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Category 4 - ORAL AND MAXILLOFACIAL SERVICES
ON.4.10
Fracture of Mandible or Maxilla - (Items 53400 to 53439)
There are two maxillae in the skull and for the purpose of these items the mandible is regarded as comprising two bones.
Hence a bilateral fracture of the mandible would be assessed as:
· Item 53409 x 1½;
· two maxillae and one side of the mandible as Item 53406 x 1½ + 53409 x ¼.
Splinting in Item 53406 or 53409 refers to cap splints, arch bars, silver (cast metal) or acrylic splints.
Related Items: 53400 53403 53406 53409 53410 53411 53412 53413 53414 53415 53416 53418 53419 53422 53423 53424 53425 53427 53429 53439
Related Items
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53400 - Additional Information
MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring splinting
Fee: $142.15 Benefit: 75% = $106.65 85% = $120.85
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53406 - Additional Information
MAXILLA, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation
(Anaes.) (Assist.)
Fee: $447.55 Benefit: 75% = $335.70 85% = $380.45
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53409 - Additional Information
MANDIBLE, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation
(Anaes.) (Assist.)
Fee: $447.55 Benefit: 75% = $335.70 85% = $380.45
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53410 - Additional Information
ZYGOMATIC BONE, treatment of fracture of, not requiring surgical reduction
Fee: $94.25 Benefit: 75% = $70.70 85% = $80.15
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53411 - Additional Information
ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach
(Anaes.)
Fee: $262.85 Benefit: 75% = $197.15 85% = $223.45
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53412 - Additional Information
ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site
(Anaes.) (Assist.)
Fee: $431.60 Benefit: 75% = $323.70 85% = $366.90
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53413 - Additional Information
ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites
(Anaes.) (Assist.)
Fee: $528.75 Benefit: 75% = $396.60 85% = $449.45
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53414 - Additional Information
ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites
(Anaes.) (Assist.)
Fee: $607.40 Benefit: 75% = $455.55 85% = $516.30
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53415 - Additional Information
MAXILLA, treatment of fracture of, requiring open reduction
(Anaes.) (Assist.)
Fee: $479.55 Benefit: 75% = $359.70 85% = $407.65
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53416 - Additional Information
MANDIBLE, treatment of fracture of, requiring open reduction
(Anaes.) (Assist.)
Fee: $479.55 Benefit: 75% = $359.70 85% = $407.65
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53418 - Additional Information
MAXILLA, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s)
(Anaes.) (Assist.)
Fee: $623.40 Benefit: 75% = $467.55 85% = $529.90
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53419 - Additional Information
MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s)
(Anaes.) (Assist.)
Fee: $623.40 Benefit: 75% = $467.55 85% = $529.90
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53422 - Additional Information
MAXILLA, treatment of fracture of, requiring open reduction and internal fixation involving plate(s)
(Anaes.) (Assist.)
Fee: $791.10 Benefit: 75% = $593.35 85% = $692.40
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53423 - Additional Information
MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation involving plate(s)
(Anaes.) (Assist.)
Fee: $791.10 Benefit: 75% = $593.35 85% = $692.40
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53424 - Additional Information
MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s)
(Anaes.) (Assist.)
Fee: $678.70 Benefit: 75% = $509.05 85% = $580.00
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53425 - Additional Information
MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s)
(Anaes.) (Assist.)
Fee: $678.70 Benefit: 75% = $509.05 85% = $580.00
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53427 - Additional Information
MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s)
(Anaes.) (Assist.)
Fee: $927.05 Benefit: 75% = $695.30 85% = $828.35
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53429 - Additional Information
MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s)
(Anaes.) (Assist.)
Fee: $927.05 Benefit: 75% = $695.30 85% = $828.35
(See para ON.4.10 of explanatory notes to this Category)
Category 4 - ORAL AND MAXILLOFACIAL SERVICES
53439 - Additional Information
MANDIBLE, treatment of a closed fracture of, involving a joint surface
(Anaes.)
Fee: $262.85 Benefit: 75% = $197.15 85% = $223.45
(See para ON.4.10 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