Medicare Benefits Schedule - Note TN.8.107

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 Item 47726 or 47729 for the harvesting, plus Item 48239 or 48242 for the grafting. 

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 prescribed dental patients registered under the Cleft Lip and Cleft Palate Scheme.

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

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Multiple Operation Rule

Mandible or maxilla, procedure for advancement, retrusion or alteration of tilt, by osteotomy in standard planes, including fixation by any means (including application of distractors if used)—one service per patient on the same occasion (H)

(Anaes.) (Assist.)

Fee: $1,463.70 Benefit: 75% = $1,097.80

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

Multiple Operation Rule

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)

(Anaes.) (Assist.)

Fee: $1,595.95 Benefit: 75% = $1,197.00

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

Multiple Operation Rule

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, conjoint specialist surgeon, one service per patient on the same occasion (H)

(Anaes.) (Assist.)

Fee: $1,196.95 Benefit: 75% = $897.75

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

Multiple Operation Rule

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)—single surgeon, one service per patient on the same occasion (H)

(Anaes.) (Assist.)

Fee: $1,994.80 Benefit: 75% = $1,496.10

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

Multiple Operation Rule

Maxilla, procedure for reshaping arch of, by complex segmental osteotomies, including fixation by any means (including application of distractors if used), one service per patient on the same occasion (H)

(Anaes.) (Assist.)

Fee: $1,670.50 Benefit: 75% = $1,252.90

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

Multiple Operation Rule

Mandible, procedure for reshaping arch of, by complex segmental osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used), one service per patient on the same occasion (H)

(Anaes.) (Assist.)

Fee: $1,670.50 Benefit: 75% = $1,252.90

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

Multiple Operation Rule

Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)—conjoint surgery, principal specialist surgeon, one service per patient on the same occasion (H)

(Anaes.) (Assist.)

Fee: $1,907.10 Benefit: 75% = $1,430.35

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

Multiple Operation Rule

Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)—conjoint surgery, conjoint specialist surgeon, one service per patient on the same occasion (H)

(Anaes.) (Assist.)

Fee: $1,430.30 Benefit: 75% = $1,072.75

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

Multiple Operation Rule

Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)—single surgeon, one service per patient on the same occasion (H)

(Anaes.) (Assist.)

Fee: $2,383.80 Benefit: 75% = $1,787.85

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