Medicare Benefits Schedule - Note CN.0.13

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Category 7 - CLEFT AND CRANIOFACIAL SERVICES

CN.0.13

Over-servicing

Over‑servicing must be avoided. In the case of denture services, examples of over‑servicing might be:‑

· Unjustifiably frequent replacement of dentures;

· Provision of new dentures when relining or re‑modelling of an existing prosthesis would meet the clinical need;

· Provision of metal dentures where an acrylic denture would meet the clinical need. 

The Schedule includes an item for metal dentures to allow for the provision of a precise, long‑term prosthesis. The item is not intended for use during the period of growth, where prostheses must be replaced or altered frequently, unless there is some definite and extraordinary clinical requirement.


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change