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Fiche
Code LPP:3158345
Désignation:RECONSTRUCTION FÉMORALE, MODULAIRE, ADLER, PANTHEON, CONE TIBIAL

Reconstruction fémorale, modulaire, ADLER, PANTHEON, cone tibial Cône tibial du système modulaire de reconstruction massive PANTHEON de la société ADLER ORTHO. REFERENCES PRISES EN CHARGE 1210001: TIBIAL METAPHYSEAL CONE SMALL L 35 MM (ID 16 MM) 1210002: TIBIAL METAPHYSEAL CONE MEDIUM L 35 MM (ID 19 MM) 1210003: TIBIAL METAPHYSEAL CONE LARGE L 37,5 MM (ID 21 MM) 1210011: TIBIAL METAPHYSEAL CONE SMALL L 50 MM (ID 13 MM) 1210012: TIBIAL METAPHYSEAL CONE MEDIUM L 50 MM (ID 16 MM) 1210013: TIBIAL METAPHYSEAL CONE LARGE L 52,5 MM (ID 18 MM) 1210021: TIBIAL METAPHYSEAL CONE SMALL L 60 MM (ID 12 MM) 1210022: TIBIAL METAPHYSEAL CONE MEDIUM L 60 MM (ID 15 MM) 1210023: TIBIAL METAPHYSEAL CONE LARGE L 62,5 MM (ID 16 MM) 1211101: TIBIAL META-DIAPHYSEAL CONE SMALL L 55 MM (ID 14 MM) 1211102: TIBIAL META-DIAPHYSEAL CONE MEDIUM L 55 MM (ID 14 MM) 1211103: TIBIAL META-DIAPHYSEAL CONE LARGE L 55 MM (ID 14 MM) 1211401: TIBIAL META-DIAPHYSEAL CONE SMALL L 75 MM (ID 13 MM) 1211402: TIBIAL META-DIAPHYSEAL CONE MEDIUM L 75 MM (ID 13 MM) 1211403: TIBIAL META-DIAPHYSEAL CONE LARGE L 75 MM (ID 13 MM) 1211411: TIBIAL META-DIAPHYSEAL CONE SMALL L 95 MM (ID 12 MM) 1211412: TIBIAL META-DIAPHYSEAL CONE MEDIUM L 95 MM (ID 12 MM) 1211413: TIBIAL META-DIAPHYSEAL CONE LARGE L 95 MM (ID 12 MM) 1211421: TIBIAL META-DIAPHYSEAL CONE SMALL L 115 MM (ID 11 MM) 1211422: TIBIAL META-DIAPHYSEAL CONE MEDIUM L 115 MM (ID 11 MM) 1211423: TIBIAL META-DIAPHYSEAL CONE LARGE L 115 MM (ID 11 MM) 1213101: TIBIAL META-DIAPHYSEAL ELASTICONE SMALL L 35 MM (ID 14/16 MM) 1213102: TIBIAL META-DIAPHYSEAL ELASTICONE MEDIUM L 35 MM (ID 17/19 MM) 1213103: TIBIAL META-DIAPHYSEAL ELASTICONE LARGE L 37,5 MM (ID 19/21 MM) 1213111: TIBIAL META-DIAPHYSEAL ELASTICONE SMALL 50 MM (ID 11/13 MM) 1213112: TIBIAL META-DIAPHYSEAL ELASTICONE MEDIUM 50 MM (ID 14/16 MM) 1213113: TIBIAL META-DIAPHYSEAL ELASTICONE LARGE 52,5 MM (ID 16/18 MM) 1213121: TIBIAL META-DIAPHYSEAL ELASTICONE SMALL 60 MM (ID 10/12 MM) 1213122: TIBIAL META-DIAPHYSEAL ELASTICONE MEDIUM 60 MM (ID 13/15M) 1213123: TIBIAL META-DIAPHYSEAL ELASTICONE LARGE 62,5 MM (ID 14/16 MM) 1213301: TIBIAL META-DIAPHYSEAL ELASTICONE SMALL L 55 MM (ID 12/14 MM) 1213302: TIBIAL META-DIAPHYSEAL ELASTICONE SMALL 55 MM (ID 12/14 MM) 1213303: TIBIAL META-DIAPHYSEAL ELASTICONE MEDIUM 55 MM (ID 12/14 MM) 1213401: TIBIAL META-DIAPHYSEAL ELASTICONE SMALL 75 MM (ID 11/13 MM) 1213402: TIBIAL META-DIAPHYSEAL ELASTICONE MEDIUM 75 MM (ID 11/13 MM) 1213403: TIBIAL META-DIAPHYSEAL ELASTICONE LARGE 75 MM (ID 11/13 MM) 1213411: TIBIAL META-DIAPHYSEAL ELASTICONE SMALL 95 MM (ID 10/12 MM) 1213412: TIBIAL META-DIAPHYSEAL ELASTICONE MEDIUM 95 MM (ID 10/12 MM) 1213413: TIBIAL META-DIAPHYSEAL ELASTICONE LARGE 95 MM (ID 10/12 MM) 1213421: TIBIAL META-DIAPHYSEAL ELASTICONE SMALL 115 MM (ID 10/11 MM) 1213422: TIBIAL META-DIAPHYSEAL ELASTICONE MEDIUM 115 MM (ID 10/11 MM) 1213423: TIBIAL META-DIAPHYSEAL ELASTICONE LARGE 115 MM (ID 10/11 MM) 1213701: : iCaS TIBIAL CONE SHORT SIZE A 1213702: iCaS TIBIAL CONE SHORT SIZE B 1213703: iCaS TIBIAL CONE SHORT SIZE C 1213704: iCaS TIBIAL CONE SHORT SIZE D 1213705: iCaS TIBIAL CONE SHORT SIZE E 1213706: iCaS TIBIAL CONE SHORT SIZE F 1213707: iCaS TIBIAL CONE SHORT SIZE G 1213708: iCaS TIBIAL CONE SHORT SIZE H 1213709: iCaS TIBIAL CONE SHORT SIZE I 1213710: iCaS TIBIAL CONE SHORT SIZE J 1213711: iCaS TIBIAL CONE SHORT SIZE K 1213712: iCaS TIBIAL CONE SHORT SIZE L 1213901: iCaS TIBIAL CONE LONG SIZE A 1213902: iCaS TIBIAL CONE LONG SIZE B 1213903: iCaS TIBIAL CONE LONG SIZE C 1213904: iCaS TIBIAL CONE LONG SIZE D 1213905: iCaS TIBIAL CONE LONG SIZE E 1213906: iCaS TIBIAL CONE LONG SIZE F 1213907: iCaS TIBIAL CONE LONG SIZE G 1213908: iCaS TIBIAL CONE LONG SIZE H 1213909: iCaS TIBIAL CONE LONG SIZE I 1213910: iCaS TIBIAL CONE LONG SIZE J 1213911: iCaS TIBIAL CONE LONG SIZE K 1213912: iCaS TIBIAL CONE LONG SIZE L 1220001: Ti-UBER TIBIAL META-DIAPHYSEAL CONE SIZE A 1220002: Ti-UBER TIBIAL META-DIAPHYSEAL CONE SIZE B 1220003: Ti-UBER TIBIAL META-DIAPHYSEAL CONE SIZE C 1220011: Ti-UBER TIBIAL META-DIAPHYSEAL CONE SHORT SIZE A 1220012: Ti-UBER TIBIAL META-DIAPHYSEAL CONE SHORT SIZE B 1220013: Ti-UBER TIBIAL META-DIAPHYSEAL CONE SHORT SIZE C 1220031: Ti-UBER TIBIAL META-DIAPHYSEAL CONE LONG SIZE A 1220032: Ti-UBER TIBIAL META-DIAPHYSEAL CONE LONG SIZE B 1220033: Ti-UBER TIBIAL META-DIAPHYSEAL CONE LONG SIZE C 1220201: TIBIAL METAPHYSEAL TI-POR CONE SIZE A 1220202: TIBIAL METAPHYSEAL TI-POR CONE SIZE B 1220203: TIBIAL METAPHYSEAL TI-POR CONE SIZE C 1220204: TIBIAL METAPHYSEAL TI-POR CONE SIZE D 1220205: TIBIAL METAPHYSEAL TI-POR CONE SIZE E 1220206: TIBIAL METAPHYSEAL TI-POR CONE SIZE F 1220207: TIBIAL METAPHYSEAL TI-POR CONE SIZE G 1220208: TIBIAL METAPHYSEAL TI-POR CONE SIZE H 1220209: TIBIAL METAPHYSEAL TI-POR CONE SIZE I 1220210: TIBIAL METAPHYSEAL TI-POR CONE SIZE J 1220211: TIBIAL METAPHYSEAL TI-POR CONE SIZE K 1220212: TIBIAL METAPHYSEAL TI-POR CONE SIZE L 1220301: TIBIAL META-DIAPHYSEAL CONE SIZE A 1220302: TIBIAL META-DIAPHYSEAL CONE SIZE B 1220303: TIBIAL META-DIAPHYSEAL CONE SIZE C 1220304: TIBIAL META-DIAPHYSEAL CONE SIZE D 1220305: TIBIAL META-DIAPHYSEAL CONE SIZE E 1220306: TIBIAL META-DIAPHYSEAL CONE SIZE F 1220307: TIBIAL META-DIAPHYSEAL CONE SIZE G 1220308: TIBIAL META-DIAPHYSEAL CONE SIZE H 1220309: TIBIAL META-DIAPHYSEAL CONE SIZE I 1220310: TIBIAL META-DIAPHYSEAL CONE SIZE J 1220311: TIBIAL META-DIAPHYSEAL CONE SIZE K 1220312: TIBIAL META-DIAPHYSEAL CONE SIZE L 1220401: TIBIAL DIAPHYSEAL TI-POR CONE SHORT SIZE A 1220402: TIBIAL DIAPHYSEAL TI-POR CONE SHORT SIZE B 1220403: TIBIAL DIAPHYSEAL TI-POR CONE SHORT SIZE C 1220404: TIBIAL DIAPHYSEAL TI-POR CONE SHORT SIZE D 1220405: TIBIAL DIAPHYSEAL TI-POR CONE SHORT SIZE E 1220406: TIBIAL DIAPHYSEAL TI-POR CONE SHORT SIZE F 1220407: TIBIAL DIAPHYSEAL TI-POR CONE SHORT SIZE G 1220408: TIBIA

Dates J.O. et Arrêté

Date début validité:15/05/2024

Tarif:538,37 Euros
Prix unitaire réglementé:538,37 Euros
Montant max remboursement:Néant
Quantité max remboursement:Néant

Entente préalable:Non
Indications:Oui
Identifiant:Néant
Age maxi:Néant
Nature de prestation:PII Implant Inerte
Type de prestation:Achat

 Chapitres :
Arborescence LPP
TITRE 3 : DMI, IMPLANTS ET GREFFONS TISSULAIRES D'ORIGINE HUMAINE
DMI D'ORIGINE SYNTHETIQUE
IMPLANTS ORTHOPEDIQUES
SYSTEMES MODULAIRES DE RECONSTRUCTION

 Majorations D.O.M. :
GUADELOUPE1,160
MARTINIQUE1,160
GUYANE1,160
REUNION1,160
SAINT-PIERRE-ET-MIQUELON1,400
MAYOTTE1,360