Medicare Benefits Schedule - Note TN.8.110

There are two maxillae in the skull and for the purpose of these items the mandible is regarded as comprising two bones.

Related Items: 45975 45978 45981 45984 45987 45990 45993 45996

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Multiple Operation Rule

MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring splinting

Fee: $134.40 Benefit: 75% = $100.80 85% = $114.25

(See para TN.8.110 of explanatory notes to this Category)

Multiple Operation Rule

MANDIBLE, treatment of fracture of, not requiring splinting

Fee: $164.25 Benefit: 75% = $123.20 85% = $139.65

(See para TN.8.110 of explanatory notes to this Category)

Multiple Operation Rule

ZYGOMATIC BONE, treatment of fracture of, not requiring surgical reduction

Fee: $89.10 Benefit: 75% = $66.85 85% = $75.75

(See para TN.8.110 of explanatory notes to this Category)

Multiple Operation Rule

MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves requiring open reduction not involving plate(s)

(Anaes.) (Assist.)

Fee: $641.60 Benefit: 75% = $481.20 85% = $553.70

(See para TN.8.110 of explanatory notes to this Category)

Multiple Operation Rule

MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s)

(Anaes.) (Assist.)

Fee: $641.60 Benefit: 75% = $481.20 85% = $553.70

(See para TN.8.110 of explanatory notes to this Category)

Multiple Operation Rule

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: $876.40 Benefit: 75% = $657.30 85% = $788.50

(See para TN.8.110 of explanatory notes to this Category)

Multiple Operation Rule

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: $876.40 Benefit: 75% = $657.30 85% = $788.50

(See para TN.8.110 of explanatory notes to this Category)

Multiple Operation Rule

MANDIBLE, treatment of a closed fracture of, involving a joint surface

(Anaes.)

Fee: $248.45 Benefit: 75% = $186.35 85% = $211.20

(See para TN.8.110 of explanatory notes to this Category)