Medicare Benefits Schedule - Item 46151

Mandible and maxilla (bimaxillary), procedure for advancement, retrusion or alteration of tilt, or combination of these, by osteotomies in standard planes, including fixation by any means (including application of distractors if used)—conjoint surgery, principal specialist surgeon, one service per patient on the same occasion (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,651.80 Benefit: 75% = $1,238.85

(See para CN.0.11, TN.8.107, TN.8.269 of explanatory notes to this Category)

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The fee and benefit for these items include the various forms of internal or dental fixation, jaw immobilisation, the transposition of nerves and vessels and bone grafts taken from the same site. Bone grafts taken from a separate site, eg iliac crest, would attract additional benefit under the relevant bone graft item in the range of 48248 to 48257. 

For the purposes of these items, a reference to maxilla includes any procedure involving the adjacent zygoma.

Item 75621 for the provision of fitting of surgical templates may be claimed in association with the appropriate orthognathic surgical items in the range of 46150 to 46158 for dental patients with eligible conditions under Cleft and Craniofacial Services.

Related Items: 46150 46151 46152 46153 46154 46155 46156 46157 46158

Examples of mandible and maxilla (bimaxillary) procedures for advancement, retrusion or alteration of tilt by osteotomies in standard planes include sagittal split of mandible and horizontal osteotomy of maxilla.

Related Items: 46150 46151 46152 46153

Benefits are payable for items 75002 to 75621 only where the service has been rendered to a patient who has been referred by letter of referral by a medical practitioner or referring dentist. 

Item 75621 may be claimed in association with items 46150 to 46161 where the service is performed by a practitioner holding a FRACDS (OMS) qualification.

Related Items: 46150 46151 46152 46153 46154 46155 46156 46157 46158 46159 46160 46161 75621