HW171 Knee 1164 Duracon Knee System / Kinemax Knee System stem Stryker Australia Pty Ltd Changed Benefit.

HW174 Knee 1054 Kinemax Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

HW182 Knee 555 PCA Modular Knee System Patella Component Stryker Australia Pty Ltd Changed Benefit.

HW192 Knee 130 Stryker Australia Pty Ltd Changed Benefit.HW194 Knee 7407 Howmedica Modular Resection System Femoral Joint - Vitallium One size only Stryker Australia Pty Ltd Changed Benefit.

HW195 Knee 130 HMRS (Howmedica Modular Replacement System) Plug screw Axis One size only Stryker Australia Pty Ltd Changed Benefit.

HW196 Knee 7494 5553 Stryker Australia Pty Ltd Changed Benefit.

HW201 Knee 673 One size only Stryker Australia Pty Ltd Changed Benefit.

HW227 Knee 7407 120, 140, 160mm Stryker Australia Pty Ltd Changed Benefit.

HW228 Knee 3194 One size only Stryker Australia Pty Ltd Changed Benefit.

HW229 Knee 3194 One size only Stryker Australia Pty Ltd Changed Benefit.

HW230 Knee 3194 Stryker Australia Pty Ltd Changed Benefit.

Minimally stabilised, tibial insert, Low Stress, UHMWPE (Duration) 8, 10, 12, 15, 18, 21, 25mm

per sizeTotally constrained tibial insert, with metal post, UHMWPE (Duration)

8, 10, 12, 15, 18, 21, 25mm per size

Patella, resurfacing, all UHMWPE (Duration)

8, 10, 12, 15, 18, 21mm per size

Tibial Fixation Peg, CoCr (Vitallium), Full Tibial Block, CoCr (Vitallium), cementedHalf block, CoCr (Vitallium), cemented

LM/RL & LL/RM xs-xl in 5 & 10mm thickness

Stem, femoral & tbial, CoCr, (Vitallium), cemented

40mm, 80mm, 155mm for each size

Minimally stabilised tibial insert, UHMWPE, (Duration)

8, 10, 12, 15, 18, 21, 25mm per size

Patella component, UHMWPE, (Duration), cemented

Small, Medium, Large, Extra Large

HMRS (Howmedica Modular Replacement System) Hex Head Cortical Bone Screw, Self Tapping

HMRS Hex Head Cortical Bone Screw, Self Tapping, CoCr (Vitallium) for prosthesis fixation

16-30mm in 2mm increments and 35-70mm in 5m increments

HMRS Plug Screw Axis, UHMWPE, (Duration) for fixation of HMRS Axis within HMRS bearing component of HMRS Distal Femur / Proximal Tibia and HMRS Femoral / Tibial Joint.

HMRS (Howmedica Modular Replacement System) Tibial Joint (Baseplate)

HMRS Tibial Joint (baseplate) - uncemented, CoCr (Vitallium), porous coated, w/medial & lateral flanges moulde agaibnst tibia w/bar bolt fixation, and metal cHydroxyapatitember for axis of hinge

HMRS (Howmedica Modular Replacement System) Fixed Hinged Knee Axle Pin

HMRS Fixed Hinged Knee Axle Pin, CrCo, (Vitallium), uncemented, Fixed

HMRS (Howmedica Modular Replacement System) Rotating Hinge Distal Femur Component

HMRS Rotating Hinge Distal Femur, CoCr (Vitallium) uncemented, porous coated, Fixed

HMRS (Howmedica Modular Replacement System) Rotating Hinge Axle

HMRS Rotating Hinge Axle - uncemented, CoCr (Vitallium)

HMRS (Howmedica Modular Replacement System) Rotating Hinge Femoral Bushing

HMRS Rotating Hinge Femoral Bushing - UHMWPE, (Duration)

HMRS (Howmedica Modular Replacement System) & MRH (Modular Rotating Hinge) Rotating Hinge Bumper

HMRS & MRH Rotating Hinge Bumper - (Duration) UHMWPE

HMRS: 0°, 3°, 5° MRH: 0°, 3°

Page 59: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

HW231 Knee 3194 Stryker Australia Pty Ltd Changed Benefit.

HW232 Knee 1054 6, 10, 14mm Stryker Australia Pty Ltd Changed Benefit.

HW233 Knee 722 One size only Stryker Australia Pty Ltd Changed Benefit.

HW234 Knee 7494 One size only Stryker Australia Pty Ltd Changed Benefit.

HW247 Knee 2809 Howmedica Modular Resection System Stryker Australia Pty Ltd Changed Benefit.

HW248 Knee 1054 xsmall - xlarge Stryker Australia Pty Ltd Changed Benefit.

HW250 Knee 2809 MRS (Modular Replacement System) Tibial Stem Stryker Australia Pty Ltd Changed Benefit.

HW251 Knee 2128 MRS (Modular Replacement System) Tibial Insert Stryker Australia Pty Ltd Changed Benefit.HW394 Hip 1901 Stryker large ceramic femoral head Biolox Forte 36mm - 60mm Stryker Australia Pty Ltd Changed Benefit.HW395 Hip 750 V40 Orthinox Head Stainless Steel >32mm Stryker Australia Pty Ltd Changed Benefit.

GMRS (Global Modular Replacement System) & MRH (Modular Rotating Hinge) Tibial Rotating Component

GMRS & MRH Tibial Rotating Hinge component (not baseplate) separated from femoral component by bumper and rotates on top of tibial insert , Fixed GMRS-small

MRH/crossover MRH - xs-xl & l-xl

HMRS (Howmedica Modular Replacement System) Rotating Hinge Tibial Insert

HMRS Rotating Hinge Tibial insert, UHMWPE (Duration), Fixed

KRH (Kinemax Knee System Rotating Hinge) & MRH (Modular Rotating Hinge) Rotating Hinge Sleeve

KRH & MRH Rotating Hinge Tibial Sleeve, UHMWPE, (Duration) houses Rotating Hinge Tibial Rotating component sHydroxyapatiteft

HMRS (Howmedica Modular Replacement System) Stemmed Tibial Baseplate

HMRS stemmed tibial baseplate, CoCr (Vitallium), uncemented, porous coated, w/large connecting stem attached for diaphyseal fixation, Fixed

Oncology Femoral Stem - Vitallium 127mm and 203mm length

11, 13, 15, 17mm diameter

MRH (Modular Rotating Hinge) & GMRS (Global Modular Replacement System) Tibial Inserts

MRH & GMRS Tibial insert, (Duration) UHMWPE, for MRH and GMRS Tibial baseplate, CoCr (Vitallium), Fixed with central hole for Hinge

MRS Tibial Stem - cemented, CoCr (Vitallium), Fixed

127mm in 9, 11, 13mm diameter

Tibial insert UHMWPE (Duration) for MRS Metal Encapsulated Rotating Hinge Tibial component, Mobile.

Small and Medium in 11, 13, 16, 21mm

Page 60: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

HW473 Hip 3052 Restoration Acetabular Wedge Augment System Stryker Australia Pty Ltd Changed Benefit.

HW485 Hip 1942 MDM CoCr Liner Stryker Australia Pty Ltd Changed Benefit.

HW523 Hip 4181 Restoration Modular Body Stryker Australia Pty Ltd Changed Benefit.

HW529 Hip 4625 Accolade II Femoral Hip System Size 0 - 11 Stryker Australia Pty Ltd Changed Benefit.

HW574 Knee 2498 Triathlon Tritanium Femoral Cone Augments Stryker Australia Pty Ltd Changed Benefit.

The Restoration Acetabular Wedge Augment System is designed for hip surgeries requiring additional acetabular component support in cases where host bone is insuficient.

The Wedge Augments provide the intraoperative flexibility to optimize screw placement.

Holes 6Outer Diameter 54mm, Inner Diameter 56, Thickness 25mm Screw Holes 6Outer Diameter 58mm, Inner Diameter 60, Thickness 15mm Screw Holes 6Outer Diameter 58mm, Inner Diameter 60, Thickness 20mm Screw Holes 6Outer Diameter 58mm, Inner Diameter 60, Thickness 25mm Screw Holes 6Outer Diameter 62mm, Inner Diameter 64, Thickness 15mm Screw Holes 6Outer Diameter 62mm, Inner Diameter 64, Thickness 20mm Screw Holes 8Outer Diameter 62mm, Inner Diameter 64, Thickness 25mm Screw Holes 8Outer Diameter 66mm, Inner Diameter 68, Thickness 15mm Screw Holes 6Outer Diameter 66mm, Inner Diameter 68, Thickness 20mm Screw Holes 8

Modular Dual Mobility (MDM) CoCr Liner The MDM CoCr Liner

comes in a range of inner diameters of 36mm - 58mm

Milled, Broached, Cone and Calcar body options

Milled: Dia 19-25mm with 2 mill Depths; 27-29mm with Mill DepthsBroach: 1-8Cone: Diam 19-31mm, Heights +0, +10, +20, +30Calcar: Diameter 19-29mm, 3 Heights each

Femoral Hip Stem (127 & 132 neck angle)3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems

Femoral Cone Augments, 6 sizes, L & R (Size 1-2, Size 3, 4, 5, 6 and Size 7-8)

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

HW575 Knee 2498 Triathlon Tritanium Symmetric Tibial Cone Augments Stryker Australia Pty Ltd Changed Benefit.

HW576 Knee 2498 Triathlon Tritanium Asymmetric Tibial Cone Augments Stryker Australia Pty Ltd Changed Benefit.

IQ003 Ophthalmic 702 Tetraflex IQ Medical Changed Benefit.

IQ004 Ophthalmic 328 Softec IQ Medical Changed Benefit.

IQ009 Ophthalmic 346 Softec HDY IQ Medical Changed Benefit.

IQ013 Ophthalmic 328 PreciSAL 302AC IQ Medical Changed Benefit.

IQ014 Ophthalmic 337 PreciSAL P302AC IQ Medical Changed Benefit.

3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems Symmetric Tibial Cone

Augments, 5 sizes (A – E)3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems.

Asymmetric Tibial Cone Augments, 4 sizes, LM/RL & RM/LL, (B-E).

Acrylic single piece, foldable accommodating intraocular lens with sqare edge design, custom control precision and closed loop haptic design

Available in dioptric powers from +5.0 to +36.0, 1D steps: +31.0 to +36.0; 0.5D steps: +5.0 to +18.0 and +25.0 to +30.0; 0.2D steps; +18.0 to +25.0

Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation and aberration technology

Available in dioptric powers from -5.0 to +36.0, 1D steps: -5.0 to +10.0 and +31.0 to +36.0; 0.5D steps: +10.5 to +18.0 and +25.0 to +29.5; 0.25D steps: +18.0 to +25.0

Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter

Available in dioptric powers from -5.0 to + 36.0, 1D steps: -5.0 to +10.0 and +31.0 to +36.0; 0.5D steps: +10.5 to +18.0 and +25.0 to 29.5; 0.25D steps: + 18.0 to +25.0

Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter.

Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to + 17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0

Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter.

Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to + 17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

IQ015 Ophthalmic 346 PreciSAL 302A IQ Medical Changed Benefit.

IQ016 Ophthalmic 364 PreciSAL P302A IQ Medical Changed Benefit.

IQ017 Ophthalmic 684 PreciSAL Toric T302AC IQ Medical Changed Benefit.

IQ018 Ophthalmic 684 PreciSAL Toric PT302AC IQ Medical Changed Benefit.

IQ019 Ophthalmic 702 PreciSAL Toric T302A IQ Medical Changed Benefit.

Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter.

Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0

Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter.

Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0

Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV filter.

Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D

Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV filter.

Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D

Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters.

Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

IQ020 Ophthalmic 720 PreciSAL Toric PT302A IQ Medical Changed Benefit.

IQ022 Ophthalmic 778 PresiSAL Multifocal M302A IQ Medical Changed Benefit.

IQ023 Ophthalmic 740 PreciSAL Multifocal M302AC IQ Medical Changed Benefit.

IQ024 Ophthalmic 758 PreciSAL Mulitfocal PM302AC IQ Medical Changed Benefit.

Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters.

Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D

Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation. Aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue light fliters.

Available in sperical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to +10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.

Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic edge, 360 degree optic square edge design, precision power calculation, abreration technology, pupil independent diffractive anterior surface with a near sigh correction addition of up to +3.5D, and UV Filter.

Available in spherical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to+10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.

Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV filter.

Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

IQ025 Ophthalmic 796 PreciSAL Multifocal PM302A IQ Medical Changed Benefit.

IS010 Ophthalmic 328 Insight Surgical Pty Ltd Changed Benefit.

IS019 Ophthalmic 778 Insight Surgical Pty Ltd Changed Benefit.

IS020 Ophthalmic 796 Insight Surgical Pty Ltd Changed Benefit.

Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue filter powers.

Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.

BiFlex 677AB Hydrophilic Acrylic Foldable Aspheric Monofocal Lens (without Blue light Filter)

Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized Optic diameter: 6.0 mm

±0.10 mm, Overall diameter: 13.0 mm ±0.20 mmPowers available: -10.0 - +9.0 D ±0.25 D increment: 1.0 D+10.0 - +25.0 D ±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D +31.0 - +45.0 D ±0. D increment: 1.0 D

Medicontur BiFlex 677MY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter

Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized Optic diameter: 6.0 mm

±0.10 mm, Overall diameter: 13.0 mm ±0.20 mmPowers available: -10.0 - +9.0 D ±0.25 D increment: 1.0 D+10.0 - +25.0 D ±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D +31.0- +45.0 D ±0. D increment: 1.0 D

Medicontur BiFlex Preloaded 677PMY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter

Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized Optic diameter: 6.0 mm

±0.10 mm, Overall diameter: 13.0 mm ±0.20 mmPowers available: -10.0 - +9.0 D ±0.25 D increment: 1.0 D+10.0 - +25.0 D ±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D +31.0- +45.0 D ±0. D increment: 1.0 D

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

IS022 Ophthalmic 702 Insight Surgical Pty Ltd Changed Benefit.

IS023 Ophthalmic 976 Insight Surgical Pty Ltd Changed Benefit.

IS024 Ophthalmic 666 Insight Surgical Pty Ltd Changed Benefit.

IS025 Ophthalmic 938 Insight Surgical Pty Ltd Changed Benefit.

Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mmPowers available:-10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 DCylinders available: +1.5 D - +7.0 D increment: 0.75 D

Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mmPowers available:-10.0 - +30.0 D ±0.25 D increment: 0.5 D+31.0 - +35.0 D ±0.5 D increment: 1.0 DCylinders available: +7.0 D - +9.0 D increment: 0.75 D+9.0 D - +10.0 D increment: 1.0 D

Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mmPowers available:-10.0 - +30.0 D ±0.25 D increment: 0.5 D+31.0 - +35.0 D ±0.5 D increment: 1.0 DCylinders available: +1.5 D - +7.0 D increment: 0.75 D

Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mmPowers available:-10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 DCylinders available: +7.0 D - +9.0 D increment: 0.75 D+9.0 D - +10.0 D increment: 1.0 D

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

IS026 Ophthalmic 684 Insight Surgical Pty Ltd Changed Benefit.

IS027 Ophthalmic 947 Insight Surgical Pty Ltd Changed Benefit.

IS028 Ophthalmic 720 Insight Surgical Pty Ltd Changed Benefit.

IS029 Ophthalmic 985 Insight Surgical Pty Ltd Changed Benefit.

Medicontur BiFlex 677PT Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter, Preloaded

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mmPowers available:-10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 DCylinders available: +1.5 D - +7.0 D increment: 0.75 D

Medicontur BiFlex 677PT Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter, Preloaded

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mmPowers available:-10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 DCylinders available: +7.0 D - +9.0 D increment: 0.75 D+9.0 D - +10.0 D increment: 1.0 D

Medicontur BiFlex 677PTY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mmPowers available:-10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 DCylinders available: +1.5 D - +7.0 D increment: 0.75 D

Medicontur BiFlex 677PTY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mmPowers available:-10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 DCylinders available: +7.0 D - +9.0 D increment: 0.75 D+9.0 D - +10.0 D increment: 1.0 D

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

IS030 Ophthalmic 976 Insight Surgical Pty Ltd Changed Benefit.

IS031 Ophthalmic 337 Insight Surgical Pty Ltd Changed Benefit.

IS034 Ophthalmic 364 Insight Surgical Pty Ltd Changed Benefit.

IS036 Ophthalmic 337 Insight Surgical Pty Ltd Changed Benefit.

JJ508 Knee 1110 PFC Sigma Knee System tibial insert Sizes 1 - 6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

Medicontur BiFlex 677TBY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter

Posterior chamber IOL, 360° Special Square Edge,Aspheric – Coma optimized – Toric

Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mmPowers available:+5.0 - +9.0 D ±0.25 D increment: 1.0 D+10.0 - +25.0 D ±0.25 D increment: 0.5 D+25.5 - +30.0 D ±0.5 D increment: 0.5 DCylinders available: +10.0 D - +24.0 D ±0.5 D increment: 1.0 D

Medicontur Preloaded Monofocal Hydrophilic 677P without Blue light Filter for Medjet PL-MA 2.2 single use injection system

Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized Optic diameter: 6.0 mm

±0.10 mm, Overall diameter: 13.0 mm ±0.20 mmPowers available: -10.0 - +9.0 D ±0.25 Dincrement: 1.0 D+10.0 - +25.0 D ±0.25 Dincrement: 0.5 D +25.5 - +30.0 D ±0.5 Dincrement: 0.5 D +31.0 - +45.0 D ±0.5 Dincrement: 1.0 D

BiFlex Preloaded 877PAY Hydrophobic Acrylic Foldable Aspheric Monofocal Lens with Blue light Filter

Posterior Chamber IOL, special 360° sharp edge, Aspheric - Aberration Balanced Optic diameter: 6.0 mm

±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -0.0 - +9.0 D ±0.25 D increment: 1.0 D+10.0 -+25.0 D ±0.25 D increment: 0.5 D+25.5- +30.0 D ±0.5 D increment: 0.5 D+31.0 - +35.0 D ±0.5 D increment: 1

BiFlex 877PA Preloaded Hydrophobic Acrylic Foldable Aspheric Monofocal Lens without Blue Light Filter

Posterior Chamber IOL, special 360° sharp edge, Aspheric Aberration Balanced Optic diameter: 6.0 mm

±0.10 mm, Overall diameter: 13.0 mm ±0.20 mmPowers available: -0.0- +9.0 D±0.25 D increment: 1.0 D+10.0 - +25.0 D±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D+31.0 - +35.0 D ±0.5 D increment: 1.0 D

Tibial insert, UHMWPE, moderately cross linked, with peg

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

JJ509 Knee 1054 PFC Sigma Knee System tibial insert Sizes 1 - 6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ510 Knee 3376 PFC Sigma Knee System tibial baseplate Size 1-6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ532 Knee 1156 LCS Complete Knee System tibial insert Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ573 Hip 1711 Summit Cemented Femoral StemCoCr, tapered, unpolished

Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ584 Hip 146 Femoral Prep Kit Femoral Preparation Kit One size only Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ589 Knee 1156 PFC Sigma Knee System tibial baseplate Sizes 1 - 6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ590 Knee 1156 PFC Sigma Knee System Tibial Baseplate Sizes 1 - 6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ606 Knee 3422 PFC Sigma Knee System femoral component Size 1-6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ634 Knee 6891 LCS Complete Knee System - MBT Revision Thick Tray Thick Tibial Tray 1 to 6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ653 Hip 3099 Pinnacle Hip System - Gription Cup Porous metal acetabular cup 38 - 80mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ654 Knee 1249 PFC Sigma - Femoral Adaptor Offset Adaptor 5 and 7 degree Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ655 Knee 1164 PFC Knee System - Universal Slotted StemTibial/Femoral Stem-Titanium

Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ658 Knee 1054 LCS Complete Knee System APG Tibial Insert Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ659 Knee 130 LCS Complete Knee System APG arm Sizes small to large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ662 Knee 1989 PFC Sigma Knee System Tibial Baseplate Size 1-6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ663 Knee 1989 PFC Sigma Knee System Tibial Baseplate Size 1-6 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ664 Knee 1156 PFC Sigma Knee System TC3 Tibial Insert Sizes 1-6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ665 Knee 1110 PFC Sigma Knee System Tibial Insert Sizes 1-6. 8-30mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ689 Hip 866 Marathon Cup System Cemented Acetabular Cup Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ697 Knee 555 LCS Total Knee System - Replacement Patella Polyethylene Small+ to Large+ Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ701 Hip 2868 Gyros Hip System 44-68mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ702 Hip 2498 Gyros Hip System 44-68mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ703 Hip 1698 Gyros Hip System 44-68mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ704 Hip 127 Gyros Hip System 20 - 65mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ705 Knee 673 LPS & SROM Systems - Hinge Pin xxsmall - medium Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

Tibial insert, UHMWPE, moderately cross linkedTibial baseplate, cemented, keeled, forged CoCr, polished tibial insert surface Tibial insert, UHMWPE, rotating platform, totally constrained, with reinforcing post

Sizes small to large+. 10-30mmSizes 0-10, with various offsets

All poly UHMWPE, Cemented, peggedAll poly UHMWPE, cemented, non pegged Femoral component, uncemented, CoCr, beaded (Porocoat)

Lengths 75, 115, 150mm; widths 10 to 24mm

Tibial Insert, Mobile, UHMWPE, used with APG guide arm onlyAPG arm for use with APG mobile tibial insert onlyTibial baseplate, cemented, keeled, titanium, with capacity for stem attachmentTibial baseplate, cemented, cruciform keeled, titaniumTibial insert, totally constrained, UHMWPE, with postTibial insert, posterior stabilised, UHMWPE, with postCemented modified UHMWPE acetabular cup with flange

Inner diameter 22-36mm, outer diameter 38-53mm

Replacement UHMWPE insert for LCS mobile bearing patellaDual mobility acetabular cup, stainless steel, grit blasted with HA and flanges for screw fixation

Dual mobility acetabular cup, stainless steel, grit blasted with HA

Dual mobility constrained liners, unmodified UHMWPE for Gyros Cup.Stainless steel screws for Gyros acetabular cup with flangesRotating Hinge Axle - uncemented, CoCr

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

JJ706 Knee 2498 31-46mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ749 Hip 3811 SROM Femoral Stem Sizes 6-21 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ750 Hip 3811 SROM Calcar Replacement Femoral Stem Sizes 6-21 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ751 Hip 1850 DePuy Ceramic Heads ≤32mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ752 Hip 1942 DePuy Delta Heads ≤32mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ753 Hip 111 Hardinge Cement Restrictor UHMWPE cement restrictor One size only Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ754 Hip 111 DePuy Femoral Cement Restrictor UHMWPE cement restrictor Size 0 to 10 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ755 Hip 694 OGEE Cemented Cup

UHMWPE cup, cemented

Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ776 Knee 2544 Sigma HP Trochlear Component Sizes 1-5, left and right Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ777 Hip 4116 Tri-Lock Gription Femoral Stem Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ778 Knee 1156 Sigma HP Unicompartmental Knee - All poly tibial component Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ779 Knee 731 Sigma HP Unicompartmental Knee - Fixed bearing insert Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ780 Knee 1434 Sigma HP Unicompartmental Knee - Fixed bearing tibial tray Size 1-6, LM/RL & RM/LL Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ781 Knee 2128 Sigma HP Unicompartmental Knee - Unicondylar femoral component Size 1-6, LM/RL & RM/LL Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ786 Hip 1942 Corail Hip System Cemented Femoral Stem Size 8 - 20 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ804 Knee 6891 MBT Revision Thick Tibial TrayTibial Tray

Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ813 Hip 4394 Summit Femoral Hip 0-12 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ814 Hip 4486 Silent Hip System-Femoral Component Sizes 18-28 x 45-70 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ818 Hip 2128 DePuy Delta TS Heads ≤32mm, +1 to +12 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ819 Hip 2312 DePuy Delta TS Heads >32mm, +1 to +12 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ826 Knee 1572 Limb Preservation System - Sleeve Base Extra small - large Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ827 Knee 1572 Limb Preservation System - Sleeve Adapter Diaphyseal sleeve adapter +0 to +10mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ841 Hip 2886 Reclaim Revision Hip System - Standard Distal Stem Standard distal stem 14-31mm x 140-190mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ842 Hip 4274 Reclaim Revision Hip System - Long Distal Stem Long distal stem 14-31mm x 240-290mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ843 Hip 3570 reclaim Revision Hip System - Proximal Body Proximal Body 20-28 x 75-105mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ844 Hip 370 Reclaim Revision Hip System - Bolt Locking Bolt 75-105mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ953 Knee 3052 Attune Knee System 1-10 including narrow Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

LCS, PFC & SROM Knee System - Universal Fully Porous Femoral Metaphyseal Sleeve

Universal Fully Beaded (Porocoat) Femoral Metaphyseal Titanium SleeveTitanium, fluted, distal polished femoral stem & neckTitanium, fluted, distal polished femoral stem & neck, with calcar replacementCeramic (Biolox Forte) Femoral head various tapers & neck lengthsDelta femoral head various tapers & neck lengths

22 - 32mm inner diameter, 40-53mm outer diamter

Femoral trochlear component, cemented, CoCrTitanium, Femoral stem, GRIPTION coated

Size 0-12 standard and high offset

Unicompartmental all poly tibial component UHMWPE cemented Size 1-6, 8-12mm LM/RL &

RM/LLUnicompartmental tibial insert, fixed bearing UHMWPE

Size 1-6, 7-12mm LM/RL & RM/LL

Unicompartmental tibial base plate, cemented, CoCr for fixed bearing insertUnicompartmental femoral component, cemented, CoCrStainless steel cemented, polished femoral stem, standard and high offsets

Size range 2 to 5. Tray Thickness of 25mm

Titanium, beaded proximally, distal grit blastNeck preserving femoral stem, titanium, beaded with HA (Duofix)

Delta ceramic femoral head with titanium sleeveDelta ceramic femoral head with titanium sleeveModular revison diaphyseal sleeve base

Cruciate Retaining Cemented Femur

Page 70: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

JJ954 Knee 3145 Attune Knee System 1-10 including narrow Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ955 Knee 1054 Attune Knee System Cruciate Retaining Insert 1-10 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ956 Knee 1110 Attune Knee System Posterior Stabilised Insert 1-10 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ957 Knee 1989 Attune Knee System 1-10 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JJ958 Knee 2220 Attune Knee System 1-10 Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ959 Knee 555 Attune Knee System All Poly Cemented Patella 29-41mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.JJ963 Hip 146 DePuy Hip Systems Distal femoral centralisers 8 to 20mm Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

JR001 Hip 2128 DC2 System: DC2 Head 36mm Joint Research Australia Changed Benefit.

JR002 Hip 1942 DC2 System: DC2 Head 32mm Joint Research Australia Changed Benefit.

KG001 Ophthalmic 290 Rayner C-Flex Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG002 Ophthalmic 290 Superflex Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG003 Ophthalmic 628 Rayner Standard Toric C-Flex Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG004 Ophthalmic 900 Rayner Premium Toric C-Flex Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG005 Ophthalmic 628 Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG006 Ophthalmic 740 Rayner "Sulcoflex" Aspheric Multi-focal Pseudophakic Secondary IOL Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG007 Ophthalmic 628 Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG008 Ophthalmic 328 Rayner "Sulcoflex" Pseudophakic I.O.L. -5D to +5D Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG009 Ophthalmic 740 Rayner "M-Flex" Mulitfocal Foldable IOL Kevin Grundy (IBD) Pty Ltd Changed Benefit.

Posterior Stabilised Cemented Femur

Fixed Bearing Cemented Tibial TrayMobile Bearing Cemented Tibial Tray

Femoral head, Biolox Delta, >32mm

-4mm, +0mm, +4mm, +8mm

Femoral head, Biolox Delta, ≤32mm

-4mm, +0mm, +4mm, +8mm

Hydrophilic HEMA-MMA copolymer, foldable with injector

5.75mm dia optic, 12.00mm dia overall

Hydrophilic HEMA-MMA copolymer, foldable with injector

6.25mm dia optic, 12.5mm dia overall

Hydrophilic HEMA-MMA copolymer, foldable with injector 5.00mm dia optic, 12.00mm

dia overall, cyls 2.0D to 6.0D in 2D increments

HEMA-MMA copolymer, foldable with injector 5.75mm dia optic, 12.00mm

dia overall, cyls 1.5D to 11.0D in 0.5D increments

Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary I.O.L - Standard

Acrylic, Aspheric, Toric Pseudophakic Secondary IOL : Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Standard) SE -3 to +3 in 0.5 D steps

Cyl +1 to +3 in 1D stepsAcrylic, Aspheric Multi-focal Pseudophakic Secondary IOL: Sulcus-Fixated with Undulating Haptics and Posterior Haptic Angulation

6.5mm / 13.5mm - 5.00D+5.00D sphere with + 3.00 Addition

Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary IOL (Premium)

Acrylic, Aspheric, Toric Pseudophakic Secondary IOL: Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Premium)

SE -6.00 to +6.00 in 0.5 D steps Syl +1.00 to +6.00 in 0.5D steps

Sulcoflex Aspheric Pseudophakic I.O.LAcrylic, Foldable, Single piece multi-zoned refractive aspheric multifocal with Amon-Apple 360 Degree Square edge, Anti Vaulting Haptics

6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D Addition: +14D to +25D in 1.0D increments: +8.5D to +23.5D in 0.5D increments

Page 71: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

KG010 Ophthalmic 1078 Rayner M-Flex Toric (Standard) Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG011 Ophthalmic 1078 Rayner "M-Flex" Toric (Non Standard) Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG012 Ophthalmic 328 Rayner "C-Flex" and Superflex" Aspheric IOL Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG013 Ophthalmic 900 Rayner Super Premium Toric I.O.L. Kevin Grundy (IBD) Pty Ltd Changed Benefit.

KG015 Ophthalmic 337 Rayner C-flex Advance Aspheric IOL Kevin Grundy (IBD) Pty Ltd Changed Benefit.

LC005 Hip 1942 Friendly Femoral Stem 0, 1, 2, 3 Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC009 Hip 2646 Modulus Femoral Body A & B x Small to Large Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC010 Hip 2886 Modulus Modular Femoral StemModulus Modular Femoral Stem

Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC011 Hip 3580 C2 Femoral Stem 02 to 12 Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC012 Hip 1942 Lima Cup Metal Liner 28mm, 32mm and 36mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC013 Hip 3978 FIT Femoral Stem Size 1-7, Left & Right Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC015 Hip 4625 Sam-Fit modular stem Modular stem 1 - 7 Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC020 Hip 694 Lima Cemented Cup Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC021 Hip 1319 Acetabular PlateAcetabular Reconstruction Plate Ti

Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC022 Hip 2929 Delta Revision TT Acetabular Cup 50 - 66mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC023 Hip 1443 DELTA Coupling / Spacer / Liner 40 - 42mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC024 Hip 127 Lima Bone Screw Titanium Bone Screw 20 - 60mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

Acrylic, Foldable, Single Piece, Multi-zoned Refractive Aspheric Toric Mulitfocal with Amon-Apple enhanced 360 degree Square edge, Anti Vaulting Haptics

5.75mm / 12.0mm: 6.25mm / 12.5mm +3.00D or +4.00D Addition FAR: +14.0D to +32.00D in 0.5 STEPS: +2.00D +3.00D +4.00D Cylinder. NEAR: +14.0D to 27.0D in 0.5 STEPS: +2.00D +3.00D +4.00D Cylinder

Acrylic, Foldable, Single Piece, Muli-Zoned Refractive, Toric Multifocal with Amon-Apple enhanced 360 Degree square edge, Anti-vaulting Haptics, Patient Specific.

5.75/12.0mm: 6.25/12.5mm +3.00D to +4.00D Addition FAR: +14.0D to +32.0D in 0.5D Increments: NEAR: +14.0D to +27.0D in 0.50D Increments Cylinder: 1.0D to 1.5D and 2.5D to 6.00D in 0.5 increments

Aspheric Intra Ocular Lenses with Amon-Apple enhanced 360 Degree square edge, Anti-vaulting Haptics

C-Flex -970C + 22.5D to +34D Superflex-920H - 10D to +22D

Acrylic foldable toric single piece I.O.L -10.0D to 0.00D Sphere: 1D

to 11.00D Cylinder in 0.25 steps +31.00D to +35.00 Spit: 1D to 11.00D Cylinder in 0.25steps

Mini incision pre-loaded aspheric IOL

Power range +8.0 - +34.0 dioptres in 0.5 increments

Femoral Stem Cemented Tapered Polished FeCrNiMnMoNbN

Femoral Body 12/14 Taper CCD 125* to 130* - Ti6AI4V

Size A & B x 13 to 26mm diameter

C2 Femoral Stem Standard / Lateralised / Revision 12/14 Taper Ti6AI4V

FIT Femoral Stem 12/14 Taper Ti6AI4V HA Coated

UHMWPE Cemented Cup Unmodified

28-36mm OD x 44-58mm OD 20*50 - 66mm x Standard or Long

Delta Revision TT Acetabular Cup TiDELTA Coupling / Spacer / Adaptor / Liner CoCrMo

Page 72: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

LC025 Hip 1295 Delta Hemispheric Acetabular Cup Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC026 Hip 1942 Lima Accent Hip System 1 -6 Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC027 Hip 2646 Revision Modular Femoral Body Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC029 Hip 1135 Modular Neck

Modular Neck Segment - CoCrMo

Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC030 Hip 2886 Revision Modular Femoral Stem Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC032 Hip 740 Modular HeadModular Head CoCrMo

Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC144 Hip 3978 ColloMis Femoral Stem The COLLO-MIS Femoral Stem Sizes 1 to 9 Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC149 Hip 268 Lima Plug and hood 10mm - 20mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC150 Hip 268 Proximal Centraliser PMMA Proximal Centraliser PMMA Left & Right Size 0-3 Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC151 Hip 268 Cement Plug UHMWPE Size 1 - 3 Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC152 Hip 1942 Modular Biolox Delta Head Modular Biolox Delta Head 28 - 32mm Small to Large Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC153 Hip 2128 Revision Modular Biolox Delta Head 28 - 32mm Small to Xlarge Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC154 Hip 2128 Modular Biolox Delta Head Modular Biolox Delta Head 36 - 40mm Small to Large Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC155 Hip 2312 Revision Modular Biolox Delta Head 36 - 40mm Small to Xlarge Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC156 Hip 750 Cephalic Head Cephalic Head AISI 316L 41 - 57mm Diameter Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC157 Hip 879 Modular HeadModular Head CoCrMo

Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC158 Hip 3256 H-Max M Femoral Stem Ti6AI4V 9 - 18 Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC159 Hip 3978 H-Max S Femoral Stem 9 - 18 Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC160 Hip 5004 C2 Revision StemC2 Revision Stem

Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC161 Hip 4274 Revision Modular StemRevision Modular Stem Ti6AI4V

Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC162 Hip 1154 Lock Bipolar Head and Liner Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC163 Hip 1154 Met Poly Mobile LinerMet Poly Mobile Liner UHMWPE

ID 28mm x OD 40-58mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC164 Hip 3099 Delta TT Acetabular CupDelta TT Acetabular Cup Ti6AI4V

44 - 76mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC165 Hip 3099 Delta One TT Acetabular Cup 44 - 66mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC166 Hip 2498 Delta PF Acetabular Cup 44 - 76mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC167 Hip 2498 Met Acetabular Cup Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC168 Hip 2424 Delta Ceramic Liner Biolox DeltaDelta Ceramic Liner Biolox Delta

Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC169 Hip 2460 Delta Liner - Biolox Forte 28 - 40mm ID x Size A to E Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC170 Hip 1073 Delta Non Constrained Liner ID 28mm x OD 40 - 58mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

Delta Hemispheric Acetabular Cup Ti6AI4V

50 - 62mm & Eccentricity 12-18mm

Femoral Stem Cemented, tapered, polishedRevision Modular Femoral Body 12/14 Taper with Locking Screw Ti6AI4V

Std & Lat x 50-70mm - Body Height

Size 1-6, Sm & Lg in STD, LAT, AVR/RVL, AVL/RVR

Revision Modular Femoral Stem Ti6A4I

14-24mm Diameter x 140mm Length28-32mm Diameter Small to XXXLarge

UHMWPE Cement Plug with distal femoral stem hood

UHMWPE Cement Restrictor / Plug

Revision Modular Biolox Delta Head Ti6AI4V 12/14 Taper

Revision Modular Biolox Delta Head Ti6AI4V 12/14 Taper

36mm Diameter Small to XXXLarge

H-Max M Femoral Stem HA Coated Ti6AI4VH-Max S Femoral Stem HA Coated Ti6AI4V

Size 7-9 x 202 to 213mm Length14 - 24mm Diameter x 200mm Length

Self Centering Head CoCrMo and UHMWPE Liner

Diameter x 28mm x OD 41-57mm

Delta One TT Acetabular Cup Ti6AI4VDelta PF Acetabular Cup Ti6AI4V + Poro + HAMet Acetabular Cup CoCrMo + Poro + HA

42 - 64mm OD x 38 - 58mm ID28 - 40mm ID x Small to Large

Delta Liner - Biolox Forte + Ti6AI4VDelta Non Constrained Liner UHMWPE X Lima Ti6AI4V Neutral and Protruded

Page 73: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

LC171 Hip 1073 SPH Constrained Poly Liner ID 32mm x Size B, C, D, E Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC190 Hip 481 BioBall - Revision Neck Adaptor Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC191 Hip 879 BioBall Femoral Head Femoral Head Vivium > 32mm 36mm to 58mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LC192 Hip 2128 BioBall Delta Femoral HeadFemoral Head Biolox Delta

Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC193 Hip 750 BioBall Femoral Head Femoral Head Vivium > 32mm 36mm to 58mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.LC194 Hip 740 BioBall Femoral Head Femoral Head Vivium < 32mm 28mm, 32mm Lima Orthopaedics Australia Pty Ltd Changed Benefit.

LI044 Hip 2368 Horizon Ceramic LinerCeramic insert, Biolox Forte

Amplitude Australia Changed Benefit.

LI045 Hip 1698 Saturne acetabular liner Amplitude Australia Changed Benefit.

LI046 Hip 2929 Saturne reconstruction cup Sizes: 50 - 66mm Amplitude Australia Changed Benefit.

LI047 Hip 127 Femoral Shaft Locking ScrewTitanium femoral locking screw

Amplitude Australia Changed Benefit.

LI048 Hip 127 Horizon Acetabular Fixation Screw Amplitude Australia Changed Benefit.

LI049 Hip 4644 Extreme Hip System Femoral Stem Amplitude Australia Changed Benefit.

LI050 Hip 4181 Extreme Revision Hip Monobloc Epiphysis Metaphyseal Section 4 sizes Amplitude Australia Changed Benefit.

LI051 Hip 5476 Optimal Revision Stem Sizes 1-5 Amplitude Australia Changed Benefit.

LI052 Hip 1135 Modular Neck for Acor & Integrale Femoral Stems 4 sizes Amplitude Australia Changed Benefit.

LI054 Hip 3978 Acor Anatomic Femoral Stem for Modular Neck 7 Sizes Amplitude Australia Changed Benefit.

LI055 Hip 1901 Alumina HeadCeramic femoral head, biolox forte

>32mm Amplitude Australia Changed Benefit.

LI056 Hip 3978 Integrale Femoral Stem 7 Sizes Amplitude Australia Changed Benefit.

LI058 Hip 740 metallic femoral head Amplitude Australia Changed Benefit.

SPH Constrained Poly Liner UHMWPE protruded 20*Titanium, varying tapers & lengths, for ceramic & metal heads

8/10 standard, 8/10 offset10/12 standard, 10/12 offset12/14 standard, 12/14 offset14/16 standard,14/16 offsetV40 standard, V40 offset,PCA standard, PCA offsetType 1 standard 11/13 standard, 11/13 offsetS - 5XL standardM-5XL offset

36mm, 38mm, 40mm, 44mm, 48mm

9 sizes for 28, 32 and 36mm heads

Polyethylene liner for double mobility cup

44/22- 66/22 (12 sizes)48/28- 66/28 (10 sizes)

Dual coated, mobile, cementless reconstruction cup

6.2 diameter, 13 lengths 20-80 in 5mm increments

Titanium countersunk cancellous screw

Diam 6.5mm, lenghts 16 - 55 mm

Stem component of modular femoral stem, titanium, HA, with distal screw holes

4 lengths - 250 to 400mm, 6 diameters

Combined metaphyseal and epiphyseal sections, adjustable rotation, anodized titanium with HA coating

Cementless, modular revision / reconstruction stemTitanium neck, with varying alignments & tapersAnodised titanium, fully HA Coated, curved stem and used with separate neck

Anodised titanium, fully HA Coated,straight stem and used with separate neckM30NW femoral head with 10/12 taper

22.2mm - 32mm short, medium, long

Page 74: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

LI059 Hip 1665 Saturne Cemented Tripolar Cup Amplitude Australia Changed Benefit.

LI060 Hip 2498 Horizon Acetabular Shell 42 - 70 mm Amplitude Australia Changed Benefit.

LI061 Hip 2498 Saturne Press Fit Dual Mobility Acetabular Cup Amplitude Australia Changed Benefit.

LI062 Knee 3052 Score Knee System Femoral Component 7 sizes Amplitude Australia Changed Benefit.

LI063 Knee 5689 Score Knee System Femoral Component 4 sizes in left and right Amplitude Australia Changed Benefit.

LI064 Knee 3792 Score Knee System Femoral Component 7 Sizes Amplitude Australia Changed Benefit.

LI065 Knee 1187 Score Knee System Tibial and Femoral Augments 31 sizes Amplitude Australia Changed Benefit.

LI066 Knee 1164 Score Knee System Femoral and Tibial Stems Amplitude Australia Changed Benefit.

LI067 Knee 1249 Score Knee System Offset Connector 2mm, 4mm, 6mm Amplitude Australia Changed Benefit.

LI068 Knee 3608 Score Knee System Tibial Baseplate 7 Sizes Amplitude Australia Changed Benefit.

LI069 Knee 4486 Score Knee System Tibial Baseplate 7 Sizes Amplitude Australia Changed Benefit.

LI070 Knee 1054 Score Knee System Tibial Insert 7 sizes, 5 thicknesses Amplitude Australia Changed Benefit.

LI071 Knee 1110 Score Knee System Tibial Insert 20 sizes Amplitude Australia Changed Benefit.

LI072 Knee 555 Score Knee System Patellar Component 6 Diameters Amplitude Australia Changed Benefit.

LI073 Hip 1850 Ball Heads 12 - 14 Taper (Alumina)Ceramic femoral head, bilox forte

≤32mm Amplitude Australia Changed Benefit.LI074 Hip 1942 Delta Ceramic Head Biolox Delta Head 28 and 32mm heads Amplitude Australia Changed Benefit.LI075 Hip 2128 Large Delta Ceramic Head Biolox Delta Head 36mm heads Amplitude Australia Changed Benefit.

LI076 Hip 2368 Horizon II Delta Ceramic InsertCeramic Insert, Biolox Delta

Amplitude Australia Changed Benefit.LI092 Hip 146 E2 PMMA Centraliser PMMA distal Centraliser 20mm Amplitude Australia Changed Benefit.LI093 Hip 127 C2 Cancellous Screws titanium, Cancellous Screws 15mm - 50mm Amplitude Australia Changed Benefit.

LI094 Hip 740 F2 Femoral HeadFemoral Heads, CoCr

Amplitude Australia Changed Benefit.

LI095 Hip 3978 CL2 Cementless Femoral StemTitanium, grit plast full HA coating

8 - 18 Amplitude Australia Changed Benefit.

Stainless steel cemented acetabular cup with an anatomical anti-disloction profile

Sizes 44 - 60 in 2mm increments

Anodised titanium, HA encoated with screw holes for ceramic insertsA cementless, stippled and peripherally expanded, acetabular cup. Flattened pole and an elevated rim to help prevent dislocation. Sizes: 44 - 64 in 2mm

incrementsFemoral component, Cemented, CoCr, with extended patellar groove Femoral Component, CoCr, cemented, Posterior StabilisedFemoral Component, CoCr, uncemented, stippled surface, titanium plasma spray with HA, pegged

Tibial and Femoral half blocks, CoCr, screw fixation used for femoral blocks, tibial blocks cemented

Femoral and Tibial Stems, Titanium, cemented

7 diameters (10-22), 4 lengths (75-200mm)

Connector for stems to alter stem offset morse taper but also including screw for additional fixation, titanium

Tibial Baseplate, Cemented, CoCr, polished insert surface for mobile insert Tibial baseplate, CoCr, uncemented, stippled surface, titanium plasma spray with HATibial Insert, mobile bearing, UHMWPETibial Insert, mobile bearing, posterior stabilised with reinforcement postAll poly patella UHMWPE, cemented

9 sizes for 28, 32 and 36mm heads

Diameter 32mm, -4, 0, +4, +8

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

LI096 Hip 879 F2 Large Femoral HeadFemoral heads, CoCr

Amplitude Australia Changed Benefit.

LI097 Hip 1073 C2 XL2 Polyethylene Liner

XL2 Polyethylene Liner

Amplitude Australia Changed Benefit.

LI098 Hip 1942 DC2 Femoral HeadDelta Ceramic Femroal Heads

Amplitude Australia Changed Benefit.

LI099 Hip 3099 C2 Acetabular Shell 48 - 68mm Amplitude Australia Changed Benefit.LI100 Hip 1942 E2 Cemented Stem Cemented Femoral Stems size 0 - 4 Amplitude Australia Changed Benefit.

LI101 Hip 2128 DC2 Large Femoral HeadDelta Ceramic Femoral Heads

Amplitude Australia Changed Benefit.

LI102 Hip 148 C2 Hole EliminatorTitanium Screw Hole Plug

6.3 x 3.2mm, 11.3 x 4.2mm Amplitude Australia Changed Benefit.LI103 Hip 866 P2 Cemented Cup Cemented Acetabular Cup Size 49 - 61 Amplitude Australia Changed Benefit.LI104 Hip 1901 Austofix Ceramic System Biolox ceramic femoral head 36mm Amplitude Australia Changed Benefit.LI105 Hip 481 U2 Taper Sleeve Taper Sleeve, Unipolar -4, 0, +4, +8 Amplitude Australia Changed Benefit.LI106 Hip 740 Hyperion Cobalt Chrome Femoral Head Cobalt Chrome, 12/14 Taper Sizes 22, 28 and 32 mm Amplitude Australia Changed Benefit.LI107 Hip 1850 Austofix Ceramic System Biolox Ceramic Femoral Head 28 and 32 mm Amplitude Australia Changed Benefit.

LI108 Hip 3978 Hyperion Uncemented Stem Sizes 9 to 20 Amplitude Australia Changed Benefit.

LN003 Ophthalmic 328 ALSAFIT Lumos Medical Pty Ltd Changed Benefit.

LN004 Ophthalmic 778 ALSAFIT TRIFOCAL VF Lumos Medical Pty Ltd Changed Benefit.

LN005 Ophthalmic 702 ALSAFIT TORIC VF Lumos Medical Pty Ltd Changed Benefit.

LN006 Ophthalmic 1116 ALSAFIT TRIFOCAL TORIC VF Lumos Medical Pty Ltd Changed Benefit.

Diameter 36mm, -4, 0, +4, +8

32-48mm, 32-50mm, 32-52mm, 32-54mm, 32-56mm, 32-58mm, 32-60mm, 32-62mm, 32-64mm, 32-66mm, 36-68mm, 36-52mm, 36-54mm, 36-56mm, 36-58mm, 36-60mm, 36-62mm, 36-64mm, 36-66mm, 36-68mm.Diameter 28mm, 32mm, S, M, L, XL

titanium Cup with sintered titanium coating

Diameter 36mm, 40mm, 44mm, S, M, L, XL

Titanium, gritblast, HA coated, collared, collarless and high offset

Single piece aspheric foldable intraocular lens for implantation into the capsular bag.

Diopter power range: 0.0 D to 32.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm.

Single piece trifocal aspheric foldable intraocular lens for implantation into the capsular bag. Violet filter.

Diopter power range: 0.0 D to +32.00 D (0.50 D increments).Optic size: 6mm. Overall length: 11.0mm.

Single piece toric aspheric foldable intraocular lens for implantation into the capsular bag. Violet filter.

Diopter power range: Sphere: From 0.0 D to +32.00 D (0.50 D increments). Cylinder: From +0.50 D to +6.00 D (0.50 D increments).Optic size: 6mm. Overall length: 11.0mm.

Single piece trifocal toric aspheric foldable introcular lens for implantation into the capsular bag. Violet filter.

Diopter power range : Sphere: From 0.0 D to +32.00 D (0.50 D increments). Cylinder: From +0.50 D to +6.00 D (0.50 D increments).Optic size: 6mm. Overall length: 11.0mm.

Page 76: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

LN007 Ophthalmic 290 Tecsoft Flex Lumos Medical Pty Ltd Changed Benefit.LO013 Hip 2929 Link Acetabular Reconstruction Cup System Acetabular reconstruction shell 45 - 55 mm Link Orthopaedics Australia Changed Benefit.LO018 Hip 694 LINK IP Acetabular Cup UHMWPE unmodified 40 - 58mm Link Orthopaedics Australia Changed Benefit.LO019 Hip 770 Lubinus eccentric Acetabular Cup UHMWPE constrained 44 - 58mm Link Orthopaedics Australia Changed Benefit.

LO020 Hip 2646 Link MP Recontruction Hip ProsthesisTitanium, Grit blast, femoral Body

35-65mm / 126 & 135 CCD Link Orthopaedics Australia Changed Benefit.

LO021 Hip 2886 Link MP Reconstruction Hip ProsthesisStem, grit blast, titanium non HA

12 - 25mm x 160mm Link Orthopaedics Australia Changed Benefit.

LO022 Hip 740 Link Prosthesis Femoral Head

Prosthesis Head "B" CoCrMo

Link Orthopaedics Australia Changed Benefit.

LO023 Hip 1850 Link Prosthesis Femoral Head Link Orthopaedics Australia Changed Benefit.LO024 Hip 370 Link MP Reconstruction Hip Prosthesis Locking bolt 38 & 58 mm Link Orthopaedics Australia Changed Benefit.LO026 Hip 1124 Link spacer Titanium, grit blast, non HA 10mm - 40mm Link Orthopaedics Australia Changed Benefit.

LO029 Hip 1319 LINK Partial Pelvis Replacement 48-67mm Link Orthopaedics Australia Changed Benefit.

LO031 Hip 185 LINK Endo-Model Partial Pelvis Replacement Link Orthopaedics Australia Changed Benefit.LO032 Hip 2498 Link acetabular cup system Titanium, grit blast, HA 40 - 68mm Link Orthopaedics Australia Changed Benefit.

LO033 Hip 758 Link aceta bular Insert 40 - 68mm Link Orthopaedics Australia Changed Benefit.

LO034 Hip 3978 CFP Hip StemTitanium, grit blast, HA

Extra small to Extra Large Link Orthopaedics Australia Changed Benefit.

LO036 Hip 793 LINK Vario bipolar Cup Link Orthopaedics Australia Changed Benefit.

LO042 Knee 555 LINK Knee Patella Component Link Orthopaedics Australia Changed Benefit.

LO043 Knee 130 LINK Endo Model Rotational and Hinge Knee Prosthesis System Small, Medium, Large Link Orthopaedics Australia Changed Benefit.

LO059 Knee 2128 LINK Endo-Model SLED Uni femoral componet Link Orthopaedics Australia Changed Benefit.

Single piece square edged foldable intraocular lens for implantation into the capsular bag.

Diopter power range: +5.0 D to +32.0D (0.5 D increments from +10.0 D to +30.0 D, 1.0 D increments outside this range).For powers +5.0 D to +17.5D - Optic size: 6.0mm. Overall Length 13.5mm.For powers +18.0 D to +25.5D - Optic size: 5.9mm. Overall Length 13.0mm.For powers +26.0 D to +32.0 D - Optic size: 5.8mm. Overall Length 12.5mm.

Short/medium-short/medium/Long/X-long22mm - 32mm and 36mmNeck Length -3.5 to +10.5

Prosthesis Head "A" Biolox forte Ceramic

Short/medium - short /medium

Acetabular reconstruction cage with inferior flangeFixation Screws, for Obturator Foramen, including screw lock

20mm - 35mm; four (4) sizes

UHMWPE acetabular Insert unmodified

Shell with unmodified polyethylene plus locking ring

Inner diameter: 28 - 32mmOuter diameter: 44 - 65mm

Patella Component, UHMWPE, cemented

Diameter: 25, 28, 30, 31, 34, 35 and 40mmHeight: 7, 8, 9 and 10mm

Full tibial blocks made of UHMWPE Uni Femoral Component, cemented, CoCr

Short, medium-short, medium & large

Page 77: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

LO060 Knee 1850 LINK Endo-Model SLED Uni Tibial Tray Link Orthopaedics Australia Changed Benefit.LO106 Hip 111 LINK Intramedullary Plug P/E Intramedullary Plug 12 to 20 mm Link Orthopaedics Australia Changed Benefit.

LO111 Hip 3978 Beta-Cone Cementless Hip Prosthesis

Titanium, grit blast, with HA

Link Orthopaedics Australia Changed Benefit.

LO133 Hip 2886 Link MP Reconstruction Hip ProsthesisLink body, Titanium, grit blast, HA

Link Orthopaedics Australia Changed Benefit.

LO137 Hip 4274 Link MP Reconstruction Hip ProsthesisStem

Link Orthopaedics Australia Changed Benefit.LO151 Hip 2368 BetaCup Cementless Acetabular Cup System Ceramic Insert 28mm> Link Orthopaedics Australia Changed Benefit.LO152 Hip 758 BetaCup Cementless Acetabular Cup System UHMWPE Insert 26mm> Link Orthopaedics Australia Changed Benefit.LO155 Knee 1054 LINK Endo Model M Modular knee Prosthesis System Insert Extra Small - Extra Large Link Orthopaedics Australia Changed Benefit.

LO156 Knee 7407Femoral Component

Extra Small - Extra Large Link Orthopaedics Australia Changed Benefit.

LO157 Knee 6244Femoral Components

Extra Small - Extra Large Link Orthopaedics Australia Changed Benefit.

LO158 Knee 3839Tibial Components

Extra Small - Extra Large Link Orthopaedics Australia Changed Benefit.LO159 Knee 130 LINK Endo Model M Modular Knee Prostheses System Centering Stars Small, medium, large Link Orthopaedics Australia Changed Benefit.

LO160 Knee 7431

Tibial Components

Link Orthopaedics Australia Changed Benefit.LO161 Knee 6741 Link Modular Knee Coupling Coupling One Size only Link Orthopaedics Australia Changed Benefit.

LO162 Knee 4070Stem extender, segment

30mm - 250mm Link Orthopaedics Australia Changed Benefit.

LO163 Knee 3194Hinge components

Small, Medium, Large Link Orthopaedics Australia Changed Benefit.

LO164 Knee 4161

Collar Couplings

Link Orthopaedics Australia Changed Benefit.LO165 Knee 1572 LINK Endo Model M Modular Knee Prostheses System Adaptor Coupling Short, Long Link Orthopaedics Australia Changed Benefit.

LO166 Knee 1977Augments

Link Orthopaedics Australia Changed Benefit.

LO167 Knee 2809Stems

Link Orthopaedics Australia Changed Benefit.LO170 Knee 3238 LINK Endo Model Rotational and Hinge Knee Prostheses Femoral Components Extra Small - Extra Large Link Orthopaedics Australia Changed Benefit.LO171 Knee 2220 Link Endo Model Rotational and Hinge Knee Prostheses Tibial Components Extra small - extra large Link Orthopaedics Australia Changed Benefit.LO172 Knee 1054 Link Endo Model Rotational and Hinge Knee Prostheses Plastic insert Extra small - Extra large Link Orthopaedics Australia Changed Benefit.LO173 Knee 1164 Link Endo Model Rotational and Hinge Knee Prostheses Stems Extra small - Extra large Link Orthopaedics Australia Changed Benefit.LO174 Knee 3194 Link Endo Rotational and Hinge Knee Prostheses Hinge Component Extra small - Extra large Link Orthopaedics Australia Changed Benefit.

LO179 Hip 4764 MegaSystem-C, Neck SegmentsMassive, titanium

Link Orthopaedics Australia Changed Benefit.

M1001 Knee 3145 Evolution Medial Pivot Knee System 1, 2, 3, 4, 5, 6, 7 & 8 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1002 Knee 1989 Evolution Medial Pivot Knee SystemTibial component, CoCr, cemented

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1003 Knee 3052 Evolution Medial Pivot Knee System 1, 2, 3, 4, 5, 6, 7 & 8 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

Uni tibial tray including UHMWPE insert, cemented, CoCr tray 7mm-13mm in 45, 50, 55

diameter

9 Stem sizes 1-9 plus additional 9 stems with XL neck length. Total 18 Sizes35-65mm IN 126 & 135 degrees14 - 25mm x 210, 250, 290 & 330mm;

Link Modular Knee ProsthesisSystemLink Modular Knee ProsthesisSystemLink Modular Knee ProsthesisSystem

Link Modular Knee ProsthesisSystem

Small, Medium and Large60, 65 and 70mm

Link Modular Knee ProsthesisSystemLink Modular Knee ProsthesisSystem

Link Modular Knee ProsthesisSystem

Terminal round: 14 and 16mmOval Terminal: 26 x 34, 30 x 44, 34 x 48mmSupport Ring: 10mmCoupling: Short and Long

Link Modular Knee ProsthesisSystem

X-Small, Small, Medium and Large

Link Modular Knee ProsthesisSystem

100, 120, 130, 160, 200, 240, 280, 320 and 360

(35 - 65mm) length, (135 or 126) degree neck angle

Cemented, grit blasted, prosterior stabilised, femoral component

1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6, 7, 8, 8+

Cemented, grit blasted, minimally stabilised, femoral component

Page 78: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

M1004 Knee 1054 Evolution Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1005 Knee 1110 Evolution Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1006 Knee 3376 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1007 Knee 1187 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1008 Knee 5596 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1009 Knee 5781 Advance Medial Pivot Knee System 1, 2, 3, 4, 5 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1010 Knee 1156 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1011 Knee 555 Advance Medial Pivot Knee System 25, 28, 32, 35, 38, 41mm MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1012 Knee 1187 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1013 Knee 1164 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1014 Knee 1187 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1015 Knee 3376 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1016 Knee 1164 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1017 Knee 130 Cancellous Bone Screw MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1018 Knee 1989 Advance Medial Pivot Knee SystemTibial component, CoCr, cemented

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1019 Knee 1110 Advance Medial Pivot Knee system MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1020 Knee 1054 Advance Medial Pivot Knee System MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1021 Knee 3052 Advance Medial Pivot Knee System 1, 2, 3, 4, 5, 6, 7 & 8 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1022 Knee 3422 Advance Medial Pivot Knee System 1, 2, 3, 4, 5, 6 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1023 Knee 3515 Advance Medial Pivot Knee SystemTibial component, beaded, titanium

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

Minimally stabilised, fixed, tibial insert, UHMWPE

1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6, 6+, 7, 7+, 8, in 10 - 24 mm thicknesses

Posterior stabilised, fixed tibial insert, UHMWPE

1, 2, 3, 4, 5, 6, 7, 8, 10-24mm

Revision tibial component, titanium, cemented with offset stem

1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+ in Left & Right

Offset tibial block augments, screw fixation for use with offset stemmed tibial component

1, 2/1, 3/2, 4/3, 5/4, 6/5, All in 5mm, 10mm, 15mm

Stemmed condular medial pivot component, cemented, grit blasted, minimally stabilised, femoral component, CoCr, usually used with a anterior lipped insert

1, 2, 3, 4, 5 All in Left & Right

Cemented, grit blasted, totally constrained, femoral component, CoCrtotally constrained, UHMWPE, fixed tibial insert with reinforcing peg

1, 2, 3, 4, 5, 6 in 10 - 30mm in 2mm increments

All poly patella, recessed and onlay, single peg or tri-pegFemoral Augments titanium, separate distal and posterior with screw attachment

1 - 5, 5mm thick, 10mm thick, posterior and distal

Uncemented stems, femoral and tibial

11-22mm, 100-140mm lengths

Tibial augments, wedges and blocks, screw attachment 15 degree, sizes 1, 2/1+,

3/2+, 4/3+, 5/4+, 6/5+, Blocks 5mm, 10mm, 15mm

Revision tibial component, titanium, cemented

0+, 1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6

Cemented stems, femoral and tibial

10, 12,14, 16, 18 x 65mm, 15 x 30mm

Option bone screw for tibial component

6.5mm x 1.5 - 6cm in 0.5cm increments long1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6, 7, 8, 8+

Posterior stabilised, fixed tibial insert, UHMWPE

1, 2, 3, 4, 5, 6, 7, 8, 10-24mm

Minimally stabilised, fixed, tibial insert, UHMWPE

1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6, 6+, 7, 7+, 8, in 10 - 24 mm thicknesses

Cemented, grit blasted, minimally stabilised, femoral component

Uncemented, beaded, non HA, CoCr, usually used with a anterior lipped insert

1, 1+, 2, 2+, 3, 3+, 4, 4+, 5, 5+, 6

Page 79: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

M1024 Hip 4162 Profemur Hip System 1-12 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1025 Hip 1073 Dynasty Acetabular System /poly liner ID 22,28,32,36, 38,40,42,46 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1026 Hip 1073 28, 32, 36, 40 ID MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.M1027 Hip 879 Transcen/Lineagte Articulation System Metal Femoral Head CoCr 28mm- 36mm, 4 lengths MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1028 Hip 2128 Delta Modular HeadsBiolox Delta Heads

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.M1029 Hip 2424 Procotyl L Delta Ceramic Liner Delta ceramic liners 28, 32, 36, 40, 44 ID MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1030 Hip 148 WMT Perfecta Hip SystemPMMA cement Plug

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.M1031 Hip 3978 Profemur L Profemur L Hip Stem Size 1 - 11 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1032 Hip 2320 Dynasty Acetabular System/ Actebular ShellBeaded Acetabular shell non HA

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1033 Hip 2690 Procotyl L Acetabular CupBeaded, Titanium HA coated cup

42 - 68mm MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1034 Hip 1942 Profemur Xm Femoral Stem 0, 1, 2, 3, 4 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1035 Hip 740 Femoral Head MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1036 Hip 127 Bone ScrewCancellous Bone Screw Titanium

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.M1037 Knee 671 Advance Medial Pivot Stem Cap Modular Tibial Base Stem Cap N/A MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1038 Hip 1942 Delta Modular HeadsBiolox Delta Heads

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1039 Hip 146 Cement CetraliserProfemur XM Cement Centraliser

N/A MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1040 Hip 4162 Profemur Hip System 1-12 MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.

M1041 Hip 1135 Profemur Modular Neck

Titanium and CoCr Femoral Necks

MICROPORT ORTHOPEDICS PTY LIMI Changed Benefit.MA016 Hip 1711 CCA Cemented Femoral Stem SS, straight, not polished 7.50mm -17.5mm Mathys Orthopaedics Pty Ltd Changed Benefit.MA018 Hip 111 Intramedullary Plug Cement Restricter Small to Extra Large Mathys Orthopaedics Pty Ltd Changed Benefit.MA019 Hip 3580 CBC Non Cemented Femoral Stem Titanium, grit blast, non HA, 5-20mm Mathys Orthopaedics Pty Ltd Changed Benefit.MA020 Hip 1850 Mathys Ceramic Femoral Head Ceramic, Bionit (alumina) diameter 28-32mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA024 Hip 1319 CCE Acetabular Reinforcing Ring Dia 42 - 58mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA025 Hip 793 Mathys Bipolar Femoral Head Mathys Orthopaedics Pty Ltd Changed Benefit.MA027 Hip 694 CCB Cemented UHMWPE Cup UHMWPE, low & full profile 28/32 ID - 42/64 OD Mathys Orthopaedics Pty Ltd Changed Benefit.MA028 Hip 740 Mathys Stainless Steel Femoral Heads Stainless Steel, 22-32mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA108 Knee 3052 balanSys Femoral Component XS TO F Left and Right Mathys Orthopaedics Pty Ltd Changed Benefit.

MA111 Knee 555 Balansys Patella Component Dia 25, 28, 31, 34, 37mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA311 Knee 1054 balanSys Tibial Mobile Insert XS/8mm to F/20.5mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA312 Knee 2220 balanSys Tibial Baseplate 59mm to 85mm Mathys Orthopaedics Pty Ltd Changed Benefit.MA419 Hip 758 SeleXys Acetabular UHMWPE Liner UHMWPE 44mm-72mm Mathys Orthopaedics Pty Ltd Changed Benefit.MA427 Hip 3580 CBH Non Cemented Femoral Stem Titanium, grit blast, non HA, 00-12 Mathys Orthopaedics Pty Ltd Changed Benefit.

Primary stem, tapered wedge, plasma coatedA-class Crosslinked polyethylene liner, standard and lipped, large head options

Procotyl L A-class Crosslinked polyethylene liner,standard & lipped, large head options

A-class crosslinked poly liners, standard and lipped liners

36mm - 44mm in -3.5mm, 0mm, +3.5 neck lengths

9 - 21mm in 1mm increments

42 - 76mm in 2mm increments

Femoral Stem, CoCr, Cemented, PolishedFemoral Head Cast Cobalt Chrome Alloy

22.5mm - 32mm Femoral Head and neck ranging from -3.5mm to +7mm6.5mm x 1.5 – 6 cm in 0.5cm increments

28mm, 32mm in -3.5mm, 0mm, + 3.5 neck lengths

Primary stem, tapered wedge, plasma coated, fixed neck

Length 27 - 38.5mm; Neutral to Ante/Retro - Varus Valgus 2

Titanium, grit blast, acetabular reconstruction cage with proximal rimStainless steel with fixed UHMWPE insert

28mm Inner diameter, 42-58mm outer diameter

Femoral component, cemented, CoCrAll Polyethylene, UHMWPE, cemented Tibial Insert, Mobile bearing, UHMWPE,Tibial Baseplate for Mobile Bearing Insert, cemented, CoCr

Page 80: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MA451 Knee 2128 BalanSys UNI femoral component A, B,C,D,E Mathys Orthopaedics Pty Ltd Changed Benefit.

MA452 Knee 1434 BalanSys UNI tibial baseplate 1,2,3,4,5 Mathys Orthopaedics Pty Ltd Changed Benefit.

MA454 Knee 731 BalanSys UNI tibial Insert Uni tibial insert, UHMWPE, fixed

5,6,7,9 Mathys Orthopaedics Pty Ltd Changed Benefit.

MA457 Knee 3422 Balansys Femoral Component XS TO F Left and Right Mathys Orthopaedics Pty Ltd Changed Benefit.

MA462 Hip 3978 twinSys Non Cemented Femoral StemTitanium, grit blast, fully HA

Mathys Orthopaedics Pty Ltd Changed Benefit.

MA463 Hip 1942 twinSys Cemented Femoral Stem Mathys Orthopaedics Pty Ltd Changed Benefit.MA467 Hip 750 Mathys Unipolar Femoral Head Stainless steel, unipolar head 42 mm - 58mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA469 Hip 740 Mathys CoCr Femoral Head Mathys Orthopaedics Pty Ltd Changed Benefit.

MA475 Hip 5319 twinSys Non Cemented Long Femoral StemTitanium, grit blast, fully HA, long

Mathys Orthopaedics Pty Ltd Changed Benefit.

MA477 Knee 1619 BalanSys UNI tibial baseplate 1, 2, 3, 4, 5 Mathys Orthopaedics Pty Ltd Changed Benefit.

MA478 Knee 731 BalanSys UNI tibial Insert 5, 6, 7, 9 Mathys Orthopaedics Pty Ltd Changed Benefit.

MA482 Hip 1942 Ceramys Ceramic Femoral Head Mathys Orthopaedics Pty Ltd Changed Benefit.

MA483 Hip 2128 Ceramys Large Ceramic Femoral Head 36 L, 36 M, 36 S Mathys Orthopaedics Pty Ltd Changed Benefit.

MA484 Hip 2128 Ceramys Ceramic Revision Femoral Head Mathys Orthopaedics Pty Ltd Changed Benefit.

MA485 Hip 2312 Ceramys Large Ceramic Revision Femoral Head 36 L, 36 M, 36 S, 36 XL, 36 Mathys Orthopaedics Pty Ltd Changed Benefit.

MA486 Hip 2424 SeleXys Acetabular Ceramys Ceramic Liner Mathys Orthopaedics Pty Ltd Changed Benefit.

MA487 Knee 3145 balanSys Femoral Component XS to F, Left and Right Mathys Orthopaedics Pty Ltd Changed Benefit.

MA489 Knee 1110 balanSys Tibial Insert 59/8mm to 85/23mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA490 Knee 3052 XS to F, left and right Mathys Orthopaedics Pty Ltd Changed Benefit.

MA493 Knee 3145 XS to F, Left and Right Mathys Orthopaedics Pty Ltd Changed Benefit.

MA496 Hip 2320 SeleXys Acetabular PC Shell Mathys Orthopaedics Pty Ltd Changed Benefit.

MA500 Hip 2886 Modular Revision StemTitanium, grit blast, non HA

Mathys Orthopaedics Pty Ltd Changed Benefit.

MA501 Hip 4274 Modular Revision Stem - LongTitanium, grit blast, non HA

Mathys Orthopaedics Pty Ltd Changed Benefit.

Uni Femoral component, cemented CoCrUni tibial baseplate for fixed bearing insert, cemented, CoCr

Femur, CoCr with Ti vacuum plasma spray coating

Various offsets and sizes under 200mm length

stainless steel, highly polished, triple tapered

8 sizes in standard and lateral version (Size 9, 10, 11, 12, 13, 14, 15, 16)

Hip Prosthesis Femoral Head CoCrMo ≤32mm

28 mm & 32mm, (S,M,L,XL,XXL)Various offsets and sizes > 200mm length (14 & 15)

Uni Tibial baseplate for mobile insert, cemented, CoCr with convex surface Uni tibial insert, UHMWPE, mobile convex for the uni convex tibial baseplate Ceramic, zirconia alumina combination

28 L, 28 M, 28 S, 32 L, 32 M, 32 S

Ceramic, zirconia alumina combination, large diameters Ceramic, zirconia alumina combination, supplied with titanium taper sleeve

28 L, 28 M, 28 S, 28 XL, 32 L, 32 M, 32 S, 32 XL, 28, 32

Ceramic, zirconia alumina combination, large diameters, supplied with titanium taper sleeve

Ceramys ceramic (zirconia & alumina combination)

28/AA, 28/BB, 28/CC, 28/DD, 32/CC, 32DD, 32/EE, 32/FF,36/EE, 36/FF, 36/GG, 386HH,36/II, 36/JJ, 36/KK, /36/LL

Femoral component, cemented, CoCr, posterior stabilised Tibial insert, posterior stabilised UHMWPE

balanSys Knee System / Femoral Component, CR, cemented, TiNbN coated

Balansys Femoral Component/ CR cemented, TiNbN coated

Balansys Knee System / Femoral Component, PS, cemented, TiNbN coated

Balansys Femoral Component/PS cemented, TiNbN coated, CoCrMo, TiNbNUncemented Ti acetabular shell, beaded, non HA

42mm - 72mm in 2mm increments14mm x 140mm - 24mm x 140mm14mm x 200mm - 24 x 200mm

Page 81: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MA502 Hip 3145 RM Pressfit Acetabular Cup Mathys Orthopaedics Pty Ltd Changed Benefit.

MA503 Hip 1073 Selexys Acetabular Cup Liner Mathys Orthopaedics Pty Ltd Changed Benefit.MA506 Knee 5689 Balansys Revision Knee Femoral component, contrained A to E, right to left Mathys Orthopaedics Pty Ltd Changed Benefit.

MA507 Knee 1164 Balansys Revision Knee, Stems Mathys Orthopaedics Pty Ltd Changed Benefit.

MA508 Knee 1187 Balansys Revision Knee, Augments 5 and 10mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA509 Knee 3376 Balansys Revision Knee, Tibial PlateauRevision Tibial Baseplate, modular

64 to 85 Mathys Orthopaedics Pty Ltd Changed Benefit.

MA510 Knee 1110 Balansys Revision Knee, Tibial Insert 64/10.5 to 85/23 Mathys Orthopaedics Pty Ltd Changed Benefit.

MA513 Hip 2775 RM Acetabular Cup, Polyethylene 46 to 64mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA514 Hip 127 Acetabular ScrewsTitanium cancellous bone screws

varying lengths and sizes Mathys Orthopaedics Pty Ltd Changed Benefit.

MA515 Knee 1989 Balansys Tibial BaseplateTibial Baseplate cemented, CoCr

59mm to 85mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA516 Knee 1054 BalanSys Tibial Insert 59/8mm to 85/20.5mm Mathys Orthopaedics Pty Ltd Changed Benefit.MA517 Hip 1901 Bionit Ceramic Femoral Head Femoral Head, Ceramic 36 to 54mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA518 Knee 1989 Balansys Tibial Baseplate 59mm to 85mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA524 Hip 2646 Modular Revision Stem 50-70mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA525 Hip 3570 Modular Revision Stem 80mm-110mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MA541 Hip 4625 optimys Stem 1 to 12, standard and lateral Mathys Orthopaedics Pty Ltd Changed Benefit.MA542 Hip 879 Mathys CoCr Femoral Head CoCr Femoral Head 36mm, S to XXL Mathys Orthopaedics Pty Ltd Changed Benefit.

MA544 Knee 2220 balanSys RP Tibial Plateau TiNbN 59mm to 85mm Mathys Orthopaedics Pty Ltd Changed Benefit.

MC002 Cardiac 8100

Silicone and polyurethane

65-100cm Medtronic Australasia Pty Ltd Changed Benefit.

MC008 Cardiac 1123 Medtronic Capsurefix Model 5568 Pacing Leads 30 - 85cm Medtronic Australasia Pty Ltd Changed Benefit.MC009 Cardiac 1030 Medtronic Epicardial Pacing Leads IS-1 Model 5071 Silicone 35 - 53cm Medtronic Australasia Pty Ltd Changed Benefit.

MC010 Cardiac 1123 Medtronic Capsure SP Novus Model 5092 45 -110cm Medtronic Australasia Pty Ltd Changed Benefit.

MC011 Cardiac 1544Silicone

25 - 60cm Medtronic Australasia Pty Ltd Changed Benefit.

MC026 Cardiac 2106 Medtronic Transvene SVC Lead Model 6937; 35 - 110cm x 660mm Medtronic Australasia Pty Ltd Changed Benefit.

Acetabular component - Bonded Shell / Liner - polyethylene modified. Ti coated monoblock, bearing surface is Vit E stabilised highly cross linked polyethylene

28, 32, 36mm (Articulation); 44 to 70mm (Cup size)

Insert / Liner, modified polyethylene. Highly crossed link polyethylene, stabilised with Vit E.

Articulation 28, 32, 36mm; Cup size AA to LL (42 to 70mm)

Ti uncemented Stem, straight and offset, complete with locking screw 80 to 200mm, straight and

offset 4mmRevision Femoral/Tibial Augments, complete with screws

Tibial insert, contrained, with stabilising screw for reinforcement

Titanium bonded UHMWPE Cup, with and without lugs

Tibial Insert, ultra congruent and minimally stabilised, UHMWPE

Tibial Baseplate cemented, CoCr, TiNbN coatedProximal body, grit Blasted TitaniumProximal Body, Long, Grit Blasted TitaniumTi with Ti Plasma spray and CaP coating

Tibial Baseplate for Mobile Bearing Insert, cemented, CoCr with TiNbN Coating

Medtronic Sprint Quattro Lead Model 6944RV/SVC 65cm; Model 6944RV/SVC 75cm; or Model 6944RV/SVC 100cm; Medtronic Sprint Quattro Lead Model 6944RV/SVC 58cm

Bipolar, steroid, active fixation pacing lead

Bipolar, steroid, pasive fixation pacing lead

Capsure EPI steroid eluting bipolar epicardial lead Model 4968 - ventricle

Model 6937-35, Model 6937-52, Model 6937-58, Model 6937-110; Silicone;

Page 82: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MC027 Cardiac 2106 Model 6721 Unipolar Epicardial Patch Leads S/M/L 370, 660, 840mm Medtronic Australasia Pty Ltd Changed Benefit.

MC052 Cardiac 1390 Medtronic Capsure VDD2 Model 5038 AV Pacing Lead 11.5cm, 13.5cm, 15.5cm Medtronic Australasia Pty Ltd Changed Benefit.

MC053 Cardiac 1390Silicone

25 - 50cm Medtronic Australasia Pty Ltd Changed Benefit.

MC208 Cardiac 8100 58-100cm Medtronic Australasia Pty Ltd Changed Benefit.MC225 Cardiac 2808 Attain Over the Wire Model 4193 Titanium, polyurethane 78-88cm Medtronic Australasia Pty Ltd Changed Benefit.

MC229 Cardiac 1123 Medtronic Capsure SP Novus Model 5594 Lead 30-100cm Medtronic Australasia Pty Ltd Changed Benefit.MC246 Cardiac 450 DF-I Y-Adaptor/Extender Model 6726 25cm & 37cm Silicone Lengths 25cm, 37cm Medtronic Australasia Pty Ltd Changed Benefit.

MC251 Cardiac 4212Silicone and Platinum Alloy

Lengths 41-85cm inclusive Medtronic Australasia Pty Ltd Changed Benefit.MC254 Cardiac 1123 CapSure Sense pacemaker lead Models 4073 Titanium Nitride 30 - 85cm Medtronic Australasia Pty Ltd Changed Benefit.

MC301 Cardiac 2340 Model 3830 PACING LEADS 59 - 75 cm Medtronic Australasia Pty Ltd Changed Benefit.

MC329 Cardiac 1123 Medtronic Driver, Micro Driver Coronary Stent System

Cobalt Alloy

Medtronic Australasia Pty Ltd Changed Benefit.

MC336 Cardiac 1123 Medtronic Capsure Z Novus Model 5054 Pacing Lead 45-58cm Medtronic Australasia Pty Ltd Changed Benefit.

MC337 Cardiac 1123 Medtronic Capsure Z Novus Model 5554 Pacing Lead 45-58cm Medtronic Australasia Pty Ltd Changed Benefit.

MC338 Cardiac 1123 Medtronic Capsurefix Novus Model 5076 Pacing Lead 45-85cm Medtronic Australasia Pty Ltd Changed Benefit.

MC372 Cardiac 1123 CapSure Sense MRI SureScan pacemaker leads Models 4074 & 4574 Medtronic Australasia Pty Ltd Changed Benefit.MC699 Cardiac 5616 Attain OTW Model 4194 Lead Model 4194 78cm, 88cm Medtronic Australasia Pty Ltd Changed Benefit.

MC713 Cardiac 6084 Adapta Pacemaker Medtronic Australasia Pty Ltd Changed Benefit.

MC726 Cardiac 10296 Adapta Pacemaker Medtronic Australasia Pty Ltd Changed Benefit.

MC728 Cardiac 5335 Adapta Pacemaker Medtronic Australasia Pty Ltd Changed Benefit.

MC730 Cardiac 4500 Attain StarFix LV LeadOver the wire left Ventricular Lead

78, 88, 103cm Medtronic Australasia Pty Ltd Changed Benefit.

Model 6721S-50, Model 6721M-50, Model 6721L-50; SiliconeSilicone; Contents: 1 x lead with anchoring sleeve, stylet & guide, 1 x vein lifter, 2 x fixation tools, extra stylets

Capsure EPI steroid eluting unipolar epicardial lead Model 4965 ventricle

Medtronic Sprint Quattro Secure Lead Model 6947 58cm; Model 6947 65cm; Model 6947 75cm; Model 6947 100cm

Leads, Defibrillator, Implantable, Silicone, polyurethane, platinized tantalum coils, steroid eluting tip

Bipolar, steroid, passive fixation pacing lead

Implantable Subcutaneous Defibrillator Lead Model 6996SQ 41cm, 58cm, 85cm

Active fixation pacemaker leadComposition: Insulation is polyurethane, Electrodes are Titanium Nitride coated Platinum, the screw is steriod-coated

Driver Stent: diameter (2.25 - 4.5mm), length (8-30mm); Micro-Driver Stent: diameter (2.25 - 2.75mm), length (8 - 24mm)

Silicone; Contents: 1 x lead with anchoring sleeve, stylet & guide, 1 x vein lifter, 2 x fixation tools, extra stylets

Silicone; Contents: 1 x lead with anchoring sleeve, stylet & guide, 1 x vein lifter, 2 x fixation tools, extra stylets

Silicone; Contents: 1 x lead with anchoring sleeve, stylet & guide, 1 x vein lifter, 2 x fixation tools, extra stylets

Bipolar, steroid, passive fixation pacing lead

Model 4074: 52 - 58cm; Model 4574: 45 - 53cm

VDDR PacemakerModels ADVDD01

11.1cc23.6g

DR PacemakerModels ADDR01, ADDRS1, ADDRL1, ADDR06, ADDR03

11.1-14.2cc23.6g-31.3g

SR PacemakerModels ADSR01, ADSR06, ADSR03

9.7 - 11.0cc21.5 - 22.5g

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MC732 Cardiac 3105 Endeavour Drug Eluting Coronary Stent System

Cobalt Alloy, ABT - 578

Medtronic Australasia Pty Ltd Changed Benefit.

MC769 Cardiac 3105 Endeavor Sprint Drug Eluting Stent System

Cobals Alloym ABT - 578

Medtronic Australasia Pty Ltd Changed Benefit.

MC778 Cardiac 450 Oscor Adaptor 10cm, 17cm and 40cm Medtronic Australasia Pty Ltd Changed Benefit.

MC811 Cardiac 5616 Attain Ability 4196 LV Lead 78, 88, and 103 cm Medtronic Australasia Pty Ltd Changed Benefit.

MC816 Cardiac 3105 Endeavor Resolute Drug Eluting Coronary Stent System Medtronic Australasia Pty Ltd Changed Benefit.

MC831 Cardiac 477 Medtronic Lead Extender Kit Model: 6984M, 6981M, 6985M,6986M 37 - 50cm Medtronic Australasia Pty Ltd Changed Benefit.MC833 Cardiac 1123 CapSureFix Novus Model 4076 Pacing Lead Active fixation pacemaker lead 45 - 85cm Medtronic Australasia Pty Ltd Changed Benefit.

MC834 Cardiac 8100 Sprint Quattro Secure S 52 - 100cm Medtronic Australasia Pty Ltd Changed Benefit.

MC932 Cardiac 1123 Driver Sprint Coronary Stent SystemCobalt Alloy

Medtronic Australasia Pty Ltd Changed Benefit.

MC933 Cardiac 10602 Advisa DR MRI SureScan 13cc, 22g Medtronic Australasia Pty Ltd Changed Benefit.

MC934 Cardiac 10602 Advisa DR 13cc, 22g Medtronic Australasia Pty Ltd Changed Benefit.MC936 Cardiac 1123 CapSure Fix MRI Pacing Lead Model 5086, MRI Conditional 42, 52, 58 cm Medtronic Australasia Pty Ltd Changed Benefit.

MC956 Cardiac 1123 Integrity Coronary Stent SystemCobalt Alloy Coronary Stent

Medtronic Australasia Pty Ltd Changed Benefit.

ME196 Cardiac 9180 Figulla Flex II ASD Occluder Getz Healthcare Pty Ltd Changed Benefit.

Diameter: 2.25mm-4.5mm; Length: 8.00mm-38.0mm

Diameter: 2.25mm-4.0mm; Length: 8.0mm-30.0mm

Adaptor for LV-1 lead to unipolar and bipolar IS-1Over the wire dual electrode left ventricular leadCobalt Alloy, ABT - 578, BioLinx Polymer

Diameter:2.25mm-4.0mm; Length: 8.00mm-30.0mm

6984M: IS-1 BI Lead to IS-1 BI IPG; 6981M: IS-1 UNI Lead to IS-1 UNI IPG; 6986M: 3.2mm BI Lead to IS-1 BI IPG; 6985M: IS-1 UNI Lead to EPG

Model 6935, Active Fixation Single Coil Defibrillation Lead

Diameter: 2.25 - 4.5 mm; Length: 8-30mm

Model A3DR01 Digital dual chamber pacemaker with SureScan Technology (OAE-DDDR) MR Conditional with MVP Mode, Complete Capture Management Diagnostic (ACM, RVCM), AT/AF Suite Diagnostics and Therapies, OptiVol Fluid Status Monitoring, and Therapy Guide Fea

Model A5DR01 Digital dual chamber pacemaker (OAE-DDDR) MVP mode with Complete Capture Management Diagnostic (ACM, RVCM) AT/AF Suite Diagnostics and Therapies, OptiVol Fluid Status Monitoring, and Therapy Guide Feature

Diameter: 2.25 - 4.5mm; Length: 8 - 30mm

Occlutech Flexx II ASD Occlusion device Figulla Flex II ASD Waist Ø

(mm): Size 4,5,6,7.5,9,10.5,12,13.5,15,16.5,18,21,24,27,30,33,36,39,40

Page 84: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ME197 Cardiac 9180 Figulla Flex II PFO Occluder Getz Healthcare Pty Ltd Changed Benefit.

MI012 Cardiac 12168 Consulta CRT-P One size only Medtronic Australasia Pty Ltd Changed Benefit.

MI013 Cardiac 5616 Attain Ability Plus 4296 78cm, 88cm Medtronic Australasia Pty Ltd Changed Benefit.

MI014 Cardiac 5616 Attain Ability Straight 4396 78cm, 88cm Medtronic Australasia Pty Ltd Changed Benefit.

MI033 Cardiac 8100 Sprint Quattro Secure 6947M Lead 45-110cm Medtronic Australasia Pty Ltd Changed Benefit.

MI037 Cardiac 3105 Resolute Integrity Zotarolimus-Eluting Coronary Stent System Medtronic Australasia Pty Ltd Changed Benefit.MI042 Cardiac 72 Medtronic Lead End Cap Kit Model: 5867-3M Lead End Cap Kit One size only Medtronic Australasia Pty Ltd Changed Benefit.

MI043 Cardiac 72 One size per model Medtronic Australasia Pty Ltd Changed Benefit.

MI044 Cardiac 72 Medtronic Upsizing Sleeve: Model 5866-45, Model 5866-46 18-25mm Medtronic Australasia Pty Ltd Changed Benefit.

MI045 Cardiac 450 Adaptor Kit Model 5866-24M, 5866-40M, 5866-37M 14cm Medtronic Australasia Pty Ltd Changed Benefit.

MI046 Cardiac 450 Bipolar Lead Adaptor Kit Model 2872Two IS-1 BI Leads to IS-1 BI IPG

One size only Medtronic Australasia Pty Ltd Changed Benefit.

MI053 Cardiac 450 5019 Adaptor One size Medtronic Australasia Pty Ltd Changed Benefit.

MI069 Cardiac 46800 VIVA XT CRT-D DTBA2D1 35cc, 82g Medtronic Australasia Pty Ltd Changed Benefit.

The Figulla® Flex II PFO is an implant for closure of a patent foramen ovale (PFO) defect in the heart and is deployed via a minimally invasive catheter delivery system. The Figulla® Flex PFO is intended for patients with substantiated Right-Left-Shunt in the contrast agent echocardiography under Valsalva maneuver and presence of a "cryptogenic", paradoxical thromboembolism. Figulla Flex II PFO Disc Ø

(mm): 23/25, 16/18, 27/30, 31/35

Cardiac Resynchronisation Therapy Pacemaker, Model C3TR01Over the wire electrode left ventricular leadOver the wire dual left ventricular leadActive fixation, true bipolar, dual coil defibrillation leads with silicone backfill and DF-4 connector

Cobalt-alloy, ABT-578, BioLinx Polymer Small Vessel - Diameter:

2.25mm-2.75mm; Length: 8.0mm-30.0mmMedium Vessel - Diameter: 3.0mm-4.0mm; Length: 9.0mm-38.0mm

Medtronic DF-1 Port Pin Plug Kit: Model 6719; Medtronic IS-1 Port Pin Plug Kit: Model 6725

DF-1 unipolar connector port pin plug, one per kit5866-45: IS1 UNI Lead to 5/6mm UNI IPG; 5866-46: IS1 UNI Lead to 5mm UNI IPG or 5mm Bifurcated BI IPG

5866-24M: 5mm Bifurcated Bipolar Lead or Two 5mm Unipolar Leads to IS-1 Bipolar IPG; 5866-40M: 3.2mm BI Lead to IS-1 BI IPG; 5866-37M: 5mm UNI Lead to IS-1 UNI IPG

Adapts DF-4 lead to enable use of additional leads for high defibrillation thresholdsImplantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, SmartShock Technology, OptiVol 2.0 Fluid Status Monitoring, Complete Capture Management Specifications (DF1), and AdaptivCRT

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MI070 Cardiac 47475 VIVA XT CRT-D DTBA2D4 35cc, 82g Medtronic Australasia Pty Ltd Changed Benefit.

MI071 Cardiac 46800 VIVA S CRT-D DTBB2D1 35cc, 82g Medtronic Australasia Pty Ltd Changed Benefit.

MI072 Cardiac 47475 VIVA S CRT-D DTBB2D4 35cc, 82G Medtronic Australasia Pty Ltd Changed Benefit.

MI108 Cardiac 8100 Sprint Quattro Secure S DF4 49 - 97 cm Medtronic Australasia Pty Ltd Changed Benefit.

MI109 Cardiac 47475 VIVA QUAD XT CRT-D IS4/DF4 35cm³ 81g Medtronic Australasia Pty Ltd Changed Benefit.

MI110 Cardiac 47475 VIVA QUAD S CRT-D IS4/DF4 35cm³ 81g Medtronic Australasia Pty Ltd Changed Benefit.

MI111 Cardiac 40203 Evera XT VR DF4 33cm³ 77g Medtronic Australasia Pty Ltd Changed Benefit.

Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, SmartShock Technology, OptiVol 2.0 Fluid Status Monitoring, Complete Capture Management Specifications (DF4), and AdaptivCRT

Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, SmartShock Tehnology, OptiVol 2.0 Fluid Status Monitoring and Complete Capture Management Specifications (DF1)

Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, SmartShock Tehnology, OptiVol 2.0 Fluid Status Monitoring and Complete Capture Management Specifications (DF4)

Dexamethasone acetate and dexamethasone sodium phosphate steroid-eluting, tripolar, screw-in, ventricular lead with RV defibrillation coil electrode

ICD with CRT. PhysioCurve Design, AdaptivCRT Algorithm, CardioSync Optimisation, VextorExpress, LV Automated Test, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management and Atrial Therapies. IS4 DF4

ICD with CRT. PhysioCurve Design, CardioSync Optimisation, VectorExpress, V Automated Test, Optimised Battery Chemistry, Smart Shock Technology 2.0. Complete Capture management. IS4 DF4

Single Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management. DF4

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MI112 Cardiac 39528 Evera XT VR DF1 33cm³ 77g Medtronic Australasia Pty Ltd Changed Benefit.

MI113 Cardiac 40203 Evera S VR DF4 33cm³ 77g Medtronic Australasia Pty Ltd Changed Benefit.

MI114 Cardiac 39528 Evera S VR DF1 33cm³ 77g Medtronic Australasia Pty Ltd Changed Benefit.

MI115 Cardiac 43092 Evera XT DR IS1/DF4 34cm³ 78g Medtronic Australasia Pty Ltd Changed Benefit.

MI116 Cardiac 42417 Evera XT DR IS1/DF1 34cm³ 78g Medtronic Australasia Pty Ltd Changed Benefit.

MI117 Cardiac 43092 Evera S DR IS1/DF4 34cm³ 78g Medtronic Australasia Pty Ltd Changed Benefit.

MI118 Cardiac 42417 Evera S DR IS1/DF1 34cm³ 78g Medtronic Australasia Pty Ltd Changed Benefit.

MI129 Cardiac 5616 Attain Perfoma Leads 78, 88cm Medtronic Australasia Pty Ltd Changed Benefit.

Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, Optimised Battery Chemistry, SmartShock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management. DF1

Single Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, DF4

Single Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, DF1

Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management and Atrial Therapies. DF4

Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management and Atrial Therapies. DF1

Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, DF4

Dual Chamber Implantable Cardioverter Defibrillator with PhysioCurve Design, Optimised Battery Chemistry, Smart Shock Technology 2.0, DF1

LV lead family with four electrodes and an IS4 connector for LV pacing w/premium and standard IS4 CRT-D devices. The Attain Perfoma™ Lead provides LV pacing options to avoid the following: phrenic nerve stimulation, high pacing thresholds, and ischemic tissue

Page 87: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MI130 Cardiac 46800 VIVA QUAD XT CRT-D IS4/DF1 35cm³ 81g Medtronic Australasia Pty Ltd Changed Benefit.

MI131 Cardiac 46800 VIVA QUAD S CRT-D IS4/DF1 35cm³ 81g Medtronic Australasia Pty Ltd Changed Benefit.

MI158 Cardiac 43092 Evera MRI XT DR ICD/ Evera MRI S DR ICD 34cm3 78g Medtronic Australasia Pty Ltd Changed Benefit.

MI159 Cardiac 12168 Viva CRT-P 15cm3 26g Medtronic Australasia Pty Ltd Changed Benefit.

MI160 Cardiac 40203 Evera MRI XT VR ICD/ Evera MRI S VR ICD 33cm3 77g Medtronic Australasia Pty Ltd Changed Benefit.

MI161 Cardiac 5335 Advisa SR MRI SureScan pacemaker A3SR01 11.9cm3 21g Medtronic Australasia Pty Ltd Changed Benefit.

MI189 Cardiac 3105 Resolute Onyx Zotarolimus-Eluting Coronary Stent System

coronary stent system; drug eluting

Medtronic Australasia Pty Ltd Changed Benefit.

MI195 Cardiac 1116 TYRX Absorbable Antibacterial Envelope 6.3 x 6.9cm, 7.4 x 8.5cm Medtronic Australasia Pty Ltd Changed Benefit.

MJ001 Hip 3099 ADEPT MoM Resurfacing Head MatOrtho Australia Pty Ltd Changed Benefit.

MJ002 Hip 4764 Adept MoM Acetabular Component MatOrtho Australia Pty Ltd Changed Benefit.

MJ003 Hip 6475 Adept MoM Acetabular Component - Extra Fixation Cup MatOrtho Australia Pty Ltd Changed Benefit.

MJ005 Knee 3052 Saiph Knee System Femoral Component Cemented 1 - 8 Left & Right MatOrtho Australia Pty Ltd Changed Benefit.

MJ006 Knee 3792 MRK (Medial Rotation Knee) Total Knee System Femoral Component 0-5 Left and Right MatOrtho Australia Pty Ltd Changed Benefit.

MJ007 Knee 3792 Saiph Knee System Femoral Component Cementless 1 - 8 Left & Right MatOrtho Australia Pty Ltd Changed Benefit.

MJ008 Knee 1989 MRK (Medial Rotation Knee) Total Knee System Tibial Baseplate 1-5 MatOrtho Australia Pty Ltd Changed Benefit.

ICD with CRT. PhysioCurve Design, Adaptiv CRT Algorithm, CardioSync Optimisation, VectorExpress, LV Automated Test, Optimised Battery Chemistry, Smart Shock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management and Atrial Therapies. IS4 DF1

ICD with CRT. PhysioCurve Design, CardioSync Optimisation, VectorExpress, LV Automated Test, Optimised Battery Chemistry, Smart Shock Technology 2.0. Complete capture management. IS4 DF1

Dual chamber implantable cardioverter defibrillator with SureScan MRI TechnologyFully automatic digital pacemaker with CRT, atrial therapy and aCRT

Single chamber implantable cardioverter defibrillators with SureScan MRI TechnologySingle chamber pacemaker with SureScan MRI Technology

diameter: 2.25 to 5.00 mm; length: 8.00 to 38.00 mm

Antibacterial surgically implanted mesh envelope which stabilises CIED placement and prevents infection

Resurfacing Head MoM, Cast CoChr

38-58 going up in 2mm increments

Porocast beaded Shell , Co Cr, HA coated size 44-66mm

44-66mm Outer diameter going up in 2mm increments

Porocast beaded Shell , Co Cr, HA coated, dysplasia flange

46-66mm Outer diameter going up in 4mm increments

CoCr Polished Cemented Femoral ComponentFemoral Component, uncemented, CoCr with stippled surface titanium plasma spray HA coated

CoCr Polished Cementless Femoral Component, Porous Titanium and HATibial Baseplate, cemented, Titanium for fixed insert

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MJ009 Knee 1989 Saiph Knee System Tibial Component CementedCoCr Tibial Component, Cemented

MatOrtho Australia Pty Ltd Changed Benefit.

MJ010 Knee 2498 MRK (Medial Rotation Knee) Total Knee System Tibial Baseplate 1-5 MatOrtho Australia Pty Ltd Changed Benefit.

MJ011 Knee 2498 Saiph Knee System Tibial Component Cementless MatOrtho Australia Pty Ltd Changed Benefit.MJ012 Knee 1054 MRK (Medial Rotation Knee) Total Knee System Tibial Insert Tibial Insert, UHMWPE, Fixed 1/2/3, 8-18mm thickness MatOrtho Australia Pty Ltd Changed Benefit.

MJ013 Knee 1110 Saiph Knee System APS Tibial Insert MatOrtho Australia Pty Ltd Changed Benefit.

MJ014 Knee 555 MRK (Medial Rotation Knee) Total Knee System Patellar Component 20-30mm MatOrtho Australia Pty Ltd Changed Benefit.

MJ015 Knee 555 Saiph Knee System Patella ComponentPolyethylene Patella Component

Diameter 23mm - 42mm MatOrtho Australia Pty Ltd Changed Benefit.

MJ020 Knee 3052 MRK (Medial Rotation Knee) Total Knee System Femoral Component 0-5 Left and Right MatOrtho Australia Pty Ltd Changed Benefit.

MJ021 Knee 4216 0-5 Left and Right MatOrtho Australia Pty Ltd Changed Benefit.

MN150 Hip 3052 Pinnacle Acetabular System

Gripton Ti-Foam Augments

Johnson & Johnson Medical Pty Ltd t/a Changed Benefit.

MU001 Hip 1942 CONE Cemented Femoral StemCoCr, highly polished, triple taper

Medacta Australia Pty Ltd Changed Benefit.MU002 Hip 146 Medacta Femoral Stem Distal centraliser PMMA 10mm to 18mm Medacta Australia Pty Ltd Changed Benefit.

MU003 Hip 3978 Quadra Hip Femoral Stem

Titanium, grit blast, fully HA,

Medacta Australia Pty Ltd Changed Benefit.

MU004 Hip 1942 Quadra Hip Cemented Femoral Stem Medacta Australia Pty Ltd Changed Benefit.

MU005 Hip 740 Quadra Hip Femoral Head

CoCr

Medacta Australia Pty Ltd Changed Benefit.

MU008 Hip 2498 Versafitcup Acetabular Shell 40 to 64 Medacta Australia Pty Ltd Changed Benefit.

MU010 Hip 758 Medacta UHMWPE Liner

UHMWPE

Medacta Australia Pty Ltd Changed Benefit.

MU013 Hip 2424 Delta Ceramic Liners

Ceramic, Delta

Medacta Australia Pty Ltd Changed Benefit.MU014 Hip 127 Medacta Acetabular Screws Titanium, cancellous screws 6.5 L 15-70mm Medacta Australia Pty Ltd Changed Benefit.MU017 Hip 148 Medacta Acetabular Plug Titanium Plug . Medacta Australia Pty Ltd Changed Benefit.

MU018 Hip 750 Medacta Unipolar HeadStainless steel, solid head

Medacta Australia Pty Ltd Changed Benefit.

MU019 Hip 1073 Medacta Highly Crosslinked UHMWPE Liner

Highly Crosslinked UHMWPE

Medacta Australia Pty Ltd Changed Benefit.

A - F, Standard and Long Stem

Tibial Baseplate, uncemented, Titanium with stippled surface titanium plasma spray HA coated

CoCr Tibial Component, Porous Titanium and HA

A - F, Standard an Long Stem

Compression Moulded Anterior Posterior Stablilised Tibial Bearing A - F, Left & Right 10 -

20mmAll Poly Patellar, UHMWPE, 1 central peg, This is a uncemented poly button

Pegged Femoral Component, Cemented, CoCr

MRK (Medial Rotation Knee) Total Knee System Revision Femoral Component

Stemmed Femoral Component, Cemented, CoCr

Wedges 52-72, buttress 56-68 or shim 5 to 15 degreesStandard sizes 1 to 8, Lateralized sizes 2 to 7

Std 0 to 10Std (shortneck) 00 to 10Lat 1 to 7Lat (shortneck) 1 to 7

High nitrogen stainless steel alloy, highly polished, double taper

Std 0 to 7. Lat 1 to 7Std short neck 0 to 7.Lat short neck 1 to 7.Dia 22mm (S to M)Dia 28mm (S to XXL)Dia 32mm (S to XXL)

Titanium, plasma spray, with HA, variable holes

Internal diameter 22,28,32 mm, hooded & neutral, hooded & neutral28mm (A to G), 32mm (C to G), 36mm (E to G), 40mm (F to G)

Size 40-56mm with variable offsetsInternal diameter 22, 28,32,36, 40 mm neutral & hooded

Page 89: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MU021 Hip 793 Medacta Bipolar Head Medacta Australia Pty Ltd Changed Benefit.

MU022 Hip 2498 Versafitcup Dual Mobility Acetabular Shell Medacta Australia Pty Ltd Changed Benefit.

MU024 Hip 1698 Versafitcup UHMWPE Constrained Liner Medacta Australia Pty Ltd Changed Benefit.

MU026 Knee 3052 Evolis Knee System Femoral Component 1- 6, left and right Medacta Australia Pty Ltd Changed Benefit.

MU027 Knee 3191 Evolis Knee System Femoral Component 1 - 6, left and right Medacta Australia Pty Ltd Changed Benefit.

MU028 Knee 3145 Evolis Knee System Femoral Component 1 - 6, left and right Medacta Australia Pty Ltd Changed Benefit.

MU029 Knee 3145 Evolis Knee System Femoral Component 1 - 6, left and right Medacta Australia Pty Ltd Changed Benefit.

MU030 Knee 3376 Evolis Knee System Tibial baseplate 1 - 6 Medacta Australia Pty Ltd Changed Benefit.

MU031 Knee 555 Evolis Knee System Patella Component Medacta Australia Pty Ltd Changed Benefit.

MU032 Knee 1110 Evolis Knee System Tibial Insert Medacta Australia Pty Ltd Changed Benefit.

MU034 Knee 1054 Evolis Knee System Tibial Insert Tibial Insert, UHMWPE, fixed

Medacta Australia Pty Ltd Changed Benefit.

MU035 Knee 1164 Evolis Knee System Tibial Stem Tibial stems, titanium, cemented

Medacta Australia Pty Ltd Changed Benefit.

MU036 Knee 130 Evolis Knee System Fixation Screw Medacta Australia Pty Ltd Changed Benefit.

MU038 Knee 3422 Evolis Knee System Femoral Component 1 - 6, left to right Medacta Australia Pty Ltd Changed Benefit.

MU039 Knee 3515 Evolis Knee System Femoral Component 1 - 6, left to right Medacta Australia Pty Ltd Changed Benefit.

MU040 Knee 3515 Evolis Knee System Tibial baseplate 1 -6 Medacta Australia Pty Ltd Changed Benefit.

MU058 Hip 5319 Quadra-R Hip Revision Stem From size 0 to size 9` Medacta Australia Pty Ltd Changed Benefit.

MU059 Knee 1110 GMK Posterior Stabilised fixed tibial insert Medacta Australia Pty Ltd Changed Benefit.

MU060 Knee 2128 Unicompartmental femoral component 1 to 4 Medacta Australia Pty Ltd Changed Benefit.

Stainless Steel, with UHMWPE insert For ballhead diameter

28mm- 42,44,46,48,50,52,54,56,58,60mm. For ballhead diameter 22.2mm - 39,40,41,42,43,44,45,46,47,48,49,50,51,52mm

Stainless steel, with titanium plasma coating and HA, and polished inner surface for dual articulation

from diameter 46mm to 64mm in 2mm increments

UHMWPE Constrained Liner for Versafitcup Dual Mobility Acetabular Shell

For head diameter 22mm sizes 46 - 64mm. For had diameter 28mm sizes 48 - 64mm.

Femoral component, cemented, CoCr Femoral Component, cemented, CoCr, with TiNi (TiNibN) surface coatingFemoral Component, cemented, CoCr, posterior stabilised Femoral Component, cemented, CoCr, posterior stabilised with TiNi (TiNibN) surface coatingTibial baseplate, cemented, titanium for fixed insert All poly patella, cemented, UHMWPE

20, 24,28, 30, 33, 36, 39mm diam

Tibial Insert, UHMWPE, fixed, posterior stabilised

1 - 6, 9/11/13/16/19mm thickness1 - 6, 9/11/13/16/19mm thickness30/60mm length (12mm diameter)

Tibial screw for baseplate fixation to bone, titanium, optional 20/25/30/35/40/45mm

(6.5mm diameter)Femoral component, uncemented, CoCr, titanium plasma spray

Femoral component, uncemented, CoCr, titanium plasma spray, posterior stabilised

Tibial baseplate, uncemented, titanium with titanium plasma spray, for fixed insert Uncemented revision stem, HA CoatedPosterior Stabilised fixed polyethylene insert

size 1 to 6, 10/12/14/17/20mm thickness

cemented unicompartmental femoral component

Page 90: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MU061 Knee 555 GMK Inset Patella Medacta Australia Pty Ltd Changed Benefit.

MU062 Knee 731 GMK Unicompartmental fixed tibia insert Medacta Australia Pty Ltd Changed Benefit.

MU063 Knee 3052 GMK Primary Cemented Standard Femoral Component 0 to 7, left to right Medacta Australia Pty Ltd Changed Benefit.

MU064 Knee 3145 GMK posterior stabilised cemented femur 0 to 7, left to right Medacta Australia Pty Ltd Changed Benefit.

MU065 Knee 1434 GMK Unicompartmental fixed tibial baseplate 1 to 5, left and right Medacta Australia Pty Ltd Changed Benefit.

MU066 Knee 3792 GMK Uncemented Standard Femur 0 to 7, left and right Medacta Australia Pty Ltd Changed Benefit.

MU067 Knee 2498 GMK Uncemented Fixed Tibia Tray 1 to 6, left and right Medacta Australia Pty Ltd Changed Benefit.

MU068 Knee 1054 GMK Standard mobile tibial insert Medacta Australia Pty Ltd Changed Benefit.

MU069 Knee 1164 GMK Tibial Extension StemTibial Baseplate extension stem

Medacta Australia Pty Ltd Changed Benefit.

MU070 Knee 1156 GMK Unicompartmental Full - PE Tibia Component Medacta Australia Pty Ltd Changed Benefit.

MU071 Knee 1054 GMK Standard Fixed Tibial Insert

Fixed polyethylene insert

Medacta Australia Pty Ltd Changed Benefit.

MU072 Knee 555 GMK Resurfacing Patella sizes 1, 2, 3, 4. Medacta Australia Pty Ltd Changed Benefit.

MU073 Knee 1110 GMK Ultracongruent Mobile Tibial Insert Medacta Australia Pty Ltd Changed Benefit.

MU074 Knee 1054 GMK ultracongruent Fixed tibial Insert Medacta Australia Pty Ltd Changed Benefit.

MU076 Knee 3099 GMK Uncemented mobile Tibia Tray 1 to 6, left and right Medacta Australia Pty Ltd Changed Benefit.

MU077 Knee 2220 GMK Mobile Cemented Tibia Tray 1 to 6, left to right Medacta Australia Pty Ltd Changed Benefit.

MU078 Knee 3885 GMK Uncemented Posterior stabilised femur 0 to 7, left to right Medacta Australia Pty Ltd Changed Benefit.

MU081 Knee 5596 GMK Revision cemented standard femur Sizes 1 to 6, Left and Right Medacta Australia Pty Ltd Changed Benefit.

MU082 Knee 1164 GMK Revision cemented extension stem Medacta Australia Pty Ltd Changed Benefit.

Inset cemented polyethylene patella sizes 1-2; 3-4; 5-6

(20/24/28/32mm diameter)cemented unicompartmental polyethylene fixed tibial insert

1 to 5, left and right, 8/9/10/11/12/14mm thiknesses

Cemented standard femoral componentCemented posterior stabilised femoral componentcemented unicompartmental fixed tibial component with peg and fixation keelUncemented standard femoral component with titanium porous covered by an hydroxyapatite coating

Asymmetric uncemented fixed tibial componentposterior cruciate retaining mobile polyethylene insert

size 1 to 7, 10/12/14/17/20mm thicknessdiameter 11mm, length 65mm & 30mm

cemented unicompartmental all polyethylene fixed component

1 to 5, left and right, 8/9/10/11/12/14mm thicknesses1 to 6, left to right, 10/11/12/13/14/17/20mm thickness

resurfacing three pegged cemented polyethylene patellaUltracongruent Mobile Polyethylene Insert

size 1 to 7, 10/12/14/17/20mm thickness

Ultracongruent fixed polyethylene insert

1 to 6, left to right, 10/12/14/17/20mm thickness

Asymmetric uncemented mobile tibia with titanium porous coating by an hydroxyapatite coating

Asymmetric mobile cemented tibial componentUncemented posterior stabilised femoral component with titanium porus coating covered by an hydroxyapatite coating

Cemented minimally stabilised femoral componentCemented tibia and femur extension stem

Diameters 11, 13 and 16mm, available in 2 or 3 lengths (65, 105, 150mm)

Page 91: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MU085 Knee 1187 GMK Revision femoral distal wedge Medacta Australia Pty Ltd Changed Benefit.

MU086 Knee 1164 GMK Revision uncemented extension stem Medacta Australia Pty Ltd Changed Benefit.

MU087 Knee 1187 GMK Revision femoral posterior wedge Medacta Australia Pty Ltd Changed Benefit.

MU088 Knee 1249 GMK Revision offset adaptor 3mm and 5mm offset Medacta Australia Pty Ltd Changed Benefit.

MU089 Knee 5689 GMK Revision cemented posterior-stabilised femur Sizes 1 to 6, Left and Right Medacta Australia Pty Ltd Changed Benefit.

MU090 Knee 1110 PS fixed insert for Evolis tibial revision Medacta Australia Pty Ltd Changed Benefit.

MU091 Knee 1110 GMK Revision semi-constrained fixed tibial insert Medacta Australia Pty Ltd Changed Benefit.

MU092 Knee 1054 UC fixed insert for Evolis tibial revision Medacta Australia Pty Ltd Changed Benefit.

MU094 Knee 1187 GMK Revision tibial wedge Medacta Australia Pty Ltd Changed Benefit.

MU095 Hip 2128 Biolox Delta Ceramic Ball heads Medacta Australia Pty Ltd Changed Benefit.

MU096 Hip 1942 Biolox Delta Ceramic Ball Heads Medacta Australia Pty Ltd Changed Benefit.

MU097 Hip 879 Femoral HeadCoCr Femoral Ball Head 12/14

Medacta Australia Pty Ltd Changed Benefit.

MU098 Hip 1698 Versafitcup HX UHMWPE Constrained Liner Medacta Australia Pty Ltd Changed Benefit.

MU099 Knee 6244 GMK Hinge femurRotating hinge femoral component

1 to 6 Left and Right Medacta Australia Pty Ltd Changed Benefit.

MU100 Knee 3839 GMK Hinge fixed tibial trayTibial Component cemented CoCr

1 to 6 Left and Right Medacta Australia Pty Ltd Changed Benefit.

MU101 Knee 1156 GMK Hinge fixed tibial insert 1 to 6 10-26mm Medacta Australia Pty Ltd Changed Benefit.

Screwed femoral distal augmentation Size 1 to 6, each one

available in 3 thicknesses: 4mm, 8mm, 12mm

Uncemented tibia and femur extension stem Multiple diameters (10, 11,

12, 13, 14, 15, 16, 18, 19, 20, 22mm) each one available in 3 lengths (65, 105, 150mm)

Screwed femoral posterior augmentation

Size 1 to 6, each one available in 2 thicknesses: 5mm, 10mm

Offset adaptor for tibial and femoral revision extension stemCemented posterior stabilised femoral componentPolyethylene posterior-stabilised fixed insert for Evolis tibial revision (using a GMK tibia)

Size 1 to 6, each one available in 5 thicknesses: 10, 12, 14, 17 20mm

Semi-constrained Posterior Stabilised fixed Tibial Insert

Size 1 to 6, each one available in 8 thicknesses: 10, 12, 14, 17, 20, 23, 26, 29mm

Polyethylene ultra-congruent fixed insert for Evolis tibial revision (using a GMK tibia)

Size 1 to 6, each one available in 5 thicknesses: 10, 12, 14, 17 20mm

Cemented tibial baseplate augmentation Size 0 to 6, each one

available in 5 thicknesses: 5, 10, 15, 20 mm

Ceramic femoral heads, BIOLOX® Delta Ai2 O3 -ZrO2 Ball Head 12/14 Ø 36

Sizes: S, M, L and XLBall Head 12/14 Ø 40 Sizes: S, M, L and XLBall Head 12/14 Ø 44 Sizes: S, M, L and XL

Ceramic femoral heads, BIOLOX® Delta AI2 O3 -ZrO2

Ball Head 12/14 Ø 28 Sizes: S, M and LBall Head 12/14 Ø 32 sizes: S, M, L and XLØ 36mm & Ø 40mm: both of sizes S-M-L-XL-XXL

HighCross UHMWPE Constrained Liner for Versafitcup Dual Mobility Acetabular Shell

From Ø 46 to Ø 64mm for head Ø 22mm. From Ø 48 to Ø 64mm for head Ø 28mm.

Tibial Insert for GMK Hinge prosthesis, UHMWPE, fixed, includes hinge locking post

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

MU110 Hip 1942 X-Acta Femoral StemsStainless Steel Femoral Stems

Medacta Australia Pty Ltd Changed Benefit.MU111 Hip 111 MectaPlug PE Cement Restrictor 12 - 30 mm Medacta Australia Pty Ltd Changed Benefit.

MU112 Knee 3052 GMK Cemented Standard Femur - TiNbN coated sizes 1 to 7, left to right Medacta Australia Pty Ltd Changed Benefit.

MU113 Knee 3145 GMK Posterior Stabilised Cemented Femur -TiNbN coated sizes 1 to 7, left toright Medacta Australia Pty Ltd Changed Benefit.

MU114 Knee 1989 GMK Cemented FIXED Tibial Tray -TiNbN coated 1 to 6, left to right Medacta Australia Pty Ltd Changed Benefit.

MU115 Knee 2220 GMK Mobile Cemented Tibial Tray - TiNbN coated 1 to 6, left to right Medacta Australia Pty Ltd Changed Benefit.MU116 Hip 240 Mectacer Biolox Option Sleeves Biolox Option Titanium Sleeve S, M, L, XL Medacta Australia Pty Ltd Changed Benefit.

MU117 Hip 1942 Mectacer Biolox Option Ceramic Heads (<32) 28mm & 32mm Medacta Australia Pty Ltd Changed Benefit.

MU118 Hip 2128 Mectacer Biolox Option Ceramic Heads (>32) 36mm, 40mm, 44mm Medacta Australia Pty Ltd Changed Benefit.MU127 Hip 127 Mpact Cortical Bone Screws Titanium cortical bone screws 25 - 55 mm Medacta Australia Pty Ltd Changed Benefit.MU128 Hip 3978 AMIStem H Femoral Stem Titanium, grit blast, HA coated STD 00 to 9; LAT 0 to 8 Medacta Australia Pty Ltd Changed Benefit.

MU137 Knee 1989 GMK Cemented fixed Tibia Tray 1 to 6, left to right Medacta Australia Pty Ltd Changed Benefit.

MU138 Knee 3376 GMK Revision Cemented fixed Tibia Tray 1 to 6, left to right Medacta Australia Pty Ltd Changed Benefit.MU139 Hip 1319 Reinforcement Cages Acetabular Reinforcement Cage 50 - 62 mm Medacta Australia Pty Ltd Changed Benefit.

MU140 Hip 3099 Mpact Acetabular Shells 44 to 66 Medacta Australia Pty Ltd Changed Benefit.

MU141 Hip 3099 Mpact Revision Acetabular Shells 44 to 76 Medacta Australia Pty Ltd Changed Benefit.

MU142 Hip 4625 MiniMax Femoral Stem 0-8, left & right Medacta Australia Pty Ltd Changed Benefit.

MU143 Hip 866 APRICOT full PE HC Cemented Cup 022, 028, 032, 036 Medacta Australia Pty Ltd Changed Benefit.MU144 Hip 694 APRICOT full PE Cemented Cup Flat edge full PE cemented cup 002, 028, 032 Medacta Australia Pty Ltd Changed Benefit.

MU145 Knee 3052 GMK Sphere Femoral ComponentCemented femoral component

Medacta Australia Pty Ltd Changed Benefit.

MU146 Knee 1054 GMK Sphere Flex Insert

Fixed polyethylene insert

Medacta Australia Pty Ltd Changed Benefit.

My004 Cardiac 1620 CP StentCP Stent Uncovered

Medical Vision Australia Cardiology ThoraChanged Benefit.

My005 Cardiac 2700 CP StentCP Stent Covered

Medical Vision Australia Cardiology ThoraChanged Benefit.

My006 Cardiac 1620 CP Stent Medical Vision Australia Cardiology ThoraChanged Benefit.

My007 Cardiac 2700 CP Stent Medical Vision Australia Cardiology ThoraChanged Benefit.

NM004 Cardiac 1123 Azule Coronary Stent Delivery System OrbusNeich Medical Pty Ltd Changed Benefit.

OH291 Hip 1319 JRI Reconstruction Ring Acetabular reconstruction cage

Orthotech Pty Ltd Changed Benefit.

Sizes 0 - 4 / Offsets 35.5 - 44 mm

Cemented standard femoral component, with TiNbN surface coatingCemented posterior stabilised femoral component, with TiNbN surface coatingAsymmetric polished cemented fixed tibial component, with TiNbN surface coatingAsymmetric mobile cemented tibial component, with TiNbN surface coating.

Biolox Option Ceramic Femoral HeadsBiolox Option Ceramic Femoral Heads

Asymmetric polished cemented fixed tibial componentAsymmetric polished cemented fixed tibial component

Cementless titanium acetabular shell, variable holesCementless titanium acetabular shell, variable holesTitanium, Ti Plasma coated with HAFlat Edge full High-Cross PE cemented Cup

1 to 7 Left1 to 7 Right1 to 6, 10-11-12-13-14-17-20 mmLeft & Right16, 22, 28, 24, 39 & 45mm length16, 22, 28, 24, 39 & 45mm length

CP Stent Uncovered, mounted on BIB balloon

16, 22, 28, 24, 39 & 45mm length

CP Stent Covered, mounted on BIB balloon

16, 22, 28, 24, 39 & 45mm length

L605 Cobalt Chromium alloy balloon expandable vascular prosthesis

Expanded Stent Diameter 2.5 to 4.0mm, Stent Length 9 to 33mm44mm, 47mm, 50mm, 54mm

Page 93: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

OH299 Hip 569 JRI Total Hip System Orthotech Pty Ltd Changed Benefit.

OH395 Knee 2128 Orthotech Pty Ltd Changed Benefit.

OH396 Knee 1156 Sizes A to J Orthotech Pty Ltd Changed Benefit.

OH414 Knee 1249 Samo TCK Revision Knee SystemTCK femoral, tibial offsets

Orthotech Pty Ltd Changed Benefit.OH415 Knee 1156 Samo TCK Revision Knee System TCK poly insert 1-5,6-19mm Orthotech Pty Ltd Changed Benefit.OH416 Knee 1187 Samo TCK Revision Knee System Tibial and femoral augments T1-T5 5-10mm Orthotech Pty Ltd Changed Benefit.OH417 Knee 1989 Samo TCK Revision Knee System Tibial Tray T1-T5 Orthotech Pty Ltd Changed Benefit.

OH418 Knee 1164 Samo TCK Revision Knee SystemFemoral and tibial stems.

40-120mmL x Dia 10-23mm Orthotech Pty Ltd Changed Benefit.

OH419 Knee 3052 Samo TCK Revision Knee System 1-5 Orthotech Pty Ltd Changed Benefit.OH420 Knee 1110 Trekking Knee System, Tibial Mobile tibial insert 1 - 5 (+0/+7) Orthotech Pty Ltd Changed Benefit.OH421 Knee 3099 Trekking Knee System, Tibial Mobile tibial tray, uncemented 1 - 5 Orthotech Pty Ltd Changed Benefit.OH422 Knee 2220 Trekking Knee System, Tibial Mobile tibial tray, cemented 1 - 5 Orthotech Pty Ltd Changed Benefit.OH423 Knee 555 Trekking Knee System, Patellar Patellar 30 - 40 Orthotech Pty Ltd Changed Benefit.OH424 Knee 1110 Trekking Knee System, Tibial Insert Tibial Insert 1 - 5 (+0/+13) Orthotech Pty Ltd Changed Benefit.OH425 Knee 1989 Trekking Knee System, Tibial Component Tibial component cemented 1 - 5 Orthotech Pty Ltd Changed Benefit.OH426 Knee 2498 Trekking Knee System, tibial component Tibial component uncemented 1 - 5 Orthotech Pty Ltd Changed Benefit.OH427 Knee 3052 Trekking Knee System - Femoral Component Femoral component cemented 1 - 5 Orthotech Pty Ltd Changed Benefit.

OH428 Knee 3885 Trekking Knee System - Femoral ComponentFemoral component uncemented

1 - 5 Orthotech Pty Ltd Changed Benefit.OH429 Hip 2646 MGS Revision Modular stem neck Modular Neck 65 - 95 mm Orthotech Pty Ltd Changed Benefit.OH430 Hip 2886 MGS Revision Modular stem Modular stem 130-210mm Orthotech Pty Ltd Changed Benefit.

OH431 Hip 1319 Samo Revision Hip System acetabular 44 - 64 mm Orthotech Pty Ltd Changed Benefit.OH432 Hip 1319 Samo Revision Hip System acetabular Acetabular reinforcement ring 44 - 64 mm Orthotech Pty Ltd Changed Benefit.OH433 Hip 1850 Samo acetabular cup ceramic head Ceramic femoral head S, M, L, and XL Orthotech Pty Ltd Changed Benefit.OH434 Hip 740 Samo acetabular cup femoral head CoCr femoral head S, M, L and XL Orthotech Pty Ltd Changed Benefit.OH435 Hip 758 Samo acetabular cup poly insert X linked poly insert 22 - 36 Orthotech Pty Ltd Changed Benefit.OH436 Hip 2498 Samo Acetabular Cup Acetabular cup 40 - 70 Orthotech Pty Ltd Changed Benefit.OH437 Hip 2368 Samo acetabular cup ceramic insert Ceramic insert 28 - 40 Orthotech Pty Ltd Changed Benefit.OH438 Hip 127 Samo Acetabular Cup bone screw Bone screw 20 - 40 mm Orthotech Pty Ltd Changed Benefit.OH439 Hip 4162 Multifit Modular stem 125-165mm Orthotech Pty Ltd Changed Benefit.OH440 Hip 1135 Multifit Modular Neck Modular Neck S, M, L Orthotech Pty Ltd Changed Benefit.OH512 Hip 148 Furlong Hemi range, cement plug Cement Plug 10-20mm Orthotech Pty Ltd Changed Benefit.

OO001 Knee 3052 ACS Knee System - Femoral component cemented Left/Right 1-6 Oceania Orthopaedics Changed Benefit.

OO002 Knee 3422 ACS Knee System - Femoral component porous coated Left/Right 1-6 Oceania Orthopaedics Changed Benefit.

OO003 Knee 3792 ACS Knee System - Femoral component Ti/TCP coated Left/Right 1-6 Oceania Orthopaedics Changed Benefit.

OO004 Knee 3515 Left/Right 1-6 Oceania Orthopaedics Changed Benefit.

OO005 Knee 2729 ACS Knee System - ACS tibial component cementless 2-7 Oceania Orthopaedics Changed Benefit.

JRI Austin Moore Standard Stems Hemiarthroplasty. These prusct has an all-in-one head and stem Head Sizes range from

39mm - 56mm

Freedom PKR / Active Unicompartmental Knee System Femoral Component

Uni Femoral component, cemented with hydroglaze (Electro-polished surface), CoCr

All sizes for Femoral Component

Freedom PKR / Active Unicompartmental Knee System Tibial Baseplate

Uni tibial baseplate, cemented, all UHMWPE

Straight, posterior, lateral, medial 2-6mm

Revision femoral, preset for stems, offset

Acetabular reinforcement ring with hook

Cemented resurfacing femoral component for use in knee athroplastyPorous coated resurfacing femoral componentTricalcium phosphate coated resurfacing femoral component for use in knee arthroplasty

ACS Knee System - Posterior stabilised femoral component porous coated

Posterior stabilised, porous coated, femoral component for use in knee arthroplastyTibial base plate, porous coated, for use with mobile bearing insert, TiN coated

Page 94: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

OO006 Knee 2220 ACS Knee System - ACS tibial component cemented 2-7 Oceania Orthopaedics Changed Benefit.

OO007 Knee 3099 ACS Knee System - TCP coated tibial component Sizes 2-7 Oceania Orthopaedics Changed Benefit.

OO008 Knee 2220 Implant ACS Knee System - cemented tibial component Sizes 2-7 Oceania Orthopaedics Changed Benefit.

OO009 Knee 2729 ACS Knee System - porous coated tibial component Sizes 2-7 Oceania Orthopaedics Changed Benefit.

OO012 Knee 555 ACS Knee System - PE patella implantACS PE patella

Oceania Orthopaedics Changed Benefit.

OO013 Knee 1251 ACS Knee System - Cementless mobile bearing patella 2, 3, 4, 5, 6 Oceania Orthopaedics Changed Benefit.

OO014 Knee 1251 ACS Knee System - Cemented mobile bearing patella 2, 3, 4, 5, 6 Oceania Orthopaedics Changed Benefit.

OO016 Knee 6938 Oceania Orthopaedics Changed Benefit.

OO017 Knee 5596 ACS Knee System - ACS LS Revision Femoral component, Cemented Left/Right Sizes 2/3/4/5/6 Oceania Orthopaedics Changed Benefit.

OO018 Knee 3145 ACS Knee System - PS Femoral component, cemented Size 2,2.5,3,4,5,6 left/right Oceania Orthopaedics Changed Benefit.

OO019 Knee 3608 ACS Knee System - ACS SC Revision Tibial component, Cemented Sizes 2,3,4,5,6 Oceania Orthopaedics Changed Benefit.

OO020 Knee 3376 ACS Knee System-ACS Revision tibial component, cemented Oceania Orthopaedics Changed Benefit.

OO021 Knee 3515 Oceania Orthopaedics Changed Benefit.

OO026 Knee 1187 ACS Knee System-ACS spacer (tibial and femoral) Oceania Orthopaedics Changed Benefit.

OO027 Knee 1249 ACS Knee System - ACS double taper adapter 0, +2mm, +4mm, +6mm. Oceania Orthopaedics Changed Benefit.

OO029 Knee 130 ACS Knee System - ACS ScrewsScrew for spacers and augments

2 sizes Oceania Orthopaedics Changed Benefit.

OO030 Hip 370 Mutars RS revision system - boltRS bolt

Oceania Orthopaedics Changed Benefit.

OO031 Hip 127 Mutars RS revision system - bone screws

RS bone screw

Oceania Orthopaedics Changed Benefit.

OO032 Hip 1942 IC- Head Biolux deltaBiolux delta ceramic head

Oceania Orthopaedics Changed Benefit.

OO033 Hip 2128 IC-Head Biolux deltaBiolux delta ceramic head

Oceania Orthopaedics Changed Benefit.OO034 Hip 740 IC-Head CoCrMo IC Head, CoCrMo 22,28,32mm - S-M-L-XL Oceania Orthopaedics Changed Benefit.OO035 Hip 793 Bi-polar head Bipolar head 44mm - 60mm Oceania Orthopaedics Changed Benefit.

OO036 Hip 1698 IC Polaric headIC Polaric head

Oceania Orthopaedics Changed Benefit.

Tibial base plate, cemented, for use with mobile bearing insert, TiN coatedTibial base plate, TCP coated for use with mobile bearing insert, TiN coatedTibial base plate, cemented, for use with mobile bearing insert, TiN coatedTibial base plate, porous coated, for use with mobile bearing insert, TiN coated

26mm, 29mm, 32mm, 35mm

ACS Cementless mobile bearing patellaACS cemented mobile bearing patella

ACS Knee System - ACS SC Revision Femoral component, Cemented

Cemented femoral component, Cemented

Left/Right Sizes 2/2.5/3/4/5/6

Cemented femoral component, revision, for use with stemsACS posterior stabilised femoral component, cementedRevision MB base plate for use with augments and straight or offset stemsRevision base plate, cemented, for use with augments and straight or offset stems

Left and Right, Sizes 2,3,4,5,6

ACS Knee System-ACS Revision tibial component, cementless porous coated

Revision tibial component, cementless porous coated, for use with augments and straight or offset stems.

Left and Right, Sizes 2,3,4,5,6

ACS tibial and femoral augments for use with mobile bearing and Revision FB tibial base plates Left and Right, medial,

lateral, posterior and distal.ACS offset adapters for use with ACS FB, MB tibial and femoral components and stems

40,50,65,75,90,100,115,125mm25mm, 30mm, 40mm, 42mm, 45mm, 50mm, 55mm, 60mm28 and 32mm. Small, medium and large.36mm. Small, medium and large.

38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58

Page 95: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

OO037 Hip 1319 IC Reinforcement cageAcetabular Reinforcement cage

Oceania Orthopaedics Changed Benefit.

OO038 Hip 1319 IC titanium ring

Acetabular recontrusction ring

Oceania Orthopaedics Changed Benefit.

OO040 Hip 3256 Mutars RS revision system - metaphyseal componentRS metaphyseal component

Oceania Orthopaedics Changed Benefit.

OO041 Hip 4625 Mutars RS revision system - cementless stem HARS Cementless stem HA

Oceania Orthopaedics Changed Benefit.

OO042 Hip 5920 Mutars RS revision system - cementless stem HA longRS Cementless stem HA long

Oceania Orthopaedics Changed Benefit.

OO043 Hip 185 IC bone screw

Cancellous bone screw

Oceania Orthopaedics Changed Benefit.

OO048 Knee 2809 MUTARS StemsMUTARS Stems

Oceania Orthopaedics Changed Benefit.

OO056 Knee 2128 MUTARS - PE InlayMUTARS - PE Inlay

Oceania Orthopaedics Changed Benefit.OO057 Knee 555 MUTARS - Patella Mutars PE Patella Standard Large Oceania Orthopaedics Changed Benefit.

OO067 Hip 1942 Adler Ceramic Head <32 Oceania Orthopaedics Changed Benefit.

OO069 Hip 3978 Hydra Hip Stem Sizes 9 - 18 Oceania Orthopaedics Changed Benefit.

OO070 Hip 740 Adler CoCr Head Oceania Orthopaedics Changed Benefit.

OO071 Hip 2128 Adler Ceramic Head >32Biolux delta ceramic head

Oceania Orthopaedics Changed Benefit.

OO072 Hip 1135 Modula SC Neck Oceania Orthopaedics Changed Benefit.

OO073 Hip 3099 Fixa Ti-Por Cup 44-66mm Oceania Orthopaedics Changed Benefit.

OO074 Hip 127 Adler Bone Screw

Bone Screw for Acetabular Cup

Oceania Orthopaedics Changed Benefit.

OO077 Hip 1073 Adler PE Acetabular LinersXLPE Liners - for Fixa Cups

Oceania Orthopaedics Changed Benefit.

OO078 Hip 2368 Adler Ceramic Acetabular LinersCeramic Liners - for Fixa Cups

Oceania Orthopaedics Changed Benefit.

OO089 Knee 673 MUTARS - Genux Locking screw for locking mechanism 1 Size Oceania Orthopaedics Changed Benefit.OO090 Knee 282 MUTARS - Genux Locking screws Locking screws for augments Various Oceania Orthopaedics Changed Benefit.OO093 Knee 1249 MUTARS - Genux offset adapter Offset Adapter 0, 2.5mm, 5mm, 7.5mm Oceania Orthopaedics Changed Benefit.

OO094 Knee 1164 MUTARS - Genux stems

Genux cemented. Press fit stems

Oceania Orthopaedics Changed Benefit.OO097 Knee 6244 MUTARS - Genux Hinged knee femoral component Cemented Hinge Knee Size 3,4,5 left and right Oceania Orthopaedics Changed Benefit.

OO098 Knee 3194 MUTARS Genux Hinge locking mechanism Genux Hinge Component Oceania Orthopaedics Changed Benefit.

OO099 Hip 2886 Mutars RS revision system- Metaphyseal component 25mm/30mm Oceania Orthopaedics Changed Benefit.OO102 Hip 111 IC Intramedullary Plug Intramedullary Plug 9mm, 14mm Oceania Orthopaedics Changed Benefit.

Left and Right. 44mm, 50mm, 56mm, 62mm42mm, 44mm, 46mm, 48mm, 50mm, 52mm, 54mm, 56mm, 58mm0mm, 50mm, 40mm tapered, 50mm tapered14/16/18/20mm dia stems, 15mm length14/16/18/20mm dia stems, 200/250mm length6.5mm x 15/20/25/30/35/40/45/50/55/60mm length.120/160/200/240 length, 11/13/15/17 diameterxsmall, Small, Standard, Large

Ceramic Femoral Heads for Adler Stems. Biolox Forte and Delta. 28,32mmOD

Short, Medium, Long in 28 and 32mm

Tapered, Titanium, HA Coated, Modular Uncemented Femoral StemCobolt Chrome Femoral Heads for Adler Stems 22,28mm OD

Short, Medium, Long in 22 and 28 mmShort, Medium, Long; in 36mm and 48mm

The complete series of Modula SC necks, all patented, consists of 15 sizes.

OX, OY, OZ, OA, OB, OC, 9X, 9Y, 9Z, 9A, 9B, 9C, 9AA, 9BB, 9CC

Porous Matrix Titanium, Screw Holes with Plugs, Hemispherical Acetabular Cup

6.5 and 8.5mm Diameter.15-65mm Length.Neutral, 15 degree, in 22,28,32,36mm IDBiolox Forte & Delta, 28,32,36 & 40 mm ID

Locking screw, axel, for Genux hinge locking mechanism

130-240mm length, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20mm wide

Connecting piece; connecting distal femoral and proximal tibial replacement.RS metaphyseal component, silver coated

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.OO103 Knee 1054 ACS Knee Minimmaly Stabilised Tibial Insert ACS PE Insert 10, 12.5, 15, 17.5, 20mm Oceania Orthopaedics Changed Benefit.

OO104 Knee 1110 ACS Knee - Posterior Stabilised Tibial Insert 10, 12.5, 15, 17.5, 20mm Oceania Orthopaedics Changed Benefit.

OO105 Knee 1572 Mutars Diaphyseal connecting piece 100mm -120mm Oceania Orthopaedics Changed Benefit.OO106 Knee 7407 Mutars Distal Femur Mutars Distal Femur Left/Right 90mm -110mm Oceania Orthopaedics Changed Benefit.

OO107 Knee 4070 Mutars Diaphyseal extension pieceMutars Diaphyseal extension piece

40/100mm Oceania Orthopaedics Changed Benefit.

OO108 Knee 4079 Mutars Tumour SystemMutars diaphyseal implant

Oceania Orthopaedics Changed Benefit.

OO109 Knee 7494 Mutars – Genux tibial plateauTibial plateau for hinged knee

Oceania Orthopaedics Changed Benefit.OO110 Knee 671 Mutars – end piece Mutars – end piece 1 size Oceania Orthopaedics Changed Benefit.

OO111 Knee 1977 Mutars – Genux AugmentsMutars – Genux Augments

Oceania Orthopaedics Changed Benefit.

OO112 Knee 7431 Mutars – Metaphyseal component Oceania Orthopaedics Changed Benefit.OO113 Knee 7494 Mutars – Proximal Tibia Mutars – Proximal Tibia 100mm Oceania Orthopaedics Changed Benefit.OO114 Knee 1572 Mutars – reducer Mutars – reducer 120mm/30mm Oceania Orthopaedics Changed Benefit.

OO115 Knee 1572 Mutars – Proximal tibia connecting piece 105mm, 125mm Oceania Orthopaedics Changed Benefit.OO117 Hip 4764 Mutars Proximal Femur Mutars Proximal Femur 50/70mm length Oceania Orthopaedics Changed Benefit.

OO118 Hip 1597 Mutars RS revision system - Proximal componentRS proximal component

Oceania Orthopaedics Changed Benefit.

OO122 Knee 1164 ACS Knee system, ACS stems, straight and offset

ACS tibial and femoral stems

Oceania Orthopaedics Changed Benefit.

OO137 Hip 770 IC Muller PE snap lock cupPE acetabulum cup , constrained

44 – 62mm, 28 or 32mm Oceania Orthopaedics Changed Benefit.

OO138 Hip 694 IC Muller PE Cup 44-62mm, 28-32mm Oceania Orthopaedics Changed Benefit.

OO139 Hip 2368 Implantcast delta ceramic linerBiolux delta cup liner

Oceania Orthopaedics Changed Benefit.

OO140 Knee 4079 MUTARS intrameduallary connecting module 180-440mm Length Oceania Orthopaedics Changed Benefit.OO141 Knee 1572 MUTARS RS Hip System. MUTARS RS coupling device RS coupling device 30mm Oceania Orthopaedics Changed Benefit.

OO142 Hip 370 MUTARS RS screw for coupling deviceRS coupling device screw

Oceania Orthopaedics Changed Benefit.

OO143 Knee 1054 Genus Knee System - Genus PE Tibial Insert

Genus PE Insert

Oceania Orthopaedics Changed Benefit.

OO144 Hip 370 MUTARS - M10 Screw 25mm - 245mm Length Oceania Orthopaedics Changed Benefit.

OO145 Knee 282 MUTARS - KRI Screw M8 25mm - 50mm Oceania Orthopaedics Changed Benefit.

OO146 Hip 9204 MUTARS LUMiC Cup 50, 54 and 60mm Oceania Orthopaedics Changed Benefit.

ACS Posterior Stabilised Tibial PE InsertMutars Diaphyseal connecting piece

100mm length x 15/17/19mmX small, small, standard, large

Size, small, 3,4,5, 5mm, 10mm, 15mm, 20mm

Mutars – Genux metaphyseal tibial spacer

Right/Left 25mm, 35mm, 50mm

Mutars – Proximal tibia connecting piece

127 degrees, 32/42mm, 135 degrees, 32/42mm

12/14/16/18/201/22mm dia stems, 25/50/75/100/150/200mm length

PE acetabulum cup with 0 and10 degree lip - cemented

32/39, 32/44,36/44, 32/48,36/48,32/52, 36/52

MUTARS intramedullary connecting module

12mm,14mm,16mm,18mm, x 150,200mm1-7 in thickness; 10mm, 12mm, 14mm, 17mm, 20mm, 24mm

M10 Screw - Tumour System and Arthrodesis Interlocking System

KRI Screw M8 - Tumour System and Arthrodesis Interlocking SystemModular partial pelvic replacement and acetabular reconstruction device in case of large bone defects

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

OO147 Hip 6429 MUTARS LUMiC Stem Oceania Orthopaedics Changed Benefit.

OO148 Hip 370 MUTARS LUMiC Screw, M6 28mm Oceania Orthopaedics Changed Benefit.

OO149 Hip 1073 Implacross PE liner Oceania Orthopaedics Changed Benefit.

OO150 Knee 3052 Genus Knee System - Genus Cemented Femoral Component 1-7 right, 1-7 left Oceania Orthopaedics Changed Benefit.

OO151 Knee 3099 Genus Knee System - Genus Cementless Tibial Tray + HA 1-7 Oceania Orthopaedics Changed Benefit.

OO152 Knee 2220 Genus Knee System - Genus Cemented Tibial Tray 1-7 Oceania Orthopaedics Changed Benefit.

OO153 Knee 3792 Genus Knee System - Genus Cementless Femoral Component + HA 1-7 right, 1-7 left Oceania Orthopaedics Changed Benefit.OO154 Knee 555 Genus Knee System - Genus PE Patella Polyethylene Patella 20, 23, 26, 30, 33, 36mm Oceania Orthopaedics Changed Benefit.OO156 Knee 3194 MUTARS GenuX MK Coupling MUTARS GenuX MK Coupling 1 Oceania Orthopaedics Changed Benefit.

OO157 Knee 4070 MUTARS GenuX MK Tibial Component, cemented 2-6 Oceania Orthopaedics Changed Benefit.OO158 Knee 1156 MUTARS GenuX MB PE Insert MUTARS GenuX MB PE Insert 2-6 Oceania Orthopaedics Changed Benefit.

OO159 Knee 6244 MUTARS GenuX MK Femoral Component Cemented Oceania Orthopaedics Changed Benefit.

OO160 Knee 1187 MUTARS GenuX MK Augments

MUTARS GenuX MK Augments

Oceania Orthopaedics Changed Benefit.

OO161 Knee 1164 MUTARS GenuX MK Stems

MUTARS GenuX MK Stems

Oceania Orthopaedics Changed Benefit.

OO162 Knee 1249 MUTARS GenuX MK Offset Adapter Oceania Orthopaedics Changed Benefit.

OO163 Hip 4828 Agilis Tipor 42 – 66 mm diameter Oceania Orthopaedics Changed Benefit.

OO164 Hip 3099 Omnia Tipor Revision Acetabular Cup 50-66mm diameter Oceania Orthopaedics Changed Benefit.

OO165 Hip 3052 Omnia Tipor Revision Acetabular Cup - Augments Oceania Orthopaedics Changed Benefit.

OO166 Hip 481 Adler Revision Sleeve Oceania Orthopaedics Changed Benefit.

OO167 Hip 462 Omnia Tipor Revision Acetabular Cup- Wings Small, Medium, Large Oceania Orthopaedics Changed Benefit.

OO168 Hip 185 Omnia Tipor Revision Acetabular Screw One screw only, no sizes Oceania Orthopaedics Changed Benefit.

OO169 Hip 879 Adler CoCrMo Heads >32mmAdler CoCrMo Heads >32mm

Oceania Orthopaedics Changed Benefit.

OO170 Hip 2312 MUTARS RS Cup Oceania Orthopaedics Changed Benefit.

Stems for use with a modular partial pelvic replacement and acetabula reconstruction devicein case of large bone defects 10mm x 65, 75, 85mm,

8mm x 65, 75, 85mmM6 Screw used to bolt the LUMiC Cup and LUMiC Stem together

PE Liner for LUMiC acetabula reconstruction system

0,15 and 15 with 4mm offset. 39 - 52 external diameter

Femoral Component for Total Knee ArthroplastyMobile Bearing Cementless Tibial Tray with HA coatingCemented Mobile Bearing Tibial TrayCementless Femoral Component with HA coating

MUTARS GenuX MK Tibial Component, cemented

MUTARS GenuX MK Femoral Component Cemented

Left/Right2,3,4,5,6

2,3,4,5,6 Femoral distal and posterior spacers. Size 2,3,4,5 Tibial spacers. 5/10mm11/12/13/14/15/16/17/18/19/20/22/24/26/28mm dia. 125/150/200/250 length

MUTARS GenuX MK Offset Adapter

Offset adapter 0mm, +2mm, +4mm, +6mm

AGILIS Ti-POR is an uncemented monoblock hemispherical acetabulum cup designed to articulate with ceramic heads of large diameter.

Omnia Tipor Cup is a press fit acetabular shell with screw holes, augments and stems.Omnia revision cup bone reconstruction augments

Mini, Small, Medium, Large, X-Large

Adler revision femoral head titanium sleeve

Short, Medium, Long, X-Long

Omnia Revision cup bone reconstruction - wingsOmnia Tipor cup screw for augments

Short, Medium, Long, X-Long

Acetabulum reconstruction cup, flange multiple screw holes

46, 50, 54, 58, 62mmright & left

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

OO171 Hip 2359 ACCIS Insert (15 degrees) Oceania Orthopaedics Changed Benefit.

OO172 Hip 148 MUTARS RS Cup - Apical Hole Plug One Size Oceania Orthopaedics Changed Benefit.

OO173 Hip 3284 MUTARS Femoral Stem Cemented with TiN and HA Collar Oceania Orthopaedics Changed Benefit.

OO174 Knee 2498 EPORE Cones Oceania Orthopaedics Changed Benefit.

OO175 Hip 1135 S.F Modula Neck Oceania Orthopaedics Changed Benefit.

PF003 Hip 2886 ESOP HA Left and Right Size 5-20 Perios Pty Ltd Changed Benefit.

PF004 Hip 3256 ESOP HA Size 9-15 Perios Pty Ltd Changed Benefit.PF005 Hip 740 ESOP HA Femoral Head CoCr 22.2 -32mm Perios Pty Ltd Changed Benefit.PF006 Hip 1850 ESOP HA Femoral Head Alumina Ceramic 28 and 32mm Diameter Perios Pty Ltd Changed Benefit.

PF009 Hip 2368 Atlas Acetabular Cup System Perios Pty Ltd Changed Benefit.PF010 Hip 2498 Atlas Acetabular Cup System Titanium, grit blast & HA Atlas Cup 40-74mm Perios Pty Ltd Changed Benefit.

PF011 Hip 758 Atlas Acetabular Cup System Perios Pty Ltd Changed Benefit.

PF012 Hip 127 Atlas Acetabular Cup SystemScrew

Perios Pty Ltd Changed Benefit.PF013 Hip 240 Pharo Intermediate Sleeve -5 to +10 (six sizes) Perios Pty Ltd Changed Benefit.

PF018 Hip 4625 Hip and GoFemoral Stem Component

Perios Pty Ltd Changed Benefit.

RH010 Cardiac 1123 Avantgarde Chrono Carbostent Reid Healthcare Changed Benefit.

RH015 Cardiac 3105 CRE8 Coronary Stent

Coronary Artery Drug Eluting Stent

Reid Healthcare Changed Benefit.

RL001 Hip 2128 Mac Surgical BIOLOX Delta Ceramic Heads 36mm and 40mm MAC Surgical Changed Benefit.

ACCIS liner (15 degrees) for use with MUTARS RS and LUMIC Cup 38/39, 42/44, 46/48,

50/52mmAcetabulum reconstruction cup, flange multiple screw holes - Apical hole plugMUTARS Femoral Stem Cemented with TiN and HA Collar 11/13/15/17

120/16/200/240mmUniversal femoral/Tibial metaphyseal sleeve, 3D Printed, smaller size cemented, larger sizes uncemented, titanium

Sizes 2-6 for Femur and Tibia, Left and Right for Femur

S.F Modula Neck. Titanium for use with Adler Modular Hip Stems

OX, OY, OZ, OA, OB, OC, 9X, 9Y, 9Z, 9A, 9B, 9C, 9AA, 9BB, 9CC

Esop Femoral body Metaphyseal grit blast Ti/HA, ESOP Femoral Stem Diaphyseal Ti polished

liner - ceramic and poly 'Titanium & HA

Atlas Alumina Insert Dia 28mmort

liner polyethylene liner, Titanium & HA

Atlas Poly Insert Std. Dia 28 and 32mmAtlas Screw Dia 6.5mm 15-50mm L

Size 1-10, standard and lateralized

The Avantgarde Chrono Carbostent device consists of a coronary stent firmly held on the distal end of a semi compliant balloon catheter. The coronary stent is a flexible implantable deivce that can be expanded using a PTCA catheter. The stent is made of cobalt chronmium alloy coated with Carbofilm. Two radio-opaque platinum markers are located at either end of the stent.

Lengths: from 7mm to 31 mm; Sizes: from 2.25mm to 4.5mm

The stent is available in 6 diameters: 2.5mm; 2.75mm; 3.0mm; 3.5mm; 4.0mm; 4.5mm and 5 lengths: 12mm; 16mm; 20mm; 25mm and 31mm.

BIOLOX Delta Ceramic Heads 36mm and 40mm 36mm and 40mm - both

diameters are available in 4 different nead-neck-lengths (short, Medium, Long, X-Long)

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

RL002 Hip 1942 Mac Surgical BIOLOX Delta ceramic heads 28mm and 32mm

BIOLOX Delta ceramic heads

MAC Surgical Changed Benefit.

RL003 Hip 2424 MAC Surgical Delta Ceramic Liner

Biolox delta ceramic liner

MAC Surgical Changed Benefit.

SA141 Cardiac 8424 Reply™ DR Livanova Australia Pty Limited Changed Benefit.

SA142 Cardiac 5335 Reply™ SR Livanova Australia Pty Limited Changed Benefit.

SA143 Cardiac 5335 ESPRIT SR Livanova Australia Pty Limited Changed Benefit.

SA144 Cardiac 8424 ESPRIT DR Livanova Australia Pty Limited Changed Benefit.

SA145 Cardiac 43056 PARADYM CRT-D 8750 Livanova Australia Pty Limited Changed Benefit.

SA147 Cardiac 41184 Paradym DR 8550 Livanova Australia Pty Limited Changed Benefit.

SA149 Cardiac 38376 PARADYM VR 8250 Livanova Australia Pty Limited Changed Benefit.

SA151 Cardiac 1123 Physique ER Series Livanova Australia Pty Limited Changed Benefit.

SA152 Cardiac 1123 Refino ER Series Livanova Australia Pty Limited Changed Benefit.

T28mm and 32mm is available with a diameter of 28 and 32mm. The 28mm diameter is availble in 3 different head-neck lengths ( Short, medium long). The 32mm diameter lengths (short, medium long, X-long)Available in 10 different sizes (4 diameters for the articulating surface)

Dual Chamber permanent Pacemaker with Rate Response Modulation

8cc, Weight: 20grams, Dimensions:41.2 x 41.5 x 6.1mm

Single chamber permenent pacemaker with rate response modulation

37 x 41.5 x 6.1mm19 Grams7.5 cm3

Single Chamber Permanent Pacemaker with Rate Response Modulation

Dimensions: 37.4 x 41.5 x 6.1mm Weight : 19grams. Volume: 7.5 cm3

Dual Chamber Permanent Pacemaker with Rate Response Modulation

8cc, Weight: 20grams, Dimensions:41.2 x 41.5 x 6.1mm

Implantable Cardioverter Defibrillator with Cardiac Resynchronisation therapy, High Energy

34cc, 94 grams; 61.8 x 73.4 x 11mm

Dual Chamber, High Energy, Implantable Cardioverter Defibrillator with rate response

Weight: 90 grams; Volume: 32.6cc; Dimensions: 58.4 x 73.4 x 11mm

Single Chamber implantable cardioverter defibrillator with rate response

Dimensions: 58.4 x 73.4 x 11mm; Weight: 90 grams; Volume: 32.6cc

Steroid eluting active fixation pacing lead. Permanent pacing lead, Model Physique ER is indicated for the pacing and sensing of the ventricle or atrium. This permanent pacing lead is used in conjunction with a compatible implantable pulse generator. P

The lead comes in 44, 48, 52 and 58cm lengths and has a 4.8F lead body

Steroid eluting passive fixation pacing lead. Permanent pacing lead, Model Refino ER, is indicated for the pacing and sensing of the ventricle. This permanent pacing lead is used in conjunction with an IS-1 compatible implantable pulse generator (pacema

The lead comes in 44, 48, 52 and 58cm lengths and has a 6.0F (polyurethane 6.3F (silicone) lead body

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SA153 Cardiac 1123 PY2-ER Series Livanova Australia Pty Limited Changed Benefit.

SA154 Cardiac 1123 Petite ER Series Livanova Australia Pty Limited Changed Benefit.

SA156 Cardiac 42417 PARADYM™ RF DR 9550 Livanova Australia Pty Limited Changed Benefit.

SA157 Cardiac 39528 PARADYM™ RF VR 9250 Livanova Australia Pty Limited Changed Benefit.

SA158 Cardiac 46800 PARADYM™ RF CRT-D 9750 Livanova Australia Pty Limited Changed Benefit.

SA159 Cardiac 46800 PARADYM™ RF CRT-D SonR 9770 Livanova Australia Pty Limited Changed Benefit.

SA160 Cardiac 8424 REPLY™ 200 DR Livanova Australia Pty Limited Changed Benefit.

SA161 Cardiac 5335 REPLY 200™ SR Livanova Australia Pty Limited Changed Benefit.

Steroid eluting active fixation pacing lead. Permanent pacing lead PY2-ER series, is indicated for pacing and sensing of the ventricle and/or atrium of the heart. This lead is used in conjunction with a compatible implantable pulse generator (Pacemaker) The lead comes in 44, 48,

52, 58cm lengths and has a 6.3F lead body

Steroid eluting passive fixation pacing lead. Permanent pacing lead, Petite ER series, is indicated for the pacing and sensing of the ventricle. This permanent pacing lead is used in conjunction with an IS-1 compatible implantable pulse generator (pacema

The lead comes in 44, 48, 52, 58, 70 and 78cm lengths and has a 4.8 F lead body.

Dual Chamber Implantable Cardioverter Defibrillator with rate response, high output extended longevity and remote monitoring. 69.5 x 73.4 x 11mm 38.6cc

95gSingle Chamber, High Energy, Implantable Cardioverter Defibrillator with rate response and remote monitoring.

69.5 x 73.4 x 11mm 38.6cc 95g

Implantable Cardioverter Defibrillator, for resyncronisation of heart failure, high output extended longevity and home monitoring. 69.5 x 73.4 x 11mm 38.6cc

95gImplantable Cardioverter Defibrillator for resyncronisation of heart failure, high output, extended longevity and home monitoring, and in conjunction with a dedicated atrial lead with SonR sensor provides automatic adjustment of AV/VV delays for optimisation of resynchronisation therapy. 69.5 x 73.4 x 11mm 38.6cc

95gREPLY™ 200 DR is a DDDR-type dual chamber rate-responsive pacemaker. It is equipped with a physiological sensor (minute ventilation) and an accelerometer to allow adaption of pacing to suit the patients activity. Dimensions 41.2 x 41.5 x

6.1mm, Weight 20g, Volume 8cm3.

REPLY 200™ SR is a Single Chamber rate-responsive pacemaker.

Dimensions 37.4 x 41.5 x 6.1mm, Weight 19g, Volume 7.5cm3. Connector IS-1, Sensors Minute Ventilation (MV) and Accelerometer (G).

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SA166 Cardiac 43092 INTENSIA DR MODEL 154 68.4 x 73.4 x 11mm Livanova Australia Pty Limited Changed Benefit.

SA167 Cardiac 40203 INTENSIA VR MODEL 124 61.9 x 73.4 x 11mm Livanova Australia Pty Limited Changed Benefit.

SA168 Cardiac 47475 INTENSIA SonR CRT-D MODEL 184 68.4 x 73.4 x 11mm Livanova Australia Pty Limited Changed Benefit.

SA169 Cardiac 47475 INTENSIA CRT-D MODEL 174 68.4 x 73.4 x 11mm Livanova Australia Pty Limited Changed Benefit.

SA171 Cardiac 10296 KORA 100 DR 41.2 x 41.5 x 6.1mm Livanova Australia Pty Limited Changed Benefit.

SA172 Cardiac 5335 KORA 100 SR Livanova Australia Pty Limited Changed Benefit.SF023 Hip 2128 Ceramic Femoral Head Ceramic Femoral Head - Delta 36 to 44mm Signature Orthopaedics Changed Benefit.

SF024 Hip 240 Taper Sleeve

Taper Sleeve for femoral head

Signature Orthopaedics Changed Benefit.

SF025 Hip 879 Unipolar Femoral head 40-62mm Signature Orthopaedics Changed Benefit.

SF027 Hip 1073 Cross Linked Acetabular Liner Signature Orthopaedics Changed Benefit.

SF028 Hip 2128 Cementless Cup plasma coated Signature Orthopaedics Changed Benefit.

INTENSIA DR MODEL 154 is a Dual Chamber ICD with 39J output, RF, Home Monitoring, DF-4 connectivity.

INTENSIA VR MODEL 124 is a Single Chamber ICD with 39J output, RF, Home Monitoring, DF-4 connectivity

INTENSIA SonR CRT-D MODEL 184 is a Cardiac Resynchronisation Therapy Defibrillator, Automatic SonR optimisation, 39J output, RF, Home Monitoring, DF-4 connectivity

INTENSIA CRT-D MODEL 174 is a Cardiac Resynchronisation Therapy Defibrillator, Automatic SonR optimisation, 39J output, RF, Home Monitoring, DF-4 connectivity

KORA 100 DR is a Dual Chamber MRI conditional, Rate Responsive PacemakerKORA 100 SR is a Single Chamber MRI conditional rate-responsive pacemaker.

Dimensions 37.4 x 41.5 x 6.1mm, Weight 19g. Volume 7.5cm3. Connector IS-1. Sensors Minute Ventilation (MV) and Accelerometer (G).

taper sleeve: 12/14 -3.5mm, 12/14 +0mm, 12/14 +3.5mm, 12/14 +7mm, 12/14 +10mm

Femoral head manufactured from Cobalt ChromeHighly Cross linked Acetabular Liner Liner Neutral: Group 1:

28mm ID, Group 2: 28mm IS, 32mm ID, Group 3: 32mm ID, 36mm ID; Group 4: 32mm, 36mm, Group 5: 32mm, 36mm, Liner "Lipped": Group 1: 28mm, Group2: 28mm, 32mm, Group 3: 36mm, Group 4: 32mm, 36mm, Group 5: 36mm, Liner "+5 Lateralised" G

Cementless Cup are availbe with No-Hole and Cluster Hole design options, shells manufactured from titanium (Ti) alloy with plasma coating, sphere and taper inner diameter geometry

Shell: No-Hole shell size 48-68, 2mm increments; Cluster Hole Size 48-68, 2mm increments; Multi-Hole Size 48-56, Multi-Hole with Rim Fixation, Size 56-68

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SF029 Hip 3978 Origin™ Stem Signature Orthopaedics Changed Benefit.

SF030 Hip 146 PMMA Centraliser Signature Orthopaedics Changed Benefit.

SF031 Hip 2424 Biolox Delta Acetabular Liner Signature Orthopaedics Changed Benefit.SF032 Hip 3284 Adapter GHE Femoral Long Stem Cemented CoCr, non polished, long stem 200mm - 350mm Signature Orthopaedics Changed Benefit.SF033 Hip 740 Metal Femoral Head Cobalt Chrome 28mm - 32mm Signature Orthopaedics Changed Benefit.SF034 Hip 127 Bone Screw Titanium, cancellous screw 15mm - 90mm Signature Orthopaedics Changed Benefit.SF036 Hip 111 Cement Pug UHMWPE Cement Plug 18.5 - 35mm Signature Orthopaedics Changed Benefit.

SF037 Hip 1698 Logical™ Constrained Acetabular Liner Signature Orthopaedics Changed Benefit.

SF038 Hip 2498 Logical ™ Acetabular Shell 42-72mm Signature Orthopaedics Changed Benefit.

SF039 Hip 1073 Logical™ Acetabular Liner Signature Orthopaedics Changed Benefit.SF041 Hip 1942 Evolve ™ Cememted Stem Polished Stem Sizes 0-4, various offsets Signature Orthopaedics Changed Benefit.

SF044 Hip 1942 Signature Delta Femoral Head <=32mm Offsets S, M, L & XL Signature Orthopaedics Changed Benefit.SF045 Hip 2128 Signature Delta Femoral Head >=36mm Ceramtec Delta Femoral Head offsets S, M, L & XL Signature Orthopaedics Changed Benefit.SF046 Hip 740 Signature Femoral Head <=32mm Cobalt Chrome Femoral head Offsets S, M, L & XL Signature Orthopaedics Changed Benefit.SF047 Hip 879 Signature Delta Femoral Head >=36mm Cobalt Delta Femoral Head Offsets S, M, L & XL Signature Orthopaedics Changed Benefit.

SF132 Knee 1187 SHiVA Modular Knee Hinge Prosthesis Signature Orthopaedics Changed Benefit.

SF133 Knee 1187 SHiVA Hinge Knee Revision System - Spacer Signature Orthopaedics Changed Benefit.

SF134 Knee 6244 SHiVA Modular Knee Hinge Prosthesis - Femoral ComponentHinge Knee Femoral Component

Signature Orthopaedics Changed Benefit.SF135 Knee 1156 SHiVA Modular Knee Prosthesis - Rotating Bearing Rotating Bearing Sizes 2,3 and 4 x 10mm Signature Orthopaedics Changed Benefit.SF136 Knee 4070 SHiVA Modular Knee Prosthesis - Tibial Tray Tibial Tray Size 2,3 and 4 Signature Orthopaedics Changed Benefit.

SF137 Knee 1164 SHiVA Hinge Knee Revision System - Stems

Knee revision Extension Stem

Signature Orthopaedics Changed Benefit.SF138 Knee 555 SHiVA Modular Knee Hinge Prosthesis - Patella Button Patella Button Sizes 2,3 and 4 Signature Orthopaedics Changed Benefit.

SF139 Knee 3052 Active Knee Femoral Component Sizes 00 - 5 Left & Right Signature Orthopaedics Changed Benefit.

Cementless Stems are inteded for press-fit fixation and manufactured from titanium 6AI-4V and are fully HA coated

collarless: standard offset, 12/14, sizes 8-18 Extended offset 12/14, sizes 8-18, collared: standard offset 12/14, sizes 8-18

PMMA centraliser used for cemented total hip arthroplasty

Size 10mm, 11mm, 12mm, 13mm, 14mm, 15mm, 17mm

Biolox Delta ceramic acetabular liner

28mm, 32mm, 36mm, 40mm, 44mm, 48mm

highly cross linked and annealed constrained liner 28mm, 32mm 36mm

Diameter Neutral, 10 degree and 20 degree size range 44mm to 72mm

Titanium, plasma spray, HA with variable number of holesHCLA (highly Cross-Linked and Annealed) Acetabular Insert 28mm, 32mm, 36mm

diameter; Neutral and 10 degree; Size range 44mm to 72mm, including laterialised liners

Ceramtec Delta Ceramic Femoral Head

SHiVA Modular Knee Hinge Prosthesis - Tibial Spacer

Size 2,3 and 4 x 5mm and 10mm thick

SHiVA Hinge Knee Revision Spacer including locking screws

Size 2 -4, Thickness 5 and 10 mm for Distal Femoral and Posterior Femoral ReferenceSize 2-5 , Thickness 5 and 10 mm for Tibial ReferenceSizes 2,3 and 4 Left and right

Straight 10 - 18mm Diameter; 50 to 150mm LengthOffset 10 - 16 mm Diameter; 75mm Length

Femoral Component, Cemented, CoCr

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SF140 Knee 2498 Active Knee Tibial Baseplate Signature Orthopaedics Changed Benefit.

SF141 Hip 148 C2 Hole EliminatorTitanium Screw Hole Plug

6.3 x 3.2mm, 11.3 x 4.2mm Signature Orthopaedics Changed Benefit.

SF142 Knee 1989 Active Knee Tibial BaseplateTibial baseplate, Cemented, CoCr

Sizes 1-5 Signature Orthopaedics Changed Benefit.

SF143 Knee 1054 Active Knee Tibial InsertTibial Insert, UHMWPE

Signature Orthopaedics Changed Benefit.

SF144 Hip 3099 C2 Acetabular Shell 48 - 68mm Signature Orthopaedics Changed Benefit.SF145 Knee 555 Active Knee Patella Patella, cemented, UHMWPE Sizes 1 - 5 Signature Orthopaedics Changed Benefit.

SJ027 Cardiac 5335 St Jude Medical Microny II SR+ Model 2525T Pacemaker St Jude Medical Australia Pty Ltd Changed Benefit.

SJ051 Cardiac 8424 Verity ADX XL DR 5357 M/S St Jude Medical Australia Pty Ltd Changed Benefit.

SJ066 Cardiac 38376 Atlas + VR - C Model V-193C ICD 38cc, 77g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ073 Cardiac 1123 Tendril SDX 1688TC St Jude Medical Australia Pty Ltd Changed Benefit.

SJ076 Cardiac 5335 Verity Adx Model XL SR 5157 M/S implantable pacemaker 11cc, 23g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ103 Cardiac 10296 Zephyr XL DR 5826 and DR 5820 St Jude Medical Australia Pty Ltd Changed Benefit.

SJ105 Cardiac 5335 Zephyr SR 5620 8cc, 17g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ129 Cardiac 1123 Tendril ST 1888TC and 1882TC 46-65cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ131 Cardiac 5335 Zephyr XL SR 5626 23.5g and 10.4cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ132 Cardiac 1544 Myodex 1084T 35cm and 54cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ140 Cardiac 1544 Myodex 1084T and FasTac Flex Lead Implant Tool St Jude Medical Australia Pty Ltd Changed Benefit.

SJ146 Cardiac 1123 Isoflex 1944T & 1948T 46cm, 52cm, 58cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ151 Cardiac 1123 OptiSense Model 1999 40, 46 & 52cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ157 Cardiac 8100 Durata 7120, 7121, 7122, 7130, 7131 60, 65, 75cm St Jude Medical Australia Pty Ltd Changed Benefit.

Tibial Baseplate, HA, uncemented, beaded, stemmed , CoCr Sizes 1 to 5 (A-Narrow & B-

Wide)

Sizes 1 - 5 Thickness 6 - 17.5mm

titanium Cup with sintered titanium coating

Single Chamber Rate Responsive Pacemaker

Volume 5.9cc, Weight 12.8gm

Dual - Chamber, multi-programmable, rate-responsive pacemaker withAF suppression

45x52x6mm,11cc, 23g, 5mm or 6mm M/S

Single chamber implantable cardio-verter defibrillatorEndocardial Steroid-Eluting Active Fixation Pacing Lead

100cm, 25cm, 34cm, 40cm, 46cm, 52cm, 58cm, 85cm, 7F

Single Chamber multi-programmable rate-adaptive pacing devices with extended longevity

Dual Chamber Rate-Responsive Pacemaker

5826 - 23.5g, 11cc and 5820 - 18g, 8.5cc

Single Chamber Rate-Responsive PacemakerEndocardial Bi-polar Steroid-Eluting Active Fixation Pacing LeadsSingle-Chamber Rate-Responsive PacemakerSteroid-Eluting Bipolar Sutureless Myocardial Pacing Lead with Titanium Nitride Electrodes

Steroid -Eluting Bipolar Sutureless Myocardial Pacing Lead with Titanium Nitride Electrodes and Lead implant tool with articulating distal end. 35cm and 54cm, Lead

implant tool - 44cmPassive-Fixation, Bipolar, Steriod Eluting, Endocardial Pacing Lead with Optim insulation

Active-Fixation Bipolar, Steroid Eluting, endocardial, atrial pacing lead with Optim insulation

Active fixation bipolar, dual-coil/single coil Steroid-eluting Endocardial Defibrillation Leads

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SJ158 Cardiac 8100 Durata 7170, 7171 60, 65 and 70cm St Jude Medical Australia Pty Ltd Changed Benefit.SJ193 Cardiac 10296 Accent DR PM 2112 Dual Chamber Pacemaker 19g, 10.5cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ194 Cardiac 12168 Anthem PM3112 CRT Pacemaker 21g, 11.5cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ196 Cardiac 10296 Accent DR RF PM2212 236, 12.8cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ200 Cardiac 5335 Accent SR RF PM1210 23g, 12.8cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ205 Cardiac 5335 Accent SR PM 1110 18g, 9.5cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ207 Cardiac 12168 Anthem RF PM3212CRT Pacemaker with RF telemetry

25g, 13.7cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ208 Cardiac 5616 Quick Flex µ 1258T 75cm, 86cm, 92cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ230 Cardiac 8100 Durata 7120Q, 7121Q and 7122Q 52cm, 58cm and 65cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ238 Cardiac 1123 Tendril STS 2088TC 34cm-100cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ243 Cardiac 5616 Quartet 1458Q St Jude Medical Australia Pty Ltd Changed Benefit.

SJ245 Cardiac 8100 Durata 7170Q, 7171Q and 7172Q St Jude Medical Australia Pty Ltd Changed Benefit.

SJ254 Cardiac 10296 Accent ST RF PM2222 23g, 12.9cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ255 Cardiac 5335 Accent ST PM1122 21g, 9.5cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ256 Cardiac 10296 Accent ST PM2122 10.5cc, 19g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ257 Cardiac 5335 Accent ST RF PM1222 12.8g, 23g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ258 Cardiac 10296 Accent MRI DR RF PM2224 24g, 13.1cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ259 Cardiac 5335 Accent MRI SR RF PM1224 23g, 13.1cc St Jude Medical Australia Pty Ltd Changed Benefit.SJ260 Cardiac 9180 Amplatzer Duct Occluder Nitinol Wire Mesh 5 - 24mm St Jude Medical Australia Pty Ltd Changed Benefit.SJ261 Cardiac 9180 Amplatzer Septal Occluder Nitinol Wire Mesh 4mm - 40mm St Jude Medical Australia Pty Ltd Changed Benefit.SJ262 Cardiac 9180 Amplatzer Muscular VSD Occluder Nitinol Wire Mesh 4 - 24mm St Jude Medical Australia Pty Ltd Changed Benefit.

Passive fixation, true bipolar, dual coil, steroid eluting, endocardial defibrillation leads with Optium insulation overlay

Cardiac Resynchronisation Therapy PacemakerDual chamber Pacemaker with RF telemetrySingle Chamber Pacemaker with RF telemetrySingle Chamber Rate Responsive Pacemaker

4F Bipolar Left Ventricular Pacing Lead7120/1Q - Adtive fixation, true bipolar; 7122Q - Active fixation true bipolar - single coil steroid eluting endocardial defibrillation leads with Optim insulation overlay and SJ4 quadripolar lead connector.

Endocardial Bi-polar Steroid-Eluting Active Fixation Pacing LeadsQuadripolar, Left Ventricular Pacing Lead with Optim Lead Insulation

75, 86 and 92cm, 5 French introducer

7170Q/7171Q - passive fixation, bipolar, dual coil, 7172Q - passive fixation, bipolar - single coil steroid eluting endocardial defibrillation leads with Optim insulation overlay and SJ4 quadripolar lead connector 52, 58 and 65cm, 7F

introducerDual Chamber Pacemeker with ST Segment Monitoring and RF TelemetrySingle Chamber Pacemaker with ST segment monitoringDual Chamber Pacemaker with ST segment monitoringSingle Chamber Pacemaker with ST Segment Monitoring and RF TelemetryDual Chamber Pacemaker with RF Telemetry and MRI testing capabilitySingle Chamber Pacemaker with RF Telemetry and MRI testing capability

Page 105: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.SJ263 Cardiac 9180 Amplatzer PFO Occluder Nitinol Wire Mesh 25mm & 35mm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ264 Cardiac 9180 Amplatzer Membranous VSD Occluder 4-24mm, Length 7-10mm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ267 Cardiac 9180 AMPLATZER Duct Occluder II St Jude Medical Australia Pty Ltd Changed Benefit.

SJ270 Cardiac 1123 Tendril MRI LPA 1200M 46cm, 52cm and 58cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ280 Cardiac 9180 Amplatzer Duct Occluder II Additional Sizes 0.2cm-0.6cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ281 Cardiac 46800 Promote Quadra CRT CD3237-40 46cc, 88g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ282 Cardiac 47475 Promote Quadra CD3237-40Q 44cc, 87g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ294 Cardiac 5335 Accent MRI SR PM1124 23g, 13.1cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ295 Cardiac 10296 Accent MRI DR PM2124 24g, 13.1cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ296 Cardiac 39528 Ellipse VR CD1277-36 66g, 31cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ297 Cardiac 42417 Fortify Assura DR CD2259-40 35cc, 76g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ298 Cardiac 46800 Quadra Assura CD3267-40 40cc, 83g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ299 Cardiac 39528 Fortify Assura VR CD1259-40 76g, 35cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ300 Cardiac 42417 Ellipse DR CD2277-36 66g, 31cc St Jude Medical Australia Pty Ltd Changed Benefit.

Nitinol wire mesh, double disc occluder and delivery systemSelf expandable multiple Nitinol wire mesh PDA occlusion device Waist diameter 3-6mm,

Nominal length 4-6mmThe Tendril MRI™ lead, Model LPA1200M, is an MR Conditional, bipolar, steroid-eluting, active fixation implantable pacing lead with Optim™ insulation.

Single use implantable transcatheter device for minimally invasive closure of Patent Ductus Arterious

Cardiac Resynchronisation Therapy Defibrillator with 40J delivered energy, VectSelect Quartet Programmable LV pulse configuration and Multisite Pacing

Cardiac Resynchronisation Therapy Defibrillator with 40J delivered energy and VectSelect Quartet Programmable LV pulse configuration plus Multisite Left Ventricular Pacing and SJ4 connector.

Single Chamber Pacemaker with MRI testing capabilityDual Chamber Pacemaker with MRI testing capabilitySingle chamber cardioverter defibrillator with 36J delivered energy and ST segment monitoring

Dual chamber cardioverter defibrillator with 40J delivered energy and ST segment monitoring

Cardiac Resynchronisation Therapy Defibrillator with 40J delivered and Multisite Left Ventricular Pacing and Quadripolar pacing

Single chamber cardioverter defribrillator with 40J delivered energy and ST segment monitoring

Dual chamber cardioverter defibrillator with 36J delivered energy and ST segment monitoring

Page 106: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SJ301 Cardiac 46800 Unify Assura CD3261-40 36cc, 78g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ309 Cardiac 40203 Fortify Assura VR CD1259-40Q 35cc, 75g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ310 Cardiac 43092 Fortify Assura DR CD2259-40Q 35cc, 75g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ311 Cardiac 40203 Ellipse VR CD1277-36Q 67g, 30cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ312 Cardiac 47475 Quadra Assura CD3267-40Q 38cc, 81g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ313 Cardiac 43092 Ellipse DR CD2277-36Q 68g, 31cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ314 Cardiac 47475 Unify Assura CD3261-40Q 36cc, 77g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ318 Cardiac 40203 Fortify Assura VR CD1359-40Q/CD1359-40QC 75g, 35cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ319 Cardiac 46800 Quadra Assura MP CD3371-40/CD3371/40C 83g, 40cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ320 Cardiac 46800 Unify Assura CD3361-40/CD3361-40C 78g, 36cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ321 Cardiac 47475 Quadra Assura MP CD3371-40Q/CD3371-40QC 80gm, 38cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ323 Cardiac 46800 Quadra Assura CD3367-40/CD3367-40C 83g, 40cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ324 Cardiac 42417 Fortify Assura DR CD2359-40/CD2359-40C 75g, 35cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ325 Cardiac 43092 Fortify Assura DR CD2359-40Q/CD2359-40QC 75g, 35cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ326 Cardiac 39528 Ellipse VR CD1377-36/CD1377-36C 31cc, 66g St Jude Medical Australia Pty Ltd Changed Benefit.SJ327 Cardiac 42417 Ellipse DR CD2377-36/CD2377-36C Dual Chamber ICD 66g, 31cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ329 Cardiac 47475 Unify Assura CD3361-40Q/CD3361-40QC 77g, 36cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ330 Cardiac 47475 Quadra Assura CD3367-40Q/CD3367-40QC 80g, 38cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ331 Cardiac 43092 Ellipse DR CD2377-36Q/CD2377-36QC 68g, 31cc St Jude Medical Australia Pty Ltd Changed Benefit.

Cardiac Resynchronisation Therapy Defribrillator with 40J delivered energySingle chamber cardioverter defribrillator with 40J delivered energy and ST segment monitoring and DF4 connector

Dual Chamber cardioverter defrillator with 40J delivered energy and ST segment monitoring with DF4 connector

Single chamber cardioverter defibrillator with 36J delivered energy and ST segment monitoring and DF4 connector

Cardiac Resynchronisation Therapy Defribrillator with 40J delivered energy, Multisite Left Ventricular Pacing plus Quadripolar pacing and SJ4 connector

Dual chamber cardioverter defibrillator with 36J delivered energy and ST segment monitoring with DF4 connector

Cardiac Resynchronisation Therapy Defribrillator with 40J delivered energy and SJ4 connector

Single Chamber Cardioverter DefibrillatorCardiac Resynchronisation Therapy Cardioverter DefibrillatorCardiac Resynchronisation Therapy Cardioverter DefibrillatorCardiac Resynchronisation Therapy DefibrillatorCardiac Resynchronisation Therapy Defibrillator with 40J delivered energyDual Chamber Cardioverter DefibrillatorDual Chamber Cardioverter Defibrillator with 40J delivered energySingle Chamber Cardioverter Defribrillator

Cardiac Resynchronisation Therapy Cardioverter DefibrillatorCardiac Resynchronisation Therapy Defibrillator with 40J delivered energyDual Chamber Cardioverter Defibrillator with 36J delivered energy

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SJ332 Cardiac 40203 Ellipse VR CD1377-36Q/CD1377-36QC 67g, 30cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ333 Cardiac 39528 Fortify Assura VR CD1359-40/CD1359-40C 76g , 35cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ334 Cardiac 5335 Assurity PM1240 10.4cc, 20g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ335 Cardiac 5335 Endurity PM1160 10.5cc, 19g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ336 Cardiac 10296 Endurity PM2160 10.4cc, 19g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ337 Cardiac 12168 Allure RF PM3222 14cc, 24g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ338 Cardiac 12168 Allure Quadra RF PM3242 15cc, 27g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ339 Cardiac 10296 Assurity PM2240 10.4cc, 20g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ340 Cardiac 5335 Assurity+ PM1260 10.4cc. 20g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ341 Cardiac 10296 Assurity+ PM2260 10.4cc, 20g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ343 Cardiac 8100 Optisure ICD Lead - LDA210/220/230 60cm-75cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ344 Cardiac 8100 Optisure ICD Lead LDA210Q/220Q/230Q 52cm-65cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ345 Cardiac 8100 Optisure ICD Lead LDP 220/230 60cm-75cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ346 Cardiac 8100 Optisure ICD Lead LDP210Q/220Q/230Q 52cm-65cm St Jude Medical Australia Pty Ltd Changed Benefit.

SJ353 Cardiac 12168 Quadra Allure MP RF PM 3262 27g, 15cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ363 Cardiac 5335 Assurity MRI PM1272 10.4cc, 20g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ364 Cardiac 10296 Assurity MRI PM2272 10.4cc, 20g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ365 Cardiac 5335 Endurity MRI PM1172 9.7cc, 19g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ366 Cardiac 10296 Endurity MRI PM2172 10.4cc, 20g St Jude Medical Australia Pty Ltd Changed Benefit.

SJ367 Cardiac 5335 Endurity PM1162 19g , 9.7cc St Jude Medical Australia Pty Ltd Changed Benefit.

SJ368 Cardiac 10296 Endurity PM2162 20g,10.4cc St Jude Medical Australia Pty Ltd Changed Benefit.

SK022 Hip 3256 Modular Revision System Fluted Distal Stems

Titanium, polished, fluted, no HA

Stryker Australia Pty Ltd Changed Benefit.

SK058 Hip 3626 Stryker Modular Revision Hip System Stryker Australia Pty Ltd Changed Benefit.

Single Chamber Cardioverter Defibrillator with 36 J delivered energySingle Chamber Cardioverter Defibrillator with 40J delivered energySingle Chamber Rate-Responsive Pacemaker with RF Telemetry

Single Chamber Rate Responsive PacemakerDual Chamber Rate Responsive Pacemaker CRT Rate Responsive Pacemaker with RF TelemetryCRT Quadripolar, Rate Responsive Pacemaker with RF TelemetryDual Chamber Rate Responsive Pacemaker with RF TelemetrySingle Chamber Rate-Responsive Pacemaker with RF Telemetry

Dual Chamber Rate Responsive Pacemaker with RF TelemetryActive fixation ICD lead with DF-1 connector Active fixation ICD lead with DF-4 connectorPassive fixation ICD lead with DF-1 connectorPassive fixation ICD lead with DF-4 connector.Quadra Allure MP RF Biventricular PacemakerMRI Conditional RF Single Chamber Rate Responsive PacemakerMR Conditional RF Dual Chamber Rate Responsive Pacemaker

MR Conditional Single Chamber Pacing System Dual Chamber MR Conditional Rate Responsive PacemakerMR Conditional Single Chamber Pacing SystemDual Chamber MR Conditional Rate Responsive Pacemaker

Stem Lengths 127 & 167mm straight & bowed. Diameter 11-26mm

Porous Distal Stems Titanium Plasma Spray

Stem Lengths 127 & 167mm straight & bowed. Diameter 11-26mm

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SK059 Hip 2886 Stryker Modular Revision Hip System Stryker Australia Pty Ltd Changed Benefit.

SK091 Knee 1054 Duracon Knee System CS Lipped Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SK092 Hip 3145 Stryker Hydroxyapatite coated cup with ceramic linerShell with Biolox forte ceramic liner

44 - 80mm OD Stryker Australia Pty Ltd Changed Benefit.

SK156 Knee 7431 Small, Standard Stryker Australia Pty Ltd Changed Benefit.

SK157 Knee 7407 Stryker Australia Pty Ltd Changed Benefit.

SK158 Hip 4764 Howmedica Modular Resection System Stryker Australia Pty Ltd Changed Benefit.

SK161 Knee 4233 GMRS (Global Modular Replacement System) Extension Piece Stryker Australia Pty Ltd Changed Benefit.

SK162 Knee 4079 GMRS (Global Modular Replacement System) Connection Piece Stryker Australia Pty Ltd Changed Benefit.

SK166 Knee 2809 GMRS (Global Modular Replacement System) Long Bowed Stem Stryker Australia Pty Ltd Changed Benefit.

SK167 Knee 2809 Stryker Australia Pty Ltd Changed Benefit.

SK168 Knee 2809 GMRS (Global Modular Replacement System) Straight Fluted Stem Stryker Australia Pty Ltd Changed Benefit.

SK172 Knee 1572 Howmedica Modular Resection System Male Taper; Female Taper Stryker Australia Pty Ltd Changed Benefit.

Titanium Alloy Bowed Conical Distal Stems

Restoration Modular bowed conical distal stem 195mm, 235mm

Minimally stabilised, CS Lipped tibial insert, deep dish, UHMWPE, (Duration)

XS,S,M,L,XL Thickness 9,11,13,16,19,22,25mm

GMRS (Global Modular Replacement System) Proximal Tibial Component

GMRS Proximal Tibial component, CoCr, uncemented, porous coated, 7 x tendon/suture holes for soft tissue re-attachment, Fixed

GMRS (Global Modular Replacement System) Distal Femoral Component

GMRS Distal Femoral component, CoCr, uncemented, Fixed Small Left 65mm, Small Left

75mm, Small Left 85mm, Small Left 95mm, Small Right 65mm, Small Right 75mm, Small Right 85mm, Small Right 95mm, Standard Left, Standard Right

GMRS Proximal Femoral Component, Cast Chrome Cobalt Standard, Trochanteric,

SmoothGMRS Extension Piece, uncemented Titanium, connects to anchorage piece (optional) for increases diaphyseal replacement 30, 40, 50, 60, 70, 80, 100,

120, 140, 160, 180, 200, 220mm

GMRS Connection Piece, uncemented Titanium, to replace varying lengths of diaphyseal bone loss

Left 80, 90mm; Right 80, 90mm

GMRS Long Bowed Stem,Titanium, with Ti plasma coating, uncemented, proximal 3cm Hydroxyapatite coated (Purefix)

200mm stem length in 11, 12, 13, 14, 15, 16, 17, 18, 19mm

GMRS (Global Modular Replacement System) Short Bowed Pressfit Stem

GMRS Short Bowed Stem,Titanium, with Ti plasma coating, uncemented, proximal 3cm Hydroxyapatite coated (Purefix) 150mm in: 11, 12, 13, 14,

15, 16, 17, 18, 19mmGMRS Straight Fluted Stem,Titanium, with Ti plasma coating, uncemented, proximal 3cm Hydroxyapatite coated (Purefix)

125mm length in 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19mm

GMRS Adaptors Male/Female Taper, Titanium/Forged Cobalt Chrome

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SK196 Hip 569 Exeter Hip System - ETS (endoprosthesis trauma stem) Stryker Australia Pty Ltd Changed Benefit.

SK314 Knee 555 Avon Patello Femoral System Patella Component Small, Medium, Large Stryker Australia Pty Ltd Changed Benefit.

SK315 Hip 146 Exeter Hip SystemExeter Distal Centraliser -PMMA

One Size Only Stryker Australia Pty Ltd Changed Benefit.

SK318 Hip 1073 X3 Trident Acetabular Inserts

Modified UHMPE

Stryker Australia Pty Ltd Changed Benefit.

SK323 Knee 555 Triathlon Knee System Patella Component Stryker Australia Pty Ltd Changed Benefit.

SK324 Knee 3052 Triathlon Knee System Femoral Component Sizes 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SK325 Knee 3792 Triathlon Knee System Femoral Component Sizes 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SK326 Knee 2498 Triathlon Knee System Tibial Baseplate Sizes 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SK327 Knee 1989 Triathlon Knee System Tibial BaseplateTibial baseplate, cemented, CoCr

Sizes 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SK328 Knee 1054 Triathlon Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SK329 Knee 1665 UNIX Unicompartmental Knee System Tibial Baseplate Sizes 1 to 4 Stryker Australia Pty Ltd Changed Benefit.

SK330 Knee 2809 MRS (Modular Replacement System) Femoral Stems Stryker Australia Pty Ltd Changed Benefit.

SK331 Knee 3194 MRH (Modular Rotating Hinge) Rotating Hinge Assembly Pack Stryker Australia Pty Ltd Changed Benefit.

SK332 Knee 3052 Scorpio NRG Knee System Femoral Component Sizes 3,4,5,6,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

SK333 Knee 1054 Scorpio NRG Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

Orthinox Stainless Steel Endoprosthesis unipolar monoblock

40mm Offset body with monoblock head sizes 38mm, 40mm, 41mm, 42mm, 43mm, 44mm, 45mm, 46mm, 47mm, 48mm, 49mm, 50mm, 52mm, 54mm, 56mm

Patella component, UHMWPE (Duration), Fixed, cemented

Inner diameters: 22mm, 26mm, 28mm 32mm, 36mm, 38 - 64mm. For outer diameter shells 40mm - 80mm.

Patella Component, Cemented, Asymmetric & Symmetric, (X3) UHMWPE Symmetric: 27mm x 8mm,

29mm x 8mm, 31mm x 9mm, 33mm x 9mm, 36mm x 10mm, 39mm x 11mm; Assymetric: 29mm x 9mm, 32mm x 10mm, 35mm x 10mm, 38mm x 11mm, 40mm x 11mm

Minimally stabilised, cemented, CoCrMinimally stabilised, CoCr, uncemented, beaded with PA (Hydroxyapatite)Tibial baseplate, uncemented, beaded with PA (Hydroxyapatite), without screw holes, CoCr

Minimally stabilised, tibial insert, UHMWPE, (N2VAC)

Sizes 1 to 8 (9/11/13/16/19/22/25mm thickness)

Uni tibial baseplate, uncemented with Hydroxyapatite, CoCr

MRS Femoral stems with female taper, Titanium, uncemented,

11 x 127mm, 13 x 127mm, 15 x 127mm, 17 x 127mm

MRH Assembly pack consists of: Tibial sleeve, Bumper insert & Femoral Bushing components UHMWPE (Duration)

1 Tibial Sleeve, 1 Bumper Insert, 2 Femoral Bushing Components

Minimally stabilised, cemented, CoCrMinimally stabilised tibial insert, UHMPWE (N2VAC)

Sizes 3,4,5,6,7,9,11,13, x (8/10/12/15/18/21/24mm thickness)

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SK334 Knee 3792 Scorpio NRG Knee System Femoral Component Sizes 3,4,5,6,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

SK386 Knee 3515 Triathlon Knee System Femoral Component Sizes 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SK387 Knee 3422 Triathlon Knee System Femoral Component 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SK388 Knee 2128 Triathlon Knee System Tibial Baseplate Sizes 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SK405 Hip 2128 LFIT Femoral Heads 36mm-72mm Stryker Australia Pty Ltd Changed Benefit.

SK410 Knee 1156 Scorpio Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SK415 Knee 555 Scorpio Knee System Patella Component Stryker Australia Pty Ltd Changed Benefit.

SK419 Knee 555 Triathlon Knee System Patella Component Stryker Australia Pty Ltd Changed Benefit.SK428 Hip 3099 Trident Tritanium Acetabular Shells Acetabular Shell, tritanium 40mm - 80mm Stryker Australia Pty Ltd Changed Benefit.

SK429 Hip 3238 Trident Tritanium Acetabular Shells (PA coated) 40mm - 80mm Stryker Australia Pty Ltd Changed Benefit.

SK430 Hip 770 Trident Constrained All Poly Acetabular Cup 40-70mm Stryker Australia Pty Ltd Changed Benefit.

SK431 Knee 1054 Triathlon Knee System CS Lipped Insert Stryker Australia Pty Ltd Changed Benefit.

SK432 Knee 1054 Triathlon Knee System CS Lipped Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SK433 Knee 2498 Triathlon Knee System Tibial Baseplate 1-8 Stryker Australia Pty Ltd Changed Benefit.

SK434 Knee 1164 Triathlon Knee System TS Titanium stemStem, Titanium, uncemented

Stryker Australia Pty Ltd Changed Benefit.

SK435 Knee 1249 Triathlon Knee System Tibial / Femoral Offset Adaptor 2,4,6,8mm Stryker Australia Pty Ltd Changed Benefit.

SK438 Knee 1156 Triathlon TS Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SK439 Knee 1156 Triathlon Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SK440 Knee 5781 Triathlon TS Knee System Femoral Component Left & Right Size 1-8 Stryker Australia Pty Ltd Changed Benefit.

Minimally stabilised, uncemented, with Hydroxyapatite, CoCr

Posterior stabilised, uncemented, beaded, CoCrMinimally stabilised, uncemented, beaded, CoCrTibial baseplate, uncemented, beaded, CoCrFemoral head with low friction ion treatmentTotally constrained tibial insert, with metal post, UHMWPE (N2VAC)

3 - 11 mm 7F/5T, 5F/7T, 11F/9T, 9F/11T10mm-24mm

Patella Component, Inset, Recessed, Medialized dome, Universal Dome, Concentric Dome, UHMWPE (X3), Fixed, Cemented

Concentric & Medialized Dome patella sizes: 5, 7, 9 & 11; Universal Dome patella sizes: 3, 5, 7, 9 & 11; Inset & Recessed patella sizes: 26, 28, 30 and 32mm

Patella Component, Cemented, Asymmetric, (X3) UHMWPE

29 (X3)3 x 9mm, 32 x 36 x 10mm, 35 x 39 x 10mm, 38 x 42x 11mm, 40 x 44 x 11mm

Acetabular Shell, HA Coating, tritaniumUHMWPE constrained cemented cupMinimally stabilised, CS Lipped tibial insert deep dish, UHMWPE (N2VAC)

Sizes 1-8 _small - large) size increments, 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm

Minimally stabilised, CS Lipped tibial insert deep dish, UHMWPE, (X3)

Sizes 1-8 _small - large) size increments, 9mm, 11mm, 13mm, 16mm, 19mm, 22mm, 25mm

Tibial baseplate, uncemented, beaded with PA (Hydroxyapatite), with screw holes, CoCr

10-25 (100mm) 10-25 (150mm)

Tibial & femral offset adaptor, CoCrTotally constrained, TS (Total Stabilizer) Insert, with metal post, UHMWPE (X3)

Tibial Insert Sizes: Left & right 9-31mm sizes 1-8Reinforced Post Sizes 9-31mm

Totally constrained tibial insert, with metal post, +/- 2° int/ext rotation, UHMWPE (X3)

Tibial Insert Sizes: Left & right 9-31mm sizes 1-8Reinforced Post Sizes 9-31mm

Totally constrained, cemented, CoCr

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SK441 Knee 1187 Triathlon Knee System Femoral Augments Stryker Australia Pty Ltd Changed Benefit.SK442 Knee 722 Triathlon Knee System Stem Extender Stem extender, cemented, CoCr 25mm & 50mm Stryker Australia Pty Ltd Changed Benefit.

SK447 Hip 4625 Rejuvinate SPT (Monolithic Stems, TMZF) Hip System 4-12 Stryker Australia Pty Ltd Changed Benefit.SK460 Hip 866 Exeter Rim Fit Flanged X3 Cup X3 Highly crosslinked Cup 40 - 60 OD, 22 - 44 ID Stryker Australia Pty Ltd Changed Benefit.

SK482 Hip 481 Stryker Neck Taper AdaptorAdaptor Sleeve for Stryker stems

Stryker Australia Pty Ltd Changed Benefit.

SK497 Knee 1434 Triathlon PKR - Cemented Tibial component Size 1 to 6 Stryker Australia Pty Ltd Changed Benefit.

SK498 Knee 731 Triathlon PKR - X3 Polyethylene Tibial insert Stryker Australia Pty Ltd Changed Benefit.

SK500 Hip 2498 Restoration ADM Cup (Anatomic Dual Mobility) Cup Left and Right; 48-46mm Stryker Australia Pty Ltd Changed Benefit.

SK501 Hip 1698 Restoration Anatomic Dual Mobility Polyethylene Insert Stryker Australia Pty Ltd Changed Benefit.

SK505 Hip 111 BioPrep Bone Preparation System 18.5 - 25mm O.D. Stryker Australia Pty Ltd Changed Benefit.

SK585 Knee 2128 Restoris MCK Knee - Femeral ComponentFemeral Component

Stryker Australia Pty Ltd Changed Benefit.

SK586 Knee 1434 Restoris MCK Knee - Tibial BaseplateTibial Baseplate

Stryker Australia Pty Ltd Changed Benefit.

SK587 Knee 731 Restoris MCK Knee - Tibial Onlay Insert

Tibial Onlay Insert

Stryker Australia Pty Ltd Changed Benefit.

SL002 Knee 1054 Genesis II Knee System Tibial Insert 1-8; 9-25mm Smith & Nephew Pty Ltd Changed Benefit.SL003 Knee 1054 Profix Knee System Tibial Insert Tibial Insert, UHMWPE, Fixed Left / Right 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.SL004 Knee 1054 VKS (Vario) Knee System Tibial Insert Tibial insert, UHMWPE, Fixed SZ 1-12 Smith & Nephew Pty Ltd Changed Benefit.

SL005 Knee 1110 Genesis II Knee System Tibial Insert SZ 1-8; 9-25mm Smith & Nephew Pty Ltd Changed Benefit.

SL047 Knee 4255 Genesis II Oxinium Left / Right 1-9 Smith & Nephew Pty Ltd Changed Benefit.

SL048 Knee 3885 Legion Oxinium Left / Right 1-9 Smith & Nephew Pty Ltd Changed Benefit.

SL070 Knee 1434 Journey Knee System Tibial Uni Baseplate 1-6 Smith & Nephew Pty Ltd Changed Benefit.

SM012 Hip 3580 SL & SLR Plus Femoral StemTitanium, grit blast, non HA,

Smith & Nephew Pty Ltd Changed Benefit.

SM013 Hip 4625 SL & SLR PLUS Femoral Stem Smith & Nephew Pty Ltd Changed Benefit.

SM014 Hip 5004 SLR Plus Long Femoral Stem Sizes 7-12 Smith & Nephew Pty Ltd Changed Benefit.

SM015 Hip 5920 SLR Plus Long Femoral Stem 7-11, various offsets Smith & Nephew Pty Ltd Changed Benefit.

Femoral blocks distal & posterior, CoCr, mechanical attachment

Left & Right 5mm size 1-810mm size 1-815mm size 1-8

Titanium (TMZF), plasma coated, HA

-5, -4, 0, +4, +5, +8 +10, +12, +15, +16mm offset

Uni tibial baseplate, cemented, CoCRUni tibial insert, X3 polyethylene, fixed

Size 1 to 6, thicknesses from 8mm to 12mm

Chobalt-Chome; HA Coated; Anatomic Dual Mobility CupThe polyethylene insert for the Restoration ADM component articulates with the highly polished inner surface of the Restoration ADM cup and is articul;ated with a standard cobalt-chrome or ceramic 28mm diameter femoral head 42mm - 58mm Inserts are

0 degrees with an inner diameter of 28mm

Femoral Preparation Kit with cement restrictor

LM/RL sizes 1 to 8RM/LL sizes 1 to 8LM/RL and RM/LL, sizes 1 to 8

Tibial Onlay Insert come in sizes 1 to 8, each size with 8, 9, 10 and 12mm thickness options

Tibial Insert, UHMWPE, fixed, without peg

Tibial Insert, UHMWPE, Posterior Stabalised with peg, Fixed

Genesis II Femoral component, Oxinium, cementedLegion Femoral component, Oxinium, cementedUni Tibial Baseplate, Titanium, cemented, for fixed insert

Sizes 01-12 for SL & 1-6 for SLR

Titanium, Plasma spray, proximal HA coating

01 to 12 for SL & 1-6 for SLR, various offsets

Titanium, grit blast, non HA, long stemTitanium, Plasma spray, proximal HA coating, long stem

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SM016 Hip 2646 Modular Plus Femoral System Proximal Femoral Body Smith & Nephew Pty Ltd Changed Benefit.

SM017 Hip 4274 Modular 'PLUS Femoral Stem 1 to 12 (all over 200mm) Smith & Nephew Pty Ltd Changed Benefit.

SM024 Hip 2498 EP Fit Acetabular Shell 40 - 72mm Dia Smith & Nephew Pty Ltd Changed Benefit.

SM025 Hip 2128 EP Fit Acetabular Shell 40 - 68mm Dia Smith & Nephew Pty Ltd Changed Benefit.SM026 Hip 758 EP Fit & MPF UHMWPE Insert UHMWPE 40 - 68mm Dia Smith & Nephew Pty Ltd Changed Benefit.

SM027 Hip 2368 EP Fit & MPF Ceramic InsertCeramic, Biolox Forte

Smith & Nephew Pty Ltd Changed Benefit.

SM029 Hip 1073 EP Fit & MPF Highly cross linked UHMWPE InsertModified UHMWPE

Smith & Nephew Pty Ltd Changed Benefit.

SM030 Knee 2220 TC (Tri Compartment) PLUS Knee System Tibial Baseplate 2 to 12 Smith & Nephew Pty Ltd Changed Benefit.

SM031 Knee 1054 TC (Tri Compartment) PLUS Knee System Tibial Insert 1-12 : 9-19mm Smith & Nephew Pty Ltd Changed Benefit.SM037 Hip 569 Fracture Head Unipolar Femoral Head Stainless Steel or CoCr 38-60 S/M Smith & Nephew Pty Ltd Changed Benefit.SM041 Hip 127 Universal Cancellous Bone Screws Cancellous bone screw titanium 15-60mm long 6.4mm dia Smith & Nephew Pty Ltd Changed Benefit.

SM049 Knee 2128 Femoral - 4, 6, 8, 10. Smith & Nephew Pty Ltd Changed Benefit.

SM052 Knee 3422 VKS (Vario) Knee System Femoral Component 1-6 Smith & Nephew Pty Ltd Changed Benefit.SM055 Hip 740 Universal Femoral Head Chrome Cobalt =< 32mm Smith & Nephew Pty Ltd Changed Benefit.SM063 Knee 1054 Tibial Insert Mobile Bearing Tibial Insert 1-12 Smith & Nephew Pty Ltd Changed Benefit.

SM064 Knee 3052 VKS (Vario) Knee System Femoral Component 1-12 Smith & Nephew Pty Ltd Changed Benefit.

SM065 Knee 1989 VKS (Vario) Knee System Tibial Baseplate 1-12 Smith & Nephew Pty Ltd Changed Benefit.

SM066 Knee 2128 VKS (Vario) Knee System Tibial Baseplate 1-12 Smith & Nephew Pty Ltd Changed Benefit.

SM068 Knee 2729 VKS (Vario) Knee System Tibial Baseplate 1-12 Smith & Nephew Pty Ltd Changed Benefit.

SM071 Knee 3515 TC (Tri Compartment) PLUS Knee System Femoral Component 2-12 Smith & Nephew Pty Ltd Changed Benefit.

SM072 Knee 1110 TC (Tri Compartment) PLUS Knee System Tibial Insert 2-12 Smith & Nephew Pty Ltd Changed Benefit.

SM077 Knee 1164 RT (Rotating Hinge) PLUS Knee System Femoral and Tibial Stems 95 -120 Smith & Nephew Pty Ltd Changed Benefit.

Titanium, grit blasted, with stem locking bolt sizes AS/AL/BS/BL/CS/AX

less than 75mm, various offsets

Titanium, grit blast, straight & curved, longTitanium, plasma spray, and HA, with variable number of holes for UHMWPE,ceramic & metal inserts

Titanium, plasma spray, non HA, with variable number of holes for UHMWPE,ceramic & metal inserts

For 42 -76mm shells, all head sizes42 -76mm Dia, all head sizes

Tibial Baseplate, CoCr, Cemented for mobile insert, polished insert surfaceTibial Insert, UHMWPE, mobile, deep dished

UC (Unicompartment) PLUS Solution Knee System Uni Femoral Component

Uni Femoral Component, CoCr, cementedFemoral Component, CoCr, uncemented, Titanium Plasma Spray (Vacuum spray and triple layer)

Femoral Component, CoCr, cementedTibial Baseplate, CoCr, Cemented, for fixed insertTibial Baseplate, CoCr, uncemented, Titanium Plasma Spray (Vacuum spray and triple layer), for fixed insert

Tibial Baseplate, CoCr, uncemented, Titanium Plasma Spray (Vacuum spray and triple layer), for mobile insert (SB (Self aligning bearing))

Femoral Component, CoCr, uncemented,Titanium Plasma Spray (Vacuum spray and triple layer), posterior stabilised

Tibial Insert, UHMWPE, fixed, posterior stabilised with pegFemoral and Tibial Stems, Titanium, uncemented

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SM082 Knee 6244 RT (Rotating Hinge) PLUS Knee System Femoral Component 0-10 Smith & Nephew Pty Ltd Changed Benefit.

SM084 Knee 1164 RT (Rotating Hinge) PLUS Knee System Femoral and Tibial Stems 95-160 Smith & Nephew Pty Ltd Changed Benefit.

SM085 Knee 5596 TC (Tri Compartment) PLUS Knee System Femoral Component 2 - 10 Smith & Nephew Pty Ltd Changed Benefit.

SM086 Knee 1164 RT (Rotating Hinge) PLUS Knee System Femoral and Tibial Stems 95 - 160 Smith & Nephew Pty Ltd Changed Benefit.

SM087 Knee 1164 RT (Rotating Hinge) PLUS Knee System Femoral and Tibial Stems 200 Smith & Nephew Pty Ltd Changed Benefit.

SM088 Knee 1187 RT (Rotating Hinge) PLUS Knee System Femoral Augment 5-15mm Smith & Nephew Pty Ltd Changed Benefit.

SM089 Knee 1187 RT (Rotating Hinge) PLUS Knee System Tibial Augment 5-10mm Smith & Nephew Pty Ltd Changed Benefit.

SM090 Knee 1054 RT (Rotating Hinge) PLUS Knee System Tibial Insert 0-10 Smith & Nephew Pty Ltd Changed Benefit.

SM091 Knee 130 RT (Rotating Hinge) PLUS Knee System Clip and Screw 0-10 Smith & Nephew Pty Ltd Changed Benefit.

SM092 Knee 3839 RT (Rotating Hinge) PLUS Knee System Tibial Baseplate 0-10 Smith & Nephew Pty Ltd Changed Benefit.SM095 Hip 2128 Universal Delta Ceramic Femoral Head Delta Ceramic >32mm Smith & Nephew Pty Ltd Changed Benefit.

SM120 Knee 1434 Smith & Nephew Pty Ltd Changed Benefit.

SM121 Knee 731 UC (Unicompartment) PLUS Solution Knee System Uni Tibial Insert

Uni Tibial Insert, UHMWPE, fixed

Smith & Nephew Pty Ltd Changed Benefit.

SM122 Hip 4625 Polarstem 01-10, various offsets Smith & Nephew Pty Ltd Changed Benefit.

SM126 Hip 3580 SL Plus MIA Femoral Stem 01-12 various offsets Smith & Nephew Pty Ltd Changed Benefit.

SM127 Hip 4625 SL Plus MIA Femoral Stem 01-12, various offsets Smith & Nephew Pty Ltd Changed Benefit.

SM128 Hip 2128 POLAR CUP ACETABULAR Cementless Shell 43-67MM Smith & Nephew Pty Ltd Changed Benefit.

SM129 Hip 3052 POLAR CUP ACETABULAR Cementless Shell 43-67MM Smith & Nephew Pty Ltd Changed Benefit.

Femoral Component, CoCr, Cemented, hingedFemoral and Tibial Stems, CoCr, CementedFemoral Component, CoCr, cementedFemoral and Tibial Stems, Titanium, uncementedFemoral and Tibial Stems, Titanium, uncemented (longer stems)Femoral Augment Distal and posterior blocks, CoCr, includes screws for fixationTibial Augment Half blocks, CoCr, includes screws for fixation

Tibial Insert, UHMWPE, fixed, for hinged femoral and tibial components, reinforced fixation clip and centeral hole for femoral component hinge post

Insert clip and screws for stem fixation, packed together as emergency kit Tibial Baseplate, CoCr, cemented, for fixed insert

UC (Unicompartment) PLUS Solution Knee System Uni Tibial Baseplate

Uni Tibial Baseplate, CoCr, cemented for fixed insert

Tibial - 40 - 56 x (8, 10, 12, 14mm)

40 (8mm, 10mm, 12mm, 14mm), 44 (8mm, 10mm, 12,, 14mm), 48 (8mm, 10mm, 12mm, 14mm), 52 (8mm, 10mm, 12mm, 14mm), 56 (8mm, 10mm, 12mm, 14mm)

Titanium Stem, Plasma Spray & Full HA coatingTitanium, grit Blasted, double taperedTitanium, Plasma spray, proximal HA coatingStainless steel with titanium plasma spray coating that has polished inner surface for dual mobility with constrained UHMWPE liner/head

Stainless steel with titanium plasma spray coating and pegs & flanges, that has polished inner surface for dual mobility with constrained UHMWPE liner/head

Page 114: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SM131 Hip 3422 POLAR CUP ACETABULAR Cementless Shell 43-67MM Smith & Nephew Pty Ltd Changed Benefit.

SM133 Hip 1665 Polar Cup Cemented Acetabular Shell 43-63MM Smith & Nephew Pty Ltd Changed Benefit.

SM134 Hip 1698 POLAR Dual Mobility Constrained Liner

UHMWPE

Smith & Nephew Pty Ltd Changed Benefit.

SM135 Hip 1698 POLAR Dual Mobility Constrained Highly Cross Linked Liner

Modified UHMWPE

Smith & Nephew Pty Ltd Changed Benefit.SM137 Hip 127 Polar Cup Acetabular Screws Stainless Steel Cortical Screws 4.5mm by 40-60mm Smith & Nephew Pty Ltd Changed Benefit.

SM141 Knee 5689 TC (Tri Compartment) PLUS Knee System Femoral Component 2-10mm Smith & Nephew Pty Ltd Changed Benefit.

SM142 Knee 740 8-26mm - 12/35mm Smith & Nephew Pty Ltd Changed Benefit.

SM143 Hip 2424 EP fit & MPF Delta Ceramic InsertCeramic Delta Acetabular Liners

Smith & Nephew Pty Ltd Changed Benefit.SM144 Hip 1942 Universal Delta Ceramic Femoral Head Delta Ceramic <=32 - S, M, L, XL,XXL Smith & Nephew Pty Ltd Changed Benefit.

SM153 Knee 1187 Legion Hinge Femoral Wedge Size 2 to 7 5,10,15,20mm Smith & Nephew Pty Ltd Changed Benefit.

SM154 Knee 3194 Legion Hinge Sleeve and Bolt Sizes 2-7 Smith & Nephew Pty Ltd Changed Benefit.

SM156 Knee 2613 Journey Uni Femur-Oxinium Smith & Nephew Pty Ltd Changed Benefit.

SM157 Knee 2128 Journey Uni Femur- Cocr Size 1 to Size 7 Smith & Nephew Pty Ltd Changed Benefit.

SM158 Knee 6244 Legion Hinge Femur CoCr Size 2 to 7 Smith & Nephew Pty Ltd Changed Benefit.

SM159 Knee 1156 Legion Hinge Rotating Platform Insert Smith & Nephew Pty Ltd Changed Benefit.

SM160 Knee 4070 Legion Hinge Tibial Baseplate Size 2 to 7 Left, Right Smith & Nephew Pty Ltd Changed Benefit.

SM161 Knee 1156 Legion Hinge Guided Motion Tibial Insert Smith & Nephew Pty Ltd Changed Benefit.SM165 Hip 1942 Revision Delta Ceramic Femoral Head Biolox Option Head ≤32mm Smith & Nephew Pty Ltd Changed Benefit.SM166 Hip 240 Revision Delta Ceramic Femoral Head Sleeve Biolox Option Sleeve ≤32mm Smith & Nephew Pty Ltd Changed Benefit.SM167 Hip 1901 Revision Delta Ceramic Femoral Head Biolox Option Head >32mm Smith & Nephew Pty Ltd Changed Benefit.SM168 Hip 240 Revision Delta Ceramic Femoral Head Sleeve Biolox Option Sleeve >32mm Smith & Nephew Pty Ltd Changed Benefit.

SM171 Hip 4024 MIS Stem Size 1-9 (73mm -101mm) Smith & Nephew Pty Ltd Changed Benefit.

SM174 Knee 1054 Smith & Nephew CR XLPE Insert 1-8, 9-25mm Smith & Nephew Pty Ltd Changed Benefit.

SM175 Knee 1110 Smith & Nephew PS XLPE Inserts 1-8; 9-25mm Smith & Nephew Pty Ltd Changed Benefit.

Stainless steel with titanium plasma spray coating and HA and pegs & flanges, that has polished inner surface for dual mobility with constrained UHMWPE liner/head

Stainless steel, cemented shell that has polished inner surface for dual mobility with constrained UHMWPE liner/head

FOR '22.2-28MM Head sizes and 43-72MM diameter shellsFOR '22.2-28MM Head sizes and 43-72MM diameter shells

Femoral Component, CoCr, Cemented posterior stabilised

TC (Tri Compartment) PLUS Knee System and VKS Patella Component

Patella Component, metal backed, uncemented,Titanium Plasma Spray (Vacuum spray and triple layer), moulded

44mm-72mm *28mm - 44mm

A distal femoral Wedge for use with the Legion Hinge system.Is used to secure the Legion Hinge femoral component to the hinge mechanism attached to the baseplate.

Uni Femur - Oxinium - It is UniCondylar Femur

Size 1 to Size 7 Please refer to the pocket guide

Uni Femur - CoCr - It is UniCondylar FemurThe femoral component of the Legion Hinge system.This tibial insert is used for the construction of the Legion hinge.

Sizes 2-7 11,13,15,18,21mm

A tibial baseplate used for the Legion Hinge system.This tibial insert is used for the construction of the Legion hinge.

Sizes 2-7 11,13,15,18,21mm

Short, tapered, uncemented "press fit" femoral stem with modular neck functionalityHighly Cross-linked UHMWPE Cruciate Retaining Tibial InsertHighly Cross-linked UHMWPE Posterior Stabilized Tibial Insert

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SN010 Hip 1711 Basis Femoral Component Length 115 - 135mm Smith & Nephew Pty Ltd Changed Benefit.SN263 Hip 111 Buck Cement Restrictor 18.5 - 35mm Smith & Nephew Pty Ltd Changed Benefit.SN265 Hip 1319 Contour Acetabular Reinforcement cage 44 - 74mm OD Smith & Nephew Pty Ltd Changed Benefit.SN267 Hip 793 Tandem/Convene Shell/Liner 22 - 64mm Smith & Nephew Pty Ltd Changed Benefit.

SN268 Hip 2312 CPCS 1 - 5 Smith & Nephew Pty Ltd Changed Benefit.

SN269 Hip 146 CPCS 8 - 18 Smith & Nephew Pty Ltd Changed Benefit.

SN270 Hip 4024 Echelon 9 - 19 Smith & Nephew Pty Ltd Changed Benefit.SN271 Hip 6382 Echelon Revision Hip Stem - Non-porous 225mm - 300mm Smith & Nephew Pty Ltd Changed Benefit.SN273 Hip 3422 Echelon/Spectron Revision Hip Stem - Non-porous 135mm - 200mm Smith & Nephew Pty Ltd Changed Benefit.SN277 Hip 569 Endoprosthesis CoCr 38 - 54mm Smith & Nephew Pty Ltd Changed Benefit.SN280 Hip 740 Femoral Head CoCr <=32mm Smith & Nephew Pty Ltd Changed Benefit.SN284 Hip 185 Screws Cancellous 15mm - 50mm Smith & Nephew Pty Ltd Changed Benefit.

SN285 Hip 2320 Reflection 42 - 80mm Smith & Nephew Pty Ltd Changed Benefit.

SN286 Hip 2690 Reflection 42 - 80mm Smith & Nephew Pty Ltd Changed Benefit.

SN288 Hip 694 Reflection 22 - 36mm, 42 - 76mm Smith & Nephew Pty Ltd Changed Benefit.

SN290 Hip 2320 Reflection 46-66mm OD Smith & Nephew Pty Ltd Changed Benefit.

SN291 Hip 1073 Reflection Smith & Nephew Pty Ltd Changed Benefit.SN292 Hip 167 Reflection Fixation peg Titanium Alloy One size only Smith & Nephew Pty Ltd Changed Benefit.

SN294 Hip 148 Reflection One size only Smith & Nephew Pty Ltd Changed Benefit.SN295 Hip 148 Reflection Threaded hole cover (Reflection) One size only Smith & Nephew Pty Ltd Changed Benefit.

SN297 Hip 2368 Reflection 28 - 36mm, 46 - 66mm OD Smith & Nephew Pty Ltd Changed Benefit.SN299 Hip 1850 Femoral Head Ceramic, AlO3 <=32mm Smith & Nephew Pty Ltd Changed Benefit.

SN301 Hip 1711 Spectron and SynergyFemoral Stem Non Porous Offset

1- 20 Smith & Nephew Pty Ltd Changed Benefit.

SN303 Hip 4856 Synergy 9 - 18 Smith & Nephew Pty Ltd Changed Benefit.

SN305 Hip 4024 Synergy 9-20 Smith & Nephew Pty Ltd Changed Benefit.

SN306 Hip 3978 Synergy 9-20 Smith & Nephew Pty Ltd Changed Benefit.

SN307 Hip 481 UnipolarTaper Sleeve Co Cr

Smith & Nephew Pty Ltd Changed Benefit.SN308 Hip 879 Unipolar Head Co Cr 12/14 42 - 61mm Smith & Nephew Pty Ltd Changed Benefit.

SN314 Knee 1096 Genesis II Knee System Femoral Conversion Module Left/Right size 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN316 Knee 1164 Genesis II Knee System Tibial and Femoral Stems Smith & Nephew Pty Ltd Changed Benefit.SN318 Knee 130 Genesis II Lugs Various sizes Smith & Nephew Pty Ltd Changed Benefit.SN319 Knee 1164 Genesis II Metaphyseal Stem 1-8 Smith & Nephew Pty Ltd Changed Benefit.

Hip stem, Cobalt Chromium Grit Blast

Femoral Stem Polished Non Porous, Std and High Offset Polished Cemented Stem Distal CentraliserFemoral Stem Porous Co Cr, Std and High Offset

Acetabular Cup, Beaded Titanium AlloyAcetabular Cup HA Coated Titanium Alloy, beadedAcetabular Cup Unmodified UHMWPEAcetabular Shell Ceramic, Porous Titanium AlloyAcetabular Liner XLPE modified UHMPE 22 - 44mm inner diameter,

42 - 80mm outer diameter

Tapered hole cover (Reflection Interfit)

Acetabular Liner Ceramic, AlO3 biolox forte

Femoral Stem HA Coated beaded Titanium Alloy, Std and High offset

Femoral stem Beaded Titanium Alloy, Std and High OffsetFemoral stem: HA coated Titanium Alloy, Std and High Offset

12/14 and 14/16 tapers, +0,-3,+4,+8,+12mm.

Femoral Conversion Module, for Genesis II CR or PS femoral component, includes screws for fixation

Tibial and Femoral Stems, titanium, cemented or press fit

10-24x100mm, 10-20 x 150mm 10-16x 200mm

Page 116: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SN320 Knee 1054 Genesis II Knee System Tibial Insert Smith & Nephew Pty Ltd Changed Benefit.

SN323 Knee 555 Smith & Nephew Patella Component 23-41mm Smith & Nephew Pty Ltd Changed Benefit.

SN326 Knee 3422 Genesis II Knee System Femoral Component Left/Right Size 1-8 Smith & Nephew Pty Ltd Changed Benefit.SN329 Knee 130 Genesis II Tibial screws 15-50mm Smith & Nephew Pty Ltd Changed Benefit.

SN330 Knee 1187 Genesis II Knee System Tibial and Femoral Augments 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN334 Knee 731 Genesis Uni Tibial InsertUni Tibial Insert, UHMWPE, fixed

Smith & Nephew Pty Ltd Changed Benefit.

SN336 Knee 1434 Genesis Uni Tibial Baseplate XSmall-Magnum Smith & Nephew Pty Ltd Changed Benefit.

SN337 Knee 1156 Genesis Uni Tibial Baseplate Smith & Nephew Pty Ltd Changed Benefit.

SN338 Knee 2128 Genesis II Uni Femoral Component X-Small - Magnum Plus Smith & Nephew Pty Ltd Changed Benefit.

SN340 Knee 1156 Genesis Knee System Tibial Insert Smith & Nephew Pty Ltd Changed Benefit.SN342 Knee 130 Genesis Custom Flex Lock Peg Left & right Smith & Nephew Pty Ltd Changed Benefit.

SN347 Knee 1164 Genesis Smith & Nephew Pty Ltd Changed Benefit.

SN348 Knee 1054 Genesis Knee System Tibial InsertTibial Insert, UHMWPE, fixed

Smith & Nephew Pty Ltd Changed Benefit.

SN349 Knee 1110 Genesis Knee System Tibial Insert Right/Left S-XL 8mm-25mm Smith & Nephew Pty Ltd Changed Benefit.

SN353 Knee 1156 Genesis Knee System Tibial Insert Smith & Nephew Pty Ltd Changed Benefit.SN359 Hip 146 Invis Distal Centraliser PMMA 7 - 21mm Smith & Nephew Pty Ltd Changed Benefit.

SN367 Knee 130 Mobile Bearing Knee System Insert Locking Screw One size only Smith & Nephew Pty Ltd Changed Benefit.

SN368 Knee 4486 Mobile Bearing Knee System Tibial Baseplate Left & Right Size 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN369 Knee 2220 Mobile Bearing Knee System Tibial Baseplate Left & Right, Size 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN370 Knee 2729 Mobile Bearing Knee System Tibial Baseplate Left & Right, Size 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN376 Knee 1164 Profix Knee System Femoral and Tibial Stems Smith & Nephew Pty Ltd Changed Benefit.SN377 Knee 1164 Profix Metaphyseal Tibial Stem 14-20mm Smith & Nephew Pty Ltd Changed Benefit.

Tibial Insert for mobile insert, UHMWPE

Left & Right, Size 1-8, 9-15mm

Patella Component, cemented, UHMWPE, can be used for multiple systems (Genesis II, Journey, Legion)

Femoral Component, CoCr, uncemented, beaded

Tibial Augments, half blocks and half wedges, (CoCr) and Femoral Augments, distal and posterior or distal and posterior combined

x-Small-Magnum 8mm-12mm

Uni Tibial baseplate, cemented, CoCr for fixed insertUni Tibial baseplate, all poly, cemented Left & Right, X Small-

Magnum Plus, 8mm-15mmUni Femoral component, CoCr, cementedTibial Insert, UHMWPE, fixed, totally stabilised with peg

Left/Right Small- XLarge 10mm - 25mm

I/M Peg: Femoral and Tibial: Titanium

10-16mm Diameter x 40-200mm LengthLeft & Right XS-Magnum 8MM-15MM

Tibial Insert, UHMWPE, fixed, posterior stabilised with pegTibial Insert, UHMWPE, fixed, totally stabilised with peg, to be used with Genesis I baseplate and Tricon Femoral Component

Left/Right Constrained Small - Xlarge, Crutiate retaining Size 1-8, Post Stabilising Size 1-8, Tricon/Genisis Small-Xlarge

Insert Locking Screw, used to lock AP translation of Mobile insert

Tibial baseplate, uncemented, beaded, CoCr, polished insert surface, for mobile insert, Tibial baseplate, cemented, CoCr, polished insert surface, for mobile insert,Tibial baseplate, uncemented, beaded, HA, CoCr, polished insert surface, for mobile insert, Femoral and Tibial stems, Titanium, Cemented or press fit, 10-20mm x 100mm. 10-

20x150mm 10-20 x 200mm

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SN378 Knee 1054 Profix Knee System Tibial Insert Size 1-8 10-16mm Smith & Nephew Pty Ltd Changed Benefit.SN379 Knee 1054 Profix Knee System Tibial Insert Tibial Insert, UHMWPE, Mobile Size 1-8 10-16mm Smith & Nephew Pty Ltd Changed Benefit.

SN381 Knee 1187 Profix Knee System Tibial and Femoral Augment 1-7. Small - Large Smith & Nephew Pty Ltd Changed Benefit.

SN382 Knee 555 Profix Knee System Patella Component 23-35mm Smith & Nephew Pty Ltd Changed Benefit.

SN383 Knee 6336 Profix Knee System Femoral Component Right/Left Size 1-7 Smith & Nephew Pty Ltd Changed Benefit.

SN384 Knee 1187 Profix Knee System Tibial and Femoral Augment 1-7 Smith & Nephew Pty Ltd Changed Benefit.

SN393 Knee 130 Profix Knee System Tibial Screws 15-50mm Smith & Nephew Pty Ltd Changed Benefit.

SN660 Knee 3238 Profix Knee System Femoral Component Left & Right, 2-7 Smith & Nephew Pty Ltd Changed Benefit.

SN678 Hip 4486 Echelon with HA 11-20 Smith & Nephew Pty Ltd Changed Benefit.SN687 Hip 1942 Femoral Head 12/14, 14/16 Taper, Oxinium 22 - 32mm, -3 - +16mm Smith & Nephew Pty Ltd Changed Benefit.

SN689 Hip 1698 Reflection 22 - 32mm, 42 - 76mm Smith & Nephew Pty Ltd Changed Benefit.SN696 Hip 866 Reflection Acetabular Cup - XLPE 22-36mm,40-61mm Smith & Nephew Pty Ltd Changed Benefit.SN697 Hip 740 Femoral Head Stainless steel 22-32mm,+0-+16mm Smith & Nephew Pty Ltd Changed Benefit.

SN699 Knee 1054 Profix Knee System Tibial Insert 1-8, 18-20mm Smith & Nephew Pty Ltd Changed Benefit.

SN701 Hip 158 Reflection 42 - 76mm Smith & Nephew Pty Ltd Changed Benefit.

SN710 Knee 2613 Genesis Uni Femoral Component X-Small - Magnum Smith & Nephew Pty Ltd Changed Benefit.

SN715 Knee 1164 Genesis II Knee System Femoral and Tibial Stems 18 - 24mm x 200mm Smith & Nephew Pty Ltd Changed Benefit.

SN736 Knee 6938 Legion Knee System Femoral Component Size 1 - 9 Smith & Nephew Pty Ltd Changed Benefit.SN741 Hip 2220 Birmingham Modular Femoral Head Cobalt Chrome 38 - 58mm Smith & Nephew Pty Ltd Changed Benefit.SN742 Hip 4764 Birmingham Hip Resurfacing Prostheses - Acetabular Cup Cobal Chrome, beaded, HA 44 - 66 mm cups Smith & Nephew Pty Ltd Changed Benefit.SN743 Hip 3099 Birmingham Hip Resurfacing Prostheses - Femoral Component Cobal Chrome 38 - 58 mm heads Smith & Nephew Pty Ltd Changed Benefit.

SN744 Hip 6475 Birmingham Hip Resurfacing Dysplasia Cup Smith & Nephew Pty Ltd Changed Benefit.SN749 Hip 3811 Emperion Revision Hip Polished non HA Short & Long Smith & Nephew Pty Ltd Changed Benefit.

SN779 Knee 3978 Journey Knee System Femoral Component 1-10 Smith & Nephew Pty Ltd Changed Benefit.

Tibial Insert, UHMWPE, Mobile, anterior lip (Conforming Plus)

Tibial Augments, Half wedges and half blocks, uncemented beaded includes screws for fixation, Titanium. Femoral Augments, Posterior, Distal and Posterior and distal combined, uncemented beaded, includes screws for fixation, Titanium

Patella Component, UHMWPE, Inset and Onlay, cementedFemoral Component, CoCr, uncemented, beaded, totally constrainedTibial Augments, Half wedges and half blocks, cement fixation, Titanium. Femoral Augments, Posterior, Distal and Posterior and distal combined, includes screws for fixation, Titanium

Tibial Screws, Titanium for fixation of baseplate to bone (optional)

Femoral Component, CoCr, Cemented, totally constrainedCobalt Chromium with Hyrdoxyapetite Coating, beaded

Constrained Acetabular Liner unmodified UHMWPE

Tibial Insert, UHMWPE, Mobile, anterior lip (Conforming Plus) Larger sized insertsConstrained acetabular liner - adaptor ringUni Femoral component, Oxinium, cementedTibial and Femoral Stems, Titanium, cemented or press fit (larger diameter range for 200mm length)

Femoral Component, Oxinium, Cemented, totally constrained

Cobal Chrome, beaded, HA with screw fixation

Dysplasia Cups: 46 - 66 mm cups

Femoral Component, cemented, Oxinium, posterior stabilised (bicruciate substitute)

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SN780 Knee 1110 Journey Knee System Tibial Insert 8-30mm, 1-10 Smith & Nephew Pty Ltd Changed Benefit.SN809 Hip 879 Femoral head CoCr >32mm Smith & Nephew Pty Ltd Changed Benefit.

SN811 Hip 1901 ReflectionHead Ceramic, AlO3, Biolox Forte

>32mm Smith & Nephew Pty Ltd Changed Benefit.SN812 Hip 2128 Femoral Head 12/14, 14/16 Taper, Oxinium >32mm, -3 - +16mm Smith & Nephew Pty Ltd Changed Benefit.SN813 Hip 750 Femoral Head Stainless steel >32mm,+0-+16mm Smith & Nephew Pty Ltd Changed Benefit.

SN817 Hip 3256 Emperion Revision Hip +10, +20mm Smith & Nephew Pty Ltd Changed Benefit.

SN818 Hip 5106 Emperion Revision Hip +10, +20mm Smith & Nephew Pty Ltd Changed Benefit.

SN819 Hip 2710 Emperion Revision Hip Smith & Nephew Pty Ltd Changed Benefit.SN820 Hip 2710 Emperion Revision Hip Proximal Modular Cone Long 0, 1, 2, 3, 4 Smith & Nephew Pty Ltd Changed Benefit.

SN821 Knee 1187 Legion Knee System Femoral Augement 5-15mm Smith & Nephew Pty Ltd Changed Benefit.

SN822 Knee 1187 Legion Knee System Tibial Augement 5-15mm Smith & Nephew Pty Ltd Changed Benefit.

SN823 Knee 1164 Legion Knee System Femoral and Tibial Stems 120-280mm Smith & Nephew Pty Ltd Changed Benefit.

SN824 Knee 3376 Legion Knee System Tibial Baseplate 1-8 Smith & Nephew Pty Ltd Changed Benefit.SN825 Hip 4486 Birmingham Mid Head Resection Stem Titanium, Beaded and HA 1-19 Smith & Nephew Pty Ltd Changed Benefit.

SN834 Knee 2775 Sm, Med Lg, XLg Smith & Nephew Pty Ltd Changed Benefit.

SN835 Knee 3978 Journey Deuce Bicompartment Femoral Component 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN837 Knee 731 Journey Knee System Uni Tibial Insert 10-18mm Smith & Nephew Pty Ltd Changed Benefit.SN842 Hip 3580 Platform Hip Stem Titanium grit blasted stem 0-12 Smith & Nephew Pty Ltd Changed Benefit.SN843 Hip 4486 Anthology Hip System Titanium, Beaded and HA 0-20 Smith & Nephew Pty Ltd Changed Benefit.SN845 Hip 1942 Reflection CoCr Acetabular Insert 52 - 60mm Smith & Nephew Pty Ltd Changed Benefit.

SN847 Knee 3145 Journey Knee System Femoral Component Sizes 1-10, Left and Right Smith & Nephew Pty Ltd Changed Benefit.

SN848 Knee 1989 Journey Knee System Tibial Baseplate Sizes 1-8, Left and Right Smith & Nephew Pty Ltd Changed Benefit.

SN850 Hip 240 Birmingham HipModular Resurfacing Head Sleeve

-8mm to +16mm Smith & Nephew Pty Ltd Changed Benefit.

SN851 Knee 5781 Legion Knee System Femoral Component Sizes 1-10, Left and Right Smith & Nephew Pty Ltd Changed Benefit.SN855 Hip 2424 R3 Acetabular system Delta Ceramic Liner 40-78mm Smith & Nephew Pty Ltd Changed Benefit.

SN856 Hip 1698 R3 Acetabular SystemXLPE Constrained Acetabular liner

40-78mm Smith & Nephew Pty Ltd Changed Benefit.

SN857 Knee 2359 Genesis II Knee System Tibial Baseplate 1 - 9 Smith & Nephew Pty Ltd Changed Benefit.

SN858 Knee 1989 Profix Knee System Tibial Baseplate 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.

SN859 Knee 2128 Genesis II Knee System Tibial Baseplate Left / Right 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN860 Knee 2128 Profix Knee System Tibial Baseplate Left / Right 1-8 Smith & Nephew Pty Ltd Changed Benefit.

Tibial Insert, UHMWPE, Fixed posterior stabilised with peg

Polished modular stem with option of calcarLong Stem polished Modular Titanium Calcar Build-up, Proximal Modular Cone Standard, beaded HA coated

0, 1, 2, 3, 4, standard and long

Femoral Augment, posterior, distal and combined posterior and distal, Titanium, includes screws for fixation

Tibial Augments, half blocks and half wedges, full blocks and full wedges, Titanium includes screws for fixation

Femoral and Tibial stems, Titanium, Cemented or press fitTibial baseplate, cemented, Titanium, for fixed insert,

Journey Knee System Patella Femoral Replacement Trochlear Component

Trochlear Component,cemented, OxiniumBicompartment Femoral Component, cemented, Oxinium Uni Tibial Insert, for fixed bearing, UHMWPE

Femoral Component, Cemented, CoCr, posterior stabilisedTibial baseplate, cemented, Titanium, for fixed insert

Femoral Component, CoCr, Cemented, totally constrained

Tibial Baseplate, cemented, Titanium, grit blastedTibial Baseplate, cemented, Titanium, grit blastedTibial Baseplate, cementless, titanium, beaded, for fixed insertTibial Baseplate, cementless, titanium, beaded, for fixed insert

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SN861 Knee 2498 Genesis II Knee System Tibial Baseplate Left / Right 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.

SN862 Knee 2498 Profix Knee System Tibial Baseplate Left / Right 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.

SN863 Knee 1156 Genesis II Knee System Tibial Insert Left / Right 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.

SN864 Knee 1156 Profix Knee System Tibial Insert Left / Right 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.

SN865 Knee 5781 Genesis II Knee System Femoral Component Left / Right 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.

SN866 Knee 3238 Profix Knee System Femoral Component Left / Right 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.

SN869 Knee 1156 Genesis II Knee System Tibial Baseplate Left / Right 1 - 8 Smith & Nephew Pty Ltd Changed Benefit.

SN872 Knee 3145 Profix Knee System Femoral Component Left / Right 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN873 Knee 3515 Genesis II Knee System Femoral Component Left / Right 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN874 Knee 3515 Profix Knee System Femoral Component Left / Right 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN876 Knee 1110 Profix Knee System Tibial Insert 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN878 Knee 3792 Profix Knee System Femoral Component Left / Right 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN880 Knee 3885 Profix Knee System Femoral Component Left / Right 1-9 Smith & Nephew Pty Ltd Changed Benefit.

SN884 Knee 3978 Profix Knee System Femoral Component 1-8 Smith & Nephew Pty Ltd Changed Benefit.SN885 Knee 1249 Genesis II/Legion Knee System Offset Couplers Offset Coupler, titanium 2-6 Smith & Nephew Pty Ltd Changed Benefit.

SN894 Hip 3978 Anthology HAC 01-18 90mm-122mm Smith & Nephew Pty Ltd Changed Benefit.

SN895 Hip 2886 MDF Revision System Smith & Nephew Pty Ltd Changed Benefit.

SN896 Hip 2886 MDF Revision System Smith & Nephew Pty Ltd Changed Benefit.

SN897 Hip 4274 MDF Revision System 10-25 - 200mm - 360mm Smith & Nephew Pty Ltd Changed Benefit.

SN898 Hip 1135 MDF Revision System 24mm - 36.5mm Smith & Nephew Pty Ltd Changed Benefit.

Tibial baseplate, cementless, titanium, beaded, HA for fixed insertTibial baseplate, cementless, titanium, beaded, HA for fixed insertTibial insert, UHMWPE, fixed, totally constrainedTibial insert, UHMWPE, fixed, totally constrainedFemoral component, cemented, totally stabilised, CoCrFemoral component, cemented, totally stabilised, CoCrTibial Baseplate, all poly, cementedFemoral component, cemented posterior stabilised, CoCrFemoral component, CoCr, cementless, beaded, posterior stabilisedFemoral component, CoCr, cementless, beaded, posterior stabilisedTibial Insert, UHMWPE, posterior stabilised with peg, fixed

Femoral component, CoCr, cementless, beaded, HAFemoral component, Oxinium, cementedFemoral Component, cemented, posterior stabilised, Oxinium

Femoral Stem - Titanium grit blasted HA coatedModular sleeve with Stiktite titanium porous coating

Small, Medium, Large and X-Large - sizes 10-25

Modular Sleeve with Stiktite titanium porous coating and HA coating

Small, Medium, Large, and X-Large - sizes 10-25

Femoral stem - Titanium grit blasted for use with modular femoral neck - choices anteverted, retroverted, standard & multiple height. Allows fixation of proximal sleeve in various shapes (suffix-N,SV & MOD3)

Modular Neck - CoCr highly polished trapezoidal for MDF stem/MIS stem multiple options of version height and neck length

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SN899 Hip 2886 MDF Revision System 10-25 - 150mm - 190 mm Smith & Nephew Pty Ltd Changed Benefit.

SN900 Hip 4625 NANOS Neck Preserving Stem Size 0 to Size 9 Smith & Nephew Pty Ltd Changed Benefit.

SN901 Knee 673 Legion Hinge Axle Sizes 2-7 Smith & Nephew Pty Ltd Changed Benefit.SN910 Knee 3792 Genesis II CR HA Porous 1-8 Smith & Nephew Pty Ltd Changed Benefit.SN911 Knee 3885 Genesis II PS HA Porous 1-8 Smith & Nephew Pty Ltd Changed Benefit.

SN987 Knee 4348 Genesis II Oxinium Left / Right 1-9 Smith & Nephew Pty Ltd Changed Benefit.

SN988 Knee 3978 Legion Oxinium Left / Right 1-9 Smith & Nephew Pty Ltd Changed Benefit.

SN989 Knee 3515 Genesis II Knee System Femoral Component Smith & Nephew Pty Ltd Changed Benefit.

SN990 Knee 3145 Legion Knee System Femoral Component Smith & Nephew Pty Ltd Changed Benefit.

SN991 Knee 3515 Genesis II Knee System Femoral Component Smith & Nephew Pty Ltd Changed Benefit.

SN992 Knee 3052 Legion Knee System Femoral ComponentLegion Femoral, cemented, CoCr

Smith & Nephew Pty Ltd Changed Benefit.

SO055 Ophthalmic 346 HumanOptics Aspira Y -6.0 to +40.0 D Spectrum Surgical Changed Benefit.

SO056 Ophthalmic 1116 HumanOptics ToricaDiffractiva Add-On IOL Spectrum Surgical Changed Benefit.

SO057 Ophthalmic 702 HumanOptics Torica Y Spectrum Surgical Changed Benefit.

SO058 Ophthalmic 976 HumanOptics Torica Y Spectrum Surgical Changed Benefit.

Femoral Stem - Titanium grit blasted for use with moduylar femoral neck choices anteverted, retroverted, standard and multiple height. Allows fixation of proximal sleeve in various shapes (suffix - N, SV & MOD3)

.Neck preserving femoral stem with vacuum plasma spray titanium porous coating and Calcium Phosphate electro chemical deposition process coating (Bonit Coating) for use without modular femoral neck choices

Is used to secure the Legion Hinge femoral component to baseplate.

Genesis II Femoral Component, cemented, posterior stabilised, OxiniumFemoral Component, cemented, posterior stabilised, OxiniumFemoral component, cemented posterior stabilised, CoCr

1-8Left & Right

Femoral Component, cemented posterier stabilised, CoCr

2-8Left & Right

Femoral Component, cemented, CoCr

1-8Left & Right2-8Left & Right

Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter

Toric Multifocal Add-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection, safety profile technology and undulated haptics. -2.0 to +0.5 in 0.5D steps,

Cylinder < 7D, Near addition 3.5D

Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter

Sphere +10D to +30D, Cylinder 1D to 6D

Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter

Sphere +10D to +30D, Cylinder 7D to 12D

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SO059 Ophthalmic 938 HumanOptics Torica Spectrum Surgical Changed Benefit.

SO060 Ophthalmic 666 HumanOptics Torica Spectrum Surgical Changed Benefit.

SO061 Ophthalmic 666 HumanOptics Torica Add-On IOL Spectrum Surgical Changed Benefit.

SO062 Ophthalmic 346 HumanOptics Secura Add-On IOL -6.0 to +6.0 in 0.5D steps Spectrum Surgical Changed Benefit.

SO063 Ophthalmic 740 HumanOptics Diffractiva Spectrum Surgical Changed Benefit.

SO064 Ophthalmic 778 HumanOptics Diffractiva Y Spectrum Surgical Changed Benefit.

SO065 Ophthalmic 758 HumanOptics Diffractiva Preloaded Spectrum Surgical Changed Benefit.

SO066 Ophthalmic 796 HumanOptics Diffractiva Y Preloaded Spectrum Surgical Changed Benefit.

SO067 Ophthalmic 364 HumanOptics Aspira Y Preloaded +10.0 to +30.0 D Spectrum Surgical Changed Benefit.

SO068 Ophthalmic 778 HumanOptics Diffractiva Add-On IOL Spectrum Surgical Changed Benefit.

SO071 Ophthalmic 364 Mediphacos Easyflex +5.0 to +30.0 D Spectrum Surgical Changed Benefit.

Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic

Sphere +10D to +30D, Cylinder 7D to 12D

Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic

Sphere +10D to +30D, Cylinder 1D to 6D

Toric Add-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection, safety profile technology and undulated haptics Sphere: -4.0 to +1.5 in 0.5D

steps, Cylinder < 7DAdd-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection and safety profile technology

Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic

Sphere: +10D to +30D, Near addition +3.5D

Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter Sphere: +10D to +30D,

Near addition +3.5DPreloaded Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic Sphere: +10D to +30D,

Near addition +3.5DPreloaded Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter Sphere: +10D to +30D,

Near addition +3.5DPreloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter

Multifocal Add-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection and safety profile technology. -6.0 to +6.0 in 0.5D steps,

Near addition 3.5DPreloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, double square edge, Blue light filter

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SO072 Ophthalmic 702 Mediphacos Miniflex Toric Spectrum Surgical Changed Benefit.

SO073 Ophthalmic 346 Mediphacos Miniflex/Mediflex +5.0 to +30.0 D Spectrum Surgical Changed Benefit.

SO074 Ophthalmic 328 HumanOptics Aspira -6.0 to +40.0 D Spectrum Surgical Changed Benefit.

SO075 Ophthalmic 337 HumanOptics Aspira Preloaded +10.0 to +40.0 D Spectrum Surgical Changed Benefit.

SR002 Knee 1110 Triathlon Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SR003 Knee 3145 Scorpio NRG Knee System Femoral Component Sizes 3,4,5,6,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

SR004 Knee 3885 Scorpio NRG Knee System Femoral Component Sizes 3,4,5,6,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

SR006 Knee 3885 Scorpio Knee System Femoral Component 3,5,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

SR007 Knee 3515 Scorpio Knee System Femoral Component 3,5,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

SR008 Knee 1110 Scorpio Knee System Tibial Insert 8-18mm in 2mm increments Stryker Australia Pty Ltd Changed Benefit.

SR009 Knee 3145 Triathlon Knee System Femoral Component Sizes 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SR012 Knee 1110 Scorpio NRG Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SR013 Knee 1110 Scorpio Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SR019 Knee 3145 Scorpio Knee System Femoral Component 3, 5, 7, 9, 11, 13 Stryker Australia Pty Ltd Changed Benefit.

SR020 Knee 1110 S7000 Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SR023 Hip 2035 Stryker Revision Femoral Head, Biolox Forte Alumina 28, 32mm Stryker Australia Pty Ltd Changed Benefit.

SR024 Knee 3885 Triathlon Knee System Femoral Component Size 1 - 8 Stryker Australia Pty Ltd Changed Benefit.

SR026 Hip 1942 Stryker CoCr Femoral Head 22-32mm Stryker Australia Pty Ltd Changed Benefit.

Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, double square edge, Blue light filter

Sphere +5.0 to +30.0 D, Cylinder < 7D

Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, double square edge, Blue light filter

Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic

Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic

Posterior stabilised insert, UHMWPE,(N2VAC)

Sizes 1 to 8 (9/11/13/16/19/22/25mm thickness)

Posterior stabilised, cemented, CoCrPosterior stabilised, uncemented with Hydroxyapatite, CoCr,

Posterior stabilised, uncemented, beaded (microstructure) with PA (Hydroxyapatite), CoCr

Posterior stabilised, CoCr, uncemented, beaded, (microstructured), with TiNi surface treatment (LFIT - Low friction ion treatment)

Posterior stabilised tibial insert, UHMWPE (N2VAC)Posterior stabilised, cemented, CoCr, with ability to add lugs or augments Posterior stabilised tibial insert, UHMWPE, (N2VAC)

Sizes 3,4,5,6,7,9,11,13, x (8/10/12/15/18/21/24mm thickness)

Posterior stabilised mobile bearing insert, UHMWPE (N2VAC)

10,12,15,18, 21mm thickness; sizews 3,5,7,9,11,13

Posterior stabilised, cemented, CoCr Posterior stabilised tibial insert, UHMWPE, (N2VAC), used for series 7000 revisions

3, 5, 7, 9, 11, 13 in 8, 10, 12, 15, 18, 21,24mm

With pre assembled titanium sleevePosterior stabilised, uncemented, beaded with PA (Hydroxyapatite), CoCr Cobal Chrome with LFIT Treatment

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SR027 Hip 4162 Accolade HFxCoCr,plasma not HA

Stryker Australia Pty Ltd Changed Benefit.SR028 Hip 1942 Stryker Delta Ceramic Heads Femoral Head - Delta Ceramic <32mm Stryker Australia Pty Ltd Changed Benefit.SR029 Hip 2128 Stryker Large Femoral Head - Delta Ceramic Delta Ceramic 36mm - 50mm Stryker Australia Pty Ltd Changed Benefit.

SR030 Knee 2220 Triathlon Knee System Tibial Baseplate 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SR031 Knee 1054 Triathlon Knee System Tibial Insert 1 to 8, 9mm to 19mm Stryker Australia Pty Ltd Changed Benefit.

SR032 Knee 1110 Triathlon Knee System Tibial Insert 1 to 8, 9mm to 22mm Stryker Australia Pty Ltd Changed Benefit.

SR033 Knee 1054 Triathlon Knee System Tibial Insert 1 to 8, 9mm to 22mm Stryker Australia Pty Ltd Changed Benefit.

SR034 Knee 3376 Triathlon TS Knee System Tibial Baseplate 1 to 8 Stryker Australia Pty Ltd Changed Benefit.

SR035 Knee 1164 Triathlon Knee System TS stem

Tibial stem, Titanium, cemented

Stryker Australia Pty Ltd Changed Benefit.

SR036 Knee 1187 Triathlon Knee System Hemi Augments Stryker Australia Pty Ltd Changed Benefit.

SR037 Knee 1164 Triathlon Knee System Femoral Distal Fixation Peg one size Stryker Australia Pty Ltd Changed Benefit.

SR045 Hip 5476 Stryker Modular Revision Hip System Stryker Australia Pty Ltd Changed Benefit.

SR046 Hip 5106 Stryker Modular Revision Hip System Stryker Australia Pty Ltd Changed Benefit.

SR060 Knee 5781 Scorpio Knee System Femoral Component Stryker Australia Pty Ltd Changed Benefit.

SR063 Knee 3052 Scorpio Knee System Femoral Component Stryker Australia Pty Ltd Changed Benefit.

SR067 Hip 1698 Anatomic X3 LinersAnatomic X3 Liner with constraint

Stryker Australia Pty Ltd Changed Benefit.

SR074 Knee 1110 Triathlon X3 PS Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SR076 Knee 1054 Triathlon X3 CR Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

Stem sizes 1-8, 127 degree neck

Mobile bearing, tibial baseplate, cemented, CoCr Minimally stabilised, mobile bearing tibial insert, UHMWPE (N2VAC)Posterior stabilised mobile bearing insert, UHMWPE (N2VAC)

Minimally constrained, CS Lipped Tibial insert, deep dished (CS) UHMWPE, N2VAC, mobile bearing

Tibial baseplate, stemmed revision, cemented, CoCr

9x50mm, 9x100mm, 9x150mm, 12x50mm, 12x100mm, 12x150mm, 15x50mm, 15x100mm, 15x150mm

Half (hemi) tibial blocks, CoCr, mechanical attachment

LM/RL & LL/RM, 1 to 8, 5mm and 10mm

Modular Femoral Distal Fixation Peg CoCrModular Long Bowed Titanium Plasma HA Stem

Length 217mm, 267mm and 317mm. Diameter 11mm - 26mm

Modular Long Bowed Titanium Polished Fluted Stem

Length 217mm, 267mm and 317mm. Diamter 11mm-26mm

Totally constrained, CoCr with TiNi surface treatment (LFIT - Low Friction Ion Treatment)

3 Left, 3 Right, 5 Left, 5 Right, 7 Left, 7 Right, 9 Left, 9 Right, 11 Left, 11 Right, 13 Left, 13 Right

Minimally stabilised, cemented, CoCr with TiNi surface treatment (LFIT - Low friction ion treatment)

3 Left, 3 Right, 5 Left, 5 Right, 7 Left, 7 Right, 9 Left, 9 Right, 11 Left, 11 Right, 13 Left, 13 Right36mm, 40mm, 44mm, 48mm and 52mm

Intended use as part of a total knee system in primary cemented and primary uncemented total knee arthroplasty. Intended to be used in situation where the posterior cruciate ligament is absent, or cannot be preserved. Sizes 1-8 available in

9,11,13,16,19,22 and 25mm thicknesses

Intended use as part of a total knee system in primary cemented and primary uncemented total knee arthroplasty. Sizes 1-8 available in

9,11,13,16,19mm thicknesses

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

SR077 Knee 1054 Scorpio NRG X3 CR Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SR078 Knee 1110 Scorpio NRG X3 PS tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SR079 Knee 1054 Triathlon X3 CS Lipped Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

SR080 Knee 3376 Duracon Knee System Stemmed Revision Baseplate Stryker Australia Pty Ltd Changed Benefit.

SR081 Knee 3515 Duracon Knee System Stemmed Revision Baseplate Stryker Australia Pty Ltd Changed Benefit.

SR083 Knee 2128 Triathlon PKR - Cemented Femoral Component Stryker Australia Pty Ltd Changed Benefit.

ST011 Hip 4274 Stryker Modular Hip System Stryker Australia Pty Ltd Changed Benefit.

ST018 Knee 1187 Scorpio Knee System Femoral & Tibial Augment Stryker Australia Pty Ltd Changed Benefit.

ST024 Knee 1156 Scorpio Knee System Tibial Insert 8-24mm for all tibia sizes Stryker Australia Pty Ltd Changed Benefit.

ST029 Knee 2128 Scorpio Knee System Tibial Baseplate 3,5,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

ST030 Knee 3792 Scorpio Knee System Femoral Component 3,5,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

ST031 Knee 2498 Scorpio Knee System Tibial Baseplate 3,5,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

ST032 Knee 1054 Scorpio Knee System Tibial Insert 8-24mm for all tibia sizes Stryker Australia Pty Ltd Changed Benefit.

ST033 Knee 3422 Scorpio Knee System Femoral Component 3,5,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

ST034 Knee 3376 Scorpio Knee System Tibial Baseplate 3,5,7,9,11,13 Stryker Australia Pty Ltd Changed Benefit.

ST066 Knee 1989 Scorpio Knee System Tibial Baseplate Tibial baseplate, cemented, CoCr

3, 5, 7, 9, 11, 13 Stryker Australia Pty Ltd Changed Benefit.

Intended use as part of a total knee system in primary cemented and primary uncemented total knee arthroplasty. Sizes 3,5,7,9,11 in

thicknesses: 8,10,12,15,18,21,24mm

intended to be used in situations where the posterior cruciate ligament is absent, or cannot be preserved.

3,5,7,9,11 in thickness: 8,10,12,15,18,21,24mm

Intended use as part of a total knee system in primary cemented and primary uncemented total knee arthroplasty. Sizes 1-8 available in

9,11,13,16,19,22 and 25mm thicknesses

Stemmed revision baseplate, CoCr, (Vitallium). Cemented, Fixed XS1, XS2, S1, S2, M1, M2,

L1, L2, Xl1, Xl2Stemmed revision baseplate, CoCr, (Vitallium), uncemented, beaded, with screw holes for screw fixation, fixed

S1, S2, M1, M2, L1, L2 XL1, XL2

Triathlon PKR - Uni Femoral Component, CoCR, Cemented 12 -Femurs in total: 1

through to 6, Left Media/Right lateral + 1 through to 6, Right Media/Left Lateral

Conical distal stems titanium, grit blasted

Length 155mm, Diameter 14 - 28mm

Femoral & tibial blocks distal, posterior and full, CoCr, cemented

5mm & 10mm for all sizes of femur and tibia. 5 degrees for all tibia sizes

Totally constrained tibial insert, with metal post, UHMWPE (X3)Tibial baseplate, uncemented, beaded (microstructure), CoCr Minimally stabilised, uncemented, beaded (microstructure) with PA, (Hydroxyapatite), CoCr,

Tibial baseplate, uncemented, beaded (microstructure) with PA (Hydroxyapatite), ability to add screws, CoCr

Minimally stabilised, mobile bearing tibial insert, UHMWPE (N2VAC)Minimally stabilised, uncemented, beaded, (microstructure), CoCr

Tibial baseplate, cemented, ability to attach stems, CoCr

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ST067 Knee 3099 Scorpio Knee System Tibial Baseplate 3, 5, 7, 9, 11, 13 Stryker Australia Pty Ltd Changed Benefit.

ST069 Knee 2220 Scorpio Knee System Tibial Baseplate 3, 5, 7, 9, 11, 13 Stryker Australia Pty Ltd Changed Benefit.

ST539 Hip 1698 Constrained acetabular insert 22, 26, 28, 32mm dia Stryker Australia Pty Ltd Changed Benefit.ST541 Hip 4995 SecurFit Plus Max Titanium, plasma, HA Stem sizes 7-14 Stryker Australia Pty Ltd Changed Benefit.

ST545 Hip 127 Osteonics hip prostheses Cancellous bone screw, Titanium

6.5mm & 5.5mm dia Stryker Australia Pty Ltd Changed Benefit.ST546 Hip 1073 Stryker Acetabular Crossfire Insert Modified UHMPE 22 -36mm ID Stryker Australia Pty Ltd Changed Benefit.

ST548 Hip 2867 Trident acetabular component system Titanium, arc deposited, with HA

Stryker Australia Pty Ltd Changed Benefit.

ST549 Hip 1073 Trident acetabular component system 22, 26, 28, 32mm dia Stryker Australia Pty Ltd Changed Benefit.ST551 Hip 148 Osteonics Hip Prostheses Dome hole plug titanium One size only Stryker Australia Pty Ltd Changed Benefit.

ST557 Hip 1319 Restoration gap cup II acetabular cage Stryker Australia Pty Ltd Changed Benefit.

ST561 Hip 758 Strker Omnifit/SecurFit Acetabular InsertSeries I and II inserts, UHMPE

Stryker Australia Pty Ltd Changed Benefit.ST565 Hip 2368 Alumina acetabular inserts Ceramic insert, alumina 28, 32 & 36mm dia Stryker Australia Pty Ltd Changed Benefit.

ST566 Hip 793 Osteonics hip prostheses ID 22, 26, 28, 32mm dia Stryker Australia Pty Ltd Changed Benefit.ST569 Hip 481 Head Taper Insert Neck extention, vitallium alloy -4 TO +12mm Stryker Australia Pty Ltd Changed Benefit.

ST570 Hip 879 UNITRAXVitallium alloy /CoCr

Stryker Australia Pty Ltd Changed Benefit.ST573 Hip 3978 Omnifit hip stem Titanium, grit blast and HA Stem sizes 4-14 Stryker Australia Pty Ltd Changed Benefit.

ST574 Hip 4995 SecurFit HA Max Hip Stem

Titanium, plasma coated, HA

Stryker Australia Pty Ltd Changed Benefit.ST575 Hip 4625 ACCOLADE hip prostheses Titanium, plasma coated, HA Stems sizes 0-11 Stryker Australia Pty Ltd Changed Benefit.

ST576 Hip 1711 Stryker Omnifit Cemented Stem Stem sizes 4-11 Stryker Australia Pty Ltd Changed Benefit.ST581 Hip 146 Osteonics hip prostheses Distal spacer PMMA 8-15mm Stryker Australia Pty Ltd Changed Benefit.ST582 Hip 111 Osteonics hip prostheses Cement restrictor Polyethylene Universal and sizes 1-8 Stryker Australia Pty Ltd Changed Benefit.

ST584 Hip 3284 Osteonics omnifit cemented long stem

cobalt chrome unpolished long

Stryker Australia Pty Ltd Changed Benefit.

ST586 Hip 3422 Osteonics omnifit head/neck hip stem Stem sizes 5, 7 & 9 Stryker Australia Pty Ltd Changed Benefit.

ST600 Knee 2544 Avon Patello Femoral System Femoral Component Stryker Australia Pty Ltd Changed Benefit.

ST601 Knee 1156 Duracon TS Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

ST602 Knee 5781 Duracon TS Knee System Femoral Component Stryker Australia Pty Ltd Changed Benefit.

ST603 Knee 1249 Duracon Knee System Tibial / Femoral Offset Adaptor 2mm, 4mm, 6mm, 8mm Stryker Australia Pty Ltd Changed Benefit.

ST604 Knee 1187 Duracon Knee System Tibial Augments Stryker Australia Pty Ltd Changed Benefit.

Mobile bearing tibial baseplate, uncemented, beaded (microstructure) with PA (Hydroxyapatite), CoCr

Mobile bearing tibial baseplate, cemented, CoCrUHMPE & cobalt chrome bipolar constrained insert

40-74mm OD in 2mm increments

Trident polyethlene liner, enhanced polyethlene

Acetabular reconstruction cage with extended plates

48-72mm OD in 2mm increments 22 - 36mm ID for cups 40 - 80mm OD

Bipolar shell and polyethylene insert (factory Assembled)

38-64mm OD 2mm increments

Stem sizes 4-14 in 127 and 132 degree neck angles

Cemented femoral component Cobal Chrome

Stem sizes 5-11, stem length 200, 250 AND 300mm

Cobal Chrome, Unpolished, standard and long with calcarTrochlear component, CoCr (Vitallium), cemented

Extra Small, Small, Medium, Large

Totally constrained tibial insert, with metal post, UHMWPE (Duration)

Extra Small, Small, Medium, Medium Large, Large, Extra Large

Totally constrained, cemented, CoCr (Vitallium)

Extra Small, Small, Medium, Medium Large, Large, Extra Large

Tibial / Femoral Offset Adaptor, CoCr, (Vitallium)Tibial Augments Half (hemi) wedge (angled) & Half (hemi) block (flat), CoCr (Vitallium), cemented

LM/RL & LL/RM in 5mm, 10mm thicknesses

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ST606 Knee 1164 Duracon Knee System Tibial & Femoral stem Stryker Australia Pty Ltd Changed Benefit.

ST608 Knee 1054 Scorpio Knee System Tibial Insert 8-18mm in 2mm increments Stryker Australia Pty Ltd Changed Benefit.

ST609 Knee 740 Scorpio Knee System Patella Component Stryker Australia Pty Ltd Changed Benefit.

ST634 Knee 3052 Scorpio Knee System Femoral Component 3, 5, 7, 9, 11, 13 Stryker Australia Pty Ltd Changed Benefit.

ST636 Knee 555 Scorpio Knee System & S7000 Knee System Patella Component 3, 5, 7, 9, 11, 13 Stryker Australia Pty Ltd Changed Benefit.

ST646 Knee 1110 S7000 Tibial Insert, series II Stryker Australia Pty Ltd Changed Benefit.

ST647 Knee 1156 Scorpio Knee System Tibial Baseplate 3, 5, 7, 9, 11, 13 Stryker Australia Pty Ltd Changed Benefit.

ST648 Knee 2498 Scorpio Knee System & S7000 Tibial Baseplate 3, 5, 7, 9, 11, 13 Stryker Australia Pty Ltd Changed Benefit.

ST655 Knee 2312 UNIX Unicompartmental Knee System Femoral Component 1, 2, 3, 4 Stryker Australia Pty Ltd Changed Benefit.

ST656 Knee 731 UNIX Unicompartmental Knee System Tibial InsertUni tibial insert, UHMWPE, Fixed

1, 2, 3, 4 in 8, 10, 12, 15mm Stryker Australia Pty Ltd Changed Benefit.ST821 Hip 240 Titanium Adapter Sleeve For use with new ceramic heads One size only Stryker Australia Pty Ltd Changed Benefit.

ST912 Knee 1054 Duracon ISA Knee System Tibial Insert Stryker Australia Pty Ltd Changed Benefit.

ST925 Knee 1110 Scorpio Knee System SuperFlex Tibial Insert Stryker Australia Pty Ltd Changed Benefit.ST931 Hip 1073 Stryker Acetabular Insert Enhanced Polyethylene insert 22 - 36mm ID Stryker Australia Pty Ltd Changed Benefit.

ST932 Hip 1698 Stryker Trident Constrained Acetabular Insert Stryker Australia Pty Ltd Changed Benefit.

ST984 Knee 3145 Scorpio Knee System Femoral Component Stryker Australia Pty Ltd Changed Benefit.

TG001 Hip 127 JRI CSF Hip SystemCSF Bone Screws, Titanium Alloy

15mm - 50mm Future Medical Pty Ltd Changed Benefit.

TG002 Hip 5920 JRI Total Hip System Future Medical Pty Ltd Changed Benefit.TG003 Hip 793 Furlong Hemi Range Bipolar head 40-58mm Future Medical Pty Ltd Changed Benefit.TG004 Hip 2498 JRI CSF Cup Grit blast with HA, titanium 44mm - 70mm Future Medical Pty Ltd Changed Benefit.

TG005 Hip 740 JRI Femoral HeadCobalt Chrome Femoral; Heads

Future Medical Pty Ltd Changed Benefit.TG006 Hip 370 Securus Modular Revision Hip System Modular Locking Bolt One Size Future Medical Pty Ltd Changed Benefit.

Stem, femoral & tibial, titanium, cemented

10mm-19mm, 21mm, 23mm in 80mm and 155mm lengths

Minimally stabilised tibial insert, UHMWPE (N2VAC)Patella component, Metal backed, CoCr, uncemented, beaded, moulded polyethylene (N2VAC) 26-32mm in 2mm

increments 10mm thickMinimally stabilised, cemented, CoCrPatella component, Inlay, UHMWPE (N2VAC), cementedTibial Insert posterior stabilised - PSII UHMWPE

3, 5, 7, 9, 11, 13 in 8, 10, 12, 15, 18, 21,24mm

Tibial baseplate, All UHMWPE, cemented Tibial baseplate, uncemented, with Hydroxyapatite, CoCrUni Femoral component, uncemented with Hydroxyapatite, CoCr

Minimally stabilised, mobile bearing tibial insert, UHMWPE (Duration)

Small, medium, large, X-large - left, right

Posterior stabilised tibial insert, SuperFlex, UHMWPE (N2VAC)

3, 5, 7, 9 , 11, 13 in thickness 8, 10, 12, 15, 18, 21, 24mm

Two pre assembled components: Outer insert component and a captured UHR (Universal Head) component. Composition - Cobalt chrome alloy and UHMWPE (ultra high molecular weight polyethylene) with a Titanium 6A1-4V ELI alloy retaining ring

Sizing 22 - 32mm in 0 degrees & 10 degrees

Posterior stabilised, cemented, CoCr with TiNi surface treatment (LFIT - Low Friction Ion Treatment)

3 Left, 3 Right, 5 Left, 5 Right, 7 Left, 7 Right, 9 Left, 9 Right, 11 Left, 11 Right, 13 Left, 13 Right

JRI Furlong Revision Plus Stem, Titanium Alloy with Supravit Zoned Coating, 12 / 14 Taper

12 / 14 Taper, 250mm long, and 250ml long with 5ml offset

28mm, and 32mm head sizes

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

TG007 Hip 694 JRI Cemented Cup 28mm and 32mm Future Medical Pty Ltd Changed Benefit.

TG008 Hip 4625 JRI Furlonjg active stem 12 / 14 Taper, 9-16mm Future Medical Pty Ltd Changed Benefit.TG009 Hip 758 JRI CSF Cup insert UHMWPE unmodified 28mm, 32mm, 36mm Future Medical Pty Ltd Changed Benefit.TG010 Hip 185 Securus Modular Revision Hip System Distal locking screws 30-70mm Future Medical Pty Ltd Changed Benefit.TG011 Hip 2368 JRI CSF Plus Cup ceramic Insert CSF Plus Cup Liner, Delta Liner 28mm, 32mm, 36mm Future Medical Pty Ltd Changed Benefit.

TG012 Hip 2368 JRI CSF Cup Ceramic Insert 28mm Future Medical Pty Ltd Changed Benefit.

TG013 Hip 5920 JRI Total Hip System Future Medical Pty Ltd Changed Benefit.TG014 Hip 1942 Furlong Hemi Range Cemented femoral stem XXS, XS, S, M & L Future Medical Pty Ltd Changed Benefit.

TG015 Hip 2035 JRI Total Hip SystemCeramic femoral head with sleeve

28, 32, 36mm Future Medical Pty Ltd Changed Benefit.TG016 Hip 148 Securus Modular Revision Hip System Modular Body Cap One size Future Medical Pty Ltd Changed Benefit.

TG017 Hip 5920 JRI Total Hip System Future Medical Pty Ltd Changed Benefit.TG018 Hip 2886 Securus Modular Revision Hip System Modular Proximal Body Std & 5mm offset Future Medical Pty Ltd Changed Benefit.

TG019 Hip 5319 JRI Furlong revision Total Hip System Future Medical Pty Ltd Changed Benefit.

TG020 Hip 1850 JRI Ceramic femoral Head Future Medical Pty Ltd Changed Benefit.

TG021 Hip 3978 Furlong Evolution 6-17 Future Medical Pty Ltd Changed Benefit.

TG022 Hip 2498 JRI CSF Plus Cup 44mm - 70mm O/D Future Medical Pty Ltd Changed Benefit.TG023 Hip 4644 Securus Modular Revision Hip System Curved Femoral Stem 250 - 300mm Future Medical Pty Ltd Changed Benefit.

TG024 Hip 4348 JRI Furlong Total Hip System Future Medical Pty Ltd Changed Benefit.

TG025 Hip 1073 JRI CSF Plus Cup Insert UHMWPE modified

Future Medical Pty Ltd Changed Benefit.

TG026 Hip 2128 JRI Total Hip System Future Medical Pty Ltd Changed Benefit.

TG027 Hip 2498 JRI CSF Plus Cup 44mm - 70mm O/D Future Medical Pty Ltd Changed Benefit.

UHMWPE Cup unmodified CementedJRI Furlong Active Stem, Titanium Aloy with Supravit Coating, 12/14 Taper

Ceramic Inserts, Alumina oxide, Biolox ForteJRI Furlong Revision Plus Stem, Titanium Alloy with Supravit Zoned Coating, 12 / 14 Taper

12 / 14 Taper, 200mm long and 200ml long with 5mm offset

JRI Furlong Revision Stems, Titanium Alloy with Supravit Coating, 12 / 14 Taper

12 / 14 taper, 250mm long, 250ml long 5mm offset

Modular femoral stem, Grit blast, HA 12 / 14 Taper, 200mm long,

200ml long 5mm offsetTotal Hip Replacement (THR) Ceramic Femoral Heads, Biolox Delta Ceramic, and Alumina Oxide

12 / 14 Taper, Biolox Delta Ceramic head sizes 28mm, 32mm. Alumina Oxide head sizes 28mm

Collarless and collared 126-133 (degree)Titanium, plasma, HA for modified poly insert

Uncemented Femoral Stem, titanium, grit blast, with HA,

12 /14 Taper, and 5mm offset, short and standard spigot10 degree liners 28mm, 32mm, 36mm

Total Hip Replacement (THR) Ceramic Femoral Heads, Biolox Delta Ceramic, and Alumina Oxide

12 / 14 Taper, Biolox Delta Ceramic head sizes 36mm & 40mm, Alumina Oxide head sizes 28mm

Titanium, plasma, HA for ceramic insert

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

TJ001 Ophthalmic 290 Tecsoft Flex Safelens Pty Ltd Changed Benefit.

TO008 Knee 3145 HLS Noetos Femoral Component 1 - 6 CoCr Tornier Pty Ltd Changed Benefit.TO009 Knee 555 HLS Noetos System patella Patella, cemented, UHMWPE small, medium, large Tornier Pty Ltd Changed Benefit.

TO021 Knee 5689 HLS Noetos Revision Femoral Component 1 to 6 right and left Tornier Pty Ltd Changed Benefit.

TO022 Knee 1187 HLS Noetos Revision Knee augments 1 to 6 Thickness 4, 8 and 12 Tornier Pty Ltd Changed Benefit.

TO024 Knee 722 HLS Noetos Revision Stem Extender, Sleeve and other Couplings 5, 7 and 9 degrees Tornier Pty Ltd Changed Benefit.

TO025 Knee 722 HLS Hoetos Revision Knee Tornier Pty Ltd Changed Benefit.TO026 Knee 3376 HLS Noetos Revision Tibial Baseplate Tibial Tray, CoCr, cemented, 1 to 6 Tornier Pty Ltd Changed Benefit.

TO027 Knee 1187 HLS Noetos Revision Tibial Spacers Tornier Pty Ltd Changed Benefit.

TO028 Knee 1164 HLS Noetos Revision Stems Tornier Pty Ltd Changed Benefit.

TO034 Knee 1989 HLS Noetos Tibial Baseplate, Fixed Size 1 to 6 Tornier Pty Ltd Changed Benefit.

TO036 Knee 1110 HLS Noetos Tibial insert, fixed 1 to 6, 9, 11 & 13mm Tornier Pty Ltd Changed Benefit.

TO060 Knee 3145 HLS Kneetec - Femoral Implant Tornier Pty Ltd Changed Benefit.

TO061 Knee 2220 HLS Kneetec - Mobile Tibial Tray Sizes 1 to 8 Tornier Pty Ltd Changed Benefit.

TO062 Knee 1989 HLS Kneetec - Fixed Tibial Tray Sizes 1 to 8 Tornier Pty Ltd Changed Benefit.

TO063 Knee 1110 HLS Kneetec - Mobile Tibial Insert Tornier Pty Ltd Changed Benefit.

Single piece square edged foldable intraocular lens for implantation into the capsular bag.

Diopter power range: +5.0 D to +32.0D (0.5 D increments from +10.0 D to +30.0 D, 1.0 D increments outside this range).For powers +5.0 D to +17.5D - Optic size: 6.0mm. Overall Length 13.5mm.For powers +18.0 D to +25.5D - Optic size: 5.9mm. Overall Length 13.0mm.For powers +26.0 D to +32.0 D - Optic size: 5.8mm. Overall Length 12.5mm.

Femoral Component, cemented, CoCr, posterior stabilised using midline condyle

Femoral Component, cemented, CoCr, posterior stabilised using midline condyleDistal and Posterior Femoral and tibial Wedges and blocks, CoCr

Stem Adaptor (Femoral Sledge) CoCrSleeve stem adaptor (flange piece) CoCr

5, 7 and 9 degrees, right and left

Tibial Spacer (including 2 screws) CoCr

1 to 6 thickness 4, 8 and 12mm

Femoral and Tibial extension stems CoCr

1 to 6 Length 75 and 150mm

Tibial Baseplate/Tray, Cemented, Fixed Bearing, CoCrTibial Insert, fixed, UHMWPE, posterior stabilisedFemoral implant of the HLS Kneetec System, cemented, CoCr, Posterior Stabilised

Left and Right, 10 sizes each: 7 standard (1 to 7) and 3 "narrow" (3 to 5)

Mobile Tibial Tray for HLS Kneetec System, CoCr, Cemented

Fixed Tibial Tray for HLS Kneetec System, CoCr, Cemented

Mobile Tibial Insert for HLS Kneetec System, UHMWPE, posterior stabilised

4 thicknesses: 9, 11, 13 and 15 mm. 7 sizes for each thickness: from 1 to 7/8

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

TO064 Knee 1110 HLS Kneetec - Fixed Tibial Insert Tornier Pty Ltd Changed Benefit.

TO065 Knee 555 HLS Kneetec - Patella Tornier Pty Ltd Changed Benefit.

TO082 Hip 2368 Dynacup Insert Ceramic 32mm or36mm Head Tornier Pty Ltd Changed Benefit.

TO083 Hip 2128 Meije Duo Femoral Heads Delta Ceramic >32Femoral Head Delta Ceramic >32

Tornier Pty Ltd Changed Benefit.

TO084 Hip 1942 Meije Duo Femoral Head Delta Ceramic <32Femoral Head Ceramic

Tornier Pty Ltd Changed Benefit.

TO085 Hip 3422 Dual Mobility Cup, shell uncemented 42 to 68mm Tornier Pty Ltd Changed Benefit.

TO086 Hip 1665 Dual Mobility Cup, Shell Cemented 42mm to 60mm Tornier Pty Ltd Changed Benefit.

TO087 Hip 758 Dual Mobility Cup, LinerAcetabular Liner UHMWPE

Tornier Pty Ltd Changed Benefit.

TO088 Hip 148 Dynacup Hole Oturator One size only Tornier Pty Ltd Changed Benefit.

TO089 Hip 127 Dynacup Titanium ScrewsCancellous bone screw, Titanium

Tornier Pty Ltd Changed Benefit.

TO152 Hip 3978 Meije Duo – Cementless Femoral Stem Tornier Pty Ltd Changed Benefit.

TO153 Hip 2498 Dynacup – Shell Tornier Pty Ltd Changed Benefit.

TO154 Hip 740 Tornier CoCr Femoral Head – Femoral Head ≤32mm

CoCr Femoral Head

Tornier Pty Ltd Changed Benefit.

TO155 Hip 879 Tornier CoCr Femoral Head – Femoral Head >32mm

CoCr Femoral Head

Tornier Pty Ltd Changed Benefit.

TO158 Knee 1164 HLS KneeTec Extension Stem 10mm, 14mm Tornier Pty Ltd Changed Benefit.

TU001 Cardiac 1123 Tsunami Gold Terumo Australia Changed Benefit.

Fixed Tibial part of the HLS Kneetec system, UHMWPE, posterior stabilised

6 thicknesses: 9, 11, 13, 15, 18 and 21 mm. 7 sizes for each thickness: from 1 to 7/8

Patellar implant of the HLS Kneetec system, UHMWPE, Cemented dome design and anchoring pegs

Extra-small, Small, Medium, Long

Hip Acetabular Insert, Biolox Delta Ceramic

short, med, long, extra long, 36mmShort, Med, Long, Extra Long, 22.2mm or 32mm

Acetabular shell titanium Plasma spray + HA, flanges and/or hook.

Acetabular Shell, Cemented stainless steel with groove, internal mirror polished

Head 22.2mm or 28mm, Diameter 42 mm to 68mm

Hole plug for dynacup shell, Ti, HA coated

7 Lengths from 20mm to 55mm

Titanium Alloy Femoral Stem, Grit-blasted, fully HA coated, with or without collar

Standard 130° neck option without collar – sizes 1 to 9Standard 130° neck option with collar – sizes 1 to 10Lateralized 123° neck option without collar – sizes 1 to 9Lateralized 123° neck option with collar – sizes 1 to 10

Titanium acetabular shell, with or without holes, coated with titanium plasma spray and HA Shell without holes: Ø42mm

to Ø52mm (2mm increments)Shell with holes: Ø42mm to Ø68mm (2mm increments)

Dia 22.2mm, 28mm and 32mm, Short, Medium, Long and Extra-Long Necks

Dia 36mm, Short, Medium, Long and Extra-Long Necks

Extension Stem for use with HLS KneeTec Tibial TrayStainless Steel mounted on balloon catheter Diameter 2.0mm - 4.0mm,

Length 8mm - 30mm length

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

TU044 Cardiac 1123 Kaname Coronary Stent System

BMS Coronary Stent

Terumo Australia Changed Benefit.

VI001 Ophthalmic 364 Nidek SZ-1 Pre-Loaded IOL Injector System Nvision Surgical Pty Ltd Changed Benefit.

WR087 Hip 1073 Lineage A-Class Crosslinked Polyethylene Liner 28, 32, 36ID Wright Medical Australia Changed Benefit.

WR089 Hip 1901 Alumina Femoral HeadHead ceramic

Wright Medical Australia Changed Benefit.

WR092 Hip 2220 BFH Total, A-class Wright Medical Australia Changed Benefit.

WR098 Hip 4625 Profemur Renaissance Hip System Size 10 -18 Wright Medical Australia Changed Benefit.

WR104 Hip 1942 Dynasty Acetabular System / metal liner, large head optionsDynasty Metal liner

ID 28,32,36,38,40,42,44,48 Wright Medical Australia Changed Benefit.WR108 Hip 1942 Procotyl L metal liner, large head options CoCr superfinished Metal liners 28,32,36ID Wright Medical Australia Changed Benefit.

WR109 Hip 2320 Procotyl L Acetabular System / Acetabular shell non HABeaded Acetabular shell non HA

Wright Medical Australia Changed Benefit.WR115 Hip 148 Transcend/Lineage Articulation System Apical dome plug titanium One size only Wright Medical Australia Changed Benefit.

WR119 Hip 758 WMT Acetabular Liners Wright Medical Australia Changed Benefit.

WR120 Hip 694 WMT Acetabular Cups All PolyUHMWPE unmodified

Wright Medical Australia Changed Benefit.

WR123 Hip 4625 Profemur R Hip System Wright Medical Australia Changed Benefit.WR124 Hip 1850 Transcend/Lineage Articulation System Head ceramic 28mm, 32mm, 3 lengths Wright Medical Australia Changed Benefit.

WR125 Hip 2368 Transcend/ Lineage Articulation SystemCeramic Liner, biolox forte

Wright Medical Australia Changed Benefit.

WR127 Hip 2320 Lineage and Transcend Acetabular SystemsTitanium, beaded, non HA

Wright Medical Australia Changed Benefit.

Diameter: 2.5mm; 2.75mm; 3.0mm; 3.5mm; 4.0mm x Lengths : 9mm; 12mm; 15mm; 18mm; 24mm; 28mm.

Pre-Loaded Intra Ocular Lens Implantation system

Power +11 dioptres to 30+ dioptres

Standard and lateralized, 0deg and 15deg lipped crosslinked

36-56mm, short, medium, long

Cobalt Chrome super finished femoral head. Size range from 36mm to 56mm in 2mm increments with 3 head lengths per size

36mm to 56mm in 2mm increments each with - 3.5mm, 0mm, + 3.5mm head lengths

Titanium Stem with HA Plasma Spray, standard & reduced flare

42 - 68mm in 2mm increments

Duramer UHMWPE unmodified Liner Grp 0, Grp 1, Grp 2, Grp 3,

Grp 4, Grp 5, and Grp 642 - 68mm in 2mm increments

Titanium Tapered Stem - HA Plasma Spray

Sizes 9 to 18 in 1 mm increments

28mm & 32mm Group 1,2,3 & 4Shells 40 - 80mm in 2mm increments

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

WR128 Hip 793 Gladiator Bipolar Hip System

Gladiator Bipolar

Wright Medical Australia Changed Benefit.

WR129 Hip 879 Gladiator Bipolar Hip System Bipolar CoCR Head 36mm Short Medium Long Wright Medical Australia Changed Benefit.

WR130 Hip 740 Gladiator Bipolar Hip System Wright Medical Australia Changed Benefit.

WR149 Knee 3194 Guardian Limb Salvage System One Size only Wright Medical Australia Changed Benefit.

WR150 Knee 4233 Guardian Limb Salvage System Wright Medical Australia Changed Benefit.

WR151 Knee 6974 Guardian Limb Salvage System 2, 3, 4, Left & Right Wright Medical Australia Changed Benefit.WR152 Knee 7431 Guardian Limb Salvage System Proximal Tibial replacement One Size Only Wright Medical Australia Changed Benefit.

WR153 Knee 2809 Guardian Limb Slavage System 11, 13, 15, 17mm x 152mm Wright Medical Australia Changed Benefit.

WR154 Knee 4070 Guardian Limb Salvage SystemMale-Male Mid-Section extender

Wright Medical Australia Changed Benefit.

WR155 Knee 2128 Guardian Limb Salvage System 8, 10, 12, 16, 20mm Wright Medical Australia Changed Benefit.

WR157 Knee 3194 Guardian Limb Salvage System 1, 2, 3, 4 Wright Medical Australia Changed Benefit.WR158 Knee 7407 Guardian Limb Salvage System Special indication distal femur Left & Right Wright Medical Australia Changed Benefit.

WR160 Knee 62530 Limb Salvage System for the skeletally immature - Repiphysis Custom Made Wright Medical Australia Changed Benefit.

WR163 Knee 2809 Guardian Limb Salvage System 9, 11, 13 x 120mm Wright Medical Australia Changed Benefit.WR164 Knee 7494 Guardian Limb Salvage System Stemmed tibial tray 1 - 5 Wright Medical Australia Changed Benefit.WR165 Hip 1597 Guardian Limb Salvage System Guardian Femoral Neck One Size Only Wright Medical Australia Changed Benefit.

36mm x 22mm, 37mmx22mmx38mmx22mm, 39mmx22mm, 40mmx22mm, 41mmx22mm, 42mmx28mm, 43mmx28mm, 44mmx28mm, 45mmx28mm, 46mmx32mm, 47mmx32mm, 48mmx32mm, 49mmx32mm, 50mmx36mm, 51mmx36mm, 52mmx36mm, 53mmx36mm, 54mmx36mm, 55mmx36mm, 56mmx36mm, 57mmx36mm, 58mmx36mm, 5

Gladiator Bipolar Hip System Bipolar CoCR Head 36mmGladiator bipolar hip system, bipolar CoCr head 22mm to 32mm

22mm short, 28mm short, medium, long 32mm short medium long

Tibial Hinge Assembly with polyethylene bearing, with/ without rotational stop pin - CoCR

Guardian beaded extended collar Femoral Stem Straight/Tapered - Titanium

10, 11, 12, 13, 14, 15, 16, 17mm x 152mm

Resurfacing Femur with extensive distal femoral buildup

Guardian Femoral Stem Straight/Tapered - Titanium

40, 50, 60, 70, 90, 110, 140mm

Duramer specialised Tibial insert, UHMWPEQuick Snap Axial Pin, CoCr, Titanium

Repiphysis non invasive expandable custom designed prosthesis for proximal tibia, distal or total femur (all components delivered as one unit)

Guardian Femoral Stem Straight - without plasma collar Titanium

Page 132: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

WR166 Knee 4079 Guardian Limb Salvage System Wright Medical Australia Changed Benefit.

WR167 Knee 2809 Guardian Limb Salvage System 9, 11, 13 x 120mm Wright Medical Australia Changed Benefit.

WR196 Knee 1164 Advantim Total Knee System 6" Length in Small-Xlarge Wright Medical Australia Changed Benefit.

WR202 Knee 3052 Advantim Total Knee System Wright Medical Australia Changed Benefit.

WR250 Hip 240 Neck Sleeve Wright Medical Australia Changed Benefit.

XE002 Ophthalmic 253 Staar foldable silicone intraocular lens: Model AQ 5010V 14.0mm length Ellex Australia Pty Ltd Changed Benefit.

XE003 Ophthalmic 290 10.8mm 0 13.5mm length Ellex Australia Pty Ltd Changed Benefit.XE004 Ophthalmic 337 Preloaded Aspheric Intraocular Lens Silicone intraocular lens 6.0mm Ellex Australia Pty Ltd Changed Benefit.ZI001 Hip 1319 Zimmer Acetabular roof ring Acetabular reconstruction cage 46 - 60mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI002 Hip 1319 Zimmer Acetabular Reconstruction Cage 52, 58, 64mm OD Zimmer Biomet Pty Ltd Changed Benefit.

ZI009 Hip 2312 Zimmer CPT Hip Systems Femoral Stem Sizes 1 - 5 Zimmer Biomet Pty Ltd Changed Benefit.ZI013 Hip 146 Zimmer distal centralisers CPT, VerSys, Natural and MS30 PMMA Centraliser Size 1 Zimmer Biomet Pty Ltd Changed Benefit.

ZI016 Hip 4116 Zimmer 'VerSys Hip Systems Femoral Stem 9 - 18 Zimmer Biomet Pty Ltd Changed Benefit.

ZI017 Hip 4579 Zimmer 'VerSys Hip Systems Femoral Stem 9 - 18 Zimmer Biomet Pty Ltd Changed Benefit.

ZI021 Hip 146 Zimmer Hip Systems Femoral StemVerSys Distal Centraliser - PMMA

10 - 18 Zimmer Biomet Pty Ltd Changed Benefit.ZI024 Hip 529 Zimmer 'VerSys CRC Hip Systems Modular Calcar Block One size only Zimmer Biomet Pty Ltd Changed Benefit.

ZI025 Hip 3284 Zimmer VerSys CRC Hip Systems Femoral Stem 13 - 19 Zimmer Biomet Pty Ltd Changed Benefit.ZI027 Hip 694 ZCA Acetabular Cup UHMPE unmodified 47 - 61 Zimmer Biomet Pty Ltd Changed Benefit.ZI030 Hip 1698 Trilogy Constrained Liner - Polyethylene UHMPE unmodified 50 - 80 Zimmer Biomet Pty Ltd Changed Benefit.ZI033 Hip 758 Trilogy Oblique liner UHMPE unmodified 38 - 62 Zimmer Biomet Pty Ltd Changed Benefit.

ZI034 Hip 2682 Trilogy Acetabular Cup 38 - 80 Zimmer Biomet Pty Ltd Changed Benefit.

ZI035 Hip 3052 Trilogy Acetabular Cup 38 - 80 Zimmer Biomet Pty Ltd Changed Benefit.ZI036 Hip 127 Acetabular Cup Trilogy Bone Screw - Titanium 15 - 60 Zimmer Biomet Pty Ltd Changed Benefit.ZI037 Hip 758 Trilogy liner UHMPE unmodified 38 - 80 in 22, 28, 32 Zimmer Biomet Pty Ltd Changed Benefit.

ZI042 Hip 2312 Trilogy Acetabular Cup 48 - 70 Zimmer Biomet Pty Ltd Changed Benefit.ZI044 Hip 2368 Trilogy AB Ceramic Liner Biolox forte 48 - 70 Zimmer Biomet Pty Ltd Changed Benefit.ZI045 Hip 1443 Longevity XLPE Acetabular liner UHMPE modified 46 - 70 Zimmer Biomet Pty Ltd Changed Benefit.

ZI046 Hip 1443 Acetabular Cup 38 - 80 Zimmer Biomet Pty Ltd Changed Benefit.

ZI047 Hip 1443 Acetabular Cup 38 - 80 Zimmer Biomet Pty Ltd Changed Benefit.

ZI048 Hip 1443 Acetabular Cup 38 - 80 Zimmer Biomet Pty Ltd Changed Benefit.

ZI049 Hip 4181 ZMR Taper System Modular Revision Hip A - F Zimmer Biomet Pty Ltd Changed Benefit.ZI051 Hip 740 Femoral Head Zimaloy - Co Cr 22mm, 28mm, 32mm Zimmer Biomet Pty Ltd Changed Benefit.ZI052 Hip 740 Femoral Head Zimaloy - Stainless Steel 22mm, 28mm, 32mm Zimmer Biomet Pty Ltd Changed Benefit.

Guardian mid section male/female taper

40, 50, 60, 70, 90, 110, 140mm

Guardian femoral Stem Straight With Plasma Collar - TitaniumTibial Primary Smooth/Finned Titanium CoCr long stem. This stem is required for primary prosthesis.

Cemented femoral component, CoCr

Small, Medium, Large, Xlarge

For use with modular femoral heads

Short, Medium, Long, Extra Long

Polyimide haptics 6.3mm optic - low diopters

Staar foldable silicone IOLs: Models AQ2010V, AQ2017V and AO2003V

Plate haptics 6.0mm; Polymide haptics 5.5 or 6.3mm optic;

Acetabular Reconstruction Cage - Left, rightCo Cr (Zimaloy), polished and tapered

Titanium, mesh (fibre metal), non HATitanium, mesh (fibre metal), with HA

Cobalt Chrome, unpolished long stem with calcar attachment option

Titanium mesh (fibre metal) non HA for UHMPE insertTitanium mesh (fibre metal) with HA for UHMPE insert

Titanium mesh (fibre metal) non HA for ceramic insert

Longevity XLPE Polyethylene Liner 20 DegreeLongevity XLPE Polyethylene Liner 10 DegreeLongevity XLPE Polyethylene Liner 0 Degree Titanium body, plasma coating, non HA

Page 133: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.ZI054 Hip 879 Femoral Head Cobal Chrome femoral Head 38 - 63mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI057 Knee 1110 NexGen Flex Tibial Insert Sizes 9 - 23mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI058 Knee 1110 NexGen LPS Tibial Insert Sizes 9 - 23mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI062 Knee 3792 NexGen Knee Femoral Component Sizes A-G Left & Right Zimmer Biomet Pty Ltd Changed Benefit.

ZI071 Knee 555 Insall-Burstein II Patella Component 32 - 41mm Zimmer Biomet Pty Ltd Changed Benefit.ZI077 Knee 1054 Miller Galante I Tibial Insert Tibial Insert, UHMWPE, fixed 8 - 22mm Zimmer Biomet Pty Ltd Changed Benefit.ZI088 Knee 1054 Miller Galante II Tibial Insert Tibial Insert, UHMWPE, fixed 9 - 23mm Zimmer Biomet Pty Ltd Changed Benefit.ZI089 Knee 130 Miller Galante II Bone Screw - Ti 20 - 80mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI093 Knee 555 Miller Galante II Patella 32 - 41mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI105 Knee 731 Unicompartmental Tibial InsertUni Tibial Insert, UHMWPE, fixed

8 - 14 mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI107 Knee 1434 Unicompartmental Tibial Plate 1 to 6 Zimmer Biomet Pty Ltd Changed Benefit.

ZI108 Knee 1156 Unicompartmental All-Poly Tibia 1 to 6 Zimmer Biomet Pty Ltd Changed Benefit.

ZI109 Knee 3885 NexGen Knee Femoral Component A - H (L&R) Zimmer Biomet Pty Ltd Changed Benefit.

ZI110 Knee 4255 NexGen Knee Femoral Component A - H (L&R) Zimmer Biomet Pty Ltd Changed Benefit.

ZI111 Knee 3608 NexGen Knee Femoral Component A - H (L&R) Zimmer Biomet Pty Ltd Changed Benefit.

ZI113 Knee 5689 NexGen Knee Femoral Component A - H (L&R) Zimmer Biomet Pty Ltd Changed Benefit.

ZI115 Knee 3978 NexGen Knee Femoral Component A - H (L&R) Zimmer Biomet Pty Ltd Changed Benefit.

ZI117 Knee 3700 NexGen Femoral Component A - H (L&R) Zimmer Biomet Pty Ltd Changed Benefit.

ZI119 Knee 5781 A - H (L&R) Zimmer Biomet Pty Ltd Changed Benefit.

ZI122 Knee 2451 NexGen Tibial Baseplate 1 - 10 Zimmer Biomet Pty Ltd Changed Benefit.

ZI126 Knee 3376 NexGen Knee Tibial Baseplate 1 - 10 Zimmer Biomet Pty Ltd Changed Benefit.

ZI127 Knee 1156 NexGen Knee Tibial Baseplate 1 - 10 Zimmer Biomet Pty Ltd Changed Benefit.

ZI134 Knee 1054 NexGen Tibial Insert 9 - 23 mm Zimmer Biomet Pty Ltd Changed Benefit.ZI135 Knee 1054 NexGen Tibial Insert Ant. Constr. - UHMWPE 9 - 23mm Zimmer Biomet Pty Ltd Changed Benefit.

Tibial Insert, fixed, posterior stabilised, high flex, UHMWPETibial Insert, posterior stabilised, UHMWPE, mobile Femoral Component, uncemented, high flex, CoCr plus titanium fibre metal mesh ingrowth and HA/TCP

All poly, cemented, patella, UHMWPE

All poly Patella, cemented, UHMWPE

Uni 'Tibial baseplate, cemented, Titanium All Poly Uni Tibial Baseplate, UHMWPEFemoral Component, uncemented, CoCr plus titanium fibre metal mesh ingrowthFemoral Component, uncemented, CoCr plus titanium fibre metal mesh ingrowth and HA/TCP, cruciate retaining

Femoral Component, cemented with PMMA, CoCrFemoral Component, cemented with PMMA, CoCrFemoral Component, uncemented, CoCr plus titanium fibre metal mesh ingrowth, posterior stabilised

Femoral Component, posterior stabilised, PMMA coating, cemented, CoCr

NexGen LCCK (Legacy Constrained Condylar Knee) Femoral Component

Femoral component, totally constrained, CoCrPegged Tibial Baseplate, cemented, for fixed insert, titanium, PMMA coated Stemmed AP wedged tibial baseplate, cemented, for fixed insert, titanium, PMMA coated, with capacity for augment and stem attachment

Baseplate All Poly, cemented, UHMWPETibial Insert, fixed, standard and anterior lipped, UHMWPE

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ZI137 Knee 1110 NexGen LCCK Tibial Insert 10 - 35mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI139 Knee 1054 NexGen Tibial Insert 9 - 23mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI140 Knee 1187 NexGen Tibial Augments 1 - 10 Zimmer Biomet Pty Ltd Changed Benefit.

ZI143 Knee 1187 NexGen Knee Tibial Augments 1 - 10 Zimmer Biomet Pty Ltd Changed Benefit.

ZI144 Knee 1187 NexGen Femoral Augments A - H Zimmer Biomet Pty Ltd Changed Benefit.

ZI145 Knee 1187 NexGen Femoral Augments A - H Zimmer Biomet Pty Ltd Changed Benefit.

ZI146 Knee 1164 NexGen Femoral and Tibial Stems Zimmer Biomet Pty Ltd Changed Benefit.

ZI147 Knee 740 NexGen Patella Component 26 - 41 Zimmer Biomet Pty Ltd Changed Benefit.

ZI148 Knee 555 NexGen/Persona Patella 26 - 41 Zimmer Biomet Pty Ltd Changed Benefit.ZI226 Hip 111 Zimmer Bone Plug Allen Medullary Plug 8 - 23mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI249 Hip 2929 Trabecular Metal Reconstruction Shell 22 and 28mm diameter Zimmer Biomet Pty Ltd Changed Benefit.

ZI266 Knee 1110 NexGen Trabecular Metal Augmented Patella Zimmer Biomet Pty Ltd Changed Benefit.ZI271 Hip 1295 Trabecular Metal acetabular Medial wall augment Tantalum disc 26mm, 32mm and 38mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI276 Hip 3052 Trabecular Metal Acetabular AugmentTantalum acetabular augment

Zimmer Biomet Pty Ltd Changed Benefit.

ZI286 Hip 793 Zimmer Acetabular Cup Zimmer Biomet Pty Ltd Changed Benefit.

ZI295 Knee 3422 NexGen Porous Tantalum Tibial Baseplate and Insert Zimmer Biomet Pty Ltd Changed Benefit.ZI296 Hip 4162 Anatomic II Hip System Femoral Stems Titanium, plasma Spray, no HA Sizes 9 - 19 Zimmer Biomet Pty Ltd Changed Benefit.

ZI301 Hip 3284 CPT Hip System Sizes 1 - 4 Zimmer Biomet Pty Ltd Changed Benefit.

ZI305 Knee 6244 Nexgen Rotating Hinged Knee Femoral Component B-F Zimmer Biomet Pty Ltd Changed Benefit.

ZI307 Knee 1156 Nexgen Rotating Hinge Tibial Insert 12-26mm, sizes B-F Zimmer Biomet Pty Ltd Changed Benefit.

ZI308 Knee 4070 Nexgen Rotating Hinge Tibial Baseplate 1-6 Zimmer Biomet Pty Ltd Changed Benefit.

Tibial Insert, totally constrained, UHMWPE, fixed, with postTibial Insert, UHMWPE, 'anatomically rotated'Tibial Augments, wedges, hemi and one third and tibial blocks hemi, titaniumNexGen Tibial Blocks - half and full, TitaniumFemoral blocks, posterior, distal and anterior, titanium Femoral blocks, combined posterior distal block Femoral and Tibial Stems, straight and offset, cemented

Length - 35 - 155mm, Diameters - 10 - 24 mm

Metal backed, trabecular metal (Tantalum), patella component, with moulded UHMWPE, uncemented

All poly, cemented, patella, UHMWPE

Porous tantalum, reconstruction shellAugmented trabecular metal combined with NexGen all poly patella component (2 piece)

Small, medium, large and x-large

40 - 70mm x 10, 15, 20 &30mm

Multipolar (Bipolar) Cup-Co Chr W/WHMWPE

Outer Diameter 38 - 72mm, Inner Diameter 22,28, or 32mm

One piece Trabecular Metal (Tantalum) Tibial Baseplate and Insert UHMWPE (minimal and posterior constrained)

Sizes 3 - 8, Height 10mm - 17mm

Cobalt Chrome, polished, tapered, long stems Femoral Component, with a fixed rotating hinge on UHMWPE bearings, cemented, CoCr

Tibial insert for NexGen Rotating Hinge prosthesis, UHMWPE, mobile. Includes hinge locking post.

Stemmed Tibial Baseplate with polished tibial insert surface, cemented, PMMA coated for Nexgen rotating hinged femoral component

Page 135: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ZI309 Knee 3194 Nexgen Rotating Hinge Replacement B-F Zimmer Biomet Pty Ltd Changed Benefit.

ZI314 Hip 866 ZCA All Poly Acetabular Cup - XLPE

UHMPE modified

Zimmer Biomet Pty Ltd Changed Benefit.

ZI325 Hip 3099 Trabecular Metal Modular Acetabular System

Titanium, porous tantalum

Zimmer Biomet Pty Ltd Changed Benefit.

ZI327 Hip 4162 M/L Taper Femoral Stem

Titanium, plasma spray, non HA

Zimmer Biomet Pty Ltd Changed Benefit.

ZI337 Hip 1711 Natural Hip System 140 - 160mm Zimmer Biomet Pty Ltd Changed Benefit.ZI347 Hip 879 Femoral Head CoCr femoral head 42 to 60 Zimmer Biomet Pty Ltd Changed Benefit.ZI353 Hip 2498 Allofit Cup Titanium, macro texture, non HA 46 - 68mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI356 Hip 111 Medullary Plug, MS 30 1 to 7 Zimmer Biomet Pty Ltd Changed Benefit.ZI357 Hip 1443 Alpha Durasul Insert UHMPE modified 22mm x 42 to 28mm x 68 Zimmer Biomet Pty Ltd Changed Benefit.ZI358 Hip 740 Durasul Ballhead for Inserts CoCr femoral head 22, 28, 32 Zimmer Biomet Pty Ltd Changed Benefit.ZI359 Hip 879 Large Zimmer Femoral Heads CoCr femoral head 34 - 38mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI360 Hip 1073 ConvergeDurasul Insert - Special UHMWPE

22/39 to 38/81mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI365 Hip 4579 Natural Hip System 00 to 7 Zimmer Biomet Pty Ltd Changed Benefit.ZI366 Hip 146 Natural Hip System Distal Centraliser - PE 10 to 19 Zimmer Biomet Pty Ltd Changed Benefit.

ZI373 Hip 2312 MS-30 Hip prosthesisStainless steel, polished tapered

6 to 16 Zimmer Biomet Pty Ltd Changed Benefit.

ZI374 Hip 146 MS-30 Hip prosthesis 8 to 18 Zimmer Biomet Pty Ltd Changed Benefit.ZI376 Hip 3580 Cone Hip prosthesis Titanium, grit blast, non HA 13 to 24mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI377 Hip 5004 Wagner Revision Hip Prosthesis 190/14 to 385/25 Zimmer Biomet Pty Ltd Changed Benefit.

ZI380 Hip 740 Femoral Head 22mm, 28mm, 32mm Zimmer Biomet Pty Ltd Changed Benefit.ZI384 Hip 1064 Low Profile Cup - Cups cemented UHMPE unmodified 22/36 to 32/64 Zimmer Biomet Pty Ltd Changed Benefit.ZI386 Hip 2312 Fitmore Cup Titanium mesh non HA 42 to 68mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI389 Hip 2128 Metasul Liner for CLS, Fitmore and Allofit 28mm Zimmer Biomet Pty Ltd Changed Benefit.ZI390 Hip 1319 Acetabular Reinforcement Roof Ring - Ti alloy 44 to 58mm Zimmer Biomet Pty Ltd Changed Benefit.ZI391 Hip 1319 Acetabular Reinforcement Roof Ring with Hook - Ti alloy 36/23 to 64/23mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI392 Hip 1319 Acetabular ReinforcementProtrusio Cage - Ti alloy

44 to 50mm (left and right) Zimmer Biomet Pty Ltd Changed Benefit.ZI399 Hip 185 Cancellous Screws Screws- Cancell - Ti alloy 6.5/15 to 6.5/70mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI401 Knee 2128 Allegretto Unicompartmental Knee Femoral Componen Size 1 to 3, Size 1+ to 3+ Zimmer Biomet Pty Ltd Changed Benefit.

ZI403 Knee 1850 Allegretto Unicompartmental Knee 7.5/38 to 15/48mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI404 Knee 1187 Natural Knee Tibial Augments 4 to 8mm Size 00 to 5 Zimmer Biomet Pty Ltd Changed Benefit.

ZI406 Knee 130 Natural Knee Tibial Augment Fixation One size only Zimmer Biomet Pty Ltd Changed Benefit.

Rotating hinge replacement which includes metal rotating hinge plus Polyethylene bushing and fixation pin

22, 26, 28 & 32 mm heads; 47-61mm diameter; flanged and non-flanged

38-80mm diameter; Cluster, Multiholed, No Holes

9mm - 18mm in 1mm increments, 10 sizes in all

Unpolished, straight, Femoral Stem, CoCr

Centring Plug, cement restrictor, hip - PE

Titanium stem with cancellous spray titanium coating with HA, standard and high offset

Centralizer for Cemented Stems (Protek) - metal alloys

Uncemented Stem Titanium, grit blast, non HAHead - Metal (Zweymuller Allopro) - CoCr

UHMPE unmodified with metal insert

Uni Femoral component, cemented, CoCrTibial Baseplate Monoblock - Ti alloy / PETibial hemi blocks, titanium, lug fixation Tibial Augment Fixation peg and screws

Page 136: [XLS] · Web viewProduct Category Billing Code Sponsor Product Name Size AL003 Alcon Laboratories (Aust.) Pty Ltd MTA2UO - MTA6UO PMMA +5 to +30 D BL005 Bausch & Lomb (Australia) Pty

Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ZI408 Knee 1054 Natural Knee Tibial Insert 00 to 5, 9 to 22mm Zimmer Biomet Pty Ltd Changed Benefit.ZI410 Knee 1054 Natural Knee Tibial Insert Tibial Insert, UHMWPE, fixed 00 to 5, 9 to 22mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI412 Knee 2128 Natural Knee Tibial Baseplate CSTi Size 00 to 5 Zimmer Biomet Pty Ltd Changed Benefit.

ZI413 Knee 2359 Natural Knee Tibial Baseplate Size 00 to 5 Zimmer Biomet Pty Ltd Changed Benefit.

ZI414 Knee 2729 Natural Knee Tibial Baseplate CSTi Size 00 to 5 Zimmer Biomet Pty Ltd Changed Benefit.

ZI415 Knee 2312 Natural Knee Size 00 to 5 Zimmer Biomet Pty Ltd Changed Benefit.

ZI417 Knee 1164 Natural Knee Tibial Stem 60 to 215mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI418 Knee 3422 Natural Knee Femoral Component CSTi Size 00 to 5 Zimmer Biomet Pty Ltd Changed Benefit.

ZI420 Knee 3515 Natural Knee Femoral Component Size 00 to 5 Zimmer Biomet Pty Ltd Changed Benefit.

ZI423 Knee 5689 Natural Knee Femoral Component Size 00 to 4 (left & right), Zimmer Biomet Pty Ltd Changed Benefit.

ZI431 Knee 740 Natural Knee Patella CSTi Size 0 to 3 Zimmer Biomet Pty Ltd Changed Benefit.

ZI432 Knee 555 Natural Knee Patella Size 0/7mm to 3/10 mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI450 Knee 1424 Natural Knee Tibial Insert 00 to 5, 9 to 22mm Zimmer Biomet Pty Ltd Changed Benefit.ZI451 Hip 148 Allofit screw hole plugs Sterile, 7 per set One size only Zimmer Biomet Pty Ltd Changed Benefit.ZI454 Knee 740 Natural Knee Patella CSTi All Poly, Cemented, Patella 0-3 Zimmer Biomet Pty Ltd Changed Benefit.

ZI462 Hip 3950 Alloclassic Hip Stem 1 - 14 Zimmer Biomet Pty Ltd Changed Benefit.

ZI463 Hip 3950 Alloclassic Hip Stem 01, 0, 1, 10-13 Zimmer Biomet Pty Ltd Changed Benefit.

ZI467 Hip 4301 Durom resurfacing cup A - V Zimmer Biomet Pty Ltd Changed Benefit.ZI468 Hip 3950 CLS Cementless Hip Titanium, grit blast, non HA 5 - 20 Zimmer Biomet Pty Ltd Changed Benefit.ZI472 Hip 2220 Durom (Metasul) Resurfacing System - Ballhead Forged CoCr femoral head A1 to L1 Zimmer Biomet Pty Ltd Changed Benefit.ZI473 Hip 158 APR Conversion Ring Titanium ring 39 to 71 Zimmer Biomet Pty Ltd Changed Benefit.ZI474 Hip 240 Durom Hip Resurfacing System - Adaptor Sleeves Forged CoCr allo A1 to L1 Zimmer Biomet Pty Ltd Changed Benefit.

ZI485 Knee 2498 Trabecular Metal Tibial Cone 31-67mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI490 Hip 3570 Revitan Modular Proximal Body Zimmer Biomet Pty Ltd Changed Benefit.

Tibial Insert, UHMWPE, mobile insert

Tibial Baseplate, uncemented, Cancellous structure Titanium ingrowth surface for fixed inserts Tibial Baseplate, Cemented - Titanium for fixed inserts Tibial Baseplate, uncemented, with fixed long stems and capacity to attach augments, Cancellous structure Titanium ingrowth surface for mobile inserts

Primary Tibial Baseplate - Mobile Bearing Non Porous - CoCr alloy

Tibial Stem, Titanium, cemented including locking bolt Femoral Component, uncemented, CoCr, with Cancellous Structured Titanium ingrowth surface

Femoral Component, Cemented, CoCr Femoral component, cemented, CoCr, possterior stabilised Patella metal backed, with cancellous structure Titanium ingrowthAll poly patella, cemented, UHMWPETibial Insert, UHMWPE, Highly crossed linked (Durasul PE), congruent and ultra congruent

Titanium, grit blast, non HA, standard and high offsetZweymuller, Ti alloy, Short Cone, Slender NeckCoCr and Titanium, plasma spray, non HA

Trabecular Metal Tibial void filling cone for proximal metaphyseal bone surrounding stem, full or stepped

Titanium, grit blast, non HA, femoral body

55, 65, 75, 85, 95 and 105mm heights

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ZI491 Hip 1073 Trabecular Metal Acetabular Revision System Longevity Liner

UHMPE modified

Zimmer Biomet Pty Ltd Changed Benefit.

ZI492 Hip 4116 Trabecular Metal Femoral Stem

Titanium, porous tantalum

Zimmer Biomet Pty Ltd Changed Benefit.

ZI493 Hip 4625 M/L Taper Stem

Plasma sprayed titanium with HA

Zimmer Biomet Pty Ltd Changed Benefit.

ZI494 Knee 2128 Sizes A to G Zimmer Biomet Pty Ltd Changed Benefit.ZI495 Hip 4625 Zimmer Anatomic II Titanium, plasma spray with HA Sizes 1 - 12, left and right Zimmer Biomet Pty Ltd Changed Benefit.

ZI500 Hip 879 Femoral Head 36mm, 38mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI502 Knee 1619 Natural Knee Size 00 to 5 Zimmer Biomet Pty Ltd Changed Benefit.

ZI516 Knee 2498 Trabecular Metal Femoral Cone Small, Medium, Large Zimmer Biomet Pty Ltd Changed Benefit.ZI520 Hip 4348 Alloclassic Zweymuller Hip Stem HA Coated Titanium, grit blast, with HA 1 - 12 Zimmer Biomet Pty Ltd Changed Benefit.

ZI521 Knee 1110 NexGen LPS Prolong Tibial Insert Sizes A - G, 9mm to 20mm Zimmer Biomet Pty Ltd Changed Benefit.ZI538 Hip 1942 Ceramic primary & revision femoral head Biolox Delta Ceramic 28 & 32mm Zimmer Biomet Pty Ltd Changed Benefit.ZI539 Hip 2128 Ceramic primary & revision femoral head Biolox Delta Ceramic 36 - 48mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI540 Hip 1319 Trabecular metal acetabular revision system modular cup-cageModular cup-cage titanium alloy

Zimmer Biomet Pty Ltd Changed Benefit.

ZI553 Hip 1135 M/L Taper Kinectiv Neck Zimmer Biomet Pty Ltd Changed Benefit.

ZI555 Hip 4625 M / L Taper Hip Stem with Kinectiv Technology

Titanium, plasma spray with HA

Zimmer Biomet Pty Ltd Changed Benefit.

ZI556 Hip 3978 Avenir- Muller StemTitanium, grit blast, with HA

Zimmer Biomet Pty Ltd Changed Benefit.

ZI557 Hip 4162 Fitmore Stem Zimmer Biomet Pty Ltd Changed Benefit.

ZI558 Knee 3422 Natural Knee II Flex Femur CSTi Zimmer Biomet Pty Ltd Changed Benefit.

ZI559 Knee 3052 Natural Knee II Flex Femur Zimmer Biomet Pty Ltd Changed Benefit.

ZI560 Knee 3194 Nexgen complete knee solution B, C, D, E & F Zimmer Biomet Pty Ltd Changed Benefit.

28mm x 48mm-80mm - 0deg & 10deg; 32mm x 54-80mm - 0deg & 10 deg; 36mm x 58mm-80mm - 0deg & 10deg; 40mm x 62-80mm - 0deg & 10 deg

Sizes 9 to 18 with standard and extended offsets

Sizes 5 to 22 with standard and extended offsets

ZUK (Zimmer Uni-Compartmental High Flex Knee) Femoral Component

Femoral Component, cemented, CoCr, high flex

Head - Metal (Zweymuller Allopro) - CoCrPrimary Tibial Baseplate - Mobile Bearing Non Porous - CoCr alloy

Trabecular Metal femoral void filling cone for distal metaphyseal bone surrounding stem

Tibial Insert, Highly Crosslinked - UHMWPE (prolong), fixed posterior stabilised

56-80 Long & short flanged left & right

Neck component for M/L taper stem size K, S, A, E, P, X, B, G,

R, C, J, D, K1, S1, AA, E1, P1, X1, K2, E2, BB, G1, R1 ,S2, P2, G2, CC, J1, X2, R2, J2, DD

size 5, 6 , 7.5, 9, 10, 11, 12.5, 13.5, 15, 16.25, 17.5Standard sizes 1-8; Lateral sizes 1-8

Curved uncemented MIS Stem with TiVPS coating

A 140° size 1-14 ; B137° size 1-14 ; B extended offset 129° size 1-14 ; C127° size 1-14

Femoral Component, uncemented, CoCr, with cancellous structure titanium ingrowth CSTi High Flex

Sizes 1 to 5 GSM Left & Right and Sizes 0 to 4 GSF Left and Right

Femoral Component, cemented, CoCr, High Flex

Sizes 1 to 5 GSM Left and Right and Sizes 0 to 4 GSF Left and Right

Rotating hinge knee cement shield servicing kit

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ZI561 Hip 1698 Trabecular Metal Acetabular Revision System

Cemented Constrained Liner

Zimmer Biomet Pty Ltd Changed Benefit.

ZI563 Knee 2544 Zimmer Gender Solutions Patellofemoral Joint System Sizes 1 - 5 - Left & Right Zimmer Biomet Pty Ltd Changed Benefit.

ZI566 Knee 2128 Zimmer segmental system - articulating surfacesSegmental articulating surface

Zimmer Biomet Pty Ltd Changed Benefit.

ZI567 Hip 481 Zimmer Hip SystemVerSys Endo Adaptors

Zimmer Biomet Pty Ltd Changed Benefit.

ZI568 Hip 1698 Trilogy Acetabular System

Longevity Constrained Liner

Zimmer Biomet Pty Ltd Changed Benefit.

ZI569 Knee 2128 Nexgen Trabecular Metal Tibial Tray sizes 2, 3, 4, 5, 6, 7 & 8 Zimmer Biomet Pty Ltd Changed Benefit.ZI570 Knee 7407 Zimmer segmental system - distal femoral component Distal femoral component B & C, left and right Zimmer Biomet Pty Ltd Changed Benefit.ZI571 Knee 3194 Zimmer segmental system - segmental poly insert Segmental poly insert B & C Zimmer Biomet Pty Ltd Changed Benefit.ZI572 Knee 4161 Zimmer segmental system - smooth stem collar Segmental smooth stem collar 12-16mm & 17-19mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI573 Knee 3194 Zimmer segmental system - hinge servicing kit B & C Zimmer Biomet Pty Ltd Changed Benefit.

ZI574 Knee 2809 Zimmer segmental system - cemented stemSegmental cemented stem

Zimmer Biomet Pty Ltd Changed Benefit.

ZI576 Knee 4079 Zimmer segmental system - segments - femoral/ tibial

fem/tib segment male-female

Zimmer Biomet Pty Ltd Changed Benefit.

ZI583 Knee 4161 Zimmer segmental system - TM stem collar

Segmental TM stem collar

Zimmer Biomet Pty Ltd Changed Benefit.

ZI584 Knee 1424 NexGen Prolong Flex Articulating Surface Zimmer Biomet Pty Ltd Changed Benefit.

ZI585 Knee 1054 NexGen Prolong Flex Articulating Surface Zimmer Biomet Pty Ltd Changed Benefit.

ZI586 Knee 1110 NexGen Prolong Flex Articulating Surface Zimmer Biomet Pty Ltd Changed Benefit.

ZI587 Knee 1110 NexGen Prolong Flex Articulating Surface Zimmer Biomet Pty Ltd Changed Benefit.

50x28mm; 52x28mm; 54x32mm; 56x32mm; 58x36mm; 60x36mm; 66/68/70x36mm; 72/74x36mm; 76/78/80x36mm

Patellofemoral joint fem implant PMMA precoat

B, C, D, E & F - 12, 14, 17, 20, 23 & 26mm+7.0mm; +10.5mm; +14.0mm

50/52/54mmODx28mmID; 56mmODx32mmID; 58mmODx32mmID; 60mmODx36mmID; 62mmODx36mmID; 64mmODx36mmID; 66mmODx36ID; 68mmODx36mmID; 70mmODx36mmID; 72mmODx36mmID; 74mmODx36mmID; 76mmODx36mmID; 78mmODx36mmID; 80mmODx36mmID

Nexgen Trabecular Metal Tibial Tray

Segmental femoral hinge servicing kit

9-19mm x 130mm; 190mm, 250mm

Male/female x 30 - 220mm. Male/Male x 80- 90mm.

12-16mm, 25mm: 12-16mm, 30mm: 12-16mm, 35mm; 17-19mm, 30mm; 17-19mm, 35mm

Highly Crosslinked - Ultra High Molecular Weight Polyethylene - Fixed Bearing - CR

Sizes 1 to 10, 9mm to 23mm

Highly Crosslinked - Ultra High Molecular Weight Polyethylene - Mobile Bearing - CR

Sizes 1 to 10, 9mm to 23mm

Highly Crosslinked - Ultra high Molecular Weight Polyethylene - Fixed Bearing - LPS

Sizes 1 to 10, 9mm to 23mm

Highly Crosslinked - Ultra high Molecular Weight Polyethylene - Mobile Bearing - LPS

Sizes 1 to 10, 9mm to 23mm

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ZI588 Knee 3238 NexGen LPS Flex Femoral Component - PreCoat Sizes A to G, Left to Right Zimmer Biomet Pty Ltd Changed Benefit.

ZI589 Knee 3145 NexGen LPS Flex GSF Femoral Components - Option Zimmer Biomet Pty Ltd Changed Benefit.

ZI590 Knee 3608 NexGen CR Flex Femoral Components - Precoat Zimmer Biomet Pty Ltd Changed Benefit.

ZI591 Knee 3422 NexGen CR Flex Femoral Components - Uncemented Zimmer Biomet Pty Ltd Changed Benefit.

ZI592 Knee 3515 NexGen LPS Flex Femoral Components - Uncemented Zimmer Biomet Pty Ltd Changed Benefit.ZI595 Knee 1989 NexGen Knee Tibial Components Stemmed - Option Option - Titanium 1 to 10 Zimmer Biomet Pty Ltd Changed Benefit.

ZI611 Hip 2886 Revitan Modular Straight Stem Zimmer Biomet Pty Ltd Changed Benefit.

ZI612 Hip 4274 Revitan Modular Straight Stem Zimmer Biomet Pty Ltd Changed Benefit.ZI613 Hip 2886 ZMR Modular Revision Hip System - Stem Titanium, grit blast, non HA 115 to 185mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI614 Hip 4274 ZMR Modular Revision Hip System - StemTitanium, grit blast, non HA

Zimmer Biomet Pty Ltd Changed Benefit.

ZI617 Hip 3099 Continuum Acetabular Shell

Trabecular Metal Acetabular Shell

Zimmer Biomet Pty Ltd Changed Benefit.

ZI618 Hip 2682 Trilogy IT HA/TCP Acetabular System Zimmer Biomet Pty Ltd Changed Benefit.

ZI619 Hip 1942 Continuum Acetabular System

Metasul Taper Liners

Zimmer Biomet Pty Ltd Changed Benefit.

ZI620 Hip 1073 Continuum Acetabular System Zimmer Biomet Pty Ltd Changed Benefit.

ZI621 Hip 2424 Continuum Acetabular System

Biolox Delta Taper Ceramic Liner

Zimmer Biomet Pty Ltd Changed Benefit.

Cobalt Chrome, High Flex, cemented, PMMA coating, posterior stabilisedCobalt Chrome, High Flex, cemented, posterior stabilised

Sizes GSF C to G, Left to Right

Cobalt Chrome, High Flex, Precoat cemented, Cruciate retaining Sizes A to G, Left to Right,

GSF C to G Left to RightCobalt Chrome, High Flex, Uncemented, Cruciate retaining Sizes A to G, Left to Right,

GSF C to G Left to RightCobalt Chrome, High Flex, Uncemented, Posterior stabilised Sizes A to G, Left to Right,

GSF C to G Left to Right

Titanium, grit blast, non HA, cobalt chrome junction

14 x 175, 140mm; 18 x 140mm; 20, 22, 24 x 195mm

Titanium, grit blast, non HA, cobalt chrome junction

14, 16, 18, 20, 22, 24, 26, 28 x 255mm; 16, 18, 20, 22, 24, 26 x 315mm

205, 220, 255, 270mm Straight & Bowed

40CC, 42DD, 44EE, 46FF, 48GG, 50HH, 5II, 54JJ, 56KK, 58LL, 60MM, 62NN, 64OO, 66PP, 68QU, 70RR, 72SS, 74TT, 76UU, 78VV, 80W

Titanium mesh (fibre metal) with HA 40CC; 42DD; 44EE; 46FF,;

48GG; 50HH; 52II; 54JJ; 56KK' 58LL' 60MM' 62NN; 64OO; 66PP; 68QU; 70RR; 72SS; 74TT

28mm DD28 to GG28; 32mm FF32 to II32; 36mm HH36 to TT36; 40mm JJ40 to W40

HXPE Liner (Highly Cross Linked) - Neutral, Elevated, Offset and Oblique 28mm Neutral - EE to QU;

32mm Neutral GG to VV; 36mm Neutral II to W; 40mm Neutral KK to VV; 22mm Elevated - CC to FF; 28mm Elevated EE to QU; 32mm Elevated GG to VV; 36mm Elevated II to VV; 28mm 7 mm Offset CC28 to QU28; 32mm 7mm Offset EE32 to QU32; 36m

28mm: EE28 to HH28; 32mm: GG32 to JJ32; 36mm: II36 to TT36; 40mm: KK40 to VV40

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ZI622 Hip 148 Continuum Acetabular System

Continuum Hole Plugs

Zimmer Biomet Pty Ltd Changed Benefit.

ZI730 Knee 4070 Zimmer Segmental System, Variable Stiffness Stems Zimmer Biomet Pty Ltd Changed Benefit.

ZI732 Knee 4070 Zimmer Segmental System, Intercalary Segments Zimmer Biomet Pty Ltd Changed Benefit.

ZI734 Hip 2220 Metasul Femoral Head 36 - 60mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI735 Hip 2220 Metasul Femoral Head 28mm - 32mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI736 Knee 3145 NexGen LPS-Flex Tivanium Femoral Component Zimmer Biomet Pty Ltd Changed Benefit.

ZI737 Hip 1698 LONGEVITY CONSTRAINED LINER Zimmer Biomet Pty Ltd Changed Benefit.

ZI738 Hip 158 Titanium Alloy Locking Ring for Longevity Constrained Liner

Titanium Alloy Locking Ring

Zimmer Biomet Pty Ltd Changed Benefit.

ZI739 Hip 4420 Segmental Trabecular Metal Femoral Component 28mm & 46mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI740 Knee 7431 Zimmer Segmental System - Proximal TM Tibia 1-3 Zimmer Biomet Pty Ltd Changed Benefit.

ZI741 Knee 130 Zimmer Segmental System - TM Tibia Washer Kit one size only Zimmer Biomet Pty Ltd Changed Benefit.

ZI860 Hip 370 Segmental Trabecular Proximal Femoral Component - Bolt 4mm and 7mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI861 Hip 534 Segmental Trabeculer Metal Proximal Femoral Component - Washer 4mm and 7mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI862 Knee 2682 NexGen Legacy Knee Tibial Baseplate 1 - 10 Zimmer Biomet Pty Ltd Changed Benefit.ZI866 Knee 2451 NexGen primary Tibial Component Precoat-Titanium 1-10 Zimmer Biomet Pty Ltd Changed Benefit.

One Size - Dome Hole PlugOne Size - Screw Hole Plug

Variable Stiffness Stem Extensions - Straight/Bowed and Precoat for Segmental System in various sizes.

9 to 19mm diameter, 130mm and 190mm length

Trabecular Metal Intercalary Segments for various lengths

45mm, 55mm, 65 mm length

Wrought forged High Carbon Cobalt Chrome metal on metalWrought Forged High carbon Cobalt Chrome metal on metalLPS-Flex Tivanium Femoral Component, Size C LeftLPS-Flex Tivanium Femoral Component, Size C RightLPS-Flex Tivanium Femoral Component, Size D LeftLPS-Flex Tivanium Femoral Component, Size D RightLPS-Flex Tivanium Femoral Component, Size E LeftLPS

00-5968-013-51 LPS-Flex Tivanium Femoral Component, Size C Left00-5968-013-52 LPS-Flex Tivanium Femoral Component, Size C Right00-5968-014-51 LPS-Flex Tivanium Femoral Component, Size D Left00-5968-014-52 LPS-Flex Tivanium Femoral Component, Size D

Longevity HXPE constrained Liner with Titanium Alloy Locking Ring Inner Diameter: 28mm,

32mm and 36mm head size. Outer Diameter 50mm to 80mm shell size in 2mm increments.Outer diameter 50mm to 80mm Shell size in 2mm increments

00-5850-032-38 Proximal TM Femur, 38mm offset00-5850-032-46 Proximal TM Femur, 46mm offset

Zimmer Segmental System - Proximal TM TibiaZimmer Segmental System - TM Tibia Washer Kit4mm Bolt7mm BoltSet Screw4mm Flat Washer&mm Flat Washer4mm Curved WasherTibial baseplate, cemented, CoCr, with PMMA coating for legacy posterior stabilised mobile insert

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Billing Code Product Category Benefits Product Name Description Size Sponsor Changed Benefit.

ZI867 Knee 3376 NexGen Stemmed Tibial Component - cemented 1-10 Zimmer Biomet Pty Ltd Changed Benefit.

ZI874 Hip 2128 Allofit IT Shell Zimmer Biomet Pty Ltd Changed Benefit.ZI875 Hip 148 Allofit Polar Screw Hole Plug Titanium Polar Screw Hole Plug One size Zimmer Biomet Pty Ltd Changed Benefit.

ZI876 Hip 148 Alofit IT Screw Hole plugstitanium Screw Hole Plug, 5 per set

One size Zimmer Biomet Pty Ltd Changed Benefit.ZI902 Hip 189 ZMR Compression Nut Compression Nut One Size Zimmer Biomet Pty Ltd Changed Benefit.ZI903 Hip 4828 Maxera Cup Maxera Cup 42mm-66mm OD Zimmer Biomet Pty Ltd Changed Benefit.

ZI917 Knee 1054 Natural Knee Flex Rotating Platform Articular Surface 0 to 5, 9 to 22mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI933 Knee 3145 Persona Knee System 1-12, including narrow Zimmer Biomet Pty Ltd Changed Benefit.ZI934 Knee 1110 Persona Knee System Persona PS Articular Surface 10-18 mm Zimmer Biomet Pty Ltd Changed Benefit.ZI935 Knee 1989 Persona Knee System Persona Tibial Tray, Stemmed 9 sizes, left and right Zimmer Biomet Pty Ltd Changed Benefit.ZI936 Knee 1164 Persona Knee System Stem Extension 14mm x 30mm Zimmer Biomet Pty Ltd Changed Benefit.

ZI939 Hip 2498 Mallory Head Hip SystemAcetabular shell, solid, plasma, HA

40-80mm Zimmer Biomet Pty Ltd Changed Benefit.end of workbook

Stemmed tibial baseplate, cemented,for fixed insert, titanium PMMA coated, with capacity for augment and stem attachment

Titanium Shell, Macro texture, Non HA

Shell outer diameter: 42mm-74mm in 2mm increments

Tibial insert, UHMWPE, mobile insertPersona PS Femoral Component, Cemented