New, not-yet-ratified Dental Tariffs Announced

CodeDescriptor 2006
8017Surgery by 2 or more practitioners of different specialities during same event.
8103Extensive oral examination
8105Case presentation – extensive treatment planning
8125Pulp tests – more than 3 teeth
8126Digital diagnostic models
8130Rebond veneer
8134Recement cast core or post
8142Recement inlay / onlay / veneer
8148Use of dental operating microscope
8156Removal of inlay / onlay / veneer
8170Cost of Mouth protector
8174Recementation of space maintainer
8204Minimally traumatic tooth / root removal (aimed at direct / immediate implant placement)
8212Interpretation of diagnostic image by a practitioner associated with capture of the image, including the report
8215Impressions for the purpose of establishing virtual models for use in planning software
8216CBCT of plaster models or impressions for the purpose of creating virtual models for use in planning software
8217CBCT capture and interpretation for visualisation of sinuses
8218CBCT capture for visualisation of sinuses
8219Report by a third party
8246Immediate denture – partial (in addition to codes for partial dentures)
8283Partial denture – Flexidenture framework?
8284Full denture – Flexidenture framework
8312Root canal therapy – anterior primary tooth
8313Root canal therapy – posterior primary tooth
8317Root canal preparation, each additional canal – molar
8318Irrigation and medication per tooth at separate visit
8323Retreatment of previously completed roor canal therapy, each additional  canal – anterior and premolar
8324Retreatment of previously completed roor canal therapy, each additional  canal – molar
8331Repair of perforation defects
8346Restorative material factor
8360Interim (temporary) inlay/onlay
8385Fabrication of indirect resin inlay / onlay restoration
8396Coping – metal
8400Interim (temporary) crown
8406Crown – three-quarter resin (indirect)
8420Pontic – resin based composite (indirect) 
8421Interim (temporary) pontic 
8423Additional fee for ovate pontic design
8431Interim (temporary) inlay / onlay retainer
8440Interim (temporary) crown retainer
8448Crown retainer – resin based composite (indirect)
8471Procedural sedation or General
anaesthesia- Assessment
8472Procedural sedation- first 30 minutes
8473Procedural sedation- each additional 15
minutes or part thereof
8474Procedure room for Sedation
8480Cost of prefabricated metal restoration
8481Cost of prefabricated non metal crown 
8482Cost of orthodontic attachment
8483Cost of CT scan DICOM conversion
8485Cost of the production of a computer generated surgical guide using rapid prototyping
8515Sectioning of a bridge
8519Fabrication of computer generated 1-3 surface resin or  ceramic inlay or onlay
8520Fabrication of computer generated 4 or more  surface resin or  ceramic inlay or onlay
8521Fabrication of computer generated resin or ceramic crown
8522Fabrication of computer generated resin or ceramic crown retainer, per unit as part of bridge
8523Fabrication of computer generated resin or ceramic pontic, per unit as part of bridge
8524Fabrication of computer generated resin or ceramic veneer, for bridge framework,  per unit 
8525Fabrication of computer generated ceramic implant supported restoration, per unit
8526Fabrication of computer generated ceramic implant abutment, per unit
8527Direct cost of material in the fabrication of computer generated resin restoration
8528Direct cost of material in the fabrication of computer generated ceramic restoration
8539Crown – implant / abutment supported crown – resin veneered to metal
8541Implant supported interim (temporary) crown – cemented
8542Implant supported interim (temporary) crown – screw retained
8543Implant supported provisional crown cemented
8544Implant supported provisional crown cemented
8549Crown retainer – implant/abutment supported – resin veneered to  metal
8550Retainer-implant / Abutment supported for detachable denture
8571Implant supported interim (temporary) crown – cemented
8572Implant supported interim (temporary) crown – screw retained
8573Implant supported provisional crown cemented
8574Implant supported provisional crown cemented
8580Modification of prefabricated abutment
8591Removal of implant supported prosthesis
8593Repair of implant supported resin prosthesis
8596Repair of implant supported ceramic or cerametal crown, retainer or pontic
8598Repair of implant supported provisional Prosthesis
8601Computerised implant planning
8602Computer generated surgical guide
8606Placement of implant fixtures outside the oral cavity (e.g. for retention of extraoral prosthesis such as ears, noses, faces, limbs and digits) 
8607Skeletal anchorage – screw, plate or implant (for orthodontics) where mucoperiosteal elevation is performed 
8608Removal of non-integrated implant
8609Flap operation with modification of the implant surface, including bone surgery – one to three implants per quadrant
8610Flap operation with modification of the implant surface, including bone surgery – four or more  implants per quadrant
8612Skeletal anchorage removal
8618Retainer – ceramic, for resin bonded bridge
8621Metal base for implant supported denture – partial 
8634Apexification / apexogenesis / recalcification – initial visit
8637Apicectomy / periradicular surgery, first root – premolar
8638Apicectomy / periradicular surgery, each additional root – anteriors and premolars
8639Endodontic instruments per patient per completed treatment.
8642Apicectomy / periradicular surgery, each additional root – molars
8646Immediate denture – maxillary or mandibular. Only for prosthodontist
8647Immediate denture – maxillary or mandibular (with major complications). Only for prosthodontist
8665Mini screw implants
8666Immediate loading on implant
8668Metal base for implant supported denture – complete
8669Complex framework for implant supported denture per tooth
8670Implant screw access closure
8685Modification of obturator prosthesis per visit
8711The visualisation enhancement adjunct (VEA)
8713Blood and blood products for regeneration
8732Topical treatment of diseased soft tissue
8740Periodontal maintenance
8746Flap operation with root planing and curettage (open curettage) – four or more  teeth per quadrant
8747Flap operation with root planing and curettage, including bone surgery – one to three  teeth per quadrant
8748Flap operation with root planing and curettage, including bone surgery  – four or more  teeth per quadrant
8771Insertion of intra-pocket chemotherapeutic agent – per pocket so treated
8774Guided tissue regeneration – resorbable barrier, per site 
8775Guided tissue regeneration – nonresorbable barrier, per site (includes subsequent removal of membrane)
8776Submucosal connective tissue autograft – extending across one to three teeth per quadrant
8777Submucosal connective tissue autograft – extending across four or more teeth per quadrant
8778Submucosal soft tissue allograft – extending across one to three teeth per quadrant
8779Submucosal soft tissue allograft – extending across four or more teeth per quadrant
8780Alveolar process preservation, per extraction site
8785Root resection
8786Tunnel preparation
8792Vestibuloplasty with teeth per sextant
8793Vestibuloplasty in an edentulous area per sextant
8794Alveoplasty with implant therapy 1-3 teeth
8795Alveoplasty with implant therapy 4 or more teeth
8796Repair of oronasal opening
8804Placement of fixed orthodontic retainer after completion of treatment per arch
8805Repair or replacement of fixed orthodontic retainer
8806Orthodontic retention visit
8807Post orthodontic treatment consultation
8845Temporary anchorage device per unit
8870Therapy to control harmful habits – removable appliance
8871Therapy to control harmful habits – fixed  appliance
8889Attachment device
8893Telephonic / electronic consultation
8894Consultation without the patient (with family) 
8895Examination under GA
8896Cost of materials required to aid eruption
8906Post-op visit in hospital for neoplasm / trauma / CLP (2X per day during hospitalisation) per visit
8910Vermillionectomy
8912Transmaseteric antero-parotid approach
8913Condylar Risdon / submandibular approach
8914Endoscopic or intra-oral approach to the condyle
8915Intra-oral circum-oral mandibular approach
8916Preauriculo-temporal approach
8918Brush biopsy 
8920Exfoliative cytological specimen collection
8923Aspiration biopsy (FNA)
8924Open biopsy of a single lymphnode in the neck
8925Biopsy of soft tissue – extraoral deep or intramuscular, requiring suturing in multiple layers
8926Biopsy of tissue – intraoral bone  
8927Biopsy of tissue – extraoral bone
8928Core needle biopsy
8929Removal of temperomandibular joint prosthesis?
8930Design meeting and / or planning for a custom prosthesis / temperomandibular joint, per joint / prosthesis designed
8932Biopsy of soft tissue – intraoral superficial, with suturing
8934Biopsy of soft tissue – intraoral deep or intramuscular, requiring suturing in multiple layers
8939Limited neck dissection
8940Endoscopic management of condular fracture – per side
8944Zygomatic fracture – open reduction at three or more sites
8946Zygomatic reconstruction (osteotomy or onlay)
8947Anthrostomy for the placement of a sinuspack in order to reduce a zygomatic fracture
8948Endoscopic procedure: Wharton’s duct
8949Endoscopic procedure: Stenson’s duct
8950Excision of a ranula (marsupealization)
8951Trigger point injection (local anaesthesia)
8952Pain point injection (alcohol, phenol, etc)
8954Laser treatment for facial pain
8955Alveoplasty or alveolectomy in conjunction with extractions
8956Alveoplasty or alveolectomy not in conjunction with extractions – per quadrant
8960Salivary duct dilatation or canalization
8968Excision of benign soft tissue tumour of the soft tissue requiring suturing in multiple layers with muscular involvement
8970Excision of benign soft tissue tumour of the soft tissue requiring suturing in multiple layers no muscular involvement
8972Excision small malignant lesion requiring minimal suturing
8974Excision of malignant soft tissue tumor requiring suturing in multiple layers no muscular or intraosseous involvement
8976Extensive resection for malignant soft tissue tumor – excluding reconstruction
8978Excision of a lesion of the tongue requiring no suture or primary suture, excludes primary suture and may be reported with code 8990
8980Intraoral harvesting of bone-coagulum / bone-scraping, not per site 
8982Local excision of benign lesion of lip with primary closure
8986Local excision of benign lesion of lip where primary closure is not possible. The appropriate code for the reconstruction should be reported.
8988Resection for lip malignancy – excludes closure or reconstruction – excludes closure or reconstruction
8990Repair by primary suture
8992Repair by skin graft or local flap
8996Placement of a second Zygomaticus implant
8998Craniofacial transcutaneous endosseus implant
8999Craniofacial transmucosal endosseus implant
9001Augmentation of alveolar ridge using block graft / split ridge technique – across one to two tooth sites
9002Augmentation of alveolar ridge using block graft / split ridge technique – across three to five tooth sites
9006Lip reconstruction following an injury or tumor removal: primary closure
9012Maxillary Sinus floor bone augmentation, buccal approach, limited, to accommodate one or two adjacent implants between natural teeth,   excludes placement of membrane and material cost
9014Osteotome sinus floor bone augmentation
9018Lip reconstruction following an injury or tumor removal: simple advancement, rotation flap (Abbe or Estlander) (first stage)
9020Lip reconstruction following an injury or tumor removal: simple advancement, rotation flap (Abbe or Estlander) (subsequent stages)
9022Lip reconstruction following an injury or tumor removal: Total complicated reconstruction with a complicated advancement flap (Bernard flap) 
9026Radical neck dissection 
9028Modified radical neck dissection
9030Selective neck dissection
9034Extended neck dissection
9036Open treatment of maxillary fracture – Le Fort I
9038Open treatment of maxillary fracture – II or middle third of face
9040Surgical removal of jaw cyst / tumor – intra-oral approach for lesions >1cm with no involvement of vital structures
9042Surgical removal of jaw cyst / tumor – intra-oral approach for lesions >1cm with  involvement of vital structures, reconstructive procedures not included
9044Surgical excision of malignant  tumours of the jaws – extra-oral approach,  reconstructive procedures not included
9054Surgical excision of tumors of the midface (zygoma, nose and orbits), reconstructive procedures not included
9056Radical resection of palate (including skin graft)
9058Wide excision of lesion of palate
9064Complicated reconstruction of bony defects following major ablative procedures for head and neck cancer – soft tissue reconstruction excluded
9067Distraction of alveolar ridge (over a maximum of 2 adjacent teeth)
9068Distraction of alveolar ridge (over 3 or more adjacent teeth)
9070Distraction of the alveolar ridge (full arch)
9073Distraction for the reconstruction of the mandibular body (per side)
9078Distraction for the reconstruction of the mandibular condyle and tempero-mandibular joint
9080Distraction for the reconstruction of the midface (internal distractor)
9082Distraction for the reconstruction of the midface (external distractor)
9084Removal of an internal or external distractor device
9086Tumor resection from infratemporal or pterigopalatine fossa
9088Tarsorrhaphy
9090Excision of lacrimal sac: Unilateral
9094Orbitectomy: Removal of tumor
9097Orbit: Exenteration
9098Partial mandibulectomy
9100Multiple extra-oral incision & drainages (eg Ludwig’s angina)
9124Mandibular advancement device (MAD)
9154Cost of surgical splint
9176Local resection of of parotid tumor (lumpectomy)
9177Superficial parotidectomy
9178Total parotidectomy with preservation of facial nerve
9179Total parotidectomy without preservation of facial nerve
9186Closure of salivary fistula
9193Report as an additional code for the placement of endosseus implant into fresh extraction socket
9194Surgical placement of one-piece transmucosal endosseus implant (mini-implant, transitional implant)
9195Report as an additional code for the placement of single endosseus implant 
9196Planning for Craniofacial reconstruction – Simple
9197Planning for Craniofacial reconstruction – Complex
9200Cranioplasty
9202Excision of submandibular salivary gland with any type of neck dissection
9204Sandwich osteotomy – for placement of an interpositional bone graft to increase the alveolar ridge height, may also be utilised in the maxilla
9206Surgical removal of reconstruction plate 
9208Harvest iliac crest graft – monocortical
9209Harvest iliac crest graft – bicortical
9210Harvest tibial bone – spongiosa
9211Harvest iliac crest graft – bicortical
9212Harvest rib graft – bone
9213Harvest rib graft – cartilage
9214Harvest auricular cartilage graft
9215Intra-oral harvesting of particular bone
9216Harvest fascia lata
9217Harvest of free fat
9218Nerve repair: 1st Fasciculus
9219Nerve repair: 2nd and additional  Fasciculus
9221Posterior neck dissection
9223Ligation of axilary artery
9225Nerve repair: entubelation
9227Turbinectomy
9229Choanal artesia repair through a palatal osteotomy
9233Obliteration of the frontal sinus
9235Severe nasal bleeding – anterior pack
9236Severe nasal bleeding – anterior + posterior pack or cauterization
9237Management of a patient on anti-coagulatives for the performance of a surgical procedure (reported in addition to the appropriate surgical codes)
9239Surgical facility for surgical procedures in consulting rooms
9241Simple local flap (e.g. Advancement or rotation flap) 
9242Complex local flap
9243Regional flap (e.g. pectoral, deltoid or lattisimus dorsi flap)
9244Tongue flap – 2 procedures
9245Muscle spasm injection (Botulinum toxin) – excludes the cost for the Botulinum toxin (code 8183)
9247Bicoronal approach
9249Blephro approach
9251Transconjunctival / subcilliary approach
9253Mandibular swing approach for access to the skullbase
9255Geniohyoidotomy (mandibular split)
9257Midfacial deglove, including nasal skeleton
9259Distraction device for alveolar bone
9261Internal distraction device for maxilla or mandible
9263Transport distraction device
9265External distraction device for maxilla or mandible
9267Temperomandibular joint prosthesis (stock or custom)
9269Custom prosthesis for facial reconstruction.
9271Cost of impression material (only to be used with [non-existant] code9750
9273Open treatment of an orbital wall fracture
9275Major orbital reconstruction (comminuted orbital fractures)
9277Secondary reconstruction of orbital defect
9279Eyelid surgery for facial paralysis including tarsorraphy (excludes material)
9281Full thickness eyelid repair (tumor or trauma surgery)
9283Repair by superior rectus, levator or frontalis muscle operation
9285Ptosis: By lesser procedure, e.g. sling operation
9287Dacrocystorhinostomy
9289Freulotomy
9291Zygomatic fracture – open reduction with fixation at two sites
9293Zygomatic fracture – closed reduction
9299Abscess – Retropharyngeal or equivalent

 

2016 Dental Rates & Tariffs

 

*********************************************************

About Medinol:
Medinol is one of the few purpose-built practice management application to meet the unique needs of independent private healthcare providers. Today Medinol helps over 130 providers throughout South Africa run more efficient and profitable practices, while delivering outstanding patient care. As an on-premise software, Medinol and the data it manages, is fully under your control. This enhances your independence and privacy: what happens in your rooms, stays in your rooms. Medinol helps manage your patient information, generates your billings, submits your claims, control your outstandings, and get your accounts paid quickly. Medinol has been in operation since 1984 demonstrating its proven efficacy. Medinol’s mission is to help independent practices succeed in an ever-changing healthcare environment. More information can be found at http://medinol.co.za.

Contact:

medical billing software

 

Fudley Bezuidenhout Pr.Eng.
Founder and CEO
Email: info@medinol.co.za
Ph: 021-906-2296
Cell: 082-688-9610

*********************************************************