Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 82360 | Group M16 | $84.65 | ≠ CHANGED | ||||
|
Item Number
82360
Schedule Fee
$84.65
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration
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| 82362 | Group M16 | $115.10 | ≠ CHANGED | ||||
|
Item Number
82362
Schedule Fee
$115.10
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration
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|
|||||||
| 82363 | Group M16 | $119.45 | ≠ CHANGED | ||||
|
Item Number
82363
Schedule Fee
$119.45
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration
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|
|||||||
| 82365 | Group M16 | $150.00 | ≠ CHANGED | ||||
|
Item Number
82365
Schedule Fee
$150.00
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration
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|
|||||||
| 82366 | Group M16 | $30.45 | ≠ CHANGED | ||||
|
Item Number
82366
Schedule Fee
$30.45
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided in person; and (c) the service is at least 60 minutes in duration
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|
|||||||
| 82367 | Group M16 | $30.45 | ≠ CHANGED | ||||
|
Item Number
82367
Schedule Fee
$30.45
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 60 minutes in duration
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|
|||||||
| 82368 | Group M16 | $74.55 | ≠ CHANGED | ||||
|
Item Number
82368
Schedule Fee
$74.55
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration
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|
|||||||
| 82370 | Group M16 | $105.00 | ≠ CHANGED | ||||
|
Item Number
82370
Schedule Fee
$105.00
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration
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|
|||||||
| 82371 | Group M16 | $105.25 | ≠ CHANGED | ||||
|
Item Number
82371
Schedule Fee
$105.25
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration
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|
|||||||
| 82373 | Group M16 | $135.65 | ≠ CHANGED | ||||
|
Item Number
82373
Schedule Fee
$135.65
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration
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|
|||||||
| 82374 | Group M16 | $26.70 | ≠ CHANGED | ||||
|
Item Number
82374
Schedule Fee
$26.70
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided in person; and (c) the service is at least 60 minutes in duration
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|
|||||||
| 82375 | Group M16 | $26.70 | ≠ CHANGED | ||||
|
Item Number
82375
Schedule Fee
$26.70
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 60 minutes in duration
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|
|||||||
| 82376 | Group M16 | $74.55 | ≠ CHANGED | ||||
|
Item Number
82376
Schedule Fee
$74.55
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration
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|
|||||||
| 82378 | Group M16 | $105.00 | ≠ CHANGED | ||||
|
Item Number
82378
Schedule Fee
$105.00
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration
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|
|||||||
| 82379 | Group M16 | $105.25 | ≠ CHANGED | ||||
|
Item Number
82379
Schedule Fee
$105.25
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration
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|
|||||||
| 82381 | Group M16 | $135.65 | ≠ CHANGED | ||||
|
Item Number
82381
Schedule Fee
$135.65
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration
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|
|||||||
| 82382 | Group M16 | $26.70 | ≠ CHANGED | ||||
|
Item Number
82382
Schedule Fee
$26.70
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided in person; and (c) the service is at least 60 minutes in duration
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|||||||
| 82383 | Group M16 | $26.70 | ≠ CHANGED | ||||
|
Item Number
82383
Schedule Fee
$26.70
Category
Category 8 — Miscellaneous
Group / Subheading
Group M16
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 60 minutes in duration
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|
|||||||
| 88011 | Group U0 | $60.95 | |||||
|
Item Number
88011
Schedule Fee
$60.95
Benefits
100%: $60.95
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U0
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Comprehensive oral examination Evaluation of all teeth, their supporting tissues and the oral tissues in order to record the condition of these structures. This evaluation includes recording an appropriate medical history and any other relevant information.
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|||||||
| 88012 | Group U0 | $50.70 | |||||
|
Item Number
88012
Schedule Fee
$50.70
Benefits
100%: $50.70
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U0
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Periodic oral examination An evaluation performed on a patient of record to determine any changes in the patient's dental and medical health status since a previous comprehensive or periodic examination.
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|||||||
| 88013 | Group U0 | $31.80 | |||||
|
Item Number
88013
Schedule Fee
$31.80
Benefits
100%: $31.80
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U0
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Oral examination - limited A limited oral problem-focussed evaluation carried out immediately prior to required treatment. This evaluation includes recording an appropriate medical history and any other relevant information.
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| 88022 | Group U0 | $35.30 | |||||
|
Item Number
88022
Schedule Fee
$35.30
Benefits
100%: $35.30
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U0
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Intraoral periapical or bitewing radiograph - per exposure Taking and interpreting a radiograph made with the film inside the mouth.
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| 88025 | Group U0 | $71.30 | |||||
|
Item Number
88025
Schedule Fee
$71.30
Benefits
100%: $71.30
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U0
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Intraoral radiograph - occlusal, maxillary, mandibular - per exposure Taking and interpreting an occlusal, maxillary or mandibular intraoral radiograph. This radiograph shows a more extensive view of teeth and maxillary or mandibular bone.
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| 88111 | Group U1 | $62.30 | |||||
|
Item Number
88111
Schedule Fee
$62.30
Benefits
100%: $62.30
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U1
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Removal of plaque and/or stain Removal of dental plaque and/or stain from the surfaces of all teeth and/or implants.
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| 88114 | Group U1 | $103.90 | |||||
|
Item Number
88114
Schedule Fee
$103.90
Benefits
100%: $103.90
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U1
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Removal of calculus - first visit Removal of calculus from the surfaces of teeth.
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| 88115 | Group U1 | $67.50 | |||||
|
Item Number
88115
Schedule Fee
$67.50
Benefits
100%: $67.50
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U1
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Removal of calculus - subsequent visit This item describes procedures in item 88114 when, because of the extent or degree of calculus, an additional visit(s) is required to remove deposits from the teeth.
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| 88121 | Group U1 | $40.05 | |||||
|
Item Number
88121
Schedule Fee
$40.05
Benefits
100%: $40.05
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U1
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Topical application of remineralisation and/or cariostatic agents, one treatment Application of remineralisation and/or cariostatic agents to the surfaces of the teeth. This may include activation of the agent. Not to be used as an intrinsic part of the restoration.
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| 88161 | Group U1 | $53.35 | |||||
|
Item Number
88161
Schedule Fee
$53.35
Benefits
100%: $53.35
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U1
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Fissure and/or tooth surface sealing - per tooth (first four services on a day) Sealing of non-carious pits, fissures, smooth surfaces or cracks in a tooth with an adhesive material. Any preparation prior to application of the sealant is included in this item number.
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| 88162 | Group U1 | $26.70 | |||||
|
Item Number
88162
Schedule Fee
$26.70
Benefits
100%: $26.70
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U1
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Fissure and/or tooth surface sealing - per tooth (subsequent services) Sealing of non-carious pits, fissures, smooth surfaces or cracks in a tooth with an adhesive material. Any preparation prior to application of the sealant is included in this item number.
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| 88213 | Group U2 | $80.70 | |||||
|
Item Number
88213
Schedule Fee
$80.70
Benefits
100%: $80.70
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U2
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Treatment of acute periodontal infection - per visit This item describes the treatment of acute periodontal infection(s). It may include establishing drainage and the removal of calculus from the affected tooth (teeth). Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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| 88221 | Group U2 | $61.35 | |||||
|
Item Number
88221
Schedule Fee
$61.35
Benefits
100%: $61.35
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U2
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Clinical periodontal analysis and recording This is a special examination performed as part of the diagnosis and management of periodontal disease. The procedure consists of assessing and recording a patient's periodontal condition. All teeth and six sites per tooth must be recorded. Written documentation of these measurements must be retained.
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| 88311 | Group U3 | $152.05 | |||||
|
Item Number
88311
Schedule Fee
$152.05
Benefits
100%: $152.05
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Removal of a tooth or part(s) thereof - first tooth extracted on a day A procedure consisting of the removal of a tooth or part(s) thereof. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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| 88314 | Group U3 | $194.35 | |||||
|
Item Number
88314
Schedule Fee
$194.35
Benefits
100%: $194.35
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Sectional removal of a tooth or part(s) thereof - first tooth extracted on a day The removal of a tooth or part(s) thereof in sections. Bone removal may be necessary. Inclusive of the insertion of sutures, normal postoperative care and suture removal.
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| 88316 | Group U3 | $95.85 | |||||
|
Item Number
88316
Schedule Fee
$95.85
Benefits
100%: $95.85
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Additional extraction requiring removal of a tooth or part(s) thereof, or sectional removal of a tooth. Additional extraction provided on the same day as a service described in item 88311 or 88314 is provided to the patient.
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| 88322 | Group U3 | $246.80 | |||||
|
Item Number
88322
Schedule Fee
$246.80
Benefits
100%: $246.80
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division - first tooth extracted on a day Removal of a tooth or tooth fragment where an incision and the raising of a mucoperiosteal flap is required, but where removal of bone or sectioning of the tooth is not necessary to remove the tooth. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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|||||||
| 88323 | Group U3 | $281.85 | |||||
|
Item Number
88323
Schedule Fee
$281.85
Benefits
100%: $281.85
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Surgical removal of a tooth or tooth fragment requiring removal of bone - first tooth extracted on a day Removal of a tooth or tooth fragment where removal of bone is required after an incision and a mucoperiosteal flap raised. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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|||||||
| 88324 | Group U3 | $379.10 | |||||
|
Item Number
88324
Schedule Fee
$379.10
Benefits
100%: $379.10
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Surgical removal of a tooth or tooth fragment requiring both removal of bone and tooth division - first tooth extracted on a day Removal of a tooth or tooth fragment where both removal of bone and sectioning of the tooth are required after an incision and a mucoperiosteal flap raised. The tooth will be removed in portions. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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|||||||
| 88326 | Group U3 | $201.90 | |||||
|
Item Number
88326
Schedule Fee
$201.90
Benefits
100%: $201.90
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Additional extraction requiring surgical removal of a tooth or tooth fragment Additional surgical extraction provided on the same day as a service described in item 88322, 88323 or 88324 is provided to the patient.
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|||||||
| 88351 | Group U3 | $185.25 | |||||
|
Item Number
88351
Schedule Fee
$185.25
Benefits
100%: $185.25
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Repair of skin and subcutaneous tissue or mucous membrane The surgical cleaning and repair of a facial skin wound in the region of the mouth or jaws, or the repair of oral mucous membrane, where the wounds involve the subcutaneous tissues. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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|||||||
| 88384 | Group U3 | $221.05 | |||||
|
Item Number
88384
Schedule Fee
$221.05
Benefits
100%: $221.05
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Repositioning of displaced tooth/teeth - per tooth A procedure following trauma where the position of the displaced tooth/teeth is corrected by manipulation. Stabilising procedures are itemised separately. Inclusive of the insertion of sutures, normal postoperative care and suture removal.
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|||||||
| 88386 | Group U3 | $228.10 | |||||
|
Item Number
88386
Schedule Fee
$228.10
Benefits
100%: $228.10
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Splinting of displaced tooth/teeth - per tooth A procedure following trauma where the position of the displaced tooth/teeth may be stabilized by splinting. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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|||||||
| 88387 | Group U3 | $446.60 | |||||
|
Item Number
88387
Schedule Fee
$446.60
Benefits
100%: $446.60
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Replantation and splinting of a tooth Replantation of a tooth which has been avulsed or intentionally removed. It may be held in the correct position by splinting. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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|||||||
| 88392 | Group U3 | $112.20 | |||||
|
Item Number
88392
Schedule Fee
$112.20
Benefits
100%: $112.20
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U3
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Drainage of abscess Drainage and/or irrigation of an abscess other than through a root canal or at the time of extraction. The drainage may be through an incision or inserted tube. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
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|||||||
| 88411 | Group U4 | $40.35 | |||||
|
Item Number
88411
Schedule Fee
$40.35
Benefits
100%: $40.35
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U4
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Direct pulp capping A procedure where an exposed pulp is directly covered with a protective dressing or cement.
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|||||||
| 88412 | Group U4 | $138.25 | |||||
|
Item Number
88412
Schedule Fee
$138.25
Benefits
100%: $138.25
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U4
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2015
Gov. Change Flags
No changes flagged
Full Description
Incomplete endodontic therapy (tooth not suitable for further treatment) A procedure where in assessing the suitability of a tooth for endodontic treatment a decision is made that the tooth is not suitable for restoration.
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|||||||
| 88414 | Group U4 | $88.15 | |||||
|
Item Number
88414
Schedule Fee
$88.15
Benefits
100%: $88.15
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U4
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Pulpotomy Amputation within the pulp chamber of part of the vital pulp of a tooth. The pulp remaining in the canal(s) is then covered with a protective dressing or cement.
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|||||||
| 88415 | Group U4 | $248.05 | |||||
|
Item Number
88415
Schedule Fee
$248.05
Benefits
100%: $248.05
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U4
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Complete chemo-mechanical preparation of root canal - one canal Complete chemo-mechanical preparation including removal of pulp or necrotic debris from a canal.
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|||||||
| 88416 | Group U4 | $118.15 | |||||
|
Item Number
88416
Schedule Fee
$118.15
Benefits
100%: $118.15
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U4
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Complete chemo-mechanical preparation of root canal - each additional canal Complete chemo-mechanical preparation including removal of pulp or necrotic debris from each additional canal of a tooth with multiple canals.
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|||||||
| 88417 | Group U4 | $241.60 | |||||
|
Item Number
88417
Schedule Fee
$241.60
Benefits
100%: $241.60
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U4
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Root canal obturation - one canal The filling of a root canal, following chemo-mechanical preparation.
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|||||||
| 88418 | Group U4 | $113.00 | |||||
|
Item Number
88418
Schedule Fee
$113.00
Benefits
100%: $113.00
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U4
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Root canal obturation - each additional canal The filling, following chemo-mechanical preparation, of each additional canal in a tooth with multiple canals.
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