Medicare Benefits Schedule - Note ON.4.6

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Category 4 - ORAL AND MAXILLOFACIAL SERVICES

ON.4.6

Tumour, cyst, Ulcer or Scar - (Items 52036 to 52054)

It is recognised that odontogenic keratocysts, although not neoplastic, often require the surgical management of benign tumours.

Related Items: 52036 52039 52042 52045 52048 52051 52054


Related Items

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

52036

52036 - Additional Information

Item Start Date:
01-Dec-1991
Description Start Date:
01-Nov-2007
Schedule Fee Start Date:
01-Nov-2012

TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies

(Anaes.)

Fee: $126.90 Benefit: 75% = $95.20 85% = $107.90

(See para ON.4.6 of explanatory notes to this Category)

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

52039

52039 - Additional Information

Item Start Date:
01-Dec-1991
Description Start Date:
01-Nov-2007
Schedule Fee Start Date:
01-Nov-2012

TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions

(Anaes.) (Assist.)

Fee: $326.05 Benefit: 75% = $244.55 85% = $277.15

(See para ON.4.6 of explanatory notes to this Category)

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

52042

52042 - Additional Information

Item Start Date:
01-Dec-1991
Description Start Date:
01-Nov-2007
Schedule Fee Start Date:
01-Nov-2012

TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane

(Anaes.)

Fee: $172.50 Benefit: 75% = $129.40 85% = $146.65

(See para ON.4.6 of explanatory notes to this Category)

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

52045

52045 - Additional Information

Item Start Date:
01-Dec-1991
Description Start Date:
01-Nov-2007
Schedule Fee Start Date:
01-Nov-2012

TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue

(Anaes.)

Fee: $246.50 Benefit: 75% = $184.90 85% = $209.55

(See para ON.4.6 of explanatory notes to this Category)

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

52048

52048 - Additional Information

Item Start Date:
01-Dec-1991
Description Start Date:
01-Nov-2007
Schedule Fee Start Date:
01-Nov-2012

TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, not being a service to which another item in Groups O3 to O9 applies

(Anaes.) (Assist.)

Fee: $371.50 Benefit: 75% = $278.65 85% = $315.80

(See para ON.4.6 of explanatory notes to this Category)

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

52051

52051 - Additional Information

Item Start Date:
01-Dec-1991
Description Start Date:
01-Nov-2007
Schedule Fee Start Date:
01-Nov-2012

TUMOUR, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft

(Anaes.) (Assist.)

Fee: $502.25 Benefit: 75% = $376.70 85% = $426.95

(See para ON.4.6 of explanatory notes to this Category)

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

52054

52054 - Additional Information

Item Start Date:
01-Dec-1991
Description Start Date:
01-Nov-2007
Schedule Fee Start Date:
01-Nov-2012

TUMOUR, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft

(Anaes.) (Assist.)

Fee: $587.60 Benefit: 75% = $440.70 85% = $505.90

(See para ON.4.6 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