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Liberty/Bonitas Claims Submission Process 2017
Dear Healthcare Professional
LMS Medical Fund (previously Liberty Medical Scheme)/Bonitas Medical Fund Claims Submission
Process for 2017
Bonitas Medical Fund would like to thank you for your support and cooperation during this transition period.
From 1 January 2017, all claims with treatment dates of 2017 will be processed by Medscheme. To ensure the claims submission process is seamless, we would like to appeal to you to make use of the membership number on members’ membership cards, especially for members who previously belonged to Liberty Medical Scheme.
If you require any further assistance or have any questions, please call us on 0861 112 666. We look forward to a continued and successful business relationship with you.
Yours faithfully
Bonitas Medical Fund
Dispensing to Bankmed Patients
Dispensing to Bankmed Patients
Date: 9 Aug 2018
ACUTE PSYCHIATRY MEDICINE MANAGEMENT
In line with Bankmed’s philosophy of good clinical governance, Bankmed has implemented measures to ensure the appropriate use of specific medicines that have high risk for patient dependence.
Anxiolytics should not be used for a period longer than 2 weeks, therefore Bankmed has implemented a quantity limit on acute to prevent chronic use of these drugs and thereby ensuring clinically appropriate use.
Sedatives and hypnotics should not be used as long-term therapy, therefore Bankmed has implemented a quantity limit on acute to prevent chronic use of these drugs and thereby ensuring clinically appropriate use.
Furthermore antidepressants are used to treat a variety of chronic conditions. To ensure these drugs are funded from the appropriate Chronic benefit, Bankmed will only allow 2 fills of antidepressants on Acute. Should the patient need to use the antidepressants on an ongoing basis they will need to register their condition as Chronic.
The following RMR’s may be returned in the event that the allowed period has been exceeded.
1. RMR 558 – Indiv Prtcl Qty (Individual Protocol Quantity Exceeded) will be returned in the following scenarios:
For sedatives and hypnotics, 30 days’ supply would be allowed over a 90 day period. If the patient claims more than this allowed limit, the claim will reject with the above RMR code. Please inform the member that they have exceeded the clinically appropriate limits for these drugs.
For Anxiolytics, 2 weeks’ supply would be allowed every 90 days. If the patient claims more than this allowed limit, the claim will reject with the above RMR code. Please inform the member that they have exceeded the clinically appropriate limits for these drugs.
2. RMR 315 – Pre-auth required (Call Scheme for authorization) will be returned for the below scenario:
For antidepressants, a warning message is sent back to the pharmacy during the first 2 fills indicating the member must apply for chronic benefits. The third fill will be rejected with the above RMR code. The member will then need to register for chronic to access antidepressants. Note the Core Saver plan is excluded from this rule as Depression is not covered as a chronic condition on this plan.
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transmed medical aid 2015 Dental Fees
| 7 | Use of any type of own equipment in the rooms / | 54 | Dentist | 169.30 |
| 200 | Medicine | 54 | Dentist | – |
| 201 | Cost of material/Contact lens fitting:Basic:Monocul. | 54 | Dentist | – |
| 3366 | Rotation tomography of teeth and jaws. | 54 | Dentist | 212.80 |
| 4567 | Anatomic Pathology: Histology; one unit or sample | 54 | Dentist | 189.50 |
| 4589 | Anatomic Pathology: Special stains | 54 | Dentist | 64.00 |
| 5930 | Surgical Laser Apparatus: Hire fee for OWN equipment | 54 | Dentist | 1,230.30 |
| 6460 | CT for dental implants maxilla OR mandible | 54 | Dentist | – |
| 6462 | CT angiography per limited region (incl. spiral etc) | 54 | Dentist | – |
| 8099 | Dental technician fees. | 54 | Dentist | – |
| 8101 | Full examination and charting and treatment planning | 54 | Dentist | 183.80 |
| 8102 | Comprehensive Consultation | 54 | Dentist | 296.70 |
| 8104 | Consultation for a specific problem not requiring | 54 | Dentist | 89.10 |
| 8106 | Provision of a written treatment plan and quotation | 54 | Dentist | 188.80 |
| 8107 | Intra-oral radiographs | 54 | Dentist | – |
| 8108 | Full mouth intra-oral x-rays (maximum). | 54 | Dentist | 576.00 |
| 8109 | Infection control | 54 | Dentist | 16.50 |
| 8110 | Prov. of sterilised and wrapped instrumentation | 54 | Dentist | 42.60 |
| 8112 | Intraoral radiograph-bitewing | 54 | Dentist | 74.40 |
| 8113 | Occlusal radiographs | 54 | Dentist | 128.20 |
| 8114 | Hand-wrist Radiograph | 54 | Dentist | 297.50 |
| 8115 | Extra-oral radiograph – per film | 54 | Dentist | – |
| 8116 | Extraoral radiograph-cephalometric | 54 | Dentist | 297.50 |
| 8117 | Study models – unmounted or mounted on a hinge/art. | 54 | Dentist | 80.00 |
| 8118 | Extraoral radiograph-skull/facial bone | 54 | Dentist | 297.50 |
| 8119 | Study models-mounted on a moveable condyle articul. | 54 | Dentist | 201.10 |
| 8121 | Photographs-per photograph(diagnostic | 54 | Dentist | 80.00 |
| 8123 | Caries susceptibility tests | 54 | Dentist | 83.00 |
| 8124 | Pulp vitality test | 54 | Dentist | 21.90 |
| 8129 | Add. fee for emergency treatment outside normal hrs. | 54 | Dentist | 276.90 |
| 8131 | Emerg. treatment where no other treatment item is | 54 | Dentist | 112.80 |
| 8132 | Root canal therapy -gross pulpal debridement | 54 | Dentist | 184.50 |
| 8133 | Recementing of inlay- crown or bridge per unit. | 54 | Dentist | 112.80 |
| 8135 | Removal of inlay or crown per unit. | 54 | Dentist | 224.50 |
| 8136 | Access through a prosthetic crown or inlay | 54 | Dentist | 100.70 |
| 8137 | Temporary crown placed as an emergency procedure | 54 | Dentist | 387.10 |
| 8138 | Remove retention post (prefabricated or cast) | 54 | Dentist | 147.40 |
| 8140 | Treatment at a venue other than the surgery | 54 | Dentist | 183.40 |
| 8141 | Inhal. sedation/electronic analgesia – 1st 15 min | 54 | Dentist | 82.70 |
| 8143 | Each additional 15 minutes. | 54 | Dentist | 42.60 |
| 8144 | Intravenous sedation. | 54 | Dentist | 49.50 |
| 8145 | Local anaesthetic per visit | 54 | Dentist | 71.70 |
| 8147 | Use of own monitoring equipment in rooms for proce | 54 | Dentist | 176.40 |
| 8151 | Oral hygiene instructions | 54 | Dentist | 112.80 |
| 8153 | Follow-up visit for re-evaluation of oral hygiene | 54 | Dentist | 82.70 |
| 8155 | Polishing only | 54 | Dentist | 112.80 |
| 8157 | Reburnishing/polishing of restorations. | 54 | Dentist | 112.80 |
| 8158 | Enamel microabrasion | 54 | Dentist | 103.20 |
| 8159 | Scaling and polishing | 54 | Dentist | 222.00 |
| 8161 | Topical application of fluoride-child | 54 | Dentist | 112.80 |
| 8162 | Topical application of fluoride-adult (12 years >) | 54 | Dentist | 112.80 |
| 8163 | Fissure sealant: per tooth | 54 | Dentist | – |
| 8165 | Sedative filling | 54 | Dentist | 112.80 |
| 8166 | Application of desenitising resin per tooth | 54 | Dentist | 74.40 |
| 8167 | Treatment of hypersensitive dentine | 54 | Dentist | 86.70 |
| 8169 | Bite plate or occlusal guards | 54 | Dentist | 433.90 |
| 8171 | Mouth protectors (No benefit). | 54 | Dentist | 131.30 |
| 8172 | Cost of orthotic device | 54 | Dentist | – |
| 8173 | Fixed space maintainers per abutment unit | 54 | Dentist | 209.50 |
| 8175 | Removable space maintainer (all inclusive fee). | 54 | Dentist | 270.00 |
| 8176 | Periodontal Screening | 54 | Dentist | 154.80 |
| 8177 | Oral hygiene instruction for the periodontally | 54 | Dentist | 170.90 |
| 8178 | Oral hygiene evaluation for the periodontally | 54 | Dentist | 92.20 |
| 8179 | Plaque removal for the periodontally compromised | 54 | Dentist | 129.50 |
| 8180 | Scaling & polishing for period. compromised patient | 54 | Dentist | 241.00 |
| 8183 | Intra-muscular or sub-cut. injection therapy. | 54 | Dentist | 49.50 |
| 8184 | Root planing with or without period. currett. | 54 | Dentist | – |
| 8185 | Gingivectomy-gingivoplasty. | 54 | Dentist | – |
| 8186 | Gingivectomy-gingivoplasty. | 54 | Dentist | – |
| 8189 | Re-examination existing condition-GDP | 54 | Dentist | 89.10 |
| 8190 | Consultation-GDP | 54 | Dentist | 183.80 |
| 8192 | Appositioning (suturing) of soft tissue injuries | 54 | Dentist | 556.40 |
| 8201 | Extractions: Single tooth/Proprietary homeopathic | 54 | Dentist | 112.80 |
| 8202 | Each additional tooth in the same quadrant/ | 54 | Dentist | 45.40 |
| 8210 | Unerupted/Impacted teeth: First tooth | 54 | Dentist | – |
| 8213 | Surgical removal of residual roots (cutting proced) | 54 | Dentist | 487.90 |
| 8214 | Surg. removal of residual roots:each subseq. tooth | 54 | Dentist | 376.10 |
| 8220 | Use of suture provided by practitioner (see note 4) | 54 | Dentist | – |
| 8231 | Full upper and lower dentures incl.soft/metal bases | 54 | Dentist | 1,821.00 |
| 8232 | Full upper or lower dentures incl. soft/metal bases | 54 | Dentist | 1,122.50 |
| 8233 | Partial denture: One tooth. | 54 | Dentist | 522.10 |
| 8234 | Partial denture: Two teeth. | 54 | Dentist | 522.10 |
| 8235 | Partial denture: Three teeth. | 54 | Dentist | 781.00 |
| 8236 | Partial denture: Four teeth | 54 | Dentist | 781.00 |
| 8237 | Partial denture: Five teeth. | 54 | Dentist | 781.00 |
| 8238 | Partial denture: Six teeth. | 54 | Dentist | 1,035.90 |
| 8239 | Partial denture: Seven teeth. | 54 | Dentist | 1,035.90 |
| 8240 | Partial denture: Eight teeth. | 54 | Dentist | 1,035.90 |
| 8241 | Partial denture: Nine or more teeth. | 54 | Dentist | 1,035.90 |
| 8244 | Immediate Denture – maxillary | 54 | Dentist | 1,122.50 |
| 8245 | Immediate Denture – mandibular | 54 | Dentist | 1,122.50 |
| 8251 | Cast rest or clasp gold per rest or clasp. | 54 | Dentist | 103.20 |
| 8253 | Wrought gold clasp or rest per clasp or rest | 54 | Dentist | 103.20 |
| 8255 | Stainless steel clasp or rest per clasp or rest. | 54 | Dentist | 108.80 |
| 8257 | Lingual or palatal bar. | 54 | Dentist | 128.20 |
| 8259 | Reline of denture (laboratory) | 54 | Dentist | 425.60 |
| 8261 | Remodelling per denture. | 54 | Dentist | 683.30 |
| 8263 | Reline of denture in selfcuring acrylic (intra-oral) | 54 | Dentist | 270.00 |
| 8265 | Tissue conditioner | 54 | Dentist | 176.40 |
| 8267 | Reline complete or partial denture (laboratory) | 54 | Dentist | 621.30 |
| 8269 | Repair of denture or other intra-oral appl. | 54 | Dentist | 143.30 |
| 8270 | Add clasp to existing partial denture | 54 | Dentist | 103.20 |
| 8271 | Additional tooth to existing partial denture | 54 | Dentist | 103.20 |
| 8273 | Add fee for impression for 8269/8270/8271/8846 | 54 | Dentist | 82.70 |
| 8275 | Adjustment of denture | 54 | Dentist | 82.70 |
| 8281 | Metal base to partial denture. | 54 | Dentist | 1,217.60 |
| 8301 | Direct pulp capping/Consultation Duration 1-15 mins | 54 | Dentist | 150.20 |
| 8303 | Indirect pulp capping/Consultation Duration 31-45 m | 54 | Dentist | 150.20 |
| 8304 | Rubber dam – per arch/Consultation Duration 46 -60m | 54 | Dentist | 88.20 |
| 8306 | Cost of Mineral Trioxide Aggregate | 54 | Dentist | – |
| 8307 | Amputation of pulp (pulpotomy) | 54 | Dentist | 147.40 |
| 8325 | Bleaching of non-vital teeth per tooth – 1st visit. | 54 | Dentist | 267.20 |
| 8327 | Each additional visit for non-vital bleaching. | 54 | Dentist | – |
| 8328 | Each add. canal – anteriors and premolars | 54 | Dentist | 209.50 |
| 8329 | Each additional canal – anteriors and premolars | 54 | Dentist | 261.80 |
| 8330 | Removal of fractured post or instrument | 54 | Dentist | 147.40 |
| 8332 | Anterior teeth inclusive of premolars – per visit | 54 | Dentist | – |
| 8333 | Multi-canal tooth – per visit | 54 | Dentist | – |
| 8334 | Re-preparation of previously obturated canal | 54 | Dentist | 166.70 |
| 8335 | First canal – anteriors and premolars | 54 | Dentist | 512.40 |
| 8336 | First canal – molars | 54 | Dentist | 705.30 |
| 8337 | Each additional canal – molars | 54 | Dentist | 209.50 |
| 8338 | First canal – anteriors and premolars | 54 | Dentist | 784.00 |
| 8339 | First canal – molars | 54 | Dentist | 1,077.20 |
| 8340 | Each additional canal – molars | 54 | Dentist | 261.80 |
| 8341 | Plastic restorations: Amalgam – one surface | 54 | Dentist | 224.50 |
| 8342 | Plastic restorations: Amalgam – two surfaces | 54 | Dentist | 276.90 |
| 8343 | Plastic restorations: Amalgam – three surfaces | 54 | Dentist | 337.50 |
| 8344 | Plastic restoration:Amalgam – four or more surfaces | 54 | Dentist | 376.10 |
| 8345 | Preformed post retention per post | 54 | Dentist | 222.00 |
| 8347 | Pin retention for restoration | 54 | Dentist | 111.70 |
| 8348 | Pin retention for restoration – each additional pin | 54 | Dentist | 103.20 |
| 8349 | Carving a plastic restoration to accommodate an | 54 | Dentist | 45.40 |
| 8350 | Resin crown-anterior primary tooth (direct) | 54 | Dentist | 490.00 |
| 8351 | Acid etch restoration: One surface. | 54 | Dentist | 246.60 |
| 8352 | Resin – two surfaces – anterior | 54 | Dentist | 310.10 |
| 8353 | Acid etch restoration: Three surfaces. | 54 | Dentist | 370.50 |
| 8354 | Acid etch restoration: more than three surfaces. | 54 | Dentist | 413.20 |
| 8355 | Composite veneers (direct) – No 8099. | 54 | Dentist | 391.40 |
| 8357 | Preformed metal crown. | 54 | Dentist | 230.10 |
| 8361 | Metal inlays on posterior teeth – one surface | 54 | Dentist | 342.90 |
| 8362 | Metal inlays on posterior teeth: Two surfaces | 54 | Dentist | 501.40 |
| 8363 | Metal inlays on posterior teeth: Three surfaces | 54 | Dentist | 835.90 |
| 8364 | Metal inlays on posterior teeth:Four or more surface | 54 | Dentist | 1,011.00 |
| 8366 | Pin retention as part of cast restoration; irresp | 54 | Dentist | 166.70 |
| 8367 | One surface on premolar or molar/Een vlak op voorkie | 54 | Dentist | 267.20 |
| 8368 | Two surfaces on premolar or molar/Twee vlakke | 54 | Dentist | 330.70 |
| 8369 | Three surfaces on premolar or molar/Drie vlakke | 54 | Dentist | 399.50 |
| 8370 | Four or more surfaces on premolar of molar | 54 | Dentist | 429.60 |
| 8371 | Ceramic/Resin bonded inlays/veneers – one surface. | 54 | Dentist | 413.20 |
| 8372 | Ceramic/Resin bonded inlays/veneers – 2 surfaces. | 54 | Dentist | 610.10 |
| 8373 | Ceramic/Resin bonded inlays/veneers – 3 surfaces/ | 54 | Dentist | 1,005.60 |
| 8374 | Ceramic and/or resin inlays/veneers – 4 surfaces | 54 | Dentist | 1,217.60 |
| 8375 | Prefabricated resin crown | 54 | Dentist | 230.10 |
| 8376 | Prefabricated post and core in addition to crown | 54 | Dentist | 614.40 |
| 8379 | Cost of posts – noble metals only | 54 | Dentist | – |
| 8381 | Inlay-resin-one surface | 54 | Dentist | 413.20 |
| 8382 | Inlay/Onlay-resin-two surfaces | 54 | Dentist | 610.10 |
| 8383 | Inlay/onlay-resin-three surfaces | 54 | Dentist | 1,005.60 |
| 8384 | Inlay/onlay-resin-four or more surfaces | 54 | Dentist | 1,217.60 |
| 8391 | Single post (thimble or coping). | 54 | Dentist | 259.20 |
| 8392 | Cast post (each additional) | 54 | Dentist | 154.20 |
| 8397 | Cast core with pins (not with 8137). | 54 | Dentist | 413.20 |
| 8398 | Core build-up including any pins | 54 | Dentist | 501.40 |
| 8401 | Cast full crown | 54 | Dentist | 1,289.20 |
| 8403 | Cast three-quarter crown | 54 | Dentist | 1,289.20 |
| 8404 | Crown 3/4 porcelain/ceramic | 54 | Dentist | 1,217.50 |
| 8405 | Acrylic jacket crown. | 54 | Dentist | 1,217.50 |
| 8407 | Acrylic veneered crown. | 54 | Dentist | 1,289.20 |
| 8409 | Porcelain jacket crown. | 54 | Dentist | 1,289.20 |
| 8410 | Provisional Crown | 54 | Dentist | 250.60 |
| 8411 | Porcelain veneered crown | 54 | Dentist | 1,289.20 |
| 8413 | Facing replacement (not with 8137). | 54 | Dentist | 250.60 |
| 8414 | Additional Fee for Crown with existing clasp | 54 | Dentist | 74.40 |
| 8415 | Pontic-porcelain/ceramic | 54 | Dentist | 1,052.50 |
| 8416 | Pontic-cast metal | 54 | Dentist | 835.90 |
| 8417 | Pontic-resin with metal | 54 | Dentist | 1,052.50 |
| 8418 | Pontic-porcelain fused to metal | 54 | Dentist | 1,052.50 |
| 8419 | Provisional pontic | 54 | Dentist | 250.60 |
| 8432 | Inlay/onlay retainer – netal – two surfaces | 54 | Dentist | 501.40 |
| 8433 | Inlay/onlay retainer – metal – three surfaces | 54 | Dentist | 835.90 |
| 8434 | Inlay/onlay retainer – metal – four or more surfaces | 54 | Dentist | 1,011.00 |
| 8436 | Inlay/onlay retainer – porcelain – two surfaces | 54 | Dentist | 610.10 |
| 8437 | Inlay/onlay retainer – porcelain – three surfaces | 54 | Dentist | 1,005.60 |
| 8438 | Inlay/onlay retainer – porcelain – four or more | 54 | Dentist | 1,217.60 |
| 8441 | Crown retainer – full cast metal | 54 | Dentist | 1,289.20 |
| 8442 | Crown retainer – 3/4 cast metal | 54 | Dentist | 1,289.20 |
| 8443 | Crow retainer – porcelain/ceramic | 54 | Dentist | 1,289.20 |
| 8444 | Crown retainer – 3/4 procelain/ceramic | 54 | Dentist | 1,289.20 |
| 8445 | Crown retainer – porcelain with metal | 54 | Dentist | 1,289.20 |
| 8446 | Crown retainer – resin with metal | 54 | Dentist | 1,289.20 |
| 8447 | Provisional crown retainer | 54 | Dentist | 250.60 |
| 8499 | The relevant MASA | 54 | Dentist | – |
| 8503 | Occlusal analysis on adjustable articulator. | 54 | Dentist | 250.60 |
| 8505 | Pantographic recording. | 54 | Dentist | 328.40 |
| 8508 | Electrognathographic recording. | 54 | Dentist | 351.60 |
| 8509 | Electrognathographic recording with comp. analysis. | 54 | Dentist | 646.40 |
| 8514 | Recement bridge | 54 | Dentist | 112.80 |
| 8515 | Recementing of crowns/inlays/bridges per abutment. | 54 | Dentist | 224.50 |
| 8516 | Remove bridge | 54 | Dentist | 224.50 |
| 8517 | Re-implantation of a tooth. | 54 | Dentist | 260.80 |
| 8518 | Repair bridge | 54 | Dentist | 250.60 |
| 8533 | Implant supported removable complete overdenture | 54 | Dentist | 2,023.90 |
| 8534 | Implant supported removable partial overdenture | 54 | Dentist | 1,619.30 |
| 8536 | Crown-implant/abutment supported-porcelain/ceramic | 54 | Dentist | 1,673.60 |
| 8537 | Crown-implant/abutment supported-porcelain with | 54 | Dentist | 1,673.60 |
| 8538 | Crown-implant/abutment supported-cast metal | 54 | Dentist | 1,673.60 |
| 8546 | Crown retainer-implant abutment supported-porcelain | 54 | Dentist | 1,673.60 |
| 8547 | Crown retainer-implant abutment supported-porcelain | 54 | Dentist | 1,673.60 |
| 8548 | Crown retainer-implant abutment supported-cast metal | 54 | Dentist | 1,673.60 |
| 8551 | Major occlusal adjustment. | 54 | Dentist | 714.30 |
| 8552 | Veneer-porcelain (laboratory) | 54 | Dentist | 865.80 |
| 8553 | Minor occlusal adjustment. | 54 | Dentist | 249.20 |
| 8554 | Bonded veneers – only with 8099. | 54 | Dentist | 865.80 |
| 8561 | Class I and Class VI gold foil restoration. | 54 | Dentist | 653.80 |
| 8563 | Class V gold foil restoration. | 54 | Dentist | 765.10 |
| 8565 | Class III gold foil restoration. | 54 | Dentist | 962.30 |
| 8578 | Prefabricated abutment | 54 | Dentist | 209.50 |
| 8579 | Custom abutment | 54 | Dentist | 955.10 |
| 8583 | Triple post + coping (+ 8099). | 54 | Dentist | – |
| 8584 | Connector bar-implant supported | 54 | Dentist | 2,023.90 |
| 8585 | Connector bar | 54 | Dentist | 2,023.90 |
| 8586 | Stress breaker | 54 | Dentist | 754.90 |
| 8587 | Copings (+ 8099). | 54 | Dentist | 168.20 |
| 8590 | Periodic maint. of existing implant prosthesis. | 54 | Dentist | 92.80 |
| 8594 | Repair implant supported prosthesis | 54 | Dentist | 102.90 |
| 8595 | Repair implant abutment | 54 | Dentist | 102.90 |
| 8597 | Locks and milled rests. | 54 | Dentist | 102.90 |
| 8599 | Precision attachments. | 54 | Dentist | 250.60 |
| 8617 | Retainer cast metal | 54 | Dentist | 501.40 |
| 8635 | Apexification of root canal – per visit. | 54 | Dentist | 150.20 |
| 8652 | Complete overdenture | 54 | Dentist | 2,023.90 |
| 8653 | Partial overdenture | 54 | Dentist | 1,619.30 |
| 8654 | Denture fxd impl/abut sup cmpl | 54 | Dentist | 2,276.70 |
| 8655 | Denture fxd impl/abut sup prtl | 54 | Dentist | 1,821.10 |
| 8657 | Replacement of precision attachment | 54 | Dentist | 143.30 |
| 8658 | Interim complete denture | 54 | Dentist | 1,122.50 |
| 8659 | Interim partial denture | 54 | Dentist | 898.10 |
| 8660 | Additional fee to implant supported fixed-detachable | 54 | Dentist | 314.20 |
| 8662 | Remounting and occlusal adjustment of dentures. | 54 | Dentist | 292.10 |
| 8663 | Chrome cobalt base or gold base for full denture | 54 | Dentist | 609.70 |
| 8664 | Remount of crown or bridge for ext. prosthetics. | 54 | Dentist | 292.10 |
| 8667 | Soft base – per denture. | 54 | Dentist | 609.70 |
| 8672 | Additional fee for altered model in partial denture. | 54 | Dentist | 78.30 |
| 8674 | Additive partial denture. | 54 | Dentist | 918.30 |
| 8723 | Provisional splinting – per sextant. | 54 | Dentist | 209.50 |
| 8725 | Provisional splinting – wire + resin – per sextant. | 54 | Dentist | 304.00 |
| 8727 | Provisional splinting – per tooth included. | 54 | Dentist | 95.50 |
| 8731 | Periodontal abscess – treatment acute phase. | 54 | Dentist | 180.00 |
| 8737 | Root planing -with/without periodontal curettage – | 54 | Dentist | 452.00 |
| 8739 | Root planing – per sextant. | 54 | Dentist | 359.40 |
| 8741 | Gingivectomy-gingivoplasty– per quadrant. | 54 | Dentist | 589.60 |
| 8743 | Gingivectomy-gingivoplasty per sextant. | 54 | Dentist | 471.20 |
| 8749 | Flap operation – per quadrant. | 54 | Dentist | 1,224.10 |
| 8751 | Flap operation – per sextant. | 54 | Dentist | 1,013.80 |
| 8753 | Flap procedure root planning and four or | 54 | Dentist | 1,517.20 |
| 8755 | Flap operation – more than three – per sextant. | 54 | Dentist | 1,229.70 |
| 8756 | Clinical crown lengthening | 54 | Dentist | 745.60 |
| 8759 | Pedicle flapped graft. | 54 | Dentist | 560.20 |
| 8761 | Masticatory mucosal autograft. | 54 | Dentist | 608.90 |
| 8762 | Masticatory mucosal autograft – more than 4 teeth. | 54 | Dentist | 914.70 |
| 8763 | Wedge resection. | 54 | Dentist | 358.20 |
| 8765 | Hemisection/Resection of a root/Tunnel preparation | 54 | Dentist | 492.30 |
| 8766 | Bone regenerative/repair – for flap operation. | 54 | Dentist | 293.00 |
| 8767 | Bone regenerative/repair procedure – single site. | 54 | Dentist | 759.60 |
| 8768 | Any other periodontal procedure – single tooth. | 54 | Dentist | 358.20 |
| 8769 | Subseq. removal of membrane – guided tissue regene. | 54 | Dentist | 358.20 |
| 8770 | Cost of bone regenerative/repair material. | 54 | Dentist | – |
| 8772 | Submucosal connective tissue autograft | 54 | Dentist | 615.30 |
| 8773 | Cost of intrapocket chemotherapeutic agent | 54 | Dentist | – |
| 8787 | Any other procedure connected with oral medicine. | 54 | Dentist | 128.60 |
| 8811 | Tracing and analysis of 8116. | 54 | Dentist | 34.50 |
| 8839 | Orthodontic diagnostic setup. | 54 | Dentist | 153.60 |
| 8840 | Treatment planning for orthognathic surgery. | 54 | Dentist | 528.70 |
| 8841 | Single arch treatment: Mild | 54 | Dentist | 8,176.00 |
| 8842 | Single arch treatment: Moderate. | 54 | Dentist | 9,608.50 |
| 8843 | Single arch treatment: Severe. | 54 | Dentist | 10,947.30 |
| 8846 | Retainers Removable: Repair | 54 | Dentist | 103.50 |
| 8847 | Retainers: Replacement. | 54 | Dentist | 358.20 |
| 8848 | Retainers: Fixed:Repair or replacement per unit. | 54 | Dentist | 153.60 |
| 8849 | Retainer | 54 | Dentist | 358.20 |
| 8850 | Treatment of Myofascial pain: lst Consultation. | 54 | Dentist | 172.70 |
| 8851 | Treatment of Myofascial pain: subseq. consulation. | 54 | Dentist | 91.10 |
| 8852 | Bite plate for TMJ dysfunction | 54 | Dentist | 433.90 |
| 8855 | Consultation-cleft palate therapy (house or hosp) | 54 | Dentist | 209.50 |
| 8856 | Consultation-cleft palate (subsequent) | 54 | Dentist | 102.90 |
| 8857 | Consultation-cleft palate (maximum) | 54 | Dentist | 715.40 |
| 8858 | Functional appliance | 54 | Dentist | 2,281.10 |
| 8861 | Minor corrective therapy: Fixed. | 54 | Dentist | 1,517.20 |
| 8862 | Minor corrective therapy:Removable (single). | 54 | Dentist | 1,266.40 |
| 8863 | Minor corrective therapy: Removable (per additional) | 54 | Dentist | 636.50 |
| 8865 | Maxillary or mandibular arch | 54 | Dentist | 4,047.00 |
| 8866 | Combined upper and lower arch | 54 | Dentist | 5,566.00 |
| 8867 | Single arch treatment: Mild | 54 | Dentist | 4,350.20 |
| 8868 | Single arch treatment: Moderate. | 54 | Dentist | 5,365.70 |
| 8869 | Single arch treatment: Severe. | 54 | Dentist | 6,276.00 |
| 8873 | Class I Malocclusions: Mild. | 54 | Dentist | 7,961.00 |
| 8874 | Class I Malocclusions: Mild | 54 | Dentist | 15,597.10 |
| 8875 | Class I Malocclusions: Moderate. | 54 | Dentist | 9,773.10 |
| 8876 | Class I Malocclusions: Moderate. | 54 | Dentist | 18,261.00 |
| 8877 | Class I Malocclusions: Severe. | 54 | Dentist | 11,392.80 |
| 8878 | Class I Malocclusions: Severe. | 54 | Dentist | 20,724.10 |
| 8879 | Class I Malocclusions: Severe with complications. | 54 | Dentist | 12,803.50 |
| 8880 | Class I Malocclusions: Severe plus complications | 54 | Dentist | 22,995.10 |
| 8881 | Class II & III Malocclusions: Mild. | 54 | Dentist | 11,392.80 |
| 8882 | Class II & III: Mild | 54 | Dentist | 19,037.00 |
| 8883 | Class II & III Malocclusions: Moderate. | 54 | Dentist | 12,803.50 |
| 8884 | Class II & III: Moderate. | 54 | Dentist | 21,296.20 |
| 8885 | Class II & III Malocclusions: Severe. | 54 | Dentist | 14,373.00 |
| 8886 | Class II & III: Severe. | 54 | Dentist | 23,718.80 |
| 8887 | Class II & III Malocclusions: Severe with complic. | 54 | Dentist | 16,193.90 |
| 8888 | Class II & III: Severe plus complications. | 54 | Dentist | 26,392.00 |
| 8890 | Orthodontic Treatment | 54 | Dentist | – |
| 8891 | Orthodontics: Deposit | 54 | Dentist | – |
| 8892 | Orthodontics: First Installment | 54 | Dentist | – |
| 8901 | MFO Surgeon: Consultation at consulting rooms. | 54 | Dentist | – |
| 8908 | Removal of roots from maxillary antrum (Caldwell-Luc | 54 | Dentist | 1,491.30 |
| 8909 | Closure of oral antral fistula – acute or chronic. | 54 | Dentist | 1,143.40 |
| 8911 | Caldwell-Luc procedure. | 54 | Dentist | 447.50 |
| 8917 | Biopsies: Intra-oral. | 54 | Dentist | 285.00 |
| 8919 | Biopsy of bone – needle biopsy. | 54 | Dentist | 438.80 |
| 8921 | Biopsy of bone: Open. | 54 | Dentist | 718.00 |
| 8931 | Local treatment of post-extraction haemorrhage. | 54 | Dentist | 82.70 |
| 8933 | Treatment of haemorrhage – blood dyscrasias – week. | 54 | Dentist | 1,143.40 |
| 8935 | Treatment of post-extraction septic socket. | 54 | Dentist | 82.70 |
| 8937 | Surgical removal of erupted tooth req.elevation of | 54 | Dentist | 487.90 |
| 8941 | Surgical removal of impacted tooth- first tooth | 54 | Dentist | 808.70 |
| 8943 | Surgical removal of imacted tooth- second tooth | 54 | Dentist | 433.90 |
| 8945 | Surgical removal of impacted tooth – third and | 54 | Dentist | 246.60 |
| 8957 | Alveolotomy or alveolectomy (per jaw). | 54 | Dentist | 598.80 |
| 8958 | Tracheostomy | 54 | Dentist | 503.20 |
| 8959 | Pharyngostomy | 54 | Dentist | 503.20 |
| 8961 | Auto-transplantation of teeth | 54 | Dentist | 981.70 |
| 8962 | Harvest iliac crest graft | 54 | Dentist | 362.00 |
| 8963 | Harvest rib graft | 54 | Dentist | 415.10 |
| 8964 | Harvest cranium graft | 54 | Dentist | 325.20 |
| 8965 | Peripheral neurectomy. | 54 | Dentist | 886.80 |
| 8966 | Functional repair of oronasal fistula (local flaps). | 54 | Dentist | 1,365.60 |
| 8967 | Cysts of jaws: Intra-oral approach. | 54 | Dentist | 1,363.80 |
| 8969 | Cysts of jaws: Extra-oral approach. | 54 | Dentist | 2,184.70 |
| 8971 | Surgical treatment of soft tissue tumours | 54 | Dentist | 438.80 |
| 8973 | Surgical treatment of tumours of the jaws. | 54 | Dentist | 2,184.70 |
| 8975 | Hemiresection of jaw with splintage of segments. | 54 | Dentist | 2,295.10 |
| 8977 | Major repairs of upper or lower jaw. | 54 | Dentist | 2,293.30 |
| 8979 | Harvesting of autogenous grafts (intra-oral) | 54 | Dentist | 189.00 |
| 8981 | Surgical exposure of impacted/unerupted teeth. | 54 | Dentist | 900.90 |
| 8983 | Corticotomy – first tooth. | 54 | Dentist | 651.90 |
| 8984 | Corticotomy – adjacent or subsequent tooth. | 54 | Dentist | 330.70 |
| 8985 | Frenectomy. | 54 | Dentist | 598.80 |
| 8987 | Reduction of mylohyoid ridges per side | 54 | Dentist | 981.70 |
| 8989 | Torus mandibularis reduction per side | 54 | Dentist | 981.70 |
| 8991 | Torus palatinus reduction | 54 | Dentist | 981.70 |
| 8993 | Reduction of hypertrophic tuberosity – per side. | 54 | Dentist | 438.80 |
| 8995 | Gingivectomy – per jaw. | 54 | Dentist | 873.30 |
| 8997 | Sulcoplasty/Vestibuloplasty. | 54 | Dentist | 2,250.90 |
| 9003 | Repositioning mental foramen and nerve – per side. | 54 | Dentist | 1,363.80 |
| 9004 | Lateralization if inferior denture nerve | 54 | Dentist | 2,197.70 |
| 9005 | Alveolar ridge augmentation by bone graft. | 54 | Dentist | 2,295.10 |
| 9007 | Alveolar ridge augmentation by alloplastic material. | 54 | Dentist | 1,444.60 |
| 9008 | Alveolar ridge augmentation across 1 to 2 adjacent t | 54 | Dentist | 446.50 |
| 9009 | Alveolar ridge augmentation across 3 or more tooth s | 54 | Dentist | 992.70 |
| 9010 | Sinus lift procedure/ Sinus lig prosedure | 54 | Dentist | 1,491.30 |
| 9011 | Incision and drainage of pyogenic abscesses. | 54 | Dentist | 279.30 |
| 9013 | Incision/Drainage pyogenic abscess – extra-oral. | 54 | Dentist | 381.80 |
| 9015 | Apicectomy including retrograde filling – anterior. | 54 | Dentist | 556.40 |
| 9016 | Apicectomy including retrograde filling – posterior. | 54 | Dentist | 981.70 |
| 9017 | Decortication/saucerisation/sequestromy – osteomye. | 54 | Dentist | 2,021.20 |
| 9019 | Sequestrectomy intra-oral per sextant and or ramus | 54 | Dentist | 438.80 |
| 9021 | Soft tissue injuries – minor. | 54 | Dentist | 556.40 |
| 9023 | Soft tissue injuries – major. | 54 | Dentist | 1,035.90 |
| 9024 | Dento-alveolar fracture per sextant | 54 | Dentist | 492.30 |
| 9025 | Treatment by closed reduction with inter. fixation. | 54 | Dentist | 1,090.10 |
| 9027 | Treatment of compound fracture – eyelet wiring. | 54 | Dentist | 1,531.10 |
| 9029 | Treatment of fracture by metal cap splintage. | 54 | Dentist | 1,695.00 |
| 9031 | Treatment of open reduction with rest. of occlusion. | 54 | Dentist | 2,512.50 |
| 9035 | Le Fort I or Guerin fracture./Cell Culture: | 54 | Dentist | 1,385.20 |
| 9037 | Le Fort II or middle third of face. | 54 | Dentist | 2,269.80 |
| 9039 | Le Fort III or craniofacial disjunction. | 54 | Dentist | 3,255.30 |
| 9041 | Zygomatic arch fracture – closed reduction | 54 | Dentist | 1,090.10 |
| 9043 | Unstable and/or comminuted zygoma. | 54 | Dentist | 2,184.70 |
| 9045 | Fracture requiring multiple interosseous wiring. | 54 | Dentist | 3,273.00 |
| 9046 | Placement of Zygomaticus fixture per fixture3 | 54 | Dentist | 2,161.90 |
| 9047 | Improvement of occlusal function – no reduction. | 54 | Dentist | 4,580.60 |
| 9048 | Removal of internal fixation devices per site | 54 | Dentist | 419.80 |
| 9049 | Osteotomy of mandible – no reduction./Directed | 54 | Dentist | 3,817.80 |
| 9050 | Total subapical osteotomy/Paternity investigation – | 54 | Dentist | 6,983.10 |
| 9051 | Genioplasty – no reduction. | 54 | Dentist | 2,184.70 |
| 9052 | Midfacial exposure – no reduction. | 54 | Dentist | 3,458.50 |
| 9053 | Coronoidectomy (intra-oral approach). | 54 | Dentist | 1,362.80 |
| 9055 | Osteotomy (Schukardt) – no reduction. | 54 | Dentist | 3,817.80 |
| 9057 | Osteotomy (Wassmund) – no reduction. | 54 | Dentist | 3,817.80 |
| 9059 | Le Fort I-osteotomy – no reduction. | 54 | Dentist | 7,183.40 |
| 9060 | Le Fort I osteotomy with repositioning – no reduc. | 54 | Dentist | 8,063.80 |
| 9061 | Palatal osteotomy – no reduction. | 54 | Dentist | 2,512.50 |
| 9062 | Le Fort I osteotomy – multiple segments – No reduct. | 54 | Dentist | 9,169.60 |
| 9063 | Le Fort II osteotomy – facial deformities – no red. | 54 | Dentist | 9,174.20 |
| 9065 | Le Fort III osteotomy – congenital deformities. | 54 | Dentist | 13,749.40 |
| 9066 | Surgically assisted maxillary or mandibular expan- | 54 | Dentist | 2,184.70 |
| 9069 | Functional tongue reduction – No reduction. | 54 | Dentist | 1,636.30 |
| 9071 | Geniohyoidotomy – no reduction. | 54 | Dentist | 981.70 |
| 9072 | Funct. closure of secondary oro-nasal fistula. | 54 | Dentist | 7,183.40 |
| 9074 | Diagnostic arthroscopy. | 54 | Dentist | 1,084.60 |
| 9075 | Condylectomy or coronoidectomy or both/menisectomy. | 54 | Dentist | 2,724.70 |
| 9076 | Arthrocentesis TMJ | 54 | Dentist | 598.80 |
| 9077 | Intra-articular injection – per injection. | 54 | Dentist | 163.30 |
| 9079 | Trigger point injection: per injection. | 54 | Dentist | 127.40 |
| 9081 | Condyle neck osteotomy (Ward/Kostecka). | 54 | Dentist | 1,090.10 |
| 9083 | Temperomand artroplasty (le Clerk/Toller procedure). | 54 | Dentist | 2,724.70 |
| 9085 | Reduction temporomandibular joint – no anaesth. | 54 | Dentist | 216.90 |
| 9087 | Reduction temporomandibular joint – with aneast. | 54 | Dentist | 438.80 |
| 9089 | Red. temporomandibular joint with anaest/immobil. | 54 | Dentist | 1,090.10 |
| 9091 | Red. temporomandibular joint dis.- open reduction. | 54 | Dentist | 2,724.70 |
| 9092 | Total joint reconstruction – alloplastic or bone. | 54 | Dentist | 7,274.10 |
| 9093 | Removal of salivary calculus. | 54 | Dentist | 492.30 |
| 9095 | Removal of salivary gland. | 54 | Dentist | 1,213.20 |
| 9096 | Removal of salivary Gland | 54 | Dentist | 1,797.20 |
| 9101 | Surgical obturator – Modified denture. | 54 | Dentist | 150.60 |
| 9102 | Surgical obturator – continuous base. | 54 | Dentist | 408.50 |
| 9103 | Surgical obturator – split base. | 54 | Dentist | 608.90 |
| 9104 | Interim obturator on existing denture. | 54 | Dentist | 918.30 |
| 9105 | Interim obturator on new denture. | 54 | Dentist | 2,835.80 |
| 9106 | Definitive obturator – open. | 54 | Dentist | 918.30 |
| 9107 | Definitive obturator – silicone glove. | 54 | Dentist | 1,773.30 |
| 9108 | Mandib. resection prosthesis with guide flange. | 54 | Dentist | 2,178.20 |
| 9109 | Mandib. resection prosthesis without guide flange. | 54 | Dentist | 2,023.90 |
| 9110 | Mandib. resection prosthesis – Palatal augmentation. | 54 | Dentist | 408.50 |
| 9111 | Glossal resection prosthesis – simple prosthesis. | 54 | Dentist | 852.10 |
| 9112 | Glossal resection prosthesis – complex prosthesis. | 54 | Dentist | 1,276.60 |
| 9113 | Radiotherapy appliances: Carriers – simple. | 54 | Dentist | 918.30 |
| 9114 | Radiotherapy appliances: Carriers – complex. | 54 | Dentist | 2,534.60 |
| 9115 | Radiotherapy appliances: Shields – simple. | 54 | Dentist | 918.30 |
| 9116 | Radiotherapy appliances: Shields – complex. | 54 | Dentist | 2,534.60 |
| 9117 | Radiotherapy appliances: Cone locators. | 54 | Dentist | 918.30 |
| 9118 | Chemotherapeutic agent carriers. | 54 | Dentist | 918.30 |
| 9119 | Passive presurgical prosthesis. | 54 | Dentist | 812.70 |
| 9120 | Active presurgical orthopaedic appliance – minor. | 54 | Dentist | 812.70 |
| 9121 | Active presurgical orthopaedic appliance – moderate. | 54 | Dentist | 1,202.90 |
| 9122 | Active presurgical orthopaedic appliance – severe. | 54 | Dentist | 2,023.90 |
| 9123 | Active presurgical orthopaedic appiance adjustment. | 54 | Dentist | 102.90 |
| 9125 | Speech aid/obturator with palatal modification. | 54 | Dentist | 409.60 |
| 9126 | Speech aid/obturator with velar modification. | 54 | Dentist | 918.30 |
| 9127 | Speech aid/obturator with pharyngeal modification. | 54 | Dentist | 2,023.90 |
| 9128 | Speech aid/obturator adjustment. | 54 | Dentist | 102.90 |
| 9129 | Speech aid/obturator surgical prosthesis. | 54 | Dentist | 812.70 |
| 9130 | Speech appliances: Palatal lift. | 54 | Dentist | 408.50 |
| 9131 | Speech appliances: Palatal stimulating. | 54 | Dentist | 918.30 |
| 9132 | Speech appliances: Speech bulb. | 54 | Dentist | 2,023.90 |
| 9133 | Speech appliances: Adjustments. | 54 | Dentist | 102.90 |
| 9134 | Speech appliances (Other) – by arrangement. | 54 | Dentist | – |
| 9135 | Auricular prosthesis – simple. | 54 | Dentist | 2,534.60 |
| 9136 | Auricular prosthesis – complex. | 54 | Dentist | 3,307.00 |
| 9137 | Nasal prosthesis – simple./Bone Marrow Donar Typing | 54 | Dentist | 2,534.60 |
| 9138 | Nasal prosthesis – complex. | 54 | Dentist | 3,307.00 |
| 9139 | Ocular prosthesis – conformer. | 54 | Dentist | 918.30 |
| 9140 | Ocular prosthesis using modified stock appliance. | 54 | Dentist | 2,278.50 |
| 9141 | Ocular prosthesis using custom appliance. | 54 | Dentist | 3,307.00 |
| 9142 | Orbital prosthesis – simple (excl. ocular section). | 54 | Dentist | 2,278.50 |
| 9143 | Orbital prosthesis – complex (excl. ocular section). | 54 | Dentist | 3,307.00 |
| 9148 | Other body prostheses – simple. | 54 | Dentist | 2,278.50 |
| 9149 | Other body prostheses – complex./Chorionic Villus | 54 | Dentist | 3,307.00 |
| 9150 | Surgical facial prostheses – simple. | 54 | Dentist | 1,773.30 |
| 9151 | Surgical facial prostheses – complex. | 54 | Dentist | 2,278.50 |
| 9155 | Cranial prosthesis. | 54 | Dentist | 918.30 |
| 9156 | Custom implants: Cranial – acrylic/elast/metallic. | 54 | Dentist | 1,108.50 |
| 9157 | Implants: Facial – simple. | 54 | Dentist | 553.90 |
| 9158 | Implants: Facial – complex./Blood: DNA extraction | 54 | Dentist | 1,108.50 |
| 9159 | Implants: Ocular – custom made./HLA low res.Class II | 54 | Dentist | 553.90 |
| 9160 | Implants: Body – special prosthesis. | 54 | Dentist | 2,464.80 |
| 9161 | Appliances: Splints – simple. | 54 | Dentist | 250.60 |
| 9162 | Appliances: Splints – complex./Karyotyping products | 54 | Dentist | 918.30 |
| 9163 | Appliances: Templates – simple./Cell culture product | 54 | Dentist | 250.60 |
| 9164 | Appliances: Templates – complex./Additional analysis | 54 | Dentist | 918.30 |
| 9165 | Appliances: Conformers – simple. | 54 | Dentist | 250.60 |
| 9166 | Appliances: Conformers – complex. | 54 | Dentist | 918.30 |
| 9167 | Trismus appliance – simple. | 54 | Dentist | 102.90 |
| 9168 | Trismus appliance – complex. | 54 | Dentist | 918.30 |
| 9169 | Orthoses (for paralysed patients). | 54 | Dentist | 2,023.90 |
| 9170 | Facial palsy appliances. | 54 | Dentist | 608.90 |
| 9171 | Oral splints (per commissure). | 54 | Dentist | 250.60 |
| 9172 | Dynamic oral retractors (per arm). | 54 | Dentist | 250.60 |
| 9174 | Burn appliances: Other. | 54 | Dentist | – |
| 9175 | Attendance in theatre – per hour. | 54 | Dentist | 338.80 |
| 9180 | Placement of sub-periosteal implant – do NOT reduce. | 54 | Dentist | 1,485.80 |
| 9181 | Placement of sub-perio. implant pros. – no reduction | 54 | Dentist | 1,485.80 |
| 9182 | Placem. of endosteal implant – per implant. | 54 | Dentist | 743.80 |
| 9183 | Placem. of single osseointegrated implant per jaw. | 54 | Dentist | 1,046.90 |
| 9184 | Placem. 2nd osseointegrated implant in same jaw. | 54 | Dentist | 784.00 |
| 9185 | Placem. 3rd & subseq. osseointegrated implant. | 54 | Dentist | 524.70 |
| 9187 | Cost of endosteal implant body | 54 | Dentist | – |
| 9188 | Cost of prefabricated abutment | 54 | Dentist | – |
| 9189 | Cost of implants. | 54 | Dentist | – |
| 9190 | Exposure of single osseointegrated implant. | 54 | Dentist | 388.40 |
| 9191 | Expos. of 2nd osseointegrated implant – same jaw. | 54 | Dentist | 291.90 |
| 9192 | Expos. of 3rd & subseq. osseoint. implant. | 54 | Dentist | 195.60 |
| 9198 | Implant removal | 54 | Dentist | 484.00 |
| 9220 | Repair of cleft hard palate (uniateral). | 54 | Dentist | 4,012.10 |
| 9222 | Repair of cleft hard palate (bilateral – one | 54 | Dentist | 5,093.00 |
| 9224 | Repair of cleft hard palate (bilateral in two | 54 | Dentist | 7,589.30 |
| 9226 | Repair of cleft soft palate (without muscle | 54 | Dentist | 3,361.90 |
| 9228 | Repair of soft palatum (with muscle reconstruc- | 54 | Dentist | 4,881.70 |
| 9230 | Repair of submucosal cleft and/or bifid uvula | 54 | Dentist | 3,634.60 |
| 9232 | Velopharyngeal reconstruction (uncomplicated). | 54 | Dentist | 3,740.30 |
| 9234 | Velopharyngeal reconstruction (complicated type). | 54 | Dentist | 3,999.50 |
| 9238 | Functional repair of oro-nasal fistula (distant | 54 | Dentist | 2,287.80 |
| 9240 | Functional repair of oro-nasal fistula – 2 proced. | 54 | Dentist | 3,991.00 |
| 9246 | Secondary periost. swivel flaps for bone induction. | 54 | Dentist | 1,994.40 |
| 9248 | Lipadhesion | 54 | Dentist | 745.60 |
| 9250 | Unilateral cleft lip repair (without muscle recon.) | 54 | Dentist | 1,313.10 |
| 9252 | Unilateral cleft lip repair (with muscle reconstruc. | 54 | Dentist | 1,780.60 |
| 9254 | Bilateral cleft lip repair (without muscle reconstr) | 54 | Dentist | 1,833.80 |
| 9256 | Bilateral cleft lip repair (with muscle reconstruc.) | 54 | Dentist | 2,833.20 |
| 9258 | Anterior nasal floor repair (between alveolus) | 54 | Dentist | 715.40 |
| 9260 | Partial revision of secondary cleft lip deformity | 54 | Dentist | 715.40 |
| 9262 | Total revision of secondary cleft lip deformity | 54 | Dentist | 1,616.30 |
| 9264 | Abbe-flap (in two stages) | 54 | Dentist | 1,830.30 |
| 9266 | Columella reconstruction | 54 | Dentist | 1,081.90 |
| 9268 | Partial reconstruction of nose due to cleft deform. | 54 | Dentist | 1,374.80 |
| 9270 | Complete reconstruction of nose due to cleft deform. | 54 | Dentist | 2,172.80 |
| 9272 | Paranasal augmentation for nasal base deviation | 54 | Dentist | 1,081.90 |
| 9301 | Casting of model in plaster per model | 54 | Dentist | 32.10 |
| 9303 | Casting of model in superhard stone per model | 54 | Dentist | 45.70 |
| 9305 | Casting and trimming of study model per model / | 54 | Dentist | 84.60 |
| 9307 | Casting and trimming of gnathostatic study model | 54 | Dentist | 110.00 |
| 9309 | New trimmed base to supplied model per model | 54 | Dentist | 38.80 |
| 9311 | Trimming of supplied model per model | 54 | Dentist | 23.70 |
| 9312 | Gingival tissue mask per impression (incl material | 54 | Dentist | 183.00 |
| 9313 | Duplicating model per model | 54 | Dentist | 98.40 |
| 9314 | Refractory model per unit | 54 | Dentist | 96.60 |
| 9315 | Models and dup models for crown & bridge work | 54 | Dentist | 133.80 |
| 9317 | Sectional models for crown & bridge work inclusive | 54 | Dentist | 118.50 |
| 9319 | Each additional die for items 9315 & 9317 per die | 54 | Dentist | 30.50 |
| 9320 | Pindex or indexed model tray per die | 54 | Dentist | 30.50 |
| 9321 | Occlusion block per block | 54 | Dentist | 116.70 |
| 9323 | Occlusion block on baseplate per block | 54 | Dentist | 147.30 |
| 9327 | Infection control per impression in imp. material | 54 | Dentist | 22.00 |
| 9329 | Fit & supply of disposable articulator | 54 | Dentist | 57.60 |
| 9330 | Delivery charge per completed procedure | 54 | Dentist | 61.00 |
| 9331 | Full upper and lower dentrures. | 54 | Dentist | 1,570.70 |
| 9333 | Full upper or lower denture. | 54 | Dentist | 919.10 |
| 9335 | Set up and waxing of full upper and lower dentures. | 54 | Dentist | 541.60 |
| 9337 | Set up and waxing of full upper or lower dentures. | 54 | Dentist | 362.20 |
| 9339 | Waxing and finishing of full upper & lower dentures. | 54 | Dentist | 963.20 |
| 9341 | Waxing and finising of full upper or lower denture. | 54 | Dentist | 538.20 |
| 9343 | Additional fee for dentures on adj. articulator. | 54 | Dentist | 1,533.40 |
| 9345 | Additional fee for immediate dentures – per tooth | 54 | Dentist | 22.00 |
| 9346 | Additional fee for immediate dentures – not socketed | 54 | Dentist | 11.80 |
| 9347 | Additional fee for each retry form the third retry | 54 | Dentist | 348.60 |
| 9351 | Set-up and finish one-tooth denture | 54 | Dentist | 421.50 |
| 9352 | Set-up and finish two-tooth denture | 54 | Dentist | 448.60 |
| 9353 | Set-up and finish three-tooth denture | 54 | Dentist | 480.70 |
| 9354 | Set-up and finish four-tooth denture | 54 | Dentist | 507.80 |
| 9355 | Set-up and finish five-tooth denture | 54 | Dentist | 548.40 |
| 9356 | Set-up and finish six-tooth denture | 54 | Dentist | 655.10 |
| 9357 | Set-up and finish seven-tooth denture | 54 | Dentist | 778.60 |
| 9358 | Set-up and finish eight-tooth denture | 54 | Dentist | 826.20 |
| 9359 | Set-up and finish nine-tooth denture | 54 | Dentist | 846.40 |
| 9361 | Set-up and waxing of one-tooth denture | 54 | Dentist | 120.10 |
| 9362 | Set-up and waxing of two-tooth denture | 54 | Dentist | 145.50 |
| 9363 | Set-up and waxing of three-tooth denture | 54 | Dentist | 165.80 |
| 9364 | Set-up and waxing of four-tooth denture | 54 | Dentist | 192.90 |
| 9365 | Set-up and waxing of five-tooth denture | 54 | Dentist | 213.30 |
| 9366 | Set-up and waxing of six-tooth denture | 54 | Dentist | 252.20 |
| 9367 | Set-up and waxing of seven-tooth denture | 54 | Dentist | 277.50 |
| 9368 | Set-up and waxing of eight-tooth denture | 54 | Dentist | 297.90 |
| 9369 | Set-up and waxing of nine-tooth denture | 54 | Dentist | 318.10 |
| 9371 | Waxing and finishing of one-tooth denture | 54 | Dentist | 330.00 |
| 9372 | Waxing and finishing of two-tooth denture | 54 | Dentist | 336.80 |
| 9373 | Waxing and finishing of three-tooth denture | 54 | Dentist | 342.10 |
| 9374 | Waxing and finising of four-tooth denture | 54 | Dentist | 348.60 |
| 9375 | Waxing and finishing of five-tooth denture | 54 | Dentist | 362.20 |
| 9376 | Waxing and finishing of six-tooth denture | 54 | Dentist | 375.90 |
| 9377 | Waxing and finising of seven-tooth denture | 54 | Dentist | 468.80 |
| 9378 | Set-up and finishing of eight-tooth denture | 54 | Dentist | 487.50 |
| 9379 | Set-up and finishing of nine-tooth denture | 54 | Dentist | 514.60 |
| 9380 | Set-up and finishing of ten (or more) tooth denture | 54 | Dentist | – |
| 9383 | Additional fee for finishing off in tooth colour or | 54 | Dentist | 81.10 |
| 9385 | Additional fee for supplying finished denture on | 54 | Dentist | 154.10 |
| 9391 | Basic charge which includes repair of one fracture | 54 | Dentist | 267.30 |
| 9393 | Additional charge for each additional fracture or | 54 | Dentist | 82.90 |
| 9395 | Additional fee for using wire strengthener | 54 | Dentist | 94.80 |
| 9397 | Additional fee for using pre-formed strengthener | 54 | Dentist | 101.40 |
| 9398 | Additional fee for using any other mesh strengthener | 54 | Dentist | 160.80 |
| 9401 | Clear palate | 54 | Dentist | 118.50 |
| 9403 | Dox grinding of upper and lower dentures | 54 | Dentist | 150.50 |
| 9405 | Inlay to artificial tooth one surface only per inlay | 54 | Dentist | 259.10 |
| 9406 | Inlay to artificial tooth multi-surfaces eg | 54 | Dentist | 331.80 |
| 9407 | Heka base technique per upper or lower denture | 54 | Dentist | 355.50 |
| 9409 | Frego frame (excluding cost of material) | 54 | Dentist | 154.10 |
| 9410 | Bl tray (Excluding cost of material) | 54 | Dentist | 170.90 |
| 9411 | Template per upper or lower denture | 54 | Dentist | 424.80 |
| 9413 | Reline of single denture | 54 | Dentist | 535.00 |
| 9415 | Remodel of single denture | 54 | Dentist | 822.60 |
| 9417 | Soft base reline per denture excluding soft base | 54 | Dentist | 1,350.80 |
| 9419 | Soft base to new denture per denture excluding soft | 54 | Dentist | 1,350.80 |
| 9421 | Gum tinting per denture | 54 | Dentist | 250.60 |
| 9423 | Lingual or palatal bar (excluding cost of material) | 54 | Dentist | 201.40 |
| 9425 | Cleaning & polishing of existing denture per denture | 54 | Dentist | 164.20 |
| 9427 | Mesh strengthener (excluding cost of material) | 54 | Dentist | 140.50 |
| 9429 | Theatre/Consutation out of laboratory per hour or | 54 | Dentist | 348.60 |
| 9431 | Special tray acrylic each | 54 | Dentist | 132.10 |
| 9432 | Special Tray Light cure (including material) | 54 | Dentist | 143.80 |
| 9433 | Special tray in base plate material each | 54 | Dentist | 135.40 |
| 9435 | Provision of single arm clasp to partial denture | 54 | Dentist | 69.40 |
| 9437 | Provision of double arm clasp to partial denture | 54 | Dentist | 120.10 |
| 9439 | Provision of single arm clasp with rest to partial | 54 | Dentist | 155.70 |
| 9441 | Provision of double arm clasp with rest to partial | 54 | Dentist | 209.90 |
| 9443 | Provision of preformed clasps or Roachball clasp to | 54 | Dentist | 89.70 |
| 9445 | Provision of rest only to partial denture | 54 | Dentist | 89.70 |
| 9447 | Provision of cast clasp to partial denture | 54 | Dentist | 314.70 |
| 9448 | Model of impression inside occlusion block or wax | 54 | Dentist | 57.60 |
| 9450 | 15% Surcharge on acrylic work finished to a chrome | 54 | Dentist | 120.10 |
| 9451 | Metal base for full upper or full lower denture each | 54 | Dentist | 1,078.20 |
| 9453 | Basic charge excluding models & any special trays | 54 | Dentist | 942.80 |
| 9455 | Additional charge for each one arm clasp | 54 | Dentist | 38.80 |
| 9457 | Additional charge for each Roach clasp | 54 | Dentist | 65.90 |
| 9459 | Additional charge for each rest | 54 | Dentist | 35.50 |
| 9461 | Additional charge for continuous clasp per tooth | 54 | Dentist | 38.80 |
| 9463 | Additional charge for lingual bar per tooth passed | 54 | Dentist | 91.50 |
| 9465 | Additional charge for palatal bar | 54 | Dentist | 145.50 |
| 9467 | Additional charge for onlay | 54 | Dentist | 387.60 |
| 9469 | Additional charge for saddle with finishing line | 54 | Dentist | 64.20 |
| 9471 | Additional charge for saddle without finishing line | 54 | Dentist | 37.30 |
| 9473 | Additional charge for horseshoe saddle per tooth | 54 | Dentist | 64.20 |
| 9475 | Additional charge for fitting of tooth for metal | 54 | Dentist | 44.10 |
| 9477 | Additional charge for goldplating per denture | 54 | Dentist | – |
| 9479 | Additional charge for fitting one distal-extension | 54 | Dentist | 130.40 |
| 9480 | Additional charge per milled edge per tooth | 54 | Dentist | 113.60 |
| 9481 | Additional charge for each soldering joint | 54 | Dentist | 159.10 |
| 9483 | Additional charge for soldering retention | 54 | Dentist | 192.90 |
| 9485 | Add. charge for each add. retention soldering joint | 54 | Dentist | 59.10 |
| 9487 | Additional charge for each welding joint | 54 | Dentist | 194.70 |
| 9489 | Additional charge for fitting swing lock incl cost | 54 | Dentist | 159.10 |
| 9491 | Additional charge for each backing cost | 54 | Dentist | 155.70 |
| 9493 | Add. charge for each Steel’s backing or ponting | 54 | Dentist | 169.30 |
| 9495 | Dental Technicians Fees | 54 | Dentist | 245.50 |
| 9497 | Dental Technicians Fees | 54 | Dentist | 279.30 |
| 9501 | Ceramic jacket crown | 54 | Dentist | 1,071.30 |
| 9502 | Ceramic metal substitute coping(incl material) | 54 | Dentist | 865.00 |
| 9505 | Porcelian veneer crown – non-precious metal | 54 | Dentist | 1,415.20 |
| 9507 | Additional charge for each soldering joint | 54 | Dentist | 289.50 |
| 9511 | Inlay in porcelain veneer crown | 54 | Dentist | 467.00 |
| 9512 | Ceramic Veneer/Bridge retainer | 54 | Dentist | 1,098.60 |
| 9515 | Porcelain shoulder per unit (not applicable to | 54 | Dentist | 94.80 |
| 9520 | Additional fee for crown & bridge work performed | 54 | Dentist | 45.70 |
| 9521 | Full metal crown | 54 | Dentist | 875.10 |
| 9524 | Indirect composite resin inlay | 54 | Dentist | 237.00 |
| 9525 | Class IV MO or DO cast indirect | 54 | Dentist | 721.10 |
| 9526 | Add. fee for one piece casting of crown or inlay | 54 | Dentist | 220.20 |
| 9531 | Pin-edge inlay | 54 | Dentist | 817.60 |
| 9533 | Occlusal surface pontic | 54 | Dentist | 646.60 |
| 9535 | Copint cast | 54 | Dentist | 606.00 |
| 9537 | Precision lock and rest cast incorp. pre-formed part | 54 | Dentist | 859.90 |
| 9538 | Lock and rest cast | 54 | Dentist | 411.40 |
| 9539 | Casting of rest only | 54 | Dentist | 245.50 |
| 9541 | Gold inlay or post cast direct | 54 | Dentist | 260.70 |
| 9543 | Gold soldering joint where investing is required | 54 | Dentist | 259.10 |
| 9545 | Cast post with thimble indirect | 54 | Dentist | 431.50 |
| 9546 | Dental Technicians Fees | 54 | Dentist | 714.30 |
| 9547 | Pontic or abutment thimble/Manufacture cast post and | 54 | Dentist | 563.70 |
| 9549 | CSP attachment (Steiger) | 54 | Dentist | 1,902.50 |
| 9550 | Milling milled edge per unit | 54 | Dentist | 606.00 |
| 9551 | Telescope crown | 54 | Dentist | 1,492.80 |
| 9553 | Acrylic veneer crown – indirect | 54 | Dentist | 1,193.20 |
| 9557 | Acrylic jacket crown – indirect | 54 | Dentist | 842.90 |
| 9559 | Acrylic veneer post crown | 54 | Dentist | 1,179.70 |
| 9560 | Indirect composite resin veneer | 54 | Dentist | 499.40 |
| 9561 | Acrylic jacket crown – direct | 54 | Dentist | 575.50 |
| 9562 | Silicoating (per unit) | 54 | Dentist | – |
| 9563 | Temporary acrylic crown cold cured per tooth/pontic | 54 | Dentist | 411.40 |
| 9564 | Heat formed template supplied to dentist for the | 54 | Dentist | 206.40 |
| 9565 | Acrylic-facing replaced | 54 | Dentist | 479.10 |
| 9566 | Porcelian facing replaced | 54 | Dentist | 868.40 |
| 9569 | Waxing of crown to existing denture | 54 | Dentist | 338.50 |
| 9570 | Add. fee for each remake at an agreed quantum | 54 | Dentist | 348.60 |
| 9571 | Basic charge which incl. acrylic base & excl. models | 54 | Dentist | 428.30 |
| 9572 | Basic charge for appliance which do not incl acrylic | 54 | Dentist | 206.40 |
| 9573 | Add. charge for fitting 1st expansion screw | 54 | Dentist | 81.10 |
| 9575 | Add. fee for fitting subsequent expansion screws | 54 | Dentist | 69.40 |
| 9576 | Additional fee for full aclusal bite plate | 54 | Dentist | 240.40 |
| 9577 | Additional fee for bite plate | 54 | Dentist | 81.10 |
| 9578 | Additional fee for bite plate posterior | 54 | Dentist | 81.10 |
| 9579 | Additional fee for fitting tongue guard | 54 | Dentist | 101.40 |
| 9581 | Additional fee for flat or inclined plane | 54 | Dentist | 62.60 |
| 9583 | Additional fee for Adams Crib | 54 | Dentist | 74.40 |
| 9585 | Additional fee for Jackson Crib | 54 | Dentist | 77.90 |
| 9587 | Additional fee for ball clasp | 54 | Dentist | 88.10 |
| 9589 | Additional fee for single arm clasp | 54 | Dentist | 67.70 |
| 9591 | Additional fee for double arm clasp | 54 | Dentist | 118.50 |
| 9593 | Additional fee for fitting single loop finger spring | 54 | Dentist | 55.80 |
| 9595 | Additional fee for fitting double loop finger spring | 54 | Dentist | 65.90 |
| 9597 | Additional fee for fitting buccal retraction spring | 54 | Dentist | 49.10 |
| 9599 | Additional fee for fitting apron spring | 54 | Dentist | 127.00 |
| 9603 | Additional fee for fitting coffin spring | 54 | Dentist | 121.80 |
| 9605 | Additional fee for fitting helicol or bakooka spring | 54 | Dentist | 135.40 |
| 9607 | Additional fee for fitting flapper or “T” spring | 54 | Dentist | 101.40 |
| 9609 | Add. fee for fitting all springs with tubing each | 54 | Dentist | 113.60 |
| 9611 | Additional fee for fitting labial arch | 54 | Dentist | 64.20 |
| 9613 | Additional fee for fitting buccal arch | 54 | Dentist | 76.20 |
| 9615 | Additional fee for fitting Roberts retractor | 54 | Dentist | 142.00 |
| 9617 | Invisible Retainer | 54 | Dentist | 187.80 |
| 9619 | Additional fee for fitting twinwire arch | 54 | Dentist | 177.80 |
| 9620 | Additional fee Lip bumper | 54 | Dentist | 74.40 |
| 9621 | Additional fee for fitting extra-oral arch | 54 | Dentist | 169.30 |
| 9622 | Additional fee for fitting space maintaner arch | 54 | Dentist | 74.40 |
| 9623 | Additional fee for each spot-welded joint. | 54 | Dentist | 33.70 |
| 9625 | Additional fee for each soldering joint. | 54 | Dentist | 54.20 |
| 9627 | Additional fee for each invested soldering joint. | 54 | Dentist | 150.50 |
| 9629 | Additional fee for each hook for elastic traction. | 54 | Dentist | 49.10 |
| 9631 | Mouth protector. | 54 | Dentist | 318.10 |
| 9633 | Oral screen. | 54 | Dentist | 390.90 |
| 9635 | Andersen of Noorwegian appliance. | 54 | Dentist | 699.20 |
| 9637 | Tooth positioner. | 54 | Dentist | 805.80 |
| 9639 | Gunning splint (excluding cost of material). | 54 | Dentist | 1,073.10 |
| 9641 | Frankel appliance | 54 | Dentist | 1,035.80 |
| 9643 | Chin cap | 54 | Dentist | 343.40 |
| 9645 | Bionator | 54 | Dentist | 700.90 |
| 9646 | Diagnostic set-up | 54 | Dentist | 673.80 |
| 9647 | Snoring Appliance | 54 | Dentist | 636.50 |
| 9651 | Pinched or swaged bank with welded attachment | 54 | Dentist | 206.40 |
| 9653 | Pinched or swaged band with soldered attachment | 54 | Dentist | 270.90 |
| 9662 | Additional fee for each remake at an agreed quantum | 54 | Dentist | 348.60 |
| 9700 | Diatorics 1 x 6/8 | 54 | Dentist | – |
| 9702 | Diatorics – odds- anterior | 54 | Dentist | – |
| 9704 | Diatorics- odds- posterior | 54 | Dentist | – |
| 9706 | Cost of Bleaching Tray material | 54 | Dentist | – |
| 9720 | Soft base material per denture | 54 | Dentist | – |
| 9722 | High impact acrylic per denture | 54 | Dentist | – |
| 9724 | Cost of Precision attachment.Per attachment. | 54 | Dentist | – |
| 9726 | Preformed Ball or roach clasp | 54 | Dentist | – |
| 9728 | Cost of lingual I palatal bar. | 54 | Dentist | – |
| 9729 | Cost of mesh stengthener | 54 | Dentist | – |
| 9730 | Cost of pre-fabricated burn-out component- per compo | 54 | Dentist | – |
| 9732 | Cost of other attachment components e.g. nylon caps- | 54 | Dentist | – |
| 9734 | Cost of dolder bar and clips- per gram or per clip – | 54 | Dentist | – |
| 9736 | Cost of implant components s- per gram or per clip – | 54 | Dentist | – |
| 9738 | Cost of preformed strengthener er gram or per clip – | 54 | Dentist | – |
| 9739 | Additional charge goldplating | 54 | Dentist | – |
| 9740 | Cost of gold wire- per gram er er gram or per clip – | 54 | Dentist | – |
| 9741 | Cost of Cobalt Chrome casting alloy am or per clip – | 54 | Dentist | – |
| 9742 | Cost of specialised Cobalt Chrome casting metal- e.g | 54 | Dentist | – |
| 9744 | Cost of precious casting alloy me casting metal- e.g | 54 | Dentist | – |
| 9746 | Cost of semi-precious casting alloy sting metal- e.g | 54 | Dentist | – |
| 9748 | Cost of non-precious casting alloy sting metal- e.g | 54 | Dentist | – |
| 9752 | Cost of platinum foil asting alloy sting metal- e.g | 54 | Dentist | – |
| 9754 | Cost of gold solder- per gram lloy sting metal- e.g | 54 | Dentist | – |
| 9755 | Etching for bonding (metal or ceramic) | 54 | Dentist | – |
| 9756 | Cost of silver solder- per gram oy sting metal- e.g | 54 | Dentist | – |
| 9757 | Ceromer material – per unit | 54 | Dentist | – |
| 9758 | Fiber re-enforced materual (per unit) | 54 | Dentist | – |
| 9759 | Fiber re-enforced bridge material (per unit) | 54 | Dentist | – |
| 9760 | Composite restoration material oy sting metal- e.g | 54 | Dentist | – |
| 9761 | Ceramic material | 54 | Dentist | – |
| 9762 | Cost of anterior orthodontic attachment – per attach | 54 | Dentist | – |
| 9763 | Orthodontic Material | 54 | Dentist | – |
| 9764 | Cost of posterior orthodontic attachment- per attach | 54 | Dentist | – |
| 9765 | Preformed Components | 54 | Dentist | – |
| 9766 | Cost of expansion screw- per screw hment- per attach | 54 | Dentist | – |
| 9767 | Soldering Material | 54 | Dentist | – |
| 9768 | Cost of buccle tube- per tube crew hment- per attach | 54 | Dentist | – |
| 9770 | Cost of J-hook- per hook tube crew hment- per attach | 54 | Dentist | – |
| 9772 | Cost of lingual buttons- per button ment- per attach | 54 | Dentist | – |
| 9774 | Cost of Invisible retainer material ment- per attach | 54 | Dentist | – |
| 9775 | R/A Case – Orthodontic Services | 54 | Dentist | – |
| 9776 | Cost of mouth protector material al ment- per attach | 54 | Dentist | – |
| 9778 | Cost of TMA arch wire r material al ment- per attach | 54 | Dentist | – |
| 9779 | Durasoft Material | 54 | Dentist | – |
| 9780 | Positioning and finishing of complete (male and fema | 54 | Dentist | 533.20 |
| 9782 | Positioning and soldering of complete ( male and fem | 54 | Dentist | 445.20 |
| 9783 | Implant stent per unit | 54 | Dentist | 411.40 |
| 9784 | Allignment of dolder bar and clips te ( male and fem | 54 | Dentist | 562.00 |
| 9786 | Waxing and finishing of implant abutment – crown and | 54 | Dentist | 241.90 |
| 9787 | Waxing milling and finishing of custom abutment | 54 | Dentist | 472.10 |
| 9788 | Implant superstructure incl. Placing of preformed pa | 54 | Dentist | 2,581.20 |
| 9789 | Finishing of prosthesis on implant structure | 54 | Dentist | 942.80 |
| 10001 | Used to combine services in order to reject/Whole | 54 | Dentist | – |
| 10004 | Risk Pool Benefit/Whole Blood – Reagent | 54 | Dentist | – |
| 11111 | Nil Benefit Tariff Code | 54 | Dentist | – |
| 77798 | FOREIGN SERVICES: SAVINGS | 54 | Dentist | – |
| 80008 | Memoriseerkode-tandheelkunde-15%van gelde vir asst. | 54 | Dentist | – |
| 90222 | 2005 Diamond / Discovery:Savings Advance claim | 54 | Dentist | – |
| 96805 | Polmed Exgratia co payment | 54 | Dentist | – |
| 98100 | Dental Missed Appointment | 54 | Dentist | – |
| 99099 | SAFETY-NET AUTHORISED/EX-GRATIA | 54 | Dentist | – |
| 99100 | In House Tariff – Surgical Appliances (general) | 54 | Dentist | – |
| 99113 | CPAP Apparatus/ Machine for sleep apnoea | 54 | Dentist | – |
| 99143 | Difference between Cost and NHRPL (PMB) | 54 | Dentist | – |
| 99210 | Chronic medication | 54 | Dentist | – |
| 99214 | Overseas Claims- Acute Meds | 54 | Dentist | – |
| 99342 | Repairs and maintenance of approved/ chronic | 54 | Dentist | – |
| 99443 | Polmed Administrator Liability | 54 | Dentist | – |
| 99520 | Basic dental treatment at Prov Hospital/Clinic | 54 | Dentist | – |
| 99521 | Advanced dental work at Clinics / Prov Hosp | 54 | Dentist | – |
| 99552 | Stale Claims Approved | 54 | Dentist | – |
| 99565 | Services approved from accumulated savings | 54 | Dentist | – |
| 99699 | Modifier corrections -Transmed Take on | 54 | Dentist | – |
| 99751 | Dental Implants on hospital account | 54 | Dentist | – |
| 99753 | Internal prosthesis – Total Hip Replacement | 54 | Dentist | – |
| 99900 | FOREIGN SERVICES – HOSPITAL 100% | 54 | Dentist | – |
| 99910 | Additional Claim: Dental/Samwu Ex-Gratia | 54 | Dentist | – |
| 99929 | Ex-Gratia Specialised Dentistry | 54 | Dentist | – |
| 99999 | Deposit on hospital account. | 54 | Dentist | – |
Medsheme: COVID-19 Telephonic Consultations Code|Rate
COVID-19 Telephonic and Virtual consultation codes by Medscheme
| Scheme | Code 0130 2020 Tariff Rate |
| AECI | R 287.00 |
| Barloworld | R 283.40 |
| Bonitas | R281.60 |
| Fedhealth | R281.50 |
| Horizon | R293.70 |
| Hosmed | R 325.40 |
| MBMed | R 282.70 |
| Medshield | R 436.60 |
| Nedgroup | R 287.00 |
| Parmed | R 279.80 |
| Polmed | R 268.80 |
| SABC | R 282.00 |
| Sasolmed | R 281.60 |
[pdf-embedder url=”https://medinol.co.za/wp-c0ntent/uploads/2020/04/Medscheme-Telephonic-and-Virtual-consultation-codesion.pdf” title=”Medscheme Telephonic and Virtual consultation codesion”]
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Medical Scheme Beneficiary Numbers Decline
Medical scheme membership less affordable
Medical scheme membership has become unaffordable for an increasing proportion of the population since 2012, as high unemployment and the rising cost of private health care take their toll. Business Day reports that the proportion of the population belonging to medical schemes declined from 16.4% in 2012 to 15.4% in 2018, according to its analysis of data published by the Council for Medical Schemes (CMS) and Statistics SA.
There were 8.916m medical scheme members in 2018, according to the CMS 2018-19 annual report, tabled in parliament last week, a modest 2.7% growth on the 8.68m medical scheme members recorded for 2012. Over this period, the population grew 9.4%, from 52.93m to 57.94m, according to data from Stats SA. “Medical scheme membership is highly correlated to income and employment, and so the proportion of people not on medical schemes is a reflection of the low employment in South Africa, Insight Actuaries joint CEO Christoff Raath is quoted in the report as saying.
Wits School of Governance professor Alex van den Heever said making medical scheme membership more affordable would require a new regulatory framework, as proposed by the market inquiry. CMS head of stakeholder relations Grace Khoza said the biggest factor affecting medical scheme membership is the state of the economy.