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 4101–4150 of 6045 Pg 83/121
Item No. Description Schedule Fee Status
52333
Cleft palate, primary repair (H) (Anaes.) (Assist.)
Group O4
$935.85 ≠ CHANGED
Item Number
52333
Schedule Fee
$935.85
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Cleft palate, primary repair (H) (Anaes.) (Assist.)
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52336
Cleft palate, secondary repair, closure of fistula using local flaps (H) (Anaes.) (Assist.)
Group O4
$585.05 ≠ CHANGED
Item Number
52336
Schedule Fee
$585.05
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Cleft palate, secondary repair, closure of fistula using local flaps (H) (Anaes.) (Assist.)
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52337
Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (H) (Anaes.) (Assist.)
Group O4
$1279.65 ≠ CHANGED
Item Number
52337
Schedule Fee
$1279.65
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.1997
Gov. Change Flags
Fee ≠
Full Description
Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (H) (Anaes.) (Assist.)
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52339
Cleft palate, secondary repair, lengthening procedure (H) (Anaes.) (Assist.)
Group O4
$666.20 ≠ CHANGED
Item Number
52339
Schedule Fee
$666.20
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Cleft palate, secondary repair, lengthening procedure (H) (Anaes.) (Assist.)
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52342
MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Group O4
$1157.15 ≠ CHANGED
Item Number
52342
Schedule Fee
$1157.15
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
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52345
MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Group O4
$1304.95 ≠ CHANGED
Item Number
52345
Schedule Fee
$1304.95
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
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52348
MANDIBLE or MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Group O4
$1474.65 ≠ CHANGED
Item Number
52348
Schedule Fee
$1474.65
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE or MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
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52351
MANDIBLE or MAXILLA, bilateral osteotomy of osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Group O4
$1656.15 ≠ CHANGED
Item Number
52351
Schedule Fee
$1656.15
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE or MAXILLA, bilateral osteotomy of osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
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52354
MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Group O4
$1678.95 ≠ CHANGED
Item Number
52354
Schedule Fee
$1678.95
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
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52357
MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Group O4
$1890.15 ≠ CHANGED
Item Number
52357
Schedule Fee
$1890.15
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
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52360
MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Group O4
$1928.20 ≠ CHANGED
Item Number
52360
Schedule Fee
$1928.20
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
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52363
MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Group O4
$2169.10 ≠ CHANGED
Item Number
52363
Schedule Fee
$2169.10
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
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52366
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Group O4
$2121.25 ≠ CHANGED
Item Number
52366
Schedule Fee
$2121.25
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
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52369
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Group O4
$2385.10 ≠ CHANGED
Item Number
52369
Schedule Fee
$2385.10
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
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52372
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Group O4
$2314.30 ≠ CHANGED
Item Number
52372
Schedule Fee
$2314.30
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
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52375
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.)
Group O4
$2592.15 ≠ CHANGED
Item Number
52375
Schedule Fee
$2592.15
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.)
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52378
Genioplasty including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.)
Group O4
$896.05 ≠ CHANGED
Item Number
52378
Schedule Fee
$896.05
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Genioplasty including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.)
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52379
Face, contour reconstruction of one region, using autogenous bone or cartilage graft (H) (Anaes.) (Assist.)
Group O4
$1531.35 ≠ CHANGED
Item Number
52379
Schedule Fee
$1531.35
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Face, contour reconstruction of one region, using autogenous bone or cartilage graft (H) (Anaes.) (Assist.)
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52380
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.)
Group O4
$2607.55 ≠ CHANGED
Item Number
52380
Schedule Fee
$2607.55
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.)
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52382
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.)
Group O4
$3125.85 ≠ CHANGED
Item Number
52382
Schedule Fee
$3125.85
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.)
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52420
Mandible, fixation by intermaxillary wiring, excluding wiring for obesity (H)
Group O4
$288.60 ≠ CHANGED
Item Number
52420
Schedule Fee
$288.60
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Mandible, fixation by intermaxillary wiring, excluding wiring for obesity (H)
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52424
Dermis, dermofat or fascia graft (excluding transfer of fat by injection) in the oral and maxillofacial region (H) (Anaes.) (Assist.)
Group O4
$566.95 ≠ CHANGED
Item Number
52424
Schedule Fee
$566.95
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Dermis, dermofat or fascia graft (excluding transfer of fat by injection) in the oral and maxillofacial region (H) (Anaes.) (Assist.)
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52430
Microvascular repair of the oral and maxillofacial region using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (H) (Anaes.) (Assist.)
Group O4
$1304.95 ≠ CHANGED
Item Number
52430
Schedule Fee
$1304.95
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Microvascular repair of the oral and maxillofacial region using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (H) (Anaes.) (Assist.)
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52440
Cleft lip, unilateral—primary repair, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
Group O4
$647.85 ≠ CHANGED
Item Number
52440
Schedule Fee
$647.85
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Cleft lip, unilateral—primary repair, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
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52442
Cleft lip, unilateral—primary repair, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
Group O4
$810.05 ≠ CHANGED
Item Number
52442
Schedule Fee
$810.05
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Cleft lip, unilateral—primary repair, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
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52444
Cleft lip, bilateral—primary repair, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
Group O4
$899.85 ≠ CHANGED
Item Number
52444
Schedule Fee
$899.85
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Cleft lip, bilateral—primary repair, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
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52446
Cleft lip, bilateral—primary repair, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
Group O4
$1062.30 ≠ CHANGED
Item Number
52446
Schedule Fee
$1062.30
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Cleft lip, bilateral—primary repair, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
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52450
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.)
Group O4
$359.95 ≠ CHANGED
Item Number
52450
Schedule Fee
$359.95
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.)
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52452
Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (H) (Anaes.) (Assist.)
Group O4
$585.05 ≠ CHANGED
Item Number
52452
Schedule Fee
$585.05
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (H) (Anaes.) (Assist.)
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52456
Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (H) (Anaes.) (Assist.)
Group O4
$990.20 ≠ CHANGED
Item Number
52456
Schedule Fee
$990.20
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (H) (Anaes.) (Assist.)
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52458
Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.)
Group O4
$359.95 ≠ CHANGED
Item Number
52458
Schedule Fee
$359.95
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.)
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52460
Velo‑pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (H) (Anaes.)
Group O4
$935.85 ≠ CHANGED
Item Number
52460
Schedule Fee
$935.85
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Velo‑pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (H) (Anaes.)
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52480
Composite graft (chondro‑cutaneous or chondro‑mucosal) to nose, ear or eyelid (H) (Anaes.) (Assist.)
Group O4
$601.15 ≠ CHANGED
Item Number
52480
Schedule Fee
$601.15
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Composite graft (chondro‑cutaneous or chondro‑mucosal) to nose, ear or eyelid (H) (Anaes.) (Assist.)
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52482
Macrocheilia or macroglossia, operation for (H) (Anaes.) (Assist.)
Group O4
$578.40 ≠ CHANGED
Item Number
52482
Schedule Fee
$578.40
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Macrocheilia or macroglossia, operation for (H) (Anaes.) (Assist.)
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52484
Macrostomia, operation for (H) (Anaes.) (Assist.)
Group O4
$688.60 ≠ CHANGED
Item Number
52484
Schedule Fee
$688.60
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2000
Gov. Change Flags
Fee ≠
Full Description
Macrostomia, operation for (H) (Anaes.) (Assist.)
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52600
MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
Group O5
$405.00 ≠ CHANGED
Item Number
52600
Schedule Fee
$405.00
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
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52603
Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.)
Group O5
$387.05 ≠ CHANGED
Item Number
52603
Schedule Fee
$387.05
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.)
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52606
MAXILLARY TUBEROSITY, reduction of (Anaes.)
Group O5
$295.30 ≠ CHANGED
Item Number
52606
Schedule Fee
$295.30
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MAXILLARY TUBEROSITY, reduction of (Anaes.)
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52609
Papillary hyperplasia of the palate, removal of—less than 5 lesions (H) (Anaes.) (Assist.)
Group O5
$387.05 ≠ CHANGED
Item Number
52609
Schedule Fee
$387.05
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Papillary hyperplasia of the palate, removal of—less than 5 lesions (H) (Anaes.) (Assist.)
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52612
Papillary hyperplasia of the palate, removal of—5 to 20 lesions (H) (Anaes.) (Assist.)
Group O5
$485.95 ≠ CHANGED
Item Number
52612
Schedule Fee
$485.95
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Papillary hyperplasia of the palate, removal of—5 to 20 lesions (H) (Anaes.) (Assist.)
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52615
Papillary hyperplasia of the palate, removal of—more than 20 lesions (H) (Anaes.) (Assist.)
Group O5
$603.15 ≠ CHANGED
Item Number
52615
Schedule Fee
$603.15
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Papillary hyperplasia of the palate, removal of—more than 20 lesions (H) (Anaes.) (Assist.)
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52618
VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
Group O5
$702.00 ≠ CHANGED
Item Number
52618
Schedule Fee
$702.00
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
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52621
Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed—unilateral (H) (Anaes.) (Assist.)
Group O5
$702.00 ≠ CHANGED
Item Number
52621
Schedule Fee
$702.00
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed—unilateral (H) (Anaes.) (Assist.)
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52624
ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
Group O5
$566.95 ≠ CHANGED
Item Number
52624
Schedule Fee
$566.95
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
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52626
Alveolar ridge augmentation—unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (H) (Anaes.) (Assist.)
Group O5
$347.75 ≠ CHANGED
Item Number
52626
Schedule Fee
$347.75
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1992
Gov. Change Flags
Fee ≠
Full Description
Alveolar ridge augmentation—unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (H) (Anaes.) (Assist.)
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52627
OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, extra oral implantation of titanium fixture (Anaes.) (Assist.)
Group O5
$603.15 ≠ CHANGED
Item Number
52627
Schedule Fee
$603.15
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, extra oral implantation of titanium fixture (Anaes.) (Assist.)
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52630
OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, fixation of transcutaneous abutment (Anaes.)
Group O5
$223.25 ≠ CHANGED
Item Number
52630
Schedule Fee
$223.25
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, fixation of transcutaneous abutment (Anaes.)
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52633
OSSEO-INTEGRATION PROCEDURE - intra-oral implantation of titanium fixture to facilitate restoration of the dentition following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
Group O5
$603.15 ≠ CHANGED
Item Number
52633
Schedule Fee
$603.15
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.1997
Gov. Change Flags
Fee ≠
Full Description
OSSEO-INTEGRATION PROCEDURE - intra-oral implantation of titanium fixture to facilitate restoration of the dentition following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
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52636
OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
Group O5
$223.25 ≠ CHANGED
Item Number
52636
Schedule Fee
$223.25
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.1997
Gov. Change Flags
Fee ≠
Full Description
OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
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52800
Neurolysis by open operation, without transposition, other than a service associated with a service to which item 52803 applies (H) (Anaes.) (Assist.)
Group O6
$331.25 ≠ CHANGED
Item Number
52800
Schedule Fee
$331.25
Category
Category 4 — Oral & Maxillofacial Services
Group / Subheading
Group O6
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Neurolysis by open operation, without transposition, other than a service associated with a service to which item 52803 applies (H) (Anaes.) (Assist.)
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Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft palate, primary repair (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft palate, secondary repair, closure of fistula using local flaps (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft palate, secondary repair, lengthening procedure (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE or MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE or MAXILLA, bilateral osteotomy of osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Genioplasty including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Face, contour reconstruction of one region, using autogenous bone or cartilage graft (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Mandible, fixation by intermaxillary wiring, excluding wiring for obesity (H)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Dermis, dermofat or fascia graft (excluding transfer of fat by injection) in the oral and maxillofacial region (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Microvascular repair of the oral and maxillofacial region using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft lip, unilateral—primary repair, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft lip, unilateral—primary repair, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft lip, bilateral—primary repair, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft lip, bilateral—primary repair, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Velo‑pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (H) (Anaes.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Composite graft (chondro‑cutaneous or chondro‑mucosal) to nose, ear or eyelid (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Macrocheilia or macroglossia, operation for (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Macrostomia, operation for (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
MAXILLARY TUBEROSITY, reduction of (Anaes.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Papillary hyperplasia of the palate, removal of—less than 5 lesions (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Papillary hyperplasia of the palate, removal of—5 to 20 lesions (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Papillary hyperplasia of the palate, removal of—more than 20 lesions (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed—unilateral (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Alveolar ridge augmentation—unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, extra oral implantation of titanium fixture (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, fixation of transcutaneous abutment (Anaes.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
OSSEO-INTEGRATION PROCEDURE - intra-oral implantation of titanium fixture to facilitate restoration of the dentition following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
Fee From
01.07.2026
Category
Category 4 — Oral & Maxillofacial Services
Description
Neurolysis by open operation, without transposition, other than a service associated with a service to which item 52803 applies (H) (Anaes.) (Assist.)
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