New, not-yet-ratified Dental Tariffs Announced

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

 

2016 Dental Rates & Tariffs

 

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