PART B - Human Tissue List February 2015

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1 PART B - Human Tissue List February 2015 Billing Code CARDIO-THORACIC Conduit - Aortic TBV56 Donor Tissue Bank of Victoria $1, Conduit - Aortic + Valve QHV09 The Prince Charles Hospital - Queensland Heart Valve Bank $6, Conduit - Arterial SHV03 Sydney Heart Valve Bank, St. Vincent's Hospital $1, Conduit - Pulmonary TBV03 Donor Tissue Bank of Victoria $1, Conduit - Pulmonary + Valve QHV08 The Prince Charles Hospital - Queensland Heart Valve Bank $7, Conduit - Pulmonary large QHV07 The Prince Charles Hospital - Queensland Heart Valve Bank $2, Patch - Mitral QHV03 The Prince Charles Hospital - Queensland Heart Valve Bank $1, Patch - Pericardium QHV05 The Prince Charles Hospital - Queensland Heart Valve Bank $2, Patch - Tricuspid QHV04 The Prince Charles Hospital - Queensland Heart Valve Bank $1, Pericardium TBV50 Donor Tissue Bank of Victoria $ Thoracic Aorta QHV11 The Prince Charles Hospital - Queensland Heart Valve Bank $2, Valve - Aortic QHV01 The Prince Charles Hospital - Queensland Heart Valve Bank $7, RPH01 Royal Perth Hospital T/A Heart Valve Bank $6, SHV01 Sydney Heart Valve Bank, St. Vincent's Hospital $6, TBV01 Donor Tissue Bank of Victoria $7, Valve - Mitral Page 1 of 15

2 QHV10 The Prince Charles Hospital - Queensland Heart Valve Bank $6, Valve - Pulmonary QHV02 The Prince Charles Hospital - Queensland Heart Valve Bank $7, RPH02 Royal Perth Hospital T/A Heart Valve Bank $6, SHV02 Sydney Heart Valve Bank, St. Vincent's Hospital $6, TBV02 Donor Tissue Bank of Victoria $7, DERMATOLOGIC Skin < 25cm² - acellular dermal matrix allograft from human origin SYN03 Synthes Australia Pty Ltd $2, Skin > 300cm² - acellular dermal matrix allograft from human origin SYN07 Synthes Australia Pty Ltd $27, Skin 100cm² - frozen skin graft from human origin QBB72 The Queensland Bone Bank $ Skin 121 to 300cm² - acellular dermal matrix allograft from human origin SYN06 Synthes Australia Pty Ltd $14, Skin 200cm² - frozen skin graft from human origin QBB73 The Queensland Bone Bank $ Skin 26 to 60cm² - acellular dermal matrix allograft from human origin SYN04 Synthes Australia Pty Ltd $3, Skin 50cm² - frozen skin graft from human origin QBB71 The Queensland Bone Bank $ Skin 61 to 120cm² - acellular dermal matrix allograft from human origin SYN05 Synthes Australia Pty Ltd $5, OPHTHALMIC Amniotic Membrane LEM03 Lions Eye Donation Service $ Cornea LEM01 Lions Eye Donation Service $2, LEN01 Lions NSW Eye Bank $2, LEW01 Lions Eye Bank of Western Australia $2, QEB01 Queensland Eye Bank $2, SAE01 The Eye Bank of South Australia $1, Page 2 of 15

3 Cornea for Endothelial Keratoplasty LEN04 Lions NSW Eye Bank $2, LEW03 Lions Eye Bank of Western Australia $3, SAE03 The Eye Bank of South Australia $2, Cornea for Endothelial Lamellar Keratoplasty LEM04 Lions Eye Donation Service $2, Cornea For Lamellar LEN03 Lions NSW Eye Bank $1, Sclera LEM02 Lions Eye Donation Service $ LEN02 Lions NSW Eye Bank $ LEW02 Lions Eye Bank of Western Australia $ QEB02 Queensland Eye Bank $ SAE02 The Eye Bank of South Australia $ ORTHOPAEDIC Autologous Skull Flap MVS23 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $1, QBB60 The Queensland Bone Bank $1, RNB02 Hunter New England Bone Bank $1, Autologous Skull Flap - processed QBB56 The Queensland Bone Bank $2, Bone - Cancellous Bone Matrix, Lyophilised 40cc TBV52 Donor Tissue Bank of Victoria $ Bone - Cancellous Bone Matrix, Lyophilised 80cc TBV53 Donor Tissue Bank of Victoria $1, Bone - Cancellous Crunch 15cc NBB62 New South Wales Bone Bank $1, Bone - Cancellous Crunch 30cc NBB61 New South Wales Bone Bank $2, Bone - Cancellous Crunch 60cc NBB60 New South Wales Bone Bank $3, Bone - Cancellous Cubes (6) Freeze Dried Page 3 of 15

4 QBB09 The Queensland Bone Bank $1, Bone - Cancellous Strips (2) Freeze Dried QBB10 The Queensland Bone Bank $ Bone - Chips/cubes 40cc TBV09 Donor Tissue Bank of Victoria $1, Bone - Chips/cubes 80cc TBV10 Donor Tissue Bank of Victoria $2, Bone - Cortico-Cancellous Crunch (40/60) 15cc NBB65 New South Wales Bone Bank $1, Bone - Cortico-Cancellous Crunch (40/60) 30cc NBB64 New South Wales Bone Bank $2, Bone - Cortico-Cancellous Crunch (40/60) 60cc NBB63 New South Wales Bone Bank $3, Bone Cortico-Cancellous Crunch <20g Sterile AUB08 Australian Biotechnologies $2, Bone Cortico-Cancellous Crunch <30g AUB04 Australian Biotechnologies $2, Bone - Demineralised Bone Matrix, DBX Putty, 10cc SYN02 Synthes Australia Pty Ltd $3, Bone - Demineralised Bone Matrix, DBX Putty, 5cc SYN01 Synthes Australia Pty Ltd $2, Bone - Demineralised Bone Matrix, Lyophilised 10g TBV55 Donor Tissue Bank of Victoria $1, Bone - Demineralised Bone Matrix, Lyophilised 5g TBV54 Donor Tissue Bank of Victoria $ Bone - Milled <30g Freeze Dried PBT37 Perth Bone and Tissue Bank $ Bone - Milled <5 gr (<10cc equivalent) PBT62 Perth Bone and Tissue Bank $ Bone - Milled >50gr (100cc equivalent) PBT10 Perth Bone and Tissue Bank $4, Bone - Milled gr (20-38cc equivalent) Page 4 of 15

5 PBT64 Perth Bone and Tissue Bank $2, Bone - Milled 20-29gr (40-58cc equivalent) PBT08 Perth Bone and Tissue Bank $2, Bone - Milled 20g QBB45 The Queensland Bone Bank $2, Bone - Milled 20g Freeze Dried QBB03 The Queensland Bone Bank $2, Bone - Milled 30-50gr (60-100cc equivalent) PBT09 Perth Bone and Tissue Bank $3, Bone - Milled 30-50g Freeze Dried PBT38 Perth Bone and Tissue Bank $ Bone - Milled 40cc TBV11 Donor Tissue Bank of Victoria $1, Bone - Milled 5-9 gr (10-18cc equivalent) PBT63 Perth Bone and Tissue Bank $1, Bone - Milled 80cc TBV12 Donor Tissue Bank of Victoria $2, Bone - Milled Femoral Head AUB02 Australian Biotechnologies $2, Bone - Ronguered Chips QBB68 The Queensland Bone Bank $2, Bone - Ronguered Chips Freeze Dried QBB67 The Queensland Bone Bank $2, Bone Plug/Dowel - Cancellous NBB05 New South Wales Bone Bank $1, PBT03 Perth Bone and Tissue Bank $1, TBV07 Donor Tissue Bank of Victoria $ Bone Plug/Dowel - Tricortical TBV08 Donor Tissue Bank of Victoria $1, Cartilage - costal segments PBT11 Perth Bone and Tissue Bank $ QBB12 The Queensland Bone Bank $ Page 5 of 15

6 TBV17 Donor Tissue Bank of Victoria $ Cortical Strut AUB05 Australian Biotechnologies $2, QBB52 The Queensland Bone Bank $ TBV14 Donor Tissue Bank of Victoria $1, Cortical Strut >15-20cm PBT07 Perth Bone and Tissue Bank $2, Cortical Strut >20cm PBT48 Perth Bone and Tissue Bank $3, Cortical Struts 10-15cm PBT06 Perth Bone and Tissue Bank $1, DBX Putty cc SYN08 Synthes Australia Pty Ltd $1, DBX Putty - 2.5cc SYN09 Synthes Australia Pty Ltd $1, Disc - Freeze Dried QBB04 The Queensland Bone Bank $ Elbow - joint QBB14 The Queensland Bone Bank $2, TBV18 Donor Tissue Bank of Victoria $6, Fascia Lata NBB09 New South Wales Bone Bank $1, TBV21 Donor Tissue Bank of Victoria $1, Fascia Lata - Large (15cm x 10cm) PBT15 Perth Bone and Tissue Bank $1, Fascia Lata - per sq cm QBB11 The Queensland Bone Bank $6.00 Fascia Lata - Small (10cm x 5cm) PBT16 Perth Bone and Tissue Bank $ Femoral Head ACT01 ACT Bone Bank $2, AUB03 Australian Biotechnologies $2, Page 6 of 15

7 CSA01 Rachel Forster Bone Bank $ DHR01 Barwon Health Bone Bank $3, MVS05 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2, NBB16 New South Wales Bone Bank $2, PBT22 Perth Bone and Tissue Bank $2, QBB27 The Queensland Bone Bank $2, RNB01 Hunter New England Bone Bank $2, TBV26 Donor Tissue Bank of Victoria $2, Femoral Head - Autologous QBB61 The Queensland Bone Bank $2, Femoral Head - Freeze Dried QBB28 The Queensland Bone Bank $2, Femoral Hemi-condyle NBB59 New South Wales Bone Bank $2, PBT21 Perth Bone and Tissue Bank $2, TBV46 Donor Tissue Bank of Victoria $1, Femoral Rings NBB17 New South Wales Bone Bank $2, PBT24 Perth Bone and Tissue Bank $1, QBB30 The Queensland Bone Bank $1, Femoral Rings - Freeze Dried QBB31 The Queensland Bone Bank $ Femoral Shaft QBB23 The Queensland Bone Bank $2, Femoral Shaft - Freeze Dried QBB66 The Queensland Bone Bank $3, Femoral Shaft - Half NBB57 New South Wales Bone Bank $3, Femoral Shaft - Middle Third NBB13 New South Wales Bone Bank $3, TBV24 Donor Tissue Bank of Victoria $2, Femoral Shaft - Segment NBB56 New South Wales Bone Bank $2, Page 7 of 15

8 Femoral Shaft - Third NBB55 New South Wales Bone Bank $2, Femoral Shaft/Tibial Shaft - Middle third PBT19 Perth Bone and Tissue Bank $3, Femur - Distal (Shaft & Condyles) MVS02 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank PBT17 Perth Bone and Tissue Bank $4, TBV22 Donor Tissue Bank of Victoria $4, Femur - Distal Half NBB10 New South Wales Bone Bank $3, QBB20 The Queensland Bone Bank $3, Femur - Distal third NBB11 New South Wales Bone Bank $3, Femur - Entire MVS03 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB12 New South Wales Bone Bank $8, QBB22 The Queensland Bone Bank $4, TBV23 Donor Tissue Bank of Victoria $7, Femur - Entire head removed PBT18 Perth Bone and Tissue Bank $8, Femur - Proximal (shaft, trochanter, neck) MVS04 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank PBT20 Perth Bone and Tissue Bank $4, TBV25 Donor Tissue Bank of Victoria $4, Femur - Proximal half NBB15 New South Wales Bone Bank $3, QBB25 The Queensland Bone Bank $3, Femur - Proximal third NBB14 New South Wales Bone Bank $1, Femur - Proximal with femoral head TBV51 Donor Tissue Bank of Victoria $4, Fibula - Entire Page 8 of 15

9 MVS07 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB18 New South Wales Bone Bank $7, PBT25 Perth Bone and Tissue Bank $3, QBB32 The Queensland Bone Bank $2, TBV27 Donor Tissue Bank of Victoria $7, Fibula - Segment NBB54 New South Wales Bone Bank $3, PBT28 Perth Bone and Tissue Bank $2, Fibula - Segment (12cm) MVS14 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank TBV29 Donor Tissue Bank of Victoria $1, Fibula - Segment (6cm) MVS13 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank TBV28 Donor Tissue Bank of Victoria $ Fibular Shaft TBV30 Donor Tissue Bank of Victoria $2, Hemipelvis - Acetabulum NBB21 New South Wales Bone Bank $3, PBT29 Perth Bone and Tissue Bank $2, QBB33 The Queensland Bone Bank $3, TBV31 Donor Tissue Bank of Victoria $3, Hemipelvis - Complete MVS08 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB24 New South Wales Bone Bank $8, PBT30 Perth Bone and Tissue Bank $7, QBB37 The Queensland Bone Bank $4, TBV32 Donor Tissue Bank of Victoria $7, Hemipelvis - iliac crest NBB22 New South Wales Bone Bank $3, PBT31 Perth Bone and Tissue Bank $2, QBB34 The Queensland Bone Bank $2, TBV33 Donor Tissue Bank of Victoria $3, Hemipelvis - Tricortical iliac wedge Page 9 of 15

10 NBB23 New South Wales Bone Bank $1, PBT32 Perth Bone and Tissue Bank $1, QBB35 The Queensland Bone Bank $1, TBV34 Donor Tissue Bank of Victoria $1, Hemipelvis - Tricortical iliac wedge Freeze Dried QBB36 The Queensland Bone Bank $ Humeral Head TBV37 Donor Tissue Bank of Victoria $2, Humeral Head Addition NBB26 New South Wales Bone Bank $1, Humeral Shaft NBB50 New South Wales Bone Bank $3, QBB39 The Queensland Bone Bank $1, Humeral Shaft - Half NBB51 New South Wales Bone Bank $2, Humerus - Distal MVS19 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB25 New South Wales Bone Bank $3, TBV49 Donor Tissue Bank of Victoria $2, Humerus - Entire MVS20 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB29 New South Wales Bone Bank $4, QBB43 The Queensland Bone Bank $3, Humerus - Entire with rotator cuff NBB30 New South Wales Bone Bank $4, PBT33 Perth Bone and Tissue Bank $3, Humerus - Proximal NBB27 New South Wales Bone Bank $3, PBT35 Perth Bone and Tissue Bank $2, TBV36 Donor Tissue Bank of Victoria $3, Humerus - Proximal half with rotator cuff NBB28 New South Wales Bone Bank $3, Humerus - Proximal with rotator cuff Page 10 of 15

11 MVS09 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank PBT34 Perth Bone and Tissue Bank $4, TBV35 Donor Tissue Bank of Victoria $3, Humerus - Ring NBB53 New South Wales Bone Bank $1, Ligament - Medial NBB31 New South Wales Bone Bank $2, TBV38 Donor Tissue Bank of Victoria $2, Meniscal Graft PBT47 Perth Bone and Tissue Bank $1, Meniscus QBB05 The Queensland Bone Bank $1, TBV40 Donor Tissue Bank of Victoria $1, Meniscus with Ligaments TBV39 Donor Tissue Bank of Victoria $2, Osteotomy Wedge PBT60 Perth Bone and Tissue Bank $2, Patella QBB47 The Queensland Bone Bank $ TBV41 Donor Tissue Bank of Victoria $1, Patellar unit whole with or without tibial block PBT40 Perth Bone and Tissue Bank $2, Proximal Femur with Femoral Head PBT65 Perth Bone and Tissue Bank $6, Radius MVS18 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB06 New South Wales Bone Bank $3, PBT13 Perth Bone and Tissue Bank $1, QBB15 The Queensland Bone Bank $2, TBV19 Donor Tissue Bank of Victoria $3, Radius - Ring NBB49 New South Wales Bone Bank $2, Page 11 of 15

12 Radius - Shaft NBB47 New South Wales Bone Bank $3, Rib (5cm) MVS21 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $ PBT41 Perth Bone and Tissue Bank $ TBV43 Donor Tissue Bank of Victoria $ Spinal Ring AUB07 Australian Biotechnologies $1, Tendon AUB10 Australian Biotechnologies $2, Tendon - Achilles NBB01 New South Wales Bone Bank $2, PBT61 Perth Bone and Tissue Bank $1, QBB62 The Queensland Bone Bank $2, TBV05 Donor Tissue Bank of Victoria $1, Tendon - Achilles Hemi QBB65 The Queensland Bone Bank $1, Tendon - Achilles with bone block NBB02 New South Wales Bone Bank $2, PBT01 Perth Bone and Tissue Bank $2, QBB01 The Queensland Bone Bank $2, TBV06 Donor Tissue Bank of Victoria $2, Tendon - Achilles with bone plug AUB09 Australian Biotechnologies $2, Tendon - Achilles with machined conical bone block NBB69 New South Wales Bone Bank $3, Tendon - EHL QBB69 The Queensland Bone Bank $2, Tendon - Gracilis QBB59 The Queensland Bone Bank $2, Tendon - Patellar QBB48 The Queensland Bone Bank $2, Page 12 of 15

13 Tendon - Patellar Hemi QBB63 The Queensland Bone Bank $1, Tendon - Patellar split with bone plugs PBT02 Perth Bone and Tissue Bank $2, Tendon - Patellar with bone plugs NBB33 New South Wales Bone Bank $2, TBV42 Donor Tissue Bank of Victoria $2, Tendon - Patellar with machined conical bone plug NBB68 New South Wales Bone Bank $3, Tendon - Patellar with Quads NBB72 New South Wales Bone Bank $2, Tendon - Peroneus Longus NBB73 New South Wales Bone Bank $2, Tendon - Semi tendinosis NBB70 New South Wales Bone Bank $2, QBB70 The Queensland Bone Bank $2, Tendon - Single (ant and post tibilias, FDL, EDL, hamstring, gracilis) PBT46 Perth Bone and Tissue Bank $2, Tendon - Tibialis Anterior NBB67 New South Wales Bone Bank $2, QBB58 The Queensland Bone Bank $2, TBV57 Donor Tissue Bank of Victoria $2, Tendon - Tibialis Posterior NBB71 New South Wales Bone Bank $2, QBB57 The Queensland Bone Bank $2, Tibia - Condyles only TBV47 Donor Tissue Bank of Victoria $2, Tibia - Distal MVS17 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank QBB51 The Queensland Bone Bank $2, TBV48 Donor Tissue Bank of Victoria $2, Tibia - Plateau (prox 1/3) Page 13 of 15

14 NBB35 New South Wales Bone Bank $3, Tibia - Proximal NBB36 New South Wales Bone Bank $3, PBT45 Perth Bone and Tissue Bank $2, QBB54 The Queensland Bone Bank $2, Tibia - Proximal 16-25cm TBV45 Donor Tissue Bank of Victoria $2, Tibia - Proximal 7-15cm TBV44 Donor Tissue Bank of Victoria $3, Tibia - Proximal half MVS11 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank Tibia Proximal third AUB06 Australian Biotechnologies $2, Tibia - Proximal with Patella QBB08 The Queensland Bone Bank $3, Tibia - Proximal with Patella & Tendon PBT44 Perth Bone and Tissue Bank $5, Tibia - Proximal with Patellar Tendon NBB46 New South Wales Bone Bank $5, Tibia - Ring NBB45 New South Wales Bone Bank $1, Tibia - Whole MVS16 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB37 New South Wales Bone Bank $5, QBB55 The Queensland Bone Bank $4, Tibia - Whole with Patella QBB64 The Queensland Bone Bank $4, Tibia - Whole with Patellar Tendon NBB44 New South Wales Bone Bank $7, Tibia Shaft QBB53 The Queensland Bone Bank $1, Tibial Shaft Page 14 of 15

15 NBB41 New South Wales Bone Bank $4, Tibial Shaft - half NBB43 New South Wales Bone Bank $3, Tibial Shaft - third NBB42 New South Wales Bone Bank $3, Tibial Shaft Freeze Dried QBB02 The Queensland Bone Bank $ Tri Cortical Osteotomy NBB66 New South Wales Bone Bank $1, Ulna MVS15 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank NBB07 New South Wales Bone Bank $3, PBT14 Perth Bone and Tissue Bank $1, QBB16 The Queensland Bone Bank $2, TBV20 Donor Tissue Bank of Victoria $3, Ulna - Ring NBB40 New South Wales Bone Bank $2, Ulna - Shaft NBB38 New South Wales Bone Bank $3, Grand Total: 286 Records Page 15 of 15

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