Billing Codes
Medicare Benefits Schedule — Updated Quarterly

MBS Item Tracker

Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging

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Total Items
6045
MBS item numbers
Showing 5651–5700 of 6045 Pg 114/121
Item No. Description Schedule Fee Status
88419
Extirpation of pulp or debridement of root canal(s) - emergency or palliative The partial or thorough removal of pulp and/or debris from the root canal system of a tooth. This is an emergency or palliative procedure distinct from visits for scheduled endodontic treatment.
Group U4 		$159.75
Item Number
88419
Schedule Fee
$159.75
Benefits
100%: $159.75
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
Extirpation of pulp or debridement of root canal(s) - emergency or palliative The partial or thorough removal of pulp and/or debris from the root canal system of a tooth. This is an emergency or palliative procedure distinct from visits for scheduled endodontic treatment.
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88421
Resorbable root canal filling - primary tooth The placement of resorbable root canal filling material in a primary tooth.
Group U4 		$138.25
Item Number
88421
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: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Resorbable root canal filling - primary tooth The placement of resorbable root canal filling material in a primary tooth.
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88455
Additional visit for irrigation and/or dressing of the root canal system - per tooth Additional debridement irrigation and short-term dressing required where evidence of infection or inflammation persists following prior opening of the root canal and removal of its contents.
Group U4 		$122.40
Item Number
88455
Schedule Fee
$122.40
Benefits
100%: $122.40
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
Additional visit for irrigation and/or dressing of the root canal system - per tooth Additional debridement irrigation and short-term dressing required where evidence of infection or inflammation persists following prior opening of the root canal and removal of its contents.
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88458
Interim therapeutic root filling - per tooth A procedure consisting of the insertion of a long-term provisional (temporary) root canal filling with therapeutic properties which facilitates healing/development of the root and periradicular tissues over an extended time.
Group U4 		$163.25
Item Number
88458
Schedule Fee
$163.25
Benefits
100%: $163.25
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: 01.01.2014
Gov. Change Flags
No changes flagged
Full Description
Interim therapeutic root filling - per tooth A procedure consisting of the insertion of a long-term provisional (temporary) root canal filling with therapeutic properties which facilitates healing/development of the root and periradicular tissues over an extended time.
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88511
Metallic restoration - one surface - direct Direct metallic restoration involving one surface of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$120.70
Item Number
88511
Schedule Fee
$120.70
Benefits
100%: $120.70
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Metallic restoration - one surface - direct Direct metallic restoration involving one surface of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88512
Metallic restoration - two surfaces - direct Direct metallic restoration involving two surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$148.05
Item Number
88512
Schedule Fee
$148.05
Benefits
100%: $148.05
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Metallic restoration - two surfaces - direct Direct metallic restoration involving two surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88513
Metallic restoration - three surfaces - direct Direct metallic restoration involving three surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$176.65
Item Number
88513
Schedule Fee
$176.65
Benefits
100%: $176.65
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Metallic restoration - three surfaces - direct Direct metallic restoration involving three surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88514
Metallic restoration - four surfaces - direct Direct metallic restoration involving four surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$201.35
Item Number
88514
Schedule Fee
$201.35
Benefits
100%: $201.35
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Metallic restoration - four surfaces - direct Direct metallic restoration involving four surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88515
Metallic restoration - five surfaces - direct Direct metallic restoration involving five surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$229.85
Item Number
88515
Schedule Fee
$229.85
Benefits
100%: $229.85
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Metallic restoration - five surfaces - direct Direct metallic restoration involving five surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88521
Adhesive restoration - one surface - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$133.70
Item Number
88521
Schedule Fee
$133.70
Benefits
100%: $133.70
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - one surface - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88522
Adhesive restoration - two surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$162.30
Item Number
88522
Schedule Fee
$162.30
Benefits
100%: $162.30
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - two surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88523
Adhesive restoration - three surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$192.25
Item Number
88523
Schedule Fee
$192.25
Benefits
100%: $192.25
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - three surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88524
Adhesive restoration - four surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$222.20
Item Number
88524
Schedule Fee
$222.20
Benefits
100%: $222.20
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - four surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88525
Adhesive restoration - five surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$261.10
Item Number
88525
Schedule Fee
$261.10
Benefits
100%: $261.10
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - five surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88531
Adhesive restoration - one surface - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$142.75
Item Number
88531
Schedule Fee
$142.75
Benefits
100%: $142.75
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - one surface - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88532
Adhesive restoration - two surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$179.25
Item Number
88532
Schedule Fee
$179.25
Benefits
100%: $179.25
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - two surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88533
Adhesive restoration - three surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$215.50
Item Number
88533
Schedule Fee
$215.50
Benefits
100%: $215.50
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - three surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88534
Adhesive restoration - four surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$242.90
Item Number
88534
Schedule Fee
$242.90
Benefits
100%: $242.90
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - four surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88535
Adhesive restoration - five surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
Group U5 		$280.50
Item Number
88535
Schedule Fee
$280.50
Benefits
100%: $280.50
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Adhesive restoration - five surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
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88572
Provisional (intermediate/temporary) restoration - per tooth The provisional (intermediate) restoration of a tooth designed to last until the definitive restoration can be constructed or the tooth is removed. This item should only be used where the provisional (intermediate) restoration is not an intrinsic part of treatment. It does not include provisional (temporary) sealing of the access cavity during endodontic treatment or during construction of indirect restorations.
Group U5 		$56.45
Item Number
88572
Schedule Fee
$56.45
Benefits
100%: $56.45
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Provisional (intermediate/temporary) restoration - per tooth The provisional (intermediate) restoration of a tooth designed to last until the definitive restoration can be constructed or the tooth is removed. This item should only be used where the provisional (intermediate) restoration is not an intrinsic part of treatment. It does not include provisional (temporary) sealing of the access cavity during endodontic treatment or during construction of indirect restorations.
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88574
Metal band The cementation of a metal band for diagnostic, protective purposes or for the placement of a provisional (intermediate) restoration.
Group U5 		$47.55
Item Number
88574
Schedule Fee
$47.55
Benefits
100%: $47.55
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Metal band The cementation of a metal band for diagnostic, protective purposes or for the placement of a provisional (intermediate) restoration.
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88575
Pin retention - per pin Use of a pin to aid the retention and support of direct or indirect restorations in a tooth.
Group U5 		$32.45
Item Number
88575
Schedule Fee
$32.45
Benefits
100%: $32.45
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Pin retention - per pin Use of a pin to aid the retention and support of direct or indirect restorations in a tooth.
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88579
Bonding of tooth fragment The direct bonding of a tooth fragment as an alternative to placing a restoration.
Group U5 		$112.20
Item Number
88579
Schedule Fee
$112.20
Benefits
100%: $112.20
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Bonding of tooth fragment The direct bonding of a tooth fragment as an alternative to placing a restoration.
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88586
Crown-metallic-with tooth preparation-preformed Placing a preformed metallic crown as a coronal restoration for a tooth.
Group U5 		$297.75
Item Number
88586
Schedule Fee
$297.75
Benefits
100%: $297.75
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2018
Gov. Change Flags
No changes flagged
Full Description
Crown-metallic-with tooth preparation-preformed Placing a preformed metallic crown as a coronal restoration for a tooth.
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88587
Crown-metallic-minimal tooth preparation-preformed Placing a preformed metallic crown as a coronal restoration for a tooth and where minimal or no restoration of the tooth is required. Commonly referred to as a 'Hall' crown.
Group U5 		$176.65
Item Number
88587
Schedule Fee
$176.65
Benefits
100%: $176.65
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2018
Gov. Change Flags
No changes flagged
Full Description
Crown-metallic-minimal tooth preparation-preformed Placing a preformed metallic crown as a coronal restoration for a tooth and where minimal or no restoration of the tooth is required. Commonly referred to as a 'Hall' crown.
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88597
Post - direct Insertion of a post into a prepared root canal to provide an anchor for an artificial crown or other restoration.
Group U5 		$102.10
Item Number
88597
Schedule Fee
$102.10
Benefits
100%: $102.10
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U5
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
Post - direct Insertion of a post into a prepared root canal to provide an anchor for an artificial crown or other restoration.
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88721
Partial maxillary denture - resin, base only Provision of a resin base for a removable dental prosthesis for the maxilla where some natural teeth remain.
Group U7 		$505.70
Item Number
88721
Schedule Fee
$505.70
Benefits
100%: $505.70
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Partial maxillary denture - resin, base only Provision of a resin base for a removable dental prosthesis for the maxilla where some natural teeth remain.
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88722
Partial mandibular denture - resin, base only Provision of a resin base for a removable dental prosthesis for the mandible where some natural teeth remain.
Group U7 		$505.70
Item Number
88722
Schedule Fee
$505.70
Benefits
100%: $505.70
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Partial mandibular denture - resin, base only Provision of a resin base for a removable dental prosthesis for the mandible where some natural teeth remain.
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88723
Provisional partial maxillary denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88721.
Group U7 		$379.25
Item Number
88723
Schedule Fee
$379.25
Benefits
100%: $379.25
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2018
Gov. Change Flags
No changes flagged
Full Description
Provisional partial maxillary denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88721.
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88724
Provisional partial mandibular denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the mandible which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88722.
Group U7 		$379.25
Item Number
88724
Schedule Fee
$379.25
Benefits
100%: $379.25
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.01.2026
Item from: 01.01.2018
Gov. Change Flags
No changes flagged
Full Description
Provisional partial mandibular denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the mandible which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88722.
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88731
Retainer - per tooth A retainer or attachment fitted to a tooth to aid retention of a partial denture. The number of retainers should be indicated.
Group U7 		$51.05
Item Number
88731
Schedule Fee
$51.05
Benefits
100%: $51.05
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Retainer - per tooth A retainer or attachment fitted to a tooth to aid retention of a partial denture. The number of retainers should be indicated.
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88733
Tooth/teeth (partial denture) An item to describe each tooth added to the base of a new partial denture. The number of teeth should be indicated.
Group U7 		$41.90
Item Number
88733
Schedule Fee
$41.90
Benefits
100%: $41.90
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Tooth/teeth (partial denture) An item to describe each tooth added to the base of a new partial denture. The number of teeth should be indicated.
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88736
Immediate tooth replacement - per tooth Provision within a denture to allow immediate replacement of an extracted tooth. The number of teeth so replaced should be indicated.
Group U7 		$10.55
Item Number
88736
Schedule Fee
$10.55
Benefits
100%: $10.55
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Immediate tooth replacement - per tooth Provision within a denture to allow immediate replacement of an extracted tooth. The number of teeth so replaced should be indicated.
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88741
Adjustment of a denture Adjustment of a denture to improve comfort, function or aesthetics. This item does not apply to routine adjustments following the insertion of a new denture or the maintenance or repair of an existing denture.
Group U7 		$60.80
Item Number
88741
Schedule Fee
$60.80
Benefits
100%: $60.80
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Adjustment of a denture Adjustment of a denture to improve comfort, function or aesthetics. This item does not apply to routine adjustments following the insertion of a new denture or the maintenance or repair of an existing denture.
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88761
Reattaching pre-existing clasp to denture Repair, insertion and adjustment of a denture involving re-attachment of a pre-existing clasp.
Group U7 		$166.95
Item Number
88761
Schedule Fee
$166.95
Benefits
100%: $166.95
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Reattaching pre-existing clasp to denture Repair, insertion and adjustment of a denture involving re-attachment of a pre-existing clasp.
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88762
Replacing/adding clasp to denture - per clasp Repair, insertion and adjustment of a denture involving replacement or addition of a new clasp or clasps.
Group U7 		$174.45
Item Number
88762
Schedule Fee
$174.45
Benefits
100%: $174.45
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Replacing/adding clasp to denture - per clasp Repair, insertion and adjustment of a denture involving replacement or addition of a new clasp or clasps.
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88764
Repairing broken base of a partial denture Repair, insertion and adjustment of a broken resin partial denture base.
Group U7 		$166.95
Item Number
88764
Schedule Fee
$166.95
Benefits
100%: $166.95
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Repairing broken base of a partial denture Repair, insertion and adjustment of a broken resin partial denture base.
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88765
Replacing/adding new tooth on denture - per tooth Repair, insertion and adjustment of a denture involving replacement with or addition of a new tooth or teeth to a previously existing denture.
Group U7 		$174.45
Item Number
88765
Schedule Fee
$174.45
Benefits
100%: $174.45
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Replacing/adding new tooth on denture - per tooth Repair, insertion and adjustment of a denture involving replacement with or addition of a new tooth or teeth to a previously existing denture.
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88766
Reattaching existing tooth on denture - per tooth Repair, insertion and adjustment of a denture involving reattachment of a pre-existing denture tooth or teeth.
Group U7 		$166.95
Item Number
88766
Schedule Fee
$166.95
Benefits
100%: $166.95
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Reattaching existing tooth on denture - per tooth Repair, insertion and adjustment of a denture involving reattachment of a pre-existing denture tooth or teeth.
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88768
Adding tooth to partial denture to replace an extracted ordecoronated tooth - per tooth Modification, insertion and adjustment of a partial denture involving an addition to accommodate the loss of a natural tooth or its coronal section.
Group U7 		$176.65
Item Number
88768
Schedule Fee
$176.65
Benefits
100%: $176.65
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Adding tooth to partial denture to replace an extracted ordecoronated tooth - per tooth Modification, insertion and adjustment of a partial denture involving an addition to accommodate the loss of a natural tooth or its coronal section.
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88776
Impression - dental appliance repair/modification An item to describe taking an impression where required for the repair or modification of a dental appliance.
Group U7 		$53.35
Item Number
88776
Schedule Fee
$53.35
Benefits
100%: $53.35
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U7
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
Impression - dental appliance repair/modification An item to describe taking an impression where required for the repair or modification of a dental appliance.
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88911
Palliative care An item to describe interim care to relieve pain, infection, bleeding or other problems not associated with other treatment.
Group U9 		$79.20
Item Number
88911
Schedule Fee
$79.20
Benefits
100%: $79.20
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U9
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
Palliative care An item to describe interim care to relieve pain, infection, bleeding or other problems not associated with other treatment.
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88942
Sedation - intravenous Sedative drug(s) administered intravenously, usually in increments.The incremental administration may continue while dental treatment is being provided.
Group U9 		$155.25
Item Number
88942
Schedule Fee
$155.25
Benefits
100%: $155.25
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U9
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
Sedation - intravenous Sedative drug(s) administered intravenously, usually in increments.The incremental administration may continue while dental treatment is being provided.
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88943
Sedation - inhalation Nitrous oxide gas mixed with oxygen is inhaled by the patient while dental treatment is being provided.
Group U9 		$77.60
Item Number
88943
Schedule Fee
$77.60
Benefits
100%: $77.60
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Group / Subheading
Group U9
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
Sedation - inhalation Nitrous oxide gas mixed with oxygen is inhaled by the patient while dental treatment is being provided.
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90001
For the first patient attended during one attendance by a general practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90020, 90035, 90043, 90051 or 90054 applies is the amount listed in the item plus $65.80.
Group A35 		$65.80 ≠ CHANGED
Item Number
90001
Schedule Fee
$65.80
Benefits
100%: $65.80
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠ Descriptor ≠
Full Description
For the first patient attended during one attendance by a general practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90020, 90035, 90043, 90051 or 90054 applies is the amount listed in the item plus $65.80.
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90002
For the first patient attended during one attendance by a medical practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90092, 90093, 90095, 90096, 90098, 90183, 90188, 90202, 90212 or 90215 applies is the amount listed in the item plus $47.80.
Group A35 		$47.80 ≠ CHANGED
Item Number
90002
Schedule Fee
$47.80
Benefits
100%: $47.80
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠ Descriptor ≠
Full Description
For the first patient attended during one attendance by a medical practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90092, 90093, 90095, 90096, 90098, 90183, 90188, 90202, 90212 or 90215 applies is the amount listed in the item plus $47.80.
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90020
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (other than accommodation in a self‑contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at one residential aged care facility on one occasion - each patient.
Group A35 		$20.55 ≠ CHANGED
Item Number
90020
Schedule Fee
$20.55
Benefits
100%: $20.55
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (other than accommodation in a self‑contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at one residential aged care facility on one occasion - each patient.
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90035
Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)
Group A35 		$45.05 ≠ CHANGED
Item Number
90035
Schedule Fee
$45.05
Benefits
100%: $45.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)
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90043
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
Group A35 		$87.10 ≠ CHANGED
Item Number
90043
Schedule Fee
$87.10
Benefits
100%: $87.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
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90051
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
Group A35 		$128.35 ≠ CHANGED
Item Number
90051
Schedule Fee
$128.35
Benefits
100%: $128.35
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
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100% Benefit
$159.75
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Extirpation of pulp or debridement of root canal(s) - emergency or palliative The partial or thorough removal of pulp and/or debris from the root canal system of a tooth. This is an emergency or palliative procedure distinct from visits for scheduled endodontic treatment.
100% Benefit
$138.25
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Resorbable root canal filling - primary tooth The placement of resorbable root canal filling material in a primary tooth.
100% Benefit
$122.40
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Additional visit for irrigation and/or dressing of the root canal system - per tooth Additional debridement irrigation and short-term dressing required where evidence of infection or inflammation persists following prior opening of the root canal and removal of its contents.
100% Benefit
$163.25
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Interim therapeutic root filling - per tooth A procedure consisting of the insertion of a long-term provisional (temporary) root canal filling with therapeutic properties which facilitates healing/development of the root and periradicular tissues over an extended time.
100% Benefit
$120.70
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Metallic restoration - one surface - direct Direct metallic restoration involving one surface of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$148.05
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Metallic restoration - two surfaces - direct Direct metallic restoration involving two surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$176.65
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Metallic restoration - three surfaces - direct Direct metallic restoration involving three surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$201.35
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Metallic restoration - four surfaces - direct Direct metallic restoration involving four surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$229.85
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Metallic restoration - five surfaces - direct Direct metallic restoration involving five surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$133.70
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - one surface - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$162.30
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - two surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$192.25
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - three surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$222.20
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - four surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$261.10
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - five surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$142.75
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - one surface - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$179.25
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - two surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$215.50
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - three surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$242.90
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - four surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$280.50
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adhesive restoration - five surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
100% Benefit
$56.45
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Provisional (intermediate/temporary) restoration - per tooth The provisional (intermediate) restoration of a tooth designed to last until the definitive restoration can be constructed or the tooth is removed. This item should only be used where the provisional (intermediate) restoration is not an intrinsic part of treatment. It does not include provisional (temporary) sealing of the access cavity during endodontic treatment or during construction of indirect restorations.
100% Benefit
$47.55
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Metal band The cementation of a metal band for diagnostic, protective purposes or for the placement of a provisional (intermediate) restoration.
100% Benefit
$32.45
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Pin retention - per pin Use of a pin to aid the retention and support of direct or indirect restorations in a tooth.
100% Benefit
$112.20
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Bonding of tooth fragment The direct bonding of a tooth fragment as an alternative to placing a restoration.
100% Benefit
$297.75
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Crown-metallic-with tooth preparation-preformed Placing a preformed metallic crown as a coronal restoration for a tooth.
100% Benefit
$176.65
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Crown-metallic-minimal tooth preparation-preformed Placing a preformed metallic crown as a coronal restoration for a tooth and where minimal or no restoration of the tooth is required. Commonly referred to as a 'Hall' crown.
100% Benefit
$102.10
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Post - direct Insertion of a post into a prepared root canal to provide an anchor for an artificial crown or other restoration.
100% Benefit
$505.70
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Partial maxillary denture - resin, base only Provision of a resin base for a removable dental prosthesis for the maxilla where some natural teeth remain.
100% Benefit
$505.70
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Partial mandibular denture - resin, base only Provision of a resin base for a removable dental prosthesis for the mandible where some natural teeth remain.
100% Benefit
$379.25
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Provisional partial maxillary denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88721.
100% Benefit
$379.25
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Provisional partial mandibular denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the mandible which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88722.
100% Benefit
$51.05
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Retainer - per tooth A retainer or attachment fitted to a tooth to aid retention of a partial denture. The number of retainers should be indicated.
100% Benefit
$41.90
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Tooth/teeth (partial denture) An item to describe each tooth added to the base of a new partial denture. The number of teeth should be indicated.
100% Benefit
$10.55
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Immediate tooth replacement - per tooth Provision within a denture to allow immediate replacement of an extracted tooth. The number of teeth so replaced should be indicated.
100% Benefit
$60.80
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adjustment of a denture Adjustment of a denture to improve comfort, function or aesthetics. This item does not apply to routine adjustments following the insertion of a new denture or the maintenance or repair of an existing denture.
100% Benefit
$166.95
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Reattaching pre-existing clasp to denture Repair, insertion and adjustment of a denture involving re-attachment of a pre-existing clasp.
100% Benefit
$174.45
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Replacing/adding clasp to denture - per clasp Repair, insertion and adjustment of a denture involving replacement or addition of a new clasp or clasps.
100% Benefit
$166.95
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Repairing broken base of a partial denture Repair, insertion and adjustment of a broken resin partial denture base.
100% Benefit
$174.45
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Replacing/adding new tooth on denture - per tooth Repair, insertion and adjustment of a denture involving replacement with or addition of a new tooth or teeth to a previously existing denture.
100% Benefit
$166.95
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Reattaching existing tooth on denture - per tooth Repair, insertion and adjustment of a denture involving reattachment of a pre-existing denture tooth or teeth.
100% Benefit
$176.65
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Adding tooth to partial denture to replace an extracted ordecoronated tooth - per tooth Modification, insertion and adjustment of a partial denture involving an addition to accommodate the loss of a natural tooth or its coronal section.
100% Benefit
$53.35
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Impression - dental appliance repair/modification An item to describe taking an impression where required for the repair or modification of a dental appliance.
100% Benefit
$79.20
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Palliative care An item to describe interim care to relieve pain, infection, bleeding or other problems not associated with other treatment.
100% Benefit
$155.25
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Sedation - intravenous Sedative drug(s) administered intravenously, usually in increments.The incremental administration may continue while dental treatment is being provided.
100% Benefit
$77.60
Fee From
01.01.2026
Category
Category 10 — Coronavirus Disease 2019 (COVID-19)
Description
Sedation - inhalation Nitrous oxide gas mixed with oxygen is inhaled by the patient while dental treatment is being provided.
100% Benefit
$65.80
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
For the first patient attended during one attendance by a general practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90020, 90035, 90043, 90051 or 90054 applies is the amount listed in the item plus $65.80.
100% Benefit
$47.80
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
For the first patient attended during one attendance by a medical practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90092, 90093, 90095, 90096, 90098, 90183, 90188, 90202, 90212 or 90215 applies is the amount listed in the item plus $47.80.
100% Benefit
$20.55
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (other than accommodation in a self‑contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at one residential aged care facility on one occasion - each patient.
100% Benefit
$45.05
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)
100% Benefit
$87.10
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
100% Benefit
$128.35
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
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