Bone-anchored implant for an above-knee prosthesis

EMDN P0999

A titanium fixture placed in the femur after above-knee amputation, with the abutment that crosses the skin and holds the external prosthesis.

EMDN code P0999: ORTHOPAEDIC PROSTHESES, OSTEOSYNTHESIS DEVICES, DEVICES FOR TENDON AND LIGAMENT SYNTHESIS - OTHER [1]. EMDN has no specific term for this implant; the residual term for other orthopaedic prostheses is used.

Summary by system, in euros at the ECB rate of 9 October 2026 [2]
SystemComparabilityTotalIn euros
FranceNo code
United StatesNo code
Australia Close match A$53,343.00 €33,231.37

France

No limb osseointegration implant is listed on the LPP; the bone-anchored devices listed there are hearing implants. [3]

United States

The implant is not on the DMEPOS fee schedule. [4]

Australia

Close match. Source [5].

  1. 06.03.17.07 1 × A$35,055.00 Reimbursement tariff

    Fixture (Specialist Orthopaedic > Skeletal Reconstruction > Tumour / Limb Deficiency)

    Products listed in this group

    OTNi Osseointegration Femur Prosthesis; Intramedullary Femoral Stems types A, B and C; Keep Walking femoral stem; OPRA System fixture (HR004, OY001, OY002, OY003, OY008, BW012, BR004)

    Minimum benefit that private health insurers must pay

  2. 06.03.17.08 1 × A$18,288.00 Reimbursement tariff

    Abutment (Specialist Orthopaedic > Skeletal Reconstruction > Tumour / Limb Deficiency)

    Products listed in this group

    OTNi DC Adapter; dual cone and cylinder extension abutments; OPRA System abutment (HR006, OY004, OY005, OY009, BR005)

    Minimum benefit that private health insurers must pay

References

  1. European Commission. European Medical Device Nomenclature (EMDN), version 2026 [Internet]. Brussels: European Commission; 2026 [cited 2026 Oct 9]. Available from: https://webgate.ec.europa.eu/dyna2/emdn/
  2. European Central Bank. Euro foreign exchange reference rates, 9 October 2026 [Internet]. Frankfurt am Main: ECB; 2026 [cited 2026 Oct 9]. Available from: https://www.ecb.europa.eu/stats/policy_and_exchange_rates/euro_reference_exchange_rates/html/index.en.html
  3. Assurance Maladie. Liste des produits et prestations (LPP), version 905 [Internet]. Paris: Caisse nationale de l'assurance maladie; 2026 [updated 2026 Oct 8; cited 2026 Oct 9]. Available from: http://www.codage.ext.cnamts.fr/codif/tips/index.php?p_site=AMELI
  4. Centers for Medicare & Medicaid Services. DMEPOS fee schedule, October 2026 (DME26-D) [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/payment/fee-schedules/dmepos/dmepos-fee-schedule/dme26-d
  5. Private Health Insurance (Medical Devices and Human Tissue Products) Rules (No. 3) 2026 (Cth) [Internet]. Canberra: Federal Register of Legislation; 2026 Jun 22 [cited 2026 Oct 9]. F2026L00773. Available from: https://www.legislation.gov.au/F2026L00773/latest/text