Medicare Benefits Schedule - Note ON.3.3

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Category 4 - ORAL AND MAXILLOFACIAL SERVICES

ON.3.3

After Care (Post-operative Treatment)

The fee specified for each of the operations listed in the Schedule contains a component for the consequential after‑care customarily provided unless otherwise indicated.  After‑care is deemed to include all post‑operative treatment rendered by practitioners and need not necessarily be limited to treatment given by the approved dental practitioner or to treatment given by any one practitioner.  This does not preclude, however, the payment of benefit for professional services for the treatment by a dental practitioner of an intercurrent condition or an unusual complication arising from the operation. 

Some minor operations are merely stages in the treatment of a particular condition.  Professional services by dental practitioners subsequent to such operations should not be regarded as after‑care but rather as continuation of the treatment of the original condition and should attract benefit. Item 52057 is a service to which this policy applies.

Related Items: 52057


Related Items

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

52057

52057 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2007
Schedule Fee Updated:
01-Jul-2021

LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion, requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding aftercare)

(Anaes.)

Fee: $169.55 Benefit: 75% = $127.20 85% = $144.15

(See para ON.3.3 of explanatory notes to this Category)


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